• The Journal of the Korean dental association
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• v.21 no.6 s.169
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• pp.449-452
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• 1983

구강내에서 발생하는 연조직 질환중 궤양을 수반하여 환자로 하여금 통증을 호소하게 하는 질환으로는 급성 괴사성 궤양성 치간염 (Acute Necrotizing Ulcerative Gingivitis), 급성 수포성 구내염(Acute Herpetic Gingivo Stomatitis), 재발성 구순포진(Recurrent Herpes Labialis), 재발성 아프타성 구내염(Recurrent Aphthous Stomatitis), 대상성 포진(Herpes Zoster) 등이 있으며, 다른 질환보다도 그 발생빈도가 높아 임상에서 접하게 되며 그 치유속도가 늦어 가끔 당혹감을 느끼는 수가 있다. 이들 질환의 임상적 소견과 그 질환에 대한 치료법의 예를 간략하게 생각해 보고져 한다.

• Journal of Dental Rehabilitation and Applied Science
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• v.28 no.2
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• pp.109-118
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• 2012

This experimental study was undertaken to evaluate the efficacy of polyvinylpyrrolidone-sodium hyaluronate(Aloclair$^{TM}$) in decreasing pain in orthodontic procedures. A total of 60 patients who were use Aloclair$^{TM}$ ordered to were included. These patients were categorized by 3 cases; 1. Patients who were bonded with their first brackets. 2. Patients who were in pain with additional appliance such as anchorage devices. 3. Patients who got ulcer caused by appliances. We collected information about pain and assessed it using visual analogue scale. According to questionnaire, it took 3.5 min. for pain to subside and pair relief durated for 2.7 hours. Most patients in the study reported rapid pain relief and found Aloclair$^{TM}$ easy and pleasant to use than wax. Accordingly Aloclair$^{TM}$ provided raid relief of resting and provoked ulcer pain.

• The Journal of the Korean dental association
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• v.26 no.11 s.234
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• pp.1008-1012
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• 1988

구강점막에 발생하는 종양성 병변으로는 대표적으로 구강점막암(oral mucous membrane cancer), 유두종(papilloma),혈관종(hemangioma), 임파관종(lymphangioma),섬유종(fibroma)등이 있는데 이들 병변들은 구강내 협점막, 치은, 경구개, 연구개, 구강저, 혀 등에 궤양이나 증식성 병소로 나타나서 동통, 출혈, 치아동요, 종창 등의 증상을 유발시킨다. 이러한 병변들에 대한 명확한 치료와 예후를 결정하기 위해서는 무엇보다도 이들 병변들에 대한 정확한 소견에 근거한 진단이 우선되어야 할 것이다. 따라서 본 장에서는 정확한 진단과 치료를 위해 이들 병변들에 대해 소개하고자 한다.

• Journal of Oral Medicine and Pain
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• v.35 no.4
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• pp.259-264
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• 2010

The majority of chronic gingival ulcerative lesions are known to be due to autoimmune disease such as oral lichen planus, benign mucous membrane pemphigoid or pemphigus vulgaris. Topical or systemic corticosteroids are mainly used and adjuvant drugs like immunosuppressant, anti-inflammatory drugs, antimalarials or antimetabolites can also be prescribed. Because systemic corticosteroids causes various side effects, such as gastrointestinal disturbance, osteoporosis, diabetes or adrenal suppression. So, topical steroid therapy is main treatment for chronic gingival ulcerative lesion confined to small area. However, there's also limitation of topical corticosteroids. The effect of the corticosteroids decreases due to salivary flow and the movement of the tongue, lips, or buccal mucosa. When the lesions are widely distributed or positioned deeply in oral cavity, it is hard to apply the medication on patients' own. Moreover, it can be applied to unaffected mucosa. Although occlusive steroid therapy using stent was reported to minimize taking steroid and overcome the faults of applying topical steroids, it has been used less frequently in the clinical field. Therefore, this report is going to find out the usefulness and the way to utilize clinically through the case which acted satisfactorily by performing topical steroid therapy using stent on chronic ulcerative gingival lesions.

• Journal of the Korea Convergence Society
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• v.11 no.3
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• pp.127-133
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• 2020

This study was to survey the relationship between employment stress and self-rated oral health status in university students from Sep. 2 to 27, 2019. Data were analyzed using the SPSS 22.0 program. In case of high employment stress, the comparative risk of self-rated oral health status was 1.7 times in Gingiva swelling, 1.46 times in ulcer and 1.53 times in hypersensitivity. After correcting the general characteristics (gender, age, grade, major), the comparative risk was 1.56 times for Gingiva swelling, 1.42 times for ulcer and 1.44 times for hypersensitivity. Therefore employment stress was found to be related to oral health and it is considered necessary to find ways to prevent and manage oral health by seeking various methods such as counseling support or stress control to reduce employment stress.

• Journal of the korean academy of Pediatric Dentistry
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• v.36 no.4
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• pp.575-579
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• 2009

Behcet's disease(BD) is a multisystem vasculitis that almost any organ in the body may be involved. Its diagnosis bases on clinical criteria in the absence of any specific laboratory test to confirm it. The clinical criteria proposed for the diagnosis for BD include recurrent oral and genital ulceration, skin lesion, ocular changes, and positive response to pathergy test. Besides these essential features, BD may manifest itself on the gastrointestinal tract, central nervous system, and other systemic involvements. Among these clinical features, recurrent oral ulcers are present in most BD patients, often as the initial symptom, preceding other manifestations by many years. Therefore, dentists are in the important position for the early detection and diagnosis of BD. In this case report, we are presenting a case of 6 year-old girl, who came to the pediatric dentistry department for evaluation and treatment of pain and dysphagia caused by severe recurrent oral ulcers. Through taking detailed dental and medical history and clinical examination, we reported the possibility of BD to the medical team and prescribed topical lidocaine to relief pain during swallowing. The medical team, which involved pediatrics, ophthalmology, dermatology, and gastroenterology, finally confirmed BD through various examinations. Detection of the possibility of BD in the dental field helped early diagnosis and proper management by the medical team.

