• 대한치과의사협회지
• /
• 제55권12호
• /
• pp.870-882
• /
• 2017

Maxillary growth is hindered by the restricting pressure from the scar tissue formed after lip closure and palate closure surgeries of the cleft. Therefore, the anteroposterior skeletal relationship of both jaws exacerbates as patient grows. Conventional facemask treatment is valuable for dentoalveolar compensatory treatment and for very mild maxillary hypoplasia. To achieve further maxillary protraction, bone-anchored facemask or bone-anchored maxillary protraction can be attempted. For moderate maxillary hypoplasia, surgical orthodontic treatment after growth completion can be an efficient treatment reducing uncontrollable problems. For moderate to severe maxillary hypoplasia, distraction osteogenesis (DO) can be used alone or with later surgical orthodontic treatment. To compensate the severe relapse after DO, overcorrection and bone plate placement after DO are recommended. In case of hypernasality, maxillary anterior segmental distraction osteogenesis can be chosen to prevent exacerbation of the hypernasality.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제19권6호
• /
• pp.369-378
• /
• 2019

Background: Behavior guidance is a technique used to subdue inappropriate behavior by establishing communication that meets the needs of a child. This study aimed to measure the effectiveness of a mobile app (Little Lovely Dentist) compared to the tell-show-do (TSD) technique in managing anxious children during their first dental visit. Methods: Fifty children (30 boys and 20 girls) without any past dental experience, aged from 7 to 11 years, were randomly allocated into either the dental app group or the TSD group. The pre- and post-operative anxiety of children who underwent prophylactic cleaning was assessed both physiologically and subjectively using a heart rate measurement and the RMS pictorial scale, respectively. Results: The intragroup comparison of heart rate and RMS scores for children allocated to the dental app group was statistically significant (P value ≤ 0.001). However, a significant reduction only occurred in the RMS scores, but not the heart rate measurements, in the TSD group. Conversely, there was an increase in heart rates in the TSD group. Conclusion: Educating the child prior to a dental procedure using a smartphone application such as Little Lovely Dentist can significantly alleviate the anticipatory anxiety and engage children in dental treatment during their first visit.

• 대한치과마취과학회지
• /
• 제12권4호
• /
• pp.229-233
• /
• 2012

Severe한 혈우병 B 환아가 소아과에 입원하여 세계혈우병연맹(World Federation of Hemophilia, WFH) 지침서에 따라서 응고인자 수준을 유지하면서 다수의 발치를 포함한 관혈적 치과 치료를 받았다. 이와 같이 혈우병 환자에서 다수의 발치를 시행할 때 주기적인 혈액검사를 통한 응고인자 수준의 관리와 복잡한 의과적 처치가 요구된다. 따라서 다수의 발치가 요구되는 경우 전신마취 하에 가능한 모든 치과치료를 시행하는 것이 효과적이고 효율적인 방법이 될 수 있다.

• 대한장애인치과학회지
• /
• 제4권1호
• /
• pp.1-6
• /
• 2008

This study describes the characteristics of patient receiving comprehensive dental treatment under general anesthesia at the pediatric dentistry of Chosun University dental hospital in Gwangju, between August 2004 and March 2008. The conclusion runs as follows : 1. Most patients(64.8%) were young (under 10 years of age) and mean age was 8.6 years. 2. The primary reason(31.1%) why they chose general anesthesia was lack of child's cooperation (normal but unmanageable). Following in order are mental retardation, Autism and cerebral palsy etc. 3. Resin restorations were performed most frequently(87.8%) followed by pulp treatment, preformed crown, extraction and sealant. 4. It takes 3 hours 10 minutes for general anesthesia on the average. The mean treatment time under general anesthesia was 2 hours 52 minutes. 5. 29 children(39.7%) visited again after general anesthesia for recall check.

