• Title/Summary/Keyword: Dental Visit

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Therapeutic effect of intraductal irrigation of the salivary gland: A technical report

  • Lee, Chena;Kim, Jo-Eun;Huh, Kyoung-Hoe;Yi, Won-Jin;Heo, Min-Suk;Lee, Sam-Sun;Choi, Soon-Chul
    • Imaging Science in Dentistry
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    • v.47 no.2
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    • pp.123-127
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    • 2017
  • Purpose: Obstructive and inflammatory disease often occurs in the major salivary glands, and no predictive treatment has yet been developed for this condition. The aim of this report was to introduce an intraductal irrigation procedure and to illustrate its application to practical patient cases. Materials and Methods: Two patients complaining of pain and swelling in the parotid gland during meals who underwent sialography were diagnosed as having sialodochitis with sialadenitis. Intraductal irrigation was then performed on the parotid gland on the side of the complaint. The irrigation procedure was conducted in the same manner as the sialography procedure, except that saline was used as the filling solution. Symptom severity was evaluated with a numerical rating scale (NRS) at the initial visit and a month after the irrigation. Results: The initial NRS value of patient 1 was 10. The value decreased to 6 and then to 0 after 2 irrigation procedures. The NRS value of patient 2 regarding the symptoms involving the left parotid gland decreased from 4-5 to 1 after 4 irrigation procedures performed at 1-month intervals. Conclusion: Intraductal irrigation of the salivary gland may be a simple, safe, and effective treatment option for patients with obstructive and inflammatory disease of the salivary gland that is capable of resolving their symptoms.

Cumulative survival rate and associated risk factors of Implantium implants: A 10-year retrospective clinical study

  • Park, Jin-Hong;Kim, Young-Soo;Ryu, Jae-Jun;Shin, Sang-Wan;Lee, Jeong-Yol
    • The Journal of Advanced Prosthodontics
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    • v.9 no.3
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    • pp.195-199
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    • 2017
  • PURPOSE. The objective of this study was to determine the cumulative survival rate (CSR) and associated risk factors of Implantium implants by retrospective clinical study. MATERIALS AND METHODS. Patients who received Implantium implants (Dentium Co., Seoul, Korea) at Korea University Guro Hospital from 2004 to 2011 were included. The period between the first surgery and the last hospital visit until December 2015 was set as the observation period for this study. Clinical and radiographic data were collected from patient records, including all complications observed during the follow-up period. Kaplan-Meier analysis was performed to examine CSR. Multiple Cox proportional hazard model was employed to assess the associations between potential risk factors and CSR. RESULTS. A total of 370 implants were placed in 121 patients (mean age, 56.1 years; range, 19 to 75 years). Of the 370 implants, 13 failed, including 7 implants that were lost before loading. The 10-year cumulative survival rate of implants was 94.8%. The multiple Cox proportional hazard model revealed that significant risk factor of implant failure were smoking and maxillary implant (P<.05). CONCLUSION. The 10-year CSR of Implantium implants was 94.8%. Risk factors of implant failure were smoking and maxillary implant.

Eagle's Syndrome Presenting Unilateral Facial Nerve Palsy: Case Report (편측 안면신경 마비를 동반한 Eagle 증후군 치험례)

  • Shin, Hee-Jin;Kwon, Young-Wook;Cho, Sung-Min;Kim, Change-Hyen;Park, Je-Uk
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.5
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    • pp.467-472
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    • 2010
  • Eagle's syndrome is the manifestation of elongated styloid process that is not a common entity in dental clinics. Without the knowledge of this syndrome misdiagnosis can be made and therefore differential diag-nosis with other diseases of oral and maxillofacial area is required. The symptoms of elongated styloid process are cervical pain, foreign body sensation, dysphagia and pharyngeal pain. A 27 years old male vis-ited our hospital. He had cervical pain with unilateral facial nerve palsy. Along with meticulous clinical examinations, 3D-CT, Plain radiographic studies were used to make the diagnosis. In computed tomogra-phy, Lt. styloid process was elongated and fractured. Patient have undergone surgical resection of elongat-ed styloid process and have been carefully observed. Characteristically, preoperative facial nerve palsy showed rapid postoperative recovery. The other clinical symptoms that were present in the initial visit were diminished. The purpose of this article is to report a case of Eagle's syndrome presenting unilateral facial nerve palsy that was treated with transoral surgical approach with literature review.

Characteristics of Noise Radiated at Dental Clinic (치과병원에서 치료시 발생하는 소음특성)

  • Ji, Dong-Ha;Choi, Mi-Suk
    • Journal of Korean Society of Environmental Engineers
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    • v.31 no.12
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    • pp.1123-1128
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    • 2009
  • Noise radiated from medical treatment at dental clinic will affect the patients. On such point of view, We investigated the noise characteristics in case of medical treatment (scaling, tooth eliminating) and non-medical examination (idling) and also evaluated the degree of indoor noise using the evaluation index such as PSIL, NRN and made up a questionnaire about the reactions to noise. As a result of noise evaluation, it shows that the range of noise level is 67.7~78.3 dB(A) and frequency is very high (above 4 k Hz) and respondents are affected by noise (unpleasantness, hesitation to visit dental clinic, shivering with noise, being astonishment). Analysis by PSIL showed that it was no problem to conversation between worker and patient. But it exceeded the noise permit level in working space by NR-curve. To relieve a fear of noise in patients, they are considered to offer the ear protection, choose the low noisevibration equipment and use the masking effect. They are of great advantage to dental clinics to i prove dental service and competitiveness.

