• 대한치과마취과학회지
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• 제7권2호
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• pp.120-125
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• 2007

Background: Propofol has been used extensively for short-acting intravenous sedative agent during monitored anesthesia care (MAC). This study was designed to evaluate the safety and availability of MAC using propofol in implant surgery of the one-day admission patients. Methods: In this study, subjects were divided into two groups according to ASA physical status. The heart rate, blood pressure, peripheral oxygen saturation and ECG of a patient were estimated under MAC by an anesthesiologist and the vital signs were recorded in recovery room periodically afterwards. The subjective satisfaction with regard to outpatient ambulatory surgery under MAC procedure was evaluated the next day. Results: Systolic and diastolic blood pressure were significantly decreased during MAC in ASA I group, but other remarkable changes in vital sign were not observed. There was no significant difference in pain and anxiety level between ASA I and ASA II, III group. Satisfaction rate was high in both groups. Conclusion: Monitored-Anesthesia Care using propofol during implant surgery of the one-day admission patients might be safe and available procedure because heart rate, blood pressure and oxygen saturation are stable before and during surgery, and adequate control of pain and anxiety is supported.

• Journal of Periodontal and Implant Science
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• 제42권6호
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• pp.212-216
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• 2012

Purpose: The aim of this study was to evaluate the relationship between maternal periodontal disease and the health status of newborns using Apgar scores. Methods: One hundred pregnant women with periodontal disease were included in the case series and 100 pregnant women without periodontal disease were placed in the control group, respectively. The periodontal parameters of bleeding on probing (BOP), clinical attachment loss (CAL), probing depth (PD), birth weight, and Apgar scores were recorded in both groups. T-tests and Pearson's correlation coefficient were used to determine the birth weight odds ratio to analyze the relationship between the periodontal parameters of BOP, CAL, and PD on the one hand and an Apgar score of less than 7. An unpaired Student's t-test was used to analyze differences in means between the case and control groups using SPSS ver. 13. Results: The means of the ages, periodontal pocket depths, attachment loss, areas with BOP, Apgar score in the first 5 minutes and infant birth weight exhibited statistically significant differences between the case and control groups. The ratio of an Apgar score of <7 to periodontal disease was 3.14; the ratio of low birth weight risk in mothers with periodontal disease to that in mothers without periodontal disease was 2.74. Pearson's correlation coefficient revealed a significant correlation between the infant birth weight and BOP, CAL, and PD of the mother. In addition, there was a significant correlation between the Apgar score and BOP, CAL, and PD and also between the Apgar score and infant birth weight. Conclusions: The results of this study showed a significant relationship between periodontal disease and infant birth weight; in addition, there was a significant relationship between the periodontal indexes of BOP, CAL, and PD on the one hand and the Apgar score on the other.

• 융합정보논문지
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• 제7권4호
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• pp.185-194
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• 2017

본 연구의 목적은 일부 산업장 근로자들의 직무 스트레스 및 구강건강 관련 삶의 질과 주관적 행복감과의 관련성을 평가하고자 시도하였다. 연구대상은 근로자 228명을 대상으로 하였고, 조사는 2016년 8월 8일부터 9월 2일까지 실시하였으며, 연구 도구는 구조화된 무기명 자기기입식 설문지를 본 연구에 적합하도록 사용하였다. 자료는 SPSSWIN 18.0을 이용하여 t-test와 one way ANOVA, Scheffe'사후 검정 분석, Pearson correlation, Hierarchial multiple regression을 이용하여 분석하였다. 직무 스트레스와 구강건강영향지수, 직무 스트레스와 주관적 행복감과는 음의 상관관계를 나타냈고, 구강건강영향지수와 주관적 행복감과는 양의 상관관계를 나타냈다. 주관적 행복감에 영향을 미치는 독립변수들은 성별, 주관적 경제 수준, 주관적 전신건강, 정기적 치과 검진, 직무 스트레스가 영향을 미치는 유의한 변수로 나타났다. 따라서 근로자의 주관적 행복감 향상을 위해 정기적인 산업 구강 중재 프로그램의 시행과 함께 긍정적으로 스트레스를 관리하는 적극적인 대처가 필요할 것으로 사료된다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제18권2호
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• pp.111-114
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• 2018

We report a case of pulmonary aspiration during induction of general anesthesia in a patient who was status post esophagectomy. Sudden, unexpected aspiration occurred even though the patient had fasted adequately (over 13 hours) and received rapid sequence anesthesia induction. Since during esophagectomy, the lower esophageal sphincter is excised, stomach vagal innervation is lost, and the stomach is flaccid, draining only by gravity, the patient becomes vulnerable to aspiration. As the incidence of perioperative pulmonary aspiration is relatively low, precautions to prevent aspiration tend to be overlooked. We present a video clip showing pulmonary aspiration and discuss the literature concerning the risk of aspiration and its preventive strategies.

