Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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A CLINICAL STUDY ON THE CARE OF ODONTOGENIC INFECTIONS IN THE ADMISSION PATIENTS WITH AGE-RELELATED GERIATRIC DISEASES

노인성 전신질환 입원환자에서 치성감염 관리에 관한 임상적 연구

  • Yoo, Jae-Ha (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital)) ;
  • Choi, Byung-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital)) ;
  • Han, Sang-Kwon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital)) ;
  • Chung, Won-Gyun (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Noh, Hie-Jin (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Jang, Sun-Ok (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Kim, Jong-Bae (Department of Dentistry, Dong San Medical Center, College of Medicine, Keimyung University) ;
  • Nam, Ki-Young (Department of Dentistry, Dong San Medical Center, College of Medicine, Keimyung University) ;
  • Chung, Jae-Hyung (Department of Dentistry (Oral and Maxillofacial Surgery), Ilsan Hospital, National Health Insurance Corporation) ;
  • Kim, Byung-Wook (Department of Dentistry (Oral and Maxillofacial Surgery), Ilsan Hospital, National Health Insurance Corporation)
  • 유재하 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 최병호 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 한상권 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
  • 정원균 (연세대학교 원주의과대학 치위생학과) ;
  • 노희진 (연세대학교 원주의과대학 치위생학과) ;
  • 장선옥 (연세대학교 원주의과대학 치위생학과) ;
  • 김종배 (계명대학교 의과대학 동산의료원 치과학교실) ;
  • 남기영 (계명대학교 의과대학 동산의료원 치과학교실) ;
  • 정재형 (국립 의료보험 관리공단 일산병원 치과(구강악안면외과)) ;
  • 김병욱 (국립 의료보험 관리공단 일산병원 치과(구강악안면외과))
  • Published : 2004.10.30
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Abstract

This is a reprospective study on the care of odontogenic infections in admission patients with geriatric diseases. The study was based on a series of 480 patients at Dong San Medical Center, Wonju Christian Hospital and Il San Health Insurance Hospital, From Jan. 1, 2000, to Dec. 31, 2002. The Obtained results were as follows: 1. The systemic malignant tumor was the most frequent cause of the geriatric diseases with odontogenic infectious diseases, and refractory lung disease, systemic heart disease, type II diabetes mellitus, cerebrovascular disease, bone & joint disease, senile psychologic disease were next in order of frequency. 2. Male prediction(57.5%) was existed in the odontogenic infectious patients with geriatric diseases. But, there were female prediction in senile psychologic disease, systemic heart disease and cerebrovascular disease. 3. The most common age group of the odontogenic infectious patient with geriatric disease was the sixty decade(47.9%), followed by the seventy & eighty decade in order. 4. In the contents of chief complaints on the odontogenic infectious patients with geriatric disease, peak incidence was occurred as toothache(52.7%), followed by extraction wish, tooth mobility, oral bleeding, oral ulcer, fracture of restoration, gingival swelling in order. 5. In the diagnosis group of odontogenic infectious diseases, periodontitis, pulpitis & periapical abscess were more common. 6. In the treatment group of odontogenic infectious diseases, the most frequent incidence(34.2%) was showed in primary endodontic treatment (pulp extirpation, occlusal reduction and canal opening drainage) and followed by scaling, incision & drainage, only drugs, pulp capping, restoration in order.

