• 한국치위생학회지
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• 제23권5호
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• pp.333-341
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• 2023

Objectives: This study aims to propose a standard protocol for oral health care intervention activities by dental hygienists. Methods: A narrative literature review of home visit oral health care intervention activities reported in Cheonan, South Korea was conducted to enable the proposal of a standard home visit protocol for dental hygienists in the context of community care. Results: Oral health management intervention activities contributed to improving the quality of life, as well as the oral health, of older adults living at home. This was a result of applying a protocol consisting of oral observation, oral massage, expert oral hygiene management, oral muscle function training, and final stages. Conclusions: The visiting oral health intervention protocol was effective in resolving oral health problems of older adults. In the future, customized programs and reimbursement systems should be developed to promote oral health care for older adults that can be provided at home.

• 문화기술의 융합
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• 제8권4호
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• pp.143-150
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• 2022

현대 이야기 현장에 살아 숨 쉬는 언어 민속은 옛이야기가 아니라 개인의 체험을 이야기하는 개인서사라 할 수 있다. 이러한 개인서사는 구비문학 내의 여러 장르들처럼 창조의 충동으로부터 발생하기보다는 전달과 재창조의 충동에서 발생하는 것이 대부분이다. 전통적인 옛이야기에 비해 개인서사와 같은 체험에 대한 이야기의 경우 구연을 담당하는 이야기 화자 개인의 성향이 더해져서 연행되는 경우가 많다. 이 과정에서 '체험을 어림잡아 재단하고, 추억을 주먹구구식으로 재해석'하는 현상이 발생하게 되고, 이는 구비문학을 구비문학이게끔 하는 중요한 요소이다. 문제는 구연 현장에서 필연적으로 포착되는 이러한 유의미한 요소들을 어떻게 다룰지이다. 본 논문의 주요 방법론인 텍스트 언어학은 이러한 구비문학의 즉흥적인 요소들을 포착해 낼 가능성을 내포하고 있다. 개인서사에 대한 텍스트 언어학적 분석은 현장의 분위기, 화자의 실수, 이야기 내용의 모순, 청중의 반응 등 그동안 구비문학 연구에서 다루기 힘들었던 구술적 특성들을 좀 더 다른 각도에서 논의할 가능성을 제공한다. 이를 통해 '말'이라는 일회성, '어림셈'이라는 현장성, '대중의 지혜'라는 적층성을 기반으로 하는 구비문학의 구술시학을 효과적으로 논의할 수 있다. 나아가 공동체 문화에서 개개인의 언어 예술의 중요한 부분을 담당하는 체험 이야기하기 연구에 일조할 것으로 기대한다.

• Journal of Oral Medicine and Pain
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• 제49권3호
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• pp.43-48
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• 2024

This narrative review discusses the changes in the masticatory system due to the physiologic aging process in humans and how these changes should be considered when diagnosing and managing temporomandibular disorders (TMDs) in older adults. Age-related changes in the masticatory system, specifically the temporomandibular joint (TMJ) and masticatory muscles, are associated with an increased prevalence of degenerative TMJ osteoarthritis in older adults, changes in muscle function and often affect masticatory function. Considering older adults' physiologic changes and comorbidities and their quality of life, diagnosing and managing TMDs in older adults needs a more comprehensive approach than in younger adults. Managing TMDs in older adults can improve orofacial function, such as mastication, leading to improved physical function and quality of life by reducing the risk of frailty.

• 문화기술의 융합
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• 제6권2호
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• pp.409-417
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• 2020

