• 제목/요약/키워드: Oral healthcare practice

검색결과 25건 처리시간 0.021초

Protective effects of red orange (Citrus sinensis [L.] Osbeck [Rutaceae]) extract against UVA-B radiation-induced photoaging in Skh:HR-2 mice

  • Yoon Hee Kim;Cho Young Lim;Jae In Jung ;Tae Young Kim;Eun Ji Kim
    • Nutrition Research and Practice
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    • 제17권4호
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    • pp.641-659
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    • 2023
  • BACKGROUND/OBJECTIVES: The skin is the outermost organ of the human body and plays a protective role against external environmental damages, such as sunlight and pollution, which affect anti-oxidant defenses and skin inflammation, resulting in erythema or skin reddening, immunosuppression, and epidermal DNA damage. MATERIALS/METHODS: The present study aimed to investigate the potential protective effects of red orange complex H extract (ROC) against ultraviolet (UV)-induced skin photoaging in Skh:HR-2 mice. ROC was orally administered at doses of 20, 40, and 80 mg/kg/day for 13 weeks, along with UV irradiation of the mice for 10 weeks. RESULTS: ROC improved UV-induced skin barrier parameters, including erythema, melanin production, transepidermal water loss, elasticity, and wrinkle formation. Notably, ROC inhibited the mRNA expression of pro-inflammatory cytokines (interleukin 6 and tumor necrosis factor α) and melanogenesis. In addition, ROC recovered the UV-induced decrease in the hyaluronic acid and collagen levels by enhancing genes expression. Furthermore, ROC significantly downregulated the protein and mRNA expression of matrix metalloproteinases responsible for collagen degradation. These protective effects of ROC against photoaging are associated with the suppression of UV-induced phosphorylation of c-Jun NH2-terminal kinase and activator protein 1 activation. CONCLUSIONS: Altogether, our findings suggest that the oral administration of ROC exerts potential protective activities against photoaging in UV-irradiated hairless mice.

Tobacco Cessation in India: How Can Oral Health Professionals Contribute?

  • Oberoi, Sukhvinder Singh;Sharma, Gaurav;Nagpal, Archana;Oberoi, Avneet
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권5호
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    • pp.2383-2391
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    • 2014
  • Tobacco use is described as the single most preventable cause of morbidity and mortality globally, with the World Bank predicting over 450 million tobacco-related deaths in the next fifty years. In India, the proportion of all deaths that can be attributed to tobacco use is expected to rise from 1.4% in 1990 to 13.3% in 2020 of which smoking alone will cause about 930,000 adult deaths by 2010. Many studies have shown that counseling from a health professional is an effective method of helping patients quit the tobacco habit. Tobacco cessation needs to be urgently expanded by training health professionals in providing routine clinical interventions, increasing availability and subsidies of pharmacotherapy, developing wide-reaching strategies such as quitlines, and costeffective strategies, including group interventions. The WHO Framework Convention on Tobacco Control (FCTC) emphasizes the vital contribution of participation of health professional bodies, as well as training and healthcare institutions in tobacco control efforts. Dentists can play an important role in helping patients quit using tobacco. One of the key strategies to reduce tobacco-related morbidity and mortality is to encourage the involvement of health professionals in tobacco-use prevention and cessation counselling. The dental office is an ideal setting for tobacco cessation services since preventive treatment services, oral screening, and patient education have always been a large part of the dental practice.

