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뇌병변 장애 환자의 외상 치아에서 vacuum-formed splint를 이용한 교합 안정술
남옥형(Ok Hyung Nam),박재홍(Jae-Hong Park),김광철(Kwang Chul Kim),최영철(Yeong Chul Choi),최성철(Sung Chul Choi) Asia association of Disability and Oral health 2014 International Journal of Disability and Oral Healt Vol.10 No.2
Reposition and splinting has been widely recommended when clinicians treat traumatically dislocated tooth. This case represents stabilization of traumatized tooth in a cerebral palsy patient who failed resin wire splint because of parafunctional oral habit and lack of cooperation. Clinically, mobility of traumatized tooth decreased due to stabilization using vacuum-formed splint with posterior occlusal block in 2 weeks. Vacuum-formed splint may be a simple and effective stabilization technique for traumatized tooth in a cerebral palsy patient.
Chloral hydrate에 저산소증 병력을 가진 Lennox-Gastaut syndrome 환아의 전신마취 하 치과 치료
장석훈(Seok Hun Jang),남옥형(Ok Hyung Nam),김미선(Mi Sun Kim),이효설(Hyo-Seol Lee),김광철(Kwang Chul Kim),최성철(Sung Chul Choi) Asia association of Disability and Oral health 2017 대한장애인치과학회지 Vol.13 No.1
Lennox-Gastaut syndrome (LGS) is a type of childhood epilepsy, and this syndrome can compromise dental treatment. LGS represents variable etiologies, multiple types of intractable seizures, and cognitive impairment in most patients. A 7-year-4-month old girl with LGS was referred to our hospital for dental treatment under general anesthesia. Clinically, the patient presented with multiple dental caries. The patient had been prescribed a ketogenic diet for the management of repetitive seizures. In addition, she experienced severe types of hypoxia during medical examination using chloral hydrate. Therefore, dental treatment was performed under general anesthesia. LGS patients have a high risk of seizure during dental treatment and can induce a lot of complications. Dental treatment under general anesthesia for LGS patients can be carried out careful preoperative evaluation and in cooperation with medical care.
가부키 증후군(Kabuki syndrome) 환자의 치과적 관리의 치험례
강힘찬(Him Chan Kang),남옥형(Ok Hyung Nam),김미선(Mi Sun Kim),최성철(Sung Chul Choi),김광철(Kwang Chul Kim),이효설(Hyo-Seol Lee) Asia association of Disability and Oral health 2017 International Journal of Disability and Oral Healt Vol.13 No.2
Kabuki syndrome is characterized by typical facial features (elongated palpebral fissures with eversion of the lateral third of the lower eyelid; arched and broad eyebrows; short columella with depressed nasal tip; large, prominent, or cupped ears), minor skeletal anomalies, persistence of fetal fingertip pads, mild to moderate intellectual disability, and postnatal growth deficiency. A 6-year-old male with kabuki syndrome was referred from the local dental clinic for left facial swelling and dental caries on all primary molars. He was treated for acute periapical abscess with incision and drainage under physical restraint, and left maxillary second primary molar was extracted. Other caries treatment was performed under general anesthesia. As the syndrome involves many different medical problems, special cares should be considered. Dental treatment should be carried out in comprehensive consultation system.