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References

  1. Barnes G, Tollefsbol R, Parker W, Nelson J: Care needs of elderly treated at a dental school. Gerodontics 1986;5:129-143 https://doi.org/10.1111/j.1741-2358.1986.tb00060.x
  2. Little JW and Falace DA: Dental management of the medically compromised patient, 6th ed. St Louis, CV Mosby. 2002, P526-540
  3. Rose LF and Kaye D: Internal medicine for dentistry. St Louis, CV Mosby. 1983, P15-199
  4. Berkey DB, Shay K: General dental care for the elderly. Clin Geriatr Med 1992;8:579-585
  5. Zambito RF, Black HA, Tesch LB: Hospital dentistry, practice and education. St Louis, CV Mosby. 1997, P66-87
  6. Thornton JB and Wright JT: Special and medically compromised patients in dentistry. Littleton, PSG Publishing Co. 1989, P49-62
  7. Brandstetter RD, Kazemi H : Aging and the respiratory system. Med Clin N Am 1983;67:419-425 https://doi.org/10.1016/S0025-7125(16)31212-3
  8. Harris R: Cardiovascular diseases in the elderly. Med Clin N Am 1983;67:379-385 https://doi.org/10.1016/S0025-7125(16)31210-X
  9. Scoggins CH: The cellular basis of aging. West J Med 1981;135:521-526
  10. Shafer WG, Hine MK, Levy BM and Tomich CE: A textbook of oral pathology, 4th ed. Philadelphia, WB Saunders. 1983, P719-759
  11. Ambjonsen E: Remaining teeth, periodontal condition, oral hygiene and tooth cleaning habits in dentate old-age subjects. J Clin Periodontol 1986;13:583-589 https://doi.org/10.1111/j.1600-051X.1986.tb00851.x
  12. Beck J, Hunt R, Hand J, and Field H: Prevalence of root and coronal caries in noninstitutionalized older population. J Am Dent Assoc 1985;111:964-967 https://doi.org/10.14219/jada.archive.1985.0242
  13. Mount GJ: Clinical considerations in the prevention and restoration of root surface caries. Am J Dent 1988;1:163-168
  14. Page RC: Periodontal disease in the elderly: a critical evaluation of current information. Gerodontol 1984;3:63-70 https://doi.org/10.1111/j.1741-2358.1984.tb00354.x
  15. 김진복, 김춘규, 이용각, 장선택: 최신외과학. 서울, 일조각. 1987,P21-33
  16. Laskin DM: Oral and maxillofacial surgery, Vol Ⅰ. St Louis, CV Mosby. 1985, P326-345
  17. Peterson LJ, Ellis III E, Hupp JR and Tucker MR: Contemporary oral and maxillofacial surgery. St Louis, CV Mosby. 1988, P13-45
  18. Sabiston DC: Textbook of surgery, 13th ed. Philadelphia, WB Saunders. 1986, P23-27
  19. Ettinger R: Clinical decision making in the dental treatment of the elderly. Gerodontol 1984;3:157-165 https://doi.org/10.1111/j.1741-2358.1984.tb00367.x
  20. Mekin LH, Mason LD: Problems in oral health care financing for the elderly. Clin Geriatr Med 1992;8:685-690
  21. Pfeiffer E: Psychotherapy of the elderly. Nat Assoc Priv Psychiatr Hosp J 1978;10:41-46
  22. Baum BJ: Current research on aging and oral health. Spec Care Dent 1981;1:105-109 https://doi.org/10.1111/j.1754-4505.1981.tb01597.x
  23. Brody JA, Schneider EL: Diseases and disorders of aging. J Chronic Dis 1986;39:871-877 https://doi.org/10.1016/0021-9681(86)90035-4
  24. Landis SH: Cancer statistics. CA Cancer J Clin 1998;48:6-29 https://doi.org/10.3322/canjclin.48.1.6
  25. Gambucci JR, Mastens LV, Meskin LH: Dental care utilization patterns of older adults. Gerodontics 1986;2:11-16
  26. Lloyd PM, Shay K: Dental pain in the elderly. J Am Aging Assoc 1987;10:70-80
  27. Thomas J, Lloyd P, and Gambert S: Utilization of a dental consultation service. Geronitologist 1983;23:117-122 https://doi.org/10.1093/geront/23.2.117
  28. Roitt IM and Lehner T: Immunology of oral disease, 2nd ed. Edinburgh, Blackwell Scientific Publications. 1983, P279-304
  29. Topazian RG and Goldburg MH: Management of infections of the oral and maxillofacial regions. Philadelphia, WB Saunders. 1981, P1-89, P329-350
  30. Misch CE: Contemporary implant dentistry. St Louis, CV Mosby. 1993, P51-62
  31. Makinodan T, Kay MB: Age influence on the immune system. Adv Immunol 1980;29:287-330 https://doi.org/10.1016/S0065-2776(08)60047-4
  32. Saltzman RL, Peterson PK: Immunodeficiency of the elderly. Rev Infect Dis 1987;9:1127-1139 https://doi.org/10.1093/clinids/9.6.1127
  33. Schneider EL: Infectious diseases in the elderly. Ann Intern Med 1983;98:395-400 https://doi.org/10.7326/0003-4819-98-3-395
  34. Singh J, Singh AK: Age related changes in human thymus. Clin Exp Immunol 1979;37:507-511
  35. Niesson LC, Jones JA: Oral Health and the patient with dementia. Spec Care Dent 1986;7:36-38
  36. Small GW, Liston EH, Jarvick LF: Diagnosis and treatment of dementia in the aged. West J Med 1981;135:469-481
  37. Goldstein MK: Ethical care of the elderly: pitfalls and principles. Geriatrics 1989;44:101-106
  38. Conley JJ: Complications of head and neck surgery. Philadelphia, WB Saunders. 1979, P99-123
  39. Bennett CR: Monheim’s local anesthesia and pain control in dental practice, 7th ed. St. Louis, CV Mosby. 1984, P211-266
  40. Malamed SF: Medical emergencies in the dental office. St. Louis, CV Mosby. 1993, P10-49
  41. 황준식 외 15인 : 스트레스 과학의 이해(대한심신스트레스학회편). 서울, 신광출판사. 1997, P11-67
  42. 김규식 외 29인 : 치과국소마취학, 제2판. 지성출판사. 1984, P141-184
  43. Kaban LB, Pogrel MA and Perrott DH: Complications in oral and maxillofacial surgery. Philadelphia, WB Saunders. 1997, P121-163
  44. Rutkauskas JS: Practical considerations in special patient care. Dent Clin Nor Am 1994;38: 499-536
  45. 임성삼 : 임상근관치료학. 서울, 도서출판 의치학사. 1994, P1-15
  46. Grossman LI : Endodontic practice, 8th ed. Philadelphia, Lea & Feiger. 1974, P151-168