• 융합정보논문지
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• 제9권12호
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• pp.227-235
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• 2019

본 연구는 2013-2015년도에 질병관리본부에서 실시한 국민건강영양조사 자료를 활용하여 만 65세 이상의 발거가 필요한 치아를 보유한 음주노인 1,865명을 대상으로 했다. 치아발거필요 관련요인을 결과변수로 한 분석결과, 음주노인의 남성에서, 소득이 더 낮을수록, 흡연자에서, 본인인지구강건강상태 나쁨에서, 구강위생용품 사용안함에서 치아를 발거해야 할 위험도가 높았으며, 통계적으로 유의한 차이를 보였다. 음주노인의 치아발거 위험요인을 미리 파악하여 치아상실을 조기에 예방하고 잔존치아의 수명을 최대한 연장하기 위해서는 음주문화를 개선하고 현재가 아닌 이전 생애주기에서 음주자의 구강건강관리 전략을 모색하고, 국가차원의 통합적 구강보건정책이 추진되어야 할 것이다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권1호
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• pp.20-24
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• 2021

Objectives: The aim of this study was to evaluate the profile of patients on antiresorptive therapies for cancer treatment and assess presence of oral lesions, oral hygiene status, and knowledge regarding medication-related osteonecrosis of the jaw (MRONJ). Materials and Methods: This was an observational cross-sectional study that evaluated patients treated with antiresorptive medication at a single cancer hospital. Clinical data were collected and oral examination was performed to assess patient oral health. Results: From July 2017 to December 2018, 90 patients were assessed; 64 were female and 26 were male, and the mean age was 61 years. The most common drug was an intravenous bisphosphonate, zoledronic acid. Among the 90 patients, 47 presented with some type of oral disease, isolated or associated. Among these 47 patients, 9 patients (10%) developed osteonecrosis. Oral hygiene was evaluated, and most patients, with or without MRONJ, presented with regular to poor condition. Regarding patient knowledge of the risks of MRONJ and the risks associated with dental surgery, 60% stated that they were not aware of the risks. Conclusion: Identifying the profile of patients and their needs facilitates not only the preventive process, but also the emergence of new therapeutic options. Our study shows that most patients are weakened both by metastatic disease and antineoplastic treatment as well as by issues associated with aging because most were over 60 years of age. Collectively, this information should be considered for management of preventive and therapeutic measures.

• 한국융합학회논문지
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• 제13권2호
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• pp.47-54
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• 2022

본 연구는 노인의 저작 능력이 노쇠에 미치는 영향을 분석하고자 하였다. 65세 이상의 노인 224명을 대상으로 일반적 특성, 주관적 및 객관적 저작 능력, 노쇠수준을 조사하였다. 연구 결과는 다음과 같다. 첫째, 저작 능력은 연령, 교육 수준, 경제활동 여부, 거주 형태, 틀니 장착 여부에 따라 차이가 있었다. 둘째, 비노쇠 노인의 저작 능력은 노쇠 노인에 비해 통계적으로 유의하게 높았다. 셋째, 저작 능력이 좋은 대상자에 비해 저작 능력이 좋지 못한 대상자에서 노쇠가 있을 위험비는 2.33배 높았으며, 연령을 보정한 결과 저작 능력이 좋은 그룹에 비해 좋지 못한 그룹에서 노쇠가 있을 위험비는 2.30배 높게 나타났다. 이를 통해 노인의 저작 능력이 노쇠의 예측요인 중의 하나이며, 지역사회 차원의 구강건강 관리를 통해 노쇠를 예방하여 건강한 노화를 달성하는 노력이 필요할 것으로 생각한다.

