Presence of a palato-nasally impacted supernumerary tooth with nasopalatine canal involvement is a unique finding that demands careful attention during surgical extraction due to its distinctive anatomy. In this case report of a 7-year-old child, an impacted supernumerary tooth had a developmental anomaly that required both palatal and nasal approaches to successfully remove the tooth.

Immortalization is an essential process of the transformation of cells to a neoplastic growth. High risk human papillomavirus (hrHPV) infection has been the major cause of head and neck squamous cell carcinoma (HNSCC). The aim of this study was to search for a novel pathway causing immortalization in HPV16 E6/E7 transfected immortalized oral keratinocytes (IHOK). hrHPV integration sites were identified through DNA sequencing. HPV16 E6/E7 genes were integrated into 1q32.2, 12q21.2, 15q15.2, and 19q13.43 in IHOKs. Array-CGH was conducted to examine the deranged sites of the genes of IHOK. Of the 587 amplification genes, 70 genes were resided on chromosome 20. We selected PLAGL2 and MAPRE1 as the most amplified genes. PLAGL2 and MAPRE1 mRNA showed higher expression in IHOK than in normal keratinocytes. Knockdown of MAPRE1 significantly reduced telomerase activity. The analysis using a public database substantiated our data, showing the amplification of chromosome 20 and MAPRE1. In conclusion, our results suggest that MAPRE1 could play a crucial role in activating telomerase activity in hrHPV-infected cells. This finding may provide basic data to develop a novel target therapy for hrHPV-related HNSCC.

Warthin’s tumor (Papillary cystadenoma lymphomatosum) is a benign salivary neoplasm initially. It is predominantly found in the parotid gland and accounts for about 10-15% of all benign tumors of the parotid gland. It is known that it had higher incidence in males and in smokers. Warthin’s tumor had moderate intensity on T1- and T2- weighted images on the magnetic resonance image (MRI). In this case, a 44-year-old man visited our dental hospital with induration and pain on the right preauricular region. The lesion showed high intensity on T2- weighted images on the MRI. We performed tumor removal, with the histopathologic examination confirming Warthin’s tumor. This report presents review of literature and describes a case of Warthin’s tumor with high T2- weighted magnetic resonance image and its surgical treatment.

"Cartilaginous choristoma" refers to as a tumorlike cartilaginous mass composed of normal tissues in an abnormal location. Oral cartilaginous choristomas are extremely rare. Although its rarity, most intraoral choristomas occur in the tongue. Adenomatoid hyperplasia of the minor salivary glands may be seen on the minor salivary gland bearing areas, especially seen on the palate. This report describes a case of firm mass on the left lateral tongue that was resulted cartilaginous choristoma associated with adenomatoid hyperplasia, which occurred in a 23-year-old male patient. And It hasn’t recurred during 17 months after complete excision.

Primary intraosseous odontogenic carcinoma (PIOC) is a carcinoma arising within the jaws, putatively developing from remnants of odontogenic epithelium. We describe a case of PIOC arising from odontogenic cyst affecting the left posterior mandible of 72-year-old Korean man. Clinical examination showed a symptom-free hard mass. There was no evidence of ulceration, and there was no pain or bleeding. The overlying mucosa was intact and no regional lymph nodes were palpable. Clinical and radiological studies for other distant primary sites were negative. Radiographically, the tumor showed multilocular radiolucency with a noncorticated, ill defined border surrounding an impacted third molar tooth. Histology exhibited sheets or islands of nonkeratinizing malignant epithelial cells with minimal clear cell component in continuity with begin or dysplastic cyst lining epithelium. Immunostaining for PCNA and p53 protein showed a higher percentage of positive cells and more intense staining in the carcinomatous tissues than in the benign and dysplastic lesions.

I have tried to make electronic listening and analyzing appratus, which were used for temporomandibular disorder patient’s. It can be heard T.M.J.D’s sounds. Normal person heard 20~20,000 Hz sound. Electronic appratus can capture furthermore. Electronic appratus composed of stethoscope rubber tube,small microphone, amplifier, telemetry, oscilloscope and speaker. The aim of oscilloscope and speaker are seen and heard T.M.J. sounds both dentists and patients.In developing countries, they use electronic stethoscope for diagnosis of heart sound and use for tele diagnosis. In my nation, laws of food and drugs were very rigid, so many researcher’s developed electronic stethoscope, but they could not produce it because of law. I suggest that soften the rigid law, and many new product will be produced. The apparatus that I developed was operated quite well both wired and wireless. It is suggested that we must develop new apparatus for T.M.D. patients and Telemedicine.

White sponge nevus (WSN) is a rare autosomal dominant disorder characterised by rough thickening, fissure formation, and a whitish colour change in the oral mucosa. This disorder predominantly affects the nonkeratinized stratified squamous epithelium of the mucosa. We experienced a familial case of WSN (i.e., a mother and her two daughters) and performed keratin gene analysis and immunohistochemical staining. The results of a mutation analysis revealed the presence of a heterozygous missense mutation 344T to G in KRT13, predicting an amino acid change leucine (L) to arginine (R), in the 1A domain of the KRT13 polypeptide. Immunohistochemically, the loss of keratin 4 expression was found.

