고령장애인의 정의와 일반적, 치과적 특징

이효설(Hyoseol Lee) Asia association of Disability and Oral health 2011 International Journal of Disability and Oral Healt Vol.7 No.2

In Korea, the elderly is defined as the person aged over 65 and the disabled is defined as the person who is registered with Ministry of Health and Welfare. In 2008, the elderly with disabilities was about 770,000. Korea was already poised for an aging society in 2000 and is ahead of and aged society in 2018 and a super aged society in 2026. So, the number of the elderly with disabilities will continue to grow. Various oral diseases can be seen in the elderly with disabilities due to the systemic disease and impaired self oral care, in addition to the physiological aging. Particularly, we should be care for the aspiration pneumonia, which is the major cause of the death of the elderly. As a professional for the special care dentistry, we should understand the general and dental, individual characteristics of the elderly with disabilities and do proper oral care and treatment. Thereby, the quality of life of the patients might be improved.

장애인 구강관리법

이효설(Hyoseol Lee) 대한치과의사협회 2011 대한치과의사협회지 Vol.49 No.12

In the welfare law for the disabled in Korea, the disabled is defined as “the persons sho have significant limitations of daily or social life due to physical or mental disabilities over a long period.” The number of registered domestic disabled person in 2008 survey was approximately 2.1 million. 90% of the disabled was caused by the aposteriori illness or accidents. So, in this aging society, the number of people with disabilities will increase even more. In general, people with physical and mental disabilities tend to have more oral diseases, but, are difficult to get treated. Therefore, a thorough oral care through individualized prevention is more important than ever. In this article, we review the oral care methods in dental office and home and in the hospital for the elderly and finally focus on a denture care method. According to this article, the dental professionals can be able to select and apply the oral care method in agreement with the characteristics of the disabilities. Particularly, it is important to prevent the aspiration pneumonia in the elderly in hospital.

Three Dimensional Analysis of Primary Maxillary Central and Lateral Anterior Zirconia Crown

이정민(Jungmin Lee),이효설(Hyoseol Lee),남옥형(Okhyung Nam),김미선(Misun Kim),최성철(Sungchul Choi) 大韓小兒齒科學會 2016 대한소아치과학회지 Vol.43 No.2

This study was performed to compare the shape and dimension of anterior zirconia crowns to other pediatric crowns using a three-dimensional scanner to investigate adequate amount of tooth preparation. Primary central and lateral anterior zirconia crowns, stainless steel crowns and celluloid strip crowns were scanned by a three-dimensional scanner. Outer and inner surfaces of zirconia and stainless steel crowns, and outer surface of celluloid strip crowns were analyzed. In outer scanned images, all sizes of central and lateral size 1 zirconia crown had the largest labiolingual diameter among the three crowns. In inner scanned images, zirconia crown’s mesiodistal diameter was 0.7-1.0 mm smaller and crown length was approximately 1 mm shorter than those of stainless steel crowns. Zirconia crown’s labiolingual diameter was larger in central crowns whereas it was smaller in lateral crowns than that of stainless steel crowns. Recommended preparation required for zirconia crown is incisal 2.5-3.0 mm, mesiodistal 1.5-2.0 mm, labial 0.5-1.0 mm. Cingulum should be trimmed parallel to the long axis. No more lingual reduction is needed in central incisors whereas additional 0.5 mm reduction is suggested in lateral incisors. 본 연구는 전치부 지르코니아 전장관을 위한 적정 치아 삭제량을 조사하기 위해 3차원 스캐너를 이용, 지르코니아와 다른유치 전장관들의 크기와 형태를 분석하였다. 상악 좌측 유중절치, 유측절치 지르코니아 전장관과 금속관의 내/외면, 레진관의 외면을 스캔하여, 근원심경이 유사한 세종류의 전장관을 한 군으로 만들어 분석하였다. 외면에서 모든 중절치, 1번 측절치 지르코니아 전장관이 같은 군의 전장관 중 가장 큰 순설경을 나타냈다. 내면에서 지르코니아 전장관은 금속관에 비해 근원심경 0.7-1.0 mm, 치관길이는 1 mm 가량 작았으며, 순설경은 중절치에서는 더 컸으나 측절치에서는 더 작았다. 비교결과, 지르코니아 전장관은 절단면 2.5-3.0mm, 근원심 1.5-2 mm, 순면 0.5-1 mm, 설면결절을 장축에 평행하게삭제 후 측절치에서만 0.5 mm 설면삭제를 시행하는 것을 제안할 수 있다.

