• The Korean Journal of Emergency Medical Services
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• v.18 no.2
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• pp.45-58
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• 2014

Purpose: This study aimed to investigate the level of knowledge and education regarding basic life support (BLS) among scuba divers. Methods: Data collected from 125 scuba divers in Jeju-do were subjected to frequency, t-test, ANOVA, and Chi-square analyses using the SPSS 18.0 program. Results: 42.1% of the subjects was trained BLS for more than an hour less than 4 hours, and 52.6% of the subjects was trained BLS for less than 3 months in scuba diving institutions. Statistically significant difference was observed in the competence for performing cardiopulmonary resuscitation during BLS education according to gender and age further regarding the necessity of BLS education, significant difference was observed with respect to age, job, academic background, monthly income, and participation period of scuba divers. The divers wished to learn cardiopulmonary resuscitation (72.8%), medical first aid (8.0%), and measures to be taken in cases of trauma (8.0%). The knowledge score for BLS among scuba divers was significantly different depending on the gender, age, marital status and frequency of participation. Conclusion: It is necessary to develop and implement a safety education program for scuba divers.

• Journal of Korean society of Dental Hygiene
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• v.17 no.1
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• pp.1-11
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• 2017

Objectives: This study provided students of University with CPR (cardiopulmonary Resuscitation) training and investigated their knowledge on the training, attitude, level difference, and re-training necessity related factors to find the results as follows; Methods: Frequency and t-test was performed using SPSS 21.0, and were conducted according to the need for re-education in order to determine the determinants of the students. Results: The knowledge on CPR was 10.88 on average; training necessity, 3.43; emergency response ability, 3.39; and CPR performance level, 3.10. Factors determining re-training to maintain educational effect were found to increase with increase in school year (p<0.001), training necessity escalation (p<0.001), and decrease in confidence of performing CPR (p<0.01). Conclusions: Based on the findings above, it was found that, although CPR training is generally conducted in dental hygiene education, its training effect decreased with time in terms of implementation performance, compared with students' knowledge. Moreover, students who had completed the training strongly suggested the need for re-training. In this sense, schools will need to reinforce re-training as much as new training programs and the cycle needs to be as short as within 6 months for practical training system.

• Journal of Korean society of Dental Hygiene
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• v.14 no.4
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• pp.479-484
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• 2014

Objectives : The aim of the study is to investigate the oral health knowledge, attitude and dental caries experience in Korean 12-year-old adolescents. Methods : The subjects were 2,196 adolescents living in Seosan, with an average age of 12.2 years. Data were collected using a self-administered questionnaire from April 10 through June 10, 2011. A trained investigator made an oral examination of them in natural light, using a mirror and an explorer to determine their DMFT index. Results : The prevalence rate of dental caries of adolescents was 59.1%. The DMFT index of the subjects was 1.98, which was lower than the national mean of 2.2 for the same age. The DMFT index was significantly higher in the female(2.25) than the male group(1.72). The attitude of oral health was positively related to DMFT index in this study(OR=1.25; CI=1.01-1.54). It appears that knowledge and attitude concerning oral health, among young Korean 12-year-old adolescents living in Seosan, are in need of improvement. Conclusions : Based on the findings, dental caries experience is associated with attitude of oral health. This result suggests that the implementation of oral health promotion should be considered for various factors related to attitude of oral health in adolescents.

• Journal of Korean Dental Science
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• v.7 no.2
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• pp.94-98
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• 2014

Numerous oral and maxillofacial surgeons have found facial space infections after tooth extraction. Most of these infections can be managed easily, but some of them could be life-threatening. Among the facial infections, temporal space infections are rare. Most temporal space infections could be observed as secondary to maxillary third molar infections, maxillary sinusitis, and maxillary sinus fractures. Note, however, that there are insufficient studies on temporal space abscess due to mandibular second molars, especially with acupuncture. A 74-year-old female came to our hospital with severe trismus and facial swelling on the right temporal, buccal, posterior auricular, and cervical regions. The patient had undergone extraction of tooth #47 secondary to dental caries by a general dentist about a month ago. After the dental procedure, the patient had been treated with acupuncture therapy around the right temporomandibular joint area at the oriental medicine clinic. We performed emergency incision and drainage under general anesthesia and started antibiotic treatment with IV ampicillin/sulbactam 3 g every 24 hours and vancomycin 1 g every 24 hours for 5 days. The patient's symptoms subsided and ultimately disappeared. Temporal space abscess after mandibular molar extraction is quite rare. In this case, the spreading mechanism against gravity is considered to be acupuncture therapy.

