악관절음 환자의 하악 비틀림회전운동에 관한 연구

소종섭,이경호,정성창,So, Jong-Seob,Lee, Kyoung-Ho,Chung, Sung-Chang 대한안면통증구강내과학회 1999 Journal of Oral Medicine and Pain Vol.24 No.4

The purpose of this study was to investigate the magnitude of mandibular rotational torque movements in subjects with TMJ sounds, and to analyse correlation between quantitative characteristics of TMJ sounds and mandibular rotational torque movement. Twenty dental college students with TMJ clicking and twenty students without any TMD signs and symptoms were examined by mean of SonoPak and Rotate program of BioPAK system(Bioresearch Inc. MilWaukee, wisconsin, USA) in this study. Mandibular rotational torque movements were recorded and analysed during maximum mouth opening, protrusion, and lateral excursion in frontal and horizontal planes. The obtained results were as follows: 1. On maximum mouth opening, mandibular rotational angle and distance of clicking group were significantly greater than those of control group in frontal plane. (P<0.05). 2. During maximum mouth opening closing, maximum mandibular rotational angle and distance of clicking group were significantly greater than those of control group in frontal plane. (P<0.01). 3. On protrusion, mandibular rotational angle and distance of clickin group were significantly greater than those of control group in horizontal plane. (P<0.05). 4. On lateral excursion, there was no significant difference in mandibular rotational angle and distance between clicking group and control group in frontal and horizontal planes. 5. There were significant correlations between peak amplitude of TMJ sounds and maximum mandibular rotational distance during maximum mouth opening (r=-.481) and mandibular rotational distance on maximum mouth opening (r=-.455) in horizontal plane. 6. There were significant correlations between Above 300/(0-300)Hz ratio of TMJ sounds and mandibular rotational angle (r=-.499) and distance (r=-.457) on maximum mouth opening in frontal plane.

지역사회 거주 노인의 타액선 기능저하 (구강건조) 평가 및 중재

소종섭,정회인,강정현,김지훈 대한노년치의학회 2022 대한노년치의학회지 Vol.18 No.2

Salivary gland hypofunction (dry mouth) is the most common dysfunction in older adults. It causes a deterioration in oral health, mastication, and swallowing functions. It can also lead to systemic frailty. Early diagnosis and intervention are required to prevent oral and systemic frailty. This literature review introduced the salivary gland hypofunction assessment methods and interventions applicable in community-dwelling older adults. The study proposed an oral mucosal wetness test. The test uses an oral moisture-checking device as the primary test for assessment considering logistic aspects in application to the elderly in the community. The clinical oral dryness score (CODS) is an alternative test. The assessment method of oral mucosal wetness showed a significant correlation with salivary secretion rate. The CODS system is also significantly correlated with mucosal wettability, salivary secretion rate, and severity of oral dryness. Therefore, they have proven useful as test tools for assessing salivary gland hypofunction and oral mucosal wetting. The subjective questionnaire (xerostomia inventory) is also a useful tool for determining the severity of dry mouth and can be combined with other examination methods for salivary gland hypofunction such as oral mucosal wetness test or CODS. Essential interventions to salivary gland disfunction include drug coordination, prescription of artificial saliva, expert application of fluoride varnish, and salivary gland stimulation exercises. Careful consideration of other oral functions, such as occlusal force, tongue pressure, tongue movement, and oral hygiene management ability, is also required. Comprehensive intervention must be planned. Many studies have shown that the degradation of one function leads to that of another. Conversely, improving each function can improve other oral and integrated functions, such as masticatory and swallowing functions. The ultimate purpose of the intervention for salivary gland hypofunction in community-dwelling older adults is to improve and maintain oral functions—mastication, swallowing, and pronunciation. Therefore, interventions should include complex interventions such as oral exercise, tongue pressure enhancement training, oral hygiene, and interventions to improve salivary gland function. The intervention for individual salivary gland dysfunction should be planned with a comprehensive perspective for maintaining integrated oral function and contributing to the prevention and management of systemic frailty and its complications.

