{"title":"PULPOTOMY IN PRIMARY MOLAR TEETH USING ELECTROSURGERY AND MTA : A RETROSPECTIVE STUDY OF SURVIVAL RATES","authors":"Yowon Jeon, Seunhye Kim, Kwangwoo Baek","doi":"10.12655/KADH.2016.12.2.45","DOIUrl":"https://doi.org/10.12655/KADH.2016.12.2.45","url":null,"abstract":"This study investigates the success rate of pulpotomy using electrosurgery operated on a primary molar in caries. The pulpotomy using electrosurgery was done on 253 primary molars of 111 young patients from 2 to 9 years old during the period of the first day of January 2011 to the last day of December 2015. After the amputation of pulp and hemostasis of primary molar were done using electrosurgery, MTA as pulp capping material was applied to the primary molar and the tooth was restored with the stainless steel crown. The follow up period after the treatment ranged from 4-46 months. The clinical and radiographic success rate ranged from 92.1 94.3%. Which is comparable to formocresol and ferric sulfate pulpotomy. Due to its non-pharmacological characteristic, electrosurgery can minimize harmful effect on the pulp tissue. Its fast bleeding control makes it easy and safe to use in pediatric and disabled patients in comparatively simple manner. Electrosurgery can be an alternative for pulp therapy considering the side effects of pharmacological ways. [J Korean Dis Oral Health Vol.12, No.2: 45-49, December 2016]","PeriodicalId":423303,"journal":{"name":"The Journal of Korea Assosiation for Disability and Oral Health","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123774149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Ryu, T. Shin, H. Hyun, Youngman Kim, Jung‐Wook Kim, Ki-Taeg Jang, Chong-Chul Kim, Sang-Hoon Lee
{"title":"DENTAL TREATMENT UNDER GENERAL ANESTHESIA IN A PATIENT WITH LOWE SYNDROME : A CASE REPORT","authors":"J. Ryu, T. Shin, H. Hyun, Youngman Kim, Jung‐Wook Kim, Ki-Taeg Jang, Chong-Chul Kim, Sang-Hoon Lee","doi":"10.12655/KADH.2016.12.2.82","DOIUrl":"https://doi.org/10.12655/KADH.2016.12.2.82","url":null,"abstract":"Lowe syndrome is X-linked gene disorder, characterized by cataracts, renal dysfunction and brain abnormalities. Oral healthcare of young patients with Lowe syndrome could be easily neglected due to the uncooperative behavior or other systemic condition of the child. We are presenting a case of successful treatment under general anesthesia with uncooperative child with Lowe syndrome. A 3-year old boy with Lowe syndrome visited Seoul National University Dental Hospital for multiple caries. He had been suffering from congenital cataract, medullary nephrocalcinosis and hypotonia. Multiple caries were observed from clinical and radiographic examination. Concerning behavior management problem and possibility of aspiration due to hypotonia, dental treatment under general anesthesia was planned. Left upper primary first molar was extracted to prevent further infection. Other teeth were treated with Stainless steel crown or composite resin restoration based upon the extent and the severity of dental caries. Under general anesthesia, dental procedure was carried out successfully and safely. Considering uncooperative behavior and other medical conditions of the patient, general anesthesia could be effective. Home oral care and periodic visit to dental clinic should be emphasized to the caregiver of patient with Lowe syndrome, considering the susceptibility of dental caries and other oral manifestation. [J Korean Dis Oral Health Vol.12, No.2: 82-86, December 2016]","PeriodicalId":423303,"journal":{"name":"The Journal of Korea Assosiation for Disability and Oral Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128476407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seon-Jae Heo, T. Shin, H. Hyun, Jung‐Wook Kim, Ki-Taeg Jang, Sang-Hoon Lee, Chong-Chul Kim, Young-Jae Kim
{"title":"DENTAL CARIES TREATMENT OF A PATIENT WITH BECKWITH-WIEDEMANN SYNDROME : A CASE REPORT","authors":"Seon-Jae Heo, T. Shin, H. Hyun, Jung‐Wook Kim, Ki-Taeg Jang, Sang-Hoon Lee, Chong-Chul Kim, Young-Jae Kim","doi":"10.12655/KADH.2016.12.2.92","DOIUrl":"https://doi.org/10.12655/KADH.2016.12.2.92","url":null,"abstract":"Beckwith-Wiedemann syndrome comprises multiple congenital anomalies with a risk of development of childhood tumors. Macroglossia is the predominent finding in Beckwith-Wiedemann syndrome and other findings include postnatal somatic gigantism, abdominal wall defects, nevus flammeus of the face, congenital heart defects, and cleft palate. The aim of this case presentation is to describe the dental treatment of a child with Beckwith-Wiedemann syndrome. A 3-year-old boy with Beckwith-Wiedemann