수면과 치의학
Sleep and Dentistry
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초록
이상에서 살펴본 바와 같이 수면과 치의학은 매우 밀접한 관계에 있으며, 치과수면의학의 관심 분야가 점차 확장되고 있음을 알 수 있다. 또한 구강안면통증, 수면이갈이, 폐쇄성 수면무호흡증의 인식과 관리에 있어서 치과의사의 역할이 더욱 확대되고 중요해지고 있음이 명백해졌다. 따라서 치과 의사들은 여러 가지 치과수면장애가 개인의 전반적인 건강 과 삶의 질에 심각한 결과를 초래할 수 있다는 점을 염두에 두고 치과수면장애의 해결을 위해서 보다 적극적인 노력을 기울일 필요가 있다고 생각한다. 이를 위해서 치과대학 교 육과정에 치과수면의학을 필수 교과목에 포함시켜야 하고, 치과수면의학에 대한 졸업 후 훈련과정과 치과수면의학 전문가 자격인정제도의 도입이 필요할 것으로 생각한다. 그러나 치과수면의학이 발전하기 위해서는 무엇보다도 치과수면의학에 접근하는 치과의사의 마음가짐이 중요하다고 본다. 즉, 코골이나 폐쇄성 수면무호흡증에 대한 구강 장치요법을 사용하려는 치과의사는 단순히 장치 제작 방법 과 사용법을 익히려고 하지 말고, 수면생리와 수면장애의 전반적인 내용을 이해하고, 수면과 관련된 구강 질병이나 장애를 진단하고 치료하는 의료인으로서의 역할을 더 중요 시 여기는 자세가 필요할 것 같다. 특히 수면은 인간생활의 모든 부분에 영향을 미치고 수면장애는 인체의 거의 모든 영역에 다양한 효과를 나타내기 때문에, 수면문제의 해결을 위해서는 다학제적 접근이 필수적이라고 할 수 있다. 따라서 치과의사로서 수면과 관련된 다른 전문가 그룹과의 협 력과 소통 능력을 갖추는 것도 중요한 일이라고 하겠다.
Abstract
Dental sleep medicine is an up-and-coming discipline of dentistry, more specifically an offshoot of oral medicine. It traditionally focuses on sleep-related breathing disorders, such as snoring and bstructive sleep apnea. However, everyday practice shows that also other sleep disorders touch on dentistry, including orofacial pain, xerostomia, and bruxism. Therefore, a new definition has been formulated for dental sleep medicine as following; ‘Dental sleep medicine is the discipline concerned with the study of the oral and maxillofacial causes and consequences of sleep-related problems’. It is this article’s aim to further introduce the emerging discipline of dental sleep medicine to all professionals working in sleep medicine. This article briefly describes the different dental sleep disorders with special focus on the more remarkable associations between orofacial pain and sleep.
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