• Title/Summary/Keyword: 구강기능

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Evaluation of the Pressure of the Tongue, Lips, and Cheeks in Patients with Myofunctional Therapy and Appliance (근 기능 훈련 및 장치 치료를 시행한 환자들의 혀, 입술, 볼의 최대 압력 비교)

  • Minah Sung;Myeongkwan Jih;Nanyoung Lee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.1
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    • pp.13-23
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    • 2023
  • The purpose of this study was to compare the values of tongue pressure (TP), lip closing pressure (LCP), right buccal pressure (RBP), and left buccal pressure (LBP) and check the intraoral muscle imbalance and observe the changed values according to the myofunctional therapy (MFT) period. The MFT with a prefabricated appliance was performed on patients with certain muscular dysfunctions due to oral habits. And the improvement of perioral muscles was evaluated using a balloon-based pressure measurement. The group consisted of 21 patients with oral habits such as chronic mouth breathing, finger sucking, lip sucking, tongue thrusting, and atypical swallowing habits. When comparing the two groups before treatment, there was a significant difference in TP and LCP values. The TP increased the most in the first month since the start of myofunctional therapy, and the LCP increased the most between 3 and 6 months after treatment began. The values of TP, LCP, RBP, and LBP in the control group measured before treatment were very similar to the results of the experimental group 6 months after the myofunctional therapy. When the MFT was steadily performed, it was possible to observe a noticeable increase in the tongue and lip closing pressure. At least 6 months of myofunctional therapy is recommended for patients with intraoral muscle imbalance due to oral habits.

Analysis of Intraoral Squamous Cell Carcinoma Reconstructed with Radial Forearm Flap (전완부 유리 피판으로 재건한 구강내 편평상피암환자의 예후분석)

  • Park Myong-Chul;Soutar David S.
    • Korean Journal of Head & Neck Oncology
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    • v.10 no.1
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    • pp.53-62
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    • 1994
  • 미세외과 수술에 의한 유리 피판술의 도입은 두경부 종양제거후 재건에 괄목할 만한 진보를 가져왔다. 특히 광범위한 종양의 제거가 필요하며 인근의 조직으로 수복이 어렵고 기능 및 외모상의 재건이 문제가 되는 경우 유리 피판은 절대적인 적응이 된다. 구강은 언어구사 와 연하(deglutition)기능을 담당하므로 재건을 위해서는 얇고 부드러운 조직으로 수복하여 주어야 한다. 전완부 유리피판은 혈관경의 위치가 대부분 일정하고 종양 제거후 결손의 모양에 따라 피판을 계획할 수 있기 때문에 구강암 제거후 가장 많이 이용되는 유리피판이다. 저자는 1982년 부터 1988년까지 영국 글라스고우 소재 서부 스코틀랜드 성형 및 구강외과 병원에서 구강의 편평상피암환자로 암종제거 후, 전완부 피판에 의한 재건 및 방사선 치료를 받은 151명의 치료결과(재발율 및 생존율)를 분석하였다. 절제연의 종양조직의 양성(P<0.05), 경부 임파절의 extracapsular node spread여부(P<0.001), 경부 임파절 곽청술의 종류(P<0.05) 등은 재발율과 관련하여 통계적으로 유의하였다. 반면에 종양의 구강내 위치, 하악골의 침범여부등은 통계적의의가 없었다. 생존율에 관하여는 종양의 구강내 위치 (P<0.05), 종양절제연 종양여부(P<0.005), 하악골의 침범여부(P<0.05), 경부 임파절의 extracapsular node spread여부(P<0.001) 등이 통계적으로 유의할 만한 요소로 밝혀졌다. 젊은 나이의 환자들에서(50세이하) 특징적으로 높은 사망률을 보였다. 하악골절제방법의 차이는 환자의 생존예후에 통계적으로 유의할 만한 영향을 주지 못했다.

