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        • KCI등재

          구강내과에 내원한 신환에 관한 분석 연구

          고명연,허준영,옥수민,김경희,정성희,안용우,Ko, Myung-Yun,Heo, Jun-Young,Ok, Su-Min,Kim, Kyung-Hee,Jeong, Sung-Hee,Ahn, Yong-Woo 대한안면통증구강내과학회 2013 Journal of Oral Medicine and Pain Vol.38 No.2

          구강내과는 측두하악관절장애 및 신경병성통증 등과 같은 구강안면 통증, 연조직 질환, 구취, 레이저 치료, 코골이와 수면 무호흡증, 법치의학적인 감정 분야 등을 포함하고 있다. 이상의 질환은 비교적 흔하게 발생되며 환자에게 큰 불편과 고통을 안겨주며 때로는 건강에 치명적인 위협을 초래하기도 한다. 구강내과학적인 측면에서 볼 때, 현대 사회로 갈수록 생활 패턴의 변화와 스트레스 증가 등의 원인으로 턱관절 장애를 포함한 구강 안면 통증 환자가 늘어나고 있으며 또한 연조직 질환, 코골이와 수면 무호흡증, 법치의학적인 감정 등과 같은 구강내과적인 전문성을 요구하는 분야의 수요가 가파르게 증가되고 있다. 따라서 치과학 중에서 구강내과의 역할과 전문성에 대한 요구가 갈수록 증가되고 있다. 연간 구강내과에 내원한 신환의 질병명에 따른 분포도와 증상의 이환 기간, 내원 경로 등을 분석하는 것은 향후 구강내과의 역할과 비중에 대한 정보를 제공해주며 환자를 위한 원활한 진단과 치료를 가능하게 한다. 따라서 본 연구에서 1년간 치과대학병원 구강내과에 내원한 신환을 분석하여 향후 구강내과의 역할과 전문성에 대하여 고찰해 보았을 때 다음과 같은 결과를 얻었다. 1. 구강내과에 내원하는 신환은 주로 측두하악장애, 연조직 질환, 신경병성 통증 환자로 나타났다. 2. 측두하악장애 환자는 신환중 가장 높은 비율을 보였으며 세부 진단순은 복합 장애 환자, 근육통 환 자, 관절원판 내장증 환자 순이었다. 3. 연조직 질환 환자 중 구강건조증 환자가 가장 높은 비율을 보였으며 그다음 편평태선 환자, 재발성 아프타성 궤양 순이었다. 4. 신경병성 통증 환자에서 구강 작열감 증후군이 가장 높은 비율을 보였다. Oral Medicine includes temporomandibular disorder, orofacial pains such as neuropathic pain, soft tissue diseases, halitosis, laser treatment, snoring, sleep apnea and identification through forensic dentistry etc. Such diseases are relatively common and cause great inconvenience and pain to the patients, as well as incur fatal health scare at times. In terms of oral medicine, the number of orofacial patients is growing due to a change in the life style and an increased stress as time goes in contemporary society and the demand of areas requiring oral medical professionalism, such as soft tissue lesions, snoring and sleep apnea, forensic dentistry evaluation and others are rapidly ascending. Consequently, among the areas in dental science, the calls for the expertism in oral medicine and its role are mounting. Analyzing the distribution according to disease entity, symptoms, duration of disease, and the prehistory courses of new patients visiting the department of oral medicine in a year provides information of the role and the relative importance of oral medicine in prospect and enables effective diagnosis and treatments for the patients. Therefore, in the present study, by analyzing new patients visiting the oral medicine clinic in our dental hospital for a year and by evaluating the role and the professionalism in future oral medicine, the authors concluded the followings: 1. It was founded that new patients to oral medicine mainly had temporomandibular disorders, soft tissue diseases, and neuropathic pains. 2. The number of patients with temporomandibular disorder appeared to be the highest percentage and the order within this was the patients with combined disorders, muscle disorder, and internal derangement of joint disc. 3. The number of patients with xerostomia appeared to be the highest percentage within soft tissue disease, followed by lichen planus and recurrent apthous ulcers. 4. The number of patients with burning mouth syndrome appeared to be the highest percentage within neuropathic pain.

