• Title/Summary/Keyword: oral communication

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The double-barrier technique using platelet-rich fibrin for closure of oroantral fistulas

  • Jae-Woong Jung;Sung ok Hong;Eun-Jee Lee;Ra-Yeon Kim;Yu-Jin Jee
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.3
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    • pp.163-168
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    • 2023
  • An oroantral fistula (OAF) or oroantral communication (OAC) is an opening between the oral cavity and the maxillary sinus. If left untreated, these openings may cause chronic maxillary sinusitis. Although small defects (diameter <5 mm) may close spontaneously, larger communications require surgical intervention. Various studies have been conducted on OAC closure using a platelet-rich fibrin (PRF) membrane; most of these prior studies have involved simple direct application of PRF clots. This study introduces a new "double-barrier technique" using PRF for closure of an OAF involving sinus mucosal lifting and closure. The PRF material is inserted into the prepared maxillary sinus space, and the buccal advancement flap covers the oral side. This technique was successfully used to treat two patients with chronic OAF in the posterior maxillary region after implant removal or tooth extraction. The use of a PRF membrane in a double-barrier technique may have advantages in soft-tissue healing and could enable easy closure of chronic OAF with minimal trauma.

Textual communication and its model (텍스트 의사소통과 그 모델)

  • Kim, Huiteak
    • Cross-Cultural Studies
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    • v.27
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    • pp.347-386
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    • 2012
  • This article aims to establish the model of textual communication and its schema. To do this, we must identify the characteristics of textual communication, different from that of the oral, because the model of communication is usually done to show the structure of oral communication. Moreover, we must clarify the status text as '${\acute{e}}nonc{\acute{e}}$', that is to say product of the act of enunciation. The study of the text has now reached to achieve from the perspective of pragmatics, overcoming the structural point of view that dominates long text linguistics. And now, we need to enrich the theoretical basis of the pragmatics of text. Then the search of elements necessary to develop the model and pattern of textual communication can help to establish the elements used to form the theoretical basis. To clarify the characteristics of textual communication, we needed to explain the present communication by the position of reader and the point of view of textual reference. The schema that we proposed is not perfect, but there are still issues to think to complete it. For example, one must take into account the plurality of readers and reflect the relationship between interpretive texts in this schema, etc. This kind of problem is not only required to complete the schema but also to strengthen the basis of the theory of textual communication and the pragmatics of text.

A STUDY ON FACTORS AFFECTING DENTAL TREATMENT TIME OF PATIENTS WITH MENTAL DISABILITY IN VISITING DENTAL SERVICES (방문구강건강관리사업에서 정신적 장애인의 구강건강관리시간에 영향을 미치는 요인)

  • Lim, Kyung-Cheol;Lee, Jae-Young;Jin, Bo-Hyoung;Lee, Gyorin;Kim, SoYun;Paik, Hye-Ran;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.2
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    • pp.78-87
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    • 2018
  • Patients with mental disability who are classified as dental severely disabled, have poor oral health status and many difficulties in taking health services. The purpose of this study was to investigate factors of influencing in visiting oral health care services. After receiving approval from institutional review board in Seoul National University, 39 participants were recruited and the oral health examination and questionnaire were taken. Data were analyzed using one-way ANOVA, independent t-test, hierarchical linear regression for predicting influence of each participants' characteristics on oral examination time and care time. In regression model, the higher the disability grade and the lower the degree of cooperation, the more oral examination time increased. However possibility of communication was not significantly influenced. Also, the higher the disability grade and the lower the degree of cooperation, the more oral care time increased. However possibility of communication was not significantly influenced. These results are expected to provide objective data for introduction and establishment of visiting dental care.

