• 제목/요약/키워드: dental examination

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Removal of Maxillary Mesiodentes of Patient with Molar-Incisor Hypomineralization (MIH) (Molar-Incisor Hypomineralization에 이환된 환자의 상악 정중과잉치 발거)

  • Bae, Sangyong;Ra, Jiyoung;Lee, Jewoo
    • The Korean Journal of Oral and Maxillofacial Pathology
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    • 제42권6호
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    • pp.183-187
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    • 2018
  • The supernumerary tooth which is extra tooth in comparison to normal dentition is one of the developmental problems. The most common type of supernumerary tooth is mesiodens which may cause several complications like delayed eruption, crowding, spacing et al. Moral Incisor Hypomineralization (MIH) describes the clinical appearance of enamel hypomineralization of systemic origin affecting one or more permanent first molars that associated frequently with affected incisors. We report a case of a 6 - year - old boy who visited our clinic for removal of mesiodentes. The patient was diagnosed by mesiodentes and MIH by clinical examination and radiographic examination. Under local anesthesia, Mesiodentes were removed surgically. The demarcated opacities, a feature of MIH, were observed in the removed mesiodentes. After removal of mesiodentes, the maxillary central incisors erupted normally and in order to manage the teeth affected MIH, follow-up and fluoride varnish application were done every 3 months.

Socioeconomic status, food security, and chewing discomfort of Korean elders: results from the Korea National Health and Nutrition Examination Survey

  • Shin, Hye-Sun;Im, Ae-Jung;Lim, Hee-Jung
    • Nutrition Research and Practice
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    • 제16권1호
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    • pp.94-105
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    • 2022
  • BACKGROUND/OBJECTIVES: The purpose of this study was to investigate the association between socioeconomic status and chewing discomfort and identify the role of food insecurity in the association's causal pathway in a representative sample of Korean elders. MATERIALS/METHODS: We conducted cross-sectional analyses of the Korea National Health and Nutrition Examination Survey (2013-2015) data for elders aged ≥ 65 years. Socioeconomic status indicators used included household income and education level. Chewing discomfort was assessed according to the self-reported presence of chewing problems. Food security was surveyed using a questionnaire based on the US Household Food Security Survey Module. RESULTS: The odds ratios of chewing discomfort in the 1st and 2nd income quartiles were 1.55 (95% confidence interval [CI], 1.15-2.10) and 1.40 (95% CI, 1.03-1.90), respectively, compared to participants in the highest income quartile. Participants with the lowest education level were 1.89 (95% CI, 1.30-2.75) times more likely to have chewing discomfort than those without chewing discomfort. After including food security in the final model, the logistic coefficients were attenuated in the income and education quartiles. CONCLUSIONS: Low socioeconomic status was associated with chewing discomfort. In addition, the results confirm that food insecurity can mediate the association between socioeconomic inequalities and chewing discomfort among the elderly.

Bilateral supernumerary maxillary fourth and fifth molars: A clinical case report and literature review

  • Adib Al-Haj, Husain;Daphne, Schonegg;Fabienne Andrina, Bosshard;Silvio, Valdec
    • Imaging Science in Dentistry
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    • 제52권4호
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    • pp.429-434
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    • 2022
  • Supernumerary teeth that are present in the molar region may be evident based on crowding and impaction, but most cases are asymptomatic and discovered as incidental findings during routine radiological examinations. This article reports the case of a 29-year-old woman who presented with a severe feeling of pressure in the region of the maxillary third molars that had been increasing in intensity for weeks. A clinical examination revealed crowding of the maxillary anterior teeth despite the completion of orthodontic treatment and an erupted third molar with localized gingivitis in the second quadrant. A radiographic examination revealed bilateral supernumerary maxillary fourth and fifth molars, so cone-beam computed tomography was performed to locate the supernumerary teeth precisely for a preoperative diagnosis and comprehensive treatment planning. This report presents the radiological and surgical case management of a rare case of bilateral supernumerary molars and reviews the literature regarding epidemiology and treatment options.

