• Title/Summary/Keyword: 치아 관리

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The dental management of infantile osteopetrosis: case report (유아형 골화석증 환아의 구강관리: 증례보고)

  • Lee, Hyo-Seol;Song, Je-Seon;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.4 no.2
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    • pp.77-81
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    • 2008
  • 골화석증(Osteopetrosis)은 전신의 뼈가 대리석 모양으로 골 경화를 일으키며 골수강의 폐쇄 및 골의 취약성을 보이는 드문 질환이다. 성인형(Adult form)은 우성 유전되며 경미한 증상을 나타낸다. 반면에 유아형(Infantile form)은 열성 유전되면서 심각한 증상을 나타내고, 조기에 사망에 이를 수도 있다. 골화석증은 골격계, 조혈계, 신경계에서 다양한 증상을 유발한다. 본 증례의 목적은 드물게 발생하는 유아형 골화석증을 가진 2 명의 환아를 치료한 후, 그 질환과 치과적 관리에 대해 고찰하고자 함이다. 첫 번째 증례는 골화석증으로 진단된 5세 8개월 남환이었다. 임상 및 방사선 검진 결과 악골 및 치아의 변형을 나타내었으나, 특별한 병적 소견이 없어 예방 치료 및 주기적인 검진 시행하였다. 두 번째 증례는 중증도의 치아우식증을 가진 환아로 의료진과의 협조 하에 수혈한 후 발치하였다. 유아형 골화석증은 다양한 구강 합병증을 유발하며, 질환의 심각성에 의해 치료 자체도 어렵다. 치과의사로서 골화석증 환아를 관리할 때에는 건전한 구강 상태를 유지하기 위한 지속적인 관심과 예방 치료가 필요하며, 아무리 간단한 발치나 치과 술식이더라도 의료진과 협조를 해야 한다.

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Recommendations for Using Fluoride to Prevent and Control Dental Caries in the United States (미국에서 치아우식증의 예방과 관리를 위한 불소사용의 권장사항)

  • Park, Gi-Cheol;Kim, Jong-Su
    • The Journal of the Korean dental association
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    • v.39 no.11 s.390
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    • pp.915-925
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    • 2001
  • 불소의 적절한 활용을 통하여 미국인들의 구강건강이 확실하게 증진되었으며 수돗물의 인공적인 불소참가 사업은 지난 2000년 동안에 건강과학이 이룩한 가장 획기적인 건강관리 예방사업으로 인정되었다. 음료수에 불소를 적정량 첨가하여 치아우식증을 퇴치하기 위하여 적극적 예방책을 마련함으로써 치과의학의 과학적인 연구의 기틀을 확고히 하여 치과의학이 현대 건강과학의 지도적 위치를 확보하는 과정에 중요한 임무를 담당했다. 그러므로 미국의 중앙건강관리 및 예방 연구소는 정기적으로 불소사용과 관련된 연구 업적들에 대하여 관련 분야의 세계적인 학자들로 하여금 조리 정연하게 주기적으로 분석 검토하여 구강건강을 향상시킬수 있는 방안을 제시하기 위하여 불소사용법에 대한 안내서를 마련하고 있다. 미국 중앙 질병 관리 및 예방연구소는 평생을 불소에 관한 연구를 하고 있는 11명의 전문가들과 긴밀한 연락을 취하면서 22명의 과학자들과 함께 그 동안에 발표된 관계문헌 270개를 분석 검토하여 2년동안에 걸쳐 작성한 최근의 불소 사용 안내서를 지난 2001년 8월 17일 발표했다. 그 내용이 중요하고 한국의 치과의사들에게 큰 도움이 되리라고 확신하기 때문이다. CDC의 허락을 받고 한글판을 작성하게 되었다. 한국의 관심 있는 독자들의 이해를 돕기 위하여 더욱 자세한 내용을 알고자 하는 분들이 실무진에 참여한 연구자들 및 과학자들과 직접 접촉할 수 있도록 그들의 직책과 현재의 소속을 밝혔으며 이 안내서에 사용된 문헌 270개 참고문헌 전체를 소개한다

