측두하악장애 환자에서의 통증양상과 수면과의 관계

태일호,김성택,안형준,권정승,최종훈,Tae, Il-Ho,Kim, Seong-Taek,Ahn, Hyung-Joon,Kwon, Jeong-Seung,Choi, Jong-Hoon 대한안면통증구강내과학회 2008 Journal of Oral Medicine and Pain Vol.33 No.2

Interaction between pain and sleep has long been proved through many researches, and various studies are being conducted to identify its mechanism. However, these studies have targeted on patients with systemic disease, such as rheumatic disease and fibromyalgia. There are few researches on patients with orofacial pain including temporomandibular disorder(TMD). In this study, we studied interaction between pain aspect and sleep quality in 229 patients with TMD, who visited the TMJ and Orofacial pain clinic. Pittsburgh Sleep Quality Index(PSQI), Epworth sleepiness scale(ESS) questionnaire were surveyed and sleep-screening device was operated. PSQI showed that sleep quality in TMD patients with pain was poorer than that in TMD patients without pain. The ratio of poor sleeper was higher in TMD patients with pain. Especially, TMD patients with chronic pain showed obviously poorer sleep quality than TMD patients with acute pain. The result of ESS showed that patients with painful TMD showed more daytime sleepiness than painless TMD patients. The ratio of TMD patients with chronic pain who had daytime sleepiness was higher than TMD patients with acute pain, and the amount of daytime sleepiness was higher in the group of chronic pain. In TMD patients with chronic pain, only the poor sleeper(PSQI>5) presented mean ESS>10(diagnostic criteria of daytime sleepiness). There was no correlation between pain intensity and sleep quality or daytime sleepiness. The result of ApnealinkTM for screening of sleep related breathing disorder showed that only 1 patient presented AHI>5 among 19 participants. TMD patients with chronic pain presented poor sleep quality and excessive daytime sleepiness similar to other chronic pain patients. Evaluation of sleep state by questionnaire might be useful for diagnosis and management of TMD, because sleep disturbance decreases pain threshold and pain disturbs sleep. In addition, sleep-screening device would be useful for screening sleep related breathing disorder in dental clinic.

쉐그렌 증후군의 합리적 진단 및 관리

태일호,권정승,전영미,최종훈,심우현,안형준,Tae, Il-Ho,Kwon, Jeong-Seung,Jeon, Young-Mi,Choi, Jong-Hoon,Shim, Woo-Hyun,Ahn, Hyung-Joon 대한안면통증구강내과학회 2007 Journal of Oral Medicine and Pain Vol.32 No.4

Sjogren's syndrome is a chronic autoimmune disorder of the exocrine glands with associated lymphocytic infiltrates of the affected glands. Primary SS presents alone as xerostomia, keratoconjunctivitis sicca and patotid gland enlargement, secondary SS occurs in connection with other autoimmune disorder such as rheumatitoid arthritis, systemic lupus erythematosus, or progressive systemic sclerosis. Among many other systemic complication, lymphoma is considered seriously. Patient with SS had a 44 times higher relative risk of lymphoma, and clinically identifiable lymphoma occurs in approximately 5% of patients with SS. So, patients with SS should be closely monitored. In dental office, diagnosis of SS is important in view of high risk of lymphoma. When a dentist diagnose and manage dry mouth, he or she should consider possibility of SS all the times and have knowledge of diagnostic criteria of SS.

치과진료에서 악관절 골관절염의 중요성

태일호(Ilho Tae),송윤헌(Yunheon Song),김연중(Youn Joong Kim) 대한치과의사협회 2013 대한치과의사협회지 Vol.51 No.2

Osteoarthritis is one of the most common degenerative disease in the temporomandibular joints (TMJ). Structural changes in the osseous structure is associated with destructive changes such as erosion, flattening and other bony changes. Destructive degenerative changes quite often cause shortening of the condyles which eventually produces the changes in the occulsion and the facial profile which require orthorgnathic surgery and/or orthodontic treatment by the dental professional. The dentists need to understand the nature and the pathophysiology of the osteoarthritis in the TMJ for the better dental treatment, especially in orthodontic and prosthodontic treatment. The possibility of serious complication can not be avoided after any dental treatment is given to the patient if osteoarthritic changes in the TMJ is under progression as undiscovered.

