• 제목/요약/키워드: Neonatal teeth

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선천치와 신생치의 임상적 특성과 치료에 관한 후향적 연구 (Retrospective Study of Clinical Characteristics and Treatments in Natal and Neonatal Teeth)

  • 조원창;남옥형;김미선;이효설;김광철;최성철
    • 대한소아치과학회지
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    • 제44권2호
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    • pp.188-193
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    • 2017
  • 선천치와 신생치는 출생시 맹출했거나 조기에 맹출하는 치아로 다양한 합병증을 가지고 있으나, 많은 부모들이 이에 대한 정보부족으로 적절한 치료 없이 불편을 겪고 있다. 본 연구는 2006 - 2015년에 경희대학교 치과병원 소아치과를 내원한 환아에게서 발견되는 선천치와 신생치의 특성을 평가하고자 한다. 환아들의 성별, 부모의 주소, 임상적인 특징과 합병증 및 치료법을 조사하여 후향적 연구를 진행하였다. 환아들 가운데 69%는 선천치를, 31%는 신생치를 가졌으며 모두 하악 절치였다. 여환이 남환보다 많았고 내원 주소로는 부모의 걱정이 가장 많았으며 병원 의뢰와 리가 페데병(Riga-Fede disease) 그리고 수유시 통증이 그 뒤를 이었다. 치료방법으로는 발치가 가장 많았으며 치아 유지와 치아 다듬기도 행해졌다. 선천치와 신생치는 다양한 특성과 합병증을 가지고 있으므로 치과의사는 아이의 전반적인 건강을 위해 이러한 치아의 병리에 대해 정확히 이해하는 것이 중요하다.

Dental complications associated with neonatal intubation in preterm infants

  • Kim, Ik-Hwan;Kang, Chung-Min;Song, Je Seon;Lee, Jae-Ho
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제19권5호
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    • pp.245-252
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    • 2019
  • This paper describes the potential oral complications in preterm infants who have undergone orotracheal intubation. Neonatal intubation may have adverse effects on the developing deciduous teeth, oral soft tissues, and even the permanent teeth. However, endotracheal intubation may be essential for the survival of premature infants, owing to incomplete tracheal development. Excessive pressure to the oral tissue must be avoided, in cases where orotracheal intubation is inevitable. Moreover, the potential oral complications must be considered when neonatal intubation is performed for the patient's survival, and subsequent reevaluation and proper oral health care are needed.

Comparative Morphological Study on the Embryonic and Neonatal Development of the Filiform Papillae and Teeth in Mice

  • Jeong, Soon-Jeong
    • 치위생과학회지
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    • 제20권2호
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    • pp.74-81
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    • 2020
  • Background: In the early stages of development, teeth and lingual papillae are induced and developed through special and complex epithelial-mesenchymal interactions. Tooth completion indicates the beginning of the weaning phase, and accordingly, many oral tissues and organs are completed, and it is thought that their developmental completion times are related to each other. The purpose of this study was to clarify the embryonic and neonatal development of the filiform papillae and mandibular molar tooth, and discuss the developmental relationship between these organs by comparing the developmental completion times. Methods: Embryos at embryonic day 15 (EM15), 17 (EM17), and 21 (EM21) and mice at neonatal day 1 (NE1), 5 (NE5), 10 (NE10), and 21 (NE21) were used for experimentation. Tissues dissected from embryos and mice were fixed, and processed for histological analysis. Sections from the tissues were stained with hematoxylin and eosin for observation under a light microscope. Results: Based on the histological analysis results, the developmental process of the lingual epithelium covering the dorsal surface of the tongue was classified into three stages: initiation, morphogenesis, and functional. The development of the filiform papillae begins at EM17; undergoes rapid morphological changes in epithelial cells at EM21, PN1 and PN5, and reaches the functional stage at PN10, which is the sucking phase. Tooth development begins at EM13 or 15 and is completed at NE21 through prenatal and postnatal development. Conclusion: The development of the filiform papillae was initiated late and completed quickly through embryonic and neonatal development in comparison with the mandibular molar tooth. The filiform papillae are considered to play an important role in sucking rather than mastication as it is completed in the sucking phase.