Use of a gesture user interface as a touchless image navigation system in dental surgery: Case series report

  • Rosa, Guillermo M.;Elizondo, Maria L.
    • Imaging Science in Dentistry
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    • 제44권2호
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    • pp.155-160
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    • 2014
  • Purpose: The purposes of this study were to develop a workstation computer that allowed intraoperative touchless control of diagnostic and surgical images by a surgeon, and to report the preliminary experience with the use of the system in a series of cases in which dental surgery was performed. Materials and Methods: A custom workstation with a new motion sensing input device (Leap Motion) was set up in order to use a natural user interface (NUI) to manipulate the imaging software by hand gestures. The system allowed intraoperative touchless control of the surgical images. Results: For the first time in the literature, an NUI system was used for a pilot study during 11 dental surgery procedures including tooth extractions, dental implant placements, and guided bone regeneration. No complications were reported. The system performed very well and was very useful. Conclusion: The proposed system fulfilled the objective of providing touchless access and control of the system of images and a three-dimensional surgical plan, thus allowing the maintenance of sterile conditions. The interaction between surgical staff, under sterile conditions, and computer equipment has been a key issue. The solution with an NUI with touchless control of the images seems to be closer to an ideal. The cost of the sensor system is quite low; this could facilitate its incorporation into the practice of routine dental surgery. This technology has enormous potential in dental surgery and other healthcare specialties.

Update on polycystic ovary syndrome

  • Kim, Jin Ju
    • Clinical and Experimental Reproductive Medicine
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    • 제48권3호
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    • pp.194-197
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    • 2021
  • Polycystic ovary syndrome (PCOS) is a common disorder in reproductive-age women. In 2018, an international evidence-based guideline announced recommendations spanning a wide range of issues on the assessment and management of PCOS. From the 166 recommendations, the present study reviews those that are of particular clinical relevance for daily practice and introduces other relevant studies that have been published since the global guideline. The 2018 guideline increased the antral follicle count cutoff for the diagnosis of PCOS from 12 to 20 when using a high-frequency probe. Hirsutism was defined as having a score of ≥4-6 based on a lower percentile of 85%-90% or cluster analysis, which was lower than the traditionally used 95th percentile-based cutoff. The diagnosis of PCOS in adolescents is challenging, and irregular menstruation was defined carefully according to years from menarche. The use of ultrasonography for the diagnosis of PCOS was restricted to those 8 years after menarche. As medication for non-fertility indications, combined oral contraceptives are the first-line drug. Metformin, in addition to lifestyle modifications, should be considered for adult patients with a body mass index ≥25 kg/m2 for the management of weight and metabolic outcomes. An aromatase inhibitor is the recommended first-line medication for ovulation induction, a subsequent individual patient data meta-analysis also reported the same conclusion. Whether the new global guideline will be fully adopted by many specialists and change clinical practice is open to question. Further studies are needed to better understand and manage PCOS patients well.

월경전증후군 한의표준임상진료지침 개발을 위한 한의사의 의견과 치료에 대한 실태조사 (A Survey on Korean Medicine Doctor' Opinion and Treatment for Developing Korean Medicine Clinical Practice Guideline for Premenstrual Syndrome)

  • 김누리;김정훈;정서윤;김평화;이은희
    • 대한한방부인과학회지
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    • 제35권4호
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    • pp.77-90
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    • 2022
  • Objectives: This study was aimed to figure out korean medicine doctors' opinion and treatment of Korean medicine clinical practice guidelines (CPG) for premenstrual syndrome (PMS). Methods: We conducted a questionnaire survey targeting korean medicine doctors belonging to the Korean Association of Oriental Medicine by e-mail and text and analyzed the answers. Results: 1. The average monthly number of patients visiting the respondents' clinics for PMS was 2.7, the main age group was 20-30s (80.8%) and the treatments the patients given before were mostly western treatments such as painkiller and combined oral contraceptives. 2. The treatment period for PMS was mostly less than 3 months (69%), and the frequency of acupuncture treatment was the most twice per week (41.1%). 3. The most effective herbal medicine for affective symptoms was Soyo-san, and for physical symptoms was Gyejibokryung-hwan. The most commonly used acupuncture point was 三陰交 (SP6). 4. Other opinions of the clinicians about Korean medicine clinical practice guideline of PMS were the need for promotion of PMS, convenience of taking herbal medicines and price competitiveness. Conclusions: We figured out korean medicine doctors' opinion of PMS CPG, clinical diagnosis and treatment.

