• Title/Summary/Keyword: dental patients

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The hypersensitivity and the pain of teeth after conservative treatment (임상가를 위한 특집 2 - 보존학 분야에서 다분쟁사례와 해결방안 치과치료 후 발생하는 민감성증상 및 치아 통증)

  • Kim, Miri
    • The Journal of the Korean dental association
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    • v.52 no.2
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    • pp.69-74
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    • 2014
  • Many patients have been suffering the continued hypersensitivity and pain of teeth after operative or endodontic treatment. The primary purpose of this paper is to examine the causes of the pain and the hypersensitivity of teeth, and to resolve conflicts between dentists and patients. The secondary aim of this paper is to prevent medical disputes. Evidence-based dentistry and making a good relationship with patients will reduce disputes on dental treatment.

GENERAL ANESTHESIA AND DEEP SEDATION FOR THE SPECIAL NEED DENTAL PATIENTS (장애인의 치과치료 시 외래전신마취와 진정법)

  • Seo, Kwang-Suk
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.6 no.2
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    • pp.77-83
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    • 2010
  • This article discusses the issues of benefit and risk associated with outpatient general anesthesia and deep sedation for the special need dental patients. The purpose of administering anesthesia for patients with special needs is to provide effect dental treatment. But there are many complications such as sore throat, nausea and vomiting, airway trauma, airway obstruction and hypoxic brain damages, etc. In order to decrease incidence of complication, before general anesthesia meticulous patient evaluation is much important. But, there are a number of factors that make it difficult to accurately assess the anesthetic risk for many people with special needs. These include limited medical workups, uncooperative behavior, and difficulties in postoperative cares, etc. But Judging from several years experience of many contries, it appears that the incidence of mortalities for people with special needs in dental setting is minimal and the incidence of morbidity is limited. In the long run, the delivery of general anesthesia and deep sedation for people with special needs can be considered a very safe and successful procedure.

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Short-term evaluation of dental implants in a diabetic population: an in vivo study

  • Inbarajan, Athiban;Veeravalli, Padmanabhan Thallam;Vaidyanathan, Anand Kumar;Grover, Manita
    • The Journal of Advanced Prosthodontics
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    • v.4 no.3
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    • pp.134-138
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    • 2012
  • PURPOSE. The study was conducted to evaluate the efficacy of implant supported tooth replacement in diabetic patients. MATERIALS AND METHODS. The study involved placement of implants (UNITI implants, Equinox Medical Technologies, Zeist, Holland, diameter of 3.7 mm and length 13 mm) in five diabetic patients (three females and two males) of age ranging from 35-65 years with acceptable metabolic control of plasma glucose. All patients included in the study were indicated for single tooth maxillary central incisor replacement, with the adjacent teeth intact. The survival of the restored implants was assessed for a period of three months by measurement of crestal bone heights, bleeding on probing and micro flora predominance. Paired t-test was done to find out the difference in the microbial colonization, bleeding on probing and crestal bone loss. P values of less than 0.05 were taken to indicate statistical significance. RESULTS. Results indicated that there was a significant reduction in bleeding on probing and colonization at the end of three months and the bone loss was not statistically significant. CONCLUSION. The study explores the hypothesis that patients with diabetes are appropriate candidates for implants and justifies the continued evaluation of the impact of diabetes on implant success and complications.

Nasal septal abscess with a dental origin: a case report and a review of the literature

  • Lee, Sang Min;Leem, Dae Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.2
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    • pp.135-140
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    • 2021
  • Since the first report of a nasal septal abscess (NSA) from a dental origin (1920), six articles have been published in the English literature to date. The most common cause of NSA is an infection of the nasal septal hematoma after trauma. This is a report of an uncommon cause of NSA with a dental origin. A PubMed search performed regardless of year and country using the terms ("nasal septal abscess") OR ("nasal septum abscess") initially yielded 229 articles. After screening, seven articles (eight patients) were selected. Addition of two related articles produced a total of nine articles (10 patients) to be included. The age of the included patients ranged from 7 to 69 years (mean, 32.82 years; standard deviation, ±23.86 years). The sex composition was as followed: males (n=7; 63.6%), females (n=4; 36.4%). Dental histories were various: periapical lesions, caries, extraction, endodontic therapy, and cystic lesions. The maxillary incisor dominated as the tooth of origin. Early diagnosis and treatment of NSAs are important to avoid not only facial deformity, but also severe complications (e.g., intracranial infection). If NSA is suspected in patients without facial trauma, the possibility of a dental origin, especially from the maxillary incisor area, should be considered.

