• 대한치과보철학회지
• /
• 제56권1호
• /
• pp.50-55
• /
• 2018

무치악 환자에서 악간관계의 부조화는 자주 관찰되며, 의치에서 인공치의 교합접촉 시 안정의 결여는 환자의 불편감과 점막 외상, 나아가서는 근육과 신경의 변화나 감정적 장애를 일으킬 수 있다. 따라서 기능 시 의치에 가해지는 교합력을 고려하여 적절한 교합을 설정하는 것이 성공적인 의치 치료에 중요한 요소라고 할 수 있다. 본 증례에서는 하악 전돌로 인한 상하악 악궁간의 심한 부조화를 가진 완전무치악 환자를 양악총의치로 수복하였다. 비정상적인 악간 관계를 보상하기 위해 구치부 교차교합으로 인공치를 배열함으로써 의치의 안정과 유지를 확보하였고, 환자 또한 기능적, 심미적으로 만족하였다.

• 대한소아치과학회지
• /
• 제37권4호
• /
• pp.482-487
• /
• 2010

주의력결핍-과잉행동장애(Attention Deficit-Hyperactivity Disorder, ADHD)는 학령기 어린이의 가장 흔한 정신장애로 점차 증가하는 추세이다. ADHD 어린이들은 자극에 선택적으로 오래 집중하는 것을 어려워하고, 말이 많거나 허락 없이 자리에서 일어나고 뛰어다니며, 팔과 다리를 끊임없이 움직이는 등 활동 수준이 높다. 또한 충동적인 성향이 있어서 넘어지거나 사고를 당하는 경우도 많다. 이에 치과치료 시 행동조절, 구강위생, 외상 등의 문제를 예상할 수 있는 바, 치과의사의 관심이 증대되어야 할 필요가 있다. 본 증례는 ADHD로 진단받은 만 8세 여아로 약물진정 및 심리적인 행동조절법을 이용해 치과적 주소를 해결해 주었고, 문헌고찰을 통해 다소의 지견을 얻었다.

• 대한소아치과학회지
• /
• 제37권4호
• /
• pp.545-550
• /
• 2010

Freeman-Sheldon Syndrome(FSS)은 드물게 발생하는 선천성 유전 질환으로 휘파람을 부는 듯한 특징적인 안모로 인해 'Whistling face syndrome'으로 불리워진다. 또한 편평한 안모, 긴 인중(philtrum), 낮은 비연골이 나타나 두드러진 안면이상을 보이고, 내반족(club foot, 內反足), 손가락의 관절구축(joint contracture)으로 인한 풍차 모양의 손을 가지며, 지능은 보통 정상이다. 본원에 내원한 환아는 이 질환의 특징적 양상인 구강 주위 근육의 수축으로 소구증 및 개구제한, 높은 구개 및 부정교합, 치열의 심한 총생을 보여 구강위생이 매우 불량하였고 치과치료에 비협조적이었다. 소아치과적 행동조절 및 구강위생관리, 섭식장애의 상담으로 치과적 문제는 다소 개선되었으나, 안과 및 정형외과, 신경정신과, 교정과, 마취과적 문제로 인해 다양한 협진이 필요하며 계속적인 관찰 및 치료가 요구되기에 이를 보고하는 바이다.

• 한국학교ㆍ지역보건교육학회지
• /
• 제16권3호
• /
• pp.41-50
• /
• 2015

Objectives: The purpose of this study was to apply an effective oral health promotion program and effect for underprivileged lower grade students. This study attempted to resolve some oral health inequality issues by providing underprivileged children with an oral health action program designed to promote positive oral health maintenance habits. Methods: This study was carried from May to August of 2009 with 77(control group 27 subjects, experimental group 36 subjects) elementary school students selected among first to third graders attending regional welfare center's after school program in Seoul. To the control group, conventional education methods were applied. To the experimental group, newly designed program was conducted by three project experts(1 expert, 1 dentist, 1 dental hygienist). It consisted of 5 sessions and progressed with various activities. It was focused on achieving target knowledge and changing oral health behavior. In order to evaluate the designed educational program, learners' achievement was evaluated with implementing the questionnaire and one-on-one interviews. And also the oral health improvement was evaluated based on change of Patient Hygiene Performance(PHP) index. Results: Based on the results of learners' achievement, the experimental group showed the significant increment of the oral health knowledge by the relapsed time, and it maintained after finished the program(p<0.001). The patient hygiene performance index showed not significant changed(p>0.05), but 1 month later the control group showed an increment of the PHP score, but the experimental group showed a decrement of it. Conclusions: Oral health promotion program by project approach could give a long-lasting educational effect to the children and encouraged proper oral hygiene behavioral changes.

