• Journal of Dental Anesthesia and Pain Medicine
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• v.20 no.5
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• pp.263-269
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• 2020

Fibromyalgia is a syndrome characterized by chronic pain in the skeletal system accompanied by stiffness, sleep disturbance, fatigue, and psychiatric problems, such as anxiety and depression. Fibromyalgia commonly affects orofacial health, presenting with a variety of oral manifestations, including temporomandibular disorder, xerostomia, glossodynia, and dysgeusia. Therefore, oral healthcare providers need to be aware of this clinical entity to effectively manage oral symptoms and provide proper oral self-care modification and education on the nature of fibromyalgia. This review focuses on the epidemiology, pathophysiology, clinical manifestation, diagnosis, orofacial concerns, and treatment of fibromyalgia.

• Journal of Korean Clinical Nursing Research
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• v.21 no.2
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• pp.154-168
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• 2015

Purpose: This study aimed to adapt the previously developed, high-quality oral care guideline for the usage in clinical settings in Korea. Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by National Evidence-based Healthcare Collaborating Agency (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012). Results: The adapted oral care guideline was consisted of 10 domains and 85 recommendations. The number of recommendations in each domain were: 4 general issues, 2 oral care indications, 10 oral assessment 16 general oral care, 15 oral care for critically ill, 15 oral care for cancer patients, 14 oral care for cancer patients withoral complications, 5 oral careeducation, 2 oral care referral, and 2 documentation and report. Ten point six percent of the recommendations were rated as grade A, 20.0% as grade B grade, and more than half (69.4%) were rated as grade C. Conclusion: The adapted oral care practice guideline is expected to included the evidence-based practice guidelines as fundamentalss of nursing practice. Dissemination of the developed guideline nationwide would contribute improving the efficiency of oral care practice.

• International Journal of Contents
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• v.14 no.3
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• pp.39-45
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• 2018

Purpose: Food Allergen Immunotherapy (Oral) is a form of immunotherapy administered to patients who are allergic to foods such as egg, milk, and peanut. The food allergen is orally administered to the patient in an escalating dose for desensitization or tolerance development. The safety and effectiveness of the therapy were assessed using a systematic literature review and meta-analysis. Methods: For a literature search, 8 national databases and a number of international databases including Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library were used; and 13 articles (all from international databases) were selected. The target of Food Allergen Immunotherapy (Oral) included patients with food allergy, and the intervention was food allergen immunotherapy without limiting the food type. The safety and effectiveness of Food Allergen Immunotherapy (Oral) were assessed by reviewing all the articles reporting on the therapy. The control group received standard therapies including aversion therapy, no treatment, anti-histamine treatment, and placebo. Safety was assessed through the incidence of complication and emergency medication. Effectiveness was assessed based on therapy success rate, symptomatic improvement, and quality of life. Results: Although Food Allergen Immunotherapy (Oral) was shown to have successful desensitization in patients with food allergy, the safety of the technique has not yet reached an acceptable level; the possible reason is due to the high rate of complication and frequency of emergency medication. Also, each study employed varying protocols while relying on a small number of participants and a short monitoring period. Conclusion: The results of assessment suggest that the level of evidence from current literature review is low and further research is necessitated for the verification of the safety and effectiveness of the therapy (Grade of Recommendation: A; Level of Technology: II-b).

• Journal of Korean society of Dental Hygiene
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• v.20 no.5
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• pp.635-643
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• 2020

Objectives: The purpose of this study was to evaluate dental hygienists understanding of the provisions of oral health care and awareness for the elderly. Methods: A survey was conducted among 285 dental hygienists, currently practicing around Gwangju province, Korea. The questionnaire contained questions on general characteristics of the subjects (5 items), oral health status of the elderly (5 items), and awareness (8 items) among the dental hygienists. The data were analyzed using a chi-square test. IBM SPSS 21.0 program was used for all statistical analyses. Results: The results showed that 47.7% of the dental hygienists took care of 1 to 5 elderly patients per day; they could not provide high quality oral health education to these patients because of lack of knowledge, lack of treatment time, and excessive workload. An analysis of the hygienists' professional educational experience related to oral healthcare of the elderly during university years showed that the older and more experienced hygienists' were less likely to have completed this education, i.e., 22.05% and 10.9%, respectively (p<0.001). Of all the dental hygienists, 62.8% were interested in oral health problems of the elderly, and 34.4% of dental hygienists for geriatric oral care were the most needed for geriatric oral care education (p<0.001). Conclusions: According to these results, it is important that dental hygienists participate in training on oral healthcare for the elderly and develop various programs for managing the oral health of the elderly.

• Journal of Dental Anesthesia and Pain Medicine
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• v.15 no.3
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• pp.147-151
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• 2015

The difficult oral healthcare in intellectually disabled patients with poor behavioral control has led to debate over the cost-effectiveness and validity of implant treatment in these patients. The patient in the present report had schizophrenia that had led to poor oral care and severe dental caries in the full mouth. Tooth extraction and a removable prosthesis were planned, but the guardian wanted an implant procedure. Since the guardian showed strong will and cooperation with regard to the patient's oral healthcare, extraction followed by immediate implant placement was performed across two rounds of general anesthesia. Since the outcome appears successful, we present this case report. Immediate implant placement after tooth extraction requires fewer surgeries and rounds of general anesthesia, reduces horizontal bone resorption, and can achieve better esthetic results. Therefore, as long as a certain degree of oral care is possible, this can be a positive option for restoration of a partially edentulous mouth, even in intellectually disabled patients.

