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Bulletin of Tokyo Dental College

Kazuki Morinaga, Keiko Hagita, Takashi Yakushiji, Hitoshi Ohata, Kenji Sueishi, Takashi Inoue
Here we investigated needlestick and similar injuries reported over a 10-year period between April 2004 and March 2014. The purpose of this study was to prevent recurrence and reduce the incidence of such injuries at Tokyo Dental College Chiba Hospital. The Division of Medical Risk Management at Chiba Hospital anonymized the data to protect personal information prior to analysis. A total of 213 injuries occurred over the 10-year period investigated, but the number of cases decreased yearly. Many cases involved dental undergraduate students and dentists, followed by trainee dentists, students at the school of dental hygiene, nurses, dental hygienists, and cleaners...
2016: Bulletin of Tokyo Dental College
Rie Fujii, Masataka Suehara, Sayo Sekiya, Norihito Miyayoshi, Tomohiro Asai, Kazuki Morinaga, Takashi Muramatsu, Masahiro Furusawa
Apical periodontitis is usually diagnosed based on clinical findings and dental X-rays. Recently, however, dental cone beam computed tomography (CBCT), which provides 3-D images of the maxillofacial region, has enabled dentists to examine patients undergoing endodontic therapy more effectively, improving diagnostic accuracy. Here, we describe a positive treatment outcome achieved using CBCT to diagnose apical periodontitis of the maxillary premolars, which had proven difficult to diagnose based on clinical findings and dental radiography alone...
2016: Bulletin of Tokyo Dental College
Toshihiko Yasumura, Kenji Sueishi
Posterior open bite can cause problems with occlusion. It arises from systemic or local factors such as physical or functional interference, ankylosis, and failure of eruption. Primary failure of eruption (PFE) is a rare condition that is difficult to differentiate from ankylosis and requires complex treatment strategies. Here we report a 12-year-old girl who was referred to our hospital by her dentist for re-evaluation of eruption failure of the left maxillary secondary premolar and first and second molars with congenitally missing maxillary lateral teeth...
2016: Bulletin of Tokyo Dental College
Teruo Sakamoto, Kotaro Hayakawa, Takenobu Ishii, Kunihiko Nojima, Kenji Sueishi
Scissor bite is defined as buccal displacement of the maxillary posterior teeth, with or without contact between the lingual surface of the maxillary lingual cusp and the buccal surface of the buccal cusp of its mandibular antagonist. Here we report treatment of bilateral scissor bite in the posterior region using rapid expansion following corticot-omy. The patient was a boy aged 17 years and 11 months in whom skeletal maxillary prognathism with bilateral scissor bite was diagnosed. The distance between the tips of canines and the mesial buccal cusps of the first molars was increased by use of a bonded rapid expansion appliance following corticotomy...
2016: Bulletin of Tokyo Dental College
Kentaro Imamura, Yuri Okamura, Yasugi Matsumoto, Yuko Mashimo, Sachiyo Tomita, Hiroki Sugito, Atsushi Saito
We report a case of generalized aggressive periodontitis (AgP) requiring periodontal treatment including flap surgery and ridge augmentation. The patient was a 39-year-old woman who presented with the chief complaint of pus discharge from tooth #36. No other obvious signs of gingival inflammation were observed. Periodontal examination revealed multiple sites with a probing depth of ≥10 mm. Radiography showed pro-nounced bone defects in the maxillary incisors and molar region. Real-time PCR was used to detect Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, and Tannerella forsythia in subgingival plaque; all 3 pathogens were found...
2016: Bulletin of Tokyo Dental College
Dakshita Joy affSinha, Sunita Mahesh, Natasha Jaiswal, Agrima Vasudeva
A comprehensive knowledge of the anatomy of the root canal is a basic prerequisite for the success of endodontic treatment. Mandibular molars may have an additional root located lingually (radix entomolaris) or buccally (radix paramolaris). An awareness of the potential for and understanding of unusual external and internal root canal mor-phology contributes to the successful outcome of root canal treatment. Here, we report two cases of radix entomolaris to increase awareness and understanding of this unusual morphology so that procedural errors during endodontic therapy might better be avoided...
2016: Bulletin of Tokyo Dental College
Tomoyoshi Saitoh, Kazumichi Sato, Morio Tonogi, Yoichi Tanaka, Gen-Yuki Yamane
The management of epithelial dysplastic spread around an oral squamous cell carci-noma is very important, particularly intraoperatively. Both cytokeratin (CK) 14 and CK19 are believed to be involved in the development of precancerous lesions, and their expression profiles are quite specific in these and early cancer lesions. Here, expression of CK13, 14, 17, and 19 was investigated in a rat model of 4-nitroquinoline-1-oxide-induced tongue cancer during a series of carcinogenetic processes to determine their value in assessing the features of epithelial dysplastic spread around a cancer...
