• Title/Summary/Keyword: 치아 관리

Search Result 368, Processing Time 0.025 seconds

Dental Management in a Patient with Turner Syndrome with Dental Anomalies : A Case Report (치아형태이상을 가진 터너 증후군 환자의 치과적 관리)

  • Lee, Haney;Shin, Seyoung;Kim, Jaegon;Lee, Daewoo;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.45 no.3
    • /
    • pp.386-392
    • /
    • 2018
  • Turner syndrome (TS) is a chromosomal disorder caused by monosomy of the X chromosome, with complete or partial absence of the second sex chromosome. Anomalies of root morphology have been found to occur more often in patients with TS, which make endodontic treatment challenging and requires special handling. The patients with TS may also have systematic problems such as cardiac or renal malformations, so in treating these patients it is important for clinicians not only to be aware of the characteristic intraoral findings, but also to make the patients have regular dental check-ups to prevent oral complications in advance. An 12-year-old girl who had been diagnosed with TS at the age of 10 years was referred due to discomfort in the bilateral mandibular premolar regions. Dens evaginatus and taurodontism were detected in all the mandibular premolars characteristically. The bilateral mandibular first premolars had three roots and the bilateral mandibular second premolars had periapical lesion with two roots. Due to the complexity of the root canal anatomy, root canal treatment were completed with a dental microscope to ensure adequate visualization. After 2 years of regular follow-up examinations, there were no clinical sign or symptom associated with the teeth, and no periapical lesion, was found. This case report describes the characteristic oral features and dental management of TS patients.

Effects of Nutrient Intake on Oral Health and Chewing Difficulty by Age Group (연령층별 구강건강과 저작불편이 영양소 섭취에 미치는 영향)

  • Kim, Seol-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.19 no.2
    • /
    • pp.202-209
    • /
    • 2018
  • This study analyzed the effects of the nutrient intake on oral health and chewing difficulty according to the age group. The subjects were 5,855 participants of the third Korea National Health and Nutrition Examination Survey(KNHANES VI), 2015, Korea Centers for Disease Control and prevention and aged 20 years and over. The data were analyzed using SPSS Ver 21.0, classified as the difficulty in chewing group (DC) and no difficulty in chewing group (NDC). As a result, the DC rates were 5 times higher in the 60+ year age group (39.5%) than in the 20-39 year age group (8.1%). The DC group were experience periodontal disease (33.4%), dental caries (30.1%), diabetes (41.8%), myocardial infarction (57.3%), arthritis (44.0%), asthma (48.0%), and depression (41.9%). In addition, 86% of the DC group were experiencing speech problems. The DC group had significantly lower intakes (1446.59g), than the NDC group (1666.62g), and the protein, carbohydrate, dietary fiber and other dietary intake were significantly lower. These findings suggest that the chewing difficulty is related to the nutrient intake, and psychological status in the elderly DC group. Therefore, the care of chewing difficulties is essential for the elderly to maintain a healthy lifestyle. Accordingly, oral care and myofunctional therapy are needed to maintain oral health.

The Clinical Effectiveness of the Bonfils Intubation Fibrescope in Difficult Tracheal Intubation (기관내 삽관이 힘든 경우에서 Bonfils Intubation Fibrescope 사용의 임상적인 효과)

  • Lee, Deok-Hee;Kwon, Il-Chi
    • Journal of Yeungnam Medical Science
    • /
    • v.24 no.2
    • /
    • pp.154-161
    • /
    • 2007
  • Background : This study was undertaken to evaluate the effectiveness of the Bonfils intubation fibrescope for cases of difficult tracheal intubation. Materials and Methods : For patients with an ASA physical status 1 or 2 betwen the ages of 20-90, direct laryngoscopy was performed and the layngoscopic view graded according to the Cormack and Lehane classification. Forty patients with Cormack and Lehane grade 3 or 4 were intubated using the Bonfils intubation fibrescope. During intubation, the success rates for tracheal intubation, overall time to intubation, number of attempts and adverse effects were recorded. The Thyromental and sternomental distances were recorded after the orotracheal intubation. Results : The success rates were significantly higher in Cormack and Lehane grade 3 (96.9%) patients compared to grade 4 (50%) (P<0.01). The time to intubation was significantly faster in patients with grade 3 compared to grade 4 (20 (10-49[7-300]) sec vs. 180 (31-300[10-300]) sec, P=0.01). The number of cases with a $SpO_2$<90% was significantly lower in patients with grade 3 (3.1%) compared to grade 4 (50%) (P<0.01). Conclusion : In patients with Cormack and Lehane grade 3, tracheal intubation using the Bonfils intubation fibrescope appears to be an effective technique for the management of a difficult intubation. However, the Bonfils intubation fibrescope can not always be used for the management of a difficult intubation in grade 4 patients; for these patients other effective instruments should be considered for difficult intubations.

