• Title/Summary/Keyword: 치아 관리

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Effects of Dental Fear on Depression Symptom and Stress in Adults (일부 성인의 치과공포가 우울 증상과 스트레스에 미치는 영향)

  • Park, Eun-Seon
    • The Journal of the Korea Contents Association
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    • v.17 no.9
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    • pp.203-211
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    • 2017
  • The purpose of this study was to determine the association of some adult dental fear and depression, and stress. Among the patients who came to the dental clinic for periodontal treatment, 68 patients who agreed to participate in the study and who met the selection criteria were included. Dental fear, depression symptom questionnaire, salivary cortisol, which can objectively evaluate blood pressure, pulse, and stress. The results of the analysis showed that depressive symptom was related to 'delayed treatment promise', 'cancellation of treatment appointment', 'increased muscle tension', 'rapid breathing when entering dentistry', 'fear when waiting in the waiting room', 'fear when you smell the hospital', 'fear when looking at the dental clinic', 'fear when seeing the anesthetic needle', 'fear when tooth whistle was heard', 'fear when teeth were removed', and 'total fear of dentistry'(p<0.05). Stress symptoms were higher in 'having sweated in the dentist', 'faster pulse', 'fear of entering the dentist' and 'total fear of the dentist'(p<0.05). Based on these results, it is necessary to study the effective methods to control the depressive symptoms and stress of patients who visit dental clinics, and it seems that continuous management is needed to prepare methods such as relaxation therapy for dental fear patients.

Effect of Mothers' Oral Health Knowledge and Behaviour on Dental Caries in Their Preschool Children (데이터마이닝을 이용한 유치치아우식증 관련요인 분석)

  • Kim, Jin-Soo;Kim, Hyo-Jin;Jorn, Hong-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.5 no.2
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    • pp.171-184
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    • 2005
  • In order to investigate correlation between mother's dental ca re for her children and their dental caries, this study was conducted wi th the dental examination record of 365 children who showed the same number of questionnaires with those examined for dental conditions and questionnaires written by mothers among children between three and six years of age and their mothers in Yeoncheon, Gyeonggi province in June 2004 to estimate frequency and percentage of general properties of subjects and mother's oral health care behaviors for her children by research items, to carry out cross-tabulation analysis and correlation analysis following Chi-square distribution for the presence of dental caries in deciduous teeth and oral health care behaviors, and to use decision tree analysis among data mining techniques for those factors associated with the presence of dental caries in deciduous teeth, and drew the following conclusions. 1. For mother's oral health care behaviors and attitudes for her children, 225 mothers(61.6%) confirmed their children's teeth-brushing; 278(76.2%) used no fluorine; and 286(78.6%) observed their children's teeth, 322 mothers(88.2%) instructed their children in teeth-brushing while 268 (73.4%) provided dental care, 232 mothers(63.7%) treated their children's cavity; 290(79.4%) believed that their children had good dental conditions; and 294(80.5%) answered that they began to provide their children with dental care in deciduous teeth. 2. As for the presence of dental caries in deciduous teeth and dental health care behaviors, there were statistically significant differences in employment, confirmation after teeth-brushing, teeth observation, instruction in time for teeth-brushing, use of fluorine, cavity treatment, time for dental care, and perception of dental conditions(p<0.05). 3. As for correlation between dental caries in deciduous teeth and oral health care behaviors, mothers who worked, who believed that their children didn't have good dental condition, and who thought that it was necessary to begin to provide dental care in permanent teeth were found to get their children to suffer from dental caries in deciduous teeth. Besides, those who failed to confirm teeth-brushing, who used no fluorine, and who failed to observe teeth and gave no instruction in time for teeth-brushing were shown to get their children to suffer from dental caries in deciduous teeth. 4. Variables to determine the presence of dental caries in deciduous teeth were classified by cavity treatment, mother's employment, time for dental care, and observation of children's teeth. The first node to determine the presence of dental caries in deciduous teeth was found to be cavity treatment; the next criteria for classification after cavity treatment were shown to be mother's employment and time for dental care. In case of children with no cavity, they were found to be mother's employment and teeth observation.

