• 대한소아치과학회지
• /
• 제28권3호
• /
• pp.391-402
• /
• 2001

최근들어 국내에서 심신장애인수가 계속 증가하고 있지만 이들에 대한 구강건강상태의 전반적인 기초자료는 아직까지 부족한 실정이다. 본 연구는 장애인의 구강상태를 조사하고 정상인과의 차이점을 연구하여 건강한 구강상태를 유지 시키는 참고자료를 얻기위하여 시행하였으며, 267명의 장애인에 대해 치아우식증, 치주질환 상태, 교합상태를 조사하여 다음과 같은 결론을 얻었다. 1. 장애인의 우식유치경험율, 우식경험유치면지수, 우식경험영구치지수가 정상인보다 낮았다. 2. 장애인의 치은염유병자율이 나이에 따라 증가하는 양상을 보였으며, 정상인보다 높았다. 3. 장애인들은 정상인 보다 II급, III급 부정교합빈도가 더 높았다.

• 대한소아치과학회지
• /
• 제25권2호
• /
• pp.441-449
• /
• 1998

For the purpose of knowing oral status of handicapped persons and surveying correlative factors, authors interviewed and inspected 259 persons (cerebral palsy 143, mental retardation 101, Down's syndrome 15) from six year to thirty years old in Kwangju. The results were as follows. 1. The dmf rate and dft index of handicapped persons according to age were lower than that of report of normal persons. 2. The DMF rate and DMFT index of handicapped persons increased with age and were similar to or lower than that of report of normal persons by the age of twenty, but were higher after that age. There was no significant difference between handicaps in DMFT rate. 3. Percentage of toothbrushing by himself or herself was 74% in mental retardation, 69% in Down's syndrome, and 48% in cerebral palsy and the frequency of toothbrushing per day of mental retardation, Down's syndrome was higher than that of cerebral palsy. The frequency of toothbrushing per day increased with age. The number of toothbrushing of handicapped persons was slightly higher than that of report of normal persons. 4. Prevalence of gingivitis was 62% in cerebral palsy, 48% in Down's syndrome and 60% in mental retardation. Prevalence of gingivitis increased with age, and was higher than that of report of normal persons. 5. Percentage of tooth anomaly was 15% in Down's syndrome, 8.5% in mental retardation and 4.9% in cerebral palsy. In this study, dental caries of handicapped persons was similar to or lower than that of normal persons and increased with age. The prevalence of gingivitis was much higher in handicapped persons. Subject or frequency of toothbrushing had no influence on the dental caries and gingivitis, education of oral health and system are needed.

• 대한소아치과학회지
• /
• 제5권1호
• /
• pp.47-63
• /
• 1978

The author studied on the Simplified Oral Hygiene Index in the handicapped children, who are housed by several rehabilitation institution age from 3 to 17 year in Seoul area and 439 normal children as a control group. The obtained results are as follows: 1) In the Oral Hygiene Index(OHI), The handicapped children showed remarkable increment compared to normal children(The Index score was 2.00 in cerebral palsy children, 1.94 in poliomyelitis, 1.79 in other's diseased children, in 1.01 in normal children) and the score was increased as age increment. 2) In the OHI of the handicapped children, male was higher than female. 3) Dental calculus deposition in the handicapped children was severe in the lower anterior teeth and least in the upper anterior teeth. 4) Dental calculus Index of the handicapped children was comparatively higher in the region which had higher food debris index. 5) As the conculusion of this study, we found that continuous and active dental enlightenment and treatment for oral health in the handicapped children are necessary.

• 대한소아치과학회지
• /
• 제24권3호
• /
• pp.581-589
• /
• 1997

42 dentally handicapped patients who require general dental treatments but behavioral managements had been an obstacle to proper treatments were chosen and the author conducted dental treatment under outpatient general anesthesia. Followings are the conclusions 1. The average time for the treatment procedure was 2 hours and 1 minute and the average of 9.52 teeth were treated for individual patient indicating its high efficiency. 2. The average time for the recovery was 3 hours and 14 minutes and none of the patients showed any specific serious complications. 3. Treatments under outpatient general anesthesia can be a proper patient management method for the dentally handicapped patients if the patient selection is proper.

• 대한장애인치과학회지
• /
• 제5권2호
• /
• pp.87-91
• /
• 2009

The purpose of this study were to investigate the chief complain and dental treatment needs in handicapped patient. This study examines treatment records of 1025 patients in free dental clinic for handicapped patients during 10 years from 1999 to 2008. The results were as follows : 5.8 average visit per patient; mean patient age was 25; 544 patients was younger than 20. Handicapped patients classified according to types of disability. Crippled disorder were 19.1%, brain disorder were 4.5%, visual disorder were 3.1%, auditory disorder were 4.1%, speech disorder were 0.9%, mental retardation were 67.1%, and developmental disorder were 25.1%. Performed treatments were 322 scaling, 13 fluoride varnish, 727 preventive resin restoration, 1296 resin restoration, 600 amalgam restoration, 46 GI restoration, 612 extraction, 289 pulp treatment of primary teeth, 75 pulp treatment of permanent teeth and 138 stainless steel crown restoration. Many handicapped patients have some difficulty to dental treatment. They have limited access to dental care, which is compounded by a shortage of skilled dental professionals who are willing to treat these population and financial problems.

