• Title, Summary, Keyword: mouth self-examination

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Comparison of Different Screening Methods in Estimating the Prevalence of Precancer and Cancer Amongst Male Inmates of a Jail in Maharashtra, India

  • Chaudhari, Amit;Hegde-Shetiya, Sahana;Shirahatti, Ravi;Agrawal, Deepti
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.859-864
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    • 2013
  • Aim: To compare the effectiveness of self-examination, clinical examination and screening methods using 1% toluidine blue and Lugol's iodine in estimating the prevalence of lesions at risk of malignancy and oral malignant disease amongst the male inmates of Yerwada Central Jail, Pune. Material and Methods: Study was carried out on male inmates in two phases. In the first phase self-examination and clinical examination was carried out on 2,257 male inmates. 164 suspicious cases were subjected to phase II of the study out of whom, 82 participants were screened with 1% toluidine blue and 2% Lugol's iodine followed by biopsy procedure. Results: Sensitivity and specificity for self-examination with clinical examination was 92.2% and 96.6% respectively. Sensitivity, specificity, positive (PPV) and negative predictive values (NPV) and positive (+LR) and negative likelihood ratio (-LR) for Toluidine Blue were 88.1%, 66.6% 97.1%, 30%, 2.63 and 0.17 respectively while for Lugol's Iodine they were 94.7%, 83.8%, 98.6%, 55.5%, 5.67 and 0.06 respectively. Conclusions: Prevalence of lesions at risk of malignancy and oral malignant disease by self-examination was 7.8% and by clinical examination was 6.3%. Self-examination is an effective tool in early detection of oral cancer. Use of Lugol's iodine as a screening tool for oral lesions is highly effective in inmate populations.

A study about the relationship between mouth-odor survey and self awareness (구취의 객관적 수치와 주관적 인식 간의 관계 조사)

  • Kim, Min-Young;Lee, Hye-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.2
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    • pp.13-22
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    • 2008
  • The purpose of this study is to analyze the correlation between cause and the element of mouth odor through measurement and identification of mouth odor and is to apply to effective method for elimination of halitosis, Subjects were 150 people who visited Dong Pusan College and lived in Pusan Cross-sectional survey was used and mouth odor was measured by Oralchroma. Oral examination proceeded with status of tongue plaque distribution and calculus index, Statistical analysis was performed with SPSS version 13.0 for window Among 150 people, 67.3% subjects thought they had halitosis, 89.3% people felt that their mouth odor were the severest as soon as wake-up, Tongue was serious place for halitosis by 53.3% subjects Methylmercaptan and dimethyl sulfide showed the highest correlation by 0.549 index score, Moreover, methyl mercaptan was observed the correlation with brushing time in 0.190 index score and with food intake in 0.177(P<0.05). In conclusion, brushing time and food intake were correlated with mouth odor.

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Correlation Study between Dry mouth and Comprehensive Diagnosis of Qi xu${\cdot}$Qi yu in Patients with Halitosis. (구취환자의 구강건조와 기허${\cdot}$기울 변증의 상관성 분석)

  • Kim, So-Yeon;Kim, Yoo-Seung;Hong, In-A;Hur, Won-Young;Eom, Guk-Hyeon;Lee, Seon-Young;Yoon, Sang-Hyub;Ryu, Bong-Ha;Kim, Jin-Sung
    • The Journal of Internal Korean Medicine
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    • v.28 no.1
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    • pp.97-105
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    • 2007
  • Objectives : This study investigated the correlation between dry mouth and comprehensive diagnosis of Qi xu and Qi yu in patients with halitosis. Methods : We surveyed 124 halitosis patients by reviewing the questionnaires from the Halitosis Clinic in the Hospital of Oriental Medicine, Kyunghee University from January 2004 to March 2006. The halitosis questionnaires contained self-awareness of halitosis, self-assessed severity of halitosis, dry mouth and taste abnormality. Among comprehensive diagnosis of Qui Xue Shui, Qi xu and Qi yu parts were investigated by questionnaire and physical examination, and each Qi xu and Qi yu part scores were summed. Winkel tongue coating index was estimated by investigator, the level of volatile sulfur compounds were measured by halimeter, and salivary function was assessed by salivary scan test. All patients were divided into two groups based on salivary scan test (salivary function normal and decreased). Results : Qi xu score of halitosis patients with decreased salivary function was higher than normal halitosis patients. There was highly significant correlation between Qi yu score and dry mouth, and another significant correlation between self-assessed halitosis severity and dry mouth was noted. Conclusions : The results of this study suggest that Qi yu condition influences dry mouth in halitosis patients, and halitosis is affected by dry mouth. Therefore. we assume that treating Qi yu condition can be a potentially effective way of treating dry mouth and halitosis.