syndrome visited to the Seoul National University Dental Hospital for dental evaluation and treatment. Due to the multiple caries and poor cooperation, we planned to perform the dental procedure under general anesthesia. The dental procedure was successfully per-formed and there was no airway complications after extubation. This case suggests that general anesthesia may be useful for the patient with uncooperative Beckwith-Wiedemann syndrome, since macroglossia and laryngomalacia may exacerbates airway compromise during dental sedation. [ J Korean Dis Oral Health Vol.12, No.2: 92-95, December 2016 ] Abstract","PeriodicalId":423303,"journal":{"name":"The Journal of Korea Assosiation for Disability and Oral Health","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129085995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Ryu, T. Shin, H. Hyun, Youngman Kim, Jung‐Wook Kim, Ki-Taeg Jang, Chong-Chul Kim, Sang-Hoon Lee
{"title":"DENTAL CARIES TREATMENT IN A PATIENT WITH DANDY-WALKER SYNDROME : A CASE REPORT","authors":"J. Ryu, T. Shin, H. Hyun, Youngman Kim, Jung‐Wook Kim, Ki-Taeg Jang, Chong-Chul Kim, Sang-Hoon Lee","doi":"10.12655/KADH.2016.12.2.77","DOIUrl":"https://doi.org/10.12655/KADH.2016.12.2.77","url":null,"abstract":"The Dandy-Walker syndrome is a relatively rare congenital malformation occurring about one in 25,000-35,000 pregnancies. It is characterized by hydrocephalus, cystic dilatation of the fourth ventricle, complete or partial absence of the cerebellar vermis, and other various extra-CNS malformations. We report a dental caries treatment of a 4-year old girl with Dandy-Walker syndrome and partial trisomy 9q. The patient visited Seoul National University Dental Hospital due to multiple caries. The cause of multiple caries is mainly presumed as patient’s eating habit caused by her general condition. She was still using milk bottle because she was having difficulties swallowing solid food due to breathing problem while eating. The treatment was performed under general anesthesia considering patient’s condition; delayed develop-ment, very poor cooperation and respiratory problem. The dental procedure was successfully conducted and there were no postoperative complications. In consideration of her eating habit and oral hygiene problem, regular check appointment was recommended. [ J Korean Dis Oral Health Vol.12, No.2: 77-81, December 2016 ] Abstract","PeriodicalId":423303,"journal":{"name":"The Journal of Korea Assosiation for Disability and Oral Health","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129964232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Ryu, T. Shin, H. Hyun, Youngman Kim, Jung‐Wook Kim, Ki-Taeg Jang, Chong-Chul Kim, Sang-Hoon Lee
{"title":"DENTAL TREATMENT IN A PATIENT WITH METACHROMATIC LEUKODYSTROPHY UNDER GENERAL ANESTHESIA : A CASE REPORT","authors":"J. Ryu, T. Shin, H. Hyun, Youngman Kim, Jung‐Wook Kim, Ki-Taeg Jang, Chong-Chul Kim, Sang-Hoon Lee","doi":"10.12655/KADH.2016.12.2.96","DOIUrl":"https://doi.org/10.12655/KADH.2016.12.2.96","url":null,"abstract":"Metachromatic leukodystrophy (MLD) is a progressive and degenerative neurological disease caused by a deficiency of the catabolic enzyme arylsulfatase A. Deficiency of arylsulfatase A results in accumulation of sulfatide in the white matter of the peripheral and central nervous system and it occurs demyelination as a result. The patient gradually goes through mental and motor failure. General symptoms of MLD include gait disturbance, mental deterioration, muscle rigidity and impaired swallowing. Inheritance of the disease is autosomal recessive. We report a dental caries treatment of a 3-year old boy with MLD. The patient underwent hematopoietic stem cell transplantation (HSCT) to slow the progression of the disease. He was suffered from difficulties of mastication and swallowing from the degenerative neurological symptom. He was ingesting food by both oral feeding and tubal feeding after he took percutaneous endoscopic gastrostomy (PEG). The cause of multiple caries was mainly presumed as patient’s prolonged time of meal. The treatment was performed under general anesthesia considering patient’s incompliance. Severely af-fected lower primary molars were treated with pulp treatment and restored with stainless steel crown. Others were restored with composite resin. There were no postoperative complications. MLD is life threatening progressive disease and also has an impact on unfavorable condition for oral health. Routine home oral care and periodic professional dental care should be emphasized to the caregiver of patient considering the susceptibility of dental caries. Not