• Title/Summary/Keyword: 구강진료이용

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Treatment of a tooth with severe periodontal involvement using intentional replantation: case report (중도 치주염에 이환된 치아의 보존을 위한 의도적 재식술을 통한 치료: 증례보고)

  • Choi, Youn-Kyung;Jung, Kyoung-Hwa;Lee, Ju-Youn;Joo, Ji-Young;Kim, Hyun-Joo;Kwon, Eun-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.2
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    • pp.98-104
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    • 2019
  • Although intentional replantation is frequently used as a treatment modality for endodontic problems, severe periodontal involvement has usually been regarded as a contraindication. However, there are some studies suggesting that intentional replantation could be a successful treatment alternative for periodontally involved teeth. This paper reports the treatment of a tooth with severe periodontal involvement using intentional replantation. The tooth, which had had root canal therapy due to endodontic-periodontal combined lesion but showed extensive bone loss, was gently extracted and replanted after thorough debridement of the root surface. By intentional replantation, a tooth with severe periodontal involvement in this case could be preserved, without extraction, over the course of a 3-year follow-up period.

Relationship between General Safety Behaviors and Oral Health Behaviors among South Korean Children (우리나라 어린이의 생활안전행동과 구강보건행동의 관련성)

  • Noh, Hie-Jin;Sohn, Woosung;Choi, Choong-Ho;Kim, Hae-Young
    • Journal of dental hygiene science
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    • v.11 no.4
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    • pp.311-317
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    • 2011
  • The aim of this analysis was to investigate the relationship between the level of safety behavior and the level of oral health behavior among Korean children. Data used in this analysis were from the 2005 Korean National Health and Nutrition Examination Survey (KNHANES). A representative sample of 4,292 children aged from three to eleven years who completed both health interview and health behavior survey. Simple and multiple logistic regression analyses were conducted. All analyses were weighted and SAS 9.1 survey data analysis procedures were used to estimate standard errors accounting for the complex sampling design of the KNHANES. More than seventy percent of children did not keep general safety behaviors except seat on back seat in a car. About seventy five percent of children had experience of preventive oral care during last one year, but about fifty six percent of children brush their teeth twice a day. Socioeconomic status and health behaviors were significantly related in three to six old age group only (p<.05). Generally significant relationship was not found between general safety and oral health behaviors. Among Korean children, general safety and oral health behaviors might be not related each other. Education for general safety behaviors should be underlined for all children. Especially preschool-children with low socioeconomic status need to be educated for healthy behaviors.

Management of prosthodontic patients with severe gag reflex using the questionaire and behavior technique: A case report (심한 구역반사를 보이는 환자에서 