• Title/Summary/Keyword: 구강점막 질환

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DENTAL MANAGEMENT ASSOCIATED WITH ERUPTION DISORDERS IN A PATIENT WITH EHLERS-DANLOS SYNDROME : A CASE REPORT (Ehlers-Danlos syndrome 환아의 맹출장애 : 증례보고)

  • Jin, Dallae;Kim, Chong-Chul;Lee, Sang-Hoon;Kim, Jung-Wook;Kim, Young-Jae;Hyun, Hong-Keun;Shin, Teo-Jeon;Jang, Ki-Taeg
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.8 no.2
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    • pp.127-133
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    • 2012
  • Ehlers-Danlos syndrome (EDS), an inherited connective tissue disorder, is caused by mutations in genes encoding different types of collagen or collagen-processing enzymes. EDS most typically affects the joints, ligaments, skin, and blood vessels. Oral health may be severely compromised in EDS as a result of specific alterations of collagen in orofacial structures. Dental hard tissue defects, root dilaceration, pulp stones, ectopic or delayed eruption, impaction, and periodontal disease could be observed. Therefore, a number of tissue responses related to collagen and precautions should be anticipated when considering dental treatment in EDS. Long-term and comprehensive dental management is required. The purpose of this report is to describe a clinical case of eruption disorders in a patient with EDS.

A Review of the Literature on Pharmacologic Treatment of Oral Mucous Membrane Diseases (구강점막 질환의 약물치료에 대한 문헌적 고찰)

  • Woo-Cheon Kee;Jae-Kap Choi;Sung Chang Chung
    • Journal of Oral Medicine and Pain
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    • v.11 no.1
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    • pp.5-17
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    • 1986
  • Whereas there has been developed relatively definitive treatment for the oral mucous membrane diseases with well known etiology, but not developed definitive treatment for those with unknown etiology. And we have thought it should be recommended to further investigate etiology of oral mucous membrane diseases for development of more definitive pharmacologic treatment.

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The Associated Factors with Xerostomia in Patients with Systemic Diseases (일부 전신질환자에서 구강건조증의 관련요인 분석)

  • Kim, Sun-Ju;Choi, Jun-Seon
    • Journal of dental hygiene science
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    • v.13 no.4
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    • pp.386-392
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    • 2013
  • The purpose of this study was to evaluate the factors related to xerostomia in patients with systemic diseases, and the results were analyzed through t-test, ANOVA, and multiple linear regression analysis. There were 62 respondents (56.9%) who reported dry mouth and the season of the most severe dry mouth was reported to be the highest during winter. According to the analysis made in the relationship of xerostomia with the awareness of general health and health behavior, the group that understood their own health poorly, had more than two kinds of diseases, and had been administered more than two kinds of daily medication showed higher xerostomia. Also, those who experienced desperation, had high dryness in other parts of the body, and heavy snoring were more aware of xerostomia (p<0.05). According to the analysis made in the relationship between xerostomia and awareness of oral health state, the group that understood their oral health poorly and had pain in the oral mucous membrane and halitosis was more aware of xerostomia (p<0.05). According to the analysis made in the relationship between quality of life and xerostomia, the group that showed high level of problem in daily living and stress and were self-conscious and felt tense due to halitosis reported more xerostomia (p<0.05). Finally, xerostomia was most correlated with consciousness of the eyes of others due to halitosis followed by the number of transferred systemic diseases and stress level. Based on such results, xerostomia was understood to be an obstacle in maintaining favorable social life and health. Since xerostomia was shown to be related to the number of transferred systemic diseases, the dental professions are asked to further improve their understanding not only on oral health but also systemic diseases. Therefore, these efforts are expected to prevent xerostomia and reduce various complications caused by xerostomia.

Relationship between the Oral Cavity and the Stomach of Helicobacter pylori (구강과 위내 Helicobacter pylori의 상호관련성)

  • Kang, Seung-Woo;Ryu, Ji-Won;Yoon, Chang-Lyuk;Ahn, Jong-Mo
    • Journal of Oral Medicine and Pain
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    • v.35 no.2
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    • pp.101-110
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    • 2010
  • Helicobacter pylori(H. pylori) is bacterial infection, with more than half of the world population infected and oral cavity is considered second reservoir of H. pylori infection. The purpose of this study was to evaluate role of oral cavity in H. pylori infection by comparison of the mode H. pylori infection in oral cavity and stomach. We recruited 100 subjects without systemic disease including gastrointestinal disease. Samples in oral cavity taken on gingival sulcus fluid(GSF) of lower left central incisor and 1st molar, area of buccal mucosa, dorsum of the tongue, palatal and saliva. We analyzed by Nested polymerase chain reaction(PCR) for oral infection and Urea Breath Test(UBT) for gastric infection. The results were as follows : 1. Among these 100 subjects, 36(36%) were positive by Nested PCR and 33(33%) were positive by UBT(p>0.05). 2. In detection rate of H. pylori in sites taken sample, 11(11%), 8(8%), 9(9%), 3(3%), 9(9%), 7(7%) were positive on GSF of lower left central incisor and 1st molar, area of buccal mucosa, dorsum of the tongue, palatal and saliva, respectively. Statical significance was observed in samples of GSF of lower left central incisor and area of dorsum of the tongue(p<0.05). 3. In comparison of the mode of H. pylori infection in oral cavity and stomach by analytic method, positive in oral cavity and stomach was 10(10%), negative in oral cavity and positive in stomach was 23(23%), positive in oral cavity and negative in stomach was 26(26%) and negative in oral cavity and stomach was 41(41%)(p>0.05). Conclusively, we can guess that oral H. pylori is not associated with gastric H. pylori infection and normal flora.

