• Title/Summary/Keyword: 악안면 외상

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치아, 구강 및 악안면외상의 1차적 처치

  • Kim, Myeong-Rae
    • 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.

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Use of Mouthguard for Prevention of Oral and Maxillofacial Injury (구강악안면영역의 외상방지를 위한 마우스가드의 사용)

  • Shim, Young-Joo;Kang, Jin-Kyu
    • Journal of Oral Medicine and Pain
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    • v.37 no.4
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    • pp.251-256
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    • 2012
  • With today's heightened interest in quality of life, leisure and sports activities were popular in the general public. Accordingly, the incidence of oral and maxillofacial injury are also rising. Use of a mouth protector to prevent the trauma of the oral and maxillofacial region is growing in importance, and among the mouth protector the mouthguard is the most commonly used. Mouthguard has been suggested to protect injuries by (1) preventing tooth injuries by absorbing and deflecting blows to the teeth; (2) shielding the lips, tongue, and gingival tissues from laceration; (3) preventing opposing teeth from coming into violent contact; (4) providing the mandible with resilient support, which absorbs an impact that might fracture the unsupported angle or condyle of the mandible; (5) preventing neck and cerebral brain injuries. Although mouthguard is effective for prevention of oral and maxillofacial injury, it is not widespread to athletes or general public and they are lack of awareness about the importance of mouthguard. We present the types and materials of mouthguard, things to consider when mouthguard fabrication, and the usage. This should be helpful in awareness about the importance and popularization of mouthguard.

Relation between Maxillofacial Trauma Experience and Temporomandibular Disorder Prevalence among Some College Students (일부 대학생의 악안면외상경험과 측두하악장애 유병상태와의 관련성)

  • Jeon, Eun-Suk;Lee, Jung-Hwa
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.218-224
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    • 2009
  • This study was to investigate the relation between maxillofacial trauma experience and temporomandibular disorder prevalence with a view to helping prevent and cure temporomandibular dysfunctions by conducting a questionnaire survey with 370 students attending C Health Care College located in Ulsan Metropolis. Data collected underwent an analysis using SPSS program, resulting in the following:1. As for TMJ(temporomandibular joint) clicking prevalence rate, with 25.7% of male students and 22.7% of female students answering positively, the former showed higher rate of temporomandibular joint clicking (p<0.01), while no significant difference was identified depending on school years. 2. In terms of temporomandibular pain prevalence rates, females were found to have been more affected than male students. 3. When it comes to trismus prevalence rates, 10.8% of female students and 7.0% of male students responded they had experienced the dysfunction and female students showed slightly higher rate of trismus prevalence. 4. 6.5% of males and 4.3% of female students responded they had got treatment experience resulting from temporomandibular disorders, indicating that more male students had gone through treatment for temporomandibular disorders(p<0.05). 5. Male students showed higher experience rate of maxillofacial trauma(p<0.01), mostly due to falling or tumbling down, followed by exercises and etc. 6. The relation between maxillofacial trauma and temporomandibular disorders showed statistically significant relation between maxillofacial trauma and TMJ(temporomandibular joint) clicking (p<0.01).

Use of Mouth Guards among Sport Players (스포츠 선수들의 구강보호장치 사용실태)

  • Guk, Jeong-Suk;Woo, Seung-Hee
    • The Journal of the Korea Contents Association
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    • v.10 no.5
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    • pp.296-302
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    • 2010
  • The purpose of this study was to examine the oral injury experiences of sport players in a bid to raise awareness of the gravity of problems related to oral injuries and the necessity of mouth guards geared toward preventing mental, physical and economic loss triggered by oral injuries. The subjects in this study were 290 sport players. After their oral injury experiences and use of mouth guards were checked, the following findings were given: 28.6 percent had suffered an oral injury. But just 33.8 percent received education about how to cope with an oral injury. 93.4 percent had never used a mouth guard, and only 25.9 percent felt the need for that. And just 28.3 percent had an intention to use it. felt the need for that. And just 28.3 percent had an intention to use it. Concerning the impact of gender, the female players used more mouth guards. The players didn't use mouth guards a lot regardless of oral injury experiences and education about that, and there was no change in the way they looked at mouth guards, either. The findings of the study illustrated that sport players as well as non-players weren't aware of the importance of mouth guards, though sport players were exposed to the danger of an oral injury all the time. Not only players but non-players should learn about the seriousness of an oral injury, and the necessity of oral guards should be stressed to prevent it.

Influencing factors on mouthguard awareness and educational needs for coping methods of oral and maxillofacial injuries in physical education department students (체육전공대학생의 구강보호장치 인식도 및 구강악안면 외상 대처방법에 관한 교육요구도에 영향을 미치는 요인)

  • Cheon, Hye-Won
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.2
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    • pp.249-259
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    • 2016
  • Objectives: The purpose of the study was to investigate the mouthguard awareness and educational needs for coping methods of oral and maxillofacial trauma in physical education department students. Methods: A self-reported questionnaire was completed by 250 male students in gyeonggido and Jeonbuk province from June, to August, 2015. survey was conducted from June to August, 2015. The students were those who played taekwondo, football, and kendo. Except incomplete answers, 229 data were analyzed. The questionnaire consisted of general characteristics of the students, awareness and use of mouthguards, and educational needs for coping methods for oral and maxillofacial injuries. The Cronbach alpha of mouthguard awareness was 0.838, and that of educational needs for coping methods for oral and maxillofacial injuries was 0.843 in the study. Results: Those who wore mouthguards tended to have higher score of awareness and the demand of coping methods for oral and maxillofacial injuries was higher than those who did not. Those who had higher awareness of mouthguards and oral health maintained their good oral health. Conclusions: The mouthguard is very important to protect from the oral and maxillofacial injuries in sports play, it is important to emphasize the mouthguard wearing in the physical education department students.

