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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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The Journal of Korea Assosiation for Disability and Oral Health
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Journal DOI :
Korean Association for Disability and OralHealth
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Volume & Issues
Volume 4, Issue 2 - Dec 2008
Volume 4, Issue 1 - Jun 2008
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A SURVEY OF DENTAL TREATMENT UNDER GENERAL ANESTHESIA
Bak, Seung-Hyo ; Lee, Nan-Young ; Lee, Sang-Ho ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 4, issue 1, 2008, Pages 1~6
This study describes the characteristics of patient receiving comprehensive dental treatment under general anesthesia at the pediatric dentistry of Chosun University dental hospital in Gwangju, between August 2004 and March 2008. The conclusion runs as follows : 1. Most patients(64.8%) were young (under 10 years of age) and mean age was 8.6 years. 2. The primary reason(31.1%) why they chose general anesthesia was lack of child's cooperation (normal but unmanageable). Following in order are mental retardation, Autism and cerebral palsy etc. 3. Resin restorations were performed most frequently(87.8%) followed by pulp treatment, preformed crown, extraction and sealant. 4. It takes 3 hours 10 minutes for general anesthesia on the average. The mean treatment time under general anesthesia was 2 hours 52 minutes. 5. 29 children(39.7%) visited again after general anesthesia for recall check.
DENTAL MANAGEMENT OF CHILDREN WITH HEMOPHILIA UNDER THE GENERAL ANESTHESIA : A CASE REPORT
Kim, Soo-Kyoung ; Park, Jea-Hong ; Lee, Keung-Ho ; Kim, Kwang-Chul ; Choi, Sung-Chul ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 4, issue 1, 2008, Pages 7~11
Hemophilia is a group of gender-linkage inherited bleeding disorders that impair the body's ability to control blood clotting or coagulation. This sex-linked disorder is transmitted on the X chromosome. These genetic disorders have lower blood plasma clotting factor level of coagulation factor. Most common form is Hemophilia A and B. Restorative dental care and simple surgery for the hemophiliac patient are quite often neglected for fear of bleeding during procedures. Even dental specialist avoid these patients and make them severe problem patients. On the dental treatment especially, invasive procedure, special considerations of bleeding control are required. Inter-consultation with the hematologist will provide orientation on the best approach to dental treatment, such as the need of replacement therapy, the modification of antifibrinolytic therapy, the application of local hemostatic methods. In this case reports, we successfully treat early childhood caries of patient with hemophilia B under the general anesthesia.
WILLIAMS SYNDROME : TWO CASES
Kim, Ji-Hee ; Choi, Byung-Jai ; Choi, Hyung-Jun ; Song, Je-Seon ; Lee, Jee-Ho ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 4, issue 1, 2008, Pages 12~16
Williams syndrome is a rare genetic disorder with a frequency of one per 20,000~50,000 live births. It is caused by a deletion of one elastin allele located within chromosome subunit 7q11.23(long arm). This syndrome is frequently accompanied by disorders such as congenital heart disease, facial anomalies, mental retardation, and so on. The characteristic facial appearance includes full lips, rounded cheeks, broad forehead, periorbital fullness, flattened bridge of nose, small nose with anteverted nostril, long filtrum and low-set ears. In oral features, hypodontia, high prevalence of dental caries, microdontia, enamel hypoplasia, delayed eruption, and malocclusions have been found. Most adult patients with Williams syndrome lack social adaptability and lead seclusive lives, however, young patients are rather very friendly and talkative, and seem smarter than their actual intellectual quotients. They also tend to favor staying with grown-ups rather than mixing with their peers, and tend to present problematic temper tantrum during dental treatment.
