• Proceedings of the Korea Contents Association Conference
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• 2019.05a
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• pp.281-282
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• 2019

본 연구는 저작기능장애자 56명을 대상으로 구강안면프로그램을 시행함으로 인해 이로 인한 구강위생효과를 알아보고자 하였다. 그 결과 구강안면프로그램을 이용한 집단과 대조군이 치면세균막지수, 구강건강행동지수의 차이가 있는 것으로 나타났다. 향후 교육프로그램을 구강보건교육의 동기부여를 위한 도구로 활용가치가 있을 것으로 사료된다.

• The Journal of the Korea institute of electronic communication sciences
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• v.12 no.2
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• pp.391-400
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• 2017

The purpose of this study was investigated the effect of orofacial training video program using smart device on oral cavity structure and function, diadochokinetic rate in acute stroke patients with dysarthria. Present study participated in fourteen acute stroke patients with dysarthria. All subjects assigned that randomized each seven patients in experimental and control group. Subjects of two groups received conventional rehabilitation therapy for 4 weeks. Experimental group performed additionally that orofacial training video program using smart device, supervised under caregivers, during 30 min/day. The outcome measures were the oral cavity structure and function of subscale for KOMSE(: Korean Oro-motor Mechanism Screening Examination), AMR(: Alternating Motion Rate), SMR(: Sequential Motion Rate). In results, Both group showed significant improvements after intervention in all assessments(p<.05). In comparison of change between two groups, experimental group showed significant improvements than control group in oral cavity function, /p ə/ and /tə/ of AMR(p<.05). We suggested that orofacial training video program using smart device expected to positive effects the improvements of oral cavity and articulator function in acute stroke patients with dysarthria.

• 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.

• The Journal of the Korean dental association
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• v.22 no.5 s.180
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• pp.387-392
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• 1984

외상의 처치는 일반적으로 응급처치기(emergency 혹은 initial phase), 중간처치기 (intermidiate 혹은 planning phase) 그리고 항구치료기 (definitive phase)로 구분되며 응급처치의 범주내에서는 우선 환자의 생명유지를 고려하고 다음엔 창의 생활력(vitality)을 유지하여 장차의 조직결손과 기능적 결합을 예방하는 데 목적이 있다. 그러므로 구강 및 악안면의 광범한 외상은 기도확보, 대량실혈의 방지, shock의 예방 (수액보충 등) 및 감염대책 등의 순으로 응급대처하게 된다. 그러나 일반 개원임상의들이 자주 접하는 비교적 작은 외상에서는 위의 대원칙에 더하여 창상의 효과적인 1차적 처치에 더욱 관심을 갖어 조직의 괴사나 결손 및 변형으로 인한 기능적 심미적 장애를 최솔 하는 것이 중요하다.

• Journal of Oral Medicine and Pain
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• v.25 no.1
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• pp.109-116
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• 2000

구강안면 동통중 가장 대표적인 측두하악장애를 치료하는데 있어 전기침 자극요법이 갖는 임상적 치료효과를 평가하기 위하여 측두하악장애 환자군을 환자에 대한 교육 및 온습포를 시행하는 자가치료 환자군, 전기침 자극요법을 시행하는 전기침 자극 환자군, 교합안정장치를 장착하는 구강내 장치장착 환자군, 총 3군으로 구분하였다. 이들 환자군에서 치료전과 치료 1주후 및 1개월 후에 visual analogue scale을 이용한 동통의 정도와 두경부의 근육촉진지수, 하악의 기능이상지수 및 저작근들의 압력통각역치를 측정하여 다음과 같은 결과를 얻었다. 1. 자가치료 환자군의 1주일 치료후 동통정도, 근육촉진지수 및 기능이상지수가 유의하게 감소되었다. 2. 전기침 자극환자군은 1주일 치료후 동통의 정도가 유의하게 감소하였으면 1개월 치료 후 동통의 정도와 근육촉진지수가 유의하게 감소되었다. 3. 구강내 장치장착환자군은 1주일 치료 후 동통의 정도가 유의하게 감소하고 심부교근의 압력통각역치가 유의하게 감소하였고 심부교근의 압력통각역치가 유의하게 증가되었다.

