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Response to the letter regarding prolotherapy in temporomandibular disorders.
IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-28 DOI: 10.5125/jkaoms.2025.51.1.69
Jeong-Kui Ku
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引用次数: 0
Retrospective analysis of characteristics of patients presenting to the emergency room following dental treatment. 牙科治疗后急诊患者特征的回顾性分析。
IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-31 DOI: 10.5125/jkaoms.2024.50.6.326
Ji-Young Hwang, Jihye Ryu, Chiho Moon, Jae-Yeol Lee

Objectives: This study is a retrospective analysis of patients who visited the emergency room (ER) following dental treatment over a period of 3 years, with the aim to enhance the understanding of emergency situations that may arise after dental procedures and to develop appropriate postoperative management and emergency care methods.

Patients and methods: A total of 796 emergency patients whose visits were attributed to dental procedures, of 4,241 patients who visited the ER at Pusan National University Yangsan Hospital from January 2021 to January 2024, was included in the study. Patients were categorized based on the reason for visit into bleeding, inflammation, and other categories. Analysis was conducted on variables such as types of dental treatment, underlying conditions, and emergency treatment methods using ER records.

Results: Among the 796 patients, 68.4% (539 patients) were in the bleeding group, 27.7% (219 patients) in the inflammation group, and 4.8% (38 patients) in the other complications group. Among the bleeding group, there were no associations between postoperative bleeding and systemic diseases, antithrombotic medications, or dental treatments. In 36.2% of cases, compression hemostasis alone was sufficient to resolve the bleeding. In the inflammation group, 29% of the cases required extraoral incision and drainage as emergency treatment, while 53% of the cases required subsequent hospitalization. Factors associated with hospitalization included underlying diseases (especially diabetes mellitus), procedures on mandibular teeth (especially third molars), and age older than 30 years.

Conclusion: Ensuring adequate hemostasis after dental procedures is essential regardless of the patient's underlying medical conditions. Dentists must also educate patients on pressure hemostasis techniques. Patients with underlying medical conditions, such as diabetes, have a higher possibility of requiring hospitalization if inflammation occurs. Therefore, preventive measures against inflammation should be implemented in these patients.

目的:本研究回顾性分析3年来牙科治疗后就诊急诊室的患者,旨在提高对牙科手术后可能出现的紧急情况的认识,并制定适当的术后管理和紧急护理方法。对象和方法:从2021年1月到2024年1月,在釜山大学梁山医院急诊室就诊的4241名患者中,共有796名牙科急诊患者被纳入研究对象。根据就诊原因将患者分为出血、炎症和其他类别。利用急诊记录对牙科治疗类型、基础条件和急诊治疗方法等变量进行分析。结果:796例患者中,出血组占68.4%(539例),炎症组占27.7%(219例),其他并发症组占4.8%(38例)。在出血组中,术后出血与全身性疾病、抗血栓药物或牙科治疗之间没有关联。在36.2%的病例中,单纯压迫止血足以解决出血。在炎症组中,29%的病例需要口外切开引流作为紧急治疗,53%的病例需要后续住院治疗。与住院相关的因素包括基础疾病(尤其是糖尿病)、下颌骨(尤其是第三磨牙)手术和年龄大于30岁。结论:无论患者的潜在医疗条件如何,确保牙科手术后充分止血是必不可少的。牙医也必须教育病人压力止血技术。有潜在疾病的患者,如糖尿病,如果发生炎症,需要住院治疗的可能性更高。因此,这些患者应采取预防炎症的措施。
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引用次数: 0
Trends and perspectives in minimally invasive surgery in oral and maxillofacial surgery. 口腔颌面外科微创手术的趋势和前景。
IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-31 DOI: 10.5125/jkaoms.2024.50.6.307
Joo-Young Park
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引用次数: 0
Chimeric anterolateral thigh flap for reconstruction of complex defects in oral cancer: a report of three cases. 嵌合大腿前外侧皮瓣用于口腔癌复杂缺损的重建:三例病例报告。
IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-31 DOI: 10.5125/jkaoms.2024.50.6.361
Hyo-Sik Kim, Kang-Min Ahn, Jee-Ho Lee

It is crucial to reconstruct extensive soft tissue defects following oral cancer resection to restore both function and aesthetics. Single anterolateral thigh flaps may not suffice for large defects. This report highlights the use of chimeric flaps, which feature multiple paddles with individual perforators, to reconstruct large intraoral and extraoral defects, adapting to wide defects, and covering areas with extensive tissue damage. This case series demonstrates the adaptability and effectiveness of chimeric flaps, demonstrating them to be a superior option for satisfactory healing and functional outcomes in reconstruction of complex defects.

