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ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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59권 12호

최근 10년간 대전 지역 대학병원 소아치과에 내원한 영아의 진료 및 후속 검진 현황 분석
김초록(원광대학교 치과대학 소아치과학교실) ; 송지현(원광대학교 치과대학 소아치과학교실) pp.704-717 https://doi.org/10.22974/jkda.2021.59.12.001
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Abstract

This study aims to understand the characteristics of the dental visit, and to evaluate the compliance with regular check-up of infants who visited Wonkwang University Daejeon Dental Hospital(WKUDH) from January 2008 to December 2017. A retrospective analysis of clinical data including chief complaint, visit route, performed treatment option and pattern of recall visit for 3 years after the first visit was conducted based on the electronic medical record. The compliance with a regular check-up of each individual was evaluated according to the intervals and the number of recall visits. Within 321 infants, 19.3% of the participants were under 6 months old whereas 80.7% were between 6 months and 1 year old. While the presence of natal/neonatal teeth was the most frequent chief complaint of infants under 6 months old was, dental trauma was the most common one of the infants between 6 months and 1 year old. The participants were classified into 4 groups according to the compliance with regular check-up for 3 years. The group which showed poorer compliance with regular check-up occupied bigger proportion. It is necessary to understand why and how infants make their first visit to dental clinic, which would be a groundwork to provide adequate clinical management and oral health education for the infants as well as their caregivers.

혈관경화제를 이용한 구강 내 혈관기형의 치료: case series
심우철(가천대 길병원 구강악안면외과) ; 양석환(가천대 길병원 구강악안면외과) ; 조진용(가천대 길병원 구강악안면외과) pp.718-724 https://doi.org/10.22974/jkda.2021.59.12.002
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Abstract

Vascular malformations are structural abnormalities in blood vessels with normal endothelial cell turnover, and are known as one of vascular abnormalities along with hemangiomas. Vascular malformations can occur anywhere in the body and are relatively rare in the oral cavity. It presents symptoms such as bleeding, pain, and swelling, and can cause functional and aesthetic problems. Treatment methods for vascular malformations include surgical excision, Nd:YAG and CO2 laser therapy, embolization and sclerotherapy. In this study, three cases of vascular malformations in the soft tissues of the oral cavity were identified. We report three cases who were simply treated using sclerotherapy with a review of the literature. Sclerotherapy using a sclerosant showed successful results, and known complications were not observed. In properly selected patients with vascular malformation, sclerotherapy can be considered as the first treatment.

류마티스 관절염이 있는 측두하악관절에서 유래된 두개내 및 악안면 농양 : 증례보고
박준(동아대학교 의과대학 구강악안면외과학교실) ; 홍기은(동아대학교 의과대학 구강악안면외과학교실) ; 윤지언(동아대학교 의과대학 구강악안면외과학교실) ; 신은섭(동아대학교 의과대학 구강악안면외과학교실) ; 김철훈(동아대학교 의과대학 구강악안면외과학교실) ; 김복주(동아대학교) ; 김정한(동아대학교 의과대학 구강악안면외과학교실) pp.725-733 https://doi.org/10.22974/jkda.2021.59.12.003
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Abstract

The incidence of intracranial brain abscess originating from the oral and maxillofacial infection is rare. However, brain abscesses have been reported in immunocompromised patients, which may cause neurological sequelae with high mortality. Early diagnosis of brain abscess and intensive antibiotic treatment can reduce the mortality rate. However, as a clinician, early diagnosis is difficult, and there are limitations in the use of antibiotics. Odontogenic infection can be diagnosed and treated early using clinical examination and dental radiographs. Although the temporomandibular joint is an area that dentists are in charge of, it is difficult to diagnose an infection, and there is a possibility that it may develop into a brain abscess. The purpose of this report is to review the case of temporomandibular joint infection and secondary maxillofacial and brain abscesses in a 61-year-old female patient with systemic rheumatoid arthritis, and to report the importance of prevention and early diagnosis of brain abscess as a clinician.