자신의 삶을 훌륭하게 구연하는 구술연행은 그것만으로도 하나의 훌륭한 언어예술이다. 시집살이담은 여성 생애담 중 결혼을 매개로 가족관계나 사회·문화적 문제로부터 벌어지는 일련의 일들을 구술한 서사체이다. 그러므로 시집살이담은 여성 생애담의 하위 장르이다. 시집살이담은 크게 두 가지 측면에서 살필 수 있다. 첫째는 며느리와 가족 구성원 사이의 관계로부터 비롯되는 '가족관계 층위'이다. 여기서 가장 일반적인 것은 물론 시어머니 시집살이이며, 그 밖에 시아버지 시집살이, 남편 시집살이, 자식 시집살이를 들 수 있다. 둘째는 인간관계에서 비롯된 것이 아닌 며느리로서 갈등을 겪게 되는 제반 사항들에 관련된 이야기들로 '사회·문화 층위'이다. 가장 일반적인 것은 가난과 역사적 사건에서 비롯된 시집살이이며, 며느리의 가문이나 용모, 태도 등 때문에 심한 시집살이를 한 경우도 있다. 실제의 시집살이는 이 두 가지 양상이 뚜렷하게 구별되기보다는 서로 혼합되어 나타난다. 가족관계에서 비롯된 시집살이는 항상 가난이나 사건과 관련될 수 있으며, 반대로 가난이나 사건은 가족관계로 확대되어 여성들을 괴롭혔던 것이다. 본 연구는 다양한 시집살이담에 나타난 관계와 고난의 양상을 종합적으로 검토하고자 하였다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제50권4호
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• pp.177-188
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• 2024

The endoplasmic reticulum (ER) is crucial for protein synthesis, transport, and folding, as well as calcium storage, lipid and steroid synthesis, and carbohydrate metabolism. Endoplasmic reticulum stress (ERS) occurs when misfolded or unfolded proteins accumulate in the ER lumen due to increased protein secretion or impaired folding. While the role of ERS in disease pathogenesis has been widely studied, most research has focused on extraoral diseases, leaving the role of ERS in intraoral diseases unclear. This review examines the role of ERS in oral diseases and oral fibrosis pathogenesis. A systematic search of literature through July 2023 was conducted in the MEDLINE database (via PubMed) using specific terms related to ERS, oral diseases, and fibrosis. The findings were summarized in both table and narrative form. Emerging evidence indicates that ERS significantly contributes to the pathogenesis of oral diseases and fibrosis. ERS-induced dysregulation of protein folding and the unfolded protein response can lead to cellular dysfunction and inflammation in oral tissues. Understanding the relationship between ERS and oral disease pathogenesis could offer new therapeutic targets for managing oral health and fibrosis-related complications.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.3369-3373
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• 2013

Oral cancer is a global health burden with high mortality and morbidity. Advances in treatment have failed to improve the relatively poor survival rate due to late-stage diagnosis. Early detection and screening have been shown to be effective in reducing mortality and morbidity of most common cancers. Several studies have evaluated the effectiveness of oral cancer screening programs but clear results were not obtained. This narrative commentary aimed to give a critical insight into the dilemma of oral cancer screening and to suggest recommendations for future trends. Conventional oral examination still constitutes the gold standard screening tool for potentially malignant oral lesions and cancer. Interestingly, the findings of the most lasting (15-year) randomized controlled trial on oral cancer screening using visual examination (Kerala) supported the introduction of a screening program in high-risk individuals. Several screening adjuncts exist but are still not at the introduction stage. Further research to find an appropriate adjunct reliable tool for oral cancer screening is needed. In conclusion, oral cancer fulfills most of the essential principles of cancer screening but still many points need to be clarified. Therefore, there is a striking need to establish a global consortium on oral cancer screening that will oversee research and provide recommendations for health authorities at regular intervals.

• Journal of Korean Dental Science
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• 제15권2호
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• pp.101-111
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• 2022

The purpose of laboratory tests in the field of oral medicine can be divided into two categories: (1) medical evaluation of patients with systemic diseases that are planning to receive dental care and (2) diagnosis of patients with certain oral diseases. First, laboratory tests are commonly used to evaluate patients with systemic diseases who need dental management. A combination of multiple tests is usually prescribed as a test panel to diagnose and assess a specific disease. Test panels closely related to oral medicine include those for rheumatoid arthritis, connective tissue disease/lupus, liver function, thyroid screening, anemia, and bleeding disorders. Second, laboratory tests are used as auxiliary diagnostic methods for certain oral diseases. They often provide crucial diagnostic information for infectious diseases caused by bacteria, fungi, and viruses that are associated with pathology in the oral and maxillofacial regions. Laboratory tests for infectious diseases are composed of growth-dependent methods, immunologic assays, and molecular biology. As the field develops, further application of laboratory tests, including synovial fluid analysis in temporomandibular joint disorders, salivary diagnostics, and hematologic biomarkers associated with temporomandibular disorders and orofacial pain conditions, is currently under scrutiny for their reliability as diagnostic tools.

