• Title/Summary/Keyword: 치아 관리

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Alteration of Anaerobic Bacteria and S. mutans Count in Oral Cavity after Occlusal Stabilization Appliance Use (교합안정장치 사용에 따른 구강 내 혐기성 세균과 S. mutans의 변화)

  • Byun, Jin-Seok;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
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    • v.32 no.4
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    • pp.375-381
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    • 2007
  • Occlusal stabilization appliance is one of the most common treatment option for management of temporomandibular disorders. It acts in oral cavity for several hours per day, and usually it will take at least 6 months to 2 years of total wearing periods to take a treatment goal. In the oral cavity, occlusal stabilization appliance, unintentional manner, is able to acts as a reservoir of bacteria and protect bacteria from saliva and oxygen. This condition is so favorable to many bacteria such as S. mutans and other anaerobes, usually have been reported as causative factors of dental caries, periodontal disease and oral malodor. In this study, we investigated anaerobic bacteria and S. mutans count before and after occlusal stabilization appliance use to evaluate the possible role of occlusal stabilization appliance as protector of these bacteria. Four men(average 27.5 years) wore maxillary occlusal stabilization appliance at each night(average 9 hours) for 5 days. we swabbed saliva-plaque mixed sample at 3 different site(maxillary left 2nd molar, maxillary left central incisor, mandibular left 2nd molar) before and after occlusal stabilization appliance use. Each samples were plated in (1) anaerobic blood agar medium, (2) selective S. mutans medium(MS-MUTV) and incubated in anaerobic chamber($CO^2$ 10%, $37^{\circ}C$) for 72 hours. Each bacterial colony forming unit(CFU) were counted with naked eyes. From obtained data, we can conclude as follows: 1. There was some changes about anaerobic bacteria and S. mutans count in oral cavity after occlusal stabilization appliance use. 2. The number of anaerobic bacteria was significantly increased at maxillary 2nd molar(P=0.003), maxillary central incisor(P=0.020) after occlusal stabilization appliance use compared with before. 3. Occlusal stabilization appliance use itself had indirect effect to increase the number of anaerobic bacteria at other uncovered opponent tooth site. 4. The number of S. mutans was significantly increased at maxillary 2nd molar(P=0.043), maxillary central incisor (P=0.049) after occlusal stabilization appliance use compared with before. 5. Occlusal stabilization appliance use itself had not any effect on the number of S. mutans at other uncovered opponent tooth site.

A Study on Oral Health Related Quality of Life in Elders Concerning to Residence at Urban and Rural (도시농촌 노인의 구강건강과 삶의 질에 관한 연구)

  • Yoon, Young-Suk
    • Journal of dental hygiene science
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    • v.6 no.1
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    • pp.23-28
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    • 2006
  • This study was conducted to investigate the oral health related quality of life in elders concerning to residence at urban and rural. The subjects were 215 old persons who were over the 60 years old, living at Sahagu in Busan(113persons) and Geojer Si in Kyungnam (102persons). The data for this study were collected by direct interviewing method from May 30 th to June 30 th and September 12 th, 2005. Cushing & Sheiham's Sociodental Scale which measures oral health related quality of life was used for this study. The data were analysed by a computerized program named statistical package for social science including frequency, percentage, t-test. The results of this study were summarized as follows; 1. Mean score of the oral health related quality of life in elders is $2.42{\pm}1.03$ 2. There was a significant difference in oral health related quality of life in elders between the age 60 ~ 70 years group and the over than 71 years group(P < 0.01). 3. There was a significant difference in oral health related quality of life in elders between the urban and rural group(P < 0.05). Above findings suggest that further study about proper program for geriatric oral health evaluation is necessary in improving the oral health related quality of life in elders.

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Advanced airway management for the prehospital traumatic patient (병원 전 환경의 외상성 응급환자를 위한 전문기도관리)

  • Shim, Gyu-Sik;Kim, Eun-Mee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2360-2367
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    • 2013
  • The purpose of this study was to improve the paramedics skills to manage advanced airway by comparing speed and success rate between endotracheal intubation and laryngeal mask airway(LMA) insertion in a moving ambulance. Sixty subjects were randomly recruited and samely divided into control group and experimental group. And they were asked to join a practical experiment using dummy model. Data analysis was done by SPSS WIN 14.0 Version. As a result of this research, in terms of difference in speed according to patient's intubation posture, the speed of control group was indicated to be good in sniffing position(t=-4.038, p<.001). There was no difference in speed between two groups in neutral position. In the neutral posture given the endotracheal intubation, tooth fracture occurred in 16 people(53.3%). There was no difference in success rate between two groups. As for a change in self-confidence before and after experiment, the post self-confidence was indicated to have been enhanced in both groups. In conclusion, it is effective to use LMA in the traumatic patient who is unable to receive endotracheal intubation in sniffing position. It is very important for the paramedics to receive the continuous training of the airway management skills.