Effects of denture use on the quality of life of cancer patients over 40 years of age: The 6th-7th Korea National Health and Nutrition Examination Survey (2013-2018) (40세 이상 암 환자의 의치 사용이 삶의 질에 미치는 영향 :국민건강영양조사 제6-7기(2013-2018년) 자료 이용)

  • A-Jung Lee;Mi-Ra Lee;Min-Kyung Kang
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.2
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    • pp.141-148
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    • 2024
  • Objectives: The purpose of this study was to investigate the effect of denture use on the quality of life of cancer patients aged ≥40 years. Methods: Data from the National Health and Nutrition Examination Survey (2013-2018) were used in this study. A total of 302 individuals were selected as the final study participants. Data were analyzed using the chi-square test and logistic regression analysis using SPSS software. Results: The quality of life in the group with dentures was lower than that in the group without dentures. Conclusions: The use of dentures had a significant effect on the quality of life of cancer patients aged ≥40 years. Therefore, national dental care guidelines and policies should be developed to prevent an increase in tooth loss in patients with cancer.

Gap arthroplasty with active mouth opening exercises using an interocclusal splint in temporomandibular joint ankylosis patients

  • Park, Min Woo;Eo, Mi Young;Seo, Bo Yeon;Nguyen, Truc Thi Hoang;Kim, Soung Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.18.1-18.10
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    • 2019
  • Background: Temporomandibular joint (TMJ) ankylosis during early childhood may lead to disturbances in growth and facial asymmetry and to serious difficulties in eating as well as in breathing during sleep. The purpose of this study is to describe the effectiveness of an interocclusal splint (IOS) for active mouth opening exercises in the treatment of TMJ ankylosis. Methods: A total of nine patients with 13 instances of TMJ ankylosis from 2008 to 2010 were included in this study, of which five patients were male and four patients were female. Five patients demonstrated unilateral ankylosis, while five patients showed bilateral symptoms. Ankylosed mass resection with coronoidectomy, fibrotic scar release, and resection of stylohyoid ligament calcification was performed with gap arthroplasty without an interpositional graft, and all patients were assessed for maximum mouth opening (MMO) during a mean 6.6-year follow-up period. Results: All patients were subjected to postoperative mouth opening exercises from the day of the operation with the help of an IOS, which was based on an impression taken during surgery. All patients were sufficiently comfortable moving their mandible according to the IOS's guiding plane and impingement, and satisfactory results were achieved, in which MMO was improved by 35 mm more than 6 years after surgery. Conclusions: Complete and adequate resection of the ankylosed mass and postoperative active mouth opening exercises are essential in the treatment of TMJ ankylosis. Moreover, a more comfortable mouth opening guide and interdigitation can be achieved using an IOS, and newly organized fibrosis in the gap space between the newly made resected condylar head and temporal fossa can be suggested.

Dental treatment of a patient with long QT syndrome under moderate sedation with target-controlled infusion of propofol

  • Kim, Kyung Jin;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Shin, Teo Jeon
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.15 no.3
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    • pp.161-165
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    • 2015
  • Long QT syndrome (LQTs) is a rare congenital disorder of the heart's electrical activity. Patients with LQTs are at increased risk of developing fatal ventricular arrhythmias. Elevated levels of sympathetic stimulation can exacerbate this risk. Successful behavior management is indispensable in the treatment of patients with LQTs. However, many drugs involved in pharmacologic behavior management are known to adversely affect the QT interval. Therefore, careful selection of a sedative drug is essential in avoiding such incidences. A 10-year-old boy with a known diagnosis of LQTs required restorative treatment due to dental caries at the permanent molar. He required sedation since treatment was painful and dental phobia can trigger sympathetic stimulation, creating a dangerous situation for patients with LQTs. Therefore, the treatment was performed over two sessions under moderate sedation involving propofol combined with nitrous oxide. Restorative treatment was successful without any complications under sedation with a target-controlled infusion (TCI) of propofol. There was no significant QT prolongation during pulpal treatment. Propofol TCI may be a good candidate for sedation in patients with LQTs.

