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Effects of pain catastrophizing and anxiety on analgesic use after surgical removal of impacted mandibular third molars

  • Altan, Ahmet;Akkoc, Sumeyra;Erdil, Aras;Colak, Sefa;Demir, Osman;Altan, Halenur
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.6
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    • pp.379-388
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    • 2019
  • Background: In dentistry, pain is a factor that negatively affects treatments and drug use. The aim of this study was to evaluate the correlations of the postoperative analgesic use with pain catastrophizing and anxiety in patients who underwent removal of an impacted mandibular third molar. Methods: We recruited 92 patients who underwent the extraction of impacted mandibular third molar. In this study, the Pederson index was used to preoperatively determine the difficulty of surgical extraction. Patients were asked to note the number of analgesics used for 7 postoperative days. Patients were divided into two groups based on the Pain Catastrophizing Scale: low and high score groups. State-Trait Anxiety Inventory-trait and State-Trait Anxiety Inventory-state questionnaires were used to determine the anxiety levels of the patients. The obtained data were examined to evaluate the correlations of pain catastrophizing and anxiety with the postoperative analgesic use. Results: In this study, 92 patients, including 60 women and 32 men, were recruited. The analgesic use was higher in women than in men but with no significant difference (P > 0.05). Pain Catastrophizing Scale scores were higher in women than in men but with no significant difference (P > 0.05). The analgesic use was higher in patients with high pain catastrophizing than in those with low pain catastrophizing but with no significant difference (P > 0.05). State-Trait Anxiety Inventory-trait scores were higher in women than in men but with no significant difference. However, state-Trait Anxiety Inventory-state scores were significantly higher in women than in men (P < 0.05). Conclusion: The postoperative analgesic use may be higher in patients who catastrophize pain than in others. Knowing the patient's catastrophic characteristics preoperatively would contribute to successful pain management and appropriate drug selection.

The Associations of Household food Insecurity with Socioeconomic Status, Food Behaviors, Health Status and Nutrient Intake in the Elderly in Rural Areas (일부 농촌노인의 식품안정성과 사회경제학적 특성, 식생활, 건강상태, 영양소 섭취와의 관련성)

  • Choe, Jeong-Sook;Ji, Seon-Mi;Park, Young-Hee
    • The Korean Journal of Community Living Science
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    • v.20 no.1
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    • pp.19-32
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    • 2009
  • The purpose of this study was to examine household food insecurity and the associations of food insecurity with socioeconomic characteristics, food behaviors, health status and nutrient intake among elderly people in a rural area. This study included 191 elderly people (mean age = $72.0{\pm}7.4$) in Jeollabuk-do, Jangsu-gun. House food insecurity was measured using an adapted version of the USDA short form household food insecurity scale, and nutrient intake measured by a 24-hour dietary recall. Only 15.2% of the subjects were in food-insecure households, 84.8% of the elderly households were food-secure. The food-insecure households were significantly lower in the number of family, frequency of shopping, and perceived health status than the food-secure households. In addition, they had serious tooth problems and NSI (Nutrition Screening Index) scores. Food-insecure households were significantly lower in most areas of nutrient intake (energy, protein, fat, Ca, P, Fe, K, Na, Zn, Vit. $B_2$, niacin, Vit. E), and also lower in nutrient intake compared to dietary reference intake (energy, protein, P, Fe, K, Na, Vit. $B_1$, Vit. $B_2$, niacin, Vit. E). These results suggest that the household food insecurity measures used in this study were an important indicator of nutritional well-being among elderly persons in the rural area. Food insecurity should be considered an important issue to public health and food service programs should be expanded for food-insecure households in rural areas.

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A Study on the Effect of Multi-Application of Fluoride on Enamel Remineralization (불화물 복합적용이 법랑질의 재석회화에 미치는 영향에 관한 연구)

  • Cho, Min-Jung;Lee, Hyang-Lim
    • Journal of Korean society of Dental Hygiene
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    • v.1 no.1
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    • pp.125-132
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    • 2001
  • This study was carried out to investigate the effect of multi or single application of fluoride plus 0.05% NaF solution on the remineralization of dental caries lesion. The microhardness changes of enamel surface were measured after application of fluoride and precipitation of 0.05% NaF solution on 6 groups of cow's tooth on which the artificial carious lesions were formed first. Test groups were calssified into two step application with NaF, $SnF_2$ and APF under different application time conditions plus 0.05% NaF solution(group I, II, III, IV) and single application with APF plus 0.05% NaF solution (group V) and control(0.05% NaF solution only, group IV). The obtained results were as follows. 1. Regarding microhardness change of enamel surface. microhardness increments in group I(NaF for 1 minute+APF for 3 minutes+0.05% NaF solution for 1 minute), II($SnF_2$ 1 min+APF 3 min+NaF sol.), III($SnF_2$ 2 min+APF 2 min+NaF sol.), IV(NaF 2 min+APF 2 min+NaF sol.) and V(APF 4 min+NaF sol.) were significantly greater than group VI.(P<0.05) 2. Microhardness changes of shorter application time of $SnF_2$ (group II) were significantly greater than group III. (P<0.05) 3. Microhardness changes were variable with kinds of fluoride, application sequence and application time of fluoride. but had no relation with the number of fluoride application.

