1.THE PROGNOSIS OF THE TEETH IN THE MANDIBULAR FRACTURE LINES.
Jae Chul SONG ; Ic Jun CHANG ; Byung Rho CHIN
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2000;26(5):507-513
OBJECTIVE: The purpose of this study is to evaluate the vitality of the teeth in and adjacent to the mandibular fracture line according to variable conditions of fracture and to establish the protocol of treatment of fracture line teeth. MATERIALS AND METHODS: The vitality of 97 teeth in fracture line and 104 teeth adjacent to fracture line of 52 patients were invested preoperatively. Of these, 66 teeth in fracture line and 72 teeth adjacent to fracture line were monitored at least 6 months after operation. An electric pulp tester was used to measure pulpal response. The relationships between the vitality of teeth in variable time(preoperation, immediate post-operation; within 1 week after operation, and 6 months after operation) and variable conditions of fracture(horizontal, vertical gap of fracture line, the number of fracture line)were evaluated statistically. RESULT: The vitality of fracture line teeth in the 6 months after operation statistically differed by the vertical gap of fracture line and the number of fracture line. The vitality of fracture line adjacent teeth in the immediate post-operation only statistically differed by the vertical gap of fracture line. There were statistically differences between preoperative EPT value and vitality of fracture line teeth on 6 months after operation. There were 5 cases of complications including periapical and periodontal abscess. Of these, only one tooth was extracted and the others were well treated with endodontic treatment and subgingival curettage. CONCLUSION: It is recommended to retain teeth and to monitor the vitality of teeth in and adjacent to fracture line, unless there is an absolute indication for extraction.
Humans
;
Mandibular Fractures*
;
Periodontal Abscess
;
Prognosis*
;
Subgingival Curettage
;
Tooth*
3.A Study on the Relationship Between Oral Malodor and Periodontal Disease.
Jin Hee KWON ; Moon Taek CHANG ; Sung Hoon RYU ; Hyung Seop KIM
The Journal of the Korean Academy of Periodontology 2000;30(1):203-211
Putrefactive activity within the oral cavity is the principal cause of halitosis. The most common intraoral sites of oral malodor production are tongue, interdental and subgingival areas. The other foci may include faulty restorations, sites of food impaction and abscesses. Periodontal disease frequently involves pathological oral malodor, which is caused mainly by volatile sulfur compounds(VSC), such as hydrogen sulfide, methyl mercaptan, and dimethyl sulfide. The purpose of this study is to evaluate the association between oral malodor and periodontal status. Volatile sulfur compounds in mouth air were estimated by portable sulfide monitor(Halimeter(TM)). The results were as follows : 1.The levels of volatile sulfur compounds were significantly greater in a periodontitis group than in a control group(P<0.01). The amounts of VSC in mouth air from patients with periodontal involvement were four times greater than those of the control group. 2.The significant positive correlation was found between VSC concentrations and the number of pocket depth above 4mm(P<0.01), but correlation between VSC concentrations and plaque score was not statistically significant(P>0.05). 3.In the periodontitis group, VSC concentrations of pre-treatment significantly decreased after scaling and root planing(P<0.01). 4.No statistically significant correlation was found between VSC concentrations and sex / age in the periodontitis group. The above results indicate that periodontal disease may play a role as an important factor of oral malodor and deep periodontal pockets are a source of volatile sulfur compounds.
Abscess
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Halitosis
;
Humans
;
Hydrogen Sulfide
;
Mouth
;
Periodontal Diseases*
;
Periodontal Pocket
;
Periodontitis
;
Sulfur
;
Sulfur Compounds
;
Tongue
4.Clinical analysis of patients with oral and maxillofacial infections in oral emergency.
Zhe WANG ; Wei SUN ; Xue YANG ; Ying SONG ; Ai Ping JI ; Jie BAI
Journal of Peking University(Health Sciences) 2023;55(3):543-547
OBJECTIVE:
To analyze the composition, incidence and clinical characteristics of oral and maxillofacial infections in oral emergency.
METHODS:
A retrospective study on patients with oral and maxillofacial infections who visited the Department of Oral Emergency in Peking University School and Hospital of Stomatology from January 2017 to December 2019 was conducted. General characteristics, such as disease composition, gender, age distribution and position of involved teeth were analyzed.