Clinical Features and Correlation With Congenital Missing Teeth of Delayed First Permanent Molar

이명연,이효설,송제선,이제호,최병재,김성오,김승혜,Lee, Myeongyeon,Lee, Hyoseol,Song, Jeseon,Lee, Jaeho,Choi, Byungjai,Kim, Seongoh,Kim, Seunghye Korean Academy of Pediatric Dentistry 2017 대한소아치과학회지 Vol.44 No.1

Delayed eruption of the first molar, without a generalized or localized cause, is usually associated with delayed development of the affected tooth. The aim of this study was to investigate the clinical features of the first permanent molar showing delayed development and eruption, and its association with developmental anomalies of other teeth. Panoramic radiographs of 40 healthy children showing delayed development and eruption of first permanent molars were analyzed. The clinical features of affected first molars and developmental anomalies of other teeth (except third molars) were evaluated. Delayed first molars were more frequent in the maxilla. The incidence of bilateral delayed development of first molars was greater than that of unilateral cases in female patients. In contrast, male patients showed unilateral delayed development of the first molar more frequently. A higher incidence of congenitally missing teeth was observed in patients with delayed first molar. In each case, delayed development or congenital absence was observed in the second molar adjacent to the delayed first molar. Overall, delayed first molar seems to be associated with congenital absence of additional teeth. Understanding the developmental mechanisms of this phenomenon requires further studies.

미취학 어린이에서 음파 칫솔과 일반 칫솔의 효과

신영섭,이효설,송제선,이제호,Shin, Youngseob,Lee, Hyoseol,Song, Jeseon,Lee, Jaeho 대한소아치과학회 2016 대한소아치과학회지 Vol.43 No.4

본 연구의 목적은 $L{\ddot{o}}e$ & Silness의 치태지수를 사용하여 음파 칫솔과 일반 칫솔의 효과를 비교하는 것이다. 연세대학교 치과대학병원 소아치과에 내원한 전신질환이 없는 3-6세 어린이 34명을 대상으로 교차설계, 연구자에 대한 눈가림법을 사용한 무작위 대조군 연구가 진행되었다. 연구 참여자는 2개의 군으로 무작위로 나누어져 음파 칫솔과 일반 칫솔을 번갈아 2주씩 사용하였고, 칫솔질 전후 구강위생상태를 $L{\ddot{o}}e$ & Silness의 치태지수를 사용하여 측정하여 차이를 비교하였다. 음파 칫솔 사용 후 $0.26{\pm}0.28$, 일반 칫솔 사용 후 $0.09{\pm}0.22$의 치태지수 감소를 보였고, 이는 통계학적으로 유의한 차이를 보였다(p < 0.05). 성별과 나이에 따른 음파 칫솔의 치태 제거 효과는 통계학적으로 유의한 차이를 보이지 않았다(p > 0.05). 연구 결과, 3-6세 어린이에서 음파 칫솔이 일반 칫솔에 비해 치태 제거 효과는 좋았고, 성별과 연령에 따른 치태 제거 효과의 차이는 나타나지 않았다.

