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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 9, Issue 2 - Dec 2013
Volume 9, Issue 1 - Jun 2013
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THE PROVISION OF SEDATION FOR BEHAVIORAL CONTROL IN THE SPECIAL NEED PATIENTS
Shin, Teo Jeon ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 1~10
DOI : 10.12655/jkdoh.2013.9.1.1
This article discusses the provision of sedation for uncooperative special need dental patients. Most of dental treatments have been performed in these patients with the techniques of behavioral control. However, if this behavioral control fails during treatment, it is nearly impossible to treat them without either sedation or general anesthesia. Sedation is also beneficial for patients because it circumvent the aggravation of negative behaviors related to their stress during the treatment. Also, the morbidity and mortality related to dental sedation is relatively low. In this regard, the provision of sedation for people with special needs can be considered as a safe and necessary techniques for their treatment.
ANALYSIS ON THE ARTICLES OF SPECIAL NEEDS DENTISTRY IN KOREAN MEDICAL DATABASE
Kang, Chungmin ; Lee, Jae-Ho ; Lee, Hyo-Seol ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 11~17
DOI : 10.12655/jkdoh.2013.9.1.11
This paper classified the articles of special needs dentistry(SND) published in Korean medical database according to thematic distribution and chronological change to assess recent academic trends and indicate the direction of study in the future. We selected articles in 17 dental journals registered with the Korea Research Foundation This study found that the total number of articles of SND was 292 in 17 journals from 1973 to 2012. The biggest number of articles of SND was published in the journal of the Korean Academy of Pediatric Dentistry, which means pediatric dentists contribute to dental treatment of people who need special care. According to growing number of people with disabilities, the number of articles related in SND has been increased since 2000. Also, the aged and children as well as people with disabilities fit into the category of SND and the scope of SND has been enlarged. So dentists should concern and study more about SND in the future.
A YEAR REVIEW OF OUTPATIENTS IN DENTAL CLINIC OF THE MUNICIPAL HOSPITAL FOR THE DISABLED CHILDREN
Shim, Su-Hyun ; Choi, Yong-Geun ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 18~24
DOI : 10.12655/jkdoh.2013.9.1.18
Objectives: The goal of this study is to establish data baseline to ameliorate oral health policies for patient. The research was conducted in dental clinic at Seoul Metropolitan Children's Hospital - the major municipal hospital for the disabled. The outpatients' visiting patterns to the dental clinic were analyzed, compared to other medical departments. For further research related to TMD, the questionnaires were given to the subjects. Material and methods: Data for visiting patterns/frequencies was collected from patient records of 1419 outpatients who visited the dental clinic at Seoul Municipal Children's Hospital in 2011. Then TMD-related questionnaires were given to 127 outpatients who were over 13 years old. Results: 1. 219 out of 1419 patients (15.4%) who visited the dental clinic at Seoul Municipal Children's Hospital in 2011 were the disabled. 2. Compared to normal patients, disabled patients visited the dental clinic and rehabilitation medicine department more frequently.(p<0.05) However, there was no apparent difference in visiting frequencies between the disabled and the normal patients in the psychiatric department.(p=0.3237) 3. 44% of the TMD-related questionnaire subjects responded that they often consumed relatively hard or tough food, 53% answered they had unilateral chewing habit, 3% had bruxism, and 12% had clenching habit. Conclusion: In the dental clinic at Seoul Municipal Children's Hospital, 19% of outpatients over 13 years old had TMD such as clicking and pain. Also, the disabled patients' visits to the dental clinic were considerably more frequent, compared to the normal patients and to other medical departments. Accordingly, the result may suggest that the proper systematic supports from the government are essential to the dental clinic at municipal hospital for the disabled.
THE EVALUATION OF DENTAL TREATMENT RECORDS IN CHARITY DENTAL CLINIC FOR THE DISABLED PEOPLE
Kim, Sun Young ; Choi, Sung Chul ; Park, Jae Hong ; Kim, Kwang Chul ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 25~29
DOI : 10.12655/jkdoh.2013.9.1.25
Most of disabled people face hardness in caring their general oral hygiene by themselves. So that, they are once involved in dental caries or periodontal disease, they have much bigger chance of aggressive progress. Therefore preventive dentistry is more important to disabled one than non-disabled. They need to be checked with routine periodic dental examination and by that, oral disease must be found at initial stage. We selected 37 patients from newly visited 237 patients who had dental treatment at the free dental clinic, Gangnam district, Seoul, between 2000 and 2001. This study is a comparative evaluation of first 2 years' treatment records of selected 37 patients (male 28, female 9) with that of their last 2 years. 24 of 37 have mental retardation, 9 have autistic disorder, 2 have auditory disorder, 1 has brain disorder and 1 has crippled disorder. Their dental treatment records categorized by 4 level; score 4 stands for endodontic treatment, score 3 stands for general conservative treatment, score 2 stands for preventive treatment, such as sealant and score 1 stands for routine check. In first 2 years of treatment, average score was 2.85 which score means approximately general conservative treatment. And that of last 2 years was 1.44, which means routine check. In early time of their visit, they will receive the treatment due to their chief complaint. And after that early time, they can have a routine check so that they can be treated before the disease get worse. The patient's oral health can remain decent only by a simple treatment.
