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ISSN : 0376-4672
구강은 외상 및 미세외상이 잦은 부위이다. 기능적 활동량이 많고, 경조직과 연조직이 근접해 있으며, 치열의 형태도 다양하다. 또한 저작력이 가해지고, 음식물의 조각들이 구강 내 조직들과 접촉한다. 이러한 특징들은 구강 내 연조직이 외상에 취약할 수 밖에 없는 원인이다. 기능적 또는 비기능적 활동 동안 외상성 손상에 의해 표층 표피조직 및 심한 경우 더 하방의 결합조직까지 손상을 입을 수 있다. 표피는 몸의 최초의 방어벽으로 수분의 소실을 막고각종 독성물질, 화학물질, 감염성 미생물 등으로부터보호한다. 어떠한 원인으로 이러한 표피가 소실되거나 제 기능을 못할 경우 개체는 탈수, hypersensitivity, 감염, 지속적인 염증반응 등의 위험에 노출되게된다. 구강 내 연조직의 손상을 유발하는 비교적 유병률이높은 질환으로는 재발성 아프타성 구내염(Recurrent Aphthous Stomatitis, RAS), 헤르페스성 구내염(Herpetic Stomatitis), 구강 편평태선(Oral Lichen Planus, OLP), 캔디다증(Candidosis), 세균감염성 구강점막 질환, 외상성궤양질환, 구강건조증(Xerostomia) 설염(Glossitis)등 이 있 고 신경변병성 질환(Neuropathic disorder)의일환으로 볼 수 있는 구강 작열감 증후군(Burning Mouth Syndrome,BMS) 같은 질환도 있다. 이러한 일련의질환들은 각기 다른 병인과 병리학적 질환의 진행을 보이나 어떤단계에 이르러서는 질환의 합병증으로서 또는 질환의임상소견으로서 점막의 궤양이나 위축, 약화소견을 보일 수 있다는 공통점이 존재한다.
There are many causes of oral mucosal diseases, so accordingly, there are various treatments available. The most commonly used agents include adrenocortical hormones, antifungals, antivirals, antibacterials, and immunosuppressants. However, it must also be noted that improving oral hygiene and nutrition, and reducing stress are effective in symptom relief. Furthermore, patients with existing diseases of the oral mucosa should avoid behavior that may cause an increase in pain. Unfortunately, many patients are unaware of the activities that may lead to increased pain and therefore do not avoid these activities. The aim of this study was to investigate and analyze the behavior of patients with oral mucosal disease with regard to activities that led to increase pain. This cross-sectional study was performed on a sample of patients with oral mucosal disease selected from the Oral Medicine Clinic of the Pusan National Hospital during March to August 2013. These patients were randomly selected. From a total of 479 patients, 116 patients with mucosal disease were selected and 73 fully completed questionnaires were included in the analysis. Data were collected by using self-completed questionnaires. The results were as follows: Mean score of Question 13 (Not smoking) is 2.47 1.11. Mean score of Question 11 (Not drinking alcohol or not using mouthwash containing alcohol) is 2.22 1.15. The other questions resulted in scores lower than 1.5. The answers to the questions were scored according to the following assigned numerical values: not keeping = score of 0; little keeping = score of 1; often keeping = score of 2; always keeping = score of 3. In conclusion, patients with oral mucosal diseases unknowingly engage in activities that result in an increase in pain. Therefore, they need to be educated about how to behave to protect oral mucosal lesion.
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