• 한국치위생학회지
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• 제14권6호
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• pp.915-920
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• 2014

Objectives: The aim of this study was to investigate the influencing factors on oral and maxillofacial trauma prevention education experience of students majoring in physical education. Methods: A self-reported questionnaire was filled out by 268 students majoring in physical education in Busan. All statistical analyses were performed using SPSS 21.0. The questionnaire consisted of general characteristics(4 questions), TMJ symptoms(9 questions), oral habit(8 questions), and mouth guard awareness(5 questions). The questionnaire was carried out by 5 Likert scale. Higher points of Likert scale showed the negative tendency except the mouth guard awareness. The higher points of mouth guard awareness showed the positive tendency to use the mouth guard. Results: Male students had higher scores of 2.75 points in bad oral habit than the female students(p<0.05). Female students higher score of 1.30 points in mouth guard awareness than male students(p<0.05). TMJ symptoms experience in oral and maxillofacial trauma was 3.15 points which was higher than the prevention education experience without maxillofacial trauma(p<0.001). TMJ symptoms and Mouth guard awareness showed 2.71(p<0.01) and 1.20 points(p<0.001) respectively in students with maxillofacial trauma prevention education experience. These score were higher than those without education experience of trauma prevention education experience. The influencing factors on trauma prevention education experience are mouth guard awareness(p<0.001), oral habits(p<0.01), and temporomandibular joint symptom(p<0.01). Conclusions: The necessity of mouth guards should be emphasized to prevent the serious oral trauma. It is very important to establish the rule for mouth guard use in sports activities. Therefore, oral and maxillofacial trauma prevention education program is needed.

• 한국치위생학회지
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• 제18권4호
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• pp.597-605
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• 2018

Objectives: This study examined the relationship between oral health symptoms and Internet usage of Korean adolescents for the purpose of identifying problems associated with Internet usage of adolescents and of preparing measures that can raise awareness on the importance of their oral health management. Methods: The data used in this study is from the 2015 Youth Health Behavior Online Survey (YHBOS). Data from all survey participants (n=68,043) were used in the final analysis, using SPSS Ver. 22.0. General linear models were constructed to analyze the relationship between oral health symptoms and Internet usage of adolescents. Results: In the relationship between Internet usage and oral disease symptoms, those who brush less than once a day during weekdays and weekend tended to use Internet at the highest levels: 72.5%, 78.3% (p<0.001). The following variables were found to be related with spending longer time at Internet: male students (p<0.001), students in lower grades (p<0.001), students with lower performance (p<0.001), and those from families of lower economic level (p<0.001). Moreover, those who brush their teeth less than once a day and those who experienced oral disease symptoms, such as pain during chewing, throbbing and shooting pain, and bad breath in the past year spent longer time at Internet. Conclusions: The above findings show that Internet usage and demographic characteristics of the adolescents are associated with their oral health management. Therefore, guidance and interventions are needed for adolescents with problematic Internet use, while continued education is also needed to raise awareness about the importance of oral health management during adolescence.

• 한국산학기술학회논문지
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• 제21권2호
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• pp.381-387
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• 2020

본 연구는 일부 성인의 정신건강 수준, 평소 구강 습관이 턱관절 증상에 미치는 영향을 살펴보고자 시행하였다. 연구 대상은 2019년 9월 1일부터 30일까지 청년기 성인을 대상으로 설문 조사를 시행하였으며 총 402명을 대상으로 하였다. 그 결과 불안, 우울, 사회적 부적응 영역의 정신건강 수준은 삶의 만족도(p<0.001)와 주관적 건강 상태(p<0.001), 외상 경험(p<0.01)과 유의한 차이를 나타냈다. 턱관절 치료 경험자는 사회적 부적응 영역(p<0.05)의 정신건강 수준에서 유의한 차이를 나타냈다. 턱관절 증상은 여성(p<0.05), 음주자(p<0.01), 외상(p<0.01)과 턱관절 치료 경험자(p<0.001)에서 높게 나타났으며, 통계적으로 유의한 차이를 나타냈다. 정신건강 수준(p<0.001), 구강 습관(p<0.001)과 턱관절 증상(p<0.001)은 모두 양의 상관성을 나타냈다. 구강 습관(p<0.001)이 턱관절 증상에 가장 큰 영향을 미쳤으며 외상(p<0.05)과 턱관절 치료 경험(p<0.001)도 턱관절 증상에 영향을 미치는 것으로 나타났다. 이상의 결과로 볼 때 턱관절 증상을 치료 시 구강 습관을 개선하는 것이 가장 중요하며, 정신건강 상담치료와 평소 생활습관의 개선 노력을 병행하여 턱관절 건강을 효과적으로 개선하고 적용할 수 있는 프로그램의 개발이 필요할 것으로 생각된다.