Cone-beam computed tomography-based radiographic considerations in impacted lower third molars: Think outside the box

  • Ali Fahd;Ahmed Talaat Temerek;Mohamed T. Ellabban;Samar Ahmed Nouby Adam;Sarah Diaa Abd El-wahab Shaheen;Mervat S. Refai;Zein Abdou Shatat
    • Imaging Science in Dentistry
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    • v.53 no.2
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    • pp.137-144
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    • 2023
  • Purpose: This study aimed to evaluate the anatomic circle around the impacted lower third molar to show, document, and correlate essential findings that should be included in the routine radiographic assessment protocol as clinically meaningful factors in overall case evaluation and treatment planning. Materials and Methods: Cone-beam computed tomographic images of impacted lower third molars were selected according to specific inclusion criteria. Impacted teeth were classified according to their position before assessment. The adjacent second molars were assessed for distal caries, distal bone loss, and root resorption. The fourth finding was the presence of a retromolar canal distal to the impaction. Communication with the dentist responsible for each case was done to determine whether these findings were detected or undetected by them before communication. Results: Statistically significant correlations were found between impaction position, distal bone loss, and detected distal caries associated with the adjacent second molar. The greatest percentage of undetected findings was found in the evaluation of distal bone status, followed by missed detection of the retromolar canal. Conclusion: The radiographic assessment protocol for impacted third molars should consider a step-by-step evaluation for second molars, and clinicians should be aware of the high prevalence of second molar affection in horizontal and mesioangular impactions. They also should search for the retromolar canal due to its associated clinical considerations.

Communication competence in dental healthcare hygienists (치과병의원에 근무하는 치과위생사의 의사소통능력)

  • Lee, Sun-Mi;Yun, Jung Won;Lee, Jung-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.3
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    • pp.359-367
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    • 2020
  • Objectives: The purpose of this study was to recognize the importance of dental hygienist's communication competence and to establish the basis for developing a program to improve communication competence. Methods: A survey was conducted on members who underwent participatory training in some trials in 2019, and a total of 348 people were analyzed. Results: Total communication competence was 3.63 points. The highest area was 3.88 points for understanding others' standards, and the lowest area was 3.27 points for escaping stereotypes. Most areas of communication showed statistically significant positive correlations, but in some areas, there was an inverse correlation. As a dental hygienist, it is necessary to provide systematic education for improving communication competence from college students. Conclusions: In addition, it is necessary to develop and implement a training program for improving communication competence of dental hygienists.

Current status and installation standard of dental PACS

  • Park Chang-Seo;Kim Kee-Deog;Park Hyok;Jeong Ho-Gul
    • Imaging Science in Dentistry
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    • v.34 no.4
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    • pp.175-178
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    • 2004
  • Purpose: Picture Archiving and Communication System (PACS) is difficult to implement in the best of situations, but evidence is growing that the benefits are significant. The aims of this study are to analyze the current status of full PACS and establish successful installation standard of dental PACS. Materials and Methods : Materials and methods were based on the investigation of current working status and installation standard of PACS, and observation of variable issues to installation of dental PACS. Results: By September 30,2004, full PACS implementations in their facilities were 88.1 % in specialized general hospitals (37 installations out of total 42 hospitals), 59.8% in general hospitals (144 installations out of total 241 hospitals), 12.3% in medical hospitals (116 installations out of total 941 hospitals) and 3.6% in dental hospitals (4 installations out of total 11 0 hospitals) Only 4 university dental hospitals currently have installed and are operating full PACS. Major obstacle to wide spread of dental PACS is initial high investments. Conclusions: Clinical environments of dental PACS differed from medical situation. Because of characteristic dental practice, the initial investments for dental PACS are generally much greater than those of medical PACS. Also new economic crisis makes users scruple. The best way to overcome these limitations is to establish an economic installation standard for dental PACS. Also the clear technical communication between the customer and the supplier before both sides are committed to the obstacles are critical to its success.