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Recommendations for Using Fluoride to Prevent and Control Dental Caries in the United States (미국에서 치아우식증의 예방과 관리를 위한 불소사용의 권장사항)

  • Park, Gi-Cheol;Kim, Jong-Su
    • The Journal of the Korean dental association
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    • v.40 no.1 s.392
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    • pp.42-53
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    • 2002
  • 불소의 적절한 활용을 통하여 미국인들의 구강건강이 확실하게 증진되었으며 수돗물의 인공적인 불소첨가 사업은 지난 2000년 동안에 건강과학이 이룩한 가장 획기적인 건강관리 예방사업으로 인정되었다. 음료수에 불소를 적정량 첨가하여 치아우식증을 퇴치하기 위하여 적극적 예방책을 마련함으로써 치과의학의 과학적인 연구의 기틀을 확고히 하여 치과의학이 현대건강과학의 지도적 위치를 확보하는 과정에 중요한 임무를 담당했다. 그러므로 미국의 중앙건강관리 및 예방 연구소는 정기적으로 불소사용과 관련된 연구 업적들에 대하여 관련 분야의 세계적인 학자들로 하여금 조리 정연하게 주기적으로 분석 검토하여 구강건강을 향상시킬 수 있는 방안을 제시하기 위하여 불소사용법에 대한 안내서를 마련하고 이다. 미국 중앙 질병 관리 및 예방연구소는 평생을 불소에 관한 연구를 하고 있는 11명의 전문가들과 긴밀한 연락을 취하면서 22명의 과학자들과 함께 그 동안에 발표된 관계문헌 270개를 분석 검토하여 2년 동안에 걸쳐 작성한 최근의 불소 사용 안내서를 지난 2001년 8월 17일 발표했다. 그 내용이 중요하고 한국의 치과의사들에게 큰 도움이 되리라고 확신하기 때문에 CDC의 허락을 받고 한글판을 작성하게 되었다. 한국의 관심 있는 독자들의 이해를 돕기 위하여 더욱 자세한 내용을 알고자 하는 분들이 실무진에 참여한 연구자들 및 과학자들과 직접 접촉할 수 있도록 그들의 직책과 현재의 소속을 밝혔으며 이 안내서에 사용된 문허 270개 참고문헌 전체를 소개한다.

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Analysis of Factors Associated with Number of Decayed Tooth (우식치아수의 관련요인에 대한 연구)

  • Choi, Jun-Seon;Han, Gyeong-Soon
    • Journal of dental hygiene science
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    • v.6 no.2
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    • pp.55-63
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    • 2006
  • The purpose of this study was to provide the basic data for preventing dental caries, and maintaining and enhancing oral health. The subjects of this study were 138 male and female students who were in the 6th grade of elementary schools in Gimpo city. This study investigated the number of decayed tooth and the factors related to the number of decayed tooth, by using the results of questionnaire and oral health survey over such subjects. So, this study obtained the following conclusions. 1. For the number of decayed tooth, 'nothing(D = 0)' was the highest as 37.7%, and 'from two to three' was 23.9%, 'more than four' was 21%, and 'one' was 17.4% in order. 2. For the frequency of visiting dental clinics within the last one year, 'one to two times' was the highest as 52.2%, and the children who have not visited dental clinics even one time during one year were 23.9%. 3. For average daily tooth brushing frequency, 'two times' was the highest as 71.7%. For the use of oral health devices besides toothbrushes, 'I don't use' was the highest as 54.3%. For the experience of sealant and fluoride application, 'nothing' was the highest as 86.9% and 71.3% respectively. For the recognition on the use of fluoride dentifrice, 'I don't know' was the highest as 66.9%. 4. The socio-demographic factors related to the number of decayed tooth were mother's age, mother's background, mother's employment, and after-school fosterer(p > 0.05). 5. The oral health care factors related to the number of decayed tooth were average daily tooth brushing frequency, the use of oral health devices besides toothbrushes, and the experience of fluoride application.(p > 0.05) 6. The snack intake factors related to the number of decayed tooth were tooth care foods intake frequency and decaying foods intake frequency(p > 0.05). 7. The oral health belief item related to the number of decayed tooth was susceptibility(p > 0.05). 8. According to the results of regression analysis, the less mother was employed, the more the average daily tooth brushing frequency was, the more the tooth care foods intake frequency was, the less the decaying foods intake frequency was, and the higher susceptibility was, the lower the number of decayed tooth. 9. In order to prevent and cure early the dental caries which occur frequently in elementary school students, the establishment of oral health centers within schools should be expanded to promote tooth brushing instruction, fluoride solution rinsing, diet control, periodic oral examination.

