• 제목/요약/키워드: 구강내과

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Clinical Epidemiology for Elderly Patients of Oral Medicine Clinic (구강내과에 내원하는 노인 환자들의 임상 역학 연구)

  • Oh, Hyun-Sun;Kim, Hye-Kyoung;Park, Jo-Eun;Kim, Ki-Suk;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.38 no.1
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    • pp.19-28
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    • 2013
  • With Korea's rapid entry to aged society, elderly population has become a major age group both in the whole society and medical field and its importance will be constantly stressed out. Elderly population is also important in the field of oral medicine which deals with chronic and recurrent diseases in the orofacial region of non-dental origin but there exist few studies indicating epidemiology of elderly patients in this regards. This study aimed to investigate change of age distribution of new patients in a university-based dental hospital and oral medicine clinic for last decade and to investigate clinical epidemiology of elderly patients (${\geq}$ 65 years) of oral medicine clinic. This study was performed retrospectively using medical records of the new patients in Dankook University Dental Hospital in 2001 and 2011. According to the study, percentage of elderly new patients increased in both dental hospital and oral medicine clinic and degree of the increase was greater in oral medicine clinic than in the whole hospital (p=0.000). 13.5% of adult patients ${\geq}$ 18 years of oral medicine clinic were elderly patients ${\geq}$ 65 years. 83% of elderly patients were suffering from one or more systemic diseases. Although TMD was the most common reason for elderly patients who visited oral medicine clinic, oral soft tissue diseases, dry mouth, burning mouth syndrome and oromandibular dystonia was more frequently diagnosed in elderly patients compared to adult patients aged 18 to 64 years. Pain severity and interference of Brief Pain Inventory and depression and anxiety scores of Hospital Anxiety Depression Scales were higher in elderly patients than in the adult patients (p<0.05). Increase of elderly patients with chronic oral diseases and pain needs more attention of dentists and specialists of oral medicine to improvement of assessment and development of tailored management because large portion of the elderly patients have systemic diseases, polypharmacy and impaired communication, possibly restricting treatment options.

Structure and Function of Glycoproteins in Human Saliva (인체 타액내 당단백질의 구조와 기능)

  • Song Han
    • Journal of Oral Medicine and Pain
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    • v.20 no.1
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    • pp.19-28
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    • 1995
  • 타액은 구강 환경을 조절하는 여러 가지 유기질과 무기질의 혼합물로 구성되어 있다. 구강 점막은 여러 타액 점액 단백질과 타액 항세균 단백질에 의해서 윤활이 되며 보호된다.타액의 다른 작용은 구강 점막을 축축하게 하고 음식을 부드럽게 한다. 구강건조증은 세균의 침착을 야기시키거나 점막면을 거칠게 하여 출혈이 되기 쉽게 하며 이로 인해 감염이 야기될 수 있다. 이러한 타액의 보호 작용은 mucin, fibronectins, proline-rich glycoproteins, histidine-rich proteins, $\alpha$-amylase, s-IgA 같은 특별한 타액 당단백질에 기인한다고 하는 것이 지난 30년 동안에 알려져 있다. 이러한 분자들의 구조, 구조와 기능사이의 관계, 타액 내 이러한 물질들의 농도에 관한 것들이 알려지고 있는 중이다. 이러한 타액 당단백질 특히 mucin, fibronectin, fucose-rich protein과 s-IgA의 구조와 기능에 대한 현재의 견해들을 이 논문에서 요약하고자 한다.

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A Study on the Penetration of Lidocaine into Oral Mucosa by Iontophoresis (이온영동법에 의한 Lidocaine의 구강점막 침투에 관한 연구)

  • Sun-Hee Won;Sung-Woo Lee
    • Journal of Oral Medicine and Pain
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    • v.19 no.1
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    • pp.105-115
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    • 1994
  • 저자는 방사선 동위원소가 부착된 lidocaine을 이온영동법과 국소도포법을 이용하여 16 마리의 가토의 구강점막에 침투시켜 그 침투량을 측정한 후 상호 비교하였으며, ephinephrine의 첨가가 lidocaine 침투에 미치는 영향에 대해 조사한 바, 다음과 같은 결론을 얻었다. 1. 이온영동법은 국소도포에 비하여 Lidocaine의 구강점막으로의 투여에 매우 효과적이었다. (p<0.05) 2. Ephinephrine 1/50,000 용액의 첨가는 국소도포법에 의한 lidocaine 침투량에 영향을 미치지 않았다. 3. Ephinephrine 1/50,000 용액을 첨가하여 이온영동법을 실시하였을 때, 모든 층에서 lidocaine의 침투량이 증가하였다.(p<0.05)

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Multiple Oral Lipomas of the Tongue: Case Report (혀에 발생한 다발성 지방종)

  • Lee, Kyung-Eun;Ko, Seung-O;Byun, Jin-seok;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
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    • v.37 no.3
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    • pp.141-146
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    • 2012
  • Lipoma is a benign tumor composed of mature adipocytes and the most common soft tissue mesenchymal neoplasm but relatively rare in the oral cavity. Lipoma of the tongue is uncommon and especially multiple lipomas are quite rare and only several cases of those were reported. We describe an unusual case of multiple lipomas of the tongue.