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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 2, Issue 2 - Nov 2006
Volume 2, Issue 1 - Jun 2006
Selecting the target year
Dental treatment considerations according to the types of disabilities
Kim, Young-Jae ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 2, issue 2, 2006, Pages 131~135
SATISFACTION OF PATIENTS WITH DISABILITIES ABOUT OUTPATIENT GENERAL ANESTHESIA AND NURSING CARE FOR DENTAL TREATMENT
Kim, Hye-Jung ; Han, Jin-Hee ; Han, Hee-Jeong ; Kim, Hyun-Jeong ; Yum, Kwang-Won ; Seo, Kwang-Suk ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 2, issue 2, 2006, Pages 136~141
The purpose of this study is to survey the status of oral care of adult patients with disabilities and satisfaction degree of outpatient general anesthesia for dental treatment. 30 adult patients who underwent general anesthesia for dental treatment at clinic for the disabled in Seoul National University Dental Hospital enrolled for telephone survey. Many patients (83.3%) had mental problems to do social communication. And someone of family members (mainly mother) had cared for the patient but there was only one patient who got regular oral care. The satisfaction level of outpatient general anesthesia and nursing care for dental treatment was very high(100%).
INTRAVENOUS SEDATION WITH MIDAZOLAM
Lee, Jun-Seok ; Kim, Jong-Soo ; Kim, Seung-Oh ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 2, issue 2, 2006, Pages 142~146
Oral administration of chloral hydrate with hydroxyzine, nitrous oxide inhalation and intramuscular or intranasal administration of midazolam is the most commonly used pharmacological behavior management methods for the children in pre-cooperative stage or show negative behavior in pediatric dentistry. For oral administration of chloral hydrate with hydroxyzine, it is hard to apply to the patient refused to intake and with overweighted or elderly children and the effect of the drug decrease. Nitrous oxide and midazolam is anxiolytic agents and have limitation for properly managing the behavior of the children refuse to dental treatment. These occasions, deep sedation or general anesthesia can be considered. Although intravenous sedation with midazolam has many advantages such as, rapid onset and recovery, possible to titration and few side effect, no rebound effect by metabolites, the reports for, intravenous sedation with midazolam is insufficient in pediatric dentistry. We report the case in pre-cooperative stage. He is treated successfully under intravenous sedation with midazolam.
A PRESERVATIVE APPROACH TO PREVENTION OF SELF-MUTILATION IN PATIENT WITH LESCH-NYHAN SYNDROME ; A CASE REPORT
Kang, Dong-Gyun ; Kim, Tae-Wan ; Kim, Young-Jin ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 2, issue 2, 2006, Pages 147~152
Lesch-Nyhan syndrome is rare X-linked genetic disorder involving absence of the enzyme hypoxanthine guanine phosphoribosyl transferase (HGPRT) related to purine metabolism. The deficiency of HGPRT activity leads to an excesscive uric acid production and consequent hyperuricemia. It occurs almost exclusively in males, and the incidence is estimate to be 1/100,000~380,000. Clinical presentation is characterized by developmental delay, mental retardation, choreoathetosis, spastic cerebral palsy, nephrolithiasis, obstructive nephropathy and acute gouty arthritis. A characteristic feature of Lesch-Nyhan syndrome is the appearance of intractable self-mutilation behavior. Self-mutilation behavior is complicated by secondary infection and tissue loss as well as pain. The dental management of self-mutilation includes presertive methods of using appliances such as lip bumper or soft mouthguard and radical methods such as extraction of all teeth or orthognathic surgery. A case of Lesch-Nyhan syndrome patient with self-mutilation and severe lower lip injury is presented. He was treated successfully with soft mouthguard.
DENTAL AND OPHTHALMOLOGICAL TREATMENT UNDER THE GENERAL ANESTHESIA OF THE PATIENT WITH MENTAL RETARDATION
Kim, Su-Youn ; Lee, Keung-Ho ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 2, issue 2, 2006, Pages 153~155
Many patients with mental retardation need extensive dental treatment because they have much difficulty in maintaining their oral hygiene. However, because they are not cooperative and not manageable, they require physical restraints, drug induced sedation or general anesthesia. General anesthesia is useful in control of the patients who cannot be treated in other ways. Additionally, general anesthesia provides more safe environment for medically compromised patients. And medical treatment can be provided simultaneously under general anesthesia. Furthermore, almost all treatment can be provided without visiting several times. This case reports of periodontal, restorative and ophthalmological treatment of patient with mental retardation under general anesthesia.
THE DENTAL MANAGEMENT OF SELF-INFLICTED ORAL MUTILATION IN THE DISABLED : CASE REPORT
Lee, Hyeon-Heon ; Lee, Sang-Ik ; Lee, Hyeok-Sang ; Jang, Ki-Taeg ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 2, issue 2, 2006, Pages 156~160
Self-injurious behavior is defined as deliberated harm to one's own body without suicidal intent. It usually occurs as head banging or hitting, body hitting, skin cutting, or finger biting and includes ocular, genital, and self-inflicted oral mutilation. Self-injurious behavior can occur with mental retardation, comatose status, psychotic problem, poisoning, or character disorders. In pediatric patients, self-injurious behavior usually is reported to lip, cheek and tongue biting, and many kinds of dental management methods have been introduced to prevent self-injurious behavior patients from self biting. This report presents some self-inflicted oral mutilation patients who were all treated successfully with several appliances.