• Title/Summary/Keyword: Oral health conditions

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DENTAL TREATMENT UNDER GENERAL ANESTHESIA IN A PATIENT WITH LOWE SYNDROME : A CASE REPORT (로웨 증후군 환아의 치아우식 치료 증례 보고)

  • Ryu, Jiyeon;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Kim, Chong-Chul;Lee, Sang-Hoon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.12 no.2
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    • pp.82-86
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    • 2016
  • Lowe syndrome is X-linked gene disorder, characterized by cataracts, renal dysfunction and brain abnormalities. Oral healthcare of young patients with Lowe syndrome could be easily neglected due to the uncooperative behavior or other systemic condition of the child. We are presenting a case of successful treatment under general anesthesia with uncooperative child with Lowe syndrome. A 3-year old boy with Lowe syndrome visited Seoul National University Dental Hospital for multiple caries. He had been suffering from congenital cataract, medullary nephrocalcinosis and hypotonia. Multiple caries were observed from clinical and radiographic examination. Concerning behavior management problem and possibility of aspiration due to hypotonia, dental treatment under general anesthesia was planned. Left upper primary first molar was extracted to prevent further infection. Other teeth were treated with Stainless steel crown or composite resin restoration based upon the extent and the severity of dental caries. Under general anesthesia, dental procedure was carried out successfully and safely. Considering uncooperative behavior and other medical conditions of the patient, general anesthesia could be effective. Home oral care and periodic visit to dental clinic should be emphasized to the caregiver of patient with Lowe syndrome, considering the susceptibility of dental caries and other oral manifestation.

Inflammatory Effect of Light-Emitting Diodes Curing Light Irradiation on Raw264.7 Macrophage

  • Jeong, Moon-Jin;Kil, Ki-Sung;Lee, Myoung-Hwa;Lee, Seung-Yeon;Lee, Hye-Jin;Lim, Do-Seon;Jeong, Soon-Jeong
    • Journal of dental hygiene science
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    • v.19 no.2
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    • pp.133-140
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    • 2019
  • Background: The light-emitting diode (LED) curing light used is presumed to be safe. However, the scientific basis for this is unclear, and the safety of LED curing light is still controversial. The purpose of this study was to investigate the effect of LED curing light irradiation according to the conditions applied for the polymerization of composite resins in dental clinic on the cell viability and inflammatory response in Raw264.7 macrophages and to confirm the stability of LED curing light. Methods: Cell viability and cell morphology of Raw264.7 macrophages treated with 100 ng/ml of lipopolysaccharide (LPS) or/and LED curing light with a wavelength of 440~490 nm for 20 seconds were confirmed by methylthiazolydiphenyl-tetrazolium bromide assay and microscopic observation. The production of nitric oxide (NO) and prostaglandin $E_2$ ($PGE_2$) was confirmed by NO assay and $PGE_2$ enzyme-linked immunosorbent assay kit. Expression of interleukin $(IL)-1{\beta}$ and tumor necrosis factor $(TNF)-{\alpha}$ in total RNA and protein was confirmed by reverse transcription polymerase chain reaction and Western blot analysis. Results: The LED curing light did not affect the viability and morphology of normal Raw264.7 cells but affected the cell viability and induced cytotoxicity in the inflammation-induced Raw264.7 cells by LPS. The irradiation of the LED curing light did not progress to the inflammatory state in the inflammation-induced Raw264.7 macrophage. However, LED curing light irradiation in normal Raw264.7 cells induced an increase in NO and $PGE_2$ production and mRNA and protein expression of $(IL)-1{\beta}$ and $(TNF)-{\alpha}$, indicating that it is possible to induce the inflammatory state. Conclusion: The irradiation of LED curing light in RAW264.7 macrophage may induce an excessive inflammatory reaction and damage oral tissues. Therefore, it is necessary to limit the long-term irradiation which is inappropriate when applying LED curing light in a dental clinic.