유치열에서의 고빌리루빈혈증과 연관된 초록색 변색 (Green Teeth Associated Hyperbilirubinemia in Primary Dentition)

  • 박민경;선예지;강정민;이효설;송제선
    • 대한소아치과학회지
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    • 제44권3호
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    • pp.378-383
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    • 2017
  • 치아 변색을 일으키는 다양한 원인들이 있다. 혈중 빌리루빈의 증가도 치아변색을 일으킬 수 있는데 이는 드문 경우이나, 대부분 초록색 변색이 보고 되었다. 본 증례는 신생아 고빌리루빈혈증 병력이 있는 환아의 유치의 초록색 변색에 대한 것이다. 16개월, 22개월 두 남아가 맹출한 치아의 비정상적인 색을 주소로 내원하였다. 두 환아의 유치는 법랑질저형성증을 수반한 초록색 변색을 보였다. 두 환아 모두 저체중, 조산아였으며, 신생아 고빌리루빈혈증을 진단받았다. 전신적인 질환은 치아의 형성시기에 경조직에 영향을 줄 수 있으며, 변색도 일으킬 수 있다. 정상적인 치아 발육과 환아의 심미적 요구를 충족시키기 위해 정기적인 관찰이 필요하다. 소아치과의사는 유치열기의 변색을 먼저 관찰 할 수 있다. 이와 같은 증례들을 통해 치과의사는 치아변색에 대해 전신적 질환을 추론할 수 있다.

치아 이상의 발생 빈도와 양상에 관한 연구 (A STUDY ON PREVALENCE AND PATTERN OF DENTAL ANOMALIES)

  • 전승준;이제호;최형준;손흥규
    • 대한소아치과학회지
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    • 제23권2호
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    • pp.429-449
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    • 1996
  • An objective definition of the anomaly is not avaliable and most investigators define the term differently or fail to describe their criterion. Because dental anomaly may lead to many complications, early detection and diagnosis of dental anomalies are essential steps in the evaluation of the child patient and in treatment planning. These procedures require detailed medical and dental histories, through clinical examination and the use of radiographs. So, this study was designed to find out the prevalence of dental anomalies. The clinical and roentgenographic examination was undertaken for 8,054 children at age from 0 to 15 years and statistical analysis was done. The results were as follows : 1. Among the examined subjects, 2,134 subjects(26.5%) showed dental anomalies. The prevalence of individual dental anomalies were as follows : supernumerary teeth 15.6%, congenitally missing teeth 6.6%, fusion 2.2%, odontoma 0.35%, microdontia 1.2%, macrodontia 0.05%, gemination 0.22%, talon cusp 0.36%, dens evaginatus 0.24%, dens invaginatus 0.15%, dilaceration 0.27%, taurodontism 0.09%, abnormal tooth position 1.7%, natal & neonatal teeth 0.92%, amelogenesis imperfecta 0.01%. 2. Significant correlations between the groups with individual dental anomalies were as follows : between group I and other groups, there was negative correlation, especially group I and group II. And the correlation coefficient between male and female showed differences. 3. For the supernumerary teeth group, the prevalence of male was higher than female(p<0.001). While for the congenitally missing teeth, macrodontia, microdontia, abnormal tooth position group, the prevalence of female was greater than male(p<0.001). 4. For the congenitally missing teeth group, the mandibular primary lateral incisor showed the highest incidence in primary dentiton, while mandibular lateral incisor in permanent dentition. In the mandible(72.5%), this site showed higher prevalence than in maxilla. In the case with deciduous congenitally missing teeth, the prevalence of successive permanent congenitally missing teeth was about 33.9%, the incidence was highest in mandibular lateral incisors. 5. Most supernumerary teeth existed on middle area and showed inverted position and unerupted state. In addition, supernumerary teeth showed higher incidence on maxilla (99.3%). 6. In the case with deciduous fused teeth, the prevalence of successive permanent congenitally missing teeth was 39.9%, while that of successive permanent fused teeth was 2.7%. And the highest rate of the prevalence (40.3%) appeared in fusion of mandibular deciduous lateral incisor and canine. 7. In the case of odontoma, the prevalence was higher in maxilla(78.6%) and anterior region(82.7%) than mandible and posterior region.