The dentigerous cyst is defined as a cyst that originates by the separation of the follicle from around the crown of an unerupted tooth. This is the most common type of developmental odontogenic cyst, making up about 20% of all epithelium-lined cysts of the jaws. Large dentigerous cysts are uncommon, but some cases are large cysts. The usual treatment for a dentigerous cyst is careful enucleation of the cyst together with removal of the unerupted tooth. Large dentigerous cysts also may be treated by decompression. This permits decompression of the cyst, with a resulting reduction in the size of the bone defect. The cyst can then be enucleated at a later date with a less extensive surgical procedure and important structures such as teeth and the inferior alveolar nerve can be preserved. These cases are large dentigerous cysts treated by decompression. Less extensive surgical procedures were used and some teeth were preserved.

Acinic cell carcinoma is a well-differentiated, low-grade tumor that accounts for 1-3% of salivary gland tumors. Among the variant of acinic cell carcinoma, papillary cystic variant of acinic cell carcinoma is much more rare and it is known to be difficult to diagnose and has a poor prognosis. In this paper, we report a case of 58 - year - old man diagnosed as papillary cystic variant of acinic cell carcinoma and the characteristics of the lesion by integrating the recent cases of papillary cystic variant of acinic cell carcinoma. This study emphasizes the need for long-term studies and further investigation of papillary cystic variants of acinic cell carcinoma.

Kaposi’s sarcoma is one of the first recognized in HIV infection even patient can develop KS in any disease stage. Moreover, the oral cavity may be the first site of Kaposi’s sarcoma and oral mucosa involvements of KS in HIV positive are very critical because it had a higher death rate than those who having exclusively cutaneous manifestations of the disease. Early detection of KS oral involvement is very important to prevent disease burden. This case is about a 48 years old male who was first discovered Oral Kaposi’s Sarcoma as HIV infection sign. He didn’t notice any other discomfort other than oral mucosa swelling.

Tooth autotransplantation is the placement of an impacted or erupted tooth into an extraction site or surgically prepared dental socket within the same individual. This procedure may become a new treatment alternative, because of its osteogenetic potential and its ability to promote regeneration of alveolar processes. The present study reports the case of a 10-year-old girl whose maxillary central incisor was ankylosed as the result of an injury, and who underwent tooth autotransplantation and orthodontic treatment for the functional and aesthetic recovery of the maxillary central incisor. The transplanted tooth showed satisfactory alveolar bone recovery, and orthodontic tooth movement. No complications occurred. We chose to report this case because it illustrates the autotransplantation of a premolar in a child scheduled for orthodontic treatment, including tooth extraction. The procedure showed good prognosis in terms of the recovery of an anterior tooth affected by an injury

5-fluorouracil (5-FU) is a pyrimidine analog which can work as antineoplastic antimetabolite by blocking thymidylate synthetase conversion of deoxyuridylic acid to thymidylic acid in DNA synthesis. This study is aimed to know the anticancer effect of 5-FU on the expressions of important signaling proteins in KB cells through immunoprecipitation high performance liquid chromatography (IP-HPLC). KB cells were treated with 5 µM 5-FU and cultured for 12, 24, 48, 72, and 96 hours, and followed by IP-HPLC analysis using 32 antisera. 5-FU suppressed the proliferation of KB cells by decreases in the expressions of proliferation-related proteins, Ki-67, PCNA, CDK4, and MPM2 to 82.6%, 92.4%, 95.2%, and 95.9%, respectively, but increases of antiproliferation-related proteins, p16 and p21 to 106.7% and 125.5%, respectively, during 96 hours of experiment. This proliferation reduction was also negatively regulated by cMyc/MAX/MAD network signaling. The cellular protection and survival were consistently arrested by 5-FU treatment in KB cells. The expressions of NFkB, MDR, p-mTOR, and TNFα were decreased to 95.1%, 92.8%, 93.4%, and 90.3% in 48-72 hours, respectively, while cellular stress was increased by upregulation of p38 to 111.3% in 48 hours. And the expressions of pAKT1/2/3, hTERT, and AMPK were also decreased to 93.3%, 97.4%, and 89.3% in 24-48 hours, respectively, while the cellular transformation might be undergone by upregulation of TGF-β1 to 117% until 96 hours. Particularly, 5-FU treatment greatly induced the cellular apoptosis in KB cells by increased expressions of PARP, cPARP, caspase 9, c-caspase 9, caspase 8, and caspase 3 in the lack of p53/BAX and FASL/FAS signaling. The expressions of PARP and c-PARP were increased maximum to 119.2% in 24 hours, and followed by increases of caspase 9, c-caspase 9, caspase 8, and caspase 3 to 111.2%, 125.9%, 108.6%, and 116.3% in 72-96 hours. Therefore, it is presumed that 5-FU induced cellular apoptosis in KB cells may be derived from the overexpression of PARP due to the increased DNA defect caused by 5-FU, which can lead to ATP depletion and subsequent cellular apoptosis.