Modern Possibilities and Prospects of Nanotechnology in Dentistry

  • Sergiy, Chertov;Valery, Kaminskyy;Olha, Tatarina;Oleksii, Mandych;Andrii, Oliinyk
    • International Journal of Computer Science & Network Security
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    • 제22권10호
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    • pp.97-106
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    • 2022
  • Objective. Nanotechnology is spreading among all areas of life, from everyday devices to medicine. The concept of nanotechnology argues that not only can new physical and chemical properties of materials be discovered, but also the new potential of nanostructures when reduced to the nanoscale. The growing interest in the application of nanomaterials in dentistry contributes to the proliferation of the range of nanomaterials used by specialists. The purpose of this review of information sources was to analyze the prospects for the use of nanomaterials in dentistry. Methods. We used the bibliographic semantic method of research, for which we analyzed electronic databases of primary literature sources Scopus, Web of Science, Research Gate, PubMed, MDPI, and MedLine. English-language scientific articles published after 2017 were taken into consideration. Results. According to the results of a search study among modern information primary sources, nanotechnology improves the preventive properties of oral care products, improves the structural-mechanical and aesthetic properties of composite mixtures for dentistry, overcomes the problems of the clinical application of dental implants. Despite the prospects of nanotechnology applications in medicine in general and dentistry in particular, the existing economic and technological problems require a thorough solution for further implementation of nanostructures. Scientific novelty. For the first time, the analysis of modern trends in the application of nanotechnology in dentistry is carried out and the peculiarities of materials are highlighted, the problems and prospects of nanostructures implementation in modern dental implantology are given, physical, chemical, mechanical, and antibacterial properties of nanomaterials are evaluated. The effect of nanomaterials on the microbial adhesion of the tooth or implant surface is described. Practical significance. The presented publication can become a scientific basis for the solution of urgent problems hindering the introduction of nanotechnology into dental practice. Conclusions. Thus, the use of nanostructures opens up great opportunities for the treatment of a wide range of diseases, not only of dental nature but also in medicine in general.

Sucrose solution for alleviating needle pain during inferior alveolar nerve block in children aged 7-10 years: a randomized clinical trial

  • Supriya Thambireddy;Nirmala SVSG;Sivakumar Nuvvula
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제23권5호
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    • pp.273-280
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    • 2023
  • Background: Intraoral local anesthesia is essential for delivering dental care; however, injection of this local anesthetic is perceived as the most painful and distressing agent for children, parents, and healthcare providers. Reducing pain as much as possible is essential to ensure smooth subsequent treatment procedures, especially in pediatric dentistry. In clinical practice, oral sucrose administration has been reported to decrease the pain during heel lance and cold pressor tests in neonates and children. This study aimed to determine whether the prior administration of a 30% sucrose solution reduced the pain related to inferior alveolar nerve block in children. Methods: A total of 42 healthy children aged 7-10 years requiring dental treatment of mandibular molars involving inferior alveolar nerve block were recruited. The participants' demographic details were recorded, height and weight were measured, and the anesthetic injection was delivered after receiving the respective intraoral sucrose solution and distilled water by the intervention (group 1) and control (group 2) group participants for 2 min. The subjective pain perceived during injection was measured using an animated emoji scale. The pain scores between the groups were compared using the Mann-Whitney U test. Results: The median pain score and range for the intervention and control groups were 4 (2 - 6) and 6 (4 - 8), respectively, and statistically significant differences (P < 0.001) were observed in the intervention group. Age, sex, height, and weight did not influence the analgesic effect of the sucrose solution. Conclusion: Oral administration of sucrose may relieve pain associated with inferior alveolar nerve block in children.

