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- 저자 : 서미경(Meekyung Seo) (검색결과 3 건)
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최근 10년간(2006 - 2015) 서울대학교 치과병원 소아치과의 진료 현황에 대한 연구
서미경,송지수,신터전,현홍근,김정욱,장기택,이상훈,김영재,Seo, Meekyung,Song, Ji-Soo,Shin, Teo Jeon,Hyun, Hong-Keun,Kim, Jung-Wook,Jang, Ki-Taeg,Lee, Sang-Hoon,Kim, Young-Jae 대한소아치과학회 2018 大韓小兒齒科學會誌 Vol.45 No.2
The practice pattern of pediatric dentistry has been changing for the last several decades. This change might be influenced by several factors such as development in dental materials and socioeconomic changes. The purpose of this study was to analyze the changing trends of patient distribution and treatment pattern of pediatric dentistry. Patient distribution and practice trends from 2006 to 2015 at the department of pediatric dentistry of Seoul National University Dental Hospital were reviewed. From 2006 to 2015, the proportion of new patient increased from 12.49% to 20.56%. The average age of new patients decreased. In 2006, restorative treatment had highest percentage, followed by preventive treatment, orthodontic treatment, surgical treatment, and pulp treatment. In 2015, preventive treatment had highest percentage, followed by restorative treatment, orthodontic treatment, surgical treatment and pulp treatment Frequency of general anesthesia increased more than 5 times for last 10 years. The proportion of insurance treatment decreased until 2009, and after 2010 it increased steadily. 인구통계적 변화 및 사회 경제적 변화 등으로 인해 최근 몇십 년간 소아치과는 환자 분포와 진료 양상에 많은 변화가 있었다. 본 연구는 이러한 변화의 양상을 파악하기 위해 시행되었다. 2006년부터 2015년까지 서울대학교 치과병원 소아치과에 내원한 모든 환자를 대상으로 하여 환자분포 및 진료 현황에 대한 정보를 분석하였다. 조사 결과 전체 환자 중 초진 환자의 비율은 증가하였고, 초진 환자의 평균 연령은 감소하였다. 연도별 진료 현황을 조사한 결과 2006년에는 수복치료, 예방치료, 교정치료, 외과치료, 치수치료 순으로 빈도가 높았다. 이후 예방치료는 크게 증가했고, 수복치료는 감소하였고, 치수치료 및 외과치료는 비슷하게 유지되었다. 교정치료는 2009년까지 증가하였으며 이후로는 감소하였다. 그 결과 2015년에는 예방치료, 수복치료, 교정치료, 외과치료, 치수치료 순으로 많이 시행되었다. 진정법과 전신마취 시행 건수를 년도별로 조사한 결과 2011년 이후 전신마취 시행이 크게 증가하였으며, 진정법은 2010년 크게 증가하였다가 이후 감소하여 매년 200건 정도가 시행되었다. 전체 진료 항목 중 급여 진료는 2009년까지 감소하였으며, 이후 증가하였다.
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누난 증후군(Noonan syndrome) 환자의 전신마취 하 치과치료
서미경(Meekyung Seo),송지수(Ji-Soo Song),신터전(Teo Jeon Shin),현홍근(Hong-Keun Hyun),김정욱(Jung-Wook Kim),장기택(Ki-Taeg Jang),이상훈(Sang-Hoon Lee),김영재(Young-Jae Kim) Asia association of Disability and Oral health 2017 대한장애인치과학회지 Vol.13 No.1
Noonan syndrome is a relatively common genetic disorder which is autosomal dominant. Prevalence of Noonan syndrome is varying from 0.04% to 0.1%. It is characterized by distinctive facial features, chest deformity, short stature and congenital heart disease. Oral findings in patient with Noonan syndrome include high arched palate, dental malocclusion, articulation difficulties, and micrognathia. The purpose of this case report is to describe dental treatment of a children with Noonan syndrome. 5 year old boy with Noonan syndrome visited to the Seoul National University Dental Hospital for dental treatment. Due to need for close monitoring, concern about seizure and poor cooperation, we planned to perform the dental treatment under general anesthesia. Under general anesthesia, caries treatment was successfully performed and there was no postoperative complications related to general anesthesia. High arched palate was observed which is characteristic in Noonan syndrome.
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윌리엄스 증후군(Williams syndrome) 환자의 전신마취 하 치과치료
서미경(Meekyung Seo),송지수(Ji-Soo Song),신터전(Teo Jeon Shin),현홍근(Hong-Keun Hyun),김정욱(Jung-Wook Kim),장기택(Ki-Taeg Jang),이상훈(Sang-Hoon Lee),김영재(Young-Jae Kim) Asia association of Disability and Oral health 2018 International Journal of Disability and Oral Healt Vol.14 No.1
Williams syndrome (WS) is a rare congenital disorder which is caused by microdeletion of approximately 1.6 MBP from the long arm of chromosome 7 at 7q11.23. It is characterized by cardiovascular anomalies, elfin face and mental retardation. The most typical oral signs in patient with WS are hypodontia, reduced mesio-distal dimensions both in the primary and permanent teeth, macroglossia, excessive interdental spacing, enamel hypoplasia and enamel hypomineralization. The majority of children with WS have mild to moderate mental retardation, generalized anxiety disorder, hyperactivity disorder and sensitivity to sounds. The purpose of this presentation is to describe dental treatment for a child with WS. A 9-year-old boy diagnosed with WS had caries on his first permanent molars. Because of the poor cooperation, these teeth were filled temporarily with glass ionomer, and treatment under general anesthesia was planned. Under general anesthesia, caries treatment of first permanent molar and extraction of primary molar was successfully performed and there was no postoperative complications related to general anesthesia. Open bite, hypodontia, excessive dental space, enamel hypoplasia, enamel hypomineralization were observed which were characteristic in WS.
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