• Journal of Dental Anesthesia and Pain Medicine
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• v.15 no.3
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• pp.147-151
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• 2015

The difficult oral healthcare in intellectually disabled patients with poor behavioral control has led to debate over the cost-effectiveness and validity of implant treatment in these patients. The patient in the present report had schizophrenia that had led to poor oral care and severe dental caries in the full mouth. Tooth extraction and a removable prosthesis were planned, but the guardian wanted an implant procedure. Since the guardian showed strong will and cooperation with regard to the patient's oral healthcare, extraction followed by immediate implant placement was performed across two rounds of general anesthesia. Since the outcome appears successful, we present this case report. Immediate implant placement after tooth extraction requires fewer surgeries and rounds of general anesthesia, reduces horizontal bone resorption, and can achieve better esthetic results. Therefore, as long as a certain degree of oral care is possible, this can be a positive option for restoration of a partially edentulous mouth, even in intellectually disabled patients.

• The Journal of the Korean dental association
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• v.39 no.4 s.383
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• pp.309-315
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• 2001

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.9 no.2
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• pp.85-90
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• 2013

The aim of this research is to compare the attitude toward the special needs of dental staffs between the special dental clinic (SDC) and the general dental clinic (GDC). Surveys were done on 21 dental staffs (7 dentists and 14 dental hygienists) of SDC and 47 dental staffs (10 dentists and 37 dental hygienists) of GDC. Attitudes were rated on a questionnaire with the five-point Likert scale. Mann-Whitney test was utilized for statistical analysis. In SDC, more female dentists and dental staffs who have relatives with disability were working. Dental staffs of SDC showed that the more experience they had, the more positive attitudes toward the communication with the patients with special needs (p<0.05). Dental staffs of SDC represented more active attitudes toward the oral health promotion, treatment, research and volunteering (p<0.05). In conclusion, dental staffs who have personal motivation were working in SDC and the experience of dental treatment to the patients with special needs influenced the dental staffs' attitudes toward them. In future, a research about the attitude toward the disabled with more exact scale should be followed.

• Journal of Korean society of Dental Hygiene
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• v.20 no.5
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• pp.645-653
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• 2020

Objectives: The purpose of this study is to identify the difference between the awareness and reuser rate of infection control t for disposable dental care supplies (DDCS) according to general characteristics and infection management-related characteristics. Methods: A questionnaire was used for 277 dental hygienists to check the general characteristics, infection management-related characteristics, awareness of infection control disposable dental care products, syringe needle, prophylaxis cup, prophylaxis brush, plastic saliva ejector, orthodontic bracket, and gloves reuse rate. Results: The awareness of infection control for DDCS differed according to 'hospital type', 'average number of patients per day', 'presence or absence of infection control guidelines', and 'experience in infection management training in the last two years' (p<0.05). Reuser rates of disposable dental care products differed according to 'hospital type', 'average number of patients per day', 'presence or absence of infection control guidelines', and 'experience in infection management training in the last two years' (p<0.05). Conclusions: In order to manage infection of DDCS, the level of infection control system in the workplace is improved and support for related education is needed. In addition, guidelines and regulations on prohibition of reuse and classification criteria for various DDCS should be prepared.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.4
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• pp.1581-1585
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• 2015

Human papillomaviruses (HPVs) remain a serious world health problem due to their association with cervical and head and neck cancers. While over 100 HPV types have been identified, only a few subtypes are associated with malignancies. HPV 16 and 18 are the most prevalent oncogenic types in head and neck cancers. Although it has been proven that some subsets of benign and malignant head and neck lesions are associated with HPV, the general population have very little awareness and knowledge of their association with HPV. Therefore, the purpose of this study was to determine the knowledge of HPV and its links with head and neck benign and malignant lesions in a group of Pakistani dental patients who attended the Dental Department of the Sandeman provincial hospital in Quetta, Pakistan. One hundred and ninety-two patients were recruited and requested to answer a questionnaire. It was revealed that there was a low level of knowledge about HPV and its association with head and neck benign and malignant lesions among the participants. This result suggested that more education regarding the relationship of HPV in inducing head and neck benign and malignant lesions is required in this group of patients.

• Journal of Dental Anesthesia and Pain Medicine
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• v.17 no.1
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• pp.65-69
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• 2017

Patients with severe gag reflex (SGR) have difficulty getting the treatment they require in local clinics, and many tend to postpone the start of their treatment. To address this problem, dentists have used behavioral techniques and/or pharmacological techniques for treatment. Among the pharmacological methods available, propofol IV sedation is preferred over general anesthesia because it is a simpler procedure. Propofol in combination with remifentanil is characterized by stable sedative effects and quick recovery, leading to a deep sedation. Remifentanil acts to reduce the pain caused by lipid-soluble propofol on injection. The synergistic effects of propofol-remifentanil include reduction in the total amount of drug required to achieve a desired sedation level and anti-emetic effects. In this case report, we outline how the use of propofol-remifentanil IV sedation enabled us to successfully complete a wide range of dental treatments in a patient with SGR.

