상악전치부임플란트에서의 즉시식립 후 심미수복증례

이희경(Hee-Kyong Lee) 대한치과의사협회 2017 대한치과의사협회지 Vol.55 No.10

Successful osseo-integration of dental implants that Dr. Bronemak reported in 1965 had been ground-breaking research in the restorative dentistry for the missing dentition. Clinical application of dental implants in the restorative dentistry has begun with the role of retention and support for the complete denture, beyond the functional recovery in partially missing area, and succeeds in the cosmetic recovery for anterior missing area. Recently, immediate implantation and loading after the extraction have been preferred by many excellent clinicians especially on maxillary anterior missing area, because they want to prevent from the absorption of residual alveolar bone. But it is hard to decide immediate loading for common clinicians also, because it is difficult for them to convict proper osseo-integration. In this article, immediate implantation and delayed loading case on maxillay anterior region have been introduced and predictable prosthetic procedure for the esthetic result has suggested.

일부 대학병원 신경외과 중환자실 환자의 구강상태에 관한 연구

김은경 ( Eun Kyong Kim ),이희경 ( Hee Kyung Lee ) 한국치위생학회 2015 한국치위생학회지 Vol.15 No.1

Objectives: The purpose of this study was to investigate the oral health and hygiene in the neurosurgical patients in intensive care unit(ICU). Methods: The subjects were 92 neurosurgical patients in intensive care unit(ICU) from March , 2011 to December, 2012. The oral examination consisted of number of residual teeth, DMFT index, clinical attachment loss, gingival index, plague index, and Candida species colony of tongue and saliva. Plaque was inoculated from tongue and saliva and incubated in 36.5C incubator for 48 hours using Dentocult®CA(Orion Diagnostica, Espoo, Finland). Glasgow coma scale(GCS) was measured to evaluate the consciousness of the patients on the basis of medical record. Results: Oral health was poor in clinical attachment loss and gingival index. Oral hygiene in neurosurgical patients in ICU was very poor due to high plaque index and Candida colonization of tongue and saliva. Plague index was closely related to Candida colonization of tongue and saliva(p<0.05). Conclusions: Oral health and hygiene of patients in neurosurgical ICU were very poor. More careful oral hygiene care is very important and necessary to enhance the oral health improvement of the neurosurgical patients in ICU.

중환자실 뇌졸중환자를 위한 구강관리효과

최연희 ( Youn Hee Choi ),김은경 ( Eun Kyong Kim ),박진미 ( Jin Mi Park ),김주연 ( Ju Yoon Kim ),정윤숙 ( Yun Sook Jung ),강남규 ( Nam Kyu Kang ),송근배 ( Keun Bae Song ),이희경 ( Hee Kyung Lee ) 대한예방치과·구강보건학회 2013 大韓口腔保健學會誌 Vol.37 No.1

Objectives: The purpose of this study was to evaluate the effects of oral care interventions on stroke patients in the intensive care unit (ICU). Oral hygiene levels, periodontal health, and presence of Candida were evaluated in patients who received an oral care intervention and control patients who did not receive the intervention. Methods: In this study, 22 stroke patients who were admitted to the ICU between June 2011 and August 2012 underwent oral examinations and were provided with an oral care intervention that included tooth brushing with an interdental brush and the use of a chlorhexidine mouthwash (oral care group), while 21 patients who were admitted to the ICU during the same period did not receive the oral care intervention but underwent oral examination and served as controls (non-oral care group). In the oral care group, oral care was performed once a day for 1-5 weeks according to the general health of the patient. The patients in the oral care group underwent oral examination before and after the oral care intervention. Plaque index, gingival index, clinical attachment loss (CAL), and presence of Candida were evaluated in both the groups. Results: The plaque index and gingival index of the oral care group were significantly lower than those of the non-oral care group; however, no significant difference in CAL was observed. The levels of Candida in the pra; care group were ;ower than those om the non-oral care group. However, no significant intergroup difference was observed in the levels of Candida. Conclusions: Oral care interventions improved oral health, including oral hygiene and periodontal health, of stroke patients in the ICU. Therefore, this study showed that oral care interventions can be effectively used to improve the oral health of stroke patients in the ICU.