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Palatal obturator restoration of a cleft palate patient with velopharyngeal insufficiency: a clinical report (구개인두 기능부전을 갖는 구개열 환자에서 폐쇄장치를 이용한 보철 치료 증례)

  • Heo, Yu-Ri;Kim, Jong-Wook;Lee, Gyeong-Je;Chung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.4
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    • pp.353-360
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    • 2013
  • Cleft lip and palate is congenital deformity in oral and maxillofacial area. Normal soft palate has velopharyngeal closure action by connecting oral cavity and nasal cavity at rest and moving upward at swallowing and specific pronunciation. Cleft palate patients with velopharyngeal insufficiency have difficulty in mastication, swallowing and pronunciation because velopharyngeal closure is incomplete. At this time, a prosthetic device used to cover palate defects is called a palatal obturator. A palatal obturator separates oral cavity and nasal cavity and recovers pronunciation, mastication, swallowing and esthetic function. The purpose of this case study is to report the results because it reaches a satisfactory result in functional and esthetic aspects through functional impression procedures using modeling compound and tissue conditioner for restoration of a cleft palate patient with velopharyngeal insufficiency.

Development of Comprehensive Oro-Facial Function Scale (포괄적 구강안면기능척도(Comprehensive Oro-Facial Function Scale; COFFS)의 개발)

  • Son, Yeong Soo;Min, Kyoung Chul;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
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    • v.11 no.1
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    • pp.69-85
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    • 2022
  • Objective : This study aimed to develop a Comprehensive Oro-Facial Function Scale (COFFS) that can evaluate oro-facial function in patients with dysphagia. Methods : To verify the item composition and reliability of the COFFS, preliminary items were collected by selecting and analyzing four previous studies, and the Content Validity Ratio (CVR) was derived through a second survey of experts. Cronbach's 𝛼 was calculated for the internal validity of the evaluation items, and the test-retest reliability and inter-rater reliability were calculated using the internal classification coefficients (ICC). Results : The content validity ratio of all items was 0.67; in the case of Cronbach's 𝛼 value for each domain, 0.849 for communication domain, -0.224 for the oro-facial structure and shape, 0.831 for the ability to perform orofacial movements, and 0.946 for mastication and swallowing function. The test-retest reliability was 0.974 and the inter-rater reliability was 0.937, showing high reliability. Conclusion : In this study, the evaluation tool of COFFS was finally selected from 34 items in four areas and developed on a 3-5 point scale according to the evaluation items. In future studies, additional research is needed to prove its validity through correlation with other evaluation tools that measure oro-facial function.

A Study on Workers' Oral Function Problem According to Korean Standard Classification of Occupations (한국 표준직업분류에 따른 근로자의 구강기능문제)

  • Ju, On-Ju;Kim, In-Ja
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.341-347
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    • 2020
  • This study was conducted to identify the oral function problems of workers according to Korean Standard Classification of Occupations (KSCO) and to provide evidentiary material to promote them to revise the Occupational Safety and Health Act so that workers can benefit from the collective oral healthcare project. For the research materials, it was used the 7th raw data (1st and 2nd) of National Health and Nutrition Examination Survey. It was examined the problems of chewing and speaking for the workers over 19 years old by KSCO. The connection between the types of workers and the problems of chewing and speaking has been confirmed (p<0.05). In order to improve the workers' oral healthcare, the collective oral healthcare project should be implemented. Therefore, the Occupational Safety and Health Act should be revised to hire professional health care manager with expertise, who will be host of the collective oral healthcare project.

Analysis of preference convergence by analyzing search words for oralcare products : Using the Google trend (구강관리용품에 대한 검색어 분석을 통한 선호도 융합 분석 : 구글트렌드를 이용하여)

  • Moon, Kyung-Hui;Kim, Jang-Mi
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.59-64
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    • 2019
  • This study used the Google Trends site to analyze selection information that users expect from prominent Toothbrushes and Toothpastes through related search keywords that users wanted to obtain. From 2006 to 2018(sep), searches for Toothbrushes and Toothpastes were arranged in the order of popularity of related searched words. The total number of searches words exposed was each 25, total 325 collected. The analysis was conducted using two methods, first, by search function. second, by a word network using a Big Data program. The study has shown that toothbrushes there are high expectations for brands, toothpaste there are high expectations in the function. In order to increase the motivation for oral health education, it is recommended to use and provide knowledge about the brand of toothbrushes and Toothpastes by the function.

