• 대한장애인치과학회지
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• 제5권2호
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• pp.87-91
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• 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
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• 제2권1호
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• pp.31-38
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• 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.

• 대한소아치과학회지
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• 제24권3호
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• pp.581-589
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• 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.

• 한국인구학
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• 제17권1호
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• pp.73-86
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• 1994

In order for handicapped people to maintain better humane life, it is necessary to get statistics of them in developing appropriate national policy. However, it is very difficult to obtain baseline statistics on regular or occasional basis. It's reason is mainly attributed to attitudes of their family's tendency to conceal any existence of such memeber in the household. As a result, the statis-tics on the handicapped population is very inaccurate and under satisfaction. We must produce such statistics periodically in time and with accuracy. Thus, this study porposes five methods which, we believe, can produce reliable statistics of thehandcapped population : 1) vitalization through enforcement of handicapped information into the registration system, 2) inclusion in population census of items related to handicapped information, 3) improvement of the physically handicapped population survey scheme, 4) utilization of hospital patients' records for development of the statistics, and 5) an estimation through the labor force survey.

• 대한치과마취과학회지
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• 제2권2호
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• pp.101-106
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• 2002

Background: The management of the behavior of handicapped children when providing required dental care is often a problem, whether in the dental office or in a hospital setting. Because of the high incidence of poor cooperation, many of these patients are scheduled for dental care under general anesthesia with preoperative medical assessment. The purpose of this study was to carry out a clinico-statistical survey on dental treatment for handicapped children under general anesthesia. Methods: After approval from the institutional review board, the medical records of 64 handicapped children between 1997 and 2002 were reviewed to determine the patient profiles, anesthesia management, and complications. The charts of these patients, who underwent dental examination, scaling and prophylaxis, and restoration and extraction of teeth under general anesthesia, were reviewed. Results: The mean age was 12.8 years old, and males (53%) predominated females (47%). Twenty-four patients had mental retardation, twelve had autism, six had cerebral palsy, 4 had behavior disorder, others had heart disease, convulsive disorder, etc. Sixty-two had intravenous thiopental with neuromuscular blocker, 2 had intravenous ketamine induction. Nasotracheal intubation was uneventful in 55 patients, nine had orotracheal intubation because of difficult visualization of the larynx. Twenty-one patients experienced postoperative complications in the recovery room, including epistaxis, nasal obstruction, vomiting, airway obstruction, respiratory depression. Conclusions: General anesthesia is a very effective way of completing the dental treatments for disabled children. We emphasize the need to train anesthesiologists in the care of disabled patients.

• 한국인구학
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• 제6권1호
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• pp.115-126
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• 1983

In order for handicapped people to maintain better humane life, it is necessary to get statistics of them in developing appropriate national policy. However, it is very difficult to obtain baseline statistics on regular or occasional basis. It's reason is mainly attributed to attitudes of their family's tendency to conceal any existence of such memeber in the household. As a result, the statis-tics on the handicapped population is very inaccurate and under satisfaction. We must produce such statistics periodically in time and with accuracy. Thus, this study porposes five methods which, we believe, can produce reliable statistics of thehandcapped population : 1) vitalization through enforcement of handicapped information into the registration system, 2) inclusion in population census of items related to handicapped information, 3) improvement of the physically handicapped population survey scheme, 4) utilization of hospital patients' records for development of the statistics, and 5) an estimation through the labor force survey.

• 대한소아치과학회지
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• 제28권1호
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• pp.87-94
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• 2001

장애인에 대한 치과의사의 치과진료 현황과 장애인 치과치료를 위한 치과의사 교육 및 임상훈련의 실태를 파악하기 위해 광주광역시와 경인지역의 치과의원 각각 300곳과 600곳의 치과의사를 대상으로 설문 조사하였다. 한달 평균 한 명 이상을 치료하는 치과의원은 44%이었다. 장애유형은 지체장애자, 정신장애, 감각장애, 자폐증 순이었다. 63%의 치과의사가 친절히 대했으며 51%가 치료 후 만족스러웠다고 응답했다. 치료시의 문제점으로는 의사소통의 어려움과 시간의 지연이 가장 많았다. 장애인 치과치료에 대한 교육과 임상 실습에 대한 경험은 각각 49%, 19%이었다. 치과의사의 93%가 장애인 치과치료를 위한 훈련과정이 필요하며, 81%가 장애인을 위한 전문의료기관의 설립이 필요하다고 응답했다 효율적인 장애인의 치과치료가 이루어지기 위해서는 치과대학 학과과정과 졸업 후 보수교육에 장애인 치과치료를 위한 교육 과정을 마련하는 것이 필요하며, 지역내 국가 차원의 장애인 전문의료기관이 필요하리라 사료된다.

• 대한물리치료과학회지
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• 제3권2호
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• pp.997-1009
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• 1996

The purpose of this study was to identify the necessity to provide a much better and more comfortable physiotherapy than institutional physiotherapy to a number of home-keeping handicapped persons and patients with a chronic-degenerative-denile disease. Home visiting physiotherapy can be defined as a behavior which a physiotherapist himself visit home and treat patients who cannot or hardly can visit hospital. To investigate factors which might influence the necessity for introduction of home visiting physiotherapy, this survey was carried out with the out-patients of four general hospital, one Chinese-medicine hospital, one welfare institution for handicapped persons, and also for all the physiotherapists registered in Pusan physiotherapist association using the structured questionare from March 1 to March 30.

• 대한장애인치과학회지
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• 제5권2호
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• pp.96-99
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• 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.

• 대한소아치과학회지
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• 제25권3호
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• pp.506-512
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• 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.