• Journal of Oral Medicine and Pain
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• 제26권2호
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• pp.133-146
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• 2001

This study was performed to predict the conservative treatment outcome of TMD patients by investigating the prognostic factors ; symptom duration, history of previous treatment, history of previous medication, history of trauma, disability of daily activity, severity of pain, noise, limitation of mouth opening(LOM) and maximum comfortable opening(MCO). Two hundreds and fifty-four subjects were selected for this study among the TMD patients who had visited the Dept. of Oral Medicine BNUH and been treated conservatively with medication, physical therapy, behavioral treatment, and splint therapy from 1991 to 2000. The subjects were divided into two groups improved or unimproved according to the treatment response following six months of conservative treatment. Those who showed less than 1 on NAS for pain, TMJ noise, and opening limitation belonged to the improved group and those who showed more than 2 on NAS belonged to the unimproved group. The two groups were compared with respect to symptom severity, number of diagnosis, history of trauma, previous treatment, previous medication, and disability of daily activity. A prognostic equation with the factors revealed to be significantly related to the prognosis of conservative treatment was obtained. The obtained results were as follows ; 1. In improved group, mean duration of history was 12 months, mean treatment duration of a patient was 4 months an mean number of treatment was about 10 times. In other words, in unimproved group, mean duration of history was 27.4 months, mean treatment duration of patient was 10.5 months and mean number of treatment was 19 times. 2. In unimproved group, multiple diagnosis, chronicity, disability of daily activity were significantly greater than that of the improved group. 3. Patients in unimproved group revealed severe noise at first visit and smaller maximum comfortable opening comparatively. 4. Prognostic factors such as duration of treatment, number of treatment, multiplicity, and chronicity and disability of daily activity showed a significant relation in prediction of improvement. 5. Prognostic equation with significant variables is as follows ; Y = 1.984 - 0.251Noise + 0.068MCO - 0.673Multiplicity. - 0.958Chronicity - 0.065Disability. Classification accuracy of 70.3 %, sensitivity of 71.4% and specificity of 66.7% were shown. 6. Prognostic equation with all factors is as follows : Y = 1.599 - 0.038Pain - 0.256Noise - 0.006Limitation + 0.068MCO - 0.580Multiplicity - 1.025Chronicity - 0.720Disability - 0.329Medication - 0.087Treatment + 0.740Trauma. Classification accuracy of 70.3 %, sensitivity of 73% and specificity of 64.3% were shown. 7. Prognostic value of the improved group with significant factors was $1.0446{\pm}1.0726$ and prognostic value of the unimproved group with significant factors was $-0.013{\pm}1.0146$. Prognostic value of the improved group with all factors was $1.0465{\pm}1.0849$ and prognostic value of the unimproved group with all factors was $-0.057{\pm}1.0611$.

• 한국임상약학회지
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• 제21권3호
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• pp.276-279
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• 2011

We report an unusual case of lupus flare induced by intravenous vancomycin in a patient with systemic lupus erythematosus. Due to methicillin resistant staphylococcus aureus in wound culture, intravenous vancomycin was administered to the patient. The patient had been on vancomycin for several days then she experienced fever, malar rash, and vomiting. Based on laboratory results, it was confirmed as lupus flare. Oral prednisolone was given to the patient for symptom control. However, when vancomycin was readministered, the patient had similar symptom to the previous one more intensively. Vancomycin was stopped then the patient became stable. This case report demonstrates that intravenous vancomycin may manifest as lupus flare in patients with systemic lupus erythematosus.

• Journal of Oral Medicine and Pain
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• 제23권4호
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• pp.353-359
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• 1998

The purpose of this study is reveal the relationship between halitosis and personal profile. The personal characteristics of halitosis patient were studied by symptom checklist-90- revision(SCL-90-R). 135 halitosis patients, 118 TMD patients(control torup 1) and 90 normal persons(control group 2) were selected for this study at the halitosis clinic or the Department of Oral Diagnosis and Oral Medicine, Kyung Hee Dental Hospital. T-scores were analyzed with Korean manual of SCL-90-R. A t-test was used to evaluate the overall group effect and the values were significant at the 0.05 level. The obstained results were as follows : 1. Mean value of T-scores on 9 basic scales of SCL-90-R in all groups(Halitosis patients, TMD patients and normal) was within normal range. 2. When compared with normal group, TamD patients gorup were significantly higher in sclaes of Somatization (p<0.01), Obsession-Compulsion(p<0.05), Depresison(p<0.05), Anxiety(p<0.01), Hostility(p<0.05). 3. When compared with normal group, halitosis patients group were significantly higher in scales of Somatization(p<0.05), Obsessoin-Compulsion(p<0.05), Interpersonal Sensitivity (p<0.05), Psyhcoticism(p<0.05). This data suggests that psychopathologic trends may be associated with halitosis and can be estimated by SCL-90-R questionnaire.

