뇌병변장애 1급 아동에서 발생한 중증유아기우식증

이효설(Hyo-Seol Lee),백승호(Seung-Ho Baek) Asia association of Disability and Oral health 2011 International Journal of Disability and Oral Healt Vol.7 No.1

뇌병변장애인은 뇌성마비, 외상성 뇌손상,뇌졸중 등 뇌의 기질적 병변에 기인한 신체적 장애로 보행 또는 일상생활의 동작 등에 상당한 제한을 받는 사람으로 정의된다. 최근에 뇌병변장애아동의 DMFT는 비장애아동과 유사하거나 낮다는 연구가 있었다. 그러나, 본 증례는 중증유아기우식증이 나타난 뇌병변장애 1급 아동들을 치료한 것으로, 아동들의 공통점을 통해 중증유아기우식우식증의 특별한 원인을 찾고자 하였다. 뇌병변으로 인한 일차적인 운동장애와 이차적인 치과치료를 받기어려울 정도의 쇠약함, 잦은 입원, 당분이 많은 음식과 약물의 섭취, 구강위생관리 소홀, 늦은 치과내원, 협조도 저하 등이 우식유발인자를 높이고, 우식예방인자를 낮추어 치아우식증을 유발할 수 있는 것으로 사료되었다. 뇌병변장애아동을 치료할 때, 치과의사는 개인적인 우식 위험도 평가를 통해 철저한 우식예방프로그램을 만들고, 부모와 의학적 주치의는 구강관리의 중요성을 인식하여 조기치과내원 및 홈케어에 신경을 써야 할 것이다. A person with neurological disorder is defined as a person with limitation of ambulation or basic life activity due to the cerebral palsy or traumatic brain damage, stroke. Recently, the DMFT of the children with neurological disorders is similar or lower than the DMFT of the children with no disability. But, this article is about the severe-early childhood caries in children with grade 1 neurological disorder. It is supposed that the primary motor impairment and secondary physical weakness, frequent hospitalization, sugar- rich food and drugs, lack of oral care, delayed dental visit made high caries susceptibility. In case of treatment of the children with severe neurological disorders, dentists should make a thorough caries preventive plan based on individualized caries risk assessment. Also parents and medical doctors should recognize the importance of oral care and do the early dental visit and home care.

어린아기들의 구강관리 (아기치과)

이효설(Hyo-Seol Lee) 대한치과의사협회 2022 대한치과의사협회지 Vol.60 No.6

There are two major trends in pediatric dentistry recently. One is the declining treatment of traditional dental caries, and the second is the growing interest in prevention. Therefore, there is a need for a change in the treatment method of pediatric dentistry until now. In Japan, which experienced such social change before Korea, in 2018, the diagnosis and insurance items were added as ‘Children"s Oral Dysfunction". It is based on baby dentistry, which manages the oral health of young children. Baby dentistry is for infants up to 18 months, including newborns. The main content contains the premise, way of thinking, and specific contents of baby dentistry, This article is based on the recently published books of "Early Treatment" and "Baby Dentistry", and I recommend that you refer to the book for more details.

서울시장애인치과병원의 발달장애아동에 대한 치과행동치료 결과

이효설(Hyo-Seol Lee),양준우(Jun-Woo Yang),김명진(Myung-Jin Kim),백승호(Seung-Ho Baek) Asia association of Disability and Oral health 2010 International Journal of Disability and Oral Healt Vol.6 No.2

The developmental disorder(intellectual disorder(ID) and autism spectrum disorder(ASD)) can severely impair a patient’s ability to communicate and socialize. So they require physical management techniques, pharmacologic agents, and general anesthesia more than the normal at the dental clinic. The behavior therapy is a kind of the psychotherapy and is applied to the patient with behavioral problems. Seoul Dental Hospital for Disabled(SDHD) set up the Dental Behavior Clinic for the patients with developmental disorder and treated 32 patients with ID or ASD, blind. 18 patients were treated according to the ordinary plans, 14 patients stopped the treatment by different reasons. The various results of the treatment were produced by the kind or severity of the diseases, age and cooperation of the patients and the caregivers. Especially, the behavior therapist helped to figure out the characteristics of the patients and to make individualized treatment plans. In the future, it will be necessary to treat more patients and to make the dental behavior therapy objectify. And through the dental behavior therapy, it will be expected that the patients will become more cooperative to the dental clinic and can receive regular check-up peacefully, reducing the frequency of the general anesthesia.