Evaluation of Etiological Factors for Injuries at Oral and Maxillofacial Area (구강악안면부 외상발생의 역학적 평가)

  • Bae, Sung-Suk;Hwang, Soon-Jung
    • Journal of dental hygiene science
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    • v.12 no.4
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    • pp.310-319
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    • 2012
  • In this study, 1,495 cases of computerized data collected as disease entities of oral and maxillofacial injuries among patient visiting S university hospital located in Seoul in 2009 were analyzed and following results were obtained. It was found that the injury incidence in male was greater than in female (1.49:1), it occurred most frequently in the age of 7~14 years old (19.6%), and its most frequent cause was falling down (25.9%). Injuries occurred in other place including beach and open-air (24.7%) most frequently, often developed in anterior teeth (43.2%) and posterior teeth (43.1%), their incidence was relatively higher between 15:00~17:00 (10.4%) and 19:00~23:00 (7.1%) O'clock. In the relationship between causes of the injury and the diagnosis based on the international classification of disease), falling, fall, impingement, violence, traffic accident, sports and own making accident caused most frequently lip and oral open injuries (S01.5), open fracture of tooth (S02.51), close fracture of tooth (S02.50), close fracture of mandible (S02.60), close fracture of tooth (S02.50), respectively. From the above results, it is necessary to understand general characteristics of oral and maxillofacial injuries and to consider their trends for the establishment of systematic complement policies and for the performing safety training and public relations activities.

A comparative study on J regional sport players' actual conditions of maxillofacial trauma and their knowledge about It (J지역 운동선수의 악안면 외상 실태와 지식에 관한 비교조사연구)

  • Choi, Mi-Hye;Kang, Eun-Ju;Woo, Seung-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.695-703
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    • 2010
  • Objectives : The purpose of this study was to investigate the maxillofacial injuries of the sports players' and analyzing the concerned factor. Methods : The subject in this study were 290 sports players' enrolled in Jeolla region. SPSS statistics program(Version 12.0) was used to analyzed the collectde data, Chi-square test and percentage were used as the analysis technique. Results : 1. It was found that 63.8% of all respondents ever experienced trauma in sport activities and 28.6% experienced maxillofacial trauma. 2. In terms of traumatic causality, it was found that most of our respondents attributed the biggest cause of maxillofacial trauma to 'sport activities.' 3. However, it was found that only 12.1% of all respondents gave correct answers to question items about good medical treatment for traumatic odontoptosis. 4. It was found that less than half of all respondents ever faced information on maxillofacial trauma. Conclusions : This finding suggests that it is required to build up current orientation programs about maxillofacial trauma for our sport players. The maxillofacial trauma of sport players' is a important factor that degenerate the quality of the oral health and bring about the change of life style.

Removable prosthetic rehabilitation in patient with maxillofacial defects caused by gunshot: A case report (총상으로 인한 악안면 결손을 가진 환자에 대한 가철성 보철물 수복증례)

  • Lee, Donggyu;Kang, Jeongkyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.198-204
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    • 2017
  • Maxillofacial defect comes from congenital defect, trauma and surgical resection. Patients with intraoral defect are commonly related to maxillary defect and they need prosthetic rehabilitation. Functional reconstruction of partially edentulous mandible has many limitations. However, if both condyles are intact, maxillofacial prosthesis using partial denture give competent results. In this case, a patient of 58 year-old male has a defect on palate and left mandibular posterior teeth from gunshot. The maxillary defect of this patient is Class IV according to Aramany classification and the mandibular one is Type V according to Cantor and Curtis classification. For retention of the obturator, remaining teeth are fully utilized and artificial teeth are arranged harmoniously to provide stable occlusion. Mandibular RPD covered limited range of deformed soft tissue derived from mandibular resection surgery. With these treatments, the patient in this case showed improvements in mastication, swallowing and speech.

MOUTHGUARD FOR PREVENTING ORAL INJURIES IN CHILDREN (소아환자에 있어서 외상방지를 위한 마우스가드의 치험례)

  • Kim, Kyoung-Hee;Kim, Jong-Soo;You, Seung-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.3
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    • pp.537-542
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    • 2005
  • Dentofacial trauma can result in tooth fracture, avulsion, facial bone fracture. The Unites states and Japan mandated the use of mouthguards for contact sports. But, Korean didn't. Mouthguards divided into ready-made type and custom-made type. Mouthguards protect the lips, intraoral soft tissues, teeth and provide the mandible with resilient support to prevent jaw fracture and dislocations. Sports-related accidents have been reported to be one of the most common causes of dentofacial trauma. Sports trauma of involving teeth with incomplete root formation cause long chair time, multiple visit, economic considerations, additional dental services. So, mouthguards can offer considerable protection against sports-related trauma.

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Current Concepts in the Treatment of Maxillofacial Soft Tissue Trauma (악안면 연조직 외상치료의 최신지견)

  • Kim, Yongsoo
    • The Journal of the Korean dental association
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    • v.54 no.10
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    • pp.790-798
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    • 2016
  • The maxillofacial soft tissue trauma is one of the major causes to visit the emergency room. For the past few decades, however, the basic concept of the repairing the soft tissue wound have not been changed. Therefore, it could be worthwhile to remind the fundamental concepts and practical information belong to the soft tissue injury management. Among the many types of soft tissue trauma, laceration wound which is most frequently met in the clinic will be discussed in this review.

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