코골이와 수면무호흡증의 구강내 장치 치료

태일호(Il Ho Tae) 대한치과의사협회 2015 대한치과의사협회지 Vol.53 No.4

Recently, oral appliances for treating snoring and obstructive sleep apnea are widely used. Among various appliances, mandibular advancement devices are most effective without serious side effects. Advancement of mandible keep airway open and decrease snoring and/or obstructive apnea events. They can be used as stand-alone therapy or an adjunct to continuous positive air pressure for lowering air pressure. Oral appliances should be applied by dentists who have knowledges and experiences on occlusion and temporomandibular disorders and manage of side effects.

The Treatment of Gingival Hyperpigmentation by $CO_2$ Laser

권경민,태일호,고명연,안용우,Kwon, Kyung-Min,Tae, Il-Ho,Ko, Myung-Yun,Ahn, Yong-Woo Korean Academy of Orofacial Pain and Oral Medicine 2009 Journal of Oral Medicine and Pain Vol.34 No.3

Gingival hyperpigmentation may cause esthetic problems, especially in patients with a gummy smile. This report presents the use of the $CO_2$ laser for gingival depigmentation. Two cases presented with the same chief complaint of unesthetic gingiva caused by melanin hyperpigmentation. The $CO_2$ laser was setted at 0.8 watt, 40Hz, 0.01sec. The procedure were performed with non-contact mode in all pigmented areas. Ablation of the gingival hyperpigmentation areas were accomplished without any bleeding complications or postoperative pain. After 2 weeks and 4 weeks later, healing is completed and hyperpigmented gingiva appeared pink and firm.

치과 의료 민원 현황에 관한 분석

권경민,태일호,고명연,안용우,Kwon, Kyung-Min,Tea, Il-Ho,Ko, Myung-Yun,Ahn, Yong-Woo 대한안면통증구강내과학회 2009 Journal of Oral Medicine and Pain Vol.34 No.2

This research aims to propose a reference for prevention and education of medical dispute in dental clinic and to recognize anew about medical malpractice, by analyzing medical dispute. The results from data were based on questionnaires and replies about medical complaint, which were received the Busan Dental Association from November, 2000 to June, 2007, were as follows; 1. It were categorized 35 cases to 51 detail patterns. These cases were consists of complicated problem. 2. The cases, which were related to the treatment for prosthesis and orthodontics, became an issue. 3. In the case, which was related to the treatment for prosthesis and orthodontics, there were complaints in order of symptoms(occlusal discomfort, hypersensitivity, abnormal pain) and aesthetics after equipped prosthesis, and so on. 4. There was a tendency toward increasing complaints along with an increase of treatments (except conventional ways) for implant and so on.

삼차신경통 진단 및 치료의 중요 고려사항

전영미,태일호,최종훈,안형준,심우현,권정승,Jeon, Young-Mi,Tae, Il-Ho,Choi, Jong-Hoon,Ahn, Hyung-Joon,Shim, Woo-Hyun,Kwon, Jeong-Seung 대한안면통증구강내과학회 2007 Journal of Oral Medicine and Pain Vol.32 No.4

Trigeminal neuralgia is defined as "a sudden, usually unilateral, brief stabbing recurrent pain in the distribution of one or more branches of the fifth cranial nerve" by the International Association for the Study of Pain(IASP). Trigeminal neuralgia is classified as an idiopathic trigeminal neuralgia with no apparent cause and a symptomatic trigeminal neuralgia which is caused by a structural lesion such as brain tumor. Over 80% of the tumors are meningioma, acoustic neuroma, and epidermoid tumors. Symptomatic trigeminal neuralgia can not be excluded even if old-aged patient does not have abnormal neurologic sign and symptom, and good response to pharmacotherapy. Therefore, initial examinations such as MRI or CT are essential to exclude symptomatic trigeminal neuralgia. When compared with CT, MRI, especially gadolinium enhanced MRI, has an increased sensitivity in the detection of intracranial lesions. The most effective medical treatment of trigeminal neuralgia is carbamazepine. The most common side effects of carbamazepine include drowsiness, dizziness, unsteadiness, nausea, anorexia. Hepatotoxicity, bone marrow depression are the most feared side effect of carbamazepine therapy but occurs rarely. It require periodic complete blood cell counts as well as hepatic and renal function tests. It has been recommended that complete blood cell counts is done every 2 weeks for the first 2months and then quaterly thereafter. Oxcarbazepine can be used if neutropenia occurs.

