The adenomatoid odontogenic tumor(AOT) is a benign tumor of odontogenic epithelium characterized by slow but progressive growth and rare recurrence. Tumor growth may cause displacement of teeth rather than root resorption. The AOT appears in 3 clinicotopographic variants such as follicular, extrafollicular, and peripheral. The follicular AOT mimics a dentigerous or follicular cyst and the extrafollicular cyst does a residual cyst, globulo-maxillary cyst and lateral periodontal cyst. Although over 750 cases of AOT were reported in the literature, clinicopathologic parameters of AOT in Koreans has not been investigated. 22 cases of AOT were retrieved from the files of the department of Oral Pathology, Seoul National University Dental Hospital and their clinicopathologic findings were reviewed. The central type accounts for 95%, 72% of which are follicular. The follicular and extrafollicular varients together are more commonly found in the maxilla than in the mandible with a ratio of 4.5:1. Age distribution showed that 59% of AOTs were diagnosed in the second decade of life, and mean age was 18.5 years. The female to male ratio was 3.4:1. All variants of AOT showed identical histologic features.
Metastatic spread to cervical lymph nodes(LNs) is a major determinant of outcome in oral squamous cell carcinoma (SCC). To provide an useful method for the detection of lymph node micrometastases, we fulfilled the histopathological examination and reverse transcriptase polymerase chain reaction(RT-PCR) using the paraffin-embedded LNs of oral SCC patients. In this study, 78 LNs from 12 patients with primary oral SCC were analyzed. Metastases in the regional LNs were evaluated by RT-PCR for squamous cell carcinoma antigen(SCCA) and cytokeratin 5(CK5). Detectability of metastatic LNs by RT-PCR was compared with histopathological examination. Of 78 LNs, CK5 and SCCA mRNA were detected in 32(41.0%) and 8(10.3%), respectively. Histopathologically, 10(12.8%) of 78 LNs were positive. CK5 mRNA was detected in all 10 histopathologically positive LNs. In contrast, SCCA mRNA was detected in 5 of 10 histopathologically positive LNs. These findings suggest that genetic diagnosis by RT-PCR based on CK5 mRNA expression may be sensitive and clinically useful technique to detect the presence of metastatic carcinoma cells in regional lymph nodes of oral SCC.
Studies to evaluate distribution of markers in normal keratinocyte and their immortalized keratinocyte are appropriate to evaluate the normal and preneoplastic lesion of oral cancers as biochemical and cytochemical changes associate with tumorigenesis being not completely understood. Complementary DNA microarray containing 6000 sequence -verified cDNA elements was used to systematically characterize the variation in gene expression patterns of NHOK cells vs. immortalized keratinocyte by HPV16 E6-E7(IHOK). Examination of gene expression that is 85 clones cDNAs exhibits greater than 2 fold overexpression in NHOK probes relative to IHOK probe, 147 cDNAs reveal greater 2 fold overexpression in IHOK relative to NHOK probe.The high similarity in gene expression (96.5%) between IHOK and NHOK cells suggests that only an additional 232/6720 (3.5%) of the genome is differentially gene activated during HPV16 immoratlized keratinocyte growth and differentiation. Examination of gene expression that differs between NHOK and IHOK cellsapprear to be related to : cell adhesion & recognition, cell cycle regulator, apoptosis, transciption factors, growth factors and therir receptors, cytoskeletal and extracellular matrix proteins, signal transduction modulators and effectors, and miscellaneous. The gene expression of cell recognition factor such as endothelin 1, collagen IV, fibronectin, and SPR1 in IHOK were upregulated. Distinct or duplicated cDNA clones representing the same gene were typically clustered in adjacent rows in the clustered gene map. Therefore the differentially expressed and identified genes should be informative in studying oral epithelial cell carcinogenesis and such studies should foster the research of molecular markers allowing to assess the phenotypeof malignant epithelial tumor.