2016: Bulletin of Tokyo Dental College
Yasutaka Nakamura, Michinaga Samejima, Kiyoshi Minaguchi, Phrabhakaran Nambiar
Short tandem repeat (STR) polymorphisms were investigated in 341 unrelated Malay individuals (218 males and 123 females) living in or around Kuala Lumpur by using a forensic analysts kit. The following STRs were targeted: D8S1179, D21S11, D7S820, CSF1PO, D3S1358, TH01, D13S317, D16S539, D2S1338, D19S433, vWA, TPOX, D18S51, D5S818, and FGA. The purpose of this study was to elucidate population genetics in Malaysia and calculate statistical parameters for forensic and anthropological research. Data on these STRs in the target population were obtained and subjected to statistical analysis...
2016: Bulletin of Tokyo Dental College
Masashi Suzuki, Yuya Omine, Yoshiaki Shimoo, Masahito Yamamoto, Akihiro Kaketa, Masaaki Kasahara, Masamitu Serikawa, Sunki Rhee, Tadatoshi Matsubayashi, Satoru Matsunaga, Shinichi Abe
In maxillary molar region implant therapy, support is sometimes obtained from trabecular bone comprising the maxillary tuberosity, pterygoid process of the sphenoid bone, and pyramidal process of the palatine bone. Great care is necessary in such cases due to the presence of the greater palatine canal, which forms a passageway for the greater palatine artery, vein, and nerve. However, clinical anatomical reports envisioning embedding of pterygomaxillary implants in this trabecular bone region have been limited in number...
2016: Bulletin of Tokyo Dental College
Mohammed Nasser Alhajj, Nassir J Musaad, Ibrahim A Ismail
The objective of this study was to investigate the correlation between the length of each of three fingers (the index finger, 2D; ring finger, 4D; and little finger, 5D) and the occlusal vertical dimension (OVD). If such a relationship were established, it would simplify and facilitate the prediction and reestablishment of the OVD in the construction of complete dentures. The correlation between the OVD and the length of 2D or 5D has already been investigated in a number of studies. However, to our knowledge, no study has investigated the relationship between the length of 4D and the OVD...
2016: Bulletin of Tokyo Dental College
Naoko Takahashi, Hitoshi Yamamoto, Satoshi Murakami, SoIchiro Hirata, Naoki Sugihara, Riuji Mochizuki, Toshiyuki Takahashi, Yuko Sato, Eiji Kawada
In 2009, the Ministry of Education, Culture, Sports, Science and Technology launched its "Program for Promoting University Education and Student Support, Theme A: Program for Promoting University Education Reform". The ministry's stated aims were to 1) enhance student training centered on the needs of the individual patient; 2) improve their ability to make comprehensive diagnosis and treatment plans; and 3) instill high ethical standards and good communication skills. One of the main pillars of this project was to establish an educational organization aimed at encouraging public participation, the "Patient Community"...
2016: Bulletin of Tokyo Dental College
Maryam Gharechahi, Parisa Dastmalchi
Here, we report the diagnosis and treatment of an extraoral cutaneous sinus tract originating in a mandibular second molar with a C-shaped root canal system. The patient was referred to our department by a dermatologist after a series of unsuccessful treatments, including antibiotics. Diffuse radiolucency on a preoperative radiograph revealed that earlier root canal treatment had been only partially successful. Consequently, we performed retreatment of the root canal comprising removal of the former restoration and gutta-percha, cleaning and shaping, and passive irrigation with sodium hypochlorite...
2016: Bulletin of Tokyo Dental College
Seitaro Suzuki, Yuki Kojima, Atsushi Takayanagi, Koichi Yoshino, Yoichi Ishizuka, Ryouichi Satou, Naoko Takahashi, Masakazu Tazaki, Hideyuki Kamijo, Naoki Sugihara
The purpose of this study based on a cross-sectional internet survey was to investigate the relationship between risk of obstructive sleep apnea (OSA) and self-assessed oral health status. The participants, who comprised individuals registered with an online research company, were required to complete a self-reported questionnaire. Those answering in the affirmative to both of the following two questions were placed in the OSA-risk group, while those answering in the negative were assigned to the control group: 'Have other people noticed pauses in your breathing while you are sleeping?' and 'Do you feel excessively sleepy during the daytime?'...