• Journal of Dental Anesthesia and Pain Medicine
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• v.18 no.5
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• pp.309-313
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• 2018

Oronasal fistulae (ONF) could remain after surgery in some patients with cleft palate. ONF ultimately requires intraoral surgery, which may lead to perioperative airway obstruction. Tongue flap surgery is a technique used to repair ONF. During the second surgery for performing tongue flap division, the flap transplanted from the tongue dorsum to the palate of the patient acts as an obstacle to airway management, which poses a great challenge for anesthesiologists. In particular, anesthesiologists may face difficulty in airway evaluation and patient cooperation during general anesthesia for tongue flap division surgery in pediatric patients. The authors report a case of airway management using a flexible fiberoptic bronchoscope during general anesthesia for tongue flap division surgery in a 6-year-old child.

• The Korean Journal of Health Service Management
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• v.5 no.2
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• pp.53-62
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• 2011

This study is to inquire into the correlation between patients' knowledge and attitude about the implant denture, as well as to provide exact information for patients. The results are expected to be basic data to make patients have positive attitudes to the implant denture. The study was conducted on patients who visited dental hospitals located in South Gyeongsang Province, South Korea, from 1 November to 31 December, 2009, the answer sheets from 198 patients analyzed. The results showed that 24.2% of respondents had implant dentures put in. Hereat, the t-test and the analysis of variance (ANOVA) were performed to analyze respondents' knowledge and attitude about the implant denture according to general characteristics. In relation to knowledge about the implant denture, respondents showed differences according to what levels of education they had and whether they had the implant dentures put in. The results of a correlation analysis showed that respondents' knowledge and attitude about the implant denture had a significant correlation with each other. In other words, respondents, who had a high degree of knowledge about the implant denture, had a more positive attitude to it. With the generalization of implant dentures, dental care providers have need to provide exact information about the implant denture for dental patients in order that they may comprehend it and have positive attitudes to it. In addition, there is a need to establish a system to provide the general public with exact information about the implant denture.

• Journal of The Korean Dental Society of Anesthesiology
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• v.7 no.2
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• pp.135-138
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• 2007

Hallervorden-Spatz disease (HSD) is a rare autosomal recessive disorder associated with excessive iron deposition in the basal ganglia. In general, HSD is characterized by onset in first two decade of life and by the presence of extra-pyramidal dysfunction including dystonia, rigidity, choreoathetosis. Other associated features include gait and posture disturbance, intellectual decline, seizure, tremor, dysarthria. These signs and symptoms are progressive. MRI is often demonstrated hypodensity in the basal ganglia which is probably suggestive of accumulation of iron. There is no specific treatment for HSD and 45% of patients die before reaching the age of 20 years. The managements directed at specific symptoms are often helpful. Especially, some surgical procedures like pallidotomy and gastrostomy are performed under general anesthesia. There is special need for careful management because of numerous anesthetic challenges like difficulty in cooperation, life-threatening airway obstruction and possibility of aspiration. We report a successful anesthetic management in a patient with HSD for dental procedures.

• The Journal of the Korean dental association
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• v.50 no.8
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• pp.482-506
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• 2012

Dentists have been striving to find ways to relieve patients' pain and discomfort. The prestige of dentists is made up of dentists' self-sacrifice, academic research and pursuit of patients' well being. However, nowadays the dentists' prestige has been lost and practice on humanity has merely existed. At this time, it is meaningful to shed new light on life of a pioneer in Korean dentistry and take some time for self-examination. Today, we are going to look into life of Dr. Jong-Suh Ahn and his achievements in Korean dentistry. In 1925, Dr. Ahn Jong Suh graduated from KyungSung Dental school as a first graduating class. Then, he learned advanced dentistry at Severance Hospital and in April of 1932 as a young dentist with full of potentials, he opened his dental clinic in Tianjin, China. As an awakening Korean, in 1925 he organized an association of Korean dentists, called HanSung Dental Association and worked as a secretary to manage general affairs. Han Sung Dental Association later became today's Korean Dental Association. On December 9th, 1945, he founded ChoSun Dental Association. He accomplished great deals during his five consecutive terms as a chairman and held other important positions with prestige to lead and expand the scope Korean dental association. There were three other successors to Dr. Ahn as the presidents of Dental Association. Dr. Yong-Jin Kim had a great interest in internal affairs and dental materials. Dr. Myung-Jin Park was active in scientific affairs and Dr. Dong-Chan Han focused on smooth operation of the association. From 1945 to 1963, Dr. Ahn submitted important agendas such as dentist's qualification, scientific and academic affairs, general affairs, dental materials, public oral health, and dental administration to Dental Association's general meeting and central committee. Dr. Ahn overcame hardships of Japanese imperialism, celebrated independence of Korea, experienced 6.25 Korean War and lived through evolving Korean dentistry in 1960s. Dr. Jong-Suh Ahn, who showed the prestige of dentist and expanded the scope of dental association, is exemplary to all dentists.