국제결혼 이주여성의 인구사회학적 특성과 구강건강상태와의 관계 연구 (A Study on the Relationship of Sociological Characteristics to Oral Health Status in Population International Marriage Migrant Women)

  • 윤현경;이승희;최규일
    • 한국산학기술학회논문지
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    • 제13권2호
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    • pp.678-684
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    • 2012
  • 본 연구는 국제 결혼 이주여성들의 구강건강 상태를 파악하여 국제 결혼 이주여성의 구강 건강을 향상시키는데 도움을 주기 위한 기초연구이다. 국제결혼 이주여성 약 1,300명 중 다문화가정 지원센터에서 운영하는 프로그램에 참여하는 국제결혼 이주여성 237명을 대상으로 직접 면접 조사방식으로 설문에 응답하게 한 후 일반 과 직접구강검사법을 이용하여 2010년 5월 1일부터 10월 31일까지 조사하였다. 수집된 자료는 SPSS 17.0 프로그램을 이용하여 전산통계 처리하였으며, 분석방법은 빈도분석 회귀분석, 로지스틱 회귀분석을 이용하였다. 결과는 첫째, '국적'을 보면 '베트남' 38.8%, '필리핀' 29.1%, '중국' 12.2%, '일본' 6.8%, 이었으며 '현재의 구강상태'는 '우식치아'가 있는 경우 60%, '우식증이 없는 경우' 40%로 조사되었다. 필리핀 국적의 국제결혼 이주여성들이 결손치아가 많은 것으로 나타났고, 일본 국적의 국제결혼 이주여성들은 여타 국적의 국제결혼 이주여성들에 비해 결손치아 수가 더 적은 것으로 나타났다. 그리고 월 소득이 높은 국제결혼 이주여성들일수록 결손치아 수가 적은 것으로 조사되었다. '나이가 많을수록 우식치아의 숫자는 적어지고 있는 경향을 확인해볼 수 있었다. 남편 학력이 높은 국제결혼 이주여성들일수록 치주질환이 없을 확률이 높은 것으로 나타났고, 전업주부인 국제결혼 이주여성들일수록 치주질환을 가지고 있을 확률이 높은 것으로 조사되었다.

육군의 복무 상황에 따른 흡연 양상과 구강보건행태 및 인식 (Smoking Patterns, Oral Health Behavior and Perception of the South Korean Army)

