• The Journal of Korea Assosiation for Disability and Oral Health
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• v.6 no.2
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• pp.84-93
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• 2010

The developmental disorder(intellectual disorder(ID) and autism spectrum disorder(ASD)) can severely impair a patient's ability to communicate and socialize. So they require physical management techniques, pharmacologic agents, and general anesthesia more than the normal at the dental clinic. The behavior therapy is a kind of the psychotherapy and is applied to the patient with behavioral problems. Seoul Dental Hospital for Disabled(SDHD) set up the Dental Behavior Clinic for the patients with developmental disorder and treated 32 patients with ID or ASD, blind. 18 patients were treated according to the ordinary plans, 14 patients stopped the treatment by different reasons. The various results of the treatment were produced by the kind or severity of the diseases, age and cooperation of the patients and the caregivers. Especially, the behavior therapist helped to figure out the characteristics of the patients and to make individualized treatment plans. In the future, it will be necessary to treat more patients and to make the dental behavior therapy objectify. And through the dental behavior therapy, it will be expected that the patients will become more cooperative to the dental clinic and can receive regular check-up peacefully, reducing the frequency of the general anesthesia.

• Journal of Korean society of Dental Hygiene
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• v.16 no.1
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• pp.111-120
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• 2016

Objectives: The aim of this study was to investigate the association between self-esteem and temporomandibular disorder among high school students. Methods: A self-reported questionnaire was completed by 584 high school students in Gyeongnam. The questionnaire consisted of socio-demographic profile, anxiety, self-esteem, oral parafunctional habits, and temporomanibular disorder. Data were analyzed using SPSS 19.0 program. Results: In univariate analysis, there were significant differences between self-esteem and temporomandibular disorder(p<0.05). The self-esteem was negatively correlated with parafunctional habits(r=-0.253, p<0.001) and temporomandibular disorder(r=-0.221, p<0.001). In multivariate analysis, self-esteem was significantly associated with temporomandibular disorder(${\beta}=-0.119$, p=0.025) after adjusting for socio-demographic characteristics and anxiety. Conclusions: The self-esteem negatively influenced on temporomandibular disorder in the high school students.

• Journal of Korean society of Dental Hygiene
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• v.17 no.4
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• pp.601-611
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• 2017

Objectives: The purpose of this study is to identify the perceived symptoms of oral and temporomandibular joint disorders in adults and to analyze the factors affecting subjective symptoms of temporomandibular joint disorders. Methods: 249 adults over 20 years old who had subjective symptoms of temporomandibular joint disorders were surveyed and analyzed. Independent t-test and ANOVA test were used to examine the relationship between oral habits and temporomandibular joint disorder according to general characteristics. $Scheff{\acute{e}}$ test was used for post-hoc analysis. Multiple regression analysis was conducted to examine the factors affecting oral habits and temporomandibular joint disorder. Results: First, the factors affecting oral and habitual behaviors were married (p<0.05) and monthly income between 1 million~1.9 million won (p<0.001), higher temporomandibular joint disorder (p<0.01) And the degree of habit was increased. Second, the factors affecting temporomandibular joint disorder were increased in occupation (p<0.05) and the degree of oral habit (p<0.01). Conclusions: In conclusion, it was confirmed that oral habit influences temporomandibular joint disorder. Especially, it is suggested that prevention and promotion of temporomandibular joint disorder are needed to recognize the removal of oral habits.

• Journal of Korean society of Dental Hygiene
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• v.12 no.1
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• pp.67-79
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• 2012

Objectives : The study was carried out to find out the experience of musculoskeletal disorder symptoms of dental hygienists and evaluate the risk with ergonomic evaluation method(RULA). Methods : The subjects in this study were 344 dental hygienists working at dental clinics and general hospitals in Seoul, Gyeonggi, Daejeon and Chungnam/Chungbuk. The data were collected through the self-questionnaire survey from July 26th 2010 to September 30th 2010. Results : The results showed that those who working at dental hospital, network dental clinics, with 1-5 years of clinical experience, long working hour and sitting hour, no rest hour, more physical and mental burden had higher rate of the experience of musculoskeletal disorder symptoms compared with other groups. The final score of RULA evaluation results was 6 on average requiring continuous observation and urgent demand for work improvements. According to the result of RULA evaluation by work, the orthodontic clinics were 4.5, prosthodontic clinics were 5.0, and dental surgery clinics were 6.8 being the most risky. Conclusions : The study showed high complaints rate on musculoskeletal disorders in dental hygienists. Thus, various measures including provision of proper working and rest hours, use of ergonomic working equipments, strengthening the health education for desirable working posture and the development of musculoskeletal disorder prevention program should be needed.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.11 no.2
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• pp.58-61
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• 2015