Relation with Mothers of Oral Health Knowledge and Practice for Infants Oral Health Management (유아의 구강건강관리를 위한 어머니의 구강건강관리 인식과 구강보건지식과의 관계)

  • Lee, Young-Mee;Yeun, Young-Ran;Kim, Sung-Joong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.407-413
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    • 2016
  • This study examined the relationship between the oral health knowledge of infants and the oral health management of their mothers. The participants were 198 mothers living in D city. The data were analyzed using descriptive statistics, Pearson's correlation coefficients with the SPSS/PC 20.0 program. The results revealed oral health to be a serious problem, and that a visit to a dentist regularly is important. The relationship between the oral health awareness and the confidence that can keep cavities from children did not show significant progress on any topic. A relationship was observed between oral health knowledge and confidence in children who visit a dentist once a year, and a negative correlation between the first visit times and the effects of fluoride on the teeth. The relationship between oral health awareness and mothers' confidence when their children felt a toothache was better when they visited a dental clinic and their knowledge about infant food and beverages without sugar improved. The results of this study can be used to improve the program for the mother's oral health knowledge and effective management in children's education.

Oral Health Promotion Program for Elderly in Dong-gu, Daejeon: A Case Report (대전 동구 노인 불소도포 스케일링 사업 사례 보고)

  • Song, Eun-Joo;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.16 no.3
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    • pp.249-255
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    • 2016
  • The Ministry of Health and Welfare in Korea has enforced the oral health promotion program for elderly in Korea. There are the denture delivery program and the fluoride application-scaling program for elderly. Donggu Public Health Center in Daejeon has delivered the fluoride application-scaling program for elderly since the demonstration project in 2009. The official dental hygienists had a prior consultation with Dong-gu branch of Korean Senior Citizens Association in Daejeon. We expanded the program through government office, welfare centers, and nursing homes. The participants were satisfied with the public relations (95.2%), scaling (99.7%), fluoride application (91.5%), toothbrushing education (98.6%), and denture cleaning education (96.6%). After a medial accident with persistent bleeding, the pre-inspection survey about systemic disease and medication was reinforced. The official dental hygienists have agonized over the low participation of the low-income group and the overlap benefit with health insurance benefit of scaling. We suggested it be needed the assessment of the public oral health program to overlap with health insurance benefit.

The Effect in Oral Health Promotion Program Based on Community Networking for Elementary School Students from Community Child Center (지역사회 협의체 중심의 지역아동센터 구강건강증진 프로그램의 효과)

  • Yum, Jong Hwa;Kim, Hye-Jin;Kwon, Myoung-Hwa;Shin, Sun-Jung
    • Journal of dental hygiene science
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    • v.14 no.2
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    • pp.214-222
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    • 2014
  • This study measures the effect of oral health promotion program based on community networking for elementary school students in community child center. The community networking were constructed of community health center, headquarters for community child center and school of dental hygiene in community. First, we were educated the student and teacher of community child center, separately. Community health center planned and evaluated the program, and school of dental hygiene ran the maintenance program once a month for 3 months and evaluated the program. The teacher of community health center were supported and monitored the children. The comparison was done in independent t-test of awareness, knowledge and behavior of children of community child center in both lower grades and upper grades and paired t-test of patient hygiene performance (PHP) index was conducted before and after oral health promotion program. As a result, PHP index and oral health knowledge increased significantly after oral health program in lower grades and upper grades (p<0.001). The positive attitude for oral health about "Whatever I do, my tooth-will be decayed" increased more in upper grades better than lower grades after oral health promotion program (p<0.05). We suggest that oral health program based on community networking should be constructed for oral health promotion of elementary school students in community child center.

Dental Treatment of a Wolf-Hirschhorn Syndrome Patient: A Case Report (Wolf-Hirschhorn syndrome 환아의 치과 치료 치험례)

  • Kim, Miae;Park, Jihyun;Mah, Yonjoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.3
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    • pp.313-319
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    • 2016
  • Wolf-Hirschhorn syndrome (WHS), associated with the deletion of the short arm of chromosome 4, causes multiple congenital malformations. Patients suffer from various deformities, including mental and growth disorders, epilepsy, hypotonia, congenital heart defects, and atypical craniofacial features. The "Greek warrior helmet appearance" is the most characteristic feature, with a prominent glabella, high arched eyebrow, broad nasal bridge, and hypertelorism. Cleft lip with or without cleft palate is observed in 30% of patients. Dental structure anomalies also exist including multiple tooth agenesis and over-retained primary molars caused by MSX1 gene impairment, and cone-shaped and taurodontic teeth. This case, a 9-year-old girl with WHS, showed intellectual disability, delayed growth development, previous occurrence of seizures, otitis media, and the typical facial features of WHS. Dental findings included multiple congenital missing teeth, over-retained primary teeth, and severe caries on the primary molars. Dental treatments were performed under general anesthesia. This report documents the characteristics of WHS, including general and oral features, and discusses the importance of oral hygiene and preventive dental management.