Factors influencing oral health according to life cycle characteristics of patients with diabetes (생애주기별 당뇨질환자의 구강건강영향요인)

  • Hye-Sook Choi
    • Journal of Korean society of Dental Hygiene
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    • 제24권3호
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    • pp.253-262
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    • 2024
  • Objectives: This study aimed to identify the factors influencing the relationship between diabetes and oral health in Korean adults. Methods: We analyzed 5,319 adults who were included in the 9th Korea National Health and Nutrition Examination Survey. The data were analyzed for demographic characteristics, daily health care, and oral health care according to diabetic conditions using a complex sample analysis. Multiple logistic regression analysis was performed to analyze the factors influencing the oral health of patients with diabetes. Results: The factors influencing the oral health of patients with diabetes varied according to life cycle. In late middle-aged adults, statistically significant differences were observed in sex (p<0.001), educational level (p=0.030), economic activity (p=0.018), aerobic exercise (p=0.034), smoking (p=0.004), periodontal therapy (p=0.011), and prosthesis production/repair (p=0.025). In younger elderly individuals, statistically significant differences were found in terms of whether they lived together (p=0.027) and educational level (p=0.032). Conversely, no statistically significant differences were observed in the older elderly group. Conclusions: The results of this study showed that the level of oral health of patients with diabetes is already determined in middle and old age; therefore, a system should be prepared to ensure that health care can be systematically performed in late middle-aged adults.

A Case Report on Dental Identification in the KAL Air Disaster (KAL기 사고시 소사체의 개인식별감정 1예)

  • 김종열;신형식
    • Journal of Oral Medicine and Pain
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    • 제8권1호
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    • pp.61-67
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    • 1983
  • Authors observed a corpse which is died from "Charring", caused by air disaster, for the purpose of individual identification. This is an identifide case of the charred corpse due to the fire while landing of KAL 747 Jumbo(HL 7445) at Kimpo airport Nov.1980. It was referred to author in the state of carbonization by high degree of heat-as unknown body entirely. But teeth condition and treated condition were well preserved under mouth closing and by the comparative examination of antermortem dental records, dental radiographs, the individual identification was simply accomplished. Therefore, it brought repeatedly a recognition of the practical effectiveness of dental identification and importance or dental records.

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Study on the dental treatment needs of elderly people covered by Medical Aid Program (의료급여 대상 노인의 치과진료 수요에 관한 연구)

  • Kim, Hee-Sun
    • The Journal of the Korean dental association
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    • 제49권6호
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    • pp.334-339
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    • 2011
  • The purpose of this study was to investigate the oral health condition and dental treatment need of low socioeconomic elderly people. A total of 116 elderly people who visited Boramae Hospital were evaluated with oral examination and panoramic radiogaph. The results showed that the most expecting treatment of low income aged people was removable partial denture. It was very clear in the age group of 70-84. In the age group under 70, most of the patients wanted prosthodontic tratement using fixed partial denture or crown. As the result of this study, elderly people with low socioeconomic status under age 85 needed removable partial denture or fixed prosthesis than complete denture. It is necessary to develop a more expanding and customized Senile prosthetic restoration program.

Management of Dental Patients taking Warfarin (와파린(Warfarin) 투여 환자의 치과 치료)

  • Park, Kwan-Soo
    • The Journal of the Korean dental association
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    • 제57권10호
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    • pp.623-628
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    • 2019
  • Warfarin is an anticoagulant involved in the production of vitamin K dependent blood clotting factors. Dentists should be familiar with the appropriate assessment methods and considerations for the treatment of patients taking warfarin. Dental surgery with the moderate risk of bleeding can be performed without stopping the drug through preoperative examination of the INR(international normalized ratio) value and evaluation. When performing a surgery with a high risk of bleeding, it is necessary to evaluate whether the drug can be discontinued, what the duration is, and the risk of discontinuation. Hemostasis can be obtained by local methods in most cases of postoperative bleeding in patients taking appropriately adjusted doses of warfarin.

