The Oral Disease of Inpatient with the Systemic Disease

전신질환으로 입원한 환자의 구강내과 진료실태

  • Yoo, Sang-Hoon (Department of Oral Medicine, School of Dentistry, Kyung Hee University) ;
  • Jung, Sung-Hee (Department of Dental Hygiene, Shin Gu College) ;
  • Auh, Q-Schick (Department of Oral Medicine, School of Dentistry, Kyung Hee University) ;
  • Hong, Jung-Pyo (Department of Oral Medicine, School of Dentistry, Kyung Hee University) ;
  • Chun, Yang-Hyun (Department of Oral Medicine, School of Dentistry, Kyung Hee University)
  • 유상훈 (경희대학교 치의학전문대학원 구강내과학교실) ;
  • 정성희 (신구대학 치위생과) ;
  • 어규식 (경희대학교 치의학전문대학원 구강내과학교실) ;
  • 홍정표 (경희대학교 치의학전문대학원 구강내과학교실) ;
  • 전양현 (경희대학교 치의학전문대학원 구강내과학교실)
  • Published : 2008.03.30

Abstract

Purpose : To investigate the actual conditions of diagnosis and treatment of oral medicine inpatient with systemic disease. Methods : A total of 110 subjects, inpatient due to systemic disease for diagnosis and treatment of oral disease was requested to answer the medical history and dental treatment record. Results : Systemic disease is composed of Non-insulin-dependent diabetes mellitus 26%, Cerebral infarction 25.2%, Intracerebral hemorrhage, Polyarthrosis, Coxarthrosis 4.7%, Nerve root and plexus disorders, Hypertensive heart and renal diseases, Ankylosing spondylitis 2.4%. Chief complain of oral disease is composed of toothache 28.6%, routine check 23%, tooth mobility 8.7%, hypersensitivity 7.1%, periodontal bleeding 6.4%. Oral disease is composed of Gingivitis and periodontal diseases 28.9%, Dental caries 17.1%, Diseases of pulp and periapical tissues 15.1%, Diseases of salivary glands 10.5%, Other diseases of hard tissues of teeth 8.6%, Within Normal Limit 5.3%. Treatment of oral disease is composed of periodontal treatment 17.95%, rejection of treatment 16.67%, medication for halitosis & dry mouth 13.46%, extraction 12.18%, prosthetic treatment 8.97%. Chief complain in oral medicine is composed of oral soft tissue problem 6.4%, craniomandibular disorders 5.6%, halitosis 4%, total 16%. Conclusion : These findings indicate that inpatient due to the systemic disease is significantly correlated to the oral disease. The patients of oral disease interrelationship between inpatient and outpatient of systemic disease should be validated by future research.

References

  1. 정성창, 이승우, 김영구. 구강내과학. 제3판, 서울, 1984, 고문사, pp.1-5
  2. 최영길. 한국표준질병사인분류(ICD-10). 서울, 1995, 경희의료원, pp.1-43
  3. 조정원. 2005년 경희연보(치과외래). 서울, 2006, 경희의료원, pp.74-82
  4. Malcolm AL, Vernon JB, Martin SG. Burket's Oral Medicine. 8th ed., Lippincott, 1984, pp.3-7
  5. Malamed SF. Handbook of medical emergencies in the dental office. 2nd ed., St. Louis, 1982, The CV Mosby Co., pp1-58
  6. Romriell GE, Streeper SN. The medical history. Dent Clin North Am 1982;26(1):3-11
  7. Tryon AF, Mann WV, Dejong IV. Use of a problem oriented record in undergraduate dental education. J Dent Educ 1976;40(9):601-608
  8. 전양현, 홍정표. 전신질환으로 입원한 환자의 구강질환 의뢰실태에 관한 연구. 경희의학 2002;18(1):55-62
  9. 전양현, 어규식, 홍정표. 전신질환으로 입원한 환자의 구강질환. 경희의학 2007;23(2):140-147
  10. Little JW, Falace DA. Dental management of the medically compromised patient, St. Louis, 1980, The CV Mosby Co., pp.1-52
  11. 홍정표, 전양현. 입병의 실체. 서울, 2000, 지성출판사, pp.2-3
  12. 최영길. 1998년 경희연보별책(국제분류별병원통계). 서울, 1999, 경희의료원, pp.138-141
  13. 정성창, 김영구, 이승우. 치과환자의 전신건강상태의 평가법과 치료계획수립에의 응용. 대한치과의사협회지 1981;19(7):569-574
  14. 김정균. 국제질병분류의 치의학분야에의 적용(ICD-DA). 서울, 1995, 대한치과의사협회, pp.74-95
  15. 전양현, 홍정표. 입원한 전신질환자의 구강질환 진료실태에 관한 연구. 대한치과의사협회지 2003;41(4): 268-276
  16. 이승우 외. 구강진단학. 제5판, 서울, 1996, 신흥인터내셔날, pp.96-119
  17. Ingber JS, Rose LF. The Problem-oriented record: Clinical application in a teaching hospital. J Dent Educ 1975;39(7):472-482
  18. Millard HD, Manson DS. Forward in: Perspectives on 1988 World Workshop on Oral Medicine. Chicago, 1988, Yearbook Medical Publishers, pp.5-6
  19. Halstead CL. Physical evaluation of the dental patient. St. Luis, 1982, The C.V. Mosby Co., pp.13-26
  20. McCarthy FM. Emergencies in dental practice. 2nd ed, Philadelphia, 1972, WB Saunders Co., pp.2-22
  21. Comroe BI, Collins LH, Crane MP. Internal Medicine in Dental Practice. 5th ed., Philadelphia, 1961, Lea & Fabiger, pp. 5-6
  22. Morris AL. The medical history in dental practice. JADA 1976;74(1):129-137