• 한국학교보건학회지
• /
• 제17권2호
• /
• pp.11-22
• /
• 2004

Purpose: The aim of this study was to evaluate the effects of oral health care programs in 3 school-based oral health care center among primary schoolchildren. Methods: School-based oral health care programs included fluoride mouth rinsing, pit and fissure sealing for permanent premolars and molars, fluoride gel application and chewing of xylitol candy. All of the programs were carried out by one dental hygienist among 'D' primary schoolchildren in Daegu city under the supervision of a dentist. Baseline dental examinations were completed and preventive care was implemented for 544 children during one year. All of the children visited a school-based oral health care center every three months for a regular check-up. The final oral examination was conducted from March 15 to April 1, 2004. The data analysis data was made on the basis of SAS 8.01. Mean differences between 2003 and 2004 data were compared by paired t-test. Corresponding p-values were considered significant at values less than 0.05. Results: The DMF rate and DFT index were reduced to 8.0% and 8.4% during one year respectively, but there were no statistically significant differences. The DMF rate was significantly reduced (16.3%) after a one year program of school-based oral health care practice. The DMFT(Decay Missing Filling Tooth) index was also reduced compared to 2003 throughout the entire grade. Conclusion: School-based oral health care programs can reduce the prevalence of dental caries prevalence among schoolchildren during one year. This program also improved the oral health capacity of schoolchildren. It is recommend that the school-based oral health care program should be extended to every primary school in Korea.

• 한국치위생학회지
• /
• 제10권2호
• /
• pp.413-423
• /
• 2010

Objectives : The purpose of this study was to examine the general characteristics, oral health knowledge and oral health behavior of elderly people and the relationship of their oral health knowledge to practice of the knowledge in an attempt to provide information on the development of the senior oral health care system. Methods : The subjects in this study were 324 elderly people who used five different social welfare centers in the regions of Sooncheon and Yeosoo. Results : 1. The oral health knowledge of the elderly people investigated was at a low level. Among different sorts of oral health knowledge, they had the best knowledge on the cause of dental caries, and they were most ignorant about the right time for regular dental checkup. 2. Regarding connections between general characteristics and oral health knowledge, the elderly people who never went to a dentist had a better knowledge on oral health, and those who cared about oral health had a better knowledge than the others who didn't. 3. As to practice of oral health knowledge, the best oral health behavior they did was to clean the tongue during toothbrushing, and oral health behavior was not to have an unbalanced diet. The second best one was to be well-nourished, and the third best one was to refrain from drinking, smoking and eating sugar-containing food. The fourth best one was to get a regular dental check-up and teeth cleaned. 4. There was a positive correlation between oral health knowledge and oral health behavior. A better oral health knowledge led to a better oral health behavior. Conclusions : The better oral health knowledge of the elderly people was followed by a better oral health behavior, and the development and implementation of customized oral health education programs geared toward the elderly are urgently required. Oral health professionals should direct their energy into providing sustainable and systematic oral health education, and institutional measures should be taken to make it happen.