The people with disabilities living in residential facilities have more difficulty in caring oral hygiene than those living at home. The purpose of this study is to evaluate the recent 2014 dental treatment records of free mobile dental clinic service for disabled people in Korea. 203 disabled living in residential facilities participated in mobile dental clinic. Patients classified according to types of disability. Mental retardation were 75.3%, mental disorder were 6.0%, crippled disorder were 7.4%, brain disorder were 6.5%, visual disorder were1.4%, auditory and speech disorder were 2.3% and autism disorder were 0.9%. Performed treatments were 99 scaling and curettage, 88 fluoride varnish and TBI, 4 extraction, 1 endodontic treatment, 16 caries control (resin filling, GI filling), 1 denture repair and 8 refuse the treatment. Free mobile dental clinic can not provide complex dental treatment. So, the organization should systemize advanced dental treatment and regular preventive programs. Furthermore, we need to have a more concerns about the people with disabilities living in residential facilities and constantly participate on a dental voluntary work.

• The Journal of the Korean dental association
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• v.39 no.1 s.380
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• pp.54-61
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• 2001

• 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.

• Journal of Korean society of Dental Hygiene
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• v.7 no.1
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• pp.61-72
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• 2007

The purposes of this study were to investigate the oral health status of the disabled children attending special schools in Seoul and Gyeonggi area, which were to collect baseline data for set up a oral health center in special schools. The study group comprised 915 disabled children aged 12~15 year. They were examined clinically and surveyed on 4 oral health related characteristics according to the type and level of disabilities The results may be summarized as follows: 1. DMFT index was the highest in children with crippled disorder. The plaque control was more required to the children with mental retardation or developmental disorder other than another types of disabilities. 2. About one third of the children with mental retardation or developmental disorder had their teeth brushed at least 3 times daily without any help. Over the half of the children with crippled disorder had their teeth brushed 2 times daily, 33.3% were independent and 38.9% totally dependent on help from others. 3. The more level of disabilities was higher, the more frequency of tooth brushing was lower and degree of dependance of the tooth brushing was higher. 4. There was tendency to visit to dental office more frequently for relief of dental symptoms in children with crippled disorder 5. The inability to call for help from others was the major barrier to dental care for the disabled.

• Journal of Korean society of Dental Hygiene
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• v.9 no.3
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• pp.357-368
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• 2009

The purpose of this study was to examine the state of dental treatment among disabled patients by the type of disability. After the medical records of 531 disabled patients who received treatment at the pediatric dentistry in K university hospital, the following findings were given: 1. As for age distribution by year, the rate of patients aged 10 or down rose to 42.5 from 5.1 percent, and the 16-20 age group increased from 16.7 to 24.8 percent. But the rates of patients aged between 11 and 15 and aged 21 and up were on the rise(p<.05). 2. Concerning the type of disability by year, there was an increase in the number of patients with brain lesions, mental retardation, developmental disorder and Down's syndrome(p<.05). As to the number of dental caries by the type of disability, the patients with heart diseases had the most dental caries that numbered 8.49, followed by Down's syndrome, metal retardation, brain lesions, the other disabilities and developmental disorder. 3. In relation to dental treatment experiences by the type of disability, the patients with developmental disorder(57.5%) received the most dental treatment, followed by mental retardation, the other disabilities, brain lesions, Down's syndrome and heart diseases(p<.05). 4. Regarding general anesthesia experience by the type of disability, the patients with mental retardation(31.6%) were put under general anesthesia the most, followed by developmental disorder, brain lesions, the other disabilities, heart diseases and Down's syndrome(p<.05). In conclusion, nationwide efforts to nurture separate dental personnels responsible for the disabled, to expand relevant facilities and to improve the health care insurance are required to promote the oral health of disabled children.

• Journal of the korean academy of Pediatric Dentistry
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• v.25 no.1
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• pp.144-151
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• 1998

Cleidocranial dysplasia (CCD), which is accepted as an autosomal disorder, is a generalized disorder of bone with severe dental abnormalities. Among the most characteristic anomalies seen are hypoplasia of clavicles or aplasia of clavicles, permanant non-ossification of cranial sutures & fontanels, delayed eruption of the permanant dentition & the presence of unerupted supernumerary teeth. CCD may first be noted by dentist because of many dental problems, so we should diagnose the disorder earlier & understand the development of dentition in CCD to ensure timely intervention with proper periodic dental X-ray.