• 한국치위생학회지
• /
• 제9권2호
• /
• pp.137-146
• /
• 2009

In pediatric dentistry, sedation therapy is one of methods for managing children's behavior, and various types of sedation therapy are being used. Thus, this study surveyed the awareness of and satisfaction with sedation therapy in 204 parents who visited the Pediatric Dentistry using a self-administered questionnaire during the period from June to December 2008 in order to get information necessary in behavior management for pediatric patients, and obtained results as follows. 1. The most common path of learning about sedation therapy was dentistry (49.5%), and the most common reason for choosing sedation therapy was 'The child was young'(42.3%), which was followed by 'The child is too afraid'(18.8%), 'There are many teeth to be treated'(16.0%), 'To adjust the number of visits'(11.3%), and 'For behavior management'(3.1%). 2. Most of the parents felt anxiety about sedation therapy, and the reasons for the anxiety were 'The child was young'(33.0%), 'Worry about side effects'(31.3%), 'Worry about recovery of consciousness'(25.7%), 'Worry about the blunting of intellectual abilities'(7.6%), and others (2.4%). 3. Satisfaction with sedation therapy was higher in men than in women, and was high in order of 'Stationing of an anesthetist', 'One time completion of treatment', and 'Cautions'. Statistically significant difference was observed between men and women only in question "Have you ever heard about sedation therapy?"(p=0.018). 4. According to age, satisfaction with sedation therapy was highest in parents whose child was less than 48 months old. Satisfaction was high in order of 'Stationing of an anesthetist', 'One time completion of treatment', and 'Cautions', 'Choice of sedation therapy', and statistically significant difference was observed according to age only in question "Have you ever heard about sedation therapy?"(P=0.005). 5. Positive correlation was observed among questions on satisfaction with sedation therapy. In the survey on the awareness of and satisfaction with sedation therapy in parents visiting the dentistry, awareness and satisfaction were generally high with regard to the parents' choice of sedation therapy, but many of the parents answered that they chose sedation therapy and felt anxiety because their child was young. The results of this study need to be considered for behavior management in pediatric dentistry and there should be systematic education and promotion of sedation therapy.

• 융합신호처리학회논문지
• /
• 제20권1호
• /
• pp.37-44
• /
• 2019

유년기에서 성장기인 어린이들의 조기 치아 관리가 중요시 되고 있으며 어린이 환자 치과 진료도 꾸준히 증가하는 추세이다. 치과 치료에 불안을 느끼는 어린이 환자의 긴장을 완화시켜주기 위한 다양한 진정 요법이 요구되고 있다. 본 논문에서는 레진 치료에 쓰이는 치료 기구의 사용 상태를 실시간으로 파악하여, 사용 중인 치료 기구와 치료 단계에 따라 다른 스토리와 효과를 가진 애니메이션을 생성 할 수 있는 상호작용 시스템의 개발 내용에 대해 기술한다. 애니메이션은 주인공 캐릭터와 악당인 충치 캐릭터가 전투를 벌여 진료 단계에 맞춰 주인공 캐릭터가 악당을 하나씩 무찔러 승리하는 스토리이며, 치료 시작 시 재생되며 치료가 끝나면 애니메이션도 동시에 종료된다. 현재 어린이 치과에서 서비스되는 기존의 애니메이션 시청은 일방적으로 애니메이션이 재생되기만 할 뿐 어린이의 시선을 이끌기에는 부족함이 있다. 환자의 치료 과정에 맞추어 애니메이션 흐름이 진행된다면 어린이에게 색다른 흥미를 주어 치료에 대한 긴장감이 좀 더 완화될 것이다.

• 대한장애인치과학회지
• /
• 제13권1호
• /
• pp.28-32
• /
• 2017

진정 약제에 저산소증 병력을 보였던 레녹스-가스토 증후군의 7세 4개월 여아를 전신마취 하에서 안정적으로 치과치료를 진행하였다. 레녹스-가스토 환자의 철저한 술전 평가와 의과와의 협진을 통해 전신마취 하 치과 치료가 매우 효과적으로 진행될 수 있다고 생각된다.

