심광섭 교수

Background: Dental disabilities mean the poor cooperation for dental treatment because of patient’s inherent disability, severe fear and anxiety, and communication problem. Sedation and general anesthesia are usually used for behavioral control in dentally disabled patients. In particular, sedation (conscious and deep) can help them to tolerate the proper dental treatment effectively and safely. Methods: From March 2002 to September 2007, total 35 sedation were carried out in 33 patients (male :

Purpose:Maxillay sinus grafting is an effective treatment procedure to improve bone height in the posterior maxillar area for implant installation. Beta-tricalciumphosphate(β-TCP) was introduced to be grafting substitute material, providing a reasonable bio-degradation time, no need for harvesting procedure. The purpose of this study is to evaluate bone healing & regeneration phase using histomorphometric and immunohistochemical analysis. Material & Methods:Sixteen rabbits were divided into 4 gr

THE MRNA EXPRESSION OF GROWTH FACTORS IN FIBROBLAST FROM GINGIVAL HYPERPLASIA INDUCED BY CYCLOSPORINE A.

Pure-phase beta-tricalcium phosphate(β-TCP) proved to be a bone regeneration material, providing the patient with vital bone at the defect site in a reasonable time, making a second surgical procedure for bone harvesting unnecessary. This study compares bone healing and BMP 2/4 expression in cranial defects in rabbits grafted with autogenous bone and β-TCP. Thirty New Zealand White rabbits was divided into 3 group of 10 animals each. Bilateral calvarial defects were made in the parietal bones of

2006년 3월부터 2007년 2월까지 한양대의료원 치과 진정요법클리닉은 모두 80명의 환자를 대상으로총 92건의 치과치료를 위하여 미다졸람을 단독으로사용하는 정주의식진정요법을 시행하였다. 이전 논문에서 이미 본원의 진정요법 프로토콜을 자세히설명하였고 이번 논문에서는 지금까지의 진정요법결과들을 후향적으로 분석하였다. 이러한 근거에 기반한 접근법으로, 이번 연구는 일반 치과의사들도미다졸람을 이용한 정주의식진정요법을 안전하고 효과적으로 시행할 수 있도록 도움이 될 것이다.

Midazolam, one of the most common benzodiazepine derivatives, is widely used in intravenous sedation for dental treatment without severe complications. However, paradoxical reactions to midazolam, including patient’s unanticipated restlessness, agitation, hostility, and rage, have been frequently reported since the introduction of benzodiazepine. During outpatient intravenous sedation using midazolam for dental treatment, we experienced a paradoxical reaction to midazolam in a 28-year-old female

Cyclosporine A (CsA) is a powerful immunossuppresive agent used to prevent graft rejection of organ and treat autoimmune disease. One of the major side effects associated with CsA treatment is the development of gingival overgrowth. The purpose of this study was to evaluate the expression and association of the several growth factors in gingival overgrowth induced CsA using by immunohistochemical technique. Normal tissues as control were obtained from healthy normal gingivae and overgrowth gingi

Purpose : On outpatient facilities, our sedation protocol focuses on the intermittent bolus injections of midazolam intravenously, according to patient’s and operator’s needs during the dental treatment. This multicenter retrospective study was aimed to prove the efficiency and safety of our sedation protocol. Patients and Methods : In three centers using the same outpatient sedation protocol for dental treatment (Division of Oral and Maxillofacial Surgery/Department of Dentistry in Hanyang Univ

구강 외과 환자에 있어서 마취나 임플란트, 지치발거, 관혈적 정복술(Kraut and Chalhal, 2002; Loescher et al, 2003) 등의 치료에 안면신경손상에 관한 위험성은 항상 존재하며, 종종 임상의에게는 공포감을 줄 수 있다. 신경이 직접 절단되지 않더라도 하치조신경 전달 마취나(Campbel et al, 1962) 침윤 마취 등(Beauchamp and Kemink, 1982) 마취제와 연관된 신경기능 이상이나, 한랭한 환경이거나, 압력이 가해졌을 때, 헤르페스 등의 바이러스 감염(Phillips,1963) 등에 의해서도 지각이상이 나타날 수 있고,일단 신경손상이 발생하면 안면신경이 지배하는 근육의 운동기능 이상, 지각감퇴, 불쾌감, 침을 흘리거나, 눈물 흘림, 미각이상, 안면대칭성의 상실, 표정근변화 등 다양한 증상(May et al, 1976; Denny-brownand Pennybacker, 1938)을 호소하게 된다. 이러한 증상이 발현할 때는 예방이

최근 진정요법은 치과영역에서의 ‘블루오션’으로 각광받고 있으며 ‘수면치료’ ‘무통치료’ 등의 용어로 다양하게 소개되고 있다. 치과의원의 광고 등에도 자주 사용되면서 치과의사뿐만 아니라 일반인에게도 점차 익숙한 용어가 되어가고 있다.기존의 진정요법의 대상은 단순히 치과치료에 대한 심한 공포나 불안을 느끼는 환자들이었으나 최근에는 치과 임프란트 시술, 특히 상악동 거상술(sinus ekevation)이나 뼈이식(bone graft) 등의 침습적인 치료들이 점차 일반화되면서 이러한 환자들을 대상으로 점차 범위가 넓어져 가고 있다(Craig et al, 2000). 이러한 현상은 많은 치과의사들이 자기 나름의 방법의 차별성을 강조하기 위하여 노력하고 있는 결 과이기도 하지만 반대로 다양한 전신질환을 가진고령의 환자들이 진정요법을 받게 되고 다양한 합병증에 노출될 수 있다는 것을 의미한다(D’eramo et al, 2003).많은 치과의사들이 진정요법, 특히 가장 효과가 좋은 정주 진정요법을

A Immunohistochemical Study of proliferating cell nuclear antigen(PCNA) in Oral Malignant Melanoma.

In esthetic treatment of bimaxillary protrusion, it is important to move backward the anterior teeth segment. For the backward movement of the anterior teeth segment, orthodontic force and segmental osteotomy have been applied on the clinical treatment until recently. These methods caused long treatment time, anchorage loss, the possibility of root resorption and the complication followed by segmental osteotomy. Therefore, corticotomy has become a major concern lately. This research has been con