장애인전문치과와 일반치과 의료진들의 장애인에 대한 태도 비교

이효설(Hyo-Seol Lee),김영재(Young-Jae Kim),이제호(Jae-Ho Lee) Asia association of Disability and Oral health 2013 International Journal of Disability and Oral Healt Vol.9 No.2

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.

서울특별시장애인치과병원 이동검진기관 장애인들의 구강건강조사

이효설(Hyo-Seol Lee),김혜정(Hye-Jung Kim),남선회(Sun-Hei Nam),김민선(Min-Sun Kim),유혜선(Hye-Sun You),백승호(Seung-Ho Baek) Asia association of Disability and Oral health 2012 International Journal of Disability and Oral Healt Vol.8 No.1

Mobile oral exam at the facilities for the disabled in Seoul is to improve the oral health of the disabled who can hardly approach dental clinic. We analyzed 1609 oral exam records at 24 facilities (11 special-education schools, 10 living facilities, 2 mental hospitals, 1 health care facility for the elderly) in 2011. The purpose of this study is to figure out the oral health state of the disabled in facilities in Seoul and to compare with the non-disabled in National Survey 2010 and 2008. 1. Special-education school : DMFT index of age 15 is 5.4 which is higher than 3.6 (DMFT index of age 15) of National Survey in 2010. 2. Living facility : DMFT index of ages 35~44 is 8.4 which is higher than 5.2 (DMFT index of ages 35~44) of National Survey in 2008. DT rate is higher (31.3% vs 19.2%) and MT rate is lower (7.6% vs 15.5%). 3. Mental hospital : DMFT index of ages 35~44 is 11.3 which is higher than 5.2 (DMFT indext of age 35~44) of National Survey in 2008. DT rate is significantly higher (50.7% vs 19.2%) and FT rate is lower (35.1% vs 65.3%). 4. Health care facility for the elderly : DMFT index of ages 65~74 is 7.1 which is slightly lower than 8.7 (DMFT index of ages 65~74) of National Survey in 2008. The number of existing natural teeth is similar (16 vs 18).

Kicking Higher: Australian Taekwondo Athlete’s High-performance Pathway

이은수 ( Lee Eun-su ),이효설 ( Lee Hyo-seol ),조혜수 ( Cho Hye-soo ) 국기원 2023 국기원태권도연구 Vol.14 No.4

