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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 9, Issue 2 - Dec 2013
Volume 9, Issue 1 - Jun 2013
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COMPARISON OF DENTAL STAFF'S ATTITUDE TOWARD THE SPECIAL HEALTH CARE NEEDS PATIENTS BETWEEN THE SPECIAL DENTAL CLINIC AND THE GENERAL DENTAL CLINIC
Lee, Hyo-Seol ; Kim, Young-Jae ; Lee, Jae-Ho ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 2, 2013, Pages 85~90
DOI : 10.12655/KADH.2013.9.2.85
The aim of this research is to compare the attitude toward the special needs of dental staffs between the special dental clinic (SDC) and the general dental clinic (GDC). Surveys were done on 21 dental staffs (7 dentists and 14 dental hygienists) of SDC and 47 dental staffs (10 dentists and 37 dental hygienists) of GDC. Attitudes were rated on a questionnaire with the five-point Likert scale. Mann-Whitney test was utilized for statistical analysis. In SDC, more female dentists and dental staffs who have relatives with disability were working. Dental staffs of SDC showed that the more experience they had, the more positive attitudes toward the communication with the patients with special needs (p<0.05). Dental staffs of SDC represented more active attitudes toward the oral health promotion, treatment, research and volunteering (p<0.05). In conclusion, dental staffs who have personal motivation were working in SDC and the experience of dental treatment to the patients with special needs influenced the dental staffs' attitudes toward them. In future, a research about the attitude toward the disabled with more exact scale should be followed.
DENTAL STUDENTS' PERCEPTIONS AND BEHAVIOR INTENTIONS TOWARDS PATIENTS WITH SPECIAL CARE
Park, Sang-Euk ; Kim, Young-Jae ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 2, 2013, Pages 91~97
DOI : 10.12655/KADH.2013.9.2.91
The objective of this study was to explore perceptions of dental student of patients with special care. Their satisfaction with education, and their professional attitudes and behavioral intentions concerning treating these patients were the issues of this paper. Paper-and-pencil survey data were collected from 289 dental students at the school of dentistry, Seoul National University. Most respondents agreed that it is important to be educated about providing care for patients with special needs at the school. The higher grade students they are, they got the higher degree of understanding about treating these patients and the more satisfaction with the education. However, their intentions to treat these patients in their future professional lives were negatively correlated with degree of students. Based on these findings, it is recommended that school curriculum about treating patients with special care be reconsidered to develop students' comfort level in treating special needs populations.
INTERDISPLINARY CARE OF A PATIENT WITH APLASTIC ANEMIA : REPORT A CASE
Lee, Young Eun ; Park, Jae-Hong ; Kim, Kwang Chul ; Lee, Soo Eon ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 2, 2013, Pages 98~102
DOI : 10.12655/KADH.2013.9.2.98
Aplastic anemia (AA) is a blood dyscrasia characterized by hypocelluar bone marrow and peripheral blood pancytopenia. Symptomatology depends on the severity of pancytopenia. Patients with AA are susceptible to infection because of agranulocytosis. Hemorrhage caused by thrombocytopenia can be fetal to these patients. Therefore dental procedure potentially can cause serious complications and should be applied with caution. A 6-year-old boy with moderate aplastic anemia was referred to treat dental caries. General dental procedure including resin filling, preformed crown, pulpectomy and extraction was performed under sedation. Combination of modalities such as platelet transfusion, oral hygiene instruction, and dental prophylaxis was also implemented. In this report, the dental and medical management of a patient with AA was presented. Interdisciplinary care should be administered to patients with AA.
SURGICAL TREATMENT OF HEAVY MANDIBULAR LABIAL FRENUM IN PRE-SCHOOL CHILD WITH A HISTORY OF SYNDACTYLY SURGERY : A CASE REPORT
Park, Jiwon ; Jung, Uiwon ; Song, Je Seon ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 2, 2013, Pages 103~106
DOI : 10.12655/KADH.2013.9.2.103
The lower labial frenum attached to the free gingival margin can promote local tension, resulting in tissue ischemia, promoting the development of gingival recession, as well as complicating oral hygiene, resulting in chronic inflammation. In this case, early diagnosis and surgical treatment is recommended. This is the case about surgical treatment of heavy mandibular labial frenum in pre-school child with a history of syndactyly surgery. A 5-year-old girl visited the clinic with the chief complaint of high labial frenum of the mandible. Hyperplastic lower labial frenum was attached to the free gingival margin on the primary mandibular lateral incisor area. After fifteen month follow-up, right after the eruption of the permanent lower right lateral incisor, 6 years old patient received lower labial frenectomy to prevent periodontal diseases in permanent teeth and to reestablish normal anatomic characteristics. After 2 years of follow-ups, there were no marked complications.
DENTAL TREATMENT OF A 11-YEAR-OLD MALE PATIENT WITH ADRENOLEUKODYSTROPHY UNDER GENERAL ANESTHESIA : A CASE REPORT
Jang, Jun-Hyuk ; 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 2, 2013, Pages 107~110
DOI : 10.12655/KADH.2013.9.2.107
Adrenoleukodystrophy (ALD) is a rare, inherited disorder that leads to progressive brain damage and failure of the adrenal glands. It is passed down from parents to their children as an X-linked genetic trait. Therefore, it affects primarily males especially under the age of 10. People with ALD have excessive accumulation of very long chain fatty acids (VLCFAs) in their brain because they do not have the enzyme which break down these fatty acids. Special method for treatment of ALD is not available. Eating a diet low in VLCFAs and taking special oils, called Lorenzo's oil, can lower the blood levels of VLCFAs. But this oil cannot stop the destruction of nerve cell. This article presents a case report: Dental treatment of a 11-year-old male patient with ALD under general anesthesia. Careful management must be required during treatment procedure because of difficulty in cooperation, seizure disorders, gastroesophageal reflux, pulmonary aspiration and airway complications.