口腔癌切除后广泛软组织缺损的重建是恢复功能和美观的关键。单个大腿前外侧皮瓣可能不足以修复较大的缺损。本报告强调了嵌合皮瓣的使用,其特点是具有多个桨和单个穿支,用于重建大的口内和口外缺陷,适应广泛的缺陷,并覆盖广泛的组织损伤区域。本病例系列证明了嵌合皮瓣的适应性和有效性,证明了它们在复杂缺损重建中是令人满意的愈合和功能结果的优越选择。
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引用次数: 0
Delayed inflammation after biodegradable and osteoconductive osteofixation in orthognathic surgery. 正颌手术中生物可降解和骨传导固定后的迟发性炎症。
IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-31 DOI: 10.5125/jkaoms.2024.50.6.350
Young-Wook Park

Objectives: This study aims to identify patterns and to describe the clinical course of delayed adverse tissue responses in patients who underwent orthognathic osteotomy with biodegradable osteofixation.

Patients and methods: Through a retrospective review of cases between 2013 and 2020, we identified three patients who underwent bimaxillary osteotomy and fixation with unsintered-hydroxyapatite/poly-L lactic acid (u-HA/PLLA) devices, after which they developed delayed inflammation. These lesions were treated with drainage and/or removal of the devices. Histological evaluations were conducted using H&E staining, and structural changes in the u-HA/PLLA devices were assessed by scanning electron microscopy (SEM).

Results: Inflammatory lesions developed only in the mandible, with onset ranging from 12 to 35 months postoperation. Histological studies identified foreign-body granulomas or secondarily infected lesions. SEM analysis indicated biodegradation and tissue integration.

Conclusion: Orthognathic patients treated using u-HA/PLLA devices should be informed about the potential for delayed inflammation and monitored for at least 3 years.

目的:本研究旨在确定模式,并描述延迟不良组织反应的临床过程,患者接受正颌截骨与生物可降解的骨固定。患者和方法:通过对2013年至2020年病例的回顾性分析,我们确定了3例接受双腋截骨和未烧结羟基磷灰石/聚l乳酸(u-HA/PLLA)装置固定的患者,之后他们发生了延迟性炎症。这些病变通过引流和/或移除装置进行治疗。H&E染色进行组织学评价,扫描电镜(SEM)观察u-HA/PLLA器件的结构变化。结果:炎性病变仅发生在下颌骨,发病时间为术后12至35个月。组织学检查发现异物肉芽肿或继发感染病变。扫描电镜分析表明其具有生物降解和组织整合作用。结论:使用u-HA/PLLA装置治疗的正颌患者应被告知延迟炎症的可能性,并至少监测3年。
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引用次数: 0
Pedicle ossification following mandibular reconstruction using fibular free flap in a patient with osteoradionecrosis of the jaw: a case report. 应用游离腓骨瓣重建下颌骨骨蒂骨化治疗颌骨放射性骨坏死1例。
IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-31 DOI: 10.5125/jkaoms.2024.50.6.356
Jae Hee Ko, Min-Gyeong Kim, Sung Min Kim, Ui Hyun Kong, Sang Hyun Park, Da Woon Kwack, Joo-Yong Park, Jong-Ho Lee, Sung Weon Choi

