• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.10.1-10.5
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• 2016

Herniation after harvesting of deep circumflex iliac artery (DCIA) flap is a known but not a common complication. It occurs about 2.8 to 9 % according to the literatures and can proceed to a more severe complication such as bowel obstruction. There are several factors that exacerbate the risk: surgical factors, operator factor, and patient factors. Surgical factors include large anatomical defect and denervation of related muscles. Operator factor stands for unpunctual suture technique. Patient factors represent obesity, diabetes, pulmonary disease, smoking habits, and so on. Thus, herniation might occur regardless of meticulous suture. Herein, we would like to report two cases of herniation after DCIA flap harvesting and repaired by Lichtenstein tension-free hernioplasty with literature review.

• Journal of Oral Medicine and Pain
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• 제47권2호
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• pp.95-101
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• 2022

Temporomandibular joint osteoarthritis (TMJ OA) causes destruction of the temporomandibular joint (TMJ) and can lead to occlusal changes such as anterior open bite in some patients. Consequently, these patients may experience difficulty in chewing food items and exhibit abnormal functional habits such as bruxism, preventing healing of the TMJ condyles. Treatment protocols include the use of traction appliances to reduce stress on the condyles. Unstable occlusions can lead to weakness of the masticatory muscles which, in turn, worsen the occlusal changes and complicate pain management. Therefore, the current study evaluated the condition of the masseter muscle using ultrasonography and educated patients on the execution of gum-chewing exercises for muscle strengthening. It also aimed to assess the effects of traction appliances and strengthening exercises on the masticatory muscles of patients with occlusal changes caused by TMJ OA.

• 대한감각통합치료학회지
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• 제8권1호
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• pp.73-86
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• 2010

섭식기술의 문제는 성장, 학습, 의사소통, 다른 아동과의 상호작용 등 삶의 모든 면에 영향을 줄 수 있다. 구강섭식은 입을 열고 음식/액체를 입속에 넣고 삼키는 것이다. 본 문헌연구의 목적은 아동의 섭식과 관련된 평가방법과 중재방법에 대해 알아보는 것이다. 섭식은 아동 초기 발달의 중요한 요소이며 일상생활 참여를 촉진한다. 아동이 음식을 먹을 때 받아들이는 방법에 차이가 있다. 그 이유로는 음식으로부터 제공되는 감각자극의 등록과 해석의 과정을 거쳐 섭식행동으로 나타나기 때문이다. 감각처리 문제로 인한 섭식의 문제는 촉각과민성, 구강거부, 촉각과소반응, 구강실 행증으로 분류할 수 있다. 섭식문제의 평가 가운데 감각처리 과정에서 나타날 수 있는 문제들을 확인하고 중재계획을 세우기 위해서는 섭식과 관련된 신경학적 과정을 이해하고 섭식과 관련된 감각처리의 특성을 아는 것이 중요하 다. 또한 감각처리와 관련되어 야기된 섭식문제의 중재방법을 고찰하는 것은 의의가 있으며, 이는 섭식에 관한 효율적인 접근을 통해 아동들에게 보다 나은 삶을 제공할 수 있으리라 기대된다.

• 구강회복응용과학지
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• 제21권1호
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• pp.43-57
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• 2005