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Bartter 증후군 환아의 치아우식 치료: 증례보고 (DENTAL TREATMENT OF A PATIENT WITH BARTTER SYNDROME: CASE REPORT)

  • 김민지;송지수;신터전;현홍근;김영재;김정욱;이상훈;장기택
    • 대한장애인치과학회지
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    • 제15권1호
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    • pp.45-49
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    • 2019
  • Bartter 증후군은 심각한 헨레고리 비후 상행각(TAL)에서의 일차적인 염류(NaCl) 수송 장애로 인하여 심각한 저칼륨혈증을 특징으로 하는 질환이다. 만성 구토로 인한 치아의 부식, 교모, 마모의 구강 내 소견을 보여 구토와 관련된 적절한 칫솔질 및 식이 습관 등에 대한 정기적인 교육과 관찰이 권장되며 교합고경의 회복을 위해 전장관 수복이 추천된다. 치과 치료 시의 스트레스로 인하여 전해질 수치의 불균형이 초래될 가능성이 있어 전신마취 하 치료가 유리할 수 있으며, 전신마취 시 과환기되어 저칼륨혈증이 심화되지 않도록 지속적인 감시를 해야하고 술 후에도 전해질 불균형이 초래되지 않도록 지속적인 감시가 필요하다.

아동 양육에 관한 어머니의 교육 요구도 (The Educational Needs of a Mother when Nurturing Children)

  • 유경희
    • 대한간호학회지
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    • 제30권4호
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    • pp.905-916
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    • 2000
  • The purpose of this study was to investigate the educational needs of a mother when nurturing children from neonates to the schoolage. A total of 657 subjects responded to the survey about the level of educational needs when nurturing children. The subjects of the study constituted of 401 mothers who visited the health center for immunization and 256 mothers who visited the pediatric outpatient department or whose children were hospitalized in pediatrics. This instrument had 64 items about nurturing children from neonates to the schoolage and one item had a score range of one to four. In data analysis, SPSSWIN 9.0 program was utilized for descriptive statistics. The results were as follows. 1) Mothers who had the neonates represented the highest educational needs about parental-neonates attachments with 3.47 of mean score compared to neonatal convulsion(3.44), management of common colds(3.44), nutrition (3.44), fever control (3.42). 2) Mothers who had infancy represented the highest educational needs about management of common colds with 3.34 of mean score compared to psychosocial developments (3.23), management of foreign bodies (3.22), feeding the food(3.19), playing with the infant(3.16). 3) Mothers who had toddlers represented the highest educational needs about psychosocial developments with 3.35 of mean score compared to discipline for children(3.34), management of teeth (3.29), management of common colds (3.21), management of accidents(3.20). 4) Mothers who had the a child in preschool represented the highest educational needs about psychosocial developments with 3.53 of mean score compared to management of accidents(3.23), discipline for children (3.00). 5) Mothers who had the child in secondary school represented the highest educational needs about psychosocial developments with 3.42 of mean score compared to management of teeth(3.13), management of accidents (3.05).

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Prader-Willi syndrome 환자의 치과 치료 : 증례보고 (DENTAL MANAGEMENT OF A PATIENT WITH PRADER-WILLI SYNDROME : A CASE REPORT)

  • 이명연;정연욱;김성오;최형준;손흥규;이효설
    • 대한장애인치과학회지
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    • 제10권1호
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    • pp.26-30
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    • 2014
  • 프라더 윌리 증후군과 원인을 알 수 없는 심낭 삼출을 앓고 있는 3세 남환이 치아우식을 주소로 내원하여 임상 구강 검사 결과 다발성 우식증과 구강 전반에 걸친 치아 마모증이 관찰되었다. 약 10개월간 보존적인 수복치료와 구강 위생관리를 시도하였으나, 치아 우식의 빠른 진행과 환아의 협조도 부족으로 전신마취 하 우식 치료를 시행하였다.

기관 삽관을 시행한 조산아에서 발생한 상악 유전치의 발육이상 : 증례보고 (DEVELOPMENTAL DISTURBANCE OF PRIMARY INCISORS IN PRETERM INFANTS WITH ENDOTRACHEAL INTUBATION : A CASE REPORT)

  • 임소영;김성오;이제호;김익환
    • 대한장애인치과학회지
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    • 제15권1호
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    • pp.89-93
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    • 2019
  • 본 증례 보고는 기관 삽관 경험이 있는 조산아에서 상악 유전치의 발육장애가 나타난 증례이다. 본 증례들에서는 기관 삽관으로 인해 치관 형태 이상, 법랑질 결함, 맹출 지연이 나타났다. 또한 치배의 변위로 인한 맹출 경로 이상, 치근 만곡, 후속 영구치의 비정상적인 치근 형성도 나타났다. 이환 치아에 대해서는 예방적 수복치료 및 관리, 적절한 시기에 발치를 고려해야 한다. 소아치과의사는 삽관 경험이 있는 조산아에서 나타날 수 있는 상황에 대해 이해하고, 적절한 개입을 통해 구강 건강 증진을 도모해야 한다.