        • KCI등재

          하악영구구치 치근발육에 관한 방사선학적 연구

          고명연,정성창 대한안면통증구강내과학회 1981 Journal of Oral Medicine and Pain Vol.6 No.1

          In order to evaluate the correlation of age with development stage on permanent lower posterior teeth. the author exmined the roentgeregrams in standard films taken by intraoral technic and analysed the development phases of 1358 teeth of 500 males ranging from 9 to 15 years. The development was divided into 7 phases : Crown complete (Cr. C.). Root length 1/4(R. 1/4) Root length /2 (R. 1/2) Apical closure complete (A.C) The obtained results were as follows : 1. The formation of roots in full length on posterior teeth was complete as follow : a. Roots of 1st premolar : 12.72 years b. Roots of 2nd premolar : 12.94 years c. Meral Roots of 2nd molar : 13.38 years d. Distal Roots of 2nd molar : 13.46 years 2. The formation of apical forman of premolar was closured as follows : a. Apical foramen of root of 1st premolar : 13.64 years b. Apical foramen of root of 2nd premolar : 13.93 years 3. As a general rule. the mesial roots of second molar were developed earlier than distal roots of second molar. 4. In the correlation of age with the development stage, the regression equations. the correlation coefficents. and the sample numbers were “Y = 0.8370x + 10.2160, r = 0.71(p<0.01), n = 318”on lower first premolar, “Y = 0.6984x + 10.2148, r = 0.71(p<0.01), n = 385”on lower second premolar, “Y = 0.8810x + 10.2040, r = 0.65(p<0.01), n = 344”on mesial Root of lower second molar, and “Y = 0.7310x + 10.7940, r = 0.66(p<0.01), n = 311”on Distal Root of lower second molar respectively.

        • KCI등재

          측두하악장애 재발환자의 임상양태에 관한 연구

          고명연,박준상 대한안면통증구강내과학회 1998 Journal of Oral Medicine and Pain Vol.23 No.4

          A patient with TMJ osteoarthritis and anterior open bite was treated with an intermaxillary traction device. Pretreatment examination revelaed a pain in both TMJ during mouth opening, moderate tendernesso f left sternocleidomastoid and right trapezius muscles. Anterior open Bite was aobserved with interincisal distance of 2mm. Tomograms and MRI showed anterior disc displacement withouit reductoin of both temporomandibular joints, and the condyles were flattened and slightly eroded. A pair of full-coverage occlusal appliances was made on both maxillary and mandibular dentition, with pivoting fulcrum on the site of the second moalr. Traction force was gained by the intermaxillary orthodontic elastics which were hooked by orthodontic brackets on the labial surfaces of the upper and lower anterior and premolar teeth. After 8 weeks of traction treatment, the joint pain was subsided completely and the anterior open bite was closed to get an edge to edge relationship of anterior teeth.

        • KCI등재후보
        • KCI등재

          측두하악장애 재발환자의 보존적 처치에 따른 예후

          고명연,김익환,옥승준,안용우,Ko, Myung-Yun,Kim, Ik-Hwan,Ok, Seung-Joon,Ahn, Yong-Woo 대한안면통증구강내과학회 2007 Journal of Oral Medicine and Pain Vol.32 No.2

          측두하악장애 재발 환자의 증상과 보존적 치료결과에 대하여 알아보고자 1994년부터 2002년까지 부산대학병원 구강내과에 내원하여 측두하악장애로 진단되어 약물요법, 물리치료, 교합안정장치 등 보존적 치료를 받은 환자 104명(원발군, 대조군)과 1991년부터 2001년까지 부산대학병원 구강내과에 내원하여 측두하악장애로 진단되어 보존적 치료를 받은 후에 증상이 재발하여 1992년부터 2002년에 걸쳐 보존적인 방법으로 재치료를 받은 환자 54명(재발군, 실험군)을 대상으로 서로 비교하여 다음과 같은 결과를 얻었다. 1. 원발군과 재발군은 모두 보존적 처치로 증상이 현저히 개선되었다. 2. 원발군과 재발군의 초진시 증상은 통증, 개구제한, 최대 편이개구량은 차이가 없었으나 관절잡음은 원발군에서 높았다. 3. 원발군과 재발군의 치료 종결시 증상은 통증, 개구제한, 최대 편이개구량은 차이가 없었으나 관절잡음은 재발군에서 높았다. 4. 원발군과 재발군 모두 치료방법, 성, 병명에 따른 치료결과의 차이는 없었다. 5. 원발군은 치료기간이 6개월 이상 일수록, 치료횟수가 10회 이상일수록 치료결과가 양호하였다. We examined 104 patients(primary group, controlled group) who had visited PNUH from 1994 to 2002, having been diagnosed as temporomandibular disorders(TMDs) and treated in conservative ways such as Behavior modification, medications, physical therapies and splint therapies. We also examined 54 patients(recurred group, experimental group) who had visited PNUH from 1991 to 2001, having been diagnosed as TMDs and experienced recurrence after conservatively treated. To find out the symptoms of Recurred TMD patients and their results of conservative treatments, we compared these two groups mentioned above. The obtained results were as follows: 1. Both primary and recurred groups have showed great improvements with conservative treatments. 2. Both primary and recurred groups have showed no differences in pain, LOM, MCO in their first visits but the noise were louder in primary group. 3. Both primary and recurred groups have showed no differences in pain, LOM, MCO when the treatments were over but the noise were louder in recurred group. 4. Treatments modalities, diagnosis, sex, kind of disease had not affected the results of treatment in either of groups. 5. It has come out that much better results were achieved when the patients in primary group had treated for over 6 months and for more than 10 times.