The Relationship Between Chewing Ability and Health Status in the Long-lived Elderly of Kyungpook Area (경북지역 장수노인의 저작능력과 건강상태)

  • Lee, Hee-Kyung;Lee, Young-Kwon
    • Journal of Yeungnam Medical Science
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    • v.16 no.2
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    • pp.200-207
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    • 1999
  • Background: The objective of this study is to evaluate the effect of the dental and general health in relation to the state of dentition and chewing ability by surveying oral condition and anthropometric measure in order to provide primary statistics for the development of a program which may lead to an improvement in the long-lived elderly health status in a rural community. Materials and Methods: The subjects of this study were 97 rural long-lived elderly(27 males and 70 females) who were over 85 years-old (average age of subjects are $88.14{\pm}3.20$ year old) in Sungju-Gun, Kyungpook Province. Data were collected by using questionnaires and direct measurement of anthropometrics, and oral examination from all 97 subjects on July, 1999. Results: The following results were obtained: 1. 53.6% of all subjects believe that they are healthy. The average values of height, weight, BMI, body fat, lean body fat and total water were $148.8{\pm}11.2cm$, $46.9{\pm}10.5kg$, $21.2{\pm}3.5kg/m^2$, $26.7{\pm}6.9%$, $73.0{\pm}7.1%$, and $53.4{\pm}5.2%$, respectively. 2. The average number of teeth remaining in the subjects were $3.50{\pm}5.71$; the number of maxillary teeth remaining were $1.08{\pm}2.88$; and the number of mandibular teeth remaining were $2.41{\pm}3.76$. The maximum number of teeth remaining among subjects were 22 teeth, and the fully edentulous(no natural teeth) people were 76.3%. The oral conditions of the subjects were 52.6% using denture, 23.7% using natural teeth, and 23.7% masticating edentulous ridge without denture. 3. In terms of oral condition in self-assessment of health, digestive ability, and chewing ability ; On self-assessment of health, 47.1% of those wearing denture group responded as feeling good, 56.5% of those in the group of edentulous without denture, and 65.2% in group of natural teeth only. On self-assessment of digestive ability, 82.4% of those in group of denture responded as feeling good, 65.2% of those in group of no teeth and no denture, and 73.9% of those in group of natural teeth only. On self-assessment of chewing ability, 90.2% of those in the group wearing a denture, 60. 9% of those in the group of no teeth and no denture, and 65.2% of those in the group of natural teeth only. 4. In terms of oral condition in anthropometric measurements; The height, weight, body fat, lean body mass, and total water according to oral conditions were $150.0{\pm}10.7cm$, $49.0{\pm}10.9kg$, $26.9{\pm}6.6%$, $72.7{\pm}7.0%$, $53.2{\pm}5.1%$, respectively, in group wearing a denture, $142.7{\pm}6.0cm$, $43.2{\pm}5.5kg$, $29.5{\pm}7.2%$, $70.8{\pm}6.9%$, $51.8{\pm}5.0%$, respectively, in the group of no teeth and no denture, and $152.3{\pm}14.1cm$, $45.9{\pm}12.6kg$, $23.4{\pm}6.0%$, $75.9{\pm}6.9%$, $55.6{\pm}5.1%$, respectively, in the group of natural teeth only. Conclusion: The subjective measurements of good health were higher denture user, and natural teeth.

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Dental Health Capacity of The First Permanent Molars among Children in a Primary School in Suncheon City (순천시 일개 초등학교의 제일대구치 건강도 조사)

  • Kim, Seung-Hee
    • The Journal of the Korea Contents Association
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    • v.10 no.11
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    • pp.209-216
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    • 2010
  • The purpose of this study was analyzing the first permanent molars condition that was how catch on general oral health of the children in primary school, to make use of the basic data on dental health policy project for the school oral health. The sampling was done at the primary school in Suncheon. It made a survey on the first permanent molars of 823 person who had attended in March, 2009. By using the WHO standards and Clune's dental health capacity, the conditions of first permanent molars calculated. DMFT index and it's condition of first molars statistically are analyzed by Pearson's correlation. 1. The dental health capacity of the first permanent molars was 92.2%. 2. The DMFS index of first permanent molars was 3.97. 3. The dental health capacity of first permanent molars have related with DMFT index(r= -0.895). 4. DMFS index of the first molars have positive relation with DMFT index(r= 0.902). In this repory, I would like to suggest that the evaluation of dental health project for the school aged children should be considered including the healthy status of the first molars.