A Study of Oral Health Status and Oral Health Promotion Activities according to the Snack Intake Frequency Change of Some Soldiers Compare to before and after Military Service (일부 군인들의 입대 전후 간식섭취횟수 변화에 따른 구강건강관리실태와 구강건강증진행위에 대한 조사)

  • Cho, Min Jeong;Park, Young Mim
    • Journal of dental hygiene science
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    • v.16 no.1
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    • pp.1-8
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    • 2016
  • The purpose of this study was to find the attitude change for snack by military soldiers before and after entering military service. To investigate oral health status and improving activities, this survey was done for 318 soldiers at Gyeong-gi province Paju city and the results were as follows. After entering military service, the soldiers take more snacks than before and take snacks 2 or more times a day. Both smokers and non-smokers take more snacks after entering military service than before entering. The soldiers did not go dental clinic regularly. But they have lots of interests about oral health. As higher position and older, soldiers restrain themselves to taking sugar contained food, and the elder soldiers showed higher practical character for nutrition intake than younger soldiers. Private soldiers were least practical for brushing after meal and showed the highest level of fulfill for using fluoride contained toothpaste, regular scaling and checkup at dental clinic and flossing.

A Convergence Study on Removal Effects of Dental Plaque from General and Chewing Toothbrush (일반 칫솔과 씹는 칫솔의 치면세균막 제거 효과 융합연구)

  • Kim, Song-I;Song, Eun-Young;Lee, Yu-Na;Jeong, Yong-Mi;Hwang, Ui-Sun;Kang, Kyung-hee
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.505-510
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    • 2018
  • This study aimed to compare the elimination effect of dental plaque between general toothbrushes and chewing toothbrushes, so as to investigate whether the chewing toothbrushes have the practicality as the alternatives of general toothbrushes and their utilities in the real life. The study subjects were 30 healthy adults in their 20s who maintained the good dental condition over 16 teeth without systemic diseases, and the decline rates of dental plaque index after usages of general and chewing toothbrushes were calculated. Upon the comparisons of dental plaque decline rates before and after the usages of general and chewing toothbrushes, PHI index was declined from 7.02 to 1.91 in case of the general toothbrush demonstrating dental plaque decline by 72.79%, while it was declined from 6.72 to 4.08 in the chewing toothbrush demonstrating decline by 39.29%. Currently, a variety of dental care items are available in the Korean market, hence, various studies are required on the dental care items so as for the people to properly choose the items.

A Clinical Study on the Relationship between Dental Implant and Systemic Disease (치과 임플란트와 전신질환과의 연관성에 관한 임상적 고찰)

  • Yang-Keum Han;Mi-Sook Yoon;Han-Hong Kim
    • Journal of Korean Dental Hygiene Science
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    • v.6 no.2
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    • pp.25-35
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    • 2023
  • Background: In order to emphasize the importance of clinical dental hygienists-led dental hygiene management processes for those with systemic diseases, we tried to identify systemic diseases affecting dental implants based on clinical data. Methods: In order to identify systemic diseases affecting dental implants, literature review was conducted from March 1 to May 31, 2023, and the search period was for research papers published in domestic and foreign academic journals from January 2000 to December 2020. Domestic databases used for search use RISS, Nuri Media(DBpia), and Korea Academic Information (http://www.papersearch.net ; KISS), while overseas databases searched Pubmed for dental implant failures, implants, systemic diseases, and Dental implant and system disease. Results: The cumulative survival rate of implants averaged 94.3 percent and the failure rate was 5.7 percent. Clinical analysis of systemic diseases related to implants accounted for the highest frequency with 13 (100.0%), followed by 8 (61.5%) studies on high blood pressure and smoking, 7 (53.8%) cardiovascular diseases, and 5 (38.5%). In addition, liver disease, thyroid abnormalities, blood abnormalities, organ transplants and infectious diseases were confirmed. Conclusion: Since unregulated systemic diseases are a risk factor for implant failure, clinical dental hygienists should continue to maintain healthy oral conditions by sharing information with patients during periodic preventive dental hygiene management processes such as dental hygiene assessment.