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DENTAL MANAGEMENT OF A PATIENT WITH MUSCULAR DYSTROPHY UNDER GENERAL ANESTHESIA: CASE REPORT (근이영양증(muscular dystrophy) 환자의 전신마취 하 치과치료 : 증례보고)

  • Chae, Jong Kyun;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.50-54
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    • 2019
  • Muscular dystrophy (MD) is a heterogeneous group of inherited neuromuscular disorders, characterized by progressive muscle weakness. Severity of the disease ranges from mild to severe, and the disease is mostly caused by mutations in a number of genes. These genetic mutations cause lack of proteins which are essential for muscle cell stability. Muscle fibers are gradually replaced by fat and fibrous tissue. The muscles of the head and neck are affected in several types of MD that manifest as altered craniofacial morphology and dental malocclusion. A 3-year-10-month old, 15.0 kg boy with MD presented to Seoul National University Dental Hospital, Seoul, South Korea because of extensive carious teeth. A number of dental caries in primary dentition were identified during clinical oral examination. Due to dental anxiety and underlying systemic disease, general anesthesia was considered. General anesthesia was induced and maintained with intravenous anesthetics, propofol and remifentanil. Caries treatments - resin restoration, pulpectomy, zirconia crown restoration, stainless steel crown restoration - were performed. Under general anesthesia, successful dental procedure was done. Total intravenous anesthesia (TIVA) was performed instead of inhalation anesthesia in order to avoid risk of complications such as malignant hyperthermia and life-threatening rhabdomyolysis. With decreasing muscle function, plaque control becomes more difficult and leads to gingivitis. Especially, the open-mouth posture worsens gingivitis and can leads to malocclusions and problems in swallowing. Regular and periodic dental care is essential for maintaining oral health for patients with MD.

MANAGEMENT OF LESCH-NYHAN SYNDROME PATIENTS WITH SELF-MUTILATION BEHAVIOR USING THEIR TEETH : CASE REPORTS (레쉬니한 증후군(Lesch-Nyhan syndrome) 환자의 치아와 연관된 자해행동의 관리: 증례보고)

  • Lee, Ji-Mi;Lee, Sang-Ho;Lee, Nan-Young;Jih, Myeong-Kwan
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.2
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    • pp.97-101
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    • 2018
  • Lesch-Nyhan syndrome is a rare X-linked recessive genetic disorder. During purine metabolism, the hypoxanthine guanine phosphribosyl transferase (HGPRT) enzyme is deficient causing phosphoribosyl transferase to accumulate and resulting in excessive uric acid. Clinical symptoms include hypercalcemia, choreoathetosis, spasticity, mental retardation, and self-injury to lips, tongue or fingers. This results not only in pain caused by the self-injury but also secondary infection of the wound site and the esthetic damage of the soft tissue defect. Dental treatments include conservative methods using intraoral appliances such as soft mouthguards, fixed lip bumpers, and occlusal guards, and invasive methods such as extraction of all teeth or forming an artificial anterior open bite. We report two cases of Lesch-Nyhan syndrome patients with self-mutilation behavior; one was treated with a preservative method using a soft mouthguard, and the other was treated with extraction of all teeth.

Comparison of Caries Activity of Some Children's Beverages Inoculated with Streptococcus mutans (Streptococcus mutans를 접종한 일부 어린이 음료의 우식활성능 비교)

  • Young-Nam PARK
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.3
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    • pp.195-202
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    • 2023
  • The caries activities of some commercially available children's beverages were measured to determine the risk of dental caries and provide basic data for preventing dental caries. For the experimental beverage, the beverages with the highest market share among carbonated beverages, fruit beverages, milk, and fermented milk products sold in the domestic market were selected. As a control, 0.25% glucose trypticase soy broth was prepared and used. The pH of the beverages, titrate acid and buffering capacity, and the acid production and vitality were measured over time after inoculating the beverages with Streptococcus mutans. The pH of children's beverages was the lowest in soda (2.61±0.02), and milk had the lowest in titratable acid (14.00±0.58). Fermented milk (80.33±3.64) had the highest buffering capacity, and carbonated beverage (9.40±1.06) had the lowest (P<0.05). Carbonated beverages (3 hr and 25 min) had the highest acid production, and milk (4 hr) had the lowest. In conclusion, thorough oral hygiene management is necessary after consuming children's beverages because they have a low pH promote high acid production of S. mutans.