치과의사의 아동 학대 및 방임에 대한 인식과 신고 의무 태도
장다혜,채용권,이고은,남옥형,이효설,최성철,김미선,Da Hyeo Jang,Yong Kwon Chae,Ko Eun Lee,Ok Hyung Nam,Hyoseol Lee,Sung Chul Choi,Mi Sun Kim 대한소아치과학회 2023 大韓小兒齒科學會誌 Vol.50 No.1
In this study, the recognition of child abuse and neglect (CAN) and reporting attitudes of general dentists and pediatric dentists in Korea were estimated. A survey was conducted among dentists working at clinics or university hospitals, including interns and residents at dental hospital training institutions. The questionnaire, consisting of 32 questions and detailed questions, subdivided into 'general characteristics of respondents', 'CAN', 'CAN report', 'laws to CAN', 'countermeasures against CAN'. The survey was conducted using a messenger, and 176 respondents' answers were analyzed. The recognition of CAN showed high scores in the order of physical abuse, neglect, and emotional abuse. The positive attitude toward reporting CAN had a higher score than the negative attitude. Of the total respondents, 19 said they reported child abuse, and 18 said they were suspected of child abuse but hesitated to report it. Among the laws related to CAN, the protection measures for CAN reporters and the protocol for CAN showed low awareness. Since then, they have wanted to know how to find abused children and how to deal with them in education. This study is expected to be used as data to improve dentists' awareness and consciousness of CAN in the future.
뇌병변 장애 환자에서 상악 중절치 이소맹출의 교정적 치험례
장석훈(Seok Hun Jang),남옥형(Ok Hyung Nam),이효설(Hyo-Seol Lee),김광철(Kwang Chul Kim),최성철(Sung Chul Choi) Asia association of Disability and Oral health 2015 International Journal of Disability and Oral Healt Vol.11 No.2
상악 우측 영구 중절치의 이소맹출을 주소로 내원한 뇌병변 장애를 가진 8세 환자에서 labial bow를 첨가한 Modified rapid maxillary expansion 장치를 이용하여 상악궁 협착 해소 및 상악 전치의 돌출을 완화할 수 있었다. Cerebral palsy is one of the most common disabilities of childhood, which affects movement and co-ordination. Individuals with cerebral palsy are susceptible to traumatic dental injuries. High occurrence of Class II malocclusion with prominent maxillary incisors appears to increase risk of trauma. However, due to fear of behavior management and lack of cooperation, clinicians have avoided orthodontic treatment in cerebral palsy patients. This case report demonstrates that modified rapid maxillary expansion can be used as a simple and effective method to correct ectopic eruption of maxillary incisor in cerebral palsy patient.
한국 치과대학 및 치의학 전문대학원의 장애인치과학 교육 현황
오예랑(Yea Rang Oh),남옥형(Ok Hyung Nam),김미선(Mi Sun Kim),최성철(Sung Chul Choi),김광철(Kwang Chul Kim),이효설(Hyo-Seol Lee) Asia association of Disability and Oral health 2018 International Journal of Disability and Oral Healt Vol.14 No.1
Special care dentistry, also known as special needs dentistry, is concerned with the oral health of people who have intellectual disability, or who are affected by other medical, physical, or psychiatric issues. Dental schools must educate dental students for the competency in managing and treating individuals with special health care needs. The purpose of this study is to identify the current status of special care dentistry education in Korean dental schools. A questionnaire relating to the education of special care dentistry was sent to eleven dental schools in Korea via email. The result turned out that eight out of eleven schools had classroom teaching of special care dentistry, while only four had practical teaching programs. Nine schools had dental clinics for the disabled, in which two of them had special care clinics within the Pediatric dentistry clinic, and other seven in separate clinical sites. Despite the increased interest in special care dentistry, education including classroom teaching and practical teaching was still insufficient and needed more development. This study implicated a small but valuable understanding of special needs dentistry education in Korea.
경희대학교 치과병원을 내원한 장애인 환자의 구강건강상태에 관한 연구
김지현(Ji Hyun Kim),남옥형(Ok Hyung Nam),김미선(Mi Sun Kim),김광철(Kwang Chul Kim),최성철(Sung Chul Choi),이효설(Hyo-Seol Lee) Asia association of Disability and Oral health 2015 International Journal of Disability and Oral Healt Vol.11 No.2
Most special health care needs (SHCN) people suffer from oral health problems due to high incidence and severity of oral disease. The aim of the present study was to investigate the characteristics of dental treatment provided in this patient population. The study population comprised 485 SHCN patients who visited Kyung Hee University Dental Hospital from 2006 to 2014. Based on the medical record, the date were evaluated according to age, gender, type of disorder, reason for visit, type of behavior management, and type of dental treatment. The most common age group was 7-12 year olds (26%). The chief compliant was dental caries (39%), as followed by oral exam (12%) and trauma (12%). Approximately half of SHCN patients (45.9%) was treated under behavior management. Restorative treatment was the most common procedure with the average of 2.9 teeth treated per patient. The results of the present study may be valuable for establishing the data of SHCN patients for primary dental care.