Dental problems cause not only esthetic but dental problems such as functional disorder, dental caries, pulp disease and malocclusions, and in particular, masticatory problem falls on infants or children, which has effect on articulation disorder and emotional development as well as their physical growth. Therefore, it's important to detect dental problems early and to provide comparable indications. The purose of this study was to find out the prevalence and pattern of dental developmental anomalies. The clinical and radiographic examination was undertaken for 1,032 at age from 1 to 10 years and statistical analysis was done. The result were as follows. Among the examined patients, 333 patients( 32.3%) showed dental developmental anomalies. The prevalences of individual dental anomalies were as follows ; congenital missing teeth 11.6%, supernumerary teeth 6.2%, taurodontism teeth 3.9%, fusion teeth 3.8%, microdontia teeth 3.2%, dens evaginatus teeth 2.3%, dens invaginatus teeth 0.6%, talon cusp teeth 0.2%, macrodontia teeth 0.1%, Dilaceration teeth 0.1%, transposition teeth 0.1%, inverted teeth 0.1%, amelogenesis imperfecta 0.1%.. The anomalies of number(53.6%), the anomalies of shape(37.7%,) the anomalies of size(8.3%), the anomalies of position(0.3%) and the anomalies of structure(0.2%.) were examined. Most supernumerary teeth located on middle. area showed inverted position and unerupted state. The most frequently missing teeth was the mandibular primary lateral incisor(65.6%) and the mandibular 2nd. premolar. In the case of deciduous congenital missing teeth, the prevalence of successive permanent congenital missing teeth (65.6%) was highest in mandibular lateral incisors.. The higher prevalence of microdontia teeth was maxilla lateral incisor, dens evaginatus teeth was mandibular 2nd. premolar, dens invaginatus teeth was maxilla lateral incisor, and taurodontism was mandibular 1st. molar. Teeth play an important role for mastication, articulation, and aesthetic of adults as well as of children. The health of oral cavity could be kept by controling dental problems of children in the basis of the epidermiologic research of oral pathologic field.
The aim of this study was to investigate the cytotoxicity of dental casting gold alloys. Recently, "biocompatability" is considered the most important requirement of dental materials. Dental metals and alloys were estimated by quantity of released ions, which had influenced to living tissues. The requirement of using normal human cells for cytoxicity strudy were abruptly increased. We used the cultured normal human gingival fibroblasts to estimate the cytotoxicity of dental casting gold alloys. The product of S company(Korea, AIGIS-SOFT, AIGIS-PLUS, AIGIS-A, AIGIS-PT, experimental group) and D company's (German, Biocclus inlay, Biolor SG, Stabilor NF Ⅳ, Degulor B, control group) dental casting gold alloys were used. The morphological investigation, hemolysis test, MTT assay and SRB assay were done in vitro. In vivo, inflammatory reaction in rat was examined for 2 weeks. 1. In the result of cytotoxicity assay, there were some differences but was no significancy among the results between two group's hemolysis, MTT and SRB assay. 2. The gingival fibroblasts attached to the surface of dental casting gold alloy showed various features and increased in number as the time had passed. 3. In vivo, chronic inflammatory cell infiltration was prominent from 3 days to 1 week and inflammation was reduced as time had gone. From the aboving results, there were no significant differences in cytoxicity depending on the ratio of gold content, but showed differences depending on the ratio of total precious and non-precious metal content between two groups. In vitro study showed few differences in inflamation reaction.
The dentigerous cyst(DC) and giant cell granuloma(GCG) in the jaws are well known entities that have been extensively reviewed. However, a search of the literature failed to reveal simulataneous occurrence of these two lesions. We describe a case of DC displaying foci of GCG-like lesion of a 11-year-old Korean girl. The lesion exhibited the characteristic histologic features of DC, which included a lining epithelium with underlying fibromyxoid stroma. The most intersting aspect of this lesion, however, was the presence of a prominant histologic component that resembled GCG. The most probable diagnosis was GCG-like lesion in association with a DC.