only the medical care, but periodic dental office visit would benefit the quality of life of the patient. [ J Korean Dis Oral Health Vol.12, No.2: 96-100, December 2016 ]","PeriodicalId":423303,"journal":{"name":"The Journal of Korea Assosiation for Disability and Oral Health","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133815687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SUBSIDY ESTIMATION FOR INDUCING OPENING OF DENTAL HOSPITAL OR CLINIC FOR THE DISABLED","authors":"Changmok Song, H. Hyun, T. Shin, Young-Jae Kim","doi":"10.12655/KADH.2016.12.2.55","DOIUrl":"https://doi.org/10.12655/KADH.2016.12.2.55","url":null,"abstract":"The objective of this study was to estimate the proper amount of subsidy required to operating dental hospital or clinic for the disabled. Models for estimating operating profit of general dental hospital/clinic and op-portunity cost of operating dental hospital/clinic for the disabled was formulated. Data were collected from various sources such as the annual reports of Purme Hospital, one of the running dental hospitals for the disabled, statistics from Healthcare Bigdata Hub, operated by Health Insurance Review & Assessment Service of Korean Government, and the deliberation data of non-reimbursable treatments in Seoul Dental Hospital for the Disabled. A dental hospital/clinic for the disabled was less profitable than a general dental hospital/clinic, of which the reason is that the chair time for the average patient is longer. However, It was false that a dental hospital/clinic for the disabled scored less average insurance fee for a treatment. Disabled patients had more frequent prosthodontic treatments, which had a high average insurance fee. There were some groups of treatments that could yield higher profitability in a dental hospital/clinic for the disabled; re-call checks,","PeriodicalId":423303,"journal":{"name":"The Journal of Korea Assosiation for Disability and Oral Health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129704482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seon-Jae Heo, T. Shin, H. Hyun, Jung‐Wook Kim, Ki-Taeg Jang, Sang-Hoon Lee, Chong-Chul Kim, Young-Jae Kim
{"title":"TREATMENT OF AN IMMATURE, TRAUMATIZED PERMANENT TOOTH OF A PATIENT WITH CEREBRAL PALSY : A CASE REPORT","authors":"Seon-Jae Heo, T. Shin, H. Hyun, Jung‐Wook Kim, Ki-Taeg Jang, Sang-Hoon Lee, Chong-Chul Kim, Young-Jae Kim","doi":"10.12655/KADH.2016.12.2.72","DOIUrl":"https://doi.org/10.12655/KADH.2016.12.2.72","url":null,"abstract":"Traumatic dental injury (TDI) is a common problem in children and adolescent. The prevalence of dental trauma among children with disability as compared to healthy children. The TDI of an immature permanent tooth can lead to the loss of pulp vitality and arrested root development. Traditionally, the treatment of choice for necrotic immature tooth is apexification, which is induction of hard tissue barrier at the apex to produce more favorable conditions for conventional root canal filling. This case report describes the treatment of a necrotic immature permanent central incisor with complicated crown fracture. The patient had multiple disabilities (cerebral palsy, congenital heart disease, devel-opmental delay, and gait disturbance) and suffered from She was suffered from repetitive traumatic injury. Apexification and resin restoration was performed under general anesthesia, and favorable clinical results were achieved. [ J Korean Dis Oral Health Vol.12, No.2: 72-76, December 2016 ] Abstract","PeriodicalId":423303,"journal":{"name":"The Journal of Korea Assosiation for Disability and Oral Health","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133373936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dong-Hyon Kim, T. Shin, H. Hyun, Young-Jae Kim, Jung‐Wook Kim, Sang-Hoon Lee, Chong-Chul Kim, Ki-Taeg Jang
{"title":"PATTERN OF CHECK UP AND DENTAL MANAGEMENT OF SPECIAL CARE NEEDS PATIENTS ACCORDING TO TYPES OF DISABILITIES","authors":"Dong-Hyon Kim, T. Shin, H. Hyun, Young-Jae Kim, Jung‐Wook Kim, Sang-Hoon Lee, Chong-Chul Kim, Ki-Taeg Jang","doi":"10.12655/KADH.2016.12.2.50","DOIUrl":"https://doi.org/10.12655/KADH.2016.12.2.50","url":null,"abstract":"Regular dental visit of disabled patients is an important strategy for maintenance of oral health because of the lack of awareness of oral care. But there is limited information about follow up period in disabled patients after dental treatment. The aim of this study was to investigate the pattern of dental visit and dental management of special care needs patients according to the types of disabilities. A total of 140 patients who received dental