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Research on Oral Status of Hearing Impaired Youth by Using QLF-D (QLF-D를 이용한 청각장애 청소년의 구강상태에 관한 조사)

  • Kim, Chang-Suk
    • The Journal of the Korea Contents Association
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    • v.13 no.9
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    • pp.305-311
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    • 2013
  • This study analyzed the oral status after recording the images by using QLF-D with targets of 38 youth people with hearing impairment and hearing language impairment. In order to investigate the state of oral hygiene, plaque index (O'Leary index) and contents of investigation of the state of the teeth included the number of sound teeth, the number of caries teeth, dental caries experience and the number of filling teeth. The following results were obtained. First, women lacked the management on plaque and had more caries teeth compared with men. In terms of impairment classification, subjects with both hearing and language impairment lacked the management on plaque and had more caries teeth. Second, subjects who did not get an oral exam for one year had more caries teeth. Oral hygiene score was the highest with the brushing time for 3-4 minutes. The number of sound teeth was increased as the brushing time was increased. In addition, the oral hygiene management time was the highest when cleaning the teeth, gums and tongue at the same time. Third, it was shown that the satisfaction of oral health education by using the new equipment was high. As a result of this study, in order to improve the oral health level of impaired students, they shall be trained to manage their teeth by themselves and educated to increase their motivation and practice. Thus, it is thought that various approaches which are differentiated from existing methods are required to be tried.

Oral Health-Related Quality of Life of the Elderly under Visiting Health Care (방문건강관리사업 대상 노인의 구강건강 관련 삶의 질과 관련 요인)

  • Lee, Keun-Yoo;Cho, Young-Sik;Lim, Soon-Ryun
    • Journal of dental hygiene science
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    • v.15 no.3
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    • pp.325-332
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    • 2015
  • The aim of this study was to investigate the relationship between the oral health status of elderly under visiting health care and their oral health-related quality of life. The subjects were 300 elderly under visiting health care program over 65 years old in Asan city and they were interviewed. The result showed that average Geriatric Oral Health Assessment Index (GOHAI) score was 37.36 and the lowest scored question was 'never satisfied with the oral condition'. In GOHAI related to oral health behaviors, unmet dental treatment experience was statistically significant (p<0.001). In overall GOHAI, number of remaining teeth (p<0.001) and the age had statistical significance and men had higher score in pain and discomfort (p<0.05), under age of 74 limited function factors score was high (p<0.01). The number of remaining teeth had statistical significances in most factors except pain and discomfort (p<0.001). The factors affecting GOHAI were age (p<0.05), number of remaining teeth (p<0.001) and perceived health state (p<0.001). In order to improve oral health-related quality of life of elderly receiving visiting oral health care services, it is necessary to increase denture support by securing budgets and developing oral health promotion programs at the local government level.

