• Title/Summary/Keyword: 구강검사

Search Result 627, Processing Time 0.026 seconds

A Clinical Study on the Taste Threshold of the Patients with Xerostomia (구강건조증환자의 미각역치에 관한 연구)

  • Ko, Myung-Yun;Kwon, Kyung-Min;Heo, Jun-Young;Tae, Il-Ho;Ahn, Yong-Woo
    • Journal of Oral Medicine and Pain
    • /
    • v.33 no.1
    • /
    • pp.67-73
    • /
    • 2008
  • To investigate the change of taste sensitivity which follows after treatment for xerostomia, from September, 2006 to July, 2007, we categorized the patients, who were diagnosed as xerostomia in Oral Medicine, College of Dentistry, Busan National University, as subject group and from September, 2007 to December. The patients who were not diagnosed as systemic disease were categorized as control group. The results were as follows ; 1. Taste threshold comparison showed the differences at tongue lateral, tongue tip, circumvallate papilla between subject and control. 2. Taste threshold comparison showed no difference in male between subject and control. 3. Taste threshold comparison showed decrease in whole tongue except soft palate in female. 4. Taste threshold comparison showed no difference between first and second visit, but there was a tendency to change in circumvallate papilla.

Reliabilityof Skin Temperature over the Trigger Points of Temporalis and Masseter Muscles in Normal Individuals (정상인의 측두근 및 교근내 발통점의 피부온도측정에 대한 신뢰도에 관한 연구)

  • 송태영;김기석
    • Journal of Oral Medicine and Pain
    • /
    • v.22 no.1
    • /
    • pp.137-143
    • /
    • 1997
  • 두개하악장애는 가장 흔히 발병하는 질병중의 하나이다. 이때 저작계에 흔히 호소하는 주소가 근육의 통증이다. 통증의 정도를 측정하는 방법으로 촉진이 가장 널리 사용되고 있으나 정량화하기 어렵다는 단점이 있다. 따라서 통증 측정기 등과 같이 다양한 시도가 진행되고 있다. 근육이나 관절의 병적 소견은 해당조직의 혈액순환장애나 염증반응과 종종 관련이 있다. 이러한 상태는 신체의 표면과 밀접한 관계가 있어 피부온도에 영향을 미치며, 따라서 thermography로 측정할 수 있다. 피부온도의 측정은 질병의 활성 상태를 평가하는 데 유익하며, 또한 치료결과를 평가하는 데에도 효과적이다. 객관적 피부온도 측정장치가 있다면 턱관절이나 저작근의 이상상태를 평가하는데 매우 도움이 될 것이다. 따라서 본 연구의 목적은 경제적이면 양측성으로 특정 부위의 피부온도를 측정할 수 있는 기기를 사용하여 검사자내 및 검사자간 신뢰도를 측정하고 좌우 온도차이를 확인함으로써 향후 질환 및 치료 겨오가에 대한 임상적 평가시 객관적 측정방법의 하나가 될 수 있는 지를 알고자 하는 데 있다. 구강내 염증이나 이상이 없으며 두개하악장애가 없는 치과대학생 15명을 대상으로 조사하였다. 평균연령은 24.9세, 범위는 24-30세이었다. 사용한 기기는 미국산 YSI Precision 4000이다. 18-2$0^{\circ}C$의 일정한 실내온도에서 두 검사자가 각각의 검사를 알지 못하는 상태에서 별도로 정해진 부위에 검사를 시행하고, 약 1주일후 이전 검사에 대한 기억이 없어진 상태에서 두 검사자중 한 검사자가 다시 동일한 검사를 시행하였다. 측정치들을 이용하여 상관관계를 계산하고 이에 대한 유의성을 검정하였다. 1. 검사자내 상관관계(r)는 좌 .798(p=<.0001), 우 .757(p=<.0001)이었다. 2. 두검사자간 상관관계(r)는 좌 .958(p=<.0001), 우 .951(p=<.0001)이었다. 3. 좌우 측정치간의 차이는 유의한 차이가 없었다. 4. 근육부위별 측정에서는 inferior masseter muscle의 검사자간에서만 유의한 상관관계가 없었을 뿐 anterior masseter muscle, anterior temporalis 모두 검사자내 및 간에 유의한 상관관계를 나타내었다. 이상의 결과로 보아 정상인에 있어 근육내 발통점의 피부온도는 검사자간에는 특정부위에 따라 다소 차이가 있을 수 있으나 일반적으로 높은 재현성을 보여줌으로서 향후 교근 및 측두근의 임상연구 평가에 피부온도조사는 도움이 되리라 사료된다.

