• Title/Summary/Keyword: dental hospital.clinic

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Telephone follow-up care for disabled patients discharged after receiving dental treatment under outpatient general anesthesia

  • Chi, Seong In;Lee, Soo Eon;Seo, Kwang-Suk;Choi, Yoon-Ji;Kim, Hyun-Jeong;Kim, Hye-Jung;Han, Jin-Hee;Han, Hee-Jeong;Lee, Eun-Hee;Oh, Aram;Kwon, Suk Jin
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.15 no.1
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    • pp.5-10
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    • 2015
  • Background: Patients were subjected to post-discharge follow-up (by telephone) in order to investigate the potential complications of outpatient general anesthesia or deep sedation that could develop in disabled dental patients discharged from the hospital. The ultimate aim of this study was to establish an appropriate response measure for such complications. Methods: The caregivers of 79 disabled patients who underwent dental procedures under general anesthesia at our outpatient clinic were interviewed over telephone. Necessary care instructions were provided during the phone calls when required. The patient satisfaction level regarding the telephonic follow-up care was surveyed by additional telephone calls. Results: Most of the patients did not suffer any serious complications; however, some reported fever and bleeding. The data obtained in this study can be utilized towards the development of caregiver education pertaining to the ambulatory general anesthesia of dental patients with disabilities. Conclusions: Additionally, we hope that the findings of this study will help minimize the effects of complications experienced by disabled dental patients undergoing ambulatory general anesthesia, as well as increase the overall patient satisfaction level.

A Study on the Spatial Characteristics of Public Dental Healthcare Center for the Disabled in Korea (한국 내 장애인 구강진료센터의 공간특성에 관한 연구)

  • Jeong, Taejong;Choi, Jaepil
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.23 no.3
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    • pp.19-27
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    • 2017
  • Purpose: The characteristics of site plan and space configuration of public dentistry through examining the public dental healthcare centers for the disabled in Korea and comparison between them are necessary for the development of planning of the dental healthcare system. This study has been started to provide basic informations such as nationwide distribution, site relationship, and space configuration for the planning of public dental hospital architecture. Methods: Literature review of publicness and public dental healthcare and investigation on current status of public dental healthcare center for the disabled in Korea have been conducted. The site plan and space configuration of eight public healthcare centers for the disabled have been analyzed. Results: The result of this study can be summarized in three points. The first one is that public dentistry in Korea are distributed public dental hospital for the disabled in Seoul and public dental healthcare centers for the disabled in eight provinces. The second one is that the types of the dental healthcare center for the disabled are divided with remodeling type which is diverted from existed dental or medical out patient clinic space or independent building type which is planned with a new and exclusive usage for the disabled. The third one is that the space configuration of dental healthcare center for the disabled is needed more required programs, larger treatment unit space, and more private clinic space than typical dental treatment plan. Implications: This study is the starting point for the research of public dentistry and it is necessary to analyze the dental prevention and dental public policy to develop the public dental healthcare system.

The study on the Carpal Tunnel Syndrome by dental hygienists at Gwangju·Jeonnam Area (광주·전남지역 치과위생사의 수근관증후근에 대한 연구)

  • Shim, Hyung-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.2
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    • pp.225-236
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    • 2004
  • It has been suggested in research results thai dental hygienists have high risk of carpal tunnel syndrome, mainly caused by the repeated motion of extensor and flexor or the use of vibration tools, compared to other occupations. To find out the situation of the carpal tunnel syndrome of dental hygienists, who are exposed to work-related musculoskeletal disorders, this study used 132 questionnaires given on May 22, 2004, the period of continuing education of the first half year in the Gwangju Jeonnam area, and obtained the following results. 1. Subjects worked at a dental ciinic(32.6%), a hospital(31.8%), and a public health center(35.6%). Age by work was under 24 in a clinic(17.4%) and a hospital(15.9%), and over 30 in a public health center(35.6%). 2. In practice conducted over one time a day, a scaling accounted for 90.7% in a doctor's office; 595% in a hospital; and 3.0% in a public health center, suggesting significant difference(p<0.01). Pit and fissure sealant accounted for 53.5% in a clinic; 53.2% in a hospital; and 95% in a public health center, also suggesting significant difference(p0.01). 3. Symptoms of carpal tunnel syndrome appeared in a wrist(12.1%), a right hand(14.4%), and a left hand(5.3%). 4. In case of temporary crown practice, symptoms appeared in a wrist(22.0%), a right hand(14.0%), and a left hand(4.0%), suggesting significant difference(p<0.01). The above results showed that 12.1% of dental hygienists was exposed to carpal tunnel syndrome. Thus, it is considered very important that dental hygienists should be given education of the danger of continuous work in certain motions and prevention education of improving repeated position, and make efforts to reinforce self-control ability.

