• Journal of The Korean Dental Society of Anesthesiology
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• v.2 no.2 s.3
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• pp.114-117
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• 2002

Special anesthetic considerations were required for children with acute or chronic liver disease. We experienced a case of dental treatment to control infection under general anesthesia in the 2-year-old girl with liver failure. She was also scheduled for liver tansplantation. Her preanesthetic results of liver function test, electrolytes, and coagulation panel were unstable and out of normal ranges. Uneventful anesthetic induction using isoflurane and atracurium and nasotracheal intubation were carried out. General anesthesia was maintained with isoflurane for 2 hours. Oozing from multiple extraction sites was sustained, so the transfusion of platelet concentration 1 units, fresh frozen plasma 1 unit, and packed red blood cell 1 unit was done. She was recovered without complication but was transferred to pediatric intensive care unit for wound care with her endotracheal tube kept. She was transferred to a ward without noticeable complications next day. So we report this successful case of anesthetic management for dental treatment in a child with liver failure.

• Journal of dental hygiene science
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• v.13 no.2
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• pp.125-134
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• 2013

The purpose of this study was to compare between early childhood teachers and mothers in oral health knowledge, oral health care behavior, and perception of oral health education. The subjects in this study were 90 early childhood teachers who worked in all of kindergartens and child-care centers and 235 mothers who have young children (aged from 1 to 5) in 2 kindergartens and 2 childcare centers Y region. They completed questionnaires about oral health knowledges, oral health care behaviors, and perception of oral health education. The collected data was analyzed by descriptive statistics, $x^2$-test, and Fisher's exact test of SPSS WIN. The results were as follows: 1. There was not statistically significant difference between early childhood teacher's knowledge about oral health and mothers'. 2. There was statistically significant difference between early childhood teachers' oral health care behaviors for children and mothers' in prevention of cavity, keeping toothbrushes, guiding oral health behaviors, and check up at dentist's. 3. There was statistically significant difference between early childhood teachers' perception of interest and experience in oral health education and mothers'. Therefore, There was not difference between early childhood teacher's knowledge about oral health and mothers. But early childhood teachers more frequently carry out preventing of cavity, keeping toothbrushes, guiding oral health behavior to their children than mothers. Mothers were more interested in oral health than early childhood teachers. And Mothers wanted to be educated about children' oral care and early childhood teachers wanted to be educated about guidebook and media of oral health education.

• Journal of dental hygiene science
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• v.12 no.5
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• pp.459-468
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• 2012

This study surveyed and analyzed on the relationship between obesity and oral health in early child hood and on the oral health realities targeting 90 young children at K Child Care Center where is located in Gangwon-do Province from 10 to 11, June, 2011. As a result, DMF rate accounted for 56.7%. D rate accounted for 42.2%. The young children with the higher age, height in 100~110cm, and weight in 25 kg were indicated to be higher in DF rate than other toddlers. The young children with height in 110~115 cm were indicated to be higher in prevalence of dental caries in deciduous teeth than other young children. It was indicated that the young children in the higher age and weight leads to the higher in DFT index and DFS index. It was indicated that the young children in the more overweight leads to the higher in the index of dental caries in primary teeth, the filling deciduous teeth index, DFT index, DMFS, and DFS index. Accordingly, the child care center needs to systematically perform the oral health education and oral health management for young children, to allow Young children to acquire right food habit, and to pay close attention even to selecting snack.

• Journal of The Korean Dental Society of Anesthesiology
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• v.14 no.1
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• pp.11-15
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• 2014

Background: It is imperative that adequate sedation level should be maintained for safe and effective dental sedation. Cerebral state index (CSI) is a empirically derived parameter calculated from the processed electroencephalography (EEG). We investigated whether CSI can be used as a sedation depth indicator. Methods: We continuously recorded CSI and bispectral index (BIS) values from 10 healthy children aged 3.6 yr undergoing dental sedation. We also evaluated sedation level using the Modified Observer's Assessment of Alertness/Sedation (MOAA/S). The correlation between CSI and BIS, or CSI and sedation score were sought a regression analysis. Results: There were good linearity between CSI values and sedation score. (r = 0.916, P < 0.001) The paired CSI and BIS values showed a significant correlation between the two values. (r = 0.895, P < 0.001) The difference between CSI and BIS values was not statistically significant at deep and conscious sedative levels. Conclusions: The CSI monitor can be easy to monitor sedation depth during dental sedation for children.