재활병동에 입원한 뇌졸중 환자의 구강건강 및 구강건강관련 삶의 질에 관한 연구: 예비연구

김은경 ( Eun-kyong Kim ),김민선 ( Min-seon Kim ),이희경 ( Hee-kyung Lee ) 한국치위생과학회 2016 치위생과학회지 Vol.16 No.2

이번 연구는 영남대학교의료원 재활병동에 입원 중인 뇌졸중 환자 78명을 대상으로 구강위생 및 건강, 구강건강관련 삶의 질을 검사하였으며 다음과 같은 결과를 얻었다. Gingival index는 3명(3.8%)의 대상자만이 정상소견에 해당하는 code 0의 상태를 보였으며 이외 대다수의 대상자는 치은의 출혈 소견을 의미하는 code 2 이상의 수치를 보였다. CPI code의 경우에는 42명(53.8%)의 대상자가 중등도 치주염 및 중증의 치주염을 의미하는 code 3 또는 4의 상태를 보였다. CPI에 따라 대상자를 분류한 결과 치주염이 심한 그룹이 그렇지 않은 그룹에 비해 교육수준이 낮고 흡연경험이 있었으며 잔사, 치석 지수 및 치은 건강이 유의하게 불량하였다. 구강건강관련 삶의 질은 일상생활수행도 및 인지능력과 유의한 상관관계를 보였다(p<0.05). 이상의 결과를 종합해볼 때 재활병동에 입원 중인 뇌졸중 환자의 구강위생상태는 개선할 필요가 있으며 이를 바탕으로 뇌졸중 환자의 구강건강의 악화를 방지하며 나아가 환자의 전신적 회복에 기여할 수 있을 것이다. The aim of this study was to examine the geriatric status, oral health, and oral health related quality of life of stroke patients hospitalized at a rehabilitatio ward and assess the relationships among these factors. A total of 78 stroke patients participated in this cross-sectional study. The following oral examinations were performed by a dentist and dental hygienist: Decayed, Missing, Filled Teeth, gingival, debris, calculus, and community periodontal index (CPI). The patients’ sociodemographic and geriatric status were evaluated using the Barthel index and a mini-mental state examine (MMSE) according to their medical record and a questionnaire survey. Oral health related quality of life was assessed using the Oral Health Impact Profile (OHIP)-14 questionnaire. Except for three participants, most stroke patients had a gingival index of 2 or more, which means probing results in bleeding gums. Additionally, 53.8% of participants had a CPI code of 3 or 4, which indicates a probing depth of 4 mm or more. CPI index was significantly related to debris, calculus, and gingival index. The OHIP-14 score significantly related to the Barthel index and MMSE (p<0.05). The oral health of stroke patients in the rehabilitation ward was relatively poor and related to poor oral hygiene. Oral health related quality of life was related not to oral health but to geriatric status significantly.

농촌지역 일부 노인의 잔존치아수 및 타액분비량과 일상생활수행도 및 인지장애의 연관성: 예비연구

김은경 ( Eun Kyong Kim ),이성국 ( Sung Kook Lee ),정윤숙 ( Yun Sook Jung ),이희경 ( Hee Kyung Lee ),송근배 ( Keun Bae Song ),최연희 ( Youn Hee Choi ) 대한예방치과·구강보건학회 2016 大韓口腔保健學會誌 Vol.40 No.1

Objectives: The purpose of this study was to assess the associations between oral health, activity of daily living, and cognitive impairment among elderly people who live at home in a rural area. Methods: A total of 183 participants older than 70 years of age were recruited from a public health center in a rural Korean city. Trained examiners conducted questionnaire surveys and at-home oral exams to assess oral health, geriatric function, and cognitive impairment. Oral health was assessed by counting remaining teeth and examining salivary flow. Geriatric function and cognitive impairment were assessed using the Mini-Nutritional Assessment (MNA), the Mini-Mental State Examination for Dementia Screening (MMSE-DS), and an activity of daily living (ADL) questionnaire. Results: Mean age (SD) of the participants was 83.77 (5.99) years and 68.9% of them were women. The participants who had a lower number of remaining teeth were significantly older, had severe cognitive impairment, and poor ADL and MNA results. The participants with severe cognitive impairment were significantly older and had fewer remaining teeth and low salivary flow. Simple linear regression analysis showed an association between remaining teeth and cognitive impairment with a P -value of 0.000, which disappeared after adjusting for sex and age or sex, age, denture use, and salivary flow, respectively. Conclusions: Possible associations between remaining teeth and salivary flow, activity of daily living, and cognitive impairment were discovered among some elderly people living in a rural area.

노년기의 구강기능향상체조의 구강건강과 구강건강관련 삶의 질에 대한 효과

김은경 ( Eun-kyong Kim ),김민선 ( Min-seon Kim ),이희경 ( Hee-kyung Lee ) 한국치위생학회(구 한국치위생교육학회) 2016 한국치위생학회지 Vol.16 No.1

Objectives: The purpose of the study is to investigate the effect of oral exercise on oral health and oral health related quality of life in the elderly people. Methods: The subjects were83 elderly people including 42 elderly people of intervention group and 41 elderly people of control group. A dentist and a dental hygienist carried out the direct oral examination. The self-reported questionnaire was completed and the oral examination consisted of decayed tooth, missing tooth, filling tooth, functioning tooth, plaque index, salivary flow rate, and range of motion in mouth opening. OHIP-14 was used to assess the oral health related quality of life. For three months, oral exercise was done twice per week in the experimental group. Results: Before oral exercise, there was no significant difference between the intervention group and control group. After 3 months, there was a significant improvement in plaque reduction and range of motion in mouth opening between two groups (p<0.001, p<0.001). Oral health related quality of life was observed in the intervention group (p<0.001). Conclusions: The oral exercise using toothbrushing remarkably improved the oral health related quality of life in the elderly people.