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SATISFACTION OF PATIENTS WITH DISABILITIES ABOUT OUTPATIENT GENERAL ANESTHESIA AND NURSING CARE FOR DENTAL TREATMENT (외래전신마취 하 치과치료를 시행한 성인 치과장애인의 치과마취과 간호사에 대한 만족도 조사)

  • Kim, Hye-Jung;Han, Jin-Hee;Han, Hee-Jeong;Kim, Hyun-Jeong;Yum, Kwang-Won;Seo, Kwang-Suk
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.2 no.2
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    • pp.136-141
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    • 2006
  • The purpose of this study is to survey the status of oral care of adult patients with disabilities and satisfaction degree of outpatient general anesthesia for dental treatment. 30 adult patients who underwent general anesthesia for dental treatment at clinic for the disabled in Seoul National University Dental Hospital enrolled for telephone survey. Many patients (83.3%) had mental problems to do social communication. And someone of family members (mainly mother) had cared for the patient but there was only one patient who got regular oral care. The satisfaction level of outpatient general anesthesia and nursing care for dental treatment was very high(100%).

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Multiple implant therapy with multiple inductions of general anesthesia in non-compliant patients with schizophrenia: A case report

  • Choi, Yong-suk;Kim, Hyungseok;Rhee, Seung-Hyun;Ryoo, Seung-Hwa;Karm, Myong-Hwan;Seo, Kwang-Suk;Kim, Hyun Jeong
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.4
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    • pp.239-244
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    • 2019
  • The effectiveness of dental implants in patients with disability, who are non-compliant during treatment, is controversial because of their poor oral health. Thus, oral health-care and management in such patients is concerning. Moreover, limited information is available on prognosis after implant placement. Herein, we describe a patient with schizophrenia who underwent dental implantation under multiple inductions of general anesthesia (5 times) and required conservative treatment and tooth extraction for multiple dental caries and retained roots because of inadequate oral health-care. Postoperatively, fracture of the prosthodontics and progression of dental caries were observed, and with 3 additional inductions of general anesthesia, conservative treatment, implant surgery, and prosthesis implantation were conducted. Postoperative 12-month follow-up since the last prosthesis implantation showed successful results. For patients with schizophrenia, multiple implantation can reduce horizontal bone loss and achieve aesthetic results compared to treatment with removable prosthodontics and could serve as an alternative treatment modality.

Awareness towards oral health environmental changes and oral health in smokers and non-smokers in soldiers (군인 흡연자와 비흡연자의 구강환경변화와 구강건강에 대한 인식)

  • Kim, Han-Sol;Shin, Bodeumee;Goh, Eun-Ju;Kim, Si-On;Jo, Hyo-Sun;Park, Sung-Eun;Kang, Jae-Kyoung
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.1
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    • pp.1-8
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    • 2014
  • Objectives : The purpose of this study was to investigate the awareness towards oral health environmental changes and oral health in smokers and non-smokers in soldiers. Methods : Data were obtained from 350 soldiers serving at Unit M in Gwangju and Gyeonggi-do and ROTC candidates at University Y in Gyeonggi-do from April 28 to May 5, 2013. Collected data were analyzed by SPSS 12.0 program and a significant level was set at 0.05. Results : Non-smokers had more knowledge on tooth staining or gum diseases than smokers(p<0.05). The awareness towards the causes of oral cancer was not much different between the smokers and the non-smokers. The soldiers having dental health education tended to smoke less than those who had no education(p<0.05). The awareness towards individual oral health revealed no difference between the smokers and the non-smokers. Non-smokers had higher subjective knowledge on of the importance of the oral health, smoking influence on the oral health, and secondhand smoking impact on the health(p<0.05). Conclusions : The oral health education by the dental hygienists is very important in the military camps. Non-smokers tended to have higher knowledge on oral health than the non-smokers.