• The Korean Journal of Health Service Management
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• v.4 no.2
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• pp.63-72
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• 2010

The present study purposed to prevent oral diseases and to improve oral health in children. For this purpose, we selected 70 cases who are 5~7 years old preschoolers at the kindergarten affiliated to G College in Gyeongsangbukdo, and analyzed the general patterns of oral care and the relation of the patterns with dental plaque and deciduous dental caries in the children. Specifically, we conducted oral examination and applied pit and fissure sealant according to the eruption of deciduous molar and first molar. In addition, we executed the 1st and 2nd tooth brushing instruction (TBI), and surveyed S-OHI and PHP twice. Excluding 14 preschoolers who did not appear in the 2nd survey, we performed the study with 56 preschoolers and drew conclusions as follows. 1. The number of decayed or missed or filled teeth among deciduous teeth was 3 or more in 42.9% of female children, and 46.4% of male children, so male children showed a slightly higher rate. 2. The degree of dental plaque formation was $1.64{\pm}1.22$ among the surveyed children. 3. The oral health index was lower after TBI than before in all the children (P<.001). 4. Change in the oral health index was particularly larger in 7 year old female children (p<.005). 5. The patient hygiene performance index was lower after TBI than before in both the buccal surface and lingual surface of the children (p<.005). 6. The patient hygiene performance index was lower after TBI than before in all of male children's teeth except the right maxillary first deciduous molar (p<.001).

• Journal of Dental Anesthesia and Pain Medicine
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• v.23 no.6
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• pp.327-335
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• 2023

Background: Pain control is a crucial aspect of pediatric dentistry for patient management. Thermo-mechanical devices (Buzzy^TM Pain Care Labs, USA) work on the concept of vibration and cooling and have shown promising results in pain control during local anesthesia in pediatric dentistry. On the other hand, audio distraction has also been used for pain management. The amount of pain endured is determined by the patient's perception and attentiveness. Thus, if audio function is added to the thermomechanical device it might increase its efficiency. Hence, the present study aimed to compare pain on injection using a thermo-mechanical device with and without audio during inferior alveolar nerve block (IANB) injection in children aged 5-10 years old. Methods: Twenty-eight children aged between 5 and 10 indicated for IANB were included in this randomized study. Children who were undergoing the dental procedure were divided into 2 groups, with 14 children in each group. The study group was the thermo-mechanical device with audio distraction; the control group was the thermo-mechanical device without audio distraction. IANB was administered. Subjective pain evaluation was performed using the Wong-Baker Faces Pain Rating Scale (WBFPR) and objective pain evaluation was done using the Faces, Leg, Activity, Consolability, Cry (FLACC) scale. Results: The outcome depicted a significant reduction in pain on injection for both objective and subjective evaluations in the thermo-mechanical device with an audio distraction group. Conclusions: Less pain on injection was observed, when a thermo-mechanical device was used with audio distraction for IANB procedures.

• The Journal of the Korean dental association
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• v.19 no.6 s.145
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• pp.513-521
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• 1981

Periodic oral examination must be accomplished in elementary and high schools in every year, but many problemes happened to be checked out. So, the author questionnaired problem to school nurses about the periodic oral examination. The obtained results were as follows: 1. It took about 24 seconds per child to examine oral status. 2. It was revealed that school nurses could not be able to accomplish reporting about the children's oral health status. 3. generally speaking, school nurses had affirmative views about the periodic oral examination. 4. It was needed that incremental dental care system was operated for school children. 5. It was concluded that school dental health with man-power problem was dealt on the government level.