RESULTS:
A total of 8 277 patients with oral and maxillofacial infections were finally collected, including 4 378 male patients (52.9%) and 3 899 female patients (47.1%), with gender ratio of 1.12:1. The common diseases were periodontal abscess (3 826 cases, 46.2%), alveolar abscess (3 537 cases, 42.7%), maxillofacial space infection (740 cases, 9.0%), sialadenitis (108 cases, 1.3%), furuncle & carbuncle (56 cases, 0.7%) and osteomyelitis (10 cases, 0.1%). Male patients were more easily affected by periodontal abscess, space infection and furuncle & carbuncle than female patients with the gender ratios 1.24:1, 1.26:1, 2.50:1 individually, while the incidence of alveolar abscess, sialadenitis, furuncle & carbuncle had no significant gender difference. Different diseases were prone to occur at different ages. The peak ages of alveolar abscess were 5-9 and 27-67 years, while the peak age of periodontal abscess was 30-64 years. Space infection tended to occur between 21-67 years. There were 7 363 patients with oral abscess (3 826 patients with periodontal abscess and 3 537 patients with alveolar abscess), accounting for 88.9% of all the patients with oral and maxillofacial infections, involving 7 999 teeth, including 717 deciduous teeth and 7 282 permanent teeth. Periodontal abscess usually occurred in permanent teeth, especially the molar teeth. Alveolar abscess may occur in both primary teeth and permanent teeth. In primary teeth, the most vulnerable sites were primary molar teeth and maxillary central incisors while in permanent teeth the most vulnerable sites were first molar teeth.
CONCLUSION
Understanding the incidence of oral and maxillofacial infection was conducive to the correct diagnosis and effective treatment of clinical diseases, as well as targeted education for patients of different ages and genders to prevent the occurrence of diseases.
Humans
;
Male
;
Female
;
Animals
;
Adult
;
Middle Aged
;
Abscess
;
Retrospective Studies
;
Periodontal Abscess
;
Carbuncle
;
Furunculosis
;
Incisor
;
Sialadenitis/epidemiology*
5.Orbital subperiosteal abscess secondary to odontogenic infection of lower molar: a case report
Dong Ryul KIM ; Kwang Jin HONG ; Dong Ju CHOI ; Jeong Gu LEE
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 2000;22(1):110-110
periodontal disease and fistular formation on its distal area. From 3 days after hospitalization, the visual acuity of his right eye was gradually worsen and we performed CT scan. CT scan demonstrated an inflammatory change at the right orbit with subperiosteal abscess at the inferior orbital wall, which was extended from the right infratemporal, parapharyngeal and internal pterygoid space. Patient was treated by means of intraoral(right upper vestibular and retromolar) and extraoral(infraorbital) incision and drainage, massive anti-therapy and DM control. The patient improved gradually and finally was discharged from the hospital, but his visual loss of right side was not recovered.]]>
Abscess
;
Drainage
;
Exophthalmos
;
Headache
;
Hospitalization
;
Humans
;
Middle Aged
;
Molar
;
Orbit
;
Periodontal Diseases
;
Tomography, X-Ray Computed
;
Toothache
;
Visual Acuity
6.A brain abscess caused by Porphyromonas gingivalis.
Moon Sook CHO ; Seo Young LEE ; Hong Dae AHN ; Jin Yong KIM ; Yoon Soo PARK ; Chan Woo PARK ; Yong Kyun CHO
Korean Journal of Medicine 2009;77(Suppl 1):S226-S229
Porphyromonas gingivalis is a gram-negative, anaerobic, rod-shaped bacterium originally classified within the Bacteroides genus, and a major etiological agent in the initiation and progression of severe periodontal disease. P. gingivalis has occasionally been involved in otitis media, lung abscesses, gas gangrene, appendicitis, sinusitis, paranasal mucocele, peri-tonsillar abscesses, pleura-pulmonary infections, and thoracic empyema. We report the case of a 44-year-old male who presented with a brain abscess in which the organism, presumably originated from his poor dentition. He was successfully treated with surgical drainage and antibiotics.
Abscess
;
Adult
;
Anti-Bacterial Agents
;
Appendicitis
;
Bacteroides
;
Brain
;
Brain Abscess
;
Dentition
;
Drainage
;
Empyema, Pleural
;
Gas Gangrene
;
Humans
;
Lung Abscess
;
Male
;
Mucocele
;
Otitis Media
;
Periodontal Diseases
;
Porphyromonas
;
Porphyromonas gingivalis
;
Sinusitis
7.A brain abscess caused by Porphyromonas gingivalis.
Moon Sook CHO ; Seo Young LEE ; Hong Dae AHN ; Jin Yong KIM ; Yoon Soo PARK ; Chan Woo PARK ; Yong Kyun CHO
Korean Journal of Medicine 2009;77(Suppl 1):S226-S229
Porphyromonas gingivalis is a gram-negative, anaerobic, rod-shaped bacterium originally classified within the Bacteroides genus, and a major etiological agent in the initiation and progression of severe periodontal disease. P. gingivalis has occasionally been involved in otitis media, lung abscesses, gas gangrene, appendicitis, sinusitis, paranasal mucocele, peri-tonsillar abscesses, pleura-pulmonary infections, and thoracic empyema. We report the case of a 44-year-old male who presented with a brain abscess in which the organism, presumably originated from his poor dentition. He was successfully treated with surgical drainage and antibiotics.