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Additive Manufacturing of TMJ Device used in Temporomandibular Joint MRI Scan by using 3D Printer (3D 프린터를 이용하여 턱관절 MRI검사에 사용되는 TMJ device제작)

  • Jang, Hye-Won
    • The Journal of the Korea Contents Association
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    • v.18 no.7
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    • pp.628-634
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    • 2018
  • In an examination of the temporomandibular joint disc, MRI(Magnetic Resonance Imaging) is a useful method, and it is necessary to conduct an examination with one's mouth open for a long time to observe the accurate position change of the disc. Thus, this study would produce a TMJ device, using the 3-D printing technology, which would maintain the state of opening the mouth and would evaluate its usefulness as compared to the existing fixed device. As compared to the image using the existing TMJ device, the image taken with the self-produced TMJ device with a 3-D printer showed a somewhat lower SNR, but there was no defect for a clinical use. It is judged that benefits to costs would increase, since it can be customized for the individual patient and can contribute to the production of similar tools by utilizing the 3-D printing technology.

SELF-INJURIOUS BEHAVIOR IN A PATIENT WITH AUTISM : A CASE REPORT (자폐 환자의 자해로 인한 구강 내 손상 : 증례 보고)

  • Ji, Eun-Hye;Lee, Hyo-seol;Choi, Hyung-Jun;Kim, Seong-Oh;Choi, Byung-Jai;Son, Heung-Kyu;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.8 no.1
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    • pp.10-14
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    • 2012
  • Self-injurious behavior (SIB) has been defined as the deliberate destruction or alteration of body tissue without conscious suicidal intent. It occurs in conjunction with a variety of psychiatric disorders as well as various developmental disabilities and some syndromes. The behavior is destructive and causes concern and distress to all involved in the care and treatment of the affected individual. A 13-year-old girl with autism, mental retardation and delayed development was reffered from her pediatrician because of severe and painful lower lip biting. An intraoral examination revealed a diffuse swelling of lower lip. It was covered with necrotic slough and the ulcer and scarring of the lower lip was observed. We chose to use an oral removable prosthesis for Conservative treatment. It was decided to use a soft silicone mouthguard in the maxillary arch. Initially, she could not tolerate the appliance inside her mouth but soon adapted with the appliance. After one month, she lost the mouth guard and started lip biting. So we made mouth guard again. There are no standard methods for preventing self-injurious behavior in a patient who is developmentally disabled. Appropriate preventive methods must be developed for each individual patient based on close observation and clinical findings. Behavior modification techniques, pharmacological treatment, extraction of teeth, orthognathic surgery and intra/extra oral appliances can be performed for adjust self-injurious behavior. A suitable oral guard could be tried initially before employing more invasive approaches.

Oral Cancer Awareness and its Determinants among a Selected Malaysian Population

  • Ghani, Wan Maria Nabillah;Doss, Jennifer Geraldine;Jamaluddin, Marhazlinda;Kamaruzaman, Dinan;Zain, Rosnah Binti
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.1957-1963
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    • 2013
  • Objective: To assess oral cancer awareness, its associated factors and related sources of information among a selected group of Malaysians. Methods: A cross-sectional survey was conducted on all Malaysian ethnic groups aged ${\geq}15$ years old at eight strategically chosen shopping malls within a two week time period. Data were analysed using chi-square tests and multiple logistic regression. Significance level was set at ${\alpha}$ <0.05. Results: Most (84.2%) respondents had heard of oral cancer. Smoking was the most (92.4%) recognized high risk habit. Similar levels of awareness were seen for unhealed ulcers (57.3%) and red/white patches (58.0%) as signs of oral cancer. Age, gender, ethnicity, marital status, education, occupation and income were significantly associated with oral cancer awareness (p<0.05). Conclusions: There was a general lack of awareness regarding the risk habits, early signs and symptoms, and the benefits of detecting this disease at an early stage. Mass media and health campaigns were the main sources of information about oral cancer. In our Malaysian population, gender and age were significantly associated with the awareness of early signs and symptoms and prevention of oral cancer, respectively.

The effect of oral exercise on oral health and oral health related quality of life in the elderly people (노년기의 구강기능향상체조의 구강건강과 구강건강관련 삶의 질에 대한 효과)

  • Kim, Eun-kyong;Kim, Min-Seon;Lee, Hee-Kyung
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.1
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    • pp.103-109
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    • 2016
  • Objectives: The purpose of the study is to investigate the effect of oral exercise on oral health and oral health related quality of life in the elderly people. Methods: The subjects were83 elderly people including 42 elderly people of intervention group and 41 elderly people of control group. A dentist and a dental hygienist carried out the direct oral examination. The self-reported questionnaire was completed and the oral examination consisted of decayed tooth, missing tooth, filling tooth, functioning tooth, plaque index, salivary flow rate, and range of motion in mouth opening. OHIP-14 was used to assess the oral health related quality of life. For three months, oral exercise was done twice per week in the experimental group. Results: Before oral exercise, there was no significant difference between the intervention group and control group. After 3 months, there was a significant improvement in plaque reduction and range of motion in mouth opening between two groups (p<0.001, p<0.001). Oral health related quality of life was observed in the intervention group (p<0.001). Conclusions: The oral exercise using toothbrushing remarkably improved the oral health related quality of life in the elderly people.