  • PDF

Oral Pigmentation Resulting from Pharmacological Treatment in Patient with Chronic Hepatitis C (만성 C형 간염의 약물 치료와 연관된 구강 내 색소 침착의 치험례)

  • Kim, Young Gun;Ahn, Hyung-Joon;Choi, Jong-Hoon;Kwon, Jeong-Seung
    • Journal of Oral Medicine and Pain
    • /
    • v.37 no.4
    • /
    • pp.189-193
    • /
    • 2012
  • Oral pigmentation has numerous etiologies. It can be associated with congenital diseases and syndromes, certain acquired diseases, and systemic medications. Pigmented lesions caused by serious disease such as melanoma should be diagnosed correctly, because it would be fatal. For appropriate differential diagnosis, clinicians should know about the etiologies causing oral pigmentation and take patients history carefully. Biopsies would be necessary for histopathological findings. Close follow up for clinical symptoms are also necessary. In this case report, we presented a case of oral hyperpigmentation in Asian patient who was receiving pegylated interferon and ribavirin combination therapy for hepatitis C virus infection.

A Study on the Reliability of Clinical Diagnosis for TMJ Internal Derangement (측두하악관절 내장증의 임상적 진단의 신뢰도에 관한 연구)

  • 김영구;이승우;정성창
    • Journal of Oral Medicine and Pain
    • /
    • v.23 no.1
    • /
    • pp.37-44
    • /
    • 1998
  • 본연구는 서울대학교 치과병원 구강진단과 악안면 동통진료실에 내원한 환자 중 임상적 검사에 의해 악관절 내장증으로 진단된 총 32명 53개의 측두하악 관절을 대상으로 악관절 조영술이나 자기공명영상을 실시하여 임상적 진단의 정확도를 알아보고 향후 이 결과를 적절히 활용하여 정확한 적응증의 설정에 도움을 주고자 시행되었다. 각 악관절을 임상적 검사, 조영술 및 자기공명영상 검사를 기준으로 정상, 정복성 관절원판 변위, 비정복성 관절원판 변위, 퇴행성 관절 질환을 동반한 정복성 관절원판 변위, 퇴행성 관절 질환을 동반한 비정복성 관절원판 변위로 구분하였다. 이상의 연구를 통하여 다음과 같은 결론을 얻었다. 1. 악관절 내장증으로 내원한 환자 32명, 총 53개 관절중, 정상인 경우가 5예, 정복성 관절원판 변위인 경우가 33예, 비정복성 관절원판 변위인 경우가 14예, 퇴행성 관절 질환을 동반한 정복성 관절원판변위인 경우가 1예이었고, 퇴행성 관절 질환을 동반한 비정복성 관절원판 변위인 경우는 없었다. 2. 악관절 조영술 검사를 시행한 35개의 관절중 임상적 검사와 일치하는 경우는 32개로 그 일치율은 91.1%이었으며, 자기공명영상 검사를 시행한 28개의 관절중 임상적 검사와 일치하는 경우는 20개로 그 일치율은 71.4%이었다. 3. 악관절 조영술 및 자기공명영상 검사를 동시에 시행한 10개 관절중 악관절 조영술 및 자기공명영상검사가 일치하는 경우는 9개이었으며 이중 8개 결과는 임상적 진단과 일치되는 소견을 보였다. 임상적 검사는 악관절 내장증의 진단에 유용한 방법임이 확인되었다. 그러나 임상적으로는 정상으로 진단되었지만 주관적인 증상을 가진 환자에게는 자기공명영상 검사와 악관절조영술 검사 등의 영상진단술식이 필요할 것으로 사료된다.