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Association between amalgam removal and urinary mercury concentration: a pilot study (아말감 충전물 제거와 뇨중 수은농도의 관련성 평가: 예비연구)

  • Baek, Hye-Jin;Sa, Kong-Joon;An, Seo-Young;Lee, Hee-Kyung;Song, Keun-Bae;Choi, Youn-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.2
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    • pp.431-438
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    • 2012
  • Objectives : The aim of this study was assessment of the variation of urinary mercury concentrations after removal of amalgam fillings in children. Methods : 10 elemental school children with amalgam filling tooth surfaces were took part in this study. One dentist recorded the number of amalgam filling surface, and general characteristics of subjects were surveyed by questionnaire. Each urine samples were collected before, immediately after and after 24 hours amalgam removal. The statistical analysis was performed using the SPSS 18.0. Results : The mean concentration urinary mercury immediately after amalgam removal was higher ($5.70{\pm}1.20{\mu}g/g$ creatinine) than before amalgam removal ($5.28{\pm}1.53{\mu}g/g$ creatinine). The mean concentration urinary mercury level whose have 1-10 amalgam removal surfaces was increased after amalgam removal compared with before. Conclusions : Mercury concentration in urine was influenced by amalgam removal.

Correlation between High School Students' Experience of Visiting the Dental Clinic and Oral Symptoms (고등학생의 치과방문경험과 구강증상 연관성)

  • Woo, Hee-Sun;Shim, Youn-Soo
    • The Journal of the Korea Contents Association
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    • v.14 no.3
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    • pp.259-268
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    • 2014
  • The purpose of this study is to investigate correlation between experience of visiting the dentist and oral symptoms with 10,701 high school seniors in the research data of the 8th juvenile online health behavior carried out in 2012. The results of this research showed that the lower academic grades, the more tooth crack they experienced, and the lower economic conditions, the more toothache they tended to experience. The main reasons they visited the dentist were because their teeth ached, tingled or throbbed with pain. Scores of oral symptoms, sex, economic conditions and the number of experience of visiting the dentist were found to have a significant correlation. In order to improve high school students' dental health continually, we need to install the school dental health room and need to systemize continuous dental health care system for high school students, along with development of various school dental health education programs, by vitalizing prevention based school dental health education.

Basic Dental Health Survey on Cleft Lip and Palate Patients at Early Mixed Dentition and Early Permanent Dentition Period (초기혼합치열기, 초기영구치열기 구순, 구개열 아동의 기초치아건강실태에 관한 조사 연구)

  • Son Woo Sung;Jeon Jae Ho;Kim Jin Bom
    • Korean Journal of Cleft Lip And Palate
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    • v.6 no.2
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    • pp.69-89
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    • 2003
  • The purpose of this study was to examine and analyze the basic conditions of dental health of cleft lip and palate patients at early mixed dentition (7-year-old, experimental group A) and early permanent dentition period (12,13-year old, experimental group B) and compare them with those of normal children. The sample was consisted of 25 patients at the age of 7 years, 15 at the age of 12 years and 5 at the age of 13 years. Two trained dentists examined orthopantomographs and clinical photos at the first visit of each patient and distinguished the states by teeth and dental surface and filled them on the prescribed forms. DMF rate, DMF index, FT rate, mean number of permanent teeth with fissure sealants, DMFS index and mean percentage of caries experienced maxillary anterior 6 teeth by tooth type are calculated and compared to those of other studies examined normal children. Oral hygiene of experimental groups is poorer than control groups'. Preventive and treatment rate of experimental groups' are lower than control groups'. More concem and effort are needed about prevention and treatment of dental caries of cleft lip and palate patients.

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Quantitative Analysis of Oral Pathogenic Bacteria according to Smoking Using Real-Time PCR

