ISSN : 0376-4672
The ability and quality of dentists are necessary in order to expand the role of dentists in elderly care facilities, and their confirmation is also essential. To confirm this, we approached, compared and analyzed through 3 dimensional solid analysis. Standard competency, education contents, accreditation evaluation and competency certification were confirmed through horizontal studies, while education on systemic diseases, inpatient and emergency measures related to elderly care facilities were confirmed through vertical studies, and mutual comparison with respect to the education contents and accreditation evaluation of medical school and oriental medical school were confirmed through sectional studies. Besides, the training and education of dentist specialists and senior oral care specialists were confirmed, and a model of dental clinics for inpatients in medical hospital was also analyzed. The above can be summarized as political proposals as follows. 1. Collectively considering dentists’ basic education including standard competency, education contents, accreditation evaluation, and competency certification and detail education including systemic diseases, inpatients, and emergency measures, it is suggested that dentists are also capable of fulfilling their role and are essential in elderly care facilities. 2. Additionally, considering some training courses for dentistry specialists and training courses for nurturing senior oral health care professionals, it is suggested that there is sufficient potential and urgent need for a more specialized role for dentists in elderly care facilities. 3. Considering the models of Kyung Hee Medical Center and Seoul National University Hospital specifically, where dentists treat patients hospitalized for systemic diseases, it is suggested that systematic and rational expansion of the role of dentists in elderly care facilities is highly anticipated and gravely needed.
Autogenous demineralized dentin matrix (DDM) has been widely used in implant dentistry and highlighted as a potential carrier of recombinant human bone morphogenetic protein-2 (rhBMP-2). Allogeneic DDM (Allo-DDM) is comparable to autogenous DDM in safety and effectiveness. The various endogenous growth factors in dentin, including BMP, transform ing growth factor, fibroblast growth factor, and insulin growth factor suggest that DDM incorporated with rhBMP-2 (DDM/ rhBMP-2) may exert a synergistic effect that promotes soft tissue healing through angiogenic activity, in addition to its osteoinductivity. This case report describes a successful outcome of root coverage where connective tissue graft (CTG) was overlaid onto Allo-DDM incorporated with rhBMP-2 (Allo-DDM/rhBMP-2).
Purpose: The purpose of this study was to investigate the oral health perception and dental care use experience of home less persons in Korea. Materials and Methods: Nine homeless persons were recruited from homeless welfare facilities in Seoul. Participants were interviewed using a semi-structured questionnaire by an interviewer. Data analysis was guided by grounded theory methodology and involved constant comparison, coding and memo-writing. Results: Homeless persons recognized the dental care needs due to serious dental problems. Due to cost issues, they prioritized using self-care, and used dental care with the help of family or homeless facilities. Satisfaction was expressed through perceptions and attitudes regarding the process of using dental care. Conclusion: There is a need to carry out more qualitative study and representative quantitative research for understanding homeless person's access to dental care.
Purpose: The purpose of this study was to analyze the factors associated with self-rated poor oral health and chewing discomfort among Korean elderly people in the Korea National Health and Nutrition Examination Survey(KNHANES). Materials and Methods: Data from the 7th(2016-2018) KNHANES were downloaded from the KNHANES website. Participants were older adults aged 70 years who responded to a questionnaire about their self-rated oral health or chewing discomfort. Multivariate logistic regression analysis was performed by dividing demographic and oral health factors into three models, and odds ratios with 95% confidence intervals were presented. Results: For self-rated poor oral health, up to 1.59 times increase in caries in permanent teeth and up to 1.84 times in crease in severe periodontitis, and up to 2.41 times increase in negative perceptions for those with 20 or more natural teeth compared to those without. In terms of chewing discomfort, depending on the model, those with a middle school diploma or less had up to 2.05 times more discomfort than those with a college degree or higher. Having severe periodontitis was associated with up to 1.68 times more discomfort, and having fewer than 20 natural teeth was associated with up to 2.46 times more discomfort. Conclusion: Some demographic factors and a number of oral health factors were found to be associated with self-rated poor oral health and chewing discomfort in older adults. Further in-depth analyses that reflect additional factors that were not included in the study are necessary.
Osteoarthritis in the temporomandibular joint (TMJ) affects surrounding soft and hard tissues including cartilage, sub chondral bone, and synovial membrane, causing TMJ remodeling and articular cartilage abrasion. When degenerative bone changes worsen in some patients with osteoarthritis, facial skeletal remodeling occur such as chin deviation, malocclusion. In patients with TMJ osteoarthritis, it is important to expand the joint space and decompress it. When pathological changes in the joint are observed, minimally invasive treatment such as intra-articular injection and arthrocentesis can be performed. An intermaxillary traction appliance can be applied for a short period of time to patients with TMJ osteoarthritis with oc clusal changes. The purpose of this report is to review the case using arthrocentesis and intermaxillary traction appliance along with conservative treatment in a patient with unilateral posterior open bite caused by temporomandibular disorder(osteoarthritis), and to report the importance of appropriate diagnosis and treatment of temporomandibular disorder.