BLEEDING CONTROL BY THE CIRCUMFERENTIAL SUTURE & DRAINAGE ON ACTIVE BLEEDING INCISION & DRAINAGE SITE OF TEMPORAL SPACE ABSCESS DUE TO ADVANCED ODONTOGENIC INFECTION IN A MULTIPLE MEDICALLY COMPROMISED DISABLED PATIENT : REPORT OF A CASE
Son, Jeong-Seog ; Oh, Ji-Hyeon ; Yoo, Jae-Ha ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 30~35
DOI : 10.12655/jkdoh.2013.9.1.30
The four principles of treatment of odontogenic infection are as follows : (1) removal of the cause, (2) establishment of drainage, (3) institution of antibiotic therapy, and (4) provision of supportive care, including proper rest and nutrition. A separate incision is required to establish drainage, especially in the case of extensive fascial space infections. There are four principle causes for active bleeding in the immediate incision & drainage phase; (1) vascular wall alteration (infection, scurvy, chemicals), (2) disorder of platelet function, (3) thrombocytopenic purpuras, (4) disorders of coagulation (liver disease, anticoagulation drug). If the hemorrhage from incision & drainage site is aggressive, the site must be packed with proper wet gauze and wound closure & drainage dressing are applied. The specific causes of bleeding may be associated with hypoxia, changes in the pH of blood & chemical changes affecting vascular contractility and blood clotting. This is a case report of bleeding control by the circumferential suture & drainage on active bleeding incision & drainage site of temporal space abscess due to advanced odontogenic infection in a multiple medically compromised disabled patient.
DRUG INDUCED GINGIVAL HYPERPLASIA IN TAKAYASU'S ARTERITIS : DENTAL CONSIDERATION
Kim, Soo-Hyun ; Choi, Ami ; Song, Je-Seon ; Kim, Seong-Oh ; Choi, Byung-Jai ; Lee, Hyo-Seol ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 36~38
DOI : 10.12655/jkdoh.2013.9.1.36
Takayasu's arteritis(TA) is commonly known as Aortitis Syndrome, Pulseless disease. Cardiac involvement due to vascular occlusion or stenosis is common in TA, expressed in forms of heart failure, aorta hypertension, alteration of artery or cardiac muscle. In this case, a 9 year old boy was referred to our dental clinic by his cardiology doctor for delayed eruption and gingival hyperplasia on upper incisor. The patient was diagnosed as TA with history of taking Amlodipine, a calcium channel blocker as hypertension medication. He was diagnosed as drug induced gingival hyperplasia. Under taking preventive antibiotic, gingivectomy was done. In case dental treatment of TA patient, dentist should be aware of two possible problems. First is the antibiotic prophylaxis due to the high risk of endocarditis. Second is the possibility of drug induced gingival hyperplasia.
SELF-INJURIOUS BEHAVIORS DUE TO VARIOUS MENTAL DISORDERS: ORAL MANIFESTATION AND THE TREATMENT
Lee, Haewon ; Lee, Hyo-Seol ; Son, Heung-Kyu ; Choi, Hyung-Jun ; Lee, Jae-Ho ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 39~41
DOI : 10.12655/jkdoh.2013.9.1.39
Behavioral problems could be easily observed in patients with various mental disorders, and may be inevitable. Self-injurious behavior(SIB) can be defined as a deliberate or subconscious alteration or destruction of one's body without conscious suicidal intent. SIB frequently involves oral tissues and could vary from a trifling injury to damages that could lead to further disabilities. The cases presented in this report discuss oral SIB due to Tic disorder and ADHD and their treatments. Clinicians should be well aware of the possibility of oral SIB in various mental disorders as well as the diverse depths of such behaviors accordingly. Moreover, different treatment modalities should be prioritized according to the causative mental disorders.