COVID-19으로 인한 2020년 대한소아치과학회 첫 온라인 제61회 종합학술대회 및 제54회 전공의 학술대회에 대한 설문조사를 통한 분석 및 평가

허란,이고은,김미선,남옥형,이효설,최성철,Herr, Lan,Lee, Koeun,Kim, Mi Sun,Nam, Okhyung,Lee, Hyoseol,Choi, Sungchul 대한소아치과학회 2021 대한소아치과학회지 Vol.48 No.4

코로나바이러스감염증-19로 인해 2020년 대한소아치과학회 제61회 종합학술대회 및 제54회 전공의 학술대회가 처음으로 온라인으로 진행되었다. 이번 학술대회는 ZOOM 플랫폼을 이용해 주최측의 독자적인 운영으로 진행되었다. 온라인 학술대회의 만족도 분석 및 평가를 위해 학회 참석자들을 대상으로 Google Forms을 이용해 무기명 설문조사를 시행하였다. 첫 온라인 학술대회 인만큼 학회 전 사전접속 테스트를 이용해 학회의 원활한 진행을 도왔으며, 그 결과, 사전접속 테스트가 도움이 되었을 경우 그렇지 않은 경우에 비해 온라인 학회에 만족할 가능성이 높았다. 첫 온라인 전공의 학술대회 또한 전공의 발표자들과 연자들에게 큰 호응을 얻어냈다. 온라인 학술대회는 종식 시기를 가늠할 수 없는 전염성 코로나바이러스감염증-19의 사회적 거리두기 및 방역수칙을 잘 반영한 좋은 선택이었다.

장애인 환자의 전신마취 하 치과 치료 후 정기검진 패턴에 따른 치과치료 결과 비교

김지현 (Jihyun Kim),남옥형(Okhyung Nam),김미선(Misun Kim),이효설(Hyoseol Lee),최성철(Sungchul Choi) 大韓小兒齒科學會 2016 대한소아치과학회지 Vol.43 No.2

Special Health Care Needs (SHCN) patients need regular follow-up because of high incidence and severity of oral disease. The aim of this study was to evaluate the dental treatment outcomes of SHCN patients according to follow-up patterns. SHCN patients who were treated under general anesthesia (GA) at Kyung Hee University Dental Hospital from 2006 to 2014 were included in this study. The final samples comprised of 53 patients that were divided into regular (33 patients) and irregular (20 patients) follow-up groups according to their follow-up patterns. The type of dental treatment after GA during the follow-up periods were compared. In the irregular group, aggressive treatment including endodontic, prosthetic treatment, and extraction were predominant, compared with the regular group (p < 0.05). In addition, all patients who had dental treatment under GA in follow-up periods were in the irregular group (p < 0.05). In conclusion, the results of this study provide the importance of regular follow-ups with SHCN patients and emphasize responsibilities of dentists for educating patients and their guardians. 장애인 환자는 구강질환의 높은 유병률과 그 심각성으로 인하여 치료 후 정기적인 검진을 통한 관리가 필요하다. 본 연구의 목적은 전신마취하에 치과치료를 받은 장애인환자의 정기검진 패턴에 따른 결과를 평가하고자 함이다. 2006년부터 2014년까지 경희대학교 치과병원 소아치과를 초진 내원한 장애인 환자 중 전신마취하에 치과 치료 시행 후재내원한 환자 총 53명을 대상으로 재내원 패턴에 따라 정기적 그룹 33명과 비정기적 그룹 20명으로 나누어 검진 기간 동안시행된 치과 치료를 조사하였다. 그 결과, 비정기적으로 재내원한 그룹에서 치수치료, 보철치료, 발치치료와 같이 상대적으로 침습적인 치료가 많이 시행되었다(p < 0.05). 또한, 전신마취하에 치과 치료를 재시행 받은 환자군은 모두 비정기적 그룹에 해당하였다(p < 0.05). 본 연구의 결과는 정기적인 검진의 중요성을 제시하며, 치과의사들의 보호자와 환자 교육에 대한 책임감을 강조하고 있다.