한국 성인에서 치과용 방사선사진에 의한 연령감정

전희선,태일호,고명연,안용우,Jeon, Hee-Sun,Tea, Il-Ho,Ko, Myung-Yun,Ahn, Yong-Woo 대한안면통증구강내과학회 2009 Journal of Oral Medicine and Pain Vol.34 No.2

Aim of this study is to examine correlation between size of the coronal pulp cavity and chronological age in adult. Total 716 teeth (218 mandibular canines, 230 first premolars, 268 second premolars) free from pathologies and dental restorations were selected from 276 patients (111 males, 165 females), ranging from 20-69 years. Using periapical X-ray, the height (mm) of the crown (CH=coronal height) and the height (mm) of the coronal pulp cavity (CPCH=coronal pulp cavity height) of the teeth were measured. The tooth-coronal index (TCI) after Ikeda et al (Jpn. J. For. Med. 1985;39:244-250) was computed for each tooth and regressed on real age. With increasing age, the TCI was relatively decreased, indicating the reduction of length of the pulp chamber. Even reduction of the TCI with aging was found in combined group rather than in each sex and type of tooth separately. The most definite reduction was in canine of combined group. The correlation coefficient was strongest when measurement from canines of females (r2=0.247).

전기미각측정기를 이용한 구강점막질환 환자의 미각평가

이용한,태일호,고명연,안용우,Lee, Yong-Han,Tae, Il-Ho,Ko, Myung-Yun,Ahn, Yong-Woo 대한안면통증구강내과학회 2008 Journal of Oral Medicine and Pain Vol.33 No.2

The purpose of this study was to investigate the taste sensitivity in patients with oral mucosal diseases(Oral lichen planus(OLP), Recurrent apthous ulcer(RAU)) using electrogustometer. One hundred and seventy three subjects were included for the study and they were categorized into 2 groups(control 100, patient 73) and patient group was investigated in the Department of Oral Medicine, Pusan National University Hospital from April, 2005 until January, 2007. Control group was investigated in the clinics at Inchen Metroplitan city and Cheongju city from February to August, 2006. The electrical taste thresholds were measured by using an electrogustometer for the 4 different sites(tongue tip, tongue lateral, circumvallate papilla and soft palate) in oral cavity. The results were as follows ; 1. The electrical taste threshold in patient group was significantly decreased than that in the control group(p<0.001). 2. The electrical taste threshold, in terms of the chronicity and lesion multiplicity, was not significantly changed in patient group. 3. The electrical taste threshold was not significantly changed in Dexan only and Dexan+Prs combination treated group. 4. The electrical taste threshold, in terms of treatment progress(no response vs half response vs complete response), was not significantly changed. However subjective index which was determined by NAS(Numerical Analogy Scale) was significantly increased in no response group but significantly decreased in complete response group(p<0.001)

삼차신경통 환자에서 저출력레이저 조사에 따른 전류인지역치의 변화효과

허준영,태일호,고명연,안용우,Heo, Jun-Young,Tae, Il-Ho,Ko, Myung-Yun,Ahn, Yong-Woo 대한안면통증구강내과학회 2008 Journal of Oral Medicine and Pain Vol.33 No.1

The purpose of this study was to examine the effect of LLLT on current perception threshold in trigeminal neuralgia patients. Affected site and non-affected site was irradiated by GaAlAs diode laser. Current perception threshold was evaluated with $Neurometer^{(R)}$ CPT/C before and after LLLT. As an outcomes,CPT were obtained. We made a comparision of these values and the results were as follows. 1. There were no significant difference in CPT between affected site and non-affected site before and after LLLT irradiation. 2. There were no significant difference in CPT between affected site and non-affected site after LLLT irradiation. 3. But, CPT values of $A{\beta}$ fiber incresed slightly on both site after LLLT irradiation