CARE OF TRISMUS AND OROCUTANEOUS FISTULA BY ODONTOGENIC INFECTION IN A DISABLED PATIENT
Oh, Ji-Hyeon ; Son, Jeong-Seog ; Yoo, Jae-Ha ; Kim, Jong-Bae ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 2, 2013, Pages 111~117
DOI : 10.12655/KADH.2013.9.2.111
Some odontogenic infections erode into fascial spaces directly and spread toward lymphatic tissues and blood streams. The principal maxillary primary spaces are the canine, buccal, and infratemporal space, the next secondary spaces are the masseteric, temporal and pharygeal space. As a result of the infection, trismus and orocutaneous fistula may be occurred. Trismus is owing to conditions not associated with temporomandibular joint itself and may be of myogenic, neurogenic, or psychogenic nature. Muscular trismus is due to infection adjacent to the elevator muscles of the jaw. The four principles of treatment of 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 rest, nutrition and physiotherapy. Jaw physiotherapy is necessary to increase the amount of mouth opening and regain normal muscle tone. If proper care of odontogenic infection could be attained, the orocutaneous fistula will heal and close spontaneously by wound contraction mechanism of natural homeostatic response. This is a case report of the care of trismus and orocutaneous fistula due to fascial space abscess by advanced odontogenic infection in a physically disabled patient.
EXTRACTION OF MULTIPLE SUPERNUMERARY PREMOLARS IN MENTAL RETARDATION PATIENT : CASE REPORT
Choi, Hae-In ; Song, Je-Seon ; Lee, Hyo-Sul ; Choi, Byung-Jai ; Lee, Jae-Ho ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 2, 2013, Pages 118~121
DOI : 10.12655/KADH.2013.9.2.118
The supernumerary premolars account for 4%-9% of all supernumeraries and reported prevalence is 0.01%-1.00%. Multiple supernumerary teeth can be seen in syndromic phenotypes. But, only 2% of supernumerary premolars exhibited any pathological changes. Most of them cause interference with normal occlusal development that makes maintaining the disabled patients's oral hygiene difficult. It is recommended to delay the timing of extraction until the full permanent dentition is mature. If there is no complication, leaving the supernumerary premolars impacted is recommended. This case is about mental retardation patients with multiple supernumerary premolars.
MITIGATION OF MAXILLARY ANTERIOR TEETH PROTRUSION WITH CEREBRAL PALSY USING REMOVABLE APPLIANCE : A CASE REPORT
Min, Boram ; Lee, Jae-Ho ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 2, 2013, Pages 122~126
DOI : 10.12655/KADH.2013.9.2.122
Cerebral palsy is one of the primary handicapping conditions of childhood. The prevalence of malocclusions in patients with cerebral palsy is approximately twice than in general population. Even though these high rates of malocclusions, most clinicians may feel uncomfortable about treating such problems to reduce inclination of anterior teeth because to reduce of protrusion makes to decrease risk of trauma. This is the case report about mitigation of maxillary anterior teeth protrusion in patient with cerebral palsy. A 14 year old boy who had cerebral palsy visited our dental hospital. He had severe protrusive maxillary anterior teeth and narrow arch form. He was experienced at using Castillo morales appliance in early childhood. He had mild mental retardation and was able to learn simple skills. He and his parents had willing to improve his dental problems. A gentle impression taking on maxilla was done. Removable appliance was made including median screw and labial bow. We provide a period of adaption for 3 weeks. After of anterior teeth through activation of labial bow was done once a month by dentist. The treatment carried out for 10 months and we could observe reduced labial inclination of maxillary right central incisor and more wide arch form. Hawley type retainer was set at maxilla for retention. In conclusion, accompanying careful case selection and treatment, patient with cerebral palsy can be treated and should not be ignored their orthodontic needs.
DENTAL TRAUMA FROM OROPHARYNGEAL AIRWAY IN CHILDREN WITH THE HYPOXIC ISCHEMIC ENCEPHALOPATHY : CASE REPORTS
Lee, Mi-Yeon ; Shin, Teo-Jeon ; Hyun, Hong-Keun ; Kim, Young-Jae ; Kim, Jung-Wook ; Jang, Ki-Taeg ; Kim, Chong-Chul ; Lee, Sang-Hoon ;
The Journal of Korea Assosiation for Disability and Oral Health, volume 9, issue 2, 2013, Pages 127~130
DOI : 10.12655/KADH.2013.9.2.127
Hypoxic ischemic encephalopathy (HIE) is an important cause of permanent damage to central nervous system cells, most cases with oxygen deprivation in the nenonate due to birth asphyxia. Survival children with HIE develop problems such as cerebral palsy, mental retardation, learning difficulties, and other permanent neuro-developmental disabilities. This article report two cases of the children with HIE who had be traumatized on their teeth from oropharyngeal airway (OPA) in the emergency situation. The patients with the disease accompanying seizure or convulsion, needs special consideration for the prevention from dental trauma in emergency airway management.