  • PDF

Influential Factors for the Knowledge and Awareness of Adults on Periodontal Diseases and Their Belief (성인의 치주질환에 관한 지식, 인식과 신념에 미치는 영향)

  • Lee, Ji-Yeoun;Lee, Mi-Oak
    • The Journal of the Korea Contents Association
    • /
    • v.16 no.1
    • /
    • pp.295-307
    • /
    • 2016
  • The purpose of this study was to examine the awareness and knowledge of school organizational members about peridontal diseases, their belief in the diseases, attitude and periodontal health in an effort to provide some information on how to ensure successful oral health education and incremental dental care. The subjects in this study were the selected patients who visited school dental clinics. Their ideas of periodontal diseases and periodontal health were analyzed to determine the influential factors. They got a mean of 2.77 in awareness of the epidemiologic characteristics of periodontal diseases, 2.97 in knowledge on the initial symptoms of gingivitis, 2.90 in awareness of the causes of periodontal diseases, 2.95 in awareness of the prevention and treatment of peridontal diseases, and 3.04 in belief in periodontal diseases and attitude. Thus, they had a good understanding and knowledge of periodontal diseases, and they had the right belief and the right attitude as well. They scored relatively lower in several items of periodontal diseases: awareness of tooth loss caused by aging, awareness of the relationship of food to the prevention and occurrence of periodontal diseases, the relationship between toothbrushing time and gingival health, the right toothbrushing method and the right way of dental care.

Factors Influent on Treatment Decision for the Need of Dental Implant (치과임플란트 대상환자의 치료결정에 영향을 미치는 요인)

  • Kim, Su-Gwan;Son, Soon-Yong;Jeong, Seon-A;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
    • /
    • v.11 no.11
    • /
    • pp.264-273
    • /
    • 2011
  • This study subject is to provide appropriately basic information about annually increased implant treatment by their lost teeth base on increasing old people and also analyze factors influencing implant treatment decisions for patient. For about 3 month from July on the 2010, This survey was carried out at 13 dental clinic as target of 217 patients on categorized into implant treatment-group and non-treatment-group in Seoul and Gyeonggi-do. Implant treatment-group showed highest portion at 50(30.3%), non- Implant treatment-group showed highest portion at 20's(35.7%), And The patients of implant treatment-group are good oral condition, and they showed a positive attitude. Result of analysis by multiple logistic analysis(regression), Factors of influencing implant treatment decision are age, gender, period of education, monthly income, condition of periodontal tissue, regular checkup, counseling attitude, trust in hospital. Therefore, proactive management about the necessity of regular dental check-up is needed the education and promotion. And medical team should have efforts to Improving technique of medical consultations and Improving the trust of the hospital's for implant treatment decision. Also, The patient's subjective determine rather than it is important to preparing to facilitate decision of specific clinical basis. And The government's financial support and policy alternatives are certainly required in order to be implant treatment without cost burden.

Korea Coast Guard's Human Biological Materials Storage Project for Identifying Bodies Recovered from the Sea: A Model Suggestion (해양변사자 신원확인을 위한 해양경찰의 인체유래물 보관사업 모델제시)

  • Joo, Hyunjung;Choo, Minkyu;Baek, Yoongi;Kim, Namyul;Choi, A-jin;Im, Sonyoung;Lee, Jongnam;Kim, Hyungkyu;Lee, Hanseong
    • Journal of the Korean Society of Marine Environment & Safety
    • /
    • v.24 no.2
    • /
    • pp.171-178
    • /
    • 2018
  • The ocean is a harsh environment and Korea Coast Guard officers often face the threat of death or going missing in the line of duty. In order to promptly identify unknown bodies during mishaps, Korea Coast Guard Research Center has established an identification system using the DNA of its officers. This collected DNA can also be entombed in National Cemeteries when the remains are not recovered. The storage, disposal and quality control of the materials are overseen by the Governing Committee according to the Enforcement Rules for the Human Biological Materials Storage Project for the Identification of Officers Killed or Gone Missing in Action. Approximately 700 bodies are found per year along the Korean coast. An alternative method should be put in place for when identification through fingerprints and teeth are not applicable due to severe decomposition or partial recovery. We believe it would greatly contribute to helping identify the unknown bodies if the storage project could expand its data to include marine industry workers, relevant researchers and those involved in marine leisure activities.

A Study on Preschool Teachers' Oral Health Knowledge and Behaviors in Sung-nam City (성남시 어린이집 및 유치원 선생님의 유아구강보건의식과 행태에 관한 연구)

  • Ahn, Yong-Soon;Kim, Eun-Sook;Lim, Do-Seon;Jung, Se-Hwan;Kim, Mi-Jeong
    • Journal of dental hygiene science
    • /
    • v.1 no.1
    • /
    • pp.12-20
    • /
    • 2001
  • The purpose of this study was to collect data about oral health to develop childrens' oral health programs in public centers. The questinnaire was mailed to 477 preschools in Sung-nam city. The returned 216 questinnaires were analyzed. The obtained results were as follows; (1) A majority of teachers knew the preventive probability of dental caries in deciduous teeth (86%) but the accuracy of the knowledge was not good. So, It is recommended that the preschool teachers' oral health knowledge should be improved. (2) Ninety-nine percent of responded teachers reported that the oral education program was needed and the right persons are the people whose worked at the department of oral health in public health centers. This means they agreed that the childrens' oral health program should be leaded by the public health centers. Therefore, public health centers should develop and supply the oral health education programs.

