• 대한장애인치과학회지
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• 제4권2호
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• pp.73-76
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• 2008

만 1세의 남아가 입에서 피가 계속 난다는 주소로 본과에 내원하였으며 지혈을 위해 봉합술을 시행하였다. 수일 후 다시 출혈 양상이 관찰되어 혈액종양과 협진 의뢰 및 임상 병리검사를 시행하여 경증의 혈우병 A 로 진단하였고 FFP를 투여하여 최종 지혈을 얻었다. 경증의 혈우병은 치과 외상을 통해 처음 발견되는 경우가 종종 있기 때문에 출혈이 지속되거나 수일 후 재발되는 경우에는 혈액 관련 전문가에게 의뢰하고 병리 검사를 시행하는 것이 바람직하다.

• 한국치위생학회지
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• 제21권2호
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• pp.183-191
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• 2021

Objectives: The purpose of this study was to identify the factors of satisfaction with regional oral health centers for people with disabilities in Korea. Methods: A survey was conducted with 784 patients who visited regional oral health care centers in Korea. A self-developed questionnaire (29 items) was adapted with a consent form and IRB (Institutional Review Board). All collected data were analyzed for statistics using SPSS version 25.0. Results: The study participants were 452 (57.7%) male patients, 207 (26.4%) aged 20-29 years old, and mostly had physical, developmental, and mental disabilities. The patients were introduced by their acquaintances, and the major reason for visit was specific dental care for the disabled. Most patients used their cars and took half to one hour to commute. The common factor affecting the comprehensive satisfaction was the facility satisfaction. Conclusions: A more comprehensive and standardized questionnaire should be developed for the annual evaluation of all centers. This study presents the basic data that can aid to activate the operation of the four oral health care centers for the disabled, which are scheduled to be implemented in the future, as well as 10 currently operated centers.

• International Journal of Oral Biology
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• 제48권4호
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• pp.33-44
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• 2023

In this review, the regulatory mechanisms of autophagy were described, and its interaction with apoptosis was identified. The role of autophagy in embryogenesis, tooth development, and cell differentiation were also investigated. Autophagy is regulated by various autophagy-related genes and those related to stress response. Highly active autophagy occurrences have been reported during cell differentiation before implantation after fertilization. Autophagy is involved in energy generation and supplies nutrients during early birth, essential to compensate for their deficient supply from the placenta. The contribution of autophagy during tooth development, such as the shape of the crown and root formation, ivory, and homeostasis in cells, was also observed. Genes control autophagy, and studying the role of autophagy in cell differentiation and development was useful for understanding human aging, illness, and health. In the future, the role of specific mechanisms in the development and differentiation of autophagy may increase the understanding of the pathological mechanisms of disease and development processes and is expected to reduce the treatment of various diseases by modulating the autophagic phenomenon.

• 대한치과의료관리학회지
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• 제5권1호
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• pp.38-44
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• 2017

치위생(학)과 간 지역사회치위생학의 교육과정 개발 및 표준화를 위한 근거 마련 등의 연구 활동이 시급하다고 판단되는 바, 본 연구는 이에 대한 첫 단계로서 치위생(학)과 학생들의 지역사회구강보건 교과목의 현장 실습 만족도 조사를 실시하여 학문체계 확립과 발전을 위한 기초자료로 제공하고자 한다. 구체적인 연구 목표는 다음과 같다. 첫째, 치위생(학)과 학생들의 보건소 실습 만족도를 파악하고 둘째, 만족도에 영향을 주는 인자를 조사하여 교과목의 질 향상에 기여하고자 한다. 마지막으로, 보건소 실습 기간의 적절성을 파악하여 교육의 효율성을 높이고자 한다. 수도권에 위치한 일개 치위생학과 학부생 105명을 대상으로, 경기지역에 위치한 11개 현장실습 보건소에 대하여 실습 후 만족도를 평가하였다. 11개 보건소의 만족도 분석결과, 7점 만점에 전체 평균 5.3점으로 나타났으며 최저 3.7점, 최고 6.8점으로 나타났다. 만족도에 영향을 준 긍정적인 요인은, '편한 실습환경'이 55.2%로 가장 많이 응답하였으며, '접근성(46.7%)', '많이 배울 수 있음 (31.4%)', '기타(6.7%)' 순으로 나타났다. 이러한 만족도의 요인은 학년별로 다른 분포를 보였다. 교육의 수혜자를 대상으로 이들의 지역사회 구강보건실습 현황 및 만족도를 조사하는 것은, 사회치위생 학문의 발전과 지역사회현장실습의 표준화를 위한 초기 근거자료로서의 의의를 가질 것으로 판단된다.