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Oral-Motor Facilitation Technique (OMFT): Part I-Theoretical Base and Basic Concept (구강운동촉진기술: 1 부-이론적 배경과 기초 요소)

  • Min, Kyoung Chul;Seo, Sang Min;Woo, Hee-soon
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.37-52
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    • 2021
  • Introduction : Oral motor function is basic function of sensory exploration, feeding, and communication, that develops from the fetal stage to childhood. Problems with oral motor function result in difficulty within handling food in the oral cavity, decreased swallowing and feeding skills, difficulty with communication, and problems with oral hygiene. To treat these symptoms, oral motor therapy is provided for normalizing sensory adaptation in the oral cavity, and increasing postural control, oral movement and oral motor function. Discussion : The oral motor facilitation technique (OMFT) was developed for increasing general and integrated oral motor function based on the following: 1) understanding orofacial muscular physiology; 2) a comprehensive approach to sensory·adaptation·behavior·cognition; 3) sensorimotor stimulation by a manual approach; 4) motor control and motor learning theory. The OMFT is a new evidence-based treatment protocol, for children and adults with neuromuscular and oral motor problems. Conclusion : The goal of this article is to provide a theoretical background for OMFT development and the basic concept for the clinical application of OMFT. We hope that this article will help oral motor therapy experts to provide effective therapy in a more professional way.

A Study on Adolescents' Misconceptions about Oral Health Knowledge in Some Areas (일부지역 청소년의 구강건강지식 오개념에 관한 연구)

  • Shim, Jae-Suk;Seong, Jeong-Min;Lee, Mi-Ra;Song, Seol-Kyung
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.1
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    • pp.181-189
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    • 2013
  • This study was conducted to provide basic data in establishing a method for helping adolescents form the concept of correct oral health knowledge, by searching for their misconceptions about oral health knowledge and figuring out relevant factors. Results showed that they had appropriate knowledge on a relatively large number of questions regarding the level of oral health knowledge, but they also had misconceptions about the toothbrush grip, how to use medicines for gum diseases, and the project of fluorine concentration adjustment in water. It was shown that the score of oral health knowledge turned out to be 10.78 on average as a whole and the mean difference was within the error range. As for the correlations of misconceptions about oral health knowledge by group, it was noted that there were no differences in gender and education level, but those who completed oral health education had more appropriate concepts than those who did not (p < 0.001). In terms of the paths that they obtained oral health knowledge, the Internet and mass media (35.4%) had the highest rate and school (9.6%) had the lowest rate. With regards to the level of oral health knowledge, school had 10.56, which was the lowest score. In this regard, in order for adolescents to form adequate oral health knowledge, the following should be done. therefore, it would be necessary to activate school oral health education so as for adolescents to exercise adequate oral health behavior and to train many oral health educators so as for them to be provided with more educational opportunities.

Evaluation of the postoperative maxillary sinus with computed tomography

  • Kim Hee-Kyung;Heo Min-Suk;Lee Sam-Sun;Choi Hyun-Bae;Choi Soon-Chul;Park Tae-Won
    • Imaging Science in Dentistry
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    • v.32 no.4
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    • pp.195-200
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    • 2002
  • Purpose: To evaluate the computed tomographic appearances of post-operative maxillary sinuses. Materials and Methods: 33 asymptomatic cases of post-operative maxillary sinus without evidence of any pathologic changes and clinical symptoms were selected. CT images were classified as opacification, soft tissue shadow, anterior wall depression, naso-antral communication, and compartmentalization. The relationships between the CT image and the age of patients at the time of operatation, and between the CT image and the duration of time elapsed since the surgical procedure were evaluated. Results: The most commonly presented radiological characteristics that occurred after the Caldwell-Luc procedure were opacification and soft tissue shadow. Anterior wall depression and naso-antral communication were radiographic indications that a Caldwell-Luc operation had been carried out. The age of patients when they had been first operated on, and the duration between the surgical procedure and the time of evaluation had no effect on the CT appearances of normal changes. In cases involving a longer time interval between the antral surgery and evaluation, the anterior wall depression with bony healing was more commonly observed than soft tissue healing. Conclusion: The radiographic information regarding the normal healing state using computed tomography can distinguish post-operative changes from inflammatory and cystic disease in patients who have undergone a Caldwell-Luc type of radical maxillary antrostomy.

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