TREATMENT FOR EPILEPSY PATIENT WITH BITING INJURY ON MENTOLABIAL SULCUS USING SOFT MOUTH GUARD : A CASE REPORT
Kim, Tae-Wan ; Kim, Young-Jin ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 4, issue 1, 2008, Pages 17~20
In the brain of epilepsy patients, sudden and unusually intense bursts of electrical charges are occurred repeatedly. So, epilepsy patient experiences seizure. Seizure shows various frequency and precipitating factor and has a prodrome. Also, epilepsy patient present various behavior pattern during seizure. If the biting injury occurred during seizure, there would be pain, infection, defect of soft tissue and esthetic problem. The dental management of self-mutilation includes preserve methods of using appliances such as lip bumper or soft mouth guard and radical methods such as extraction of all teeth or orthognathic surgery. A case of epilepsy patient with self-mutilation of mento-labial sulcus is presented. She was treated successfully with soft mouth guard.
INTRAVENOUS SEDATION OF CEREBRAL PALSY PATIENT FOR DENTAL IMPLANT CT TAKING -A CASE REPORT
Seo, Kwang-Suk ; Lee, Ju-Hwan ; Shin, Teo-Jeon ; Yi, Young-Eun ; Kim, Hyun-Jeong ; Yum, Kwang-Won ; Kim, Myung-Jin ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 4, issue 1, 2008, Pages 21~25
A 33-years-old female pateint with cerebral palsy showing spastic quardriplegia and severe mental retardation was scheduled for dental implant restorations. Before implant surgery we had to take implant CT. But, because of her involuntary motion and communication difficulty, sedation was needed in order to take CT. After 8 hour NPO, propofol infusion sedation with TCI (target controlled infusion) system was administered. The propofol blood concentration of the patient was maintained 2-3
/ml to keep deep sedation to prevent uncontolled movement. During sedation, we monitored ECG, pulse oximetry, blood pressure, capnometry for patient safety. Oxygen was administered via nasal prong for preventing hypoxemia and to keep airway during sedation some bands were applied to lift mandible. Total duration was 20 minutes for taking CT, and she was discharged from hospital after 30 minute rest without complication.
CHANGES OF DENTAL OCCLUSION AFTER STROKE: CASE REPORT
Lee, Sung-Jong ; Lee, Eun-Young ; Kim, Hye-Jung ; Hwang, Ji-Young ; Lee, Jae-Ho ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 4, issue 1, 2008, Pages 26~31
Cerebrovascular Accident(stroke) is that a sudden, nonconvulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. If stroke happens at the portion of trigeminal motor nucleus or its control part of cerebral cortex, masticatory muscles will be atrophy or paralyzed. So it is possible that dental occlusion changes after stroke. A 74-aged woman recurred mild stroke 2 month ago, who had experienced severe stroke 2 years ago. After recurrence, suddenly her upper full denture was dropped when lower denture contacted upper one. According to the her occlusion exam, her lower jaw moved back slightly compared with the occlusion of old denture. And her face had asymmetry and lower jaw dislocated to paralyzed side. A 50-aged man was treated because many cervical caries, which would occur because of an aftereffect of stroke, long-herm hospitalization and limits of self oral-care. 6 years ago he had cerebral hemorrhage and he claimed that he cannot bite exactly. Just two pairs of teeth was contact on biting, his lower jaw was located back, too. This two case suggests that dental occlusion can change after stroke.
KOSTMANN SYNDROME AND MYELODYSPLASTIC SYNDROME WITH DENTAL PROBLEM : A CASE REPORT
Hyun, Hong-Keun ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 4, issue 1, 2008, Pages 32~36
Congenital neutropenia or Kostmann syndrome is an inherited disorder manifesting in infancy and characterized by severe bacterial infections. The myelodysplastic syndromes(MDS) are a group of stem cell disorders characterized by a reduction in one or more elements of the peripheral blood. This paper reports a case of Kostmann syndrome and MDS with oral complications such as generalized gingivitis and periodontitis, oral mucosal ulcer, petechiae. The features of these syndromes are reviewed and their oral manifestations and significance to dental management outlined.