  • PDF

Link between Periodontal Disease and Cancer: A Recent Research Trend (염증-치주 질환과 암에 관한 최근 연구 동향)

  • Lee, Shin Hwa;Choi, Yung Hyun
    • Journal of Life Science
    • /
    • v.23 no.4
    • /
    • pp.602-608
    • /
    • 2013
  • The multifaceted role of chronic inflammation in multistep carcinogenesis has been extensively investigated and well documented. Periodontal diseases are associated with multifactorial agents, including bacterial endotoxins and the generation of an inflammatory response, indicating that poor oral health is associated with a variety of systemic diseases. The association between poor oral health, chronic inflammation, smoking, and increased alcohol consumption as risk factors for tumorogenesis is well established. More recently, associations between oral health and tooth loss and gastric, lung, and pancreatic cancers have been explored, with some studies pointing to smoking and oral health as a common link with an increased risk for malignant disease. In addition, epidemiological studies consistently indicate increased risks of various cancers with periodontal disease or poor oral condition caused by oral bacteria, which may activate alcohol- and smoking-related carcinogens locally or act through chronic inflammation. Appropriate oral care is vital in preventing cancer, as well as many other diseases. Thus, research on the correlation between oral care and periodontal inflammation and cancer is required. This review highlights the association between oral health and the risk of certain malignancies, such as periodontal disease-associated chemoprevention of inflammation" in this sentence.

A Study on the Status of Practical Application of Oral Hygiene Devices :with labor of the D heavy industries (D중공업 근로자의 구강위생용품 사용실태 조사)

  • Park, Hong-Ryurn
    • Journal of dental hygiene science
    • /
    • v.6 no.2
    • /
    • pp.93-99
    • /
    • 2006
  • This study was carried out to investigate practical application status of oral hygiene devices through making a survey of labor of the D industrial company-about carefully curing oral disease in home, the status of practical application of tooth brush, the status of practical application of fluoridated toothpaste, status of practical application of auxiliary oral hygiene devices, a motive use or unuse of auxiliary oral hygiene devices. 1. In home, carefully curing oral disease is dental caries(62.4%). 2. Status of practical application toothbrush showed the highest user ratio of mideum size(79.6%). 3. Showed the highest user ratio of horizontal plane toothbrush(73.5%). 4. Answerd don't take a prudent attitued in choice of fluoridated toothpaste(73.5%). 5. In the status of reconition of oral hygiene devices, showed the highest user ratio of eletric toothbrush(77.0%). 6. In the status of reconition of auxiliary oral hygiene devices, showed the highest user ratio of wooden wedge stimulator(89.4%)and gargle liquid(84.5%). In using of oral hygiene devices, showed the highest user ratio of electric toothbrush(13.3%), toohbrush for periodontal patients(2.7%). In using of auxiliary, wooden wedge stimulator (58.4%)and gargle liquid(41.2%). In effect using of oral hygiene devices showed the highest user ratio of denture brush(50.0%)and eletric toothbrush(43.3%), in effect using of auxiliary oral hygiene devices showed the highest user ratio of water pick(80.0%) and dental floss(75.8%). 6. A motive of the use auxiliary oral hygiene device is choice by oneself through TV, advertisement, public information(57.6%), and the reason-they don't use of auxiliary oral hygiene devicebecause of they don't know proper to them the kind of auxiliary oral hygiene device.

  • PDF

DENTAL TREATMENT FOR A PATIENT WITH WOLF-HIRSCHHORN SYNDROME UNDER GENERAL ANESTHESIA: CASE REPORT (울프-허쉬호른 증후군(Wolf-Hirschhorn syndrome) 환자의 전신마취 하 치과치료 : 증례보고)

  • Ryu, GiYoun;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
    • /
    • v.15 no.1
    • /
    • pp.65-69
    • /
    • 2019
  • Wolf-Hirschhorn syndrome(WHS) is a congenital disorder caused by deletions of the short arm of chromosome 4. The most common characteristics are mental and growth retardation, dietary disorder and craniofacial features with a characteristic 'Greek warrior helmet' appearance. The dental characteristic of WHS includes delayed development, tooth agenesis, clefts, microdontia, taurodontism, and severely worn dentition. The purpose of this case report is to describe the dental treatment of a patient with WHS. 3-year-old boy with WHS visited the Seoul National University Dental Hospital for dental treatment. He had difficulty with nasotracheal intubation because of craniofacial anomalies and also had poor oral hygiene due to a limitation of mouth opening and dietary disorder. Due to his airway problem, behavior management and severity of dental conditions, dental treatment was performed under general anesthesia. This case suggests general anesthesia can be chosen with WolfHirschhorn syndrome patients to safely care for their dental problems.