著者
平田 康 木野 孔司 長岡 俊哉 宮本 亮三 吉増 秀實 天笠 光雄
出版者
口腔病学会
雑誌
口腔病学会雑誌 (ISSN:03009149)
巻号頁・発行日
vol.68, no.3, pp.249-253, 2001-09-30 (Released:2010-10-08)
参考文献数
10
被引用文献数
19 20

Oro-maxillary sinus perforation occurs occasionally at the extraction of a maxillary tooth, and it may be a cause of maxillary sinusitis or antro-oral fistula. Our purpose was to investigate the most frequent site of perforation, and to understand the clinical course of patients after perforation.We examined 2, 038 maxillary teeth extracted from 1, 337 patients (473 males and 864 females) at the First Department of Oral and Maxillofacial Surgery, Tokyo Medical and Dental University, from January 1991 to December 1993.Perforation occurred in 77 of all 2, 038 teeth (3.8%) . Of these, 38 teeth were from males (38/733 ; 5.2%), and 39 were from females (39/1, 305 ; 3.0%) . The perforation rate was significantly higher in males.Perforation occurred most often with extraction of an upper first molar, and in the third decade of life. The perforation rate gradually decreased with higher age.We classified 38 cases into 3 categories according to panorama X-P : 1) The tip of the root crossed over the bottom line of the maxillary sinus (29 cases), 2) Not crossed over distinctly (4 cases), 3) Just lie on, or whether the tip of the root crossed over the bottom line of the maxillary sinus was not distinct (5 cases) .As to treatment, 30 perforations (39.0%) closed spontaneously in the course of observation, irrigation with physiological saline was used in 43 cases (55.8%), radical sinusotomy accompanied by closure of the perforation was performed in 4 cases, and only flap closure was used in 7 cases. There were no cases of relapse.
著者
三浦 康次郎 木野 孔司 渋谷 寿久 平田 康 渋谷 智明 佐々木 英一郎 小宮山 高之 吉増 秀實 天笠 光雄
出版者
口腔病学会
雑誌
口腔病学会雑誌 (ISSN:03009149)
巻号頁・発行日
vol.65, no.1, pp.1-5, 1998-03-31 (Released:2010-10-08)
参考文献数
18
被引用文献数
10 8

This paper described the incidence of inferior alveolar nerve paralysis following surgical removal of impacted third molars. The investigated cases were 789 patients with 1, 299 teeth that were surgically extracted. Eight (0.6%) patients had the inferior alveolar nerve paralysis and one (0.08%) had lingual nerve paralysis. As for the patients with inferior alveolar nerve paralysis, the incidence was 0.4% in those aged 20 to 29 years, 0.6% in those aged 30 to 39 years, and 3.5% in those aged over 40 years. This study showed that the incidence of inferior alveolar nerve paralysis occurred more frequently in older age cases and in the cases in which the root splitting or the removing the surrounding bone was needed.
著者
渋谷 智明 木野 孔司 和気 裕之 儀武 啓幸 吉増 秀實 天笠 光雄
出版者
Japanese Society of Oral and Maxillofacial Surgeons
雑誌
日本口腔外科学会雑誌 (ISSN:00215163)
巻号頁・発行日
vol.45, no.9, pp.566-570, 1999-09-20
被引用文献数
2

Total RNA extracted from human temporomandibular joint (TMJ) discs of patients with temporomandibular disorders (TMD) were examined by RT-PCR. The expressions of decorin, biglycan and aggrecan mRNA in the disc were demonstrated. These results suggest that human TMJ discs of patients with TMD contain decorin and biglycan. The expression of aggrecan mRNA was confirmed in calcified disc tissue.
著者
平田 康 岩本 康弘 宮本 亮三 吉増 秀實 天笠 光雄 岡田 憲彦
出版者
Japanese Society of Oral and Maxillofacial Surgeons
雑誌
日本口腔外科学会雑誌 (ISSN:00215163)
巻号頁・発行日
vol.50, no.1, pp.27-30, 2004-01-20
被引用文献数
4 1

Glandular odontogenic cyst (GOC) is a rare jawbone cyst of odontogenic origin, first described by Gardner et al. in 1988. GOC is characterized by typical histopathological features, a gradual increase in size, and a high rate of local recurrence if not adequately treated. We report a case of GOC occurring in the anterior region of the mandible. The patient was a 62-year-old woman who presented with swelling of the anterior region of the mandible. Panoramic radiography indicated a multilocular radiolucent lesion in the anterior region of the mandible. Enucleation of the cyst was performed. Postoperative healing was satisfactory, and no recurrence has been noted on long-term observation. We reviewed 41 cases of GOC that had beenreported previously. Among these cases, 35 were located in the mandible and only 6 in the maxilla. The male: female ratio was 1.28 (23: 18), and the mean age was 47.8 years. Radiographically, among a total of 37 cases, 18 were unilocular and 19 were multilocular. The overall recurrence rate was 19.5%.
著者
平田 康 岩本 康弘 宮本 亮三 吉増 秀實 天笠 光雄 岡田 憲彦
出版者
社団法人 日本口腔外科学会
雑誌
日本口腔外科学会雑誌 (ISSN:00215163)
巻号頁・発行日
vol.50, no.1, pp.27-30, 2004-01-20 (Released:2011-04-22)
参考文献数
17
被引用文献数
2 1

Glandular odontogenic cyst (GOC) is a rare jawbone cyst of odontogenic origin, first described by Gardner et al. in 1988. GOC is characterized by typical histopathological features, a gradual increase in size, and a high rate of local recurrence if not adequately treated. We report a case of GOC occurring in the anterior region of the mandible. The patient was a 62-year-old woman who presented with swelling of the anterior region of the mandible. Panoramic radiography indicated a multilocular radiolucent lesion in the anterior region of the mandible. Enucleation of the cyst was performed. Postoperative healing was satisfactory, and no recurrence has been noted on long-term observation. We reviewed 41 cases of GOC that had beenreported previously. Among these cases, 35 were located in the mandible and only 6 in the maxilla. The male: female ratio was 1.28 (23: 18), and the mean age was 47.8 years. Radiographically, among a total of 37 cases, 18 were unilocular and 19 were multilocular. The overall recurrence rate was 19.5%.