Pedicle ossification is a rare but significant complication following mandibular reconstruction using a fibular free flap (FFF), a technique widely employed in maxillofacial surgery due to its reliable vascularized bone supply and low donor site morbidity. The FFF supports dental implantation and prosthetic rehabilitation, with its vascularized periosteum enhancing osteogenic potential. Despite these advantages, unexpected ossification of the flap's vascular pedicle may occur, potentially mimicking tumor recurrence and causing diagnostic uncertainty. This case report describes a 38-year-old male with left buccal squamous cell carcinoma treated by wide excision, modified radical neck dissection, and reconstruction using a radial forearm free flap. Postoperative radiotherapy led to complications including trismus and alveolar bone exposure, culminating in a pathological mandibular fracture. Mandibular reconstruction was performed using an FFF. Over 4 years of follow-up, computed tomography revealed ossification within the vascular pedicle. Notably, the patient remained asymptomatic, maintaining normal speech and swallowing without functional impairment. Pedicle ossification may present radiographically as a suspicious bony change misinterpreted as tumor recurrence. Routine follow-up imaging such as computed tomography is essential for differentiation. Although trismus, bony swelling, or pain may occur, surgical intervention is typically deferred unless symptoms develop. Therefore, careful clinical assessment and monitoring remain crucial.

蒂骨化是使用游离腓骨瓣(FFF)重建下颌骨的一种罕见但重要的并发症,该技术因其可靠的血管化骨供应和低供区发病率而广泛应用于颌面外科手术。FFF支持牙种植和假肢康复,其血管化骨膜增强成骨潜能。尽管有这些优点,皮瓣的血管蒂可能会发生意外骨化,潜在地模仿肿瘤复发并引起诊断的不确定性。这个病例报告描述了一个38岁的男性左颊鳞状细胞癌的治疗,广泛切除,改良根治性颈部清扫,重建桡骨前臂游离皮瓣。术后放疗导致并发症,包括牙关和牙槽骨暴露,最终导致病理性下颌骨骨折。使用FFF进行下颌重建。在4年的随访中,计算机断层扫描显示血管蒂骨化。值得注意的是,患者仍然无症状,保持正常的语言和吞咽,没有功能障碍。椎弓根骨化可能在影像学上表现为可疑的骨改变,被误解为肿瘤复发。常规随访成像如计算机断层扫描是鉴别的必要条件。虽然可能发生牙关紧闭、骨肿胀或疼痛,但除非出现症状,否则通常不进行手术干预。因此,仔细的临床评估和监测仍然至关重要。
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引用次数: 0
Current options in jaw and facial reconstructions. 目前颌骨和面部重建的选择。
IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-31 DOI: 10.5125/jkaoms.2024.50.6.309
Soung Min Kim, Jong Ho Lee

In recent years, many advances have been made in surgical fields of oral and maxillofacial reconstruction, and the variety and complexity of available surgical approaches consider different functionalities of the jaw and the aesthetics of the face. There is no validated or scientifically proven basis for deciding which flap to use for reconstruction, so decisions are often made based on the direct and indirect experiential knowledge of the reconstructive surgeon. Considering the modified ladder, elevator, and pie reconstructive options, their risk and donor morbidity, and their long-term outcomes, the simplest option that will achieve the best long-term outcome in terms of form and function and with the lowest donor morbidity should be chosen for the patient's health and social welfare. This manuscript summarizes current options for jaw and facial reconstruction and their limitations by offering updated guidelines for various defect conditions.

近年来,口腔颌面重建的外科领域取得了许多进展,手术方法的多样性和复杂性考虑了颌骨的不同功能和面部的美学。没有有效的或科学证明的依据来决定使用哪个皮瓣进行重建,因此决定通常是基于重建外科医生的直接或间接经验知识。考虑到改良的阶梯式、升降机式和饼式重建方案,它们的风险和供体发病率,以及它们的长期结果,为了患者的健康和社会福利,应该选择在形式和功能方面能达到最佳长期结果的最简单的方案,并且供体发病率最低。这篇手稿总结了当前颌骨和面部重建的选择及其局限性,提供了各种缺陷条件的更新指南。
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引用次数: 0
Long-term clinical study of fixed prosthetic rehabilitation using one-piece narrow-diameter implants: a retrospective study. 单件式窄径种植体固定义肢康复的长期临床研究:回顾性研究。
IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-31 DOI: 10.5125/jkaoms.2024.50.6.343
Jong-Hee Kim, Jung Hyun Nam, Na-Hee Chang, Yang-Jin Yi

Objectives: The objective of this study was to evaluate the long-term clinical outcomes of one-piece narrow-diameter implants (NDIs), with diameters of 2.5 mm and 3.0 mm, and to investigate the factors that affect marginal bone loss (MBL) around these implants.