The Relationship between Hormone Replacement Therapy and Periodontal Disease in Postmenopausal Women

  • Ahn, Eunsuk;Lee, Yunhee
    • Journal of dental hygiene science
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    • v.18 no.1
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    • pp.9-17
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    • 2018
  • The purpose of this study was to investigate the relationship between hormone replacement therapy (HRT) and periodontal disease in postmenopausal women using data from the 4th and 5th Korea National Health and Nutrition Examination Survey. A total of 5,482 postmenopausal women aged 45~75 years were included as study subjects in the final analysis. The HRT group comprised 1,035 postmenopausal women who had received HRT for at least one month, and the non-HRT group comprised 4,447 postmenopausal women who did not receive HRT. The chi-square test was used to confirm the bivariate relationship between the variables. Multinomial logistic regression analysis was used to adjust for covariance (age, education, family income, body mass index, age of menopause, alcohol, smoking, dental visit <1 per year, use of oral care products, and frequency of tooth brushing per day). After adjusting for all covariates, HRT was found to be associated with periodontal disease. In particular, the relationship between HRT and periodontal disease was more evident in older women and women younger than 45 years of menopausal age. The relationship between HRT and periodontal disease was stronger in women who brushed their teeth less than 3 times per day, women without regular oral examination, and women who did not use oral hygiene products. The results of this study confirmed the importance of actively considering hormone therapy when determining policy recommendations for postmenopausal women. Especially, health programs such as HRT, regular dental examination, and oral care are needed for older women who have undergone premature menopause.

A Study on the Pain in Patients with Temporomandibular Disorders using Korean Pain Rating Scale (측두하악장애환자에서 한국어 통증척도를 이용한 통증에 관한 연구)

  • Yoing-Gyu Bae;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.169-180
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    • 1994
  • The aim of this study was to compare pain descriptions in common dental patients with those in patients with Temporomandibular disorders(TMDs). The study sample consisted of 104 common dental patients and 74 patients with TMDs, and their chief complaint was pain, Subjects were classified common dental pain group and TMDs pain group, respectively. All the subjects completed Korean Pain Rating Scale(KPRS) on first visit. KPRS contains 90 pain terms, which divided into 20 subclasses in 3 dimensions. Each subclass contains 3-6 pain terms. each patient had chosen only one term from each subclass. If there was no proper term, subject could pass the subclass without completion. Words chosen were categorized into sensory, affective, miscellaneous and total dimension. Thereafter they were processed and analyzed by SPSS/PC+ statistical package program with respect to rank values, scale values, number of words chosen and frequency of each subclass. The obtained results of this study were as follows : 1. Total mean number of words chosen was 7.6. 2. Chronic patients groups with Temporomandibular disorders had chosen more freuently from the subclasses in affective dimension than the patients in acute common dental pain group. 3. Frequency of affective dimension was higher in chronic patients groups with Temporomandibular disorders than that of acute patients group with Temporomandibular disorders. 4. Chronic patients group with Temporomandibular disorders had higher frequency in constrictive pressure pain, traction pressure pain, dull pain and fatigue-related pain terms than acute common dental patients group. 5. Acute patients group with Temporomandibular disorders had higher frequency in traction pressure pain and dull pain terms but had lower frequency in chemical pain, peripheral nerve pain and cold pain terms than acute common dental patients groups. 6. There were high positive correlation between the scale- and rank-value in the pain rating index.

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The effect of medical service satisfaction of orthodontic treatment on life quality related to oral health(OHIP-14) (교정치료의 의료서비스 만족도가 구강건강관련 삶의 질(OHIP-14)에 미치는 영향)

  • Yu, Kyung-Ja;Hwang, Joo-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.2
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    • pp.233-242
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    • 2020
  • Objectives: The purpose of this study is to investigate the relationship between perceived oral health, medical service satisfaction, and oral health impact profile (OHIP-14) and the factors affecting OHIP for orthodontic patients, and to provide basic data to improve the quality of life of orthodontic patients in accordance with oral health. Methods: The study explained the purpose and purport of this study to orthodontic patients who visit dental clinics located in Daejeon and Chungcheong province for about two months from July 01, 2019, and conducted a self‐reported questionnaire survey for 220 participants who agreed to participate in this study. of the collected questionnaires, data of 197 subjects were used for the final analysis except 23 that were inadequate. Results: As for orthodontic treatment satisfaction according to perceived oral health and OHIP, there was statistically significant difference between respondents who were 'very healthy' and 'not healthy' (p<0.05). The higher the supplementary service satisfaction, the higher the orthodontic treatment satisfaction, and the higher the perceived oral health, the OHIP was found to be the higher. The factors affecting OHIP were found to be significantly associated with orthodontic treatment satisfaction and perceived oral health. The explanatory power was 15.6%. Conclusions: Active and ongoing oral health education should be provided to dental hygienists to ensure that the patient's oral cavity is healthy, and although additional services need to be improved, it is more important to have management strategies for patients to improve orthodontic treatment satisfaction.

