• Journal of Dental Anesthesia and Pain Medicine
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• 제21권4호
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• pp.369-376
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• 2021

In adult patients with dental phobia, dental treatment may be difficult, or may not be possible. Depending on the level of fear or anxiety, non-pharmacological or pharmacological behavior management techniques are used in the dental treatment of such patients. Among the pharmacological behavior management techniques, minimal sedation, that is, the lowest depth of sedation, can be easily obtained in adult patients using oral sedatives, does not require special equipment or tools, and does not affect ventilatory and cardiovascular function. Diazepam is an anxiolytic drug belonging to the benzodiazepine family that, in addition to relieving anxiety, produces muscle relaxation, and is a representative drug used in adult patients with fear of dental treatment. Herein, we report the case of a 50-year-old woman with severe dental fear who successfully underwent long-term dental treatment in approximately 20 visits with minimal sedation using oral diazepam. In addition, we reviewed the considerations for the use of benzodiazepines for minimal sedation.

• 치위생과학회지
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• 제18권5호
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• pp.305-311
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• 2018

The purpose of this study was to identify the effect of providing toothbrushing by professionals as part of oral hygiene education for the elderly. We randomly visited 12 centers in the metropolitan city and analyzed the data of 114 participants among 310 early registrants aged >65 years, who participated in the study at all 3 time points. The subjects were categorized into an experimental group (odd-numbered visits) and a control group (even-numbered visits). Oral hygiene practices were provided for both experimental and control groups, but professional toothbrushing was performed in a different manner in the experimental group. Differences in plaque index (PI) according to the subjects' general characteristics and oral health status were assessed using the t-test, and the effect of PI difference between the experimental and control groups was assessed by repeated measure two-way analysis of variance. A stepwise multiple regression analysis was used to analyze factors affecting the PI. At baseline, the mean overall PI was 61.82. In both experimental and control groups, the PI significantly reduced from the baseline (p<0.01). At 5 weeks, the experimental group showed a decrease of 27.16 points from the baseline, and the 10-week PI was similar to the 5-week PI. The control group showed a decrease of 14.87 points from the baseline, and the PI increased by 5.74 points at 10 weeks. PI-related factors were gender and self-xerostomia. The PI was lower in the female group and the group with self- xerostomia (p<0.01). It is important to select an appropriate method to educate elderly subjects on proper removal of dental plaque and to habituate correct behavior, which requires inclusion of a direct toothbrushing intervention by a specialist.

• Imaging Science in Dentistry
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• 제53권2호
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• pp.169-174
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• 2023

Gardner syndrome has head and neck manifestations that may be recognized during dental visits. Features such as multiple gnathic osteomas, impacted supernumerary teeth, and multiple foci of idiopathic osteosclerosis can be easily identified on dental radiographs, prompting the clinician to refer the patient for further investigation. A dental examination and routine radiographs play a vital role in revealing the extracolonic presentation of Gardner syndrome, which facilitates timely screening and detection of colorectal cancer and other malignancies associated with this condition. This report discusses the case of a 50-year-old Caucasian man who presented with a hard swelling of the left angle of the mandible and was diagnosed with Gardner syndrome based on abnormal findings from an oral examination, dental imaging, and medical and family history.

• 한국치위생학회지
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• 제6권4호
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• pp.419-436
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• 2006

PURPOSE: The purpose of this study was to explore dental hygiene treatment fear and anxiety in dental patients. METHODS: The sample consisted of 466 dental patients who had received the dental hygiene treatment at 8 Dental Hospitals and Clinics in Daegu city between March and August 2006 studied. Dental hygienists recruited a questionnaire, which includes generalized anxiety sub-scale(4 items), specific fear sub-scale(5 items), distrust sub-scale(5 items), and catastrophic anxiety sub-scale(4 items). Minimum score is 1, and maximum score is 5. The research was designed to be a cross-sectional measured study. SAS statistical software was used for the analysis. The characteristics of the study sample were described by mean and standard deviation(SD) for continuous variables and by frequency and percentage for categorical variables. The Student's t-test and analysis of variance(ANOVA) were used to compare fear and anxiety score in demographic variables. A Pearson's correlation analysis was conducted for relationship among values of fear and anxiety for dental hygiene. Multiple regression analysis was performed to determine the factors associated with fear and anxiety related with dental hygiene. RESULTS: A total of 466 dental patients were analyzed, their average age${\pm}$SD was $37.7{\pm}12.9$ years(range: 15-79 yr). The mean value for dental hygiene fear and anxiety was 2.70(generalized anxiety 2.65, specific fear 2.93, distrust anxiety 2.72, and catastrophic anxiety 2.42, respectively). There was a statistically significant difference in gender(p<0.05), 2.81 for women was higher than 2.55 for men(p=.0000). The older we are, the higher fear and anxiety for dental hygiene treatment were. that is, under age of 20 years 2.49, 20 years 2.59, 30 years 2.69, 40 years 2.77, 50 years 2.88, 60 years 2.69, and over age of 70 2.45, respectively(p=.0321). Factors related to dental hygiene treatment fear and anxiety by multiple regressions were gender(${\square}$=0.18, p=0.0001), age(${\square}$=.07, p=.0058), and the time when visits dentist recently(${\square}$=.07, p=.0058). CONCLUSIONS: In conclusion, gender, age and the time when visits dentist recently were significantly associated with dental hygiene treatment fear and anxiety. We recommend that further research should investigate a dental hygiene treatment fear and anxiety by using more follow-up study.

