• The Journal of Korea Assosiation for Disability and Oral Health
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• v.5 no.2
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• pp.87-91
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• 2009

The purpose of this study were to investigate the chief complain and dental treatment needs in handicapped patient. This study examines treatment records of 1025 patients in free dental clinic for handicapped patients during 10 years from 1999 to 2008. The results were as follows : 5.8 average visit per patient; mean patient age was 25; 544 patients was younger than 20. Handicapped patients classified according to types of disability. Crippled disorder were 19.1%, brain disorder were 4.5%, visual disorder were 3.1%, auditory disorder were 4.1%, speech disorder were 0.9%, mental retardation were 67.1%, and developmental disorder were 25.1%. Performed treatments were 322 scaling, 13 fluoride varnish, 727 preventive resin restoration, 1296 resin restoration, 600 amalgam restoration, 46 GI restoration, 612 extraction, 289 pulp treatment of primary teeth, 75 pulp treatment of permanent teeth and 138 stainless steel crown restoration. Many handicapped patients have some difficulty to dental treatment. They have limited access to dental care, which is compounded by a shortage of skilled dental professionals who are willing to treat these population and financial problems.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.2 no.1
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• pp.31-38
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• 2006

90 handicapped patients with dental problem treated under outpatient general anesthesia at one day operation room of kyungpook National University Hospital during 2000-2005 were analyzed. Following are the conclusions. 1. For those 90patients treated under general anesthesia, 62(68.9%)patients had autism or mental retardation. 2. The most difficult work for the preparation of general anesthesia was preoperative examination(53.3%). 3. The parent's satisfaction level after treatment under general anesthesia was high(75.6%). 4. 36(40%) of the patients responded to periodic recall check till now.

• Journal of the korean academy of Pediatric Dentistry
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• v.24 no.3
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• pp.581-589
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• 1997

42 dentally handicapped patients who require general dental treatments but behavioral managements had been an obstacle to proper treatments were chosen and the author conducted dental treatment under outpatient general anesthesia. Followings are the conclusions 1. The average time for the treatment procedure was 2 hours and 1 minute and the average of 9.52 teeth were treated for individual patient indicating its high efficiency. 2. The average time for the recovery was 3 hours and 14 minutes and none of the patients showed any specific serious complications. 3. Treatments under outpatient general anesthesia can be a proper patient management method for the dentally handicapped patients if the patient selection is proper.

• Korea journal of population studies
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• v.17 no.1
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• pp.73-86
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• 1994

In order for handicapped people to maintain better humane life, it is necessary to get statistics of them in developing appropriate national policy. However, it is very difficult to obtain baseline statistics on regular or occasional basis. It's reason is mainly attributed to attitudes of their family's tendency to conceal any existence of such memeber in the household. As a result, the statis-tics on the handicapped population is very inaccurate and under satisfaction. We must produce such statistics periodically in time and with accuracy. Thus, this study porposes five methods which, we believe, can produce reliable statistics of thehandcapped population : 1) vitalization through enforcement of handicapped information into the registration system, 2) inclusion in population census of items related to handicapped information, 3) improvement of the physically handicapped population survey scheme, 4) utilization of hospital patients' records for development of the statistics, and 5) an estimation through the labor force survey.

• Journal of The Korean Dental Society of Anesthesiology
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• v.2 no.2 s.3
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• pp.101-106
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• 2002

Background: The management of the behavior of handicapped children when providing required dental care is often a problem, whether in the dental office or in a hospital setting. Because of the high incidence of poor cooperation, many of these patients are scheduled for dental care under general anesthesia with preoperative medical assessment. The purpose of this study was to carry out a clinico-statistical survey on dental treatment for handicapped children under general anesthesia. Methods: After approval from the institutional review board, the medical records of 64 handicapped children between 1997 and 2002 were reviewed to determine the patient profiles, anesthesia management, and complications. The charts of these patients, who underwent dental examination, scaling and prophylaxis, and restoration and extraction of teeth under general anesthesia, were reviewed. Results: The mean age was 12.8 years old, and males (53%) predominated females (47%). Twenty-four patients had mental retardation, twelve had autism, six had cerebral palsy, 4 had behavior disorder, others had heart disease, convulsive disorder, etc. Sixty-two had intravenous thiopental with neuromuscular blocker, 2 had intravenous ketamine induction. Nasotracheal intubation was uneventful in 55 patients, nine had orotracheal intubation because of difficult visualization of the larynx. Twenty-one patients experienced postoperative complications in the recovery room, including epistaxis, nasal obstruction, vomiting, airway obstruction, respiratory depression. Conclusions: General anesthesia is a very effective way of completing the dental treatments for disabled children. We emphasize the need to train anesthesiologists in the care of disabled patients.