두경부암 환자의 방사선치료에 따른 구강건강관련 삶의 질에 관한 연구

손해옥 ( Hae-ok Sohn ),박은영 ( Eun-young Park ),정윤숙 ( Yun-sook Jung ),이은경 ( Eun-kyung Lee ),이희경 ( Hee-kyung Lee ),김은경 ( Eun-kyong Kim ) 대한예방치과·구강보건학회 2017 大韓口腔保健學會誌 Vol.41 No.2

Objectives: The aim of this study was to assess the change in oral health-related quality of life among patients with head & neck cancer who received radiotherapy. Methods: A total of 40 patients who were diagnosed as having head and neck cancer and scheduled to have radiotherapy were enrolled in this study; however, only 25 patients were included in the final analysis. Prior to radiotherapy, a dentist performed an oral examination to check for the presence of decayed and missing teeth, plaque, and determine the gingival index. Oral health-related quality of life was assessed using the OHIP-14 questionnaire. Eight weeks after starting radiotherapy, oral health-related quality of life was re-evaluated using the same questionnaire. Results: The mean age of the participants was 60.20 (±7.29) years, and 22 (88.8%) of them were men. The majority of the participants were diagnosed as having squamous cell carcinoma (68.0%). The total OHIP-14 score was significantly decreased from 56.20 (±13.50) at baseline to 45.72 (±10.98) eight weeks after radiotherapy. In addition, according to subjective oral health at baseline, the observed change in the OHIP-14 score was significantly different. Conclusions: Oral health- related quality of life was significantly lowered after radiotherapy in patients with head and neck cancer.

한국인에서의 연대별 실명원인의 추이

안재은(Jae Eun Ahn),서경률(Kyoung Yul Seo),고형준(Hyoung Jun Kho),김순현(Soon Hyun Kim),권오웅(Oh Woong Kwon),구본술(Bon Sool Koo),도송준(Song Joon Doo),이희경(Hee Kyong Lee) 대한안과학회 1998 대한안과학회지 Vol.39 No.11

신체적 매력의 심리학적 측면들

이희경 프랑스문화학회 1998 프랑스 문화읽기 Vol.3 No.1

Pour de´gager les aspects psychologiques du charme physique, nous nous interesserons d'abord aux crite`res qui servent a` juger le charme physique. Ensuite, apre`s avoir passe´ en revue les effets sociaux du charme physique, et le ro^1e joue´ par celui-ci dans la formation du concept de soi et de l'estime de soi, nous allons e´tudier les e´le´ments sociaux et individuels construisant l'image du corps, puffs, nous interesser au boulimique nerveux, exemple de maladaptation cause´ par une image ne´gative du corps. Il est difficile d'e´numerer les e´le´ments composants le charme physique d'une personne qui ne se reconnai^t qu'a` la vue. D'apre`s certaines e´tudes, ce seraient la forme du visage, la silhouette et la taille qui permettent de juger le charme. Selon le charme physique, les gens attribuent aux autres divers trait de caracte`res (positifs ou negatifs). Ce phe´nome`ne peut e^tre explique´ par l'$quot;effet de halo$quot;. On est pre`sque toujours favorable a` une personne physiquement charmante, m^eme quand le charme physique n'est pas en question. Trai^ter diffe´rement les autres en fonction de leur charme physique peut influencer la formation du concept de soi et de l'estime de soi. Plus un individu est trai^te´ de fac¿on favorable, plus il se conside`re comme une personne de valeur. L'importance du charme physique qui influence la formation du concept de soi n'est pas la me^me selon le sexe. Cela proviendrait du fait qu'il y a diffe´rents crite`res sociaux exige´s par notre socie´te´ pour juger les traits de caracte`re d'une femme ou d'un homme. D'autre part, la conscience du soi est e´galement un e´le´ment construisant l'image du corps. Plus une personne s'inte´resse a` l'image de son corps, plus elle est insatisfaite de son corps, et plus son estime de soi est basse. Ainsi, l'image du corps est lie´e au proble`me de l'adaptation. La boulimique nerveuse re´sulte de l'image ne´gatif du corps. Les symto^mes en sont une inquie´tude excessive concernant le poid, une estimation exagge´re´e de la diffe´rence entre le corps actuel et un corps ideal, et la consideration trop importante du corps dans l'estime de soi. Elle se retrouve plus frequemment chez les femmes, naturellement. Le boulimique nerveux a une estime de soi tres basse, et est mal adapte´.