  • PDF

Evaluation of Taste in the Patients with Oral Lichen Planus by Electrogustometer (전기미각측정기를 이용한 구강편평태선환자의 미각평가)

  • Kim, Jung-Woo;Park, June-Sang;Ko, Myung-Yun;Ahn, Yong-Woo
    • Journal of Oral Medicine and Pain
    • /
    • v.31 no.2
    • /
    • pp.113-120
    • /
    • 2006
  • The purpose of this study was to investigate whether there were any changes in taste sensitivity with oral lichen planus (OLP). Sixty subjects (26 males and 34 females) were included for the study and they were categorized into 2 groups (oral lichen planus 30 persons,control 30 persons), oral lichen planus group was investigated in the department of Oral Medicine, College of Dentistry, Pusan National University from April, 2005 to February, 2006 and control group was investigated in the clinic at Cheongju City from february, 2006 to april, 2006. The electrical taste thresholds were measured using an electrogustometer of the 4 different sites (tongue tip, tongue lateral, circumvallate papilla and soft palate) in oral cavity. The results were as follows; 1. The electrical taste threshold showed a tendency to decrease in the OLP group. 2. The electrical taste threshold showed a tendency to decrease in female group, but showed a tendency to increase in male group of the OLP group. 3. The electrical taste threshold showed a tendency to increase in tongue tip, tongue lateral of the multiple OLP group, but showed a tendency to decrease in circumvallate papilla, soft palate of the multiple OLP group. 4. The electrical taste threshold showed a tendency to increase in tongue tip, tongue lateral of the acute OLP group, but showed a tendency to decrease in circumvallate papilla, soft palate of the acute OLP group. 5. After treatment, electrical taste threshold was significant lower in soft palate of the OLP group than control group. 6. After treatment, NAS was significantly lower in soft palate of the OLP group than control group.

The Effect of Sociological Characteristics and Oral Health Behaviors on Oral Health Index in Korean Elderly (한국 노인의 인구사회적 특성과 구강보건행위가 구강보건지수에 미치는 영향)

  • Park, Myung-Ho;Park, Mee-Yong;Lee, Hee-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.10
    • /
    • pp.4989-4995
    • /
    • 2013
  • The purpose of this study was to evaluate oral health status using oral health index in the elderly population and determine methods for improving oral health status. The date collected from 'The fifth korean national health and nutrition examination survey 2010' was analyzed in this study. The subjects included in this study were 712 elderly people, aged 65 years or older and who had completed the oral examination, health questionnaires and nutrition examination. Statistical analysis was done using the SPSS 19.0 for Windows. We determined Frequency analysis and multiple regression analysis. General characteristics and oral health behaviors showed differences in number of teeth associated with as male, the lower age, as dong, the higher education level, the lower smoking, the more use oral health goods, in DMFT associated with the lower age, the lower income level, the higher education level, in FS-T associated with as female, the higher income level, the more use brushing, in T-Health associated with as male, the lower age, as dong, the lower smoking, the more use oral health goods, in CPI associated with as male, the lower age, as dong, the lower smoking, the more use oral health goods. In conclusion, oral health behavior have effect on oral health index, in order to improve the quality of life and promote oral health of the elderly, oral health education system should be organized. Local governments should be supported active and various oral health program for the elderly.

The Effect of Oral Health Index and Dental Prosthesis Needs on Oral Health Related Quality of Life in Korean Elderly (한국 노인의 구강보건지수와 치과보철물 필요도가 구강건강관련 삶의 질에 미치는 영향)

  • Lee, Hee-Sung;Kim, Han-Gon
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.17 no.1
    • /
    • pp.72-78
    • /
    • 2016
  • This study examined the oral health-related quality of life of the elderly using the oral health index and dental prosthesis status, and explored methods to improve the oral health status. The data collected from 'The fifth Korean national health and nutrition examination survey 2010' were analyzed. The subjects were 2273 elderly people, aged 65 years or older, who had completed an oral examination, health questionnaires and nutrition examination. Statistical analysis was done using the SPSS 22.0 for Windows. Frequency analysis, multiple regression analysis and structural equation model were used for statistical analysis. The general characteristics, oral health index and dental prosthesis showed differences in the subjective oral health status associated with as age, ST, FS-T, T-Health, maxillary crown needs, maxillary denture needs, mandibular denture needs, chewing status associated with the income level, FS-T, maxillary crown needs, maxillary denture needs, mandibular denture needs, speaking status associated with the ST, T-Health, maxillary implant status, and maxillary denture needs. In conclusion, both the oral health index and dental prosthesis needs affect the oral health related quality of life of the elderly. Governments should implement a variety of oral health programs and dental prosthesis policies to improve the quality of life related oral health of the elderly.

