• Title/Summary/Keyword: Dental pain

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와동형성시의 전기마취에 의한 제통효과 (The Effects of Pain Control by Electro-Anesthesia in Cavity Preparations)

  • 정관희
    • 대한치과의사협회지
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    • 제11권11호
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    • pp.745-748
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    • 1973
  • The author has studied the effects of pain control by using the Anode-S-3 electro anesthesia in cavity preparations. The electric current value had used 4~10㎂. The results were as follows. 1) The 86 tests in cases of 110 tests as much as 78% of it have showed pain control effects and the 24 of tests as much as 22% had no effects in general. 2) The cases of perfect pain control was only made to 42 tests in cases of 110 tests as much as 38% of it. 3) The pain control with a little inordinary feeilng was 33 tests in 110 of it as much as 30% 4) The slight pain were recorded 22 cases as much as 21% of the tests. 5) The severe pain were recorded 12 cases as much as 11% of the tests. 6) Meanwhlie, the case of increasing pains by using electro-anesthesia was not recorded at all.

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전반적인 신경병성 통증의 조절 및 치료 (The General Management and Treatment of Neuropathic Pain)

  • 전양현
    • 대한치과의사협회지
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    • 제49권6호
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    • pp.327-333
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    • 2011
  • Clinically, treatment goal of neuropathic pain focused on not elimination of etiology but management and control of symptoms because we don't know certain about clear etiology of neuropathic pain yet. The drugs used for the management of neuropathic pain were classified as drugs with strong evidence for benefit(antidepressants, anticonvulsants, opioid analgesics etc.), modest evidence for benefit(mexiletine, carbamazepine, clonidine etc.), preliminary evidence for benefit(NSAIDs, dextromethorphan, topiramate etc.). Finally, the treatment for trigeminal neuralgia was outlined separately since this disorder responds to a different group of drugs than other neuropathic pain conditions.

Management of traumatic neuralgia in a patient with the extracted teeth and alveoloplasty: a case report

  • Yoo, Jae-Ha;Oh, Ji-Hyeon;Kang, Se-Ha;Kim, Jong-Bae
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제15권4호
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    • pp.241-245
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    • 2015
  • A majority of patients who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but gradual return of sensation that is functional and tolerable, if not the same as before the injuries. However, long-term effects of such injuries are aggravating for many patients, and a few patients experience significant suffering. In some of these patients, posttraumatic symptoms become pathological and are painful. The predominant painful components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning and aching causalgiaform pain, and (4) phantom pain. This is a case report of conservative management of traumatic neuralgia and neuritis as part of posttraumatic pain syndromes in geriatric patients who have undergone the teeth extraction and alveoloplasty.

악관절의 통증에 관한 연구 (The Study for Treatment of Temporo-mandibular Joint Pain)

  • 최중립;송찬우
    • The Korean Journal of Pain
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    • 제8권1호
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    • pp.86-92
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    • 1995
  • Temporomandibular disorders typically present findings of limited or asymmetric patterns of jaw opening and joint sounds usually described as clicking, popping, grating, or crepitus. Recently, patients with temporomandibular disorders have received an increasingly aggressive treatment with a greater emphasis on surgical and dental reconstruction. Scientific studies have not clearly identified the specific causes of the temporomandibular disorders and therefore some of the treatments are empiric, without a firm scientific foundation. We carried out a study on the patients of pain clinic OPD and concluded that the causes of the temporomandibular joint(TMJ) pain are the prolonged contraction of the muscles of mastication, especially the masseter muscle. Therefore, the spasmolytic treatment of masseter muscle would be a better treatment for TMJ syndrome rather than the surgical and dental reconstruction.

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Transcutaneous electrical nerve stimulation for pain during propofol injection: a randomized clinical trial