• 한국융합학회논문지
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• 제13권5호
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• pp.551-558
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• 2022

본 연구는 65세 이상 노인 중 일반인과 당뇨병 진단을 받은 자를 대상으로 그룹 인터뷰를 통해 구강건강과 구강보건교육 시 고려사항을 파악하고자 위함이다. 연구 대상자는 G시 노인종합복지관을 방문하는 65세 이상 건강인 5명과 당뇨병 환자 5명을 2그룹으로 나누어 각 그룹 당 60-70분의 인터뷰를 진행하였다. 연구결과 핵심 주제는 '당뇨병과 구강질환과의 연관성에 관한 지식', '구강건강상태', '구강건강관리 방법', '구강보건교육 시 고려사항' 4가지의 주제모음이 도출되었다. 본 연구에 참여한 건강인들은 구강보건교육이 필요하다고 생각하는 내용이 치주관리방법, 임플란트, 전체적 구강관리, 전신건강이라고 대답하였고, 당뇨병 환자들은 당뇨병, 치주관리방법, 구강관리실천의 중요성이라고 대답하였다. 본 연구결과를 토대로 추후, 당뇨병 노인환자을 대상으로 맞춤형 구강보건교육 프로그램 개발이 필요할 것으로 사료된다.

• The Korean Journal of Pain
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• 제36권2호
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• pp.184-194
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• 2023

Background: Degenerative lumbar spondylolisthesis (DLS) is frequently associated with lumbar spinal stenosis (LSS) and conservative treatments such as epidural steroid injection do not have long-term benefits in LSS patients with DLS. This study evaluated the effectiveness of percutaneous epidural neuroplasty using a balloon catheter in patients with LSS and DLS. Methods: Patients' sex, age, body mass index, diabetes, hypertension, stenosis grading, pain duration, location, pain intensity, and medications were retrieved from electronic medical records. At 1, 3, and 6 months following the procedure, data on pain severity, medication usage, and physical functional status were analyzed. A generalized estimating equations model was used at the six-month follow-up. Patients were divided into those with DLS (the spondylolisthesis group) and those without DLS (the no spondylolisthesis group) to evaluate whether the effects of percutaneous epidural neuroplasty using a balloon catheter were different. Results: A total of 826 patients were included (spondylolisthesis: 433 patients, 52.4%; no spondylolisthesis: 393 patients, 47.6%). Age, body mass index, hypertension, pain location, and stenosis grading were statistically different between the two groups. The generalized estimating equations analyses with unadjusted and adjusted estimation revealed a significant improvement in the estimated mean numerical rating scale of pain intensities compared to that at baseline in both groups (P < 0.001). Any adverse events that occurred were minor and temporary. Conclusions: Percutaneous epidural neuroplasty using a balloon catheter may be an alternative treatment option for patients with chronic LSS, regardless of accompanying DLS, who have had failed conservative management.

• Restorative Dentistry and Endodontics
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• 제45권4호
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• pp.48.1-48.11
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• 2020

Objectives: This systematic review aimed to identify mean oxygen saturation values (SpO₂) using pulse oximetry in permanent maxillary anterior teeth. Materials and Methods: The MEDLINE, Scientific Electronic Library Online, Cochrane Central Register of Controlled Trials, EMBASE, and Literatura Latino Americana em Ciências da Saúde electronic databases were searched. Combinations and variations of "oximetry" AND "dental pulp test" were used as search terms. Studies reporting means and standard deviations of SpO₂ values were included. Two reviewers independently extracted data following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Heterogeneity was assessed using the I² statistic, and all analyses were performed using R software. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool and the Newcastle-Ottawa scale. Results: Of the 251 studies identified, 19 met the eligibility criteria and were included (total sample, 4,541 teeth). In the meta-analysis, the mean SpO₂ values were 84.94% (95% confidence interval [CI], 84.85%-85.04%) for the central incisors, 89.29% (95% CI, 89.22%-89.35%) for the lateral incisors, and 89.20% (95% CI, 89.05%-89.34%) for the canines. The studies were predominantly low-quality due to the high risk of bias associated with the index test, unclear risk regarding patient selection, and concerns about outcome assessment. Conclusions: Although most studies were low-quality, the oxygen saturation levels in normal pulp could be established (minimum saturation, 77.52%). Despite the risk of bias of the included studies, the reference values reported herein are clinically relevant for assessments of changes in pulp status.