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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
The Journal of Korea Assosiation for Disability and Oral Health
Journal Basic Information
Journal DOI :
Korean Association for Disability and OralHealth
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Volume & Issues
Volume 11, Issue 2 - Dec 2015
Volume 11, Issue 1 - Jun 2015
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ORAL HEALTH STATUS OF PATIENTS WITH SPECIAL HEALTH CARE NEEDS IN KYUNG HEE UNIVERSITY DENTAL HOSPITAL
Kim, Ji Hyun ; Nam, Ok Hyung ; Kim, Mi Sun ; Kim, Kwang Chul ; Choi, Sung Chul ; Lee, Hyo-Seol ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 11, issue 2, 2015, Pages 53~57
DOI : 10.12655/KADH.2015.11.2.53
Most special health care needs (SHCN) people suffer from oral health problems due to high incidence and severity of oral disease. The aim of the present study was to investigate the characteristics of dental treatment provided in this patient population. The study population comprised 485 SHCN patients who visited Kyung Hee University Dental Hospital from 2006 to 2014. Based on the medical record, the date were evaluated according to age, gender, type of disorder, reason for visit, type of behavior management, and type of dental treatment. The most common age group was 7-12 year olds (26%). The chief compliant was dental caries (39%), as followed by oral exam (12%) and trauma (12%). Approximately half of SHCN patients (45.9%) was treated under behavior management. Restorative treatment was the most common procedure with the average of 2.9 teeth treated per patient. The results of the present study may be valuable for establishing the data of SHCN patients for primary dental care.
A SURVEY OF THE TREATMENT IN FREE MOBILE DENTAL CLINIC AT THE DISABLED RESIDENTIAL FACILITES (SURVEY OF FREE MOBILE DENTAL CLINIC: AT DISABLED RESIDENTIAL FACILITES)
Lim, Hyun soo ; Lee, Hyo-Seol ; Choi, Sung Chul ; Lee, Eun young ; Kim, Kwang Chul ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 11, issue 2, 2015, Pages 58~61
DOI : 10.12655/KADH.2015.11.2.58
The people with disabilities living in residential facilities have more difficulty in caring oral hygiene than those living at home. The purpose of this study is to evaluate the recent 2014 dental treatment records of free mobile dental clinic service for disabled people in Korea. 203 disabled living in residential facilities participated in mobile dental clinic. Patients classified according to types of disability. Mental retardation were 75.3%, mental disorder were 6.0%, crippled disorder were 7.4%, brain disorder were 6.5%, visual disorder were1.4%, auditory and speech disorder were 2.3% and autism disorder were 0.9%. Performed treatments were 99 scaling and curettage, 88 fluoride varnish and TBI, 4 extraction, 1 endodontic treatment, 16 caries control (resin filling, GI filling), 1 denture repair and 8 refuse the treatment. Free mobile dental clinic can not provide complex dental treatment. So, the organization should systemize advanced dental treatment and regular preventive programs. Furthermore, we need to have a more concerns about the people with disabilities living in residential facilities and constantly participate on a dental voluntary work.
CARE OF RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION IN CEREBROVASCULAR ACCIDENT PATIENT : REPORT OF A CASE
Oh, Ji-Hyeon ; Yoo, Jae-Ha ; Kim, Jong-Bae ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 11, issue 2, 2015, Pages 62~66
DOI : 10.12655/KADH.2015.11.2.62
Temporomandibular joint dislocation causes considerable pain, discomfort, and swelling. The anatomic construction of the articular fossa and the eminentia articularis may predispose to dislocation, and weakness of the connective tissue forming the capsule is believed to be a predisposing factor. The capsule may be stretched and, more rarely, torn. Dislocation may be unilateral or bilateral and may occur spontaneously after stretching of the mouth to its extreme open position, such as during a yawn or during a routine dental operation. Manual reduction with the patient under muscle-relaxing condition or anesthesia is recommended method. After the reduction of an acute dislocation, immobilization of the jaw is recommended to allow the stretched and sometimes torn capsule to heal, thus preventing recurrence. A Barton's bandage may be applied for 2 to 3 weeks to prevent the patient from opening the jaw too wide. But, it results in recurrent dislocation in the neurologically disabled patient, because of loose intermaxillary fixation. This is a case report about management of recurrent temporomandibular joint dislocation by multiple loop wirings and intermaxillary elastics in cerebrovascular accident patient.
DENTAL TREATMENT IN A PRADER-WILLI SYNDROME PATIENT : A CASE REPORT
Lee, Soo Jeong ; Baek, Kwangwoo ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 11, issue 2, 2015, Pages 67~71
DOI : 10.12655/KADH.2015.11.2.67
Prader-will syndrome (PWS) is a genetic disorder displayed with short stature and behavioral problems. The major manifestation is hyperphagia and obesity but there is no known effective drug that can solve this problem. This article presents a case report of a 3-year 9-month old girl affected with PWS syndrome treated under general anesthesia due to lack of cooperation and multiple caries. The dentist should work as a member of the multidisciplinary medical team. Careful long term follow up is required to prevent dental caries and periodontal diseases as well as maintain good oral hygiene. A strict diet control should also be encouraged.
ORTHODONTIC TREATMENT OF ECTOPIC MAXILLARY CENTRAL INCISOR IN A CEREBRAL PALSY PATIENT
Jang, Seok Hun ; Nam, Ok Hyung ; Lee, Hyo-Seol ; Kim, Kwang Chul ; Choi, Sung Chul ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 11, issue 2, 2015, Pages 72~75
DOI : 10.12655/KADH.2015.11.2.72
Cerebral palsy is one of the most common disabilities of childhood, which affects movement and co-ordination. Individuals with cerebral palsy are susceptible to traumatic dental injuries. High occurrence of Class II malocclusion with prominent maxillary incisors appears to increase risk of trauma. However, due to fear of behavior management and lack of cooperation, clinicians have avoided orthodontic treatment in cerebral palsy patients. This case report demonstrates that modified rapid maxillary expansion can be used as a simple and effective method to correct ectopic eruption of maxillary incisor in cerebral palsy patient.
DENTAL TREATMENT USING TRIAZOLAM FOR THE MENTAL RETARDATION PATIENT : A CASE REPORT
Lee, Soo Jeong ; Baek, Kwangwoo ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 11, issue 2, 2015, Pages 76~80
DOI : 10.12655/KADH.2015.11.2.76
Mental retardation is one of the major disorders covered in special care dentistry. Patients show poor oral health and are a challenge for the dentist due to lack of cooperation. Triazolam is a short-acting benzodiazepine and has been used in the dental office for many years because of its favorable properties. In this study, five patients with mental retardation were sedated with triazolam on a dental out-patient setting. Patients were administrated with 0.25 mg or 0.5 mg of triazolam on the first dose according to the patient's cooperation. Twenty minutes after the initial dose, patients received 0.25 mg of triazolam. Triazolam was administrated sublingually to one patient and orally to four patients. Hydroxyzine was also administrated to three patients in order to prevent nausea and vomiting. All patients were inhaled with 50% nitrous oxide during the sedation. Treatment time ranged from 20 minutes to 55 minutes. Two patients showed paradoxical reactions and were administrated with intramuscular injections of flumazenil. In result, depending on the range of dental treatment and level of intellectual disability, we can assume that triazolam may be beneficial for sedation in disabled patients.