섭식연하장애와 치과적 관리
Dental management of the patient difficulty in swallowing
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초록
Swallowing disorders or dysphagia, which are difficulties with the act of swallowing, can occur at different phases such as oral, pharyngeal, and esophageal phase in the swallowing process. These disorders can be caused by structural, functional abnormalities or psychological problems. Dentists can actively provide patients suffering from dysphagia with comprehensive professional care, especially from the cognitive stage of food to the pharyngeal stage of the swallow. Many cases of dysphagia can be improved with careful managements based on dental professionals' knowledge, including meticulous evaluation of masticatory and swallowing functions, training on eating and swallowing, and fabrication of palatal or lingual augmentation prosthesis. The important thing is that prevention of these disorders through the oral health care instruction and planned follow-up dental visit at periodic intervals in order to manage the problems caused by anatomical, functional, and psychological reason.
Abstract
Swallowing disorders or dysphagia, which are difficulties with the act of swallowing, can occur at different phases such as oral, pharyngeal, and esophageal phase in the swallowing process. These disorders can be caused by structural, functional abnormalities or psychological problems. Dentists can actively provide patients suffering from dysphagia with comprehensive professional care, especially from the cognitive stage of food to the pharyngeal stage of the swallow. Many cases of dysphagia can be improved with careful managements based on dental professionals' knowledge, including meticulous evaluation of masticatory and swallowing functions, training on eating and swallowing, and fabrication of palatal or lingual augmentation prosthesis. The important thing is that prevention of these disorders through the oral health care instruction and planned follow-up dental visit at periodic intervals in order to manage the problems caused by anatomical, functional, and psychological reason.
참고문헌 (6)
- 후지시마 이치로, "입으로 먹을 수있다. 연하장애 Q&A" (2014), 군자출판사
- 양연미, "일본 연하장애 어린이의 치과적 접근", 대한장애인치과학회지, 9(1), pp.56~65 (2013)
- 양지형, "연하장애 환자의 PAP장착후 연하 개선에 관한 증례 보고", 대한구순구개열학회지, 6(1), pp.35~42 (2003)
- Shimodaira K, "Palatal augmentation prosthesis with alternative palatal vaults for speech and swallowing : a clinical report", J Prosthet Dent, 80(1), pp.1~3 (1998)
- Marunick M, "The efficacy of palatal augmentation prostheses for speech and swallowing in patients undergoing glossectomy : a review of the literature", J Prosthet Dent, 91(1), pp.67~74 (2004)
- Okuno K, "The efficacy of a lingual augmentation prosthesis for swallowing after a glossectomy : a clinical report", J Prosthet Dent, 111(4), pp.342~345 (2014)