• Korea journal of population studies
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• v.6 no.1
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• pp.115-126
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• 1983

In order for handicapped people to maintain better humane life, it is necessary to get statistics of them in developing appropriate national policy. However, it is very difficult to obtain baseline statistics on regular or occasional basis. It's reason is mainly attributed to attitudes of their family's tendency to conceal any existence of such memeber in the household. As a result, the statis-tics on the handicapped population is very inaccurate and under satisfaction. We must produce such statistics periodically in time and with accuracy. Thus, this study porposes five methods which, we believe, can produce reliable statistics of thehandcapped population : 1) vitalization through enforcement of handicapped information into the registration system, 2) inclusion in population census of items related to handicapped information, 3) improvement of the physically handicapped population survey scheme, 4) utilization of hospital patients' records for development of the statistics, and 5) an estimation through the labor force survey.

• Journal of the korean academy of Pediatric Dentistry
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• v.28 no.1
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• pp.87-94
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• 2001

A survey was undertaken among a group of dentists working at private dental clinics to investigate the state of dental care and the level of education and training in the dental care to people with handicaps. Forty four percents of dental clinics take care of one more patients per month. The types of handicaps were physical, mental, sensory handicap and autism. The common problems are difficulty in communication and delay of treatment. Forty nine percents of dentists got education and nineteen percents had clinical experience for dental care of handicapped patients. Most of dentists felt necessity of training program and establishment of specialized dental hospital supported by government for the handicapped. This study indicated the necessity of undergraduate and postgraduate education and clinical training for dental care of handicapped patients.

• Journal of Korean Physical Therapy Science
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• v.3 no.2
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• pp.997-1009
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• 1996

The purpose of this study was to identify the necessity to provide a much better and more comfortable physiotherapy than institutional physiotherapy to a number of home-keeping handicapped persons and patients with a chronic-degenerative-denile disease. Home visiting physiotherapy can be defined as a behavior which a physiotherapist himself visit home and treat patients who cannot or hardly can visit hospital. To investigate factors which might influence the necessity for introduction of home visiting physiotherapy, this survey was carried out with the out-patients of four general hospital, one Chinese-medicine hospital, one welfare institution for handicapped persons, and also for all the physiotherapists registered in Pusan physiotherapist association using the structured questionare from March 1 to March 30.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.5 no.2
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• pp.96-99
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• 2009

Macroglossia is a tongue pathology of multiple etiology as systemic disease like cerebral palsy and Down syndrome etc. It can cause abnormal oral conditions including anterior open bite or dyspnea by changing occlusion and oral habits. So many handicapped children who have macroglossia need to get surgery of large tongue to improve esthetics, function, and treatment stability. The purpose of this report is to evaluate 2 patients, one has cerebral palsy and the other lymphangioma, who have experience of glossectomy with review of literature.

• Journal of the korean academy of Pediatric Dentistry
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• v.25 no.3
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• pp.506-512
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• 1998

The dentists often encouter a child who can not be treated with traditional behavior management technique. Mentally or physically handicapped child could receive proper dental care under general anesthesia. General anesthesia for dental care can be done in an outpatient surgery or inpatient surgery depending on the patient. In outpatient surgery, the patient is admitted and discharged the same day. Postoperative care and discharge procedure are abbreviated. Advantages of outpatient surgery are much less emotional disturbance of patients, reduced risk of nosocomial infection and less cost of treatment. A case of a physically handicapped patient treated under general anesthesia at Day Surgery Center is presented and the procedure and patient selection of outpatient surgery as well as its limitation is reviewed in this paper.