• 치위생과학회지
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• 제19권4호
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• pp.279-287
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• 2019

Background: Increasing age and loss of teeth weaken oral muscle strength. This study aimed to investigate the positive effects of orofacial myofunctional training on elderly people. Methods: Thirty six elderly individuals in a welfare center and a senior citizen center were included in this study. A survey regarding lip and tongue strength suvsequent to orofacial myofunctional training and oral health-related quality of life was conducted from April to June, 2019. Data were analyzed using PASW statistics ver. 18.0. Results: The experimental group, showed an increase in lip strength (from 9.79 to 10.31) and tongue strength (from 41.26 to 43.97) after orofacial myofunctional training. The perception of oral health-relatedquality of life was enhanced (from 2.26 to 2.07). In particular, the frequency of dry cough for food removal while swallowing decresed due to an incresed in the secretion of saliva (p<0.05). Correlation analysis showed that the number of functional teeth was positively related to oral health-related quality of life. Conclusion: Orofacial myofunctional training for improving lip and tongue strength is effective in the elderly. In older societies, oral strength should be maintained to improve oral health-related quality of life. It also suggests the interest of oral health workers and applying orofacial myofunctional training programs.

• 한국융합학회논문지
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• 제11권2호
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• pp.69-73
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• 2020

본 연구는 65세 이상 노인 중 당뇨병 진단을 받은 자를 대상으로 당뇨병과 구강건강과의 관련성 및 구강관리 실태를 분석하여 당뇨 환자를 위한 구강제품개발에 필요한 기초자료를 마련하고자 하였다. D시의 노인복지관을 방문한 당뇨병 진단을 받은 65세 이상 노인 8명을 연구대상자로 하여 4명을 한 그룹으로 하고 그룹 당 약 40분의 면담을 진행하였다. 연구결과 '당뇨와 구강건강', '구강 내 불편감', '구강관리방법', '치과방문', '구강관리를 위한 요구'의 5개의 핵심 주제가 도출되었다. 연구대상자의 대부분이 당뇨와 구강건강의 관련성에 대하여는 처음 들어본다고 대답하였고, 구강건강관리는 하루 3~4회 치약을 사용하여 잇솔질을 하고, 치과방문은 구강에 문제가 생겼을 때만 방문한다고 대답하였다. 구강관리에 필요하다고 생각하는 부분은 당뇨환자 맞춤 구강관리교육과 치약 등 다양한 관리제품들이 개발되었으면 좋을 것 같다고 대답하였다. 본 연구결과를 볼 때 향후 노인 당뇨 환자의 맞춤형 구강건강관리 프로그램개발 및 구강제품개발이 필요할 것으로 생각된다.

• 한국치위생학회지
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• 제13권2호
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• pp.297-303
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• 2013

Objectives : The purpose of this study was to evaluate the oral health status of the disabled people in Ulsan. Methods : Two dentists taken a calibration training for national oral health survey examined the Oral health status on 110 disabled people in Ulsan, in 2009. The surveyed disabled people, 6 to 19 years old, have been supplied with the oral health care services by dentists, oral hygienists and volunteers at dental clinics of schools and a dental clinic supported from Ulsan Metropolitan City Nam-Gu Health Center since 1997. The obtained data from these surveys were analyzed with the SPSS statistical package. Results : Among subjects aged 12-14 years, DMF rate was 38.2%; Active D rate, 17.6%; DMFT index, 1.15; DT rate, 33.33%; MT rate, 0.00%; FT rate, 66.67%. Oral heath status of disabled people in Ulsan were evaluated to be a similar level to the Ulsan non-disabled citizens from 2010 Korean National Survey. Conclusions : The oral health care programs for disabled people using voluntary dentists, oral hygienists and other workers in Ulsan are evaluated to be effective for the disabled people.