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Nonodontogenic toothache

  • Kang, Jin-Kyu;Ryu, Ji Won
    • Oral Biology Research
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    • 제42권4호
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    • pp.241-247
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    • 2018
  • Toothache is one of the most common discomforts experienced by patients in dental clinic. If clinical and radiographic examinations do not reveal any pathologic findings, we can suspect nonodontogenic toothache. Nonodontogenic toothache can be caused by a variety of causes such as muscle disorders, sinus and nasal mucosal problems, neuropathic pain, neurovascular pain, psychogenic problems, and cardiogenic disease. A thorough history and clinical examination should be performed to confirm the cause of the pain, and more accurate diagnosis can be established through local anesthetic injection. If the nonodontogenic toothache is misdiagnosed, unnecessary dental treatment such as root canal treatment, periodontal treatment, and extraction can be performed, and the patient's pain is not alleviated through such treatment. Therefore, the cause of toothache must be diagnosed correctly before dental treatment is performed, and clinicians should be fully aware of the diseases that may cause these symptoms.

Solitary plasmacytoma in the maxillary sinus: 10-year follow-up

  • Nguyen, Truc Thi Hoang;Eo, Mi Young;Sodnom-Ish, Buyanbileg;Cho, Yun Ju;Kim, Soung Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제47권6호
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    • pp.471-475
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    • 2021
  • Solitary plasmacytoma (SP) is an uncommon form of plasma cell neoplasm occurring intraosseously or in soft tissue and presents as a single mass of monoclonal plasma cells. SP in the maxillary sinus is rare and can be misdiagnosed as other maxillary sinus tumors. The essential examinations in patients with the initial diagnosis of plasmacytoma are bone marrow biopsy, serum and urine electrophoresis, and kappa/lambda ratio (κ:λ ratio) to rule out multiple myeloma (MM). Herein, a rare case of SP in the maxillary sinus treated by surgery and localized radiation is reported. At the 10-year follow-up examination, local recurrence or disseminated development of MM were not evident.

Dental fear cause and oral health care behavior in the dental hygiene clinic clients (치위생학과 구강위생교육실에 내원한 대상자의 치과공포 원인과 구강건강관리행태)

  • Lee, Joon-Mee;Jang, Sun-Ok
    • Journal of Korean society of Dental Hygiene
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    • 제10권4호
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    • pp.705-715
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    • 2010
  • Objectives : This study is aimed to seek how to promote oral health care by leading the clients with dental fears to change their behaviors in oral hygiene care based on the analysis of the relationships between the dental fears and oral health care behaviors of the clients who visit the Dental Hygiene Education Room. Methods : This study analyzed the 361 dental hygiene records of the subjects with finished treatment and accurate records among a total of 370 clients who had received dental hygiene care at the Dental Hygiene clinic in Y University from March 2007 till June 2009. According to their general features, the study analyzed whether they had any dental fears and why such fears occurred and conducted Chi-square test to compare their oral hygiene care experiences and behaviors with dental fears. Data analysis was made using the SPSS 12.0K for Window, with level of significance set at 0.05. Results : 1. In terms of dental fear or non-fear, the comparison by gender showed that women had a higher level than men, with 76 women(47.2%) answering yes; the comparison by age showed that the age group of 30 years old or older had a higher level than other groups. 2. In terms of dental fear reasons, "the past pain experiences" recorded 34.2%, showing the highest rate. 3. In addition, dental fears had influences on regular dental examination, scaling and dental hygiene education and the subjects without dental fear showed higher levels in terms of tooth-brushing frequency and time. Conclusions : To control "the past pain experiences", future dental treatment should place priority on preventive treatment and get clients to cope with pains through the preliminary education with pains. Besides, to make an effective oral health care of the clients with dental fears, dental hygienists should control the fears of the clients and perform an appropriate oral health care for them using the communication techniques to make friendly and trustworthy impressions.