Lactic Acid Fermentation with Rice Koji as a Carbon Source (탄소원으로서 입국을 이용한 유산균 발효)

  • Park, Suk-Gyun;Ohk, Seung-Ho;Kim, Jin-Man
    • KSBB Journal
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    • v.30 no.1
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    • pp.33-37
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    • 2015
  • Recently, several health benefits of rice wine, makgeolli, were known due to the interest on the traditional Korean liquor and the researches on the rice wine are increasing. Organic acids produced during the process of rice wine fermentation play important roles in the taste and flavor. In this study, we have examined the optimal conditions for lactic acid production in rice koji as a carbon source. Skim milk was also used as a supplementary ingredient for the optimization of lactic acid fermentation. Bacterial growth of Lactobacillus sakei was monitored under this condition. The pH, acidity of the culture and the ethanol tolerance of this bacterium were also tested. Through these experiments, we were able to optimize the growth condition of lactic acid bacteria by the addition of skim milk. This was also able to affect the change of pH, acidity, sugar concentration and alcohol tolerance, which might contribute to the improvement of the quality of rice wine. The optimal condition for the growth was 2 days with 10% (w/v) of skim milk concentration. With these results, it was confirmed that rice koji was an effective carbon source for the growth of lactic acid bacteria.

A comparative study on J regional sport players' actual conditions of maxillofacial trauma and their knowledge about It (J지역 운동선수의 악안면 외상 실태와 지식에 관한 비교조사연구)

  • Choi, Mi-Hye;Kang, Eun-Ju;Woo, Seung-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.695-703
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    • 2010
  • Objectives : The purpose of this study was to investigate the maxillofacial injuries of the sports players' and analyzing the concerned factor. Methods : The subject in this study were 290 sports players' enrolled in Jeolla region. SPSS statistics program(Version 12.0) was used to analyzed the collectde data, Chi-square test and percentage were used as the analysis technique. Results : 1. It was found that 63.8% of all respondents ever experienced trauma in sport activities and 28.6% experienced maxillofacial trauma. 2. In terms of traumatic causality, it was found that most of our respondents attributed the biggest cause of maxillofacial trauma to 'sport activities.' 3. However, it was found that only 12.1% of all respondents gave correct answers to question items about good medical treatment for traumatic odontoptosis. 4. It was found that less than half of all respondents ever faced information on maxillofacial trauma. Conclusions : This finding suggests that it is required to build up current orientation programs about maxillofacial trauma for our sport players. The maxillofacial trauma of sport players' is a important factor that degenerate the quality of the oral health and bring about the change of life style.

Evaluation of general anesthesia and sedation during dental treatment in patients with special needs: A retrospective study

  • Akpinar, Hatice
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.4
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    • pp.191-199
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    • 2019
  • Background: Patients with special health care needs are more likely to develop health problems, including dental problems. Dental treatments require a good level of communication with the patient. Therefore, in these patients, sedation and general anesthesia are an extremely humanistic approach for comfortable and successful treatment. In patients with special needs, there is no standard anesthetic approach due to varying clinical conditions. The aim of this study was to provide literature content about the anesthetic approaches used by us in patients with special needs. Methods: The medical records of 710 patients with special health care needs treated under general anesthesia or sedation were reviewed retrospectively. Demographic data, the American Society of Anesthesiologists classification, Mallampati score, anesthesia duration, anesthesia type, anesthetic and analgesic agents used, dental treatment performed, secondary diseases, and complications in the perioperative period were recorded. Patients were evaluated under five groups: Down syndrome, other syndromes, psychiatric disorders, physical disabilities, and complicated medical story. Results: Among the patients evaluated, 47.5% were females and 52.5% were males (mean age $15.76{\pm}11.17$ years), and general anesthesia and sedation were administered in 72.9% and 22.1% patients, respectively. The mean duration of anesthesia was $43.20{\pm}35.85$ min. Simple dental treatments were performed in all groups, and the most common complications were observed in the other syndromes group. Conclusion: Complications can be reduced by utilizing the appropriate anesthetic approach and taking serious precautions in patients with special needs.