• The Journal of the Korea Contents Association
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• v.19 no.5
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• pp.455-463
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• 2019

This study aimed to find out the effects of oral health education between the experiment group and the control group upon motivating them using oral facial program in 56 subjects including 29 members in the experiment group and 26 in the test group. With the collected data, Wilcoxon signed rank test was performed to understand the difference before and after the program. OHBI in the experiment group showed significantly higher than the control group (p<0.05), mean values after the program with $9.57{\pm}1.44$ and $8.68{\pm}1.46$ points in the experiment group and the control group, respectively. Mean QHI score in the experiment group was $1.00{\pm}.14$ points after the program while that in the test group was $1.03{\pm}.23$, demonstrating lower in the experiment group but not statistically significant. Mean scores of program satisfaction level were $4.13{\pm}.17$ and $3.94{\pm}.22$ points in the experiment group and the control group, respectively, demonstrating statistically significant. Based on the study results, the effects of oral health education using orofacial program showed the differences between the groups in dental plaque index and oral health behavior index. It is worth to use the oral facial exercise program as a tool for improving the authoring function and oral hygiene.

• Journal of Dental Rehabilitation and Applied Science
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• v.30 no.2
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• pp.159-169
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• 2014

Panfacial fractures require complex multidisciplinary approaches for treatment. Functional stability of bilateral condylar-disc complex should be the goal of the treatment. A patient with complex clinical panfacial fractures, including a bilateral condylar fractures visited our clinic. Facial asymmetry, insufficient vertical space and multiple missing teeth of the patient were major problems. Closed reduction and splint treatment were tried for stable condylar position. A functional and esthetic rehabilitation was accomplished by using implants and full mouth rehabilitaion. Potential possibilities of unstable occlusion should be prevented with night guard and periodic occlusal adjustment.

• Journal of Oral Medicine and Pain
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• v.30 no.4
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• pp.427-432
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• 2005

This study have been compared and analyzed voice parameter under the condition of normal voice and auditory condition(noise and music) for 29 patients of orofacial pain and 31 normal people to investigate voice feature and vocal variation for auditory condition of orofacial pain patient. 1. Compared to normal voice, orofacial pain patient showed lower and unstable voice feature which has low F0 rate and high jitter and shimmer rate. 2. Voice of orofacial pain patient showed more relaxed and stable voice feature with low F0 and shimmer rate in the music condition than noise condition. 3. Normal people's voice has no significant difference between music and noise condition even though it has high F0 rate under the noise condition. As a result, orofacial pain patient showed difference of feature and different response for external auditory condition compared to normal voice. Providing of positive emotional environment such as music could be considered for better outcome of oral facial pain patient's functional disability.

• The Journal of the Korea Contents Association
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• v.17 no.11
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• pp.156-166
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• 2017

The purpose of this study was to evaluate the effect of the tongue's maximum resistance training program on the accuracy of the tongue training program using the Iowa Oral Performance Instrument (IOPI) and to compare the effects of tongue muscle strength and spoken language function on objective function. The experiment was diagnosed with stroke hemiplegia divided into tongue pressure strength and accuracy training therapy group and the oromotor exercise therapy group Anterior Tongue Pressure(ATP), Posterior Tongue Pressure (PTP), and Posterior Tongue Pressure (PTP) were measured before and after the intervention to evaluate changes in tongue strength and verbal ability. Maximum Phonation Time (MPT). The results of this study are as follows. There was no significant difference in tongue strength and verbal function between training group and oral facial exercise group. There was no significant difference between tongue strength training and oral facial exercise group. Therefore, it was shown that the tongue pressure strength and accuracy training therapy group was not effective to improve tongue muscle strength and spoken language ability than the oromotor exercise therapy group.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.18 no.4
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• pp.621-625
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• 1996

중안면부의 골절은 심미적으로나 기능적으로 많은 문제를 야기할 뿐아니라 두개부와 연관되어 뇌손상의 가능성을 가지므로 생명과 직접적인 연관을 갖는다고 할수 있다. 산업사회의 고도의 발달로 인하여 자동차의 보급이 증가하고 그에 따라 교통사고의 절대수가 증가하고 안면부 골절환자가 증가추세에 있다고 볼 수 있다. 때문에 구강악안면외과의사로서 중안면부의 골절에 관심을 기울여야 할 것으로 생각된다. 중안면부 골절 가운데 비골을 포함한 안와 근심벽의 쉽게 일어나며 골절에 포함된 해부학적 구조물들이 복잡하기 때문에 골절후에 기능적 이상이 쉽게 발생될 수 있다. 본 과에서 처치한 중안면 골절 환자중 비골을 포함한 안와 근심벽의 골절환자를 경험한 바 이에 보고하는 바이다.