• Title/Summary/Keyword: 치과 환자

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DENTAL TREATMENT FOR A PATIENT WITH WOLF-HIRSCHHORN SYNDROME UNDER GENERAL ANESTHESIA: CASE REPORT (울프-허쉬호른 증후군(Wolf-Hirschhorn syndrome) 환자의 전신마취 하 치과치료 : 증례보고)

  • Ryu, GiYoun;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.65-69
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    • 2019
  • Wolf-Hirschhorn syndrome(WHS) is a congenital disorder caused by deletions of the short arm of chromosome 4. The most common characteristics are mental and growth retardation, dietary disorder and craniofacial features with a characteristic 'Greek warrior helmet' appearance. The dental characteristic of WHS includes delayed development, tooth agenesis, clefts, microdontia, taurodontism, and severely worn dentition. The purpose of this case report is to describe the dental treatment of a patient with WHS. 3-year-old boy with WHS visited the Seoul National University Dental Hospital for dental treatment. He had difficulty with nasotracheal intubation because of craniofacial anomalies and also had poor oral hygiene due to a limitation of mouth opening and dietary disorder. Due to his airway problem, behavior management and severity of dental conditions, dental treatment was performed under general anesthesia. This case suggests general anesthesia can be chosen with WolfHirschhorn syndrome patients to safely care for their dental problems.

Analysis of Current Perception Threshold(CPT) Change after Dental Surgery using Neurometer (치과 수술 후 뉴로미터를 이용한 전류인지역치의 변화의 분석)

  • Park, Jin-Hyung;Ryu, Ji-Won;Ahn, Jong-Mo;Ok, Soo-Min;Yoon, Chang-Lyuk
    • Journal of Oral Medicine and Pain
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    • v.35 no.4
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    • pp.293-298
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    • 2010
  • The goal of this study is to contribute to the clinical application by making a quantitative nerve current perception threshold(CPT) examination for the evaluation of numbness that could be occurred after dental surgery, Measurement of CPTs at each different frequencies(2000 Hz, 250 Hz, and 5 Hz) were performed to trigeminal nerve main branch(mandibular division) of 29 patients with dental surgery on mandibular area and 25 normal subjects. There were significant differences in CPTs between patient group and control group.(p<0.05) But, there were no significant between patient male and female in both patient and control group except 2000 Hz was significantly high in the control female.

A Clinical Survey of Gagging Patients (구토(嘔吐)환자의 임상적 고찰)

  • Ahn, C.Y.
    • The Journal of Korean Academy of Prosthodontics
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    • v.17 no.1
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    • pp.83-85
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    • 1979
  • 이상에서 심한 Gag Reflex를 가친 76명(名)의 환자와 경우를 보았다. 자극의 주된 요소는 상악의치였고, 병력 및 임상조사를 했으며, 두개 측면방사선사진 촬영도 했다. Eysenck Personalty Inuentory도 실시했다. 치료시 레진 training base를 썼고, 기타 Relaxation therapy 및 Heterohypnotic technic을 썼다. 이 결과, (1) 대조군과 비교시 특징적인 유형은 없었다. (2) 몇 환자는 동기유발이 불충분해 치료를 중도에 포기했다. (3) 약간의 환자에서 성공적으로 치료가 되였으나 재발했다.

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치주질환의 임상적 진단

  • Seo, Jo-Yeong
    • The Journal of the Korean dental association
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    • v.37 no.3 s.358
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    • pp.181-187
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    • 1999
  • 치주질환은 초기에는 환자 자신이 전혀 모르는 가운데 진행되어 환자가 증상을 느낄 때 쯤되면 이미 병변이 상당히 진행된 상태가 되어 치료하기 어려운 경우가 많게 되므로 치주질환의 원인과 질병상태를 조기에 파악하여 치료하는 것이 중요하다. 치주질환을 진단하는데 있어서는 객관적인 임상적 기준을 필요로 하게되며 치주질환의 활성도를 알아보기위해서는 여러 임상적 변수가 동시에 필요하므로 우선 환자의 병력을 파악하고 구강의 및 구강내 검사를 완전히 시행한 후 환자의 치아의 치주조직상태를 검사하게 된다. 이 장에서는치주질환의 진단에 필수적인 요인인 치아와 치주조직 검사에 대하여 중점적으로 애기 하고자 한다.

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