Temporomandibular disorders have been defined as a collective term embracing a number of clinical problems that involve the temporomandibular joint, the masticatory nuscles, and associated structures. There have been many different contributing factors of TMDs which were traumatic, occlusal, pathophysiological and psychosocial. Among there factors, the effect of occlusion on TMDs have been a controversy for a long time. The purpose of this study was to investigate the effect of occlusal factors and oral habits on TMDs. In this study, 140 subjects with signs and symptoms of TMDs and diagnosed of TMD in the Orofacial Pain clinic of Yonsei University Dental Hospital though March to July 2004 were selected for the TMDs group and 50 subjects without any signs and symptoms of TMDs as the control group. The subjects were evaluated clinically in TMDs' Occlusal and Prosthodontic Restoration examinations. TMDs' examination was composed of the TMJ pain, sound, locking, temporal or masseter muscle palpation, mandibular movement, oral habits and headache. Occlusal examination was made of overjet, overbite, lost teeth number, nonfunctional interference, midline shift, then pattern of lateral movement and attrition. prosthodontic restoration examination had the existence of restoration, placement, then number of crown or bridge and Satisfiable index which estimated the quality of occlusal state of prosthodontic restorations. Following results were obtained : 1. The prevalence of TMDs was higher in their 20s & 30s, female of the TMD patients group. 2. The clenching frequency in the TMDs group(40.71%) was higher than those in the control group(18.00%), and there was a significant statistical difference(p<0.05). 3. The frequency of Nonfunctional interference in the TMDs group(10.00%) was higher than those in then Control group(2.00%), and there was a significant statistical difference(p<0.05). The result of this study indicated TMDs prevalence was higher in their 20s, 30s, female group of TMDs patients similar to the previous studies. Clenching and nonfunctional interference were estimated as the contributing factors of TMDs.

• 대한치과기공학회지
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• 제38권1호
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• pp.51-61
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• 2016

Purpose: This study was conducted to find oral health and eating attributes relating to the maxillary anterior teeth color and examine the meaning. Methods: This study aims to prepare the basic data of the teeth color by measuring analyze mode using the color of the maxillary anterior teeth(maxillary central incisor, lateral incisor, canine) of the dental patients as the dental colorimeter. Also, This researcher explained the purpose of this study to dental patients and got agreement of 111 patients(50 men and 61 women). We conducted the survey from 2 March to 25 May, 2015. So the color of total 333 teeth was examined, and eating habit attributes and oral health behaviors were researched. Results: Lightness(L) was significantly high in female compared to male(12, p<0.05), the more often intake of red pepper paste decreased(11, 13) lightness. and the brightness of the 31-40 age group was significantly higher(12, p<0.05) than the group under the age of 20. Red chroma(a) was significantly low in over 50 age group compared to the group under the age of 20(12, p<0.05), and the red chroma(a) of the "received periodic scaling" group was significantly lower(13, p<0.01) than the other group.

• 한국치위생학회지
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• 제10권1호
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• pp.51-64
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• 2010

Obiectives : The purpose of this study was to examine the oral health knowledge and practice of elementary school children in the upper grades in a WHO healthy city for the development of oral health education programs gearing toward improving oral health care habits and oral health. The subjects in this study were 379 sixth-grade children in an elementary school in a WHO healthy city, Changwon. Methods : The questionnaire used in the study covered general characteristics with five items, oral health knowledge with 35 items and oral health care practices with 24 items. The oral health knowledge category consisted of general oral health knowledge with 13 items, knowledge on oral hygiene management with 11 items, knowledge on fluoride use with 8 items and healthy diet knowledge with 3 items. The oral health care practice category consisted of general oral health care practice with six items, practice on oral hygiene management with 11 items, practice related to fluoride use with four items, and healthy diet practice with 3 items. Results : The surveyed school children got a mean of 46.1 and 40.8 on oral health knowledge and oral health care practices, respectively out of 100 points. In the knowledge category, they scored the lowest on healthy diet knowledge with 12.6, and in the practice category, they scores the lowest on the practices related to fluoride use with 21.4. According to the regression analysis, gender had a significant impact on their oral health knowledge. The boys lagged behind the girls in that regard. Their oral health care practices were under the significant influence of knowledge level. Conclusions : Systematic education programs should be provided to prevent dental caries and promote oral health of school children, and the type of programs that stress actual oral health care is especially important.