The relationship between of snack habits, oral health behavior and oral health status in middle and high school students (중고생들의 식습관 및 구강보건행태와 구강건강 상태의 관련성 연구)

  • Hyun-Kyung Yun;Jong-Hwa Lee;Da-Hye Hwang
    • Journal of Korean Dental Hygiene Science
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    • v.6 no.2
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    • pp.1-12
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    • 2023
  • Objectives: This study attempted to identify the eating habits and oral health behaviors of Korean teenagers, studying their relationship with oral health status. The findings serve as fundamental data to enhance proper eating habits and oral health-related projects, ultimately improving teenagers' oral health. Methods: It was analyzed through the original data of the 16th (2020) online survey of youth health behavior in Korea, Frequency analysis, complex sample cross-analysis, complex sample logistic regression analysis were conducted using the SPSSwin 21.0 program. Results: As a result of the study, was associated with the consumption of all sweet drinks, fast food intake, and the frequency of daily brushing over the past 7 days Teeth pain is noted with the consumption of soda, sweet drinks, fast food, and the frequency of daily brushing over the past 7 days. Gum bleeding is noted with the consumption of sweetened products, fast food intake, and the frequency of daily brushing over the past 7 days. Conclusions: Eating habits and oral health behaviors should be considered for the oral health management of middle and high school students. Specific measures should be sought to provide proper dietary education and systematic oral health education to improve the oral health of middle and high school students.

Implant restoration considering maintenance for a patient with excessive crown height space (과도한 치관높이 공간을 가진 환자에서 유지관리를 고려한 임플란트 수복증례)

  • Ma, Juri;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Vang, Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.2
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    • pp.107-112
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    • 2013
  • Complications increases when crown height space is excessive and one should be careful of choosing type of fixed prosthesis in case crown height space is over 12 mm. In this condition, tooth seems to be longer, therefore, it is needed to use gingival shade in aesthetically important area for fixed prosthesis. In this case, fixed prosthesis which has inappropriate maintenance and hygiene could hold food, plaque, calculus, thus increase incidence of inflammation and infection. Moreover, it could lead to chronic inflammation and infection and in that case surgical improvement could be necessary. In present case report, gingival inflammation and swelling developed around prosthesis after having made it considering articulation and aesthetic view in patient who had excessive crown height space. Finding out that design of prosthesis is a factor to make it hard to maintain oral hygiene, a temporary prosthesis which has enough interproximal space and proper emergence profile was fabricated. After two months of observation, significant abnormal symptoms are not found and oral reconstruction is performed using fixed prosthesis with zircornia infrastructure and porcelain build-up based on convenient self hygiene design. Through serial treatment, inappropriate soft tissue response is not observed and satisfactory result in functional aspect comes out.

A study on Relationship between the Appearance of Needing Denture Oral Health Condition and Oral Health Behavior of the Elderly (노인의 구강건강상태 및 구강건강행태가 의치필요와의 관련성)