  • Dongwoo, Lee;Juhwa, Jin;Ji Hyo, Kim;Jinyoung, Oh;Younghoon, Jeon
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제22권6호
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    • pp.437-442
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    • 2022
  • Background: Propofol is a short-acting intravenous sedative widely used for procedural sedation and general anesthesia. However, pain during propofol injection is a distressing adverse effect. This study was designed to investigate whether transcutaneous electrical nerve stimulation (TENS) could reduce pain during propofol injection compared to sham TENS. Methods: In a randomized controlled trial, 80 patients were allocated to two groups: the active TENS group received electrical stimulation via two electrodes on the venous cannulation site, whereas the sham TENS group received no stimulus. After 20 min following TENS, propofol 0.5 mg/kg pain was injected intravenously and pain was evaluated using a four-point score (0 = none, 1 = mild, 2 = moderate, 3 = severe). Adverse effects associated with TENS were also recorded. Results: The overall incidence of pain during propofol injection was 47.5% in the TENS group and 87.5% in the sham group (P < 0.001). The incidence of moderate pain was significantly lower in the TENS group (7.5%) than in the sham TENS group (42.5%) (P < 0.001). There were no complications associated with TENS. Conclusion: Pre-treatment with TENS significantly reduced the incidence and intensity of pain during propofol injection.

소아에서의 치과전기마취 : 증례보고 (DENTAL ELECTRONIC ANESTHESIA IN CHILDREN : A CASE REPORT)

  • 이은영;이창섭;이상호
    • 대한소아치과학회지
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    • 제21권2호
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    • pp.525-532
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    • 1994
  • The purpose of this report was to evaluate the effect of Dental Electronic Anesthesia on pain inhibition for clinical use. The subject for this study were 30 children whose Frankl behavioral rate is positive. The subjects was divided into two groups, the first group described by control group and the second group described by experimental group anesthetized with Dental Electronic Anesthetic device. And then three kind of treatments were done : extraction of deciduous teeth, application of rubber dam, cavity preparation for preventive resin restoration. 3M Dental Electronic Anesthesia System was used for this study : its electric impulse stimulate the skin surface by external electrode pads. The results were as follows. 1. Degree of the pain & the apprehension decreased in experimental group. 2. Degree of the pain & the apprehension showed statistical differences among three treatments procedures in the control group but, not showed statistical differences in the experimental group.

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일부 치과위생사의 요통경험 및 관련요인(II) (Low Back Pain and Related factors in Dental Hygienists)

  • 이승주;조명숙
    • The Journal of Korean Physical Therapy
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    • 제11권2호
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    • pp.123-130
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    • 1999
  • Objectives : This study was to investigate the experience rate and factors related with Low Back Pain(LBP). Methods : Questionnaires were completed by 236 dental hygienists in Taegu city and Kyungpook province in June 23-27, 1999. The solicited information was used to estimate odds ration and $95\%$ confidence intervals for the LBP related factors association. Results : The experience rate of LBP was $78\%$. The experience rate of LBP was significantly associated with scaling posture(odds ratio=2.228)(p=0.0371) and stress with dentist(odds ratio=2.767) (p=0.0136). Conclusions : Data from this study support a statistically significant association between LBP and some factors found in other research to increase the relation with LBP. Study findings may have implications for targeting at dental hygienists for scaling posture education or intervention program.

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청소년의 음주에 따른 흡연기간과 흡연량이 치은출혈 및 통증에 미치는 영향 (Effects of the amount of smoking and the duration of smoking on bleeding and pain of gingival by drinking in adolescents)

  • 이미라
    • 한국치위생학회지
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    • 제19권6호
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    • pp.951-961
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    • 2019
  • Objectives: This study aims to evaluate how the amount and duration of smoking effects the bleeding and pain of gingival among adolescents in Korea while also taking into consideration the impact of drinking. Methods: Data were utilized from a web-based survey of youth health behaviors conducted by the Korean Center for Disease Control and Prevention in 2016. The subjects of the study included 65,528 adolescents from middle and high schools. As dependent variables, bleeding and pain of gingival were used. Data were analyzed using the SPSS Version 20.0 program. Results: After adjusting for the general characteristics and oral health behaviors of the subjects, in the long-term, the ≥0.52 PY group (heavy smoker) experienced 1.28 times higher bleeding and pain of gingival than the <0.52 PY group (light smoker) among adolescents who smoke and drink at the same time. Adolescents who smoked without drinking did not show any difference on bleeding and pain of gingival according to the amount of smoking in the short- and long-term. However, the findings reveal that there was a difference on bleeding and pain of gingival according to tooth brushing frequency. Conclusions: In order to promote the periodontal health of adolescents, it is argued that programs and projects should be implemented to prevent, educate, and control simultaneous behaviors of smoking and drinking.