• Imaging Science in Dentistry
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• v.35 no.4
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• pp.185-190
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• 2005

Purpose: Once the decision has been made to adopt an integrated medical information system (IMIS), there are a number of issues to overcome. Users need to be aware of the impact the change will make on end users and be prepared to address issues that arise before they become problems. The purpose of this study is to investigate the benefits and unexpected problems encountered in the implementation of IMIS and to determine a useful framework for IMIS. Materials and Methods: The Yonsei University Dental Hospital is steadily constructing an IMIS. The vendor's PACS software, Piview STAR, supports transactions between workstations that are approved to integrating the healthcare enterprise (IHE) with security function. It is necessary to develop an excellent framework that is good for the patient, healthcare provider and information system vendors, in an expert, efficient, and cost-effective manner. Results : The problems encountered with IMIS implementation were high initial investments, delay of EMR enforcement, underdevelopment of digital radiographic appliances and software and insufficient educational training for users. Conclusions: The clinical environments of dental IMIS is some different from the medical situation. The best way to overcome these differences is to establish a gold standard of dental IMIS integration, which estimates the cost payback. The IHE and its technical framework are good for the patient, the health care provider and all information systems vendors.

• The Journal of the Korean dental association
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• v.58 no.9
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• pp.536-545
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• 2020

In preparing for the era of Korean reunification, it is essential to consider the integration of medical systems and human resources. While Korean dental practitioners are expanding their activities in various fields both domestically and internationally, there are many restrictions on the activities for improving the health of North Korean people due to political and historical reasons even nowadays. In addition, there is little is known about the current state of dental health in North Korea. We analyzed the reports published by the World Health Organization (WHO) and the Ministry of Public Health of North Korea prepared individually or in cooperation, and investigated the current status of the health care strategy applied to the dental field by conducting a full investigation of the 2018 『Rodong』newspaper. Based on the above, we tried to grasp the major health care strategies in North Korea and their application. Understanding the direction and status of North Korea's health care system would be an important cornerstone for international cooperation and practical activities to improve oral health care of North Koreans in the future. And there is a need that studies should be steadily conducted in various methods to overcome the heterogeneity of the two Koreas in the long-term perspective.

• Journal of the Korea Society of Computer and Information
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• v.22 no.1
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• pp.57-62
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• 2017

Children need oral care according to their developmental stage and accordingly, the appropriate dental treatment is different, which requires parents to have an active attitude and the applicable oral knowledge. As there is so much unreliable oral care information and PR, it is hard to find accurate information and parents are in need of a preventative oral healthcare mobile application for healthy oral care. Also, pediatric adolescent care should be focused on prevention rather than treatment and children should be instructed and educated to eat cariogenic foods as little as possible as well as told to brush before going to bed. This study designed a smart application for oral health care education to provide information and knowledge regarding oral health care for infants, oral health education, and oral health care prevention for parents of young children.

• Journal of Korean society of Dental Hygiene
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• v.22 no.6
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• pp.513-520
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• 2022

Objectives: The objective of the study was to investigate the factors related to non-use of interdental care products (ICP) in adolescents. Methods: The 2019 Korean Youth Risk Behavior Web-based Survey was used, examining 57,303 subjects. Complex-sample chi-square test and logistic regression analyses were performed to identify differences in ICP according to sociodemographic characteristics and oral health behavior and to determine the factors related to non-use. Results: The ICP non-use rate was 70.9%. Factors related to the non-use of ICP were middle or low economic status (OR=1.367 and 1.677). The other significant variables were less than one tooth brushing per day (OR=1.542), no scaling within 12 months (OR=1.631), and receiving dental treatment either once or two times or more (OR=1.757 and 2.195). Conclusions: To increase the ICP usage rate, continuous attention is needed from schools and families in addition to interventions at the national level.

• The Journal of the Korean dental association
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• v.53 no.10
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• pp.705-711
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• 2015

South Korea's oral health care non-governmental organizations (NGOs) have played a crucial role in South-North relations, although a formal intergovernmental relationship is difficult to establish and also easily breaks down. Humanitarian assistance by NGOs in the oral health care sector is an area that receives wide support from South Korean society for its urgency and for its appeal to humanity. This humanitarian assistance started in the late 1990's and continued to grow until the late 2000's. This assistance continued throughout the tension between the two administrations that resulted in a radical decrease in overall assistance from South Korea to North Korea. However, concerns remain about the transparency and efficiency of NGO activities. In this article, the NGOs and their major activities are delineated, and South Korean legislation is examined. A current act, the Law on the Development of South and North Korean Relations serves as a basis for governmental regulation and support of NGO's. Humanitarian assistance in the oral healthcare area is directly related to the oral health of the North Korean people, and it should not be influenced by political changes. Long-term planning and close discussions between NGOs, their North Korean counterparts, and the South Korean government are needed. NGOs need to overcome their shortcomings such as a lack of expertise and shortage of financial support. For this, NGOs must improve their administration transparency and professionalism.