  • Jung, Yu Yeon;Park, Hyo-Jeong
    • The Journal of the Korea Contents Association
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    • v.14 no.6
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    • pp.271-280
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    • 2014
  • The purpose of this study was to offer basic data for developing effective program for promotion elderly people's oral condition, and oral health behavior upon the appearance of denture. This study was performed by utilizing health questionnaire survey and oral examination survey for first year(2010) law data of the 5th korea national health and nutrition examination survey. The research subjects were 1419 people who were aged over 65 and completed the oral examination and oral questionnaire survey. In the general characteristics, the need of denture was indicated highly in the male elderly. Factors of having relationship with a need of denture in oral health condition were indicated to be chewing difficulty(p<0.001) and dental caries(p<0.0001). The case of not using oral hygiene device was high in a need of denture(p<0.001). Also, a case of not dental treatment was indicated to be high in a need of denture(p<0.001). Through these related findings, the elderly's oral condition and oral health behavior were indicated to have high relationship with a need of denture. There is a need of securing basic data for promoting the elderly's oral health in the future and of seeking a plane for application in order to improve the elderly's health in the aging society. Therefore there is a need of securing and seeking elderly's health program which is considered the aging society's characteristics to improve the elderly's health promotion.

The Relationship between Perceived Oral Health Status and Entrance Exam Stress Levels in High School Students (고등학생의 입시스트레스 수준과 주관적 구강건강상태의 관련성)

  • Kim, Se-Ra;Han, Su-Jin
    • Journal of dental hygiene science
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    • v.15 no.4
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    • pp.509-517
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    • 2015
  • This study attempted to identify the entrance exam stress levels in high school students and analyze the relationship this entrance exam stress and perceived oral health status. Self-administered survey was conducted in total 304 students attending in academic high schools in Bucheon. For analysis, SPSS was used to perform t-test and one-way ANOVA. As a result of the study, the entrance exam stress level of academic high school students was 2.71. The level of sub-factors were that tension for exam/poor result was highest by 3.08 and the next were future uncertainty (2.81), parents pressure (2.56), and insufficient free time (2.52). The group with high entrance exam stress showed significantly high perceived degrees of temporomandibular disorder, oral mucosal disease and xerostama. Among sub-factors of stress, the group with high tension for exam/poor result stress had significantly high perceived degrees of dental caries, teporomandibular disorder, oral mucosal disease and xerostama. Because perception on oral health issues increased with high entrance exam stress in high school students, it is necessary to seek some ways to decrease oral health problems even though entrance exam stress is intensified. To do so, it is inferred that it will be very important to promote oral health education to develop ability of high school students to practice correct oral management method.

A Study on the Oral Healthcare Condition of Adult in Public Health and Their Knowledge about Oral Health (계속적인 건강관리를 하는 성인들의 구강건강관리실태 및 구강보건지식에 관한 연구)

  • Jung, Mee-Hee;Park, Mi-Young
    • Journal of dental hygiene science
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    • v.7 no.2
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    • pp.73-79
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    • 2007
  • The purpose of this survey research was to investigate the relationship between the health promotion and the Oral Health knowledge of 230 adults which lived in Kyunggi-do using SPSSWIN 12.0. The following conclusions were obtained. 1. Objects who take the periodic health examination was 38.2% and the opposite case was 61.8%. And the reseach subjects who take the periodic dental examination was 30.7% and the opposite case was 69.3%. 2. The research subjects who take the Oral Health education was 11.8% and the opposite case was 88.2%. 3. The relationship between the general characteristic and health promotion status of the research subjects taking periodic examination showed statistically significant difference at items of ages, occupation and the reason of training (p < 0.05). 4. In case of the relationship of the Oral Health knowledge according to sex distinction, 68.4% of all research subjects thought that the appropriate toothbrushing time was around 3 minutes, but it did not show significant difference statistically. 5. In case of the Oral Health knowledge according to age, it showed significant difference statistically at item of 'the toothbrushing time is after each meal and before retiring (p = .032)', item of 'if you use the fluorine, you can prevent the dental caries (p = .011)', and item of 'foods causing the dental caries are a chocholate and a biscuit, etc. (p-.044). 6. In case of the Oral Health knowledge according to the occupation, 68.4% of all reasearch subjects thought that the appropriate toothbrushing time was around 3 minutes (p = .043), and it showed significant difference statistically. 7. In case of he relationship between reseach subjects taking the periodic examination and the Oral Health knowledge, it did not show significant difference statistically.

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