        • KCI등재

          SRRS를 이용한 재발성 아프타성 구내궤양 환자의 생활변화에 관한 연구

          고명연,김영애,옥수민,허준영,정성희,안용우,Ko, Myung-Yun,Kim, Young-Ae,Ok, Soo-Min,Heo, Jun-Young,Jeong, Sung-Hee,Ahn, Yong-Woo 대한안면통증구강내과학회 2012 Journal of Oral Medicine and Pain Vol.37 No.4

          재발성 아프타성 구내궤양은 5~60%의 유병률을 가진 가장 흔한 형태의 구강 궤양이다. 가장 흔히 발병하는 나이는 10세~19세이며 환자의 성인기 및 평생 동안 지속될 수 있고, 성별의 차이는 없으며 소아프타, 대아프타 및 포진성 궤양의 세가지 형태로 나누어진다. 원인은 정확히 알려져 있지 않으나 다양한 유발인자 혹은 기여요인들이 있다. 이러한 기여요인에는 가족력 혹은 유전적 소인, Allergy 반응, 약물, 호르몬, 스트레스 또는 불안 및 면역계 이상 등을 들 수 있다. 구강 질환의 발병과정에 있어서 정신적 요인에 대한 고려의 필요성이 지난 몇 십 년 동안 점점 더 인정되고 있으며 많은 연구들이 구강질환에 있어서 정신사회적 요소들에 초점을 두고 있다. 이번 연구에서도 정서적 스트레스가 재발성 아프타성 구내궤양에 어떠한 영향을 미치는지 평가하고자 한다. 임상검사 결과 재발성 아프타성 구내궤양으로 진단된 환자 30명과 부산대학교 치의학전문대학원 학생들 중 재발성 아프타성 구내염의 증상 및 병력이 없는 60명을 대상으로 하였다. 스트레스 상황의 평가를 위해서는 한국적 문화에 맞게 적절하게 변형한 Holmes와 Rahe의 사회적 재적응 평정척도 설문지(SRRS)를 이용하였다. 분석결과 재발성 아프타성 구내염 환자들이 대조군에 비해 내원 전 7개월에서 12개월 사이 기간 및 내원 전 1년 동안의 스트레스를 경험하는 빈도 및 스트레스의 정도에 있어서 유의하게 높은 것으로 나타났다. Recurrent aphthous ulcer(RAU) is the most frequent form of oral ulceration with a prevalence in the general population ranging between 5% and 60%. The peak age of onset is between 10 and 19 years of age, and it can persist into adulthood and throughout the patient's lifespan, with no gender predilection. The disease is characterized clinically into three types: minor aphthous ulcer, major aphthous ulcer and herpeticform ulcers. The cause of RAU is unknown and thought to be multifactorial with many triggers or precipitating factors that include familial tendency or genetic predisposition, allergy, medications, hormones, stress or anxiety, and immunologic abnormalities. The need for consideration of psychological factors in the pathogenesis of oral disease has been increasingly acknowledged over the last decades and many studies have highlighted the psycho-social impact of oral conditions. In this study, we tried to evaluate the influence of emotional stress in RAU. There were thirty patients with a clinical diagnosis of RAU and other subjects who did not show any signs of systemic disorders include RAU. They are evaluated by using modified Holmes and Rahe's Social Readjustment Rating Scale (SRRS). As a result, a significantly higher level of stress was found in the RAU patients than the control group. Therefore it can be concluded that psychological stressors play an important role in the RAU.

        • KCI등재
        • KCI등재
        • KCI등재

          MMPI를 중심으로 한 악관절 기능장애 환자의 인성에 관한 연구

          고명연,김영구 대한안면통증구강내과학회 1985 Journal of Oral Medicine and Pain Vol.10 No.1

          Personality characteristics of TMJ dysfunction patients was studied by means of MMPI test. 100 TMJ dysfunction patients and 100 healthy controls were subjected at the Department of Oral Diagnosis and Oral Medicine, Pusan National University Hospital, during the period from March 1983 to February 1985. All the patients were divided into 2 groups namely, acute group and chronic group by duration of path and discomfort problems for 6 months or longer. The obtained results were as follows : 1. Mean value of T-scores on each clinical scale was within normal range in both patient and control group. 2. There was significant difference in scales of Hs, D. Hy, Pt, Sc and IR between patient and control group. 3. As compared with control group by sexual subclass, scales of Hs, Hy and Pt of both sex, scales of Sc and M-DI of male and scales of D of female in patient group were significantly higher than those in control group 4. The longer was duration of TMJ problems, i.e., in increasing order of control, acute and chronic group, the higher was mean value of T-scores on scales of Hs, D, Hy, Pt, Sc, IR and M-DI. 5. Mean values of T-scores on scales of Hs, D and Hy were the highest in all the clinical scales of total class and subclasses(i. e. male group, female group, acute group and chronic group) with TMJ dysfunction and showed 1-:i-2 (Hs, -Hy, -D. ) profile pattern, conversion "V.ot;V.

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