• The Journal of the Korean dental association
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• v.55 no.9
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• pp.634-639
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• 2017

Oral ulcerative and/or vesicular diseases have similar characteristics of clinical phenotypes. Detailed and careful history taking is the cornerstone of the diagnosis of oral mucosal disease. Moreover, complete screening of review of system for patient is important. Through this article, the simple ulcerative, recurrent ulcerative, acute multiple ulcer, chronic multiple ulcerative diseases will be discussed. Clinicians have to keep in mind its differential diagnosis and management.

• Journal of Oral Medicine and Pain
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• v.37 no.4
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• pp.195-203
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• 2012

Recurrent aphthous ulcer(RAU) is the most frequent form of oral ulceration with a prevalence in the general population ranging between 5% and 60%. The peak age of onset is between 10 and 19 years of age, and it can persist into adulthood and throughout the patient's lifespan, with no gender predilection. The disease is characterized clinically into three types: minor aphthous ulcer, major aphthous ulcer and herpeticform ulcers. The cause of RAU is unknown and thought to be multifactorial with many triggers or precipitating factors that include familial tendency or genetic predisposition, allergy, medications, hormones, stress or anxiety, and immunologic abnormalities. The need for consideration of psychological factors in the pathogenesis of oral disease has been increasingly acknowledged over the last decades and many studies have highlighted the psycho-social impact of oral conditions. In this study, we tried to evaluate the influence of emotional stress in RAU. There were thirty patients with a clinical diagnosis of RAU and other subjects who did not show any signs of systemic disorders include RAU. They are evaluated by using modified Holmes and Rahe's Social Readjustment Rating Scale (SRRS). As a result, a significantly higher level of stress was found in the RAU patients than the control group. Therefore it can be concluded that psychological stressors play an important role in the RAU.

• The Journal of the Korean dental association
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• v.29 no.6 s.265
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• pp.467-474
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• 1991

구강질병의 합리적인 관리는 질병의 원인규명을 바탕으로 예방과 치료가 이루어 져야 한다. 구강의 발생학적, 생리학적인 복합성 때문에, 구강질병에 대한 정확한 이해가 어려우므로 치과진료실에서의 진료행위는 상당한 제한된 것이었고 불완전한 것이었다. 치아의 지지경조직, 연조직, 기타 구강에 영향을 주는 제반질병의 합리적인 관리가 구강내과학적으로 우선되야 할 것이다. 치과의사는 백혈구나 적혈구에 이상이 있는 환자는 치료하는 경우에 주의하여야 할 점이 많으므로 환자의 병력, 임상검사 및 예비검사등에 의하여 이러한 질병을 발견할 수 있어야 한다. 이러한 환자에서는 비정상 출혈, 치유지연, 감염 혹은 점막 궤양이 나타나기 쉽다. 더구나 이들 중 어떤 질환은 치명적으로 이런 환자를 찾아내어 치과처치를 하기전에 내과의사에 보내어 진단, 치료를 받게 해야 한다. 환자자신이 질환에 대해 알고 있고 내과적 처치를 받고 있는 경우라도 의사와 협의가 없이는 어떠한 치과적 처치라도 피하도록 하는 것이 좋겠다. 이에 이러한 혈액질환들의 원인과 증상, 치료법등을 간단히 소개하여 수차에 걸쳐 연재하도록 하겠다. 여기에 연재된 내용들은 어떤부분에서는 너무 자세하게 기술된 내용도 없지 않으나 조금이나마 환자 치료에 도움이 되었으면 하는 바램이다.

• The Journal of the Korean dental association
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• v.30 no.7 s.278
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• pp.543-552
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• 1992

구강질병의 합리적인 관리는 질병의 원인규명을 바탕으로 예방과 치료가 이루어 져야 한다. 구강의 발생학적, 생리학적인 복합성 때문에, 구강질병에 대한 정확한 이해가 어려우므로 치과진료실에서의 진료행위는 상당한 제한된 것이었고 불완전한 것이었다. 치아의 지지경조직, 연조직, 기타 구강에 영향을 주는 제반질병의 합리적인 관리가 구강내과학적으로 우선되야 할 것이다. 치과의사는 백혈구나 적혈구에 이상이 있는 환자느느 치료하는 경우에 주의하여야 할 점이 많으므로 환자의 병력, 임상검사 및 예비검사등에 의하여 이러한 질병을 발견할 수 있어야 한다. 이러한 환자에서는 비정상 출혈, 치유지연, 감염 혹은 점막 궤양이 나타나기 쉽다. 더구나 이들 중 어떤 질환은 치명적으로 이런 환자를 찾아내어 치과처치를 하기전에 내과의사에 보내어 진단, 치료를 받게 해야 한다. 환자자신이 질환에 대해 알고 있고 내과적 처치를 받고 있는 경우라도 의사와 협의가 없이는 어떠한 치과적 처치라도 피하도록 하는 것이 좋겠다. 이에 이러한 혈액질환들의 원인과 증상, 치료법등을 간단히 소개하여 수차에 걸쳐 연재하도록 하겠다. 여기에 연재된 내용들은 어떤부분에서는 너무 자세하게 기술된 내용도 없지 않으나 조금이나마 환자 치료에 도움이 되었으면 하는 바램이다.