Effects of Natural Products on Acute Orofacial Pain Control Enhanced by Oral Disease

  • Choi, Ja-Hyeong;Lee, Min-Kyung
    • 대한의생명과학회지
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    • 제26권4호
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    • pp.327-335
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    • 2020
  • As the interest in oral health is increasing with quality of life. The most representative oral diseases include dental caries, periodontal disease, and malocclusion, as well as dry mouth and oral mucosa. Cinnamaldehyde have an antioxidant effect that has been studied not only to treat rheumatism and hypertension, but also to protect liver, and gastrointestinal tract, but there are few studies related to the control of oral diseases. The purpose of this study was the effect of enhanced orofacial pain when oral administration of cinnamaldehyde in the oral diseases. Cinnamaldehyde (5, 12.5, 25, and 50 mg/kg) orally administered at a dose of 1 mL, and the change in biological response was confirmed after a week. In addition, 5% formalin (30, 50 μL) was injected into TMJ and subcutaneous areas of the whiskers of rats to observe the change in the threshold of the improved orofacial pain model. As a result of the experiment, in the xerostomia model, drinking water was decreased in the cinnamaldehyde-administered group, feed intake and weight increased, and saliva was also increased compared to the naïve group. In particular, the most significant increase trend was observed at the concentrations of 25 and 50 mg/kg. In addition, it was confirmed that the pain behavioral response of the orofacial area improved by oral diseases decreased depending on the concentration of cinnamaldehyde. Based on these results, cinnamaldehyde effectively reduced symptoms related to xerostomia and showed improved pain relief in the orofacial areas.

신경망 모델을 이용한 치통발생 예측 모형에 관한 연구 (Predictive Modeling of Dental Pain Factors Using Neural Network Model)

  • 김은엽;임근옥
    • 치위생과학회지
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    • 제9권2호
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    • pp.181-187
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    • 2009
  • 본 연구는 구조화된 설문을 통하여 구강건강 유지 및 증진을 위해 구강건강실태를 조사 분석하여 치통을 일으키는 요인을 기반으로 치통예측모형을 개발하였다(n=110). 1. 연구대상자는 총 110명 남성 27명, 여성 83명이었다. 신장 평균은 남성 172.59cm, 여성 161.95cm, 체중 평균은 남성 64.33kg, 여성 53.81kg이었다. BMI (Body Mass Index)는 남성이 $21.58{\pm}1.84$, 여성 $20.51{\pm}2.00$으로 성별에 따라 유의하였다(p=0.004). 2. 식습관0 조사 결과 선호하는 맞은 남성 51.8%가 짠맛을 선호하는 반면, 여성 62.7%는 보통(중간)의 맛을 선호하는 것으로 나타나 성별에 따른 차이가 나타났다(p=0.009). 본인의 식사가 균형이 있는지 인식을 조사한 결과 남성 76.9%는 '그렇다'라고 한 반면, 여성 49.4%만 균형 있는 식사를 하고 있다고 하여 성별에 따른 차이가 있었다(p = 0.011). 3. 운동 및 기호에 대한 조사결과 일주일 동안 운동 시간에 대한 결과 남성 55.6%, 여성 55.5%가 주당 4시간미만 운동하는 것으로 나타났다. 지금 운동의 적절성에 대한 인식 결과 남성 82.6%, 여성 66.7%가 적정한 운동이라고 답하였다. 흡연은 남성 77.8%, 여성 100%가 전혀 흡연을 한 경험이 없는 것으로 나타났다(p < 0.001). 4. 구강 건강 습관 조사결과 조사시점에 치통 유무는 남성 11.5%, 여성 20.7%가 있는 것으로 나타났다. 칫솔질 교육은 남성 55.6%, 여성 69.9%가 받았다고 하였다. 하루 3번 칫솔질하는 횟수는 남성 50.0%, 여성 66.3%로 나타났다. 5. 잇몸수술 경험은 없으며, 칫솔횟수는 하루 4회하며 균형 있는 식습관을 하고 있으며, 약간 단맛을 선호하는 사람이 치통을 더 느끼는 것으로 나타났다. 6. 치통 예측 모델링에 대한 결과 신경망 모델을 사용한 상대적 중요도가 높은 독립변수는 선호 맛, 스트레스 합, 흡연 유무, 잇몸수술, BMI, 균형 있는 식사 인식, 나이였으며, 치통발생 모형의 정확도는 88.75%이었다.

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