노인치의학 커리큘럼 가이드라인 제안: 교육주제와 표준역량 항목 중심으로

소종섭,고홍섭,강경리,강명신,고석민,하승룡,황지영,이상구,이성근 대한노년치의학회 2022 대한노년치의학회지 Vol.18 No.1

This study was conducted to propose guidelines for Korean geriatric dentistry education in response to changes in society in which the number of older persons is rapidly increasing. By referring to the American, European, and Japanese geriatric dentistry curriculum, the same or highly related items were integrated and reorganized, and new items were added considering the need for education. Through inter-researcher discussion, geriatric dentistry education topics and educational competency items were composed. A survey was conducted on the proposed items among educational experts at dental schools and executives of the Korean Academy of Geriatric Dentistry. After classifying the level of education required into basic or expert curriculum, educational guidelines based on education topics and educational competencies were presented. Educational topics consist of 54 didactic items and 2 practice items in 7 areas including <Public health issues> <Aging> <Aspects of Geriatric medicine> <Communication skills> <Logistic aspects> <Diagnosis & Treatment planning> <Therapy & Prevention>. The core competencies consisted of 83 items in 7 areas including <Understanding of aging> <Medical aspects> <Communication> <Logistic aspects> <Diagnosis, Treatment planning and Treatment> <Prevention and Care> <Public health aspects>. The subjects of socioeconomic aspects, aging, medical and pharmacological aspects in older people, and educational contents for functionally independent older people are mostly classified into the basic educational level. On the other hand, the topics of oral care and treatments, oral and maxillofacial functional rehabilitation, and management areas for frail and dependent older people mostly with sensory or cognitive problems were classified into the expert level. Currently, geriatric dentistry in Korea has been limited to the category of dental treatment for the functionally independent older adults who can visit outpatient clinics. The results of this study had significance in that it presents educational topics and competencies for the functionally frail and dependent older adults. The results of this study can be used for improving not only education curriculum for geriatric dentistry at each and every dental school but also continuing education programs, and will serve as basic and essential data for future research.

구강노쇠 임상진료지침

소종섭,정회인,김남희,고석민,이지나,김지훈,이정옥,강정현 대한치과의사협회 2022 대한치과의사협회지 Vol.61 No.1

The associations between lowered oral health status and frailty in elderly have been previously reported in many studies. Despite the increasing number of elderly populations in Korean society, there have been no attempt to develop clinical practice guideline and diagnostic criteria for oral frailty. Hence, this study reviewed the previous cohort studies and systematic reviews about oral frailty and proposed 15 recommendations as an oral frailty guideline for Korean elderly on the basis of the evidence-based methodology. This clinical practice guideline will provide overall guidance on the identification, diagnosis, and management of oral frailty in primary dental care setting and finally help to achieve healthy aging in elderly

시사평론 : 2007년 대통령 선거와 인터넷 언론

소종섭 한국정치평론학회 2007 정치와 평론 Vol.1 No.-

한국 노령인구에서 구강건조증이 구강안면 동통에 미치는 영향

소종섭,정진우,정성창 대한안면통증∙구강내과학회 2004 Journal of Oral Medicine and Pain Vol.29 No.3

본 연구의 목적은 한국 노령인구에서 구강건조증이 다양한 구강안면 동통에 미치는 영향을 조사하고, 구강건조증과 구강안면 동통과의 관계를 분석하여 노인의 구강건강과 삶의 질 향상에 기여하는데 있다. 한국에 거주하는 55세 이상 성인남녀 4,342명의 표본 집단에서 지역, 연령, 성별, 무작위 층화추출법으로 표본 추출된 1,012명을 대상으로 구강건조증과 구강안면 동통에 관한 전화설문을 시행하였다. 구강건조증과 관련된 증상이나 행동 및 그 심도, 구강안면 동통- 턱관절 통증, 안면통증, 치아통증, 구강내 연조직 병소로 인한 통증, 구강내 작열감 유무 및 통증의 심도, 그 밖의 원인요소, 즉 연령, 성별, 복용약물, 흡연 등의 변수들과의 관계를 분석하여 다음과 같은 결과를 얻었다. 1. 5개의 구강안면 동통 양상의 유병률은 구강건조감을 호소하는 군에서 비교군 보다 통계적으로 유의하게 높게 나타났다 (p<0.001). 2. 구강건조증은 구강안면 동통의 가장 영향력있는 위험인자로 나타났으며, 특히 구강내 작열감은 구강건조증으로 인해 유병률이 4.35배 증가하였다 (95%CI; 2.45-7.73). 3. 동통의 심도는 구강건조증 (Coeffcient; 7.47, 95%CI; 1.84-13.10)과 복용약물의 수에 영향을 받는 것으로 나타났으며, 또한 동통의 심도는 구강건조증의 심도와 유의한 상관관계를 나타내었다 (Pearson's correlation; 0.52, p<0.001). 구강건조증은 노령인구에서 유발되는 흔한 증상으로 구강안면 동통의 유병률에 영향을 미치는 위험요소이며, 동통의 심도를 악화시킴으로써 노령인구의 구강건강에 중요한 문제로 제기되고 있다. The aims of this study were to investigate the impact of dry mouth on orofacial pain symptoms in the Korean elderly population, and to characterize the relationship between dry mouth and orofacial pain symptoms. Telephone interviews were conducted on a stratified random sample of 1,012 people aged 55 years or older from a cohort of 4,342 elderly Koreans who had previously participated in the Korean National Interview Survey of Oral Health Status (KNISOH) in 2000. Our questionnaire measured dryness-related symptoms and behaviors as well as assessed the prevalence and intensity during the most recent six months of five orofacial pain symptoms: jaw joint pain, facial pain, tooth pain, oral sores, and burning mouth. The prevalence of all five orofacial pain symptoms included in this survey was significantly higher for the dry-mouth group than for their non-dry-mouth counterparts. Moreover, dry mouth emerged as the strongest risk factor for orofacial pain symptoms. In particular, the risk of burning mouth increased 4.35 times in cases of dry mouth (p<0.001). Multiple linear regression analysis also revealed that dry mouth affected orofacial pain intensity with the number of medications (coefficient 7.47, 95% CI: 1.84-13.10). For respondents who complained of concomitant dry mouth and orofacial pain, the Pearson's correction (0.52) between pain intensity and dry mouth severity was significant at the p<0.001 level. Most significantly, this study found dry mouth to be a common symptom and the strongest risk factor for other orofacial pain symptoms, generally exaggerating the intensity of pain. Dry mouth is a substantial health problem for the Korean elderly population.