• 한국치위생학회지
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• 제16권6호
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• pp.1057-1066
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• 2016

Objectives: The purpose of the study was to investigate the correlation between personal temperament, dental visit, and dental fear among adults. Methods: A self-reported questionnaire was completed by 400 adults visiting dental clinics from April to June, 2016. The questionnaire consisted of general characteristics of the subjects, dental fear, and temperament. Data were analyzed by t test, chi-square test, chi-square test, and pearson's correlation analysis using SPSS v. 23.0. Results: The first impression of dental clinics had an impact on dental fear (p<0.001). The negative image on the dental clinics increased dental fear of the visitors. There was a significant difference between the purpose of dental visit and dentla fear. Conclusions: The positive image of the dental clinics can solve the dental fear due to treatment in the adults. The dental consumers should try to have the comfortable attitude toward dental clinic in case of visit.

• 대한치과의사협회지
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• 제49권12호
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• pp.739-748
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• 2011

Patients with severe mental challenges are often subjected to extensive dental problems. Their impaired communication and lack of cooperation unable to receive timely dental treatments, which deteriorates their adverse oral conditions. In spite of a limited time frame, well-planned comprehensive treatments can be delivered in an one-day operation setting under general anesthesia. This multidisciplinary treatment regimen primarily comprises of single-visit endodontics, direct bonded restoration, periodontal treatment, and surgical extraction. Further, one or two additional visits for prosthetic procedures are able to accomplish functional reestablishment and esthetic enhancement. This article discusses on clinical managements for severely mentally challenged patients under a single-day operation.

• Journal of Oral Medicine and Pain
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• 제47권3호
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• pp.161-166
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• 2022

Oral lichen planus (OLP) is a chronic oral mucosal disease affecting the buccal cheek, tongue, palate, lip, and gingival mucosa. Lesions in the gingiva make it difficult to control dental plaque due to pain. As a result, the disease is often accompanied by gingivitis or periodontitis. If OLP and dental plaque are not properly managed, the patient's periodontal condition will worsen. Thus, clinicians treating OLP should emphasize periodic visits and dental plaque control. Here, we report the management of a patient who struggled with OLP for 20 years and discuss the importance of periodic regular observations and active periodontal management.

• 한국치위생학회지
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• 제23권6호
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• pp.485-492
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• 2023

Objectives: The purpose of this study is to identify factors related to unmet dental care needs among Korean youth, enhance the utilization of dental services by adolescents, furnish basic data for youth-oriented dental projects, and improve access to medical care. Methods: The analysis utilized combined data from the basic and oral databases from the 6th (2013-2015), 7th (2016-2018), and 1st year of the 8th (2019) National Health and Nutrition Examination Survey. Results: The factors influencing unmet dental care needs were gender, age, household income level, and health insurance. Statistically significant results were observed in relation to the type of dental clinic, recent visits to a dental hospital, experiences of toothache within the past year, subjective oral health status, occurrences of permanent dental caries, and engagement in orthodontic treatment. Conclusions: When formulating future national policies and projects, it is imperative to consider the factors and underlying reasons for the unmet dental care needs of adolescents. It is also necessary to establish oral health policies and institutional measures tailored to the dental care of adolescents.

• Journal of Dental Anesthesia and Pain Medicine
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• 제17권4호
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• pp.289-295
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• 2017

Background: This study is aimed to evaluate the level of fear and to reduce the overall fear, thereby enabling patients to receive treatment via timely visits. Methods: In a survey conducted by 460 South Korean middle school students, we used 453 data that faithfully responded to the survey. Multiple regression analysis was conducted to investigate the factors influencing subjective oral health and dental fear. The significance level used for statistical significance was ${\alpha}=0.05$. Results: The level of fear was higher for upper grade, female students. The factors affecting dental fear were higher for gingival bleeding and dental pain. Regarding factors for dental fear affecting subjective oral health, lower fear of puncture needle and tooth removal tool resulted in higher subjective oral health. Conclusions: The study found that adolescents had higher fear of dental care when they had gingival bleeding and tooth pain. Gingival bleeding is a symptom of early gingival disease and dental pain is likely due to advanced dental caries. These results suggested that it is necessary to have a program to reduce dental fear and anxiety as well as a program to prevent dental diseases through regular periodic screening and education.

• 대한소아치과학회지
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• 제2권1호
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• pp.57-66
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• 1975

The study was performed to evaluate the Parent's knowledge and attitudes concerning the dental health of their children. A questionnaire consisting of 17 questions was given to each of the 664 parents by their children who are attending in primary school and was completed by them. The collected information from the questionnaire was analyzed by the visits to dental clinic, age and education. The results obtained from this study are as follows: 1) The more educated parents were more interested to the dental health of children. 2) In the know ledge concerning the dental health of their children, the parents who were more educated and had visited the dental clinic gave the better. responses. 3) There were no clear differences in age groups in the knowledge and attitudes on their children's dental health. 4) The reason for first visiting the dental clinic was dental treatment 43.2%, toothache 35.4%, for the purpose of oral examination 21.2%, and others were 9.2%. 5) 13.1% of the parents who had visited the dental clinic couldn't or didn't follow the recommended treatment because of economic difficulty 53.3%, lack of time 25%, lack of understanding of child's dental needs 18.3%, and other reasons were 3.3%.