Risk of Food intake Between Meals and Experience of Dental caries Among Young Koreans (한국 청소년들의 간식섭취와 치아우식증경험과의 상관성)

  • Choi, Yong-Keum;Kim, Kyeong-Mi;Park, Deok-Young
    • Journal of dental hygiene science
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    • v.11 no.4
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    • pp.361-365
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    • 2011
  • This study aims to find out the correlation between the number of snack intake frequency by the young Korean and the experience of dental caries by nationwide level, using data of Korea National Health and Nutrition Examination Survey in 2007. participants whose age among 12 to 18 years-old were analyzed for this study. Of 373 total participants in this analysis, 200 were male and 173 were female. The Multiple Logistic Regression Analysis was used to estimate the association between food intake between meals and experience of dental caries. Data were weight-adjusted. The results were evidently found that those who eat between meals more frequently are likely to be linked more closely to the dental caries, in terms of the correlation between property of demography and the experience of disease (OR:2.1, CI:1.1-4.0). Thus, It is to raise the awareness of effect on dental health, regarding a kind of food consumed, an appropriate nutritional education or dietary consultation is required regularly at school.

A Study in Terms of the Impact of Oral Health Care·Management item on the Self-Perceived Oral Condition of the Elderly (구강보건진료·관리 항목이 노인의 자가인식구강상태에 미치는 영향력 연구)

  • Kim, Eun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.109-115
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    • 2013
  • This study targeted 501 the elderly ages 65 or over in three places including the Senior Welfare Center and the college for seniors located in Daegu City and Gyeongsangbuk-do. The study results on the preference for oral health care management items across different ages showed that the age group of 65~69 fluoride application; the age group of 65~74 scaling and education of brushing; the age group of 70~74 denture cleaning and maintenance; the age group of 75 denture production. In the relationship between the self-perceived oral condition and the items of oral health care management, respondents who currently have a poor oral condition or have greater chewing trouble, or have higher dry mouth, preference the manufacturing of dentures in most cases. Respondents who have a lower number of teeth or wear dentures preference dentures cleansing and management in most cases. Respondents who have shaking teeth or have frequent tooth pain preference tooth extraction. Since the preference for oral health care management items may differ by their age or oral condition, oral health management customized to each individual should be applied.

Effect of Toothbrushing Facilities on PHP Index and Oral Health-Related Behaviors in Middle Schools (양치시설 설치여부에 따른 중학생의 구강환경관리능력 및 구강건강관리 행태 변화)

  • Kim, Soo-Hwa;Hwang, Yoon-Sook;Kim, Kwang-Soo;Jung, Jae-Yeon;Yoo, Young-Jae;Lim, Mi-Hee
    • Journal of dental hygiene science
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    • v.13 no.3
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    • pp.271-280
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    • 2013
  • This study aims to analyze the effects of tooth-brushing facilities (TBF) at middle schools that installed TBF in 2012 as part of the oral health project in Seongdong-gu, Seoul. The subjects were the first graders at A middle school that installed TBF previously and B middle school that installed TBF in 2012. The results are as follows: DMFT, DMFS and CPI didn't show significant difference by schools (p>0.05), but code (0) was higher and code (2) was lower in female students than male students (p<0.05). As to PHP index, the students at A school with TBF indicated better oral hygiene (p<0.01). In the research on before and after installing TBF, the oral hygiene was improved significantly more after the installation than before (p <0.01). In the comparison on the oral health-related behavior, the percentage of not brushing after lunch was higher B school than A school and the frequency of toothbrushing after lunch was higher A school than B school (p<0.01). About the reasons why not to brush after lunch, there was difference in 'lack of the place' as A school showed 2.6% while B school without TBF indicated 14.2% (p<0.01). About the changes of the oral health-related behavior before and after TBF installation, the percentage of not brushing after lunch increased from 78.7% to 83.8% after the installation. The average frequency of tooth-brushing after lunch for one week also decreased from 0.50 to 0.34 (p>0.05). Among the reasons why not to brush after lunch, 'lack of the place' significantly reduced, but 'because other friends don't do it' increased greatly after the installation (p <0.05). Only with the improvement of oral health knowledge, we cannot expect either clinical or behavioral significance. Not only schools but policies of governmental agencies and financial support, cooperation of community-related groups for program development and evaluation will contribute altogether to helping teenagers to habitualize proper oral health management.