• 대중서사연구
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• 제25권3호
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• pp.267-302
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• 2019

'설화'는 크게 '신화', '전설', '민담'의 세 가지 형태로 구분되며, 역사 시대 이전부터 구전으로 전승된 이야기들을 일컫는다. 본 연구는 문화 연구의 관점에서 동북아시아 문화의 원천으로서의 설화를 거시적·담론적으로 연구하기 위해, 설화의 '상징성'에 초점을 맞춰 동서양의 설화를 둘러싼 담론을 비교연구하여 동북아시아 설화연구의 특성을 짚어 보고자 한다. 즉, 근대화를 거치면서 탈신화화되고 탈주술화된 서구 사회와 동북아시아에서 설화가 갖는 상징적 의미를 찾아보려는 것이다. 설화는 오랜 기간을 거쳐 민간에서 구비전승되며 변화한 것은 물론 근대화 과정 속에서 문자화되며 고대의 원형적 모습을 잃고 현대성 속에서 '오염'됐을 수밖에 없다. 그럼에도 근대화가 탈각시킨 자연과 인간의 '유사성'의 원리는 아직까지도 설화에서 찾을 수 있다. 때문에 서구에서는 설화 중에서도 신화를 중심으로 잃어버린 주술적 사유를 복원하려는 연구가 이어지고 있다. 따라서 본 연구에서는 한국, 중국, 일본의 동북아시아 국가들이 압축 근대화를 겪으며 상실한 신화적 사유의 상징성을 설화의 비유적 특성과 함께 고찰해보고자 한다.

• Journal of Korean Dental Science
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• 제17권1호
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• pp.14-35
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• 2024

The temporomandibular joint (TMJ) is one of the most unique joints in the human body that orchestrates complex movements across different orthogonal planes and multiple axes of rotation. Comprising the articular eminence of the temporal bone and the condylar process of the mandible, the TMJ integrates five major ligaments, retrodiscal tissues, nerves, and blood and lymph systems to facilitate its function. Cooperation between the contralateral TMJ and masticatory muscles is essential for coordinated serial dynamic functions. During mouth opening, the TMJ exhibits a hinge movement, followed by gliding. The health of the masticatory system, which is intricately linked to chewing, energy intake, and communication, has become increasingly crucial with advancing age, exerting an impact on oral and systemic health and overall quality of life. For individuals to lead a healthy and pain-free life, a comprehensive understanding of the basic anatomy and functional aspects of the TMJ and masticatory muscles is imperative. Temporomandibular disorders (TMDs) encompass a spectrum of diseases and disorders associated with changes in the structure, function, or physiology of the TMJ and masticatory system. Functional and pathological alterations in the TMJ and masticatory muscles can be visualized using various imaging modalities, such as cone-beam computed tomography, magnetic resonance imaging, and bone scans. An exploration of potential pathophysiological mechanisms related to the TMJ anatomy contributes to a comprehensive understanding of TMD and informs targeted treatment strategies. Hence, this narrative review presents insights into the fundamental functional anatomy of the TMJ and pathological changes that evolve with TMD progression.

• Journal of Oral Medicine and Pain
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• 제42권3호
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• pp.53-61
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• 2017

Myogenous temporomandibular disorder is a collective term for pathologic conditions of the masticatory muscles, mainly characterized by pain and dysfunction associated with various pathophysiological processes. Among the subtypes of myogenous temporomandibular disorder, myofascial pain is one of the most common muscle disorders, characterized by the presence of trigger points (TrPs). Various modalities, such as ultrasound, manipulative therapy, spray-and-stretch technique, transcutaneous electrical nerve stimulation, injection/dry needling, and low-level laser therapy are used to inactivate TrPs. Needling/injection on the TrPs is one of the most common treatments for myofascial pain. Despite the evidence, there is continued controversy over defining the biological and clinical characteristics of TrPs and the efficacy of injection/dry needling. This review discusses the current concept of injection/needling to relieve TrPs.