• 대한치과의사협회지
• /
• 제11권4호
• /
• pp.287-291
• /
• 1973

A case report of replantation of extracted teeth. A 11-year-old female child patient whose right and left 1st premolars were dislocated by accident, which was treated by means of tooth replantation and obtained the following results. 1) In childhood whose development and growth were prominent prognosis were excellent. 2) The better results were drew by tooth fixation with acrylic resin after ligature the teeth with wire. 3) To treat the tooth replantation combination with canal treatment brings on the good results. 4) We can maintain the natural teeth, which could get the same function as before. According to previous results, the technique can be usd clinically.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제24권1호
• /
• pp.57-65
• /
• 2024

Background: The objective of behavioral guidance is to establish effective communication that aligns with a child's requirements to manage disruptive behavior. This study aimed to evaluate the effectiveness of the Tell-Show-Do and Ask-Tell-Ask techniques in managing dental anxiety in children during their initial appointment. Methods: The study included 50 children (28 boys and 22 girls) without any prior experience between the ages of 7 and 11 at their first dental visit. The children were randomly categorized into two groups: Group 1, Tell Shows Do, and Group 2, Ask-Tell-Ask. Subsequently, all children underwent noninvasive treatment procedures such as restorations, sealants, and oral prophylaxis. Furthermore, behavioral management techniques were employed based on the allocated group. Finally, anxiety levels for all children were assessed using the Raghavendra, Madhuri, and Sujata Pictorial Scale (RMS-PS) and heart rate at three different intervals (before, during, and after). The obtained data were entered into Microsoft Excel, and statistical analysis was performed using SPSS software. A paired t-test and Mann-Whitney U-test were used to compare the mean and median values of the two groups and determine their effectiveness. Results: Children in the TSD group exhibited statistically significant heart rates and RMS-PS scores in intra-group comparisons. However, children in the ask-tell-ask group showed a significant reduction only in the RMS-PS scores (P < 0.001) but not in the measures used to assess heart rate (P < 0.001). Conclusion: Tell-Show-Do was more effective than ask-tell-ask in alleviating dental anxiety in children. The simultaneous application of these two strategies can synergistically alleviate dental anxiety during a child's initial dentist appointment.

• 한국치위생학회지
• /
• 제12권6호
• /
• pp.1119-1127
• /
• 2012

Objectives : The aim of this study was to examine the level of oral health knowledge, oral health importance, oral health status and oral health interest of the social workers engaged in child care facilities to analyze the influential factors on oral health promotion activities and provide the basic data for oral health promotion activities. Methods : The subjects in this study were those social workers engaged in child care facilities from May 15th to May 25th in 2011. The self-report questionnaires were distributed and withdrawn and then a total of 205 papers from the subjects that participated in this study were analyzed for the final analysis. Results : 1. Oral health knowledge had $12.16{\pm}1.66$ in a full score of 15 and oral health importance, oral health status and oral health interest were $1.12{\pm}0.36$, $2.80{\pm}0.50$ and $2.14{\pm}0.8$ respectively in a full score of 5. 2. According to the general characteristics, the difference analysis of cognition-recognition factors showed that singles had significantly higher oral health knowledge married couples (p<0.05) and the social workers unusing auxiliary oral hygiene devices had significantly higher oral health interest than those using them(p<0.01). 3. The mean of oral health promotion was $3.28{\pm}0.51$, characteristics of detailed specific-area were as follows ; the toothbrushing was $3.77{\pm}0.57$, the use of fluoride was $2.67{\pm}0.98$, periodic dental screening and treatment were $2.98{\pm}1.09$ and eating habits was $4.14{\pm}0.57$. These results generally showed tooth-brushing and eating habits show a little higher figures. 4. Considering the factors oral health promotion behaviors of social workers engaged in child care facilities, the higher oral health interest was, the higher oral health promotion behavior was. Conclusions : It seems that social workers engaged in child care facilities are required to pay attention to the importance of oral health and learn oral health knowledge, which will lead to much better improvement of oral health for children brought up by them.