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다운증후군 성인환자의 완전구강회복을 위한 피개 의치와 고정성 보철물 적용치료 : 증례보고
임경철(Kyung-Cheol Lim),이재영(Jae-Young Lee),김영재(Young-Jae Kim),진보형(Bo-Hyoung Jin) Asia association of Disability and Oral health 2018 International Journal of Disability and Oral Healt Vol.14 No.2
이번 증례에서는 다수의 치아우식증과 치주질환이 있는 다운증후군 환자의 구강완전회복을 위해 수복치료 시 고려해야 할 부분에 대해 살펴보았다. 다운증후군 환자의 경우 포괄적인 보철치료를 받았다 할지라도 보호자 동반의 지속적 구강건강관리가 필요하며, 또한 치료 시 환자뿐만 아니라 보호자에게 치료와 관리방법에 대한 설명을 수행하는 것, 치료 전 구강건강상태와 구강관리습관, 전신 병력과 교육 여부도 보철치료의 성공적 예후에 매우 중요한 요소가 된다. 결과적으로 다운증후군환자의 단순발치에서부터 치주치료, 보철치료 등 치과적 치료 적용 시 다양한 요인들을 파악하고, 보호자 환자와의 라포 형성, 경제적 상황에 맞는 치과치료 선택 등 올어라운드(all-around) 형태의 치료계획 수립이 성공적인 치과 치료를 가능하게하며, 나아가 환자의 삶의 질을 개선시키고 건강한 삶을 영위할 수 있도록 할 수 있다. A 20-year-old male patient with Down syndrome presented with rampant caries and chronic periodontitis on fullmouth. Patient have many oral diseases despite of no abnormalities of medical history, no involuntary tremor, no excessive masticatory pressure, and no limitation of exercise. Also he had no experiences of oral health education of prostheses and oral health management. Therefore, A number of fixed prostheses and denture treatments were performed to caregiver and patient with education for oral hygiene and management. After delivery final prostheses, they had repeated follow-up for checking management.
방문구강건강관리사업에서 정신적 장애인의 구강건강관리시간에 영향을 미치는 요인
임경철(Kyung-Cheol Lim),이재영(Jae-Young Lee),진보형(Bo-Hyoung Jin),이교린(Gyorin Lee),김소연(SoYun Kim),백혜란(Hye-Ran Paik),김영재(Young-Jae Kim) Asia association of Disability and Oral health 2018 International Journal of Disability and Oral Healt Vol.14 No.2
Patients with mental disability who are classified as dental severely disabled, have poor oral health status and many difficulties in taking health services. The purpose of this study was to investigate factors of influencing in visiting oral health care services. After receiving approval from institutional review board in Seoul National University, 39 participants were recruited and the oral health examination and questionnaire were taken. Data were analyzed using one-way ANOVA, independent t-test, hierarchical linear regression for predicting influence of each participants’ characteristics on oral examination time and care time. In regression model, the higher the disability grade and the lower the degree of cooperation, the more oral examination time increased. However possibility of communication was not significantly influenced. Also, the higher the disability grade and the lower the degree of cooperation, the more oral care time increased. However possibility of communication was not significantly influenced. These results are expected to provide objective data for introduction and establishment of visiting dental care.