치과질환과 에이즈

  • Bae, Eun-Gyeong
    • RED RIBBON
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    • s.70
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    • pp.6-7
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    • 2006
  • 구강은 신체의 관문과도 같은 기관으로 구강 안은 신체 다른 부위의 상태를 알려줄 수 있는 좋은 거울과도 같다. 에이즈 환자도 마찬가지이다. 에이즈는 면역체계의 기능을 약화시키는 질환으로 에이즈 환자에게서는 건강한 사람에게선 보기 힘든 질병들이 나타나기도 하고 일반인에게 나타나는 질병은 더 심하게 증상이 나타나기도 한다. 구강에서 나타나는 이러한 징후들은 HIV에서 AIDS로 진행되는 증후군으로 진단에 활용되기도 한다.

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Effect of Pilocarpine Mouthwash on Xerostomia (구강건조증에 대한 필로카핀 구강양치액의 효과)

  • Kim, Ji-Hyun;Park, Ju-Hyun;Kwon, Jeong-Seung;Ahn, Hyung-Joon
    • Journal of Oral Medicine and Pain
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    • v.36 no.1
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    • pp.21-24
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    • 2011
  • Xerostomia is subjective feeling of dry mouth, a symptom that may or may not be accompanied by hyposalivation, an objective decrease in salivary flow. There are many causes induced xerostomia like drugs, salivary gland diseases, radiation therapy to the head and neck region, Sjogren syndrome, emotional stress etc. Insufficient salivary flow creates complications with oral candidiasis, dental caries, periodontitis, halitosis, dysgeusia. So finally, these complications lead to an overall decline in quality of life. Managements of xerostomia are eliminating or alterating the etiologic factors, relieving symptoms, preventing or correcting the consequences of salivary dysfunction, treating underlying disease and stimulating salivation. One of the salivation stimulation agents studied to treat xerostomia was the pilocarpine muscarinic agonist. Pilocarpine is one of salivation stimulants, a parasympathomimetic drug and non-selective muscarinic receptor agonist. Systemic pilocarpine has been used to stimulate salivary secretion. But systemic administration of pilocarpine has limitations such as increased risk of side effects and contraindications. Side effects of systemic pilocarpine administration are sweating, urinary and gastrointestinal disturbance, risk of cardiovascular and pulmonary disorders. This drug must be used carefully by patients with controlled asthma, chronic bronchitis, pulmonary or cardiac disease. Patient with acute asthma, narrow angle glaucoma, iritis should not use pilocarpine. Like this, systemic pilocarpine has many limitations. So, many investigators also have looked at the effectiveness of topical pilocarpine. Here we present patients with xerostomia which was relieved by pilocarpine mouthwash.

Convergent relationship between oral health knowledge, oral health behavior, oral health literacy in Some Foreign Women (일부 외국인 여성의 구강보건지식, 구강보건행태, 구강건강문해력의 융합적 관계)

  • Jang, Sun-Ju;Park, Young-Nam
    • Journal of the Korea Convergence Society
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    • v.10 no.4
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    • pp.57-63
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    • 2019
  • This study aims to measure the oral health literacy of foreign women and to find out the association between oral health knowledge, oral health behavior and oral health literacy. The subjects of the study were surveyed by 248 foreign women in some areas of Gyeongbuk from June 2018 to September 2018. The results of the study showed that the verbal oral health literacy was significantly different in age, education level, and korean residence period, and functional oral health literacy in marriage, education level, and length of residence in korea. In order to promote oral health literacy of foreign women, an effective oral health program has been developed to change oral health knowledge and oral health behavior