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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 5, Issue 2 - Dec 2009
Volume 5, Issue 1 - Jun 2009
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A SURVEY OF THE TREATMENT IN FREE DENTAL CLINIC
Sohn, Mi-Yeon ; Park, Jae-Hong ; Choi, Sung-Chul ; Kim, Kwang-Chul ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 5, issue 2, 2009, Pages 87~91
The purpose of this study were to investigate the chief complain and dental treatment needs in handicapped patient. This study examines treatment records of 1025 patients in free dental clinic for handicapped patients during 10 years from 1999 to 2008. The results were as follows : 5.8 average visit per patient; mean patient age was 25; 544 patients was younger than 20. Handicapped patients classified according to types of disability. Crippled disorder were 19.1%, brain disorder were 4.5%, visual disorder were 3.1%, auditory disorder were 4.1%, speech disorder were 0.9%, mental retardation were 67.1%, and developmental disorder were 25.1%. Performed treatments were 322 scaling, 13 fluoride varnish, 727 preventive resin restoration, 1296 resin restoration, 600 amalgam restoration, 46 GI restoration, 612 extraction, 289 pulp treatment of primary teeth, 75 pulp treatment of permanent teeth and 138 stainless steel crown restoration. Many handicapped patients have some difficulty to dental treatment. They have limited access to dental care, which is compounded by a shortage of skilled dental professionals who are willing to treat these population and financial problems.
PIERRE ROBIN SEQUENCE: A CASE REPORT AND REVIEW OF THE LITERATURE
Lee, Jung-Eun ; Song, Je-Seon ; Kim, Seong-Oh ; Lee, Jae-Ho ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 5, issue 2, 2009, Pages 92~95
In 1923, Pierre Robin, a French stomatologist, first reported the association of micrognathia with glossoptosis. As more than 80% of all Pierre Robin cases accompanied with other syndrome such as Stickler syndrome, velocardiofacial syndrome, fetal alcohol syndrome, Treacher Collins syndrome, etc, it is called Pierre Robin sequence(PRS). PRS is described in the literature as a triad of anomalies characterized by micrognathia, glossoptosis and cleft palate. Clinically, the triad consists of airway obstruction and feeding difficulty, which are more frequent and severe in the neonatal period. In this case, a 14-month old boy with PRS was referred to the department of pediatric dentistry, Yonsei university dental hospital, who resolved airway obstruction by lateral positioning and feeding problem by percutaneous endocutaneous gastrotomy insertion. PRS is a developmental disorder as well as an anatomic obstructive disorder, therefore it should be dealt with by a multidisciplinary team.
SURGICAL CORRECTION OF ANTERIOR OPEN BITE CAUSED BY MACROGLOSSIA IN HANDICAPPED CHILDREN : REPORT OF TWO CASES
Nam, Jung-Woo ; Kim, Nam-Kyun ; Lee, Jae-Ho ; Kim, Hyung-Jun ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 5, issue 2, 2009, Pages 96~99
Macroglossia is a tongue pathology of multiple etiology as systemic disease like cerebral palsy and Down syndrome etc. It can cause abnormal oral conditions including anterior open bite or dyspnea by changing occlusion and oral habits. So many handicapped children who have macroglossia need to get surgery of large tongue to improve esthetics, function, and treatment stability. The purpose of this report is to evaluate 2 patients, one has cerebral palsy and the other lymphangioma, who have experience of glossectomy with review of literature.
MIDAZOLAM ORAL PREMEDICATION IN AUTISTIC PATIENT WHO IS AFRAID TO ENTER DENTAL OFFICE -A CASE REPORT-
Lee, Jung-Hoo ; Seo, Kwang-Suk ; Shin, Teo-Jeon ; Kim, Hyun-Jeong ; Chang, Ju-Hea ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 5, issue 2, 2009, Pages 100~103
Dental treatment of mentally challenged patients under general anesthesia is a series of challenging procedures not only for dental operators but also for dental anesthesiologists. Patients presenting with uncooperative behavior often resist the perioperative management for adesthestic administration. This case report suggests oral premedication as a conjuctive method for anestheitic induction. A 26-year-old male dental patient with autism was referred to dental treatment under general anesthesia. The patient refused to enter dental clinic office and was not able to receive preoperative assessment. In the day of operation, 15 mg of midazolam was given to the patient for oral premedication prior to anesthetic induction. Ater 20 minutes, the patient presented with drowziness and was transferred to the office. Anesthestic staff were able to achieve appropriate intravenous access and mask inhalation. The patient recieved 8 hrs long dental treatment and recovered in a noncomplicated way. Oral midazolam is commonly used to reduce anxiety for combative and irritated pateints. In this case, oral midazolam sedation was used as a preanesthetic management of a highly uncoopearive patient.