노인장기요양시설 치과촉탁의제 도입을 위한 제도 개선 방향

소종섭(Jong-Seob So) 대한치과의사협회 2015 대한치과의사협회지 Vol.53 No.10

The coverage of the National Health Insurance for the elderly is expanding to denture and implants. Although the National Long-Term Care Insurance was just being settled, Oral health service was not provided to the Elderly in Long-Term Care Facilities. The long-term care facilities had part-time facility doctors. However, there is no dentist in the long-term care facility because of lack of long-term care insurance-related legislations. The amendments of long-term care insurance-related legislations for the introduction of part-time facility dentists are needed because the elderly in long-term care facility are vulnerable to oral health. For the substantial management of the National Long-Term Care Insurance, the development of oral health service model for the elderly and education materials for the dental team will be needed. Also, adequate dental service fee of the National longterm care insurance will be needed.

시사평론 : 2007년 대통령 선거와 인터넷 언론

소종섭 ( Jong Seop So ) 한국정치평론학회 2007 현대사회와 정치평론 Vol.1 No.-

섭식연하장애의 이해와 실제

소종섭(Jong-Seob So),고석민(Sok-Min Ko) 대한치과의사협회 2018 대한치과의사협회지 Vol.56 No.5

Eating-swallowing disorder (dysphagia) is a very important functional problem for the elderly, and it has a significant impact on the quality of their life. Because the eating and swallowing processes are affected by oral tissues including teeth, tongue, and oral muscles, it is natural that the dentist as a specialist in oro-facial region, intervenes in the diagnosis and treatment of the disorder. Nevertheless, Korean dentists still lack interest and understanding of dysphagia. In aged society, it is necessary that the dentists understand the functional disorders as well as oral diseases. The purpose of this study is to introduce the evaluation and treatment methods of eating and swallowing functional disorders in order to cope with eating-swallowing disordered patients who are frequently encountered in aged society.

지역사회 구강돌봄진료제도 도입 제안 - 돌봄(의존성) 노인의 구강건강관리 시스템 -

이성근,고홍섭,소종섭,곽정민,박인임,이지나,정회인,김태완,강경리 대한노년치의학회 2022 대한노년치의학회지 Vol.18 No.1

Oral care and dental services for the dependent older people of Korea is still extremely limited and not easily provided. Depending on where the dependent older people resides, such as the nursing facilities, individual homes, and nursing hospitals, access to dental personnel and the scope of oral care and dental treatment can be quite different due to disparities in rules and regulations for different institutions. In this study, the term ‘community oral care/palliative treatment system (COCS)’ for the dependent older people was introduced, and implementation of ‘The integrated community oral care/palliative treatment system’ (ICOCS) for the dependent older people was recommended. Oral care/treatment for the dependent older people could be categorized into four areas as follows 1) Oral care; Oral hygiene care and oral function care, 2) Basic dental treatment; non-invasive or minimally invasive dental treatment such as dry mouth management, pain management, adjusting and repairing of dentures, 3) General dental treatment, 4) Emergency dental treatment. Oral care and basic dental treatment should be available to all dependent older people wherever they are. For general dental treatment and emergency dental treatment the dependent older people should be transported to dental facilities. The criteria for selecting subjects for COCS were as follows, the remaining life expectancy and the rate of physical decline, ambulatory of the older people for dental visit, the ability of self-oral hygiene care, and the ability of cooperating during general dental treatment. For establishing ICOCS for the entire Korea, it was proposed to set-up an organization called the Korean Community Oral Care Promotion Agency (tentative name) in the central government level and supporting organizations at the municipal level. It is proper time to establish oral care/treatment system for the dependent older people in the community when the nationwide system of care welfare system is actively implemented. This study will lay the foundation for a policy that can provide oral care for the dependent older people in the community and is expected to prevent deterioration, or even improve general health.