2016: Bulletin of Tokyo Dental College
Toshiyuki Handa, Takaaki Onodera, Yoshifumi Honda, Yoshihiko Koukita, Tatsuya Ichinohe
This study retrospectively compared blood loss during sagittal split ramus osteotomy in patients receiving propofol-remifentanil (R group) and those receiving propofol-fentanyl (F group). All patients underwent sagittal split ramus osteotomy under general anesthesia during the 3-year 4-month period between October 2007 and February 2011 in an operating room at Tokyo Dental College Suidobashi Hospital. Blood loss in the R group was significantly less than that in the F group. Mean arterial pressure and heart rate, measured at 20 and 15 min after tracheal intubation, respectively, were both lower in the R group...
2016: Bulletin of Tokyo Dental College
Takenobu Ishii, Teruo Sakamoto, Munetada Ishikawa, Toshihiko Yasumura, Haruyo Miyazaki, Kenji Sueishi
The present study targeted patients with unilateral cleft lip and palate (UCLP) undergoing either one - (Wardill technique) or two-stage palatoplasty (Perko technique). Correlations between Goslon Yardstick scores and orthodontic appliances used and whether an osteotomy was performed were investigated. No differences were observed between the two types of palatoplasty in terms of Goslon Yardstick scores. A palatal expander and protraction facemask were used in Phase I of orthodontic treatment. The palatal expander was selected for most patients with UCLP in Phase I, regardless of the surgical technique used...
2016: Bulletin of Tokyo Dental College
Taeko Kanemoto, Hiroki Imai, Atsuo Sakurai, Hongwei Dong, Sizhen Shi, Masashi Yakushiji, Seikou Shintani
The prevalence of dental caries has been decreasing among kindergarten children in Shanghai, China, over recent years, although it still remains at an unacceptably high level. The purpose of this study was to identify which factors were important in providing oral health guidance and achieving further improvement in the oral health status of kindergarten children in urban China. A survey was conducted on dental caries in 128 Japanese and 368 Chinese kindergarten children and a questionnaire given to their parents/guardians on each child's lifestyle and dietary habits from birth to the present...
2016: Bulletin of Tokyo Dental College
Masato Narita, Takahiko Shibahara, Nobuo Takano, Rie Fujii, Katsuji Okuda, Kazuyuki Ishihara
Periapical periodontitis usually results from microbial infection, with these microorganisms occasionally migrating to the root canal, which can lead to further, potentially life-threatening, complications. Here, the susceptibility of 27 bacterial strains to various antimicrobial agents was evaluated. These strains comprised 13 species; 16 of the strains were clinical isolates from periapical lesions. Each strain was inoculated onto blood agar plates containing one of the antimicrobial agents. The plates were incubated anaerobically at 37°C for 96 hr and the minimal inhibitory concentrations (MICs) determined...
2016: Bulletin of Tokyo Dental College
Shinya Takahashi, Ryuta Kikuchi, Kimiharu Ambe, Toshihiro Nakagawa, Satoshi Takada, Takashi Ohno, Hiroki Watanabe
Type I diabetes, an autoimmune disease, induces insulin deficiency, which then disrupts vascular endothelial cell function, affecting blood and lymphatic vessels. Nitric oxide (NO) is an immune-induced destructive mediator in type I diabetes, and inhibition of its production promotes arteriosclerosis. In this study, lymphangiogenesis and expression of NO synthase (NOS) during the healing process after tooth extraction were investigated immunohistochemically in control (C57BL) and Akita mice as a diabetes model...
2016: Bulletin of Tokyo Dental College
Daisuke Irokawa, Asako Makino-Oi, Takahisa Fujita, Shigeki Yamamoto, Sachiyo Tomita, Atsushi Saito
Here we report a case of generalized aggressive periodontitis treated with periodontal therapy including adjunct antimicrobial therapy and periodontal surgery. The patient was a 22-year-old woman who presented with the chief complaint of gingival recession. Baseline examination revealed generalized plaque deposition and gingival inflammation. Thirty-nine percent of the sites had a probing depth (PD) of 4-6 mm and 2% a PD of ≥7 mm; 63% exhibited bleeding on probing (BOP). Radiographic examination revealed vertical bone loss in the molars and horizontal bone loss in other teeth...
2016: Bulletin of Tokyo Dental College
Fumi Seshima, Makiko Nishina, Takashi Namba, Atsushi Saito
We report a case of generalized chronic periodontitis and type 2 diabetes mellitus requiring periodontal treatment including regenerative therapy. The patient was a 66-year-old man who presented with the chief complaint of gingival inflammation and mobile teeth in the molar region. He had been being treated for type 2 diabetes mellitus since 1999. His glycated hemoglobin (HbA1c) level was 7.8%. An initial examination revealed sites with a probing depth of ≥7 mm in the molar region, and radiography revealed angular bone defects in this area...
2016: Bulletin of Tokyo Dental College
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