Complete genome sequence of Eikenella corrodens KCOM 3110 isolated from human subgingival dental plaque of periodontitis lesion (사람 치주염 병소의 치은연하치면세균막에서 분리된 Eikenella corrodens KCOM 3110의 유전체 염기서열 완전 해독)

  • Lim, Yun Kyong;Park, Soon-Nang;Shin, Ja Young;Roh, Hanseong;Ji, Suk;Kook, Joong-Ki
    • Korean Journal of Microbiology
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    • v.55 no.2
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    • pp.154-156
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    • 2019
  • Eikenella corrodens is Gram-negative, facultatively anaerobic, and rod-shaped bacterium. It is a part of the normal human mucosal flora that can cause several systemic diseases such as endocarditis, liver abscess, and intracranial bacterial infection. E. corrodens KCOM 3110 (= JS217) was isolated from human subgingival dental plaque of periodontitis lesion. Here, we present the complete genome sequence of E. corrodens KCOM 3110.

Evaluation of Taste in The Patients with Oral Mucosal Disease by Electrogustomter (전기미각측정기를 이용한 구강점막질환 환자의 미각평가)

  • Lee, Yong-Han;Tae, Il-Ho;Ko, Myung-Yun;Ahn, Yong-Woo
    • Journal of Oral Medicine and Pain
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    • v.33 no.2
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    • pp.133-145
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    • 2008
  • The purpose of this study was to investigate the taste sensitivity in patients with oral mucosal diseases(Oral lichen planus(OLP), Recurrent apthous ulcer(RAU)) using electrogustometer. One hundred and seventy three subjects were included for the study and they were categorized into 2 groups(control 100, patient 73) and patient group was investigated in the Department of Oral Medicine, Pusan National University Hospital from April, 2005 until January, 2007. Control group was investigated in the clinics at Inchen Metroplitan city and Cheongju city from February to August, 2006. The electrical taste thresholds were measured by using an electrogustometer for 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 in patient group was significantly decreased than that in the control group(p<0.001). 2. The electrical taste threshold, in terms of the chronicity and lesion multiplicity, was not significantly changed in patient group. 3. The electrical taste threshold was not significantly changed in Dexan only and Dexan+Prs combination treated group. 4. The electrical taste threshold, in terms of treatment progress(no response vs half response vs complete response), was not significantly changed. However subjective index which was determined by NAS(Numerical Analogy Scale) was significantly increased in no response group but significantly decreased in complete response group(p<0.001)

Oral Erythema Multiforme: Case Report (구강내 다형홍반의 증례보고)

  • Roh, Byung-Yoon;Ahn, Jong-Mo;Yoon, Chang-lyuk;Ryu, Ji-Won
    • Journal of Oral Medicine and Pain
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    • v.38 no.1
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    • pp.1-5
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    • 2013
  • Erythema multiforme(EM), a blistering and ulcerative inflammatory disorder, affect skins or mucosa, and is thought to be triggered mainly by preceding infection, such as Herpes simplex virus, or exposure to drugs and medication, particular antibiotics or analgesics. Symptoms include typical cutaneous target lesions on skins and in case of oral manifestation, erosive and ulcerative lesions on lips, buccal mucosa, and tongue are known to occur, which needs differential diagnosis with other intraoral lesions. In this case, EM assumed that it is occurred by giving Trichomonas infection or Metronidazole in oral region is introduced with a review of diagnosis and treatment of EM.

The effect of improperly contoured and poor fitting restorations to patient with oral lichen planus: periodontal and prosthetic treatment (구강 내 불량한 보철물 수복이 편평태선에 미치는 영향에 대한 치주, 보철적 접근)

  • Shin, Jin-Beom;Cho, Jin-Hyun;Lee, Cheong-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.4
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    • pp.371-377
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    • 2015
  • Oral lichen planus (OLP) is a common mucocutaneous disease, which presents as bilateral or multiple lesions. The several factors are implicated in etiology of OLP such as dental restorations, systemic disease, drugs and stress. Especially the influence of dental restorations and plaque control for OLP has been the interest in dentistry. This case is about OLP patient having poor contoured and ill-fitting metal ceramic restorations. The patient in this study has suffered from OLP for a long time, particularly after restoration of metal ceramic restorations on both posterior teeth of maxilla and mandible. This study reported that OLP lesion recovered effectively by improving the contour and fitness of restorations with plaque control.