Management of Premature Loss of Primary Molars with Flexible Denture

송기언(Kiun Song),남옥형(Okhyung Nam),김미선(Misun Kim),이효설(Hyoseol Lee),최성철(Sungchul Choi) 大韓小兒齒科學會 2016 대한소아치과학회지 Vol.43 No.2

Early loss of a primary second molar can cause mesial drift or tilting of the permanent first molar. We present a case of the early loss of the mandibular primary molars in a 5-year-old girl. The patient required extraction of the mandibular left primary first and second molars due to folliculitis on the successors. A flexible denture was used for eruption guidance of the permanent first molar and the recovery of masticatory function simultaneously. 제2유구치의 조기상실은 제1대구치의 근심이동이나 근심경사를 야기할 수 있다. 5세 여아에서 다수의 하악 유구치 조기상실 증례를 보고하는 바이다. 환아는 계승 영구치의 소포염으로 인해 하악 좌측 제1유구치와 제2유구치의 발거가 필요하였다. 탄성의치를 이용하여 저작 기능을 회복하는 동시에 제1대구치의 맹출을 유도하였다.

Q-ray view를 이용한 유구치의 숨은 인접면 우식증 탐지

정연욱,이효설,최형준,이제호,최병재,김성오,Jeong, Younwook,Lee, Hyoseol,Choi, Hyungjun,Lee, Jaeho,Choi, Byungjai,Kim, Seongoh 대한소아치과학회 2015 대한소아치과학회지 Vol.42 No.3

The purpose of this study was to evaluate the ability of Q-ray view (All-in-one Bio, Seoul, Korea) in detection of proximal caries in primary molars with sound marginal ridges. Thirty two children aged 3-9 years (average $5.6{\pm}1.3$ years old) were chosen, and two examiners evaluated 100 proximal surfaces of primary molars with sound marginal ridges. The teeth were examined with; (a) visual examination, (b) Q-ray view, (c) DIAGNOdent (KaVo, Biberach, Germany) and (d) digital periapical radiography. Kappa statistic was used to assess the agreement between each examination method and the degree of caries progression. The kappa values for enamel caries were 0.15 (visual examination), 0.10 (Q-ray view), 0.25 (DIAGNOdent) and 0.68 (digital periapical radiography). The kappa values for dentinal caries were 0.34 (visual examination), 0.56 (Q-ray view), 0.44 (DIAGNOdent) and 0.70 (digital periapical radiography). Although Q-ray view showed low diagnostic ability in detection of enamel caries, it was effective in detection of hidden proximal caries extended into dentin. Q-ray view would be a useful and simple device which could aid pediatric dentists in detection of hidden proximal caries in primary molars especially when examining uncooperative children or disabled persons.

치과의사의 아동 학대 및 방임에 대한 인식과 신고 의무 태도

장다혜,채용권,이고은,남옥형,이효설,최성철,김미선,Da Hyeo Jang,Yong Kwon Chae,Ko Eun Lee,Ok Hyung Nam,Hyoseol Lee,Sung Chul Choi,Mi Sun Kim 대한소아치과학회 2023 대한소아치과학회지 Vol.50 No.1

In this study, the recognition of child abuse and neglect (CAN) and reporting attitudes of general dentists and pediatric dentists in Korea were estimated. A survey was conducted among dentists working at clinics or university hospitals, including interns and residents at dental hospital training institutions. The questionnaire, consisting of 32 questions and detailed questions, subdivided into 'general characteristics of respondents', 'CAN', 'CAN report', 'laws to CAN', 'countermeasures against CAN'. The survey was conducted using a messenger, and 176 respondents' answers were analyzed. The recognition of CAN showed high scores in the order of physical abuse, neglect, and emotional abuse. The positive attitude toward reporting CAN had a higher score than the negative attitude. Of the total respondents, 19 said they reported child abuse, and 18 said they were suspected of child abuse but hesitated to report it. Among the laws related to CAN, the protection measures for CAN reporters and the protocol for CAN showed low awareness. Since then, they have wanted to know how to find abused children and how to deal with them in education. This study is expected to be used as data to improve dentists' awareness and consciousness of CAN in the future.