Materials and methods: This study analyzed patients who were treated with 2.5 mm and 3.0 mm MS SA narrow ridge implants (Osstem Implant) at the Section of Dentistry in Seoul National University Bundang Hospital from 2007 to 2022 and had more than 6 years of follow-up data. MBL was measured using periapical radiographs. Age, sex, implant location, timing of implant placement and loading, placement depth, guided bone regeneration (GBR), fixture diameter, type of implant prosthesis, and opposing dentition type were investigated in relation to MBL. The implant survival rate was analyzed using Kaplan-Meier survival curves, and univariate and multivariate logistic regression models were used to identify factors associated with MBL. All analyses were conducted using R software (version 4.1.0 for Microsoft Windows; R Foundation).

Results: Twenty-five patients with 40 NDIs were included in this study. The mean observation period after implant function was 10.5 years (range, 6.1 to 14.0 years), and the survival rate of the NDIs was 95.1% at the implant level and 96.0% at the patient level. The average amount of MBL was 0.44±0.57 mm. The only factor that showed a significant association with MBL was the presence of GBR (P=0.046).

Conclusion: Within the limitations of a retrospective evaluation, NDIs have demonstrated optimal clinical outcomes over a long period in areas in which anatomical structures are limited. MBL around the NDI also showed clinically acceptable results, and a correlation with MBL was observed in cases in which a bone graft was performed. Further studies with a larger number of implants over extended periods are needed in the future.

目的:本研究的目的是评估直径为2.5 mm和3.0 mm的一件式窄径种植体(ndi)的长期临床效果,并探讨影响种植体周围边缘骨丢失(MBL)的因素。材料与方法:本研究分析了2007年至2022年在首尔大学盆唐医院牙科科接受2.5 mm和3.0 mm MS SA窄嵴种植体(Osstem Implant)治疗的患者,并进行了6年多的随访资料。MBL采用根尖周围x线片测量。研究了年龄、性别、种植体位置、种植体放置和负载的时间、放置深度、引导骨再生(GBR)、固定装置直径、种植体假体类型和对牙列类型与MBL的关系。采用Kaplan-Meier生存曲线分析种植体存活率,并采用单因素和多因素logistic回归模型确定与MBL相关的因素。所有分析均使用R软件(Microsoft Windows版本4.1.0;R基金会)。结果:本研究纳入25例40例ndi患者。种植体功能恢复后的平均观察期为10.5年(6.1 ~ 14.0年),ndi在种植体水平上的生存率为95.1%,在患者水平上的生存率为96.0%。MBL平均为0.44±0.57 mm。唯一显示与MBL显著相关的因素是GBR的存在(P=0.046)。结论:在回顾性评估的限制下,ndi在解剖结构受限的区域长期表现出最佳的临床结果。NDI周围的MBL也显示出临床可接受的结果,并且在进行骨移植的病例中观察到与MBL的相关性。未来需要更多的植入物和更长时间的进一步研究。
{"title":"Long-term clinical study of fixed prosthetic rehabilitation using one-piece narrow-diameter implants: a retrospective study.","authors":"Jong-Hee Kim, Jung Hyun Nam, Na-Hee Chang, Yang-Jin Yi","doi":"10.5125/jkaoms.2024.50.6.343","DOIUrl":"https://doi.org/10.5125/jkaoms.2024.50.6.343","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to evaluate the long-term clinical outcomes of one-piece narrow-diameter implants (NDIs), with diameters of 2.5 mm and 3.0 mm, and to investigate the factors that affect marginal bone loss (MBL) around these implants.</p><p><strong>Materials and methods: </strong>This study analyzed patients who were treated with 2.5 mm and 3.0 mm MS SA narrow ridge implants (Osstem Implant) at the Section of Dentistry in Seoul National University Bundang Hospital from 2007 to 2022 and had more than 6 years of follow-up data. MBL was measured using periapical radiographs. Age, sex, implant location, timing of implant placement and loading, placement depth, guided bone regeneration (GBR), fixture diameter, type of implant prosthesis, and opposing dentition type were investigated in relation to MBL. The implant survival rate was analyzed using Kaplan-Meier survival curves, and univariate and multivariate logistic regression models were used to identify factors associated with MBL. All analyses were conducted using R software (version 4.1.0 for Microsoft Windows; R Foundation).</p><p><strong>Results: </strong>Twenty-five patients with 40 NDIs were included in this study. The mean observation period after implant function was 10.5 years (range, 6.1 to 14.0 years), and the survival rate of the NDIs was 95.1% at the implant level and 96.0% at the patient level. The average amount of MBL was 0.44±0.57 mm. The only factor that showed a significant association with MBL was the presence of GBR (<i>P</i>=0.046).</p><p><strong>Conclusion: </strong>Within the limitations of a retrospective evaluation, NDIs have demonstrated optimal clinical outcomes over a long period in areas in which anatomical structures are limited. MBL around the NDI also showed clinically acceptable results, and a correlation with MBL was observed in cases in which a bone graft was performed. Further studies with a larger number of implants over extended periods are needed in the future.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"50 6","pages":"343-349"},"PeriodicalIF":0.9,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916269","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}
引用次数: 0
Surgical extraction of a sublingually-displaced retained root with the aid of a magnetic field-based dynamic navigation system: a case study. 基于磁场的动态导航系统辅助下舌下移位保留根的外科拔牙:一个案例研究。
IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-31 DOI: 10.5125/jkaoms.2024.50.6.367
Yoo-Sung Nam, Seung-Eun Lee, Sung-Ah Che, Sang-Yoon Park, Soo-Hwan Byun, Byoung-Eun Yang, Sangmin Yi