CARIES TREATMENT OF A 4-YEAR-OLD FEMALE PATIENT WITH DE GROUCHY SYNDROME UNDER GENERAL ANESTHESIA : A CASE REPORT
Song, Jisoo ; Lee, Euj-Ji ; Shin, Teo-Jeon ; Hyun, Hong-Keun ; Kim, Jung-Wook ; Jang, Ki-Taeg ; Lee, Sang-Hoon ; Kim, Chong-Chul ; Kim, Young-Jae ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 42~45
DOI : 10.12655/jkdoh.2013.9.1.42
De Grouchy syndrome or Distal 18q- is a genetic condition caused by a deletion of genetic material within chromosome 18, and the deletion involves the distal section of 18q. It causes a wide range of medical and developmental concerns. Congenital orthopedic anomalies, cleft lip and palate are relatively common. People with distal 18q- are often small for their age. Most individuals with distal 18q- fall in the mild to moderate range of intellectual disability. Strabismus and nystagmus, changes in the optic nerve as well as colobomas are also fairly common. People with distal 18q- frequently have conductive and/or sensorineural hearing loss. At present, treatment for distal 18q- is only symptomatic. This article presents a case report: Caries treatment of a 4-year-old female patient with de Grouchy syndrome under general anesthesia. The special considerations of dental care, especially caries treatment for the patient with de Grouchy syndrome are discussed.
CARIES TREATMENT OF A MIDAZOLAM-PREMEDICATED PATIENT WITH DEVELOPMENTAL DISORDERS : A CASE REPORT
Kim, Hyo-Eun ; Shin, Teo-Jeon ; Kim, Young-Jae ; Kim, Jung-Wook ; Jang, Ki-Taeg ; Lee, Sang-Hoon ; Kim, Chong-Chul ; Hyun, Hong-Keun ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 46~50
DOI : 10.12655/jkdoh.2013.9.1.46
Developmental disorders are a group of psychiatric conditions originating in childhood that involve serious impairments in different areas. These disorders comprise language disorders, learning disorders, motor disorders and autism spectrum disorders. Midazolam is a short-acting drug in the benzodiazepine class developed by Hoffmann-La Roche in the 1970s. The drug is used for treatment of acute seizures, moderate to severe insomnia, and for inducing sedation and amnesia before medical procedures. It possesses profoundly potent anxiolytic, amnestic, hypnotic, anticonvulsant, skeletal muscle relaxant, and sedative properties. The anterograde amnesia property of midazolam is useful for premedication before surgery to inhibit unpleasant memories. This article presents a case report including caries treatment of a 8-year-old male patient with developmental disorders using oral midazolam premedication as an alternative method of behavior management prior to general anesthesia.
DENTAL TREATMENT IN A PATIENT WITH LENNOX-GASTAUT SYNDROME UNDER GENERAL ANESTHESIA
Baik, Minkyung ; Shin, Teo-Jeon ; Hyun, Hong-Keun ; Kim, Young-Jae ; Kim, Jung-Wook ; Jang, Ki-Taeg ; Lee, Sang-Hoon ; Kim, Chong-Chul ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 51~55
DOI : 10.12655/jkdoh.2013.9.1.51
Lennox-Gastaut syndrome (LGS) is a severe form of childhood epilepsy that is defined by generalized multiple type seizures, slowness of intellectual growth, and a specific EEG disturbance. Children affected might previously have infantile spasms or underlying brain disorder but etiology can be idiopathic. LGS seizures are often treatment resistant and the long term prognosis is poor. A 14-year-3-month old, 20.5 kg girl with LGS was scheduled for dental treatment under general anesthesia. The patient presented with multiple caries and heavy calculus. General anesthesia was induced and maintained with inhalation agent, Sevoflurane. And caries treatment, scaling, subgingival curretage were performed. LGS patients usually have poor oral hygiene due to mental retardation and have high risk of seizure during dental treatment. In dental treatment under general anesthesia for LGS, it must be considered of seizure control during peri-operative period. Also periodic recall check, instruction of oral hygiene must be performed.
DENTAL APPROACHES OF CHILDREN WITH DYSPHAGIA IN JAPAN
Yang, Yeon-Mi ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 1, 2013, Pages 56~65
DOI : 10.12655/jkdoh.2013.9.1.56
I participated in Academic Exchange Program(Action plan II) between KADH(Korean Association for Disability and Oral Health) and JSDH(Japanses Society for Disability and Oral Health) for 2 months from 3rd July 2012 to 2nd september 2012 in the Department of Hygiene and Oral Health, School of Dentistry, Showa University at Tokyo, Japan. I have observed their operation process and learned what dysphagia is and how it is consulted and taken care of as a therapy for patients with eating and swallowing disorders for two months in The department of special needs dentistry at Showa University Dental Hospital, Jonan Branch of Tokyo Metropolitan Kita Medical Rehabilitation Center for the Disabled, Smile Nakano Center, Tokyo metropolitan center for persons with disabilities in Lidabashi for one week, Eating and swallowing functional therapy workshop for disabled children, Tokyo metropolitan Tobu medical center for Persons with Developmental/Multiple Disabilities located in Minamisunamitchi for one week and on The 17-18th JSDR(Japanese Society of Dysphagia rehabilitation) in Sapporo. Through Action Plan II program, I learned how precious eating, drinking and swallowing with ease are and observed how they do and what they do as a dentist or a dental hygienist in Japan for dysphagia patients. Therefore, I want to present the dental approaches of children with dysphagia in Japan, based on my experience for two months.