목적 호주 태권도가 국제무대에서 강력한 위상을 구축하며 지속적으로 발전하고 있는 동향을 감안할 때, 본 연구는 이러한 성장세의 기초를 이루는 호주의 엘리트 태권도 우수선수 육성 체계와 그것이 성장에 어떠한 영향을 미치는지 메소차원에서 분석하고자 한다. 방법 연구의 데이터 세트는 총 21개로 호주 태권도 협회, 컴벳 호주, 호주 스포츠 협회의 연간 보고서 및 간행물을 포함한다. 아울러 신뢰 있는 풍부한 데이터 확보를 위해 추가적으로 미디어, 비디오 콘텐츠, 기사 및 웹사이트에서 추출된 데이터와 함께 검토하였다. 결과 본 연구에서 도출된 결과는 크게 세 가지 주요한 통찰로 나뉜다. 첫째, 호주 태권도의 엘리트 육성 체계는 Austrlian TKD와 Combat AUS 라는 두 특징적인 조직이 주도하고 있으며, 조직간 협력은 태권도의 경쟁력을 높이는 데 필수적인 역할을 한다. 둘째, 호주 태권도 선수를 위해 제시된 엘리트 육성경로는 1) 미분류, 2) 신흥, 3) 개발, 4) 시상대 유망, 5) 시상대 준비, 6) 시상대 단계로 구성되어있다. 특히, 주목해야하는 점은 5~ 6) 단계에서 우수선수를 위해 Associate라는 차별화된 분류를 제시한다. 셋째, 호주 태권도의 국제적 성과를 향한 강한 의지와 열망은 국립 태권도 센터의 설립, 선수중심 코치 주도의 트레이닝 환경 구축, 한국에서의 전문 코치영입에서 찾아볼 수 있다. 결론 본 연구를 통해 AT와 Combat AUS의 전략적 프레임워크가 호주 태권도 선수의 성장과정에 있어 명확한 지침과 방향성을 제시하고 있음을 확인하였다. 이러한 연구 결과는 호주 태권도의 우수선수 육성 체계와 전략 그리고 정책 시스템을 이해하는 데에 중요한 기초자료로 활용될 수 있다. Purpose This article seeks to examine the high-performance pathway of Australian Taekwondo and the potential influence that impacts recent growth in international Taekwondo events at the meso level. Method Utilising qualitative document analysis, this study reveals Australian Taekwondo’s policies, and systems, specifically high-performance pathway. Australian Taekwondo’s evolution, policies, and systems. Our dataset comprises 21 official documents, encompassing annual reports and publications from Australian Taekwondo, Combat Australia, and the Australian Institute of Sport. Supplementary data were sourced from media outlets, video content from Australian Taekwondo (AT), literature, articles, and official website information from Australia Taekwondo, Combat Australia (Combat AUS), the Australian Institute of Sport, and World Taekwondo (WT). Result Based on qualitative content analysis, this study presents three pivotal findings: First, the high-performance pathway of Australian Taekwondo is facilitated by two distinct organisations: AT and Combat AUS. Their collaboration aims for efficient and subdivided management of Taekwondo performance. The high-performance pathway for Australian Taekwondo is as follows: 1) Uncategorised, 2) Emerging, 3) Developing, 4) Podium Potential, 5) Podium Ready, and 6) Podium. An additional distinctive category, termed Associate, exists for athletes oscillating between the Podium Ready and Podium stages. Third, the formation of the National Performance Centre, which is athlete-centric and coach-led, along with the recruitment of a Korean coach signifies the high effort toward international growth of its performance. Conclusion This study reveals that AT and Combat AUS frameworks offer a well-defined trajectory for Taekwondo athletes in Australia, steering their progression from beginners to elite practitioners. The findings contribute to the presentation of an overview of Australia’s Taekwondo policy and system.

다양한 정신질환에 의한 자해성 구강손상과 치료

이혜원(Haewon Lee),이효설(Hyo-Seol, Lee),손흥규(Heung-Kyu Son),최형준(Hyung-Jun Choi),이제호(Jae-Ho Lee) Asia association of Disability and Oral health 2013 International Journal of Disability and Oral Healt Vol.9 No.1

12세 이하 아동의 제1대구치 복합레진 수복의 재수복률에 관한 연구

정윤영,남옥형,김미선,이효설,최성철,Jeong, Yunyeong,Nam, Okhyung,Kim, Misun,Lee, Hyo-seol,Choi, Sungchul 대한소아치과학회 2018 大韓小兒齒科學會誌 Vol.45 No.3

Although the frequency of composite resin restoration in children is gradually increasing, there are insufficient researches about the rate of composite resin repair in children. The purpose of this study was to evaluate the repair rate of composite resin restorations in the permanent first molar in children under 12 years old. This study retrospectively analyzed 169 children treated with composite resin restoration in the permanent first molar from May 2014 to April 2015. According to the location of the tooth, the repair rate was higher in the mandible than maxilla and in the left than right. In the classification of restoration, the repair rate was the highest in the class II cavity, and the repair rate was the lowest in the restoration of the occlusal surface only. Repair rate in two years was 14.8%, and repair hazard ratio decreased with age. The most common reason of composite resin restoration replacement was the secondary caries (74.1%). Within the limits of study, the repair rate of children was higher than that of adult due to the characteristics of children. Therefore, dentists should understand these characteristics and try to reduce the repair rate of composite resin composite restorations. 이번 연구의 목적은 12세 이하의 아동의 제1대구치 복합레진 수복물에 관하여 후향적 연구를 하여 재수복률을 평가하고자 함에 있다. 이번 연구는 2014년 5월부터 2015년 4월까지 경희대학교 치과병원 소아치과를 내원하여, 제1대구치에 복합레진 수복을 진행한 12세 이하의 환자 169명의 재수복률과 그 원인을 분석하였다. 재수복률은 성별에 따라 통계적으로 유의한 차이는 보이지 않았다. 제1대구치의 위치에 따라서 상악보다는 하악이 그리고 우측보다는 좌측에서 재수복률이 높았다. 와동의 종류에 따라서 2급 와동에서 가장 재수복률이 높았고, 교합면만 수복한 경우 재수복률이 가장 낮았다. 2년간의 재수복률은 14.8%로 나타났으며, 연령이 증가함에 따라 재수복의 위험도는 감소하였다. 재수복의 가장 주된 원인은 이차우식(74.1%)이었다. 아동의 영구치 복합레진 수복물의 재수복률은 성인 보다 높은 것으로 나타났으며, 영구치의 맹출도, 환자의 협조도 및 구강위생 관리능력이 중요한 영향을 미치는 것으로 사료되었다.