• 한국치위생학회지
• /
• 제12권6호
• /
• pp.1101-1110
• /
• 2012

Objectives : The purpose of this study is to research and to analyze the relationship between oral health state of infants and oral health awareness of their parents. Methods : The study has been conducted for 196 infants ranging from the age 18 to 60 month and their parents who have visited three dental clinics in Gyeongju city. The questionnaire has been made to identify the parents' oral health knowledge and behavior, while the dentist has examined the dental care, toothbrushing, and malocclusion of infants. Results : According to the results, it has been found out that there is correlation between subject's health status and oral health status where the higher point of subject's health status lead to the point of oral health status accordingly. Also it has been additionally recognized that there is the relationship between the awareness of parents and the oral health status of their infants in the same way. Conclusions : The parents who have low oral health awareness are required by oral health professionals to be provided with information on infant oral health, in order to promote and to maintain healthy oral status of their infants. And the specific training on method how to care oral health is needed. In addition, the government should take the detailed measures by extending infant's medical benefits to draw their attention to the issue.

• 한국치위생학회지
• /
• 제12권6호
• /
• pp.1221-1231
• /
• 2012

Objectives : The purpose of this study was to examine the oral health behavior and examine closely the connection factor and plans oral health promotion. Methods : This survey was conducted on 370 high school students in Kyunggi-do Suwon from November 21 to 23, 2011. 352 questionnaires were collected and analyzed. The collected data was analyzed using the statistical package SPSS WIN 15.0 using frequency, mean and standard deviation analysis, T-test, one-way ANOVA and Duncan's test correlation analysis. Results : The results state that 73.3% of students believe brushing teeth is very important and 26.7% of the students method of tooth brushing is up and down. for correct teeth brushing, they think choosing a brush is important(70.7%) also their brush shapes were uneven form(44.3%) and flat form(43.5%). 31.4% of students are using an oral hygiene device and 31.4% of students had received oral health education. 42.7% of female students get information about oral health from their dental clinics. 24.8% of male students receive information on oral health from parents and relatives. They think the best educator for oral health education will be a Dental hygienist(46.5%), or Dentist(48.0%). we found that a correlation between oral health interest, importance, knowledge and condition effect each other(p<.001). It means that if students have high oral health interest, oral care importance and oral health knowledge which can improve their oral health condition. Conclusions : The results of this study state that we need continuous oral health education systems and prevention programs to raise awareness among students and for the improvement of their oral health.

• 한국치위생학회지
• /
• 제12권2호
• /
• pp.431-438
• /
• 2012

Objectives : The aim of this study was assessment of the variation of urinary mercury concentrations after removal of amalgam fillings in children. Methods : 10 elemental school children with amalgam filling tooth surfaces were took part in this study. One dentist recorded the number of amalgam filling surface, and general characteristics of subjects were surveyed by questionnaire. Each urine samples were collected before, immediately after and after 24 hours amalgam removal. The statistical analysis was performed using the SPSS 18.0. Results : The mean concentration urinary mercury immediately after amalgam removal was higher ($5.70{\pm}1.20{\mu}g/g$ creatinine) than before amalgam removal ($5.28{\pm}1.53{\mu}g/g$ creatinine). The mean concentration urinary mercury level whose have 1-10 amalgam removal surfaces was increased after amalgam removal compared with before. Conclusions : Mercury concentration in urine was influenced by amalgam removal.

• 한국치위생학회지
• /
• 제12권2호
• /
• pp.409-417
• /
• 2012

Objectives : The purpose of this study is to figure out and establish the basic data that can help improve management of oral healthcare for the international marriage immigrant women. Methods : In this sense, we surveyed questions on 237 women out of 1,300 immigrant women, who have participated in the program by multi-cultural household supporting center, in a fashion of face-to-face investigation and on-the-spot direct cavity inspection simultaneously from May 1 to October 31, 2010. Collected data were electro-statistically computerized under SPSS 17.0 program and analyzed with frequency analysis, recurrence analysis and logistic regression analysis respectively. Results : The number of filled teeth got lower when they had lower number of dental visits. Women from the Philippines had the highest number of defect teeth, and the number of fixed prosthetic appliance became less when they had less number of dental visits. When they had no experience of oral health education, they had less fixed prosthetic appliances. There was higher percentage of periodontal disease when they did not have dental visit compared with the dental visit cases. Conclusions : Preparation of a policy for east Asian immigrant women for them to visit dentist comfortably and expansion of systematic oral health education are highly recommended.