• Journal of Korean society of Dental Hygiene
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• v.12 no.3
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• pp.543-551
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• 2012

Objectives : School-age children have mixed dentition and are sensitive to dental caries. Their dental condition is more important as it is directly related with oral health in their life, and parents' attention and education are necessary as the children can not manage their oral health voluntarily. Methods : To evaluate the effect of parents' occupational status on the oral health of children, this study conducted a questionnaire survey and analyzed the results along with the results of oral examination with 952 students and their parents of an elementary school located in Ulsan conducting school oral health projects on May, 2009. Results : As dental caries prevalence rate recorded 33.7%, 56.8% and 66.9% in non-dual income, professional dual income and non-professional dual income families, respectively, the rate of children of dual income families was significantly higher than that of non-dual income ones (p<0.05). Conclusions : For professional dual income families, although working mothers contribute to economic stability, they took less time to care or to educate their children compared to no-working mothers so that they need to pay more attention to oral health of children. In addition, more interest to and education for children of non-professional dual income families showing relatively lower socio-economic level and lack of time for children, were also necessary in school projects on oral health education and prevention.

• The Journal of Korean Society for School & Community Health Education
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• v.12 no.2
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• pp.69-80
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• 2011

Objectives: The purpose of this study was to explore relationship among dft index, diet and oral health behavior, parental awareness in oral health care and social status. Methods: This study was conducted from 8 January, 2009 to 11 June, 2009 in Asan city and Seosan city in Chungnam area. 4 kindergratens, 3 preschools and 1 children language academy were randomly selected to research on dft index, diet and oral health behavior. cross-sectional study conducted among 561 valid samples out of 641 samples collected using the survey was and then followed by oral examination. Throughout the research, numerus SPSS 15.0 statistical techniques, T-test and ANOVA and Spearman correlation coefficients were used for analysis. Results: Key results of the study are as follows: Age was found to be statistically very significant to dft index(p=0.036). Age of mother, especially between 30 to 49, was found to be statistically significant to dft index rate(p=0.001). Occupation of father was also found to be statistically significant to dft index(p=0.036). High parental awareness in oral health care led to low dft index rate, which also was found to be statistically significant(p=0.036). Conclusions: In conclusion, as Spearman correlation coefficient demonstrates, occupation of father affects most on long-term healthy oral behavior followed by parental awareness in oral health care and age of mother.

• Journal of Dental Anesthesia and Pain Medicine
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• v.23 no.5
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• pp.273-280
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• 2023

Background: Intraoral local anesthesia is essential for delivering dental care; however, injection of this local anesthetic is perceived as the most painful and distressing agent for children, parents, and healthcare providers. Reducing pain as much as possible is essential to ensure smooth subsequent treatment procedures, especially in pediatric dentistry. In clinical practice, oral sucrose administration has been reported to decrease the pain during heel lance and cold pressor tests in neonates and children. This study aimed to determine whether the prior administration of a 30% sucrose solution reduced the pain related to inferior alveolar nerve block in children. Methods: A total of 42 healthy children aged 7-10 years requiring dental treatment of mandibular molars involving inferior alveolar nerve block were recruited. The participants' demographic details were recorded, height and weight were measured, and the anesthetic injection was delivered after receiving the respective intraoral sucrose solution and distilled water by the intervention (group 1) and control (group 2) group participants for 2 min. The subjective pain perceived during injection was measured using an animated emoji scale. The pain scores between the groups were compared using the Mann-Whitney U test. Results: The median pain score and range for the intervention and control groups were 4 (2 - 6) and 6 (4 - 8), respectively, and statistically significant differences (P < 0.001) were observed in the intervention group. Age, sex, height, and weight did not influence the analgesic effect of the sucrose solution. Conclusion: Oral administration of sucrose may relieve pain associated with inferior alveolar nerve block in children.