Relationships between Oral Health Management Behavior and Subjective Oral Health Perception and Oral Acid Production in Small and Medium Industry Workers (중소 산업장 근로자의 구강건강관리행태 및 주관적 구강건강인식과 구강 내 산생성도와의 관련성)

  • Heo, Seong-Eun
    • Journal of Convergence for Information Technology
    • /
    • v.9 no.3
    • /
    • pp.90-97
    • /
    • 2019
  • In order to identify relationships between oral health management behavior and subjective oral health perception and oral acid production in small and medium industry workers, an examination on oral acid production and a survey were conducted. As a result, the subjective oral health status, which is subjective oral health perception, was found to have a significant effect on oral acid production, and the worse the subjective oral health status was, the higher the oral acid production was. As the subjective oral health perception is expected to be helpful for the development of industrial oral health programs to improve oral health of workers, organizational and institutional efforts for industrial oral health education will be necessary for improvement of subjective oral health perception of workers.

Psychological Analysis of BMS Patients through the SCL-90-R (간이정신진단검사를 이용한 구강작열감 환자의 심리학적 분석)

  • Jang, Yong-Seok;Tae, Il-Ho;Ko, Myung-Yun;Ahn, Yong-Woo
    • Journal of Oral Medicine and Pain
    • /
    • v.33 no.1
    • /
    • pp.49-57
    • /
    • 2008
  • Personality characteristics of BMS patients were alalyzed psychologically by using the SCL-90-R. 59 BMS patient were subjected at Orofacial pain clinic, Department Of Oral Medicine, Pusan National University Hospital during the period from 2006 to 2007. The control group were subjected at dental clinic during the same period. 1. BMS patients group, Dental new patient group, Adult citizen groups were within normal range. 2. The T-scores of HOS, PHOB,PAR, PSY in BMS patient groups was significantly low. 3. The mean T-scores of male in BMS patients group shows the lowest HOS scale, the mean T-scores of female in BMS patient group shows the lowest PHOB scale. 4. The mean T-scores of female in BMS patients group show higher SOM, O-C, DEP, ANX, PSY scales. 5. As compared with the mean T-scores of acute and chronic group in BMS patients, there was no significant difference of the scales.

Quantitative Evaluation of Dysphagia Using Scintigraphy (신티그라피를 이용한 연하곤란증의 정량적 평가)

  • Park, Seok-Gun;Hyun, Jung-Keun;Lee, Seong-Jae
    • The Korean Journal of Nuclear Medicine
    • /
    • v.32 no.3
    • /
    • pp.276-289
    • /
    • 1998
  • Purpose: To evaluate dysphagia objectively and quantitatively, and to clarify the effect of neck position and viscosity changes in patients with aspiration and laryngeal penetration. Materials and Methods: We studied 35 patients with dysphagia and 21 normal controls using videofluoroscopy and scintigraphy. Videofluoroscopy was performed with barium with three different viscosity, and scintigraphy was done with water, yogurt, and steamed egg mixed with Tc-99m tin colloid. If aspiration was found during videofluoroscopic examination, patient's neck position was changed and study repeated. Videofluoroscopy was analyzed qualitatively. We calculated 7 quantitative parameters from scintigraphy. According to the videofluoroscopic findings, we divided patients into 3 subgroups; aspiration, laryngeal penetration, and no-aspiration group. Results: The result of videofluoroscopy revealed that the most common finding was the delay in triggering pharyngeal swallow. Pharyngeal transit time (PTT) and pharyngeal swallowing efficiency(PSE) in patients with aspiration were signifi-cantly different from other groups. After neck position change, aspiration could be reduced in all of 7 patients, and laryngeal penetration reduced by about 82%. PTT and PSE were also improved after position change. Aspiration and laryngeal penetration occurred more frequently in thin liquid swallowing than in thick liquid and solid swallowing. Conclusion: PTT and PSE were useful for the evaluation of dysphagia. Aspiration and laryngeal penetration could be reduced when appropriate position assumed. We could decrease the chance of aspiration by changing the patient diet consistency. Scintigraphy might be useful tool to quantitate and follow up these changes.

  • PDF