두개저까지 확장된 측두하악관절의 윤활막 연골종증의 희귀 증례
홍기은(동아대학교 의과대학 구강악안면외과학교실) ; 박준(동아대학교 의과대학 구강악안면외과학교실) ; 윤지언(동아대학교 의과대학 구강악안면외과학교실) ; 김정한(동아대학교) ; 김철훈(동아대학교 의과대학 구강악안면외과학교실) ; 한송희(동아대학교 의과대학 병리학교실) ; 김복주(동아대학교) pp.734-740 https://doi.org/10.22974/jkda.2021.59.12.004
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Abstract

Synovial chondromatosis is an uncommon benign lesion in which the synovial membrane within the joint forms cartilaginous nodules and loose bodies due to cartilaginous metaplasia. It is rare to develop in the temporomandibular joint, and may be accompanied by cranial base expansion or temporal bone morbidity. A 41-year-old male patient visited our hospital complaining of preauricular pain and crepitus. On CT and MRI, increased synovial fluid in the joint cavity, loose body, temporal bone erosion and cranial base expansion were observed. It was diagnosed as synovial chondromatosis through imaging and clinical symptoms. After arthrocentesis, the symptoms slightly decreased, and arthrotomy was performed for complete resolution of the pain. The patient's pain and crepitus were resolved, and no recurrence of the lesion was observed.

구강내 장치를 이용한 수면호흡장애 치료의 전신적 효과
김희영(서울대학교 치의학대학원 구강내과진단학교실) ; 박지운(서울대학교치과병원 구강내과) pp.742-750 https://doi.org/10.22974/jkda.2021.59.12.005
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Abstract

Sleep related breathing disorders (SRBDs) are a spectrum of diseases characterized by difficulties in airflow during sleep. Central sleep apnea, obstructive sleep apnea (OSA), sleep-related hypoventilation, and hypoxemia disorder are included in this disease entity. OSA is known to be the most common SRBDs and studies show its significant correlation with general health issues including hypertension, arrhythmia, diabetes, and metabolic syndrome. The relationship between cardiovascular risk and OSA is especially significant with systemic inflammation, intermittent hypoxia, and increased oxidative stress considered as the underlying mechanism. Previous studies show that oral appliance treatment for OSA has a positive impact on lowering blood pressure and such an effect is non-inferior to that of continuous positive airway pressure therapy. More recent studies also support the favorable effect of oral appliance treatment for OSA patients in the aspect of endocrine, psychologic disorders, and cognitive function. Furthermore oral appliance treatment for OSA is known to improve the overall quality of life and daytime sleepiness levels of the patient. The dentist who is experienced in dental sleep medicine can easily identify patients with the risk of OSA and provide appropriate treatment. The dentist should play an important part in the diagnosis and treatment of OSA which is inevitably connected to the well-being of the patient and better treatment results for various conditions. So the objective of this article is to assist dental professionals in gaining knowledge and insight of the systemic effects of oral appliance treatment for OSA.

폐쇄성 수면무호흡증 환자에서 성공적인 치료 결과에 도달하기 위한 구강장치 치료의 고려사항
임현대(원광대학교 치과대학 구강내과학교실/원광치의학 연구소, 원광치의학교육연구센터) pp.751-758 https://doi.org/10.22974/jkda.2021.59.12.006
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Abstract

Oral appliances are the main alternative to continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea(OSA). Treatment of OSA with oral appliance (OA) could provide an equivalent health benefit to achieve the best possible health outcomes. But not all outcome of OA treatment is successful. The challenge of predicting which patients will not receive therapeutic benefit from OA remains a barrier to the more widespread use of this therapy. This review summarizes some of the putative action mechanisms related to oral appliance effectiveness, side effects and its management, and on patient acceptability and treatment adherence are discussed.

폐쇄성 수면 무호흡증의 외과적 접근
이의룡(중앙대학교병원 구강악안면외과) pp.759-768 https://doi.org/10.22974/jkda.2021.59.12.007
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Abstract

Obstructive sleep apnea (OSA) is a chronic disease that requires long-term, continuous treatment. Considering the prevalence of sleep apnea and serious health-related sequelae, various medical and surgical treatments have been developed to achieve various therapeutic goals according to individual anatomy and patient compliance. Although CPAP treatment should be the preferred treatment, many patients cannot continue this treatment and alternative treatment is needed. Surgical treatment should be aimed at resolving the obstruction of the nose, palatal, retrolingual, and hypopharynx, or should be performed in the direction of increasing adherence to positive pressure therapy. In this review, the author will introduce various surgical approaches currently used when non-surgical treatment for sleep apnea did not yield positive results, and present research on the treatment results.

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