• 대한치과교정학회지
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• 제51권3호
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• pp.145-156
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• 2021

Objective: The aim of this retrospective study was to assess the midfacial soft tissue changes following maxillary expansion using micro-implant-supported maxillary skeletal expanders (MSEs) in young adults by cone-beam computerized tomography (CBCT) and to evaluate the correlations between hard and soft tissue changes after MSE usage. Methods: Twenty patients (mean age, 22.4 years; range, 17.6-27.1) with maxillary transverse deficiency treated with MSEs were selected. Mean expansion amount was 6.5 mm. CBCT images taken before and after expansion were superimposed to measure the changes in soft and hard tissue landmarks. Statistical analyses were performed using paired t-test and Pearson's correlation analysis on the basis of the normality of data. Results: Average lateral movement of the cheek points was 1.35 mm (right) and 1.08 mm (left), and that of the alar curvature points was 1.03 mm (right) and 1.02 mm (left). Average forward displacement of the cheek points was 0.59 mm (right) and 0.44 mm (left), and that of the alar curvature points was 0.61 mm (right) and 0.77 mm (left) (p < 0.05). Anterior nasal spine (ANS), posterior nasal spine (PNS), and alveolar bone width showed significant increments (p < 0.05). Changes in the cheek and alar curvature points on both sides significantly correlated with hard tissue changes (p < 0.05). Conclusions: Maxillary expansion using MSEs resulted in significant lateral and forward movements of the soft tissues of cheek and alar curvature points on both sides in young adults and correlated with the maxillary suture opening at the ANS and PNS.

• 한국치위생학회지
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• 제16권1호
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• pp.137-145
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• 2016

Objectives: The purpose of the study is to investigate the opinion of dental hygienists toward school dental clinic operation. Methods: The study was carried out by telephone or e-mail to the dental hygienists in 415 elementary school dental clinics from September 1 to 30, 2014. The questionnaires were collected from 208 school dental clinics. Except incomplete answers, 148 data were analyzed using SPSS 18.0 program. The self-reported questionnaire consisted of general characteristics of the subjects(7 items), operation of school dental clinic(5 items), obstacle to school dental clinic(10 items), and effective operation of school dental clinic(5 items). Results: The school dental clinic operation accounted for 68.7% and 90.6% of the respondents answered that it was very effective for the oral health improvement. The dental hygienists answered that the clinic operation was very effective in oral disease prevention(37.1%), oral health knowledge and behavior(32.8%), oral health behavior habit(29.3%), and oral health improvement(0.9%). The change of the current operation into full time employee accounted for 79.7% and only 16.1% agreed to current operation of clinic visit by the community health center. The results showed that need for dentist was 3.69 by Likert 5 point scale. Conclusions: The oral health policy must be established to develop and implement the oral health programs for the school clinics.

• 한국치위생학회지
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• 제21권1호
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• pp.27-40
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• 2021

Objectives: This study investigated the working conditions of dental hygienists and their challenges in providing oral care to older adults with dementia using focus group interviews. Methods: We collected data for approximately a month beginning from August 2020 and divided the study subjects into two groups: the health dental hygienist and the clinical dental hygienist groups. A total of 11 subjects participated in this study. Results: The oral health management of older adult patients with dementia has not been efficiently carried out in local communities or dental medical institutions. In addition, dental hygienists encounter difficulties in managing the oral health of these patients and hope to actively learn more about their special cases. Conclusions: Based on the results of this study, it is necessary to develop a manual or program for the professional implementation of oral health interventions for older adults with dementia.