Abscess
;
Adult
;
Anti-Bacterial Agents
;
Appendicitis
;
Bacteroides
;
Brain
;
Brain Abscess
;
Dentition
;
Drainage
;
Empyema, Pleural
;
Gas Gangrene
;
Humans
;
Lung Abscess
;
Male
;
Mucocele
;
Otitis Media
;
Periodontal Diseases
;
Porphyromonas
;
Porphyromonas gingivalis
;
Sinusitis
8.Concomitant Liver and Brain Abscesses Caused by Parvimonas Micra
Eun Young KIM ; Yang Hyun BAEK ; Dong Sik JUNG ; Kwang Sook WOO
The Korean Journal of Gastroenterology 2019;73(4):230-234
Anaerobic infections have been reported to be responsible for 3–10% of pyogenic liver abscesses in Korea, and reported anaerobes include Fusobacterium, Bacillus fragilis, and Bacteroides melaninogenicus. Parvimonas micra is an anaerobic, Gram-positive, non-spore-forming bacterial species and a constituent of normal flora on skin, vagina, gastrointestinal tract, and oral cavity that can cause opportunistic infections. However, it has only rarely been reported to be a cause of liver abscess; only one such case has been reported in Korea. We experienced a case of concomitant liver and brain abscesses caused by Parvimonas micra in a non-immunodeficient 65-year-old female patient without diabetes or periodontal disease. Parvimonas micra infection was confirmed by blood culture using VITEK® 2 cards and by bacterial 16s ribosomal RNA gene sequencing. We conclude that we should not overlook anaerobes as a cause of liver abscess.
Aged
;
Bacillus
;
Bacteria, Anaerobic
;
Brain Abscess
;
Brain
;
Female
;
Fusobacterium
;
Gastrointestinal Tract
;
Humans
;
Korea
;
Liver Abscess
;
Liver Abscess, Pyogenic
;
Liver
;
Mouth
;
Opportunistic Infections
;
Periodontal Diseases
;
Prevotella melaninogenica
;
RNA, Ribosomal, 16S
;
Skin
;
Vagina
9.The influence of Advanced Adult Periodontitis on the pulp.
kang Woon LEE ; Chul Woo LEE ; Soo Boo HAN
The Journal of the Korean Academy of Periodontology 1999;29(1):95-102
The purpose of this study was to observe histopathologically the influence of advanced periodontitis on pulp tissue, and to conclude the correlation between the results with clinical madifestations. The samples were teeth with over 7mm pocket depth and over 50% radiographic bone loss. These were diagnosed to have very poor prognosis and thus planned to be extracted. Those with any of following conditions were excluded from the samples, loss of vitality, periapical pathology, restoration or prosthesis, dental caries, and attrition or abrasion. It was because these conditions could affect pulp without any correlation with periodontal disease. For the experiment, 17 teeth from 11 patients were selected. Average age of patient was 47. Each tooth was examined for following categoris; pocket depth, gingival recession, electric pulp test, mobility, percussion test, sensitivity test. The extracted teeth were fixed buffered neutral formalin solution. It was decalcified using 4% nitric acid. Sliced histological samples observed using light microscope, for pulp status, and severeity of inflammation. 4 samples were excluded due to histologic sample discrepency. Thus 13 samples were subject to observation. 4 showed normal conditions. Focal reversable pulpitis was shown in 5 samples. Chronic pulpitis was observed 1 samples. Pulpal abscess observed in 3 samples.
Abscess
;
Adult*
;
Chronic Periodontitis*
;
Dental Prosthesis
;
Formaldehyde
;
Gingival Recession
;
Humans
;
Inflammation
;
Nitric Acid
;
Pathology
;
Percussion
;
Periodontal Diseases
;
Periodontitis
;
Prognosis
;
Pulpitis
;
Tooth
10.Retrospective study on prognosis of the medically compromised patients in department of oral and maxillofacial surgery
Sung Lim CHOI ; Seung Ki MIN ; Moon Ki CHOI
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 2003;25(5):439-447
periodontal disease (25.3%), retained root (19.3%), odontogenic abscess (16.7%) and dental caries (9.3%), and so on. Dental treatment was performed immediately without any medical consultation were tooth extraction of 311 cases (57.7%), surgical incision and drainage of 48 cases (8.9%), periodontal curretage of 21 cases (3.9%) and others of 46 cases (8.5%). The rest of 103 cases of total (20.1%) were treated after controlling and improving patients'condition by medication or medical consultation to their physician. Only 4 patients (0.8%) among total 478 patients were shown poor prognoses associated with liver malfunction, blood disorders and respiratory distress patients.]]>
Abscess
;
Age Distribution
;
Cardiovascular Diseases
;
Dental Caries
;
Drainage
;
Endocrine System Diseases
;
Female
;
Humans
;
Jeollabuk-do
;
Korea
;
Liver
;
Male
;
Periodontal Diseases
;
Prognosis
;
Retrospective Studies
;
Surgery, Oral
;
Tooth Extraction