  • Jeon, Eun-Suk;Heo, Hyo-Jin;Ko, Hyo-Jin
    • Journal of dental hygiene science
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    • v.18 no.1
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    • pp.60-68
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    • 2018
  • This study investigates the relationship between smoking and periodontal disease through quantitative analysis of intra-buccal oral pathogenic bacteria detected in smokers and aims to yield objective baseline data for applications in anti-smoking and dental health education programs. From April to May 2016, participants in an oral health management program within an intensive dental hygiene training course at Choonhae College of Health Sciences received an explanation of the study purposes and methods, after which male smokers aged 18~30 years agreed to participate voluntarily. Real-time polymerase chain reaction (PCR) analysis of oral pathogenic bacteria was performed after collecting gingival sulcus fluid samples from 67 smokers. The intra-buccal oral pathogenic bacteria distributions were analyzed based on the subjects' general characteristics, smoking behaviors, and oral care behaviors. The distribution results show that pathogens in the anterior teeth are affected (in this order) by age, toothbrush size, and smoking status; older people had fewer pathogens, those who used larger toothbrushes had more pathogens, and smokers had more pathogens, compared to non-smokers ($_{adj}R^2=19.1$). In the posterior teeth, pathogens were influenced (in this order) by smoking status, smoking duration, and the number of tooth brushings per day; smokers had more pathogens than non-smokers, and those who brushed their teeth more often had fewer pathogens ($_{adj}R^2=25.1$). The overall pathogen distribution was affected only by smoking status: smokers generally had more pathogens, compared to non-smokers. Therefore, it is necessary to provide information about the risk of periodontal disease due to smoking during anti-smoking or dental health education sessions; particularly, the use of smaller toothbrushes for anterior teeth and the need for smokers in their early twenties to quit smoking for dental health should be highly emphasized.

THE INCIDENCE OF MESIODENS (상악 정중과잉치의 발병율)

  • Kim, Jong-Bin;Kim, Jong-Soo;Park, Ji-Eun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.4
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    • pp.646-650
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    • 2007
  • The purpose of this study was to evaluate the prevalence of mesiodens at pediatric dental clinic in Anyang, Kyeong Gi-Do. From retrospective reviews of all patients who visited Kizwell pediatric dental clinic from 2003.4-2006.4, 241 patients (289 mesiodens) who were shown to have mesiodentes were examed by a periapical radiograph and a panoramic radiograph. The incidence of mesiodens was 3.42% and the ratio of male/female (184/57) was 3.2:1. The number of supernumerary teeth was one in 193 cases (80%), two in 48 cases (20%). The mesiodens was placed at left side more frequently and the most common shape was conical type (208, 78%). Of 289 mesiodens, the direction of the crown of the mesiodens was inverted in 156 (54%), in a normal direction in 104 (36%), in a horizontal direction with regard to the tooth axis in 29 (10%). Early diagnosis of the mesiodens allow the most appropriate treatment, often reducing the extent of surgery, orthodontic treatment and possible complications.

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Decreased post-operative pain using a sublingual injection of dexamethasone (8 mg) in lower third molar surgery

  • Gozali, Peiter;Boonsiriseth, Kiatanant;Kiattavornchareon, Sirichai;Khanijou, Manop;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.1
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    • pp.47-53
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    • 2017
  • Background: Every patient who undergoes mandibular third molar surgery is concerned about post-operative pain. Indeed, previous researchers have used various methods to treat such pain. This study aimed to assess the effectiveness of sublingual injection of dexamethasone (8 mg) to treat post-operative pain after mandibular third molar surgery. Method: This was a randomized, double-blind, split-mouth, clinical trial, involving 48 healthy patients who required surgical removal of two mandibular third molars with similar bilateral positions. All operations were performed by the same experienced surgeon. The patients were randomized into a study group (8 mg dexamethasone injection) and a placebo group (normal saline injection). Both interventions were injected into the sublingual space immediately after local anesthesia, 30 min before the first incision. The study group received an 8 mg dexamethasone injection, while the placebo group received a normal saline injection. The wash period between the patients' two operations was 3 to 4 weeks. Pain was assessed by recording the number of analgesic tablets (rescue drug) consumed, as well as by noting the patients' responses to the visual analog scale (VAS) on the first, second, and third days after surgery. Results: The study group differed significantly from the placebo group in terms of VAS score and analgesic consumption. Conclusion: Dexamethasone (8 mg), injected sublingually, significantly eased post-operative pain after surgical removal of the mandibular third molar.

A taxonomic study of Viola section Chamaemelanium in Korea-based on morphological characters (한국산 제비꽃속 노랑제비꽃절의 분류학적 연구 -형태학적 형질을 중심으로)

  • Whang, Sung Soo
    • Korean Journal of Plant Taxonomy
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    • v.32 no.4
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    • pp.397-416
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    • 2002
  • A taxonomic study of Viola section Chamaemelanium in Korea, based on morphological characters, was conducted with light microscopy and scanning electron microscopy. Two species, V. orientalis W. Becker and V. brevistipulata (Fr. et Sav.) W. Becker, are recognized by rhizome and cauline habits, trichomes on the ovary and the shape and beards of stigmas. The latter can be split further into three varieties, var. brevistipulata, var. minor Nakai and var. laciniata (Boiss.) W. Becker, according to the leaf morphology in particular. Viola brevistipulata var. laciniata has the most tooth number, and its teeth are irregular erose but the other two varieties are regular sinuate or serrate. As for the size of leaves, V. brevistipular var. brevistipulata is the largest but V. brevistipulata var. minor is the smallest among the varities. Of them, V. brevistipulata var. laciniata is newly recorded in Korea. It was also revealed that both development and arrangement of the beards developed on the ovary and stigma were particularly diagnostic in the identification of the Viola section Chamaemelanium species.