• Restorative Dentistry and Endodontics
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• v.45 no.3
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• pp.29.1-29.9
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• 2020

This study describes the clinical steps taken in the treatment of a patient who had an avulsed right upper central incisor that presented with incomplete root development and chronic apical periodontitis. A 7-year-old boy was referred from a private dentist to a dental office specializing in endodontics. The tooth had remained in a dry environment for 20 minutes, and tooth replantation was performed at an emergency appointment. After clinical and radiographic examinations, root canal decontamination was performed, followed by several changes in intracanal calcium hydroxide medication. Blood clot formation was attempted, but bleeding within the root canal was insufficient; therefore, we opted for an intracanal medication change to stimulate mineralized tissue formation in the apical region. Root obturation was performed 45 days after the last change of intracanal medication, and clinical, radiographic, and tomographic follow-up examinations were performed at 3, 6, 18, and 40 months after the endodontic intervention. The increase in thickness and length of the root structure and the absence of root resorption were verified through follow-up examinations. Therefore, it was concluded that the procedures used were successful for tooth replantation.

• The korean journal of orthodontics
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• v.52 no.2
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• pp.123-130
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• 2022

Objective: To evaluate if a remote digital monitoring system added at the end of orthodontic treatment could positively influence the retention phase by reducing the occurrence of misfit of removable appliances, number of emergency appointments (EA), and orthodontic relapse. Methods: Twenty-seven patients who completed active orthodontic treatment were divided into the study and control groups. In addition to the standard chairside follow-up appointments at month 1 (T1), month 3 (T2), month 6 (T3), the study group patients were monitored using Dental Monitoring^® with monthly intra-oral scans. Occurrence of misfit of removable retainers, number of EAs, and intercanine width change were recorded for both groups. Differences in EAs and retainer fit were assessed using the chi-square test. Intra-group and inter-group differences in the intercanine width were assessed with Friedman test and Mann-Whitney U test, respectively (α = 0.05). Results: The study group showed a significantly lower occurrence of misfit of removable retainers (p = 0.027) compared to the control group. No significant inter- and intra-group difference was found in the EAs and intercanine width change at each time-point. Conclusions: Integrating remote monitoring systems, such as Dental Monitoring^®, to the retention phase of the orthodontic treatment may lower the occurrence of misfit of removable retainers. However, a small sample size and a short observation period limit the strength of this evidence. These preliminary results tentatively suggest that remote monitoring technologies may be beneficial, especially during the COVID-19 pandemic, when the regularity of in-office visits might be disrupted.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.42 no.3
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• pp.162-165
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• 2016

We report a case of a morbidly obese man with an aortic aneurysm, in whom dental surgery was performed before elective cardiac surgery. His aortic aneurysm required emergency surgery. However, because of his morbid obesity, elective cardiac surgery was planned. Considering the high risk of infective endocarditis, dental surgery was required. Our patient was at a high risk of aortic rupture caused by hypertension and breathing difficulty in the supine position. Dexmedetomidine (DEX) is an anti-anxiety, sedative, and analgesic medicine that can stabilize circulatory dynamics and minimize blood pressure fluctuations. We administered intravenous DEX for sedation of the patient in Fowler's position. In conclusion, our understanding of the risk factors of DEX enabled us to perform safe invasive oral treatment.

• International Journal of Oral Biology
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• v.40 no.3
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• pp.147-150
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• 2015

The purpose of this study was to evaluate the effect of single antiplatelet treatment on delayed bleeding, in patients undergoing dental extraction. A total of 154 teeth were extracted in 94 patients with ongoing antiplatelet treatment, who were taking single antiplatelet of either aspirin or clopidogrel. All patients underwent simple dental extraction; local hemostasis was performed with gauze-biting, suturing, and/or application of a local hemostatic agent. Delayed bleeding was recorded in 5 teeth out of a total of 154 teeth after extraction, the incidence of postoperative delayed bleeding being 3.2%. The bleeding was controlled by the patients themselves, through application of pressure with additional gauze-biting. No one visited the doctor or emergency room for hemostasis. These results confirmed that patients taking single antiplatelet drugs may have teeth extracted safely without interruption of the antiplatelet treatment.

• Journal of Dental Anesthesia and Pain Medicine
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• v.23 no.1
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• pp.53-53
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• 2023

• Journal of Dental Anesthesia and Pain Medicine
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• v.24 no.3
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• pp.205-211
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• 2024

A 7-year-old girl visited the Samsung Medical Center emergency room for primary tooth aspiration during primary tooth extraction under conscious sedation with N₂O. The patient showed no signs of respiratory complications. Chest radiography and CT revealed a tooth in the right bronchi. Foreign body removal using rigid bronchoscopy was performed on the day of aspiration. With close monitoring of the airway in the pediatric ICU, extubation was performed the next day, and the patient was discharged the same day. The primary objective of this case report was to highlight the potential risk of aspiration associated with the use of N₂O gas for conscious sedation.