• 대한치위생과학회지
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• 제2권2호
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• pp.21-30
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• 2019

This study identifies oral health behavior factors related to the health-related quality of life(EQ-5D) of adults. Three groups are analyzed, young adults(aged 19 to 39 years old), middle-aged(40 to 64 years old), and elderly(over 65 years old). By comparing the factors related to health-related quality of life by age, we will provide information for improving the overall quality of life, including oral health for current and future elderly. Using raw data from the 1st year(2016) of the National Health and Nutrition Survey, the oral health behaviors of the study subjects were compared. These included: the number of times teeth were brushed, the time brushing took place, the use of interdental care products, and whether they went for oral and examinations. There was a statistical significance in treatment experience and drinking habits. There was also a significant influence on the health-related quality of life across the age groups. Therefore, it is possible to improve the health-related quality of life, including oral health practices according to age. It will be necessary to develop and apply.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제28권5호
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• pp.358-363
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• 2002

Purpose : Authors attempted to evaluate the effect on explanation of pathogenesis and stress management as the initial care of temporomandibular disorders. Materials and methods : The materials were 634 patients with temporomandibular disorder, who had been referred to our Department of Dentistry, Wonju Christian Hospital during recent 5 years. We examined about clinical aspects of temporomandibular disorders, such as, major signs of temporomandibular joint disorder, life environment and habits, radiological findings of temporomandibular joint and electromyography of masseter muscle. The patients were treated by explanation of TMJ pathogenesis and stress management. After that, the patient were evaluated about the effect in third week. Results : The result was more favorable (96.5% success rate) without intolerable signs of temporomandibular joint disorder. Conclusion : The explanation of TMJ pathogenesis and stress management were thought as the very effective care in management of patients with temporomandibular disorder.

• 한국치위생학회지
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• 제8권3호
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• pp.73-84
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• 2008

This study conducted an interview questionnaire survey of 245 old people in some halls for the aged in the Daejeon Metropolitan City from June 1 to 31, 2008. on their attitudes toward and practice items for oral health, resulting in the following findings. 1. In terms of socio-demographic characteristics of the subjects, males females were 48.2% and 51.8% respectively, and in the educational level, no-education, elementary school graduation, middle school graduation, and high school graduation and higher were 27.8%, 33.9%, 26.5%, and 11.8%, respectively, showing the statistically significant difference (p=0.009). 2. In terms of attitudes toward oral health management by oral health care education, regarding questions of use of oral and dental hygiene products (p=0.016), experience in scaling, and whether or not they wear false teeth (p=0.018), a group having received the education rather than a group not having received it showed more positive oral health management attitudes, indicating the statistically significant difference. 3. In daily living inconvenience of acute oral health diseases according to oral health care education, acute oral diseases presents in a group with the education ($2.30{\pm}0.72$) lower than in a group without the education ($2.49{\pm}0.63$), indicating the statistically significant difference(p=0.031). 4. Factors of oral health diseases showed the significant relation with types of health insurance, subjective systemic health status, acute diseases and subjective oral health status (p<0.01), and the explanatory power or the final model was 38%. Accordingly it is thought that there is the indicated need for analyzing and grasping factors related to oral health diseases among the elderly through considering their attitudes toward and practice for oral health, and developing programs of enhancing the oral health of the elderly in order for them to change their attitudes and habits, and also reinforcing oral health care education for the elderly focused on making them perform oral health behaviors in a right way.

• 한국치위생학회지
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• 제13권1호
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• pp.129-135
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• 2013

Objectives : The purpose of this study was to attempt to lay the foundation for the development of oral health programs geared toward promoting the oral health of low socioeconomic class children. Methods : The subjects of this study have been investigated for the use of children to 96 local children's center. Questionnaire for research purposes are described in more detail under the coordination of child care teachers to students, students to be able to record. The survey was conducted at the Health center. Analyzed the data collected by SPSS 18.0. Results : The findings of the study were as follows: The children were influenced by habits of having a snack in dental caries experience. Higher intake of bread and a lot of children more probability of dental caries experience. I've found a lot of sweet-food intake eleven cakes or fruits and vegetables that children prefer higher dental caries experience was low. Conclusions : Education on dietary behavior for low-income children was necessary because of the high correlation of the relationship between dietary habits and dental caries and diet.