• 대한장애인치과학회지
• /
• 제5권2호
• /
• pp.96-99
• /
• 2009

Macroglossia is a tongue pathology of multiple etiology as systemic disease like cerebral palsy and Down syndrome etc. It can cause abnormal oral conditions including anterior open bite or dyspnea by changing occlusion and oral habits. So many handicapped children who have macroglossia need to get surgery of large tongue to improve esthetics, function, and treatment stability. The purpose of this report is to evaluate 2 patients, one has cerebral palsy and the other lymphangioma, who have experience of glossectomy with review of literature.

• 대한장애인치과학회지
• /
• 제2권1호
• /
• pp.31-38
• /
• 2006

90 handicapped patients with dental problem treated under outpatient general anesthesia at one day operation room of kyungpook National University Hospital during 2000-2005 were analyzed. Following are the conclusions. 1. For those 90patients treated under general anesthesia, 62(68.9%)patients had autism or mental retardation. 2. The most difficult work for the preparation of general anesthesia was preoperative examination(53.3%). 3. The parent's satisfaction level after treatment under general anesthesia was high(75.6%). 4. 36(40%) of the patients responded to periodic recall check till now.

• 대한장애인치과학회지
• /
• 제14권1호
• /
• pp.1-6
• /
• 2018

General anesthesia is an effective behavior management method for disabled patients or uncooperative children who have difficulty in cooperation. The objective of this study was to assess and analyze dental treatment under general anesthesia in department of pediatric dentistry at Pusan National University Dental Hospital for 5 years. One hundred and nine cases of general anesthesia from June 2013 to May 2018 were surveyed for this study. Patients' distribution, reasons for general anesthesia, treatment pattern, agents for general anesthesia, duration of treatment, and visiting route were assessed. The proportion of male was higher than female and age group of 5 to 9 was highest. Reasons for general anesthesia were handicapped situations with or without systemic disease(52%), operative treatment needs(13.2%), uncooperative(15%) and others(29.8%). Most used agents for general anesthesia were thiopental sodium and sevoflurane. Dental treatment under general anesthesia for handicapped and uncooperative children has been increasing. Therefore, it is important to improve the system and efficiency of general anesthesia to provide satisfactory treatment.

• 대한소아치과학회지
• /
• 제25권3호
• /
• pp.506-512
• /
• 1998

심신장애자, 심한 불안과 공포가 있는 경우, 너무 어려서 의사소통이 되지 않는 환자 등, 일반적인 행동조절방법이 가능하지 않은 경우에 전신마취를 고려하게 된다. 이런 환자들은 대부분 소아 치과에서 치료하게 되므로 소아치과의사의 역할이 중요하다. 전신마취하에 시행되는 치과치료를 고려할 때, 환자의 전신적 건강상태, 환자의 현재 구강 형태, 필요한 치과치료의 종류, 책임감 있는 보호자의 유무에 따라서 입원없이 행해지는 외래환자수술을 고려할 수 있다. 전신마취하에 치과치료를 시행하고자 할 때, 치과의사나 보호자의 편의를 위해서 사용되어져서는 안되며, 적절한 환자 선택하에 시행된다면, 보통의 방법으로 치과치료를 받기 어려운 장애아동에게 유리한 치료가 될 수 있다.

• 대한장애인치과학회지
• /
• 제2권1호
• /
• pp.10-16
• /
• 2006

The aim of the present study was to investigate the dental caries experience in disabled people according to the handicapped types in Korea. This study subjects based on the national disabled survey 2004 were collected by designed cluster sampling and interviewed with structured questionnaire in order to examine dental caries and sociodemographic status. The subjects were attending the special schools and private or public welfare institutions for crippled disorder, encephalopathy disorder, mental retardation, visual disturbance, and hearing defect. Oral examination was conducted by 13 trained dentists. 1,307 of handicapped people were finally analysed. ANOVA and Cochran-Mantel-Hanzel analysis were adapted for statistical analysis. The results were as follows; Dental caries prevalence, DMFT(Decayed, missing, filled teeth), and DMFS(Decayed, missing, filled surfaces) of disabled people were higher in crippled disorder and mental retardation than the others. There were significant differences in dental caries prevalence, DMFT, and DMFS according to the disabled. DMFT was significantly higher than national population in every age group except in 12-14 year-old and more than 35 group. It was likely that the experience level of dental caries was significantly different according to the handicapped types in Korea and higher than the people without handicap.