골 성숙도 단계의 골령 평가를 위한 Greulich-Pyle 방법을 이용한 인공지능 프로그램의 활용
김지훈,서혜준,박소영,이은경,정태성,남옥형,최성철,신종현,Jihoon Kim,Hyejun Seo,Soyoung Park,Eungyung Lee,Taesung Jeong,Ok Hyung Nam,Sungchul Choi,Jonghyun Shin 대한소아치과학회 2023 大韓小兒齒科學會誌 Vol.50 No.1
The purpose of this study was to measure bone age using an artificial intelligence program based on the Greulich-Pyle (GP) method to find out the bone age corresponding to each stage of cervical vertebral maturation (CVM) and the middle phalanx of the third finger (MP3). This study was conducted on 3,118 patients who visited pediatric dentistry at Kyung Hee University Dental Hospital and Pusan National University Dental Hospital from 2013 to 2021. The CVM stage was divided into 5 stages according to the classification by Baccetti, and the MP3 stage was divided into 5 stages according to the methods of Hägg and Taranger. Based on the GP method, bone age was evaluated using an artificial intelligence program. The pubertal growth spurt in the CVM stage was CVM II and III. The mean bone age in CVM II was 11.00 ± 1.81 years for males and 10.00 ± 1.49 years for females, and in CVM III, 13.00 ± 1.46 years for males and 12.00 ± 1.44 years for females (p < 0.0001). The pubertal growth spurt in the MP3 stage was MP3 - G stage. The bone age at the MP3 - G stage was 13.14 ± 1.07 years for males and 11.40 ± 1.09 years for females (p < 0.0001). Bone age evaluation using artificial intelligence is worth using in clinical practice, and it is expected that a faster and more accurate diagnosis will be possible.
프래더-윌리 증후군을 가진 46개월 소아의 치과치료 : 증례보고
최경화(Kyung Hwa Choi),김미선(Mi Sun Kim),남옥형(Ok Hyung Nam),이효설(Hyo-Seol Lee),최성철(Sung Chul Choi),김광철(Kwangchul Kim) Asia association of Disability and Oral health 2019 International Journal of Disability and Oral Healt Vol.15 No.1
프래더윌리 증후군과 심장수술 병력을 가진 4세 환아가 외상으로 본과에 내원하였으며 임상검사결과 다발성 우식증과 상악 좌측 유전치의 측방탈구기 관찰되었다. 내원 당일 예방적 항생제 복용 하에서 측방탈구치아를 발치하였고, 구강내의 우식증은 약 4개월에 걸쳐 외래 하에서 보호안정장치 하에서 안정적으로 치료하였다. Prader-Willi Syndrome (PWS) is a rare neurologic disorder with a prevalence 1/10,000-30,000. The cause of PWS is an abnormalities of chromosome 15q11.2-q13 which is an imprinting gene. Obesity and hyperphagia are characteristic features on a PWS adult. On the other hand, the birth weight, height and body mass index (BMI) of PWS infants are 15-20% lower than those of normal babies and there is a failure to thrive until 24-month-old. Most of PWS patients are treated under general anesthesia and conscious sedation. This case is a treatment of severe caries in a PWS 46 month-old child without general anesthesia and conscious sedation. He came to the Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong, Seoul, Korea with a trauma history. He had a medical history with heart surgery and needed to take antibiotics prophylaxis. The luxated left upper primary tooth were removed and caries treatment were done as an outpatient without general anesthesia, conscious sedation.