Factors analysis of the oral health-related quality of life in the elderly (노인의 구강건강관련 삶의 질과 요인분석)

  • Jo, Eun-Deok;Kim, Eun-Sol;Hong, Hae-Kyung;Han, Gyeong-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.1
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    • pp.55-64
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    • 2019
  • Objectives: The purpose of this study was to compare the differences in oral health-related quality of life among elderly people aged over 65 years, in terms of physical, mental and oral health status and to analyze factors affecting their oral health-related quality of life. Methods: From May 9 to June 23, 2017, we randomly visited aged-care community centers in the metropolitan area, and recruited 222 elderly, aged 65 or older. First, each participant completed a questionnaire consisting of 4 general items: 1 systematic disease, and 3 subjective oral conditions. Afterwards, the researchers interviewed the participants to assess their mental status, using MMSE-DS and recorded the responses. Finally, an oral examination was performed to determine the number of remaining teeth. The average oral health-related quality of life according to each characteristic was analyzed by t-test and ANOVA. Hierarchical multiple regression analysis and Pearson's correlation coefficient analysis were used to analyze the correlations between factors and the factors affecting oral health-related quality of life. Results: The mean oral health-related quality of life was 4.15. Participants with 20 or more remaining teeth demonstrated better oral health-related quality of life than those with 19 or less teeth. Higher oral health-related quality of life was also found among elderly without gingival bleeding, self-reported halitosis and dry mouth. In addition, positive correlation with the number of remaining teeth and negative correlation with gingival bleeding, self-reported halitosis and dry mouth, were noted. Finally, the results of the hierarchical multiple regression analysis indicated that remaining teeth, gingival bleeding, self-reported halitosis and education were influential factors in determining the oral health-related quality of life among the elderly. Conclusions: The results of this study confirmed the necessity of better policy support, and the importance of implementing delivered, elderly-centered oral health education program by professionals to prevent tooth loss and manage periodontal diseases.

A Case Report on the Treatment of Acute Anterior Disc Displacement without Redution in TMJ Disorders by Direct Trauma (직접외상에 의한 급성 비정복성 관절원판 변위의 치험례)

  • 조수현;고명연
    • Journal of Oral Medicine and Pain
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    • v.23 no.3
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    • pp.281-288
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    • 1998
  • The authors treated a 30-years old female patient who visited the Department of Oral Medicine, PNUH due to the chief complaint of limitation of mouth opening. The magnetic resonance imaging following clinical examination was used for establishing an accurate and reliable diagnosis and the patient was diagnosed as having anterior disc displacement without reduction in the right joint and anterior disc displacement with reduction in the left joint. For managing acute anterior disc displacement without reduction, mandible manipulation was applied first focusing on pain control and then stabilization appliance was used for maintenance of joint stabilization. With time, the sign and symptom was remarkably reduced and an active exercise program was recommended to maintain of normal muscle length, increase joint range of motion and develop normal coordination arthrokinematics. As a result of treatment, the patient did not complain discomfort of normal daily activities and it was difficult to consider that the displace disc was not reduced completely, but the improvement in range of motion and joint mobility were remarkably found. Therefore, an exercise program should be considered to maintain joint mobility and be effective as a self-care.

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악관절 질환 환자에 대한 초기치료의 효과: 상담 및 투약

  • Kim, Yeong-Gyun;Kim, Hyeon-Tae;Kim, In-Su
    • The journal of the Korean dental association
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    • v.38 no.6
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    • pp.549-557
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    • 2000
  • ㆍPurpose: This study was performed to investigate the initial conservative treatment for TMD patients using careful counselling and medication prospectively. ㆍMaterials and Methods: Careful counselling and medication were performed in 51 TMD patients and 27 patients had follow-up check 2 months or more. Diagnosis of TMD was based on medical history and, physical and radiographic examination. TMD included masticatory disorder, internal derangement, degenerative joint disease, inflammatory joint disorder. and problems resulting from extrinsic trauma. All patients had chief complaints of TMJ pain, mouth-opening limitation. joint noise, and/or referred pain. We counselled and explained to the patient about the pathogenesis, etiologic factors, diagnosis and treatment plan for abut 10 minutes. We prescribed nonsteroidal anti-inflammatorv analgesic(Somalgen) and amitriptyline 10mg per day for 2 weeks. We informed the patient of the attention sheet and taught self-exercise of jaw. The patient were assessed by answering the questionnaire of subjective evaluation of TMD & maxillofacial pain. Questionnaire of an activity limitation. Questionnaire of a jaw function, and Questionnaire for the evaluation of TMD. ㆍResults: In questionnaire for the evaluation of TMD, 88.5% of 26 patients answered that the treatment was efficacious. 71.4% of 21 patients answered no problem in everyday life. There were significant differences between pretreatment and final follow-up in the evaluation of the subjective pain in the following sections: opening widely, chewing, resting, morning, masticatory muscle, and temporal portion(SAS program, paired T-test, P = 0.05). ㆍConclusions: Considerate counselling and proper medication could be significantly effectve in the initial treatment of TMD.

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