급여화 이후 복합 레진 수복 치료 패턴 변화 분석

조상미,이고은,남옥형,이효설,최성철,김광철,김미선,Jo, Sangmi,Lee, Koeun,Nam, Okhyung,Lee, Hyo-seol,Choi, Sungchul,Kim, Kwangchul,Kim, Misun 대한소아치과학회 2021 大韓小兒齒科學會誌 Vol.48 No.2

대한민국에서 2019년 1월부터 만 12세 이하 어린이에 대한 우식 영구치 복합 레진 수복 치료가 급여화 되었다. 이 연구의 목적은 2009년 1월부터 2020년 3월까지 급여화 적용 전후의 강동 경희 치과대학병원에서의 만 12세 이하 영구치 복합 레진 치료 패턴을 분석하는 것이다. 급여화가 시작된 2019년에 만 12세 이하 어린이 대구치 복합 레진 수복량은 2배 이상 증가하였다. 급여화 전후 치료 나이, 성별, 치아의 위치에는 유의한 변화가 없었으나 와동의 형태에서 유의한 변화가 관찰되었다. 수용할 만한 생존율을 보이는 영구치 복합 레진 수복에 대한 접근성이 급여화로 증가함에 따라, 만 12세 이하 어린이의 초기 영구치열에서의 구강 건강이 증진될 것으로 보인다. Since January 2019, insurance coverage for caries treatment of permanent teeth using composite resin in children aged 12 and under has started in South Korea. The purpose of this study was to compare the pattern of permanent molar composite resin restoration aged 12 and under before and after the insurance coverage from January 2009 to March 2020 in the Department of Pediatric Dentistry at Kyung Hee University Dental Hospital at Gangdong. Since the insurance coverage was started in 2019, the frequency of permanent molar composite resin restoration aged 12 and under has increased more than twice. There was a significant change in frequency of resin restoration by shape of cavity comparing before and after the insurance coverage, whereas there was no significant difference in changes by patient age, gender and position of tooth. As accessibility to the permanent tooth composite resin restoration is increased by the insurance coverage, which shows a fair survival rate, it is expected that it could be able to secure oral health in the early permanent dentition aged 12 and under.

장애인 거주시설을 방문하여 시행한 무료 이동식 치과 진료에 대한 2014년 통계(시설거주장애인을 대상으로 한 이동치과진료에 대한 통계)

임현수(Hyun soo Lim),이효설(Hyo-Seol Lee),최성철(Sung Chul Choi),이은영(Eun young Lee),김광철(Kwang Chul Kim) Asia association of Disability and Oral health 2015 International Journal of Disability and Oral Healt Vol.11 No.2

The people with disabilities living in residential facilities have more difficulty in caring oral hygiene than those living at home. The purpose of this study is to evaluate the recent 2014 dental treatment records of free mobile dental clinic service for disabled people in Korea. 203 disabled living in residential facilities participated in mobile dental clinic. Patients classified according to types of disability. Mental retardation were 75.3%, mental disorder were 6.0%, crippled disorder were 7.4%, brain disorder were 6.5%, visual disorder were1.4%, auditory and speech disorder were 2.3% and autism disorder were 0.9%. Performed treatments were 99 scaling and curettage, 88 fluoride varnish and TBI, 4 extraction, 1 endodontic treatment, 16 caries control (resin filling, GI filling), 1 denture repair and 8 refuse the treatment. Free mobile dental clinic can not provide complex dental treatment. So, the organization should systemize advanced dental treatment and regular preventive programs. Furthermore, we need to have a more concerns about the people with disabilities living in residential facilities and constantly participate on a dental voluntary work.