Differences in the expression rate and genotype of Porphyromonas gingivalis according to smoking status (흡연행태에 따른 Porphyromonas gingivalis의 발현율과 유전형 차이)

  • Kim, Jin-Kyoung
    • Journal of Korean Clinical Health Science
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    • v.8 no.2
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    • pp.1436-1443
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    • 2020
  • Purpose: The purpose of this study was to differences in the expression rate of Porphyromonas gingivalis according to smoking status, smoking amount and period of smoking. Methods: At the time of investigation, 30 smokers and non-smokers were recruited among patients with periodontitis with a probing pocket depth(PPD) of 4 mm or more. General information was collected using a self-questionnaire, and the average value was used by a dentist to measure the probing pocket depth of three times each for the first or second molar. Plaque collection and analysis were performed by collecting only subgingival plaque using a conventional method, and the expression rate of P. gingivalis was confirmed using polymerase chain reaction (PCR). For statistical analysis, the SPSS Ver 25.0 program was used. Results: Smoking did not have a significant effect on the expression of P. gingivalis, but it did affect the expression of more type II genotypes (p<0.05). In addition, smokers had more slight periodontal pocket, and the amount and duration of smoking did not affect the expression of P. gingivalis. Conclusions: In the future, it is necessary to reinforce the group of smokers and non-smokers with healthy oral conditions, and to investigate the quantitative difference in the expression rate and genotype of P. gingivalis over time of harmful substances in smoking.

Assessment of Acidogenic Potential for Dental Biofilms by Periodontal Health Condition (치주 건강 상태에 따른 치면세균막의 산 생성능력 평가에 대한 연구)

  • Min, Ji-Hyun;Yoon, Hong-Cheol;Kim, Jong-Kwan;Kang, Si-Mook;Kim, Baek-Il
    • Journal of dental hygiene science
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    • v.15 no.2
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    • pp.202-208
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    • 2015
  • The aim of this retrospective study was to evaluate the relationship between periodontal health condition and the results of a new method such as Cariview which could evaluate the acidity of dental biofilms. Fifty four subjects more than 20 years old were selected for the candidates of this study. The periodontal health conditions of the candidates were divided into 4 groups according to the assessment of X-ray and Quantitative Light-induced Fluorescence-Digital (QLF-D; Inspektor Research Systems BV) images; gingivitis, slight periodontitis, moderate periodontitis, severe periodontitis. The biofilm acidogenicity of each subject was examined using Cariview (All in ONE BIO) according to manufacturer's instruction, and the Cariview score was calculated. The mean differences of Cariview score between 4 groups of periodontal health condition were examined by ANCOVA test with the covariance of decayed, missing, and filled teeth (DMFT) index. As a result, the mean Cariview score was different, however it was not significantly different from the 4 groups (p=0.12). The mean score was the lowest in the gingivitis group ($40.54{\pm}11.01$), and the highest in slight periodontitis group ($57.26{\pm}20.51$). In conclusion, the significant mean differences were not confirmed in Cariview score according to the periodontal health condition.

A Study of the Real Conditions of the Management of Dental Hygienists' Self-Oral Health (치과위생사의 자기구강건강관리에 관한 연구)

  • Lee, Kyung-Ae
    • Journal of dental hygiene science
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    • v.5 no.2
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    • pp.45-49
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    • 2005
  • This study is designed to present basic materials necessary for offering the more effective way of dental hygienists, or those who are in charge of the education of Oral health, the treatment and prevention of dental problems, educating Oral health by stage by dint of determining the actual condition of the knowledge and management of dental hygiene, or prevention of the basic dental disease except the professional methods of dental management and evaluating their abilities to manage dental hygienes. In terms of the real conditions of the management of dental hygienes, the majority of the subjects said, "not bad" or "healthy". Most of them (62.1%) said that they brush their teeth three times a day, and most of them (85.2%) depend on rolling methods. 69.2% of them used brushes that are neither hard nor soft, and 28.4% of them use soft brushes and 49.7% of them brush their teeth for about 3 minutes. In terms of brushing time, 27.8% of them brush their teeth after lunch, while 23.8% of them brush their teeth after breakfast. 66.3% of them use fluoric tooth pastes while 19.5 percent of them said, "I have no idea." and 14.2% of them said, "No." In terms of complementary dental hygiene goods, dental goggles are used by 23% of them, and dental threads are used by 78.1% and tooth brushes are used by 78.1% of them, and 42.4% of the subjects use the instruments one to twice a day, and 53.8% of them use them for less than one minute a time. In terms of dental health care, 17.2% of them have a chew of gum and 8.3% of them pay a regular visit to dental clinics and 5.3% of them don't smoke.

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