The submandibular displacement of a mandibular third molar residual root presents major challenges to oral and maxillofacial surgeons due to the proximity to critical anatomical structures such as the lingual nerve and sublingual artery. Preoperative imaging can approximate the location of the residual tooth root; however, accurately determining its exact position is difficult because of the dynamic nature of the mandible and the difficulty of real-time synchronization of imaging. This study presents the successful extraction of a residual mandibular third molar root in a 67-year-old female patient achieved using a magnetic field-based navigation system. The sublingually-displaced residual root was localized using the navigation system, marked using a virtual implant placement, and positioned by a hand piece using synchronized real-time sensor data. The root was successfully removed with a minimally-invasive approach. No complications occurred postoperatively, and follow-up showed no major issues. Due to the small size of the marker, ease of calibration, and independence from visual obstacles, magnetic field-based navigation systems are a promising tool for the removal of residual roots displaced into adjacent soft tissue.

下颌第三磨牙残根的下颌下移位是口腔颌面外科医生面临的主要挑战,因为它靠近关键的解剖结构,如舌神经和舌下动脉。术前影像学检查可大致确定残牙根的位置;然而,由于下颌骨的动态特性和成像的实时同步困难,准确确定其确切位置是困难的。本研究介绍了一名67岁女性患者使用基于磁场的导航系统成功拔出下颌第三磨牙根。使用导航系统定位舌下移位的残余根,使用虚拟种植体放置标记,并使用同步实时传感器数据通过手片定位。采用微创方法成功拔除牙根。术后无并发症发生,随访无大问题。由于标记的尺寸小,易于校准,并且不受视觉障碍的影响,基于磁场的导航系统是一种很有前途的工具,用于去除移位到邻近软组织中的残留根。
{"title":"Surgical extraction of a sublingually-displaced retained root with the aid of a magnetic field-based dynamic navigation system: a case study.","authors":"Yoo-Sung Nam, Seung-Eun Lee, Sung-Ah Che, Sang-Yoon Park, Soo-Hwan Byun, Byoung-Eun Yang, Sangmin Yi","doi":"10.5125/jkaoms.2024.50.6.367","DOIUrl":"https://doi.org/10.5125/jkaoms.2024.50.6.367","url":null,"abstract":"<p><p>The submandibular displacement of a mandibular third molar residual root presents major challenges to oral and maxillofacial surgeons due to the proximity to critical anatomical structures such as the lingual nerve and sublingual artery. Preoperative imaging can approximate the location of the residual tooth root; however, accurately determining its exact position is difficult because of the dynamic nature of the mandible and the difficulty of real-time synchronization of imaging. This study presents the successful extraction of a residual mandibular third molar root in a 67-year-old female patient achieved using a magnetic field-based navigation system. The sublingually-displaced residual root was localized using the navigation system, marked using a virtual implant placement, and positioned by a hand piece using synchronized real-time sensor data. The root was successfully removed with a minimally-invasive approach. No complications occurred postoperatively, and follow-up showed no major issues. Due to the small size of the marker, ease of calibration, and independence from visual obstacles, magnetic field-based navigation systems are a promising tool for the removal of residual roots displaced into adjacent soft tissue.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"50 6","pages":"367-372"},"PeriodicalIF":0.9,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916288","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}
引用次数: 0
Assessment of oral health status in intensive care unit patients using quantitative light-induced fluorescence: a multicenter cross-sectional study. 定量光诱导荧光评估重症监护病房患者口腔健康状况:一项多中心横断面研究
IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-31 DOI: 10.5125/jkaoms.2024.50.6.333
Yesel Kim, Mi-Kyoung Jun