Association of Obesity and Oral Health Status in Adults (일부 성인의 비만과 구강건강 상태의 연관성)

  • Park, Eun-Seon
    • The Journal of the Korea Contents Association
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    • v.18 no.3
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    • pp.196-204
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    • 2018
  • The purpose of this study is to provide basic data for the oral health and obesity management of adults by grasping the relationship between obesity and oral health. Among the patients who visited the dental clinic, 229 patients who agreed to fill out questionnaires were analyzed by self - filling questionnaire. Body mass index and waist circumference were used for the study of obesity. Body mass index and poor periodontal health status were significantly higher(33.3%) and abdominal obesity and poor periodontal health status were 10.9%.Abdominal obesity was significantly higher(28.6%) in the group with less than 20 teeth. Body mass index and abdominal obesity were higher in body pain, psychological discomfort, physical abilities, psychological abilities, social disadvantage, and oral health than in normal subjects. As a result of correlation analysis with obesity index, it was found that the more period of obesity, the more periodontal disease and mucosal state related symptoms appeared(p<0.05). Therefore, in order to solve health problems such as obesity, it is necessary to recognize the importance of oral health and to make efforts to induce positive oral health behavior.

The Comparison of Behavioral Response of Additional Submucosal Midazolam with Oral Chloral Hydrate, Hydroxyzine and Nitrous Oxide for Pediatric Conscious Sedation (소아 진정 치료 시 Chloral Hydrate와 Hydroxyzine 복용 후 구강 점막으로 투여한 Midazolam의 행동 반응 비교)

  • Park, Hui-Jun;Jung, Sang-Hyuk;Baek, Kwang-Woo
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.7 no.1
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    • pp.6-12
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    • 2007
  • 배경: 소아 진정 치료 시 서로 다른 용량의 chloral hydrate와 hydroxyzine을 복용 후 midazolam을 구강 점막 하 주사했을 때 행동 반응을 비교하였다. 방법: 총 32회 진정법을 통해 치과치료를 받은 30명의 나이 24-72개월, 체중 20 kg 미만의 미국 마취과학회 신체등급 I의 건강하지만 겁이 많고 협조가 안 되는 소아 환자를 대상으로 2개 치아이상의 보존 치료 및 발치를 필요로 하는 환자를 대상으로 하였다. 호흡기 질환이 있는 아이들은 이 연구에서 제외되었다. 연구 계획은 이대 목동 병원의 임상 실험 심사 위원회에 제출되었다. 1군은 chloral hydrate 50 mg/kg와 hydroxyzine 1 mg/kg 복용 후 점막 하 midazolam 0.2 mg/kg을 추가 투여했고 2군은 chloral hydrate 60 mg/kg와 hydroxyzine 1 mg/kg 복용 후 점막 하 midazolam 0.1 mg/kg을 주사 받았다. 50% nitrous oxide는 치료 중 두 군 모두 유지되었다. 전날 수면 시간과 약물 복용 태도를 기록하였으며 모든 치료 과정은 비디오로 촬영되었다. 맥박 산소 계측기를 이용하여 경피적 산소 포화도와 맥박수를 기록하였고 행동 반응은 Houpt scale을 이용하여 매 2분마다 40분 동안 기록되었다. 전반적인 행동 반응은 Houpt scale를 이용하여 평가되었다. 모든 자료는 SPSS 통계 프로그램을 이용하여 two sample independent t-test를 사용하였다. P 값은 0.05 미만인 경우를 통계학적으로 유의하다고 보았다. 결과: 두 군 간의 경피적 산소 포화도와 맥박수는 모두 정상 범위이며 유의한 차이가 없었다. 행동 반응 비교에서는 치료 처음 10분 동안 2군이 1군에 비해 점수가 높게 나왔으며(P < 0.05), 그 외에는 유의한 차이가 없었다. 전날 총 수면 시간과 약물을 복용하는 태도는 수면 치료 중의 행동 반응에 영향을 주지 않았다. 결론: Chloral hydrate 50 mg/kg 복용과 점막 하 midazolam 0.2 mg/kg은 chloral hydrate 60 mg/kg 복용과 점막 하 midazolam 0.1 mg/kg과 비교할 때 두 약물의 조합은 모두 소아 환자 수면 치료시 안전하고 효과적인 용량이다. Overall behavior와 Q (quiet)의 분포를 비교해 볼 때 두 군 모두 성공적인 진정효과를 기대할 수 있다.

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