Comparison of Oral Health Behaviors before and after Oral Health Education for Elementary School Students from a part of Community Child Center (일부 지역아동센터 아동들의 구강보건교육 전·후 구강보건행태 비교)

  • Lee, Sunmi;Kim, Jiyoung
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.1
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    • pp.57-64
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    • 2016
  • PURPOSE : The purpose of this study was to examine the oral health behaviors of child users of local children's centers before and after receiving oral health education in an effort to develop a well-organized oral health education program. METHOD : The subjects in this study were the elementary school students who used 13 different local children's centers in the city of Busan. The questionnaire was intended for children and consisted of 31 items, which were four about eating food, three about washing hands, two about smoking, five about toothbrushing and dental clinic visit, five about tooth damage and dental pain, seven about knowledge and awareness of dental health and six about dental health attitude. RESULT : 1. The rate of the children who replied they didn't brush their teeth on the previous day stood at 5.8 percent before the program, and this rate rose to 13.0 percent after that. The differences were significant(p=0.026). 2. The rate of the former after the program stood at 61 percent, and that of the latter stood at 39 percent. The differences were statistically significant(p=0.019). CONCLUSION : The oral health behaviors were investigated before and after oral health education was provided, and this education was found not to be sufficient enough to change their oral health care. So it seems necessary to increase the frequency of oral health education by providing it twice a year. In addition, oral health education programs geared toward teachers in local children's centers who spend time with children should additionally be strengthened to offer more education to these children.

Relationship between Unmet Dental Needs and Social Determinants of Health (건강의 사회적 결정요인과 필요 치과진료 미수진과의 관련성)

  • Kim, Min-Young;Kim, Ji-Hyun
    • The Journal of the Korea Contents Association
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    • v.20 no.2
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    • pp.360-370
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    • 2020
  • In order to understand the factors related to the unmet dental needs, analysis was performed using the data of community health survey data. Targeting population of 214,861 aged 25 and over demographic factors, socioeconomic factors, social support, social environmental factors, social and physical environmental factors, and factors related to necessary unmet dental needs visit it was confirmed. The lower the age, the higher the income level, the lower the education level, the less contact with relatives and friends, the less likely they are to participate in relatives and leisure activities, dissatisfied with sociophysical environment(safety level, natural environment, living environment, public transportation, medical services) the higher unmet dental needs. It was confirmed that not only demographic and socioeconomic factors but also social support, social environmental factors, social and physical environmental factors had a statistically significant impact on the need of unmet dental needs. Future research that includes policy factors as social determinants of health will be needed as a way to increase the unmet dental needs.

The impact of health belief model in the middle and high school students on oral health behaviors (중·고등학생의 구강건강신념이 구강건강관리행동에 미치는 영향: 건강신념모형을 적용하여)

  • Lim, Hee-Jung;Kim, Hyoung-Joo;Ahn, Yong-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.1
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    • pp.111-118
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    • 2015
  • Objectives: The aim of the study is to investigate the health belief model affecting the oral health behavior in middle and high school students. Methods: The subjects were 296 middle and high school students in Seoul, Gyeonggi and Incheon from February 15 to March 21, 2014. The students filled out the self-reported questionnaires after receiving informed consents. The instrument was adopted and revised from those of Kim & Hwang, and Choi & Joo. The questionnaire consisted of 4 questions of general characteristics, 9 questions of oral health status including subjective oral health status, frequency of tooth brushing, duration of tooth brushing, method of tooth brushing, use of oral health devices, dental clinic visit, scaling services, snack intake, and smoking. The oral health belief consisted of 25 questions including susceptibility, seriousness, barriers, benefit, and self-efficacy using Likert 5 scale. The reliability of Cronbach's alpha in the study was 0.725. Data were analyzed using SPSS ver 18.0 for frequency analysis, t-test, ANOVA, ${\chi}^2$-test, and Pearson's correlation coefficient, simple regression, and binary logistic regression. Results: Oral health beliefs of middle and high school students affected the oral health behaviors. Susceptibility, barriers and self-efficacy also influenced on the oral health behaviors. In order to provide the best oral health education, susceptibility and self-efficacy are the primary factors to increase motivation because the motivation endows the students with correction of oral health behaviors that improve the knowledge, attitudes, and decrease barriers in oral hygiene. Conclusions: It is important to correct oral health behaviors in the middle and high school students by providing the continuing and systematic oral health education.