Objectives: The aim of this study was to evaluate oral hygiene using quantitative light-induced fluorescence (QLF) and to compare its results with those of oral examination to determine the applicability of QLF technology for assessing oral health status and oral hygiene in intensive care unit (ICU) patients.

Materials and methods: We analyzed oral health status, oral examination findings, oral hygiene evaluations using QLF technology, and dry mouth in a sample of 70 hospitalized ICU patients. The relationship between oral hygiene assessments using QLF technology and oral examinations was analyzed using Pearson correlation coefficients.

Results: The average participant age was 62.16 years, and the average ICU hospitalization period was 144.94 days. Oral hygiene assessments based on QLF and examination showed a significant positive correlation with the red fluorescence intensity of oral biofilm and number of teeth requiring extraction.

Conclusion: Oral hygiene evaluations of hospitalized ICU patients using QLF technology were confirmed and classified based on the red fluorescence intensity of oral biofilm. Increases in red fluorescence intensity and distribution area were correlated with the number of teeth requiring extraction.

目的:应用定量光诱导荧光(QLF)技术评价口腔卫生状况,并将其与口腔检查结果进行比较,以确定QLF技术在重症监护病房(ICU)患者口腔健康状况和口腔卫生评估中的适用性。材料与方法:我们分析了70例ICU住院患者的口腔健康状况、口腔检查结果、QLF口腔卫生评价和口干情况。采用Pearson相关系数分析QLF技术口腔卫生评价与口腔检查的关系。结果:患者平均年龄62.16岁,平均ICU住院时间144.94天。基于QLF和口腔检查的口腔卫生评价与口腔生物膜的红色荧光强度和需要拔牙的牙数呈显著正相关。结论:应用QLF技术对ICU住院患者进行口腔卫生评价,可根据口腔生物膜的红色荧光强度进行确认和分类。红色荧光强度和分布面积的增加与需要拔牙的数量有关。
{"title":"Assessment of oral health status in intensive care unit patients using quantitative light-induced fluorescence: a multicenter cross-sectional study.","authors":"Yesel Kim, Mi-Kyoung Jun","doi":"10.5125/jkaoms.2024.50.6.333","DOIUrl":"https://doi.org/10.5125/jkaoms.2024.50.6.333","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to evaluate oral hygiene using quantitative light-induced fluorescence (QLF) and to compare its results with those of oral examination to determine the applicability of QLF technology for assessing oral health status and oral hygiene in intensive care unit (ICU) patients.</p><p><strong>Materials and methods: </strong>We analyzed oral health status, oral examination findings, oral hygiene evaluations using QLF technology, and dry mouth in a sample of 70 hospitalized ICU patients. The relationship between oral hygiene assessments using QLF technology and oral examinations was analyzed using Pearson correlation coefficients.</p><p><strong>Results: </strong>The average participant age was 62.16 years, and the average ICU hospitalization period was 144.94 days. Oral hygiene assessments based on QLF and examination showed a significant positive correlation with the red fluorescence intensity of oral biofilm and number of teeth requiring extraction.</p><p><strong>Conclusion: </strong>Oral hygiene evaluations of hospitalized ICU patients using QLF technology were confirmed and classified based on the red fluorescence intensity of oral biofilm. Increases in red fluorescence intensity and distribution area were correlated with the number of teeth requiring extraction.</p>","PeriodicalId":51711,"journal":{"name":"Journal of the Korean Association of Oral and Maxillofacial Surgeons","volume":"50 6","pages":"333-342"},"PeriodicalIF":0.9,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916168","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}
引用次数: 0
期刊
Journal of the Korean Association of Oral and Maxillofacial Surgeons
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