treatment at Seoul National University Dental Hospital from 2010 to 2012 were reviewed. Patients were divided 3 groups according to the types of disabilities (disorder of external physical function, disorder of internal organ, psychic disability). Patient’s characteristic, dental treatment performed, follow up period and frequency were investigated. The mean follow up period was 28.2 months and average frequency of visit was 3.69 times per year. There was no difference in period and annual visit between 3 groups, but significantly difference in cooperation with medical hospital in affiliation. Regular check-up was the most common dental treatment in all groups. In psychic disorder group, the proportion of sedative treatment was significantly higher than other groups. The results of this study provide information necessary for treatment planning and dental management of disabled patients. [J Korean Dis Oral Health Vol.12, No.2: 50-54, December 2016]","PeriodicalId":423303,"journal":{"name":"The Journal of Korea Assosiation for Disability and Oral Health","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127447098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Ryu, T. Shin, H. Hyun, Youngman Kim, Jung‐Wook Kim, Ki-Taeg Jang, Chong-Chul Kim, Sang-Hoon Lee
{"title":"DENTAL TREATMENT IN A PATIENT WITH PIERRE ROBIN SYNDROME UNDER GENERAL ANESTHESIA : A CASE REPORT","authors":"J. Ryu, T. Shin, H. Hyun, Youngman Kim, Jung‐Wook Kim, Ki-Taeg Jang, Chong-Chul Kim, Sang-Hoon Lee","doi":"10.12655/KADH.2016.12.2.87","DOIUrl":"https://doi.org/10.12655/KADH.2016.12.2.87","url":null,"abstract":"Pierre Robin syndrome (PRS) is characterized by the triad of congenital mandibular hypoplasia, glossop-tosis and cleft palate. Infant PRS patients are frequently suffering from upper airway obstruction, gastroe-sophageal reflux and growth retardation caused by above mentioned problems. We report a dental caries treatment of 3-year old girl with Pierre Robin syndrome with multiple caries. The cause of multiple caries was mainly presumed as patient’s eating habit caused by her general condi-tion. She had some feeding problems and had history of gastric tube. She was still using milk bottle and took more than an hour to finish a meal. The treatment was performed under general anesthesia considering patient’s condition; mild autism, poor cooperation and respiratory problem due to micrognathia. Severely affected upper incisors were treated with pulp treatment and restored with zirconia crown for esthetic purpose. Lower incisors were treated with pulp treatment and restored with composite resin. Upper right first primary molar was restored with","PeriodicalId":423303,"journal":{"name":"The Journal of Korea Assosiation for Disability and Oral Health","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117066179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sung-Hee Park, T. Shin, H. Hyun, Young-Jae Kim, Jung‐Wook Kim, Sang-Hoon Lee, Chong-Chul Kim, Ki-Taeg Jang
{"title":"MESIODENS EXTRACTION OF A PATIENT WITH ROBINOW SYNDROME UNDER GENERAL ANESTHESIA","authors":"Sung-Hee Park, T. Shin, H. Hyun, Young-Jae Kim, Jung‐Wook Kim, Sang-Hoon Lee, Chong-Chul Kim, Ki-Taeg Jang","doi":"10.12655/KADH.2016.12.1.1","DOIUrl":"https://doi.org/10.12655/KADH.2016.12.1.1","url":null,"abstract":"Robinow syndrome is skeletal dysplasia with both autosomal dominant and recessive inheritance patterns. It is characterized by short-limbed dwarfism, abnormalities in the head and face, as well as vertebral segmentation. A 2-year-7-month old boy with Robinow syndrome had visited Seoul National University Dental Hospital, for the evaluation of tooth palatal eruption on maxilla. He had micrognathia, delayed tooth eruption, cleft lip with bifid uvula. He also had an erupted mesiodens on the palatal side of maxillary primary incisors, which was tuberculated and 8mm in major diameter. The patient was scheduled for mesiodens extraction under general anesthesia. He was a young child with delayed development, so general anesthesia was inevitable. General anesthesia was induced and maintained with inhalation agent, Sevoflurane. There were no postoperative complications related to anesthesia and dental treatment. Robinow syndrome patients have craniofacial dysmorphism and eruption disorders. Therefore, he requires regular check-ups as well as dental managements. [J Korean Dis Oral Health Vol.12, No.1: 1-5, June 2016]","PeriodicalId":423303,"journal":{"name":"The Journal of Korea Assosiation for Disability and Oral Health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129792954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}