  • 장선옥;김윤희;강정윤;고민서;김보연;박지혜;심서윤;;정원균
    • 치위생과학회지
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    • 제10권3호
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    • pp.131-139
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    • 2010
  • 이 연구는 우리나라 군 장병이 복무를 하는 과정에서 병영 안의 내무반생활과 병영 밖의 군사훈련생활에서 흡연 양상의 차이와 이와 관련한 구강보건행태와 인식의 변화를 알아보고자 하였다. 이를 위해 2009년 3월 16일부터 6월 16일까지 육군 ${\bigcirc}{\bigcirc}$부대에 복무하고 있는 장병 367명의 설문 응답을 분석하여 다음의 연구결과를 얻었다. 1. 군인의 복무 상황에 따른 구강보건행태를 비교한 결과, 군사훈련생활에서는 내무반생활에 비하여 구강 건강을 적절히 관리하지 못하고 있었다. 칫솔 사용률은 내무반생활에서는 96.2%이었지만 군사훈련생활에서는 72.0%로 감소하였다. 내무반생활을 할 때에는 하루 3회 이상 칫솔질을 한다는 군인이 55.3%이었으나, 군사훈련생활을 할 때에는 29.3%로 크게 감소하였다. 2. 군에 입대한 후 구강예방진료, 구강보건교육, 금연교육을 받은 경험이 없는 군인이 각각 84.1%, 90.7%, 87.9%이었다. 3. 군인의 52.8%가 흡연자이고, 47.2%는 비흡연자이었다. 흡연자의 31.1%는 흡연 후에 아무런 구강건강관리행위를 하지 않았다. 흡연하는 담배 개비의 수는 내무반생활에서는 평균 13.97개비(표준편차 7.51), 군사훈련생활에서는 평균 13.02개비(표준편차 8.36)로서 통계적으로 유의한 차이는 없었다(p=0.109). 4. 흡연자는 칫솔질 횟수와 칫솔질 시간이 적을수록 Pack years가 높은 경향을 보이지만, 통계적으로 유의한 차이는 없었다(각각 p=0.063, p=0.184). 5. 흡연에 대한 구강보건인식을 조사한 결과, 흡연자의 77.9%와 비흡연자의 88.8%가 흡연이 구강건강에 영향을 미친다고 생각하였고(p=0.0095), 흡연자의 52.4%와 비흡연자의 72.5%가 구강건강이 전신건강에 영향을 미친다고 생각하였으며(p=0.0007), 또한 흡연자의 35.8%와 비흡연자의 59.1%가 군대 내에서 금연교육이 필요하다고 생각하였다(p<0.0001). 아울러 전체 대상자의 77.8%와 64.5%가 각각 군대 내에서 구강검진이 필요하고, 구강보건교육이 필요하다고 생각하였으나 이 두 가지의 인식에서는 흡연자와 비흡연자 사이에 통계적으로 유의한 차이는 없었다. 6. 군사훈련생활과 흡연 여부에 따른 칫솔질의 횟수 및 시간을 조사한 결과, 내무반생활에 비하여 군사훈련 생활에서 1회만 칫솔질을 할 확률은 2회 이상 칫솔질을 할 확률보다 9.29배 높았으며(p<0.01), 내무반 생활에 비하여 군사훈련생활에서 1분 이내로 칫솔질을 할 확률은 1분 이상 칫솔질을 할 확률보다 2.19배 높아 통계적으로 유의한 차이가 있었다(p<0.01). 하지만 칫솔질의 횟수와 시간 전체에 대해서는 군사훈련생활 여부와 계급을 보정한 결과, 비흡연자와 흡연자 사이에 통계적으로 유의한 차이가 없었다. 이번 연구를 통하여 우리나라의 군 병사는 내무반에서 생활할 때에 비하여 군사훈련의 생활을 할 때에 자가구강 관리에 어려움을 겪고 있으며, 흡연율이 높지만 군대 내의 금연교육과 구강보건교육은 부족하다는 사실을 확인할 수 있었다. 따라서 군에서는 군 장병이 군 복무를 하는 동안 구강건강이 증진될 수 있도록 의무 환경을 적극적으로 개선해야 할 것이다.

Ectopic teeth with disparate migration: A literature review and new case series

  • Pallak Arora ;Madhu K. Nair ;Hui Liang ;Paras B. Patel ;John M. Wright;Mehrnaz Tahmasbi-Arashlow
    • Imaging Science in Dentistry
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    • 제53권3호
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    • pp.229-238
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    • 2023
  • Purpose: Ectopic eruption can be defined as the emergence of a tooth in an abnormal location, where the tooth does not follow its typical eruption pathway. While ectopic eruption within the dentate region is well-documented in the literature, ectopic eruption in non-dentate regions is relatively rare. This study aimed to report 6 cases of ectopic teeth and present a systematic review of the English-language literature on ectopic teeth, emphasizing demographic characteristics, radiographic features, potential complications, and treatment options. Materials and Methods: A literature search was conducted using the PubMed, Medline, Web of Science, and Cochrane databases. The demographic data and radiographic findings of patients presenting with ectopic teeth were recorded. Results: The literature review yielded 61 cases of ectopic teeth, with patients ranging in age from 3 to 74 years. The findings from these previously reported cases demonstrated that the most common location for ectopic teeth was the maxillary sinus, which is consistent with this case series. The Pearson chi-square test was performed to evaluate the correlation between age and location of ectopic teeth, and the results were found to be statistically significant (P<0.05). However, no statistically significant relationship was observed between sex and the location of ectopic teeth. Conclusion: The distinct features of these cases warrant reporting. This study presents the first case of supernumerary teeth in the condyle without any associated pathosis. Another notable characteristic is the pre-eruptive resorption of 2 inverted supernumerary teeth ectopically located in the palate, which predisposes to sinus opacification.