Implant overdenture of mandible with severe unilateral atrophy: Report of two cases (심한 편측 하악 치조골 흡수를 보이는 환자에서의 임플란트 피개의치 수복 증례)

  • Kim, So-Yeun;Kwon, Eun-Young;Jung, Kyoung-Hwa;Jeon, Hye-Mi;Baek, Young-Jae;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.271-279
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    • 2019
  • There are several unfavorable conditions regarding alveolar bone condition that may compromise the denture patient's satisfaction. Chewing efficiency may not be satisfactory when alveolar bone is deficient, and the denture stability could hardly be achieved when alveolar bone shape is irregular. Implant overdenture can be useful to provide satisfactory denture experience compared to conventional denture. The attachment for implant overdenture can be classified into bar attachment and solitary attachment. When the positions of the implants are in the mandibular anterior region, bar attachment may be favorable to obtain a rigid support of the entire denture. When implants are distributed both on anterior and posterior region, a solitary attachment could be considered for ease of removal and maintenance. This report presents implant overdenture cases with the patients that had unilateral mandibular alveolar bone atrophy conditions. Different abutments were chosen based on the individual patient's mandibular alveolar bone condition and the treatments were successful in terms of patient satisfaction.

A Study on the Practice for Infection Prevention of Dental Clinic Worker (치과의료기관 종사자의 감염예방 실천에 관한 연구)

  • Kim, Seo-Yune;Lee, Jae-Ra;Han, Ok-Sung
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.397-404
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    • 2014
  • This survey was conducted between January 15, 2014 and February 25, 2014 to investigate the practice for infection prevention among dental hygienists. Data were obtained from 294 dental clinic worker who worked in dental hospital (clinics) of Gwangju and Chonnam. At the conclusion of this investigation, according to the conclusion of this investigation, the necessity of infection control education for dental hygienists and washing their gowns after caring infected patients affected the practice for infection prevention. They also well practiced the infection prevention working in dental hospital. To prevent infection in dental clinic, it is necessary to provide the continuing education programs for dental infection control to dental clinic worker.

Midazolam and Ketamine Intramuscular Premedication in Attention Deficit Hyperactivity Disorder Patient with Poor Cooperability (치과 진료에 비협조적인 주의력 결핍 과잉행동 장애 증후군 환자에서의 전처치로서의 미다졸람 케타민의 근육투여)

  • Kim, Young-Jae;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Chong-Chul;Kim, Hyun-Jeong;Seo, Kwang-Suk;Lee, Jung-Man;Shin, Soonyoung
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.2
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    • pp.111-114
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    • 2012
  • Attention deficit hyperactivity disorder (ADHD) is characterized by inattention, impulsivity, and hyperactivity. Given high incidence of ADHD, many children with ADHD is likely to present for anesthesia. This case report suggests intramuscular premedication as an alternative method for anesthetic induction. A 9-year-old male patient with ADHD was transferred for dental treatment under general anesthesia. The patient refused to go into dental clinic office. Oral midazolam was given to the patient, however, he was resistant to take midazolam via oral route. Instead, we administer midazolam and ketamine via intramuscular route. After less than 10 miniutes, the patient became drowsy and was transferred to dental chair. Intravenous access and mask inhalation was possible. The patient received dental treatment under general anesthesia and recovered in a non-complicated way. In this case, intramuscular sedation with midazolam and ketamine was used as a premedication in highly uncoopearive patient refused to take oral sedative medication.