The Effect of Violent Experience on Burnout among Some Dental Hygienists

  • Jeon, Eun-Jeong;Han, Mi Ah;Park, Jong;Choi, Seong Woo
    • Journal of dental hygiene science
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    • v.17 no.5
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    • pp.413-422
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    • 2017
  • This study investigated the effect of violent experience on burnout among some dental hygienists. The study subjects were 242 dental hygienists working at dental clinics. Data were collected by self-administered questionnaire including information such as demographics, work-related characteristics, working environment, experience of violence, and burnout. The violence was classified as verbal violence, physical threat, or physical violence committed by dentists, patients, or caregivers. Descriptive analysis, t-test, ANOVA, correlation, and multiple linear regression analysis were performed to examine the factors associated with burnout. The levels of verbal violence, physical threat, and physical violence by dentists were $0.53{\pm}1.26$, $1.12{\pm}2.70$, and $0.04{\pm}0.42$, respectively. The levels of verbal violence, physical threat, and physical violence by patients and caregivers were $1.50{\pm}1.89$, $1.41{\pm}2.24$, and $0.24{\pm}1.38$, respectively. The score of burnout was $3.13{\pm}0.43$. Total violence, verbal violence, and physical violence by dentists were positively correlated with burnout. Total violence, verbal violence, and physical threat by patients and caregivers were positively correlated with burnout. In multiple linear regression analysis, the level of physical violence by dentists was positively associated with burnout of dental hygienists (${\beta}=0.95$, p=0.032). The levels of total physical violence (${\beta}=0.28$, p=0.002), verbal violence (${\beta}=0.15$, p<0.001), and physical threat (${\beta}=0.19$, p=0.009) by the patients or caregivers were positively associated with burnout of dental hygienists. This study examined the association between violence and burnout among dental hygienists. The level of violence showed positive correlation with burnout. Environment improvement to protect employees from violence and for management of employees who experienced workplace violence are needed to reduce the burnout.

Optimal effective-site concentration of remifentanil for sedation during plate removal of maxilla

  • Park, Jeong-Hoon;Yoon, Ji-Young;Kim, Eun-Jung;Yoon, Ji-Uk;Choi, Byung-Moon;Ahn, Ji-Hye
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.5
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    • pp.295-300
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    • 2018
  • Background: Removal of the plate following Le Fort I osteotomy and BSSO (bilateral sagittal split osteotomy) is a common procedure. However, patients who undergo plate removal experience intense pain and discomfort. This study investigated the half-maximal effective concentration ($Ce_{50}$) of remifentanil in the prevention of plate removal pain under sedation using dexmedetomidine. Methods: The study evaluated 18 patients, between 18 and 35 years of age, scheduled for elective surgery. Remifentanil infusion was initiated after sedation using dexmedetomidine, and started at a dose of 1.5 ng/mL on the first patient via target-controlled infusion (TCI). Patients received a loading dose of $1.0{\mu}g/kg$ dexmedetomidine over 10 min, followed by a maintenance dose of $0.7{\mu}g/kg/h$. When the surgeon removed the plate, the patient Modified Observer's Assessment of Alertness/Sedation (MOAA/S) score was observed. Results: The Ce of remifentanil ranged from 0.9 to 2.1 ng/mL for the patients evaluated. The estimated effect-site concentrations of remifentanil associated with a 50% and 95% probability of reaching MOAA/S score of 3 were 1.28 and 2.51 ng/mL, respectively. Conclusion: Plate removal of maxilla can be successfully performed without any pain or adverse effects by using the optimal remifentanil effect-site concentration ($Ce_{50}$, 1.28 ng/mL; $Ce_{95}$, 2.51 ng/mL) combined with sedation using dexmedetomidine.