• Toxicological Research
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• 제21권1호
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• pp.63-70
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• 2005

Gami-Honghwa-Tang (KH-19), a herbal prescription for reducing the side effect of radiotherapy, is composed of eight crude herbs such as Rehmanniae Radix Preparata, Angelicae Gigantis Radix, Cnidii Rhizoma, Paeoniae Radix, Corni Fructus, Moutan Cortex Radicis, Lycii Fructus, Carthami Flos, and Glycyrrhizae Radix. In this study, marker substances in KH-19 were analyzed by high performance liquid chromatography-diode array detector (HPLC-DAD) and safety evaluation of standardized KH-19 was evaluated by good laboratory practices (GLP) guideline of Korea Food and Drug Administration. HPLC-DAD was employed to determine the quantities and the qualities of several marker substances such as 5-hydroxymethyl-2-furaldehyde (5-HMF), paeonol, loganin, paeoniflorin, glycyrrhizin, and decursin in the KH-19. In acute oral toxicity study on rat, transient inhibition of body weight was shown, but change in general symptom was not detected. No dead animal was observed up to 5,000 mg/kg in both male and female animals. In acute oral toxicity study on Beagle dog, transient vomiting, diarrhea, anorexia, and body weight reduction were observed, However, no dead animal was observed up to 2,000 mg/kg in both male and female animals.

• Journal of Oral Medicine and Pain
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• 제39권4호
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• pp.152-155
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• 2014

Temporomandibular joint (TMJ) dislocation is defined that the disc-condyle complex is positioned anterior to the articular eminence in the open mouth position, and is unable to return to a normal closed mouth position without a manipulative maneuver. TMJ dislocation can recur habitually and result several problems to patients such as discomfort, pain, fear, and anxiety. The only definitive treatment for TMJ dislocation is surgical alteration of the joint itself. In most cases, however, a surgical procedure is far too aggressive for the symptoms experienced by the patient. In addition, the effect of surgical treatment may be insufficient, and the recurrence have been reported. It is also possible to develop several complications after surgical treatment. Therefore much effort should be directed at supportive therapy in an attempt to eliminate the disorder or at least reduce the symptom to tolerable levels. Through this cases the authors present favorable treatment outcome using occlusal splint with the patient of TMJ dislocation. Occlusal splint therapy can be considered as easy, safe, and useful non-invasive modality to treatment of TMJ dislocation.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제14권4호
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• pp.255-268
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• 1992

There are various modalities in the treatment of facial asymmetry, but in severe case with TMD by actively growing deformed condyle, the treatment choice is removing the condyle growth center and TMD symptom such as click or muscular discomfort. In our one case, the patient was complain of facial asymmetry. There are severe deformed condyle head with bird-head fashion and enlarged mandibular ramus and body vertically about 18 mm, overgrowthed Rt. mandible body horizontally about 20 mm. She had intermittent Lt. TMJ clicking and muscular discomfort. The author diagnosed it as Lt. hemimandibular hyper-plasia & R, hemimandibular elongation, a combination form with TMD. the condyle was in active growing state in scintigraphic analysis. So we extirpated the deformed condyle by intrasoral sagittal split ramus osteotomy and reshaped the condyle and mandibular distal fragment extraorally. The distal fragment was readapted in glenoid fossa and fixated. In Rt. mandibular body area, autogenous onlay bone graft on the inferior border of mandible was performed to correct the asymmetry. The clicking and facial asymmetry was corrected and we report this results with other literature findings.

• Journal of Oral Medicine and Pain
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• 제35권2호
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• pp.149-154
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• 2010

측두하악관절부위에 발생하는 양성 외방성 증식은 골종, 연골종, 골연골종 및 활액성 연골종증 등이 있으며 증상으로는 통증, 개구제한 등을 보이며 때때로 교합변화 하악정중선변위등을 수반한다. 이러한 양성 외방성 증식은 측두하악장애와 비슷한 증상으로 인해 임상 증상만으로 진단 하는 것은 어려우며, 단층촬영, 자기공명영상을 포함한 방사선 사진을 평가하여야 하며, 확진을 위해서는 생검을 필요로 한다. 활액성 연골종증과 골연골증은 인체의 장골에 흔한 양성 종양이며 구강안면부위에 있어 발생이 비교적 드물다. 본 연구는 측두하악관절에 비교적 드물게 발생하는 활액성 연골종증과 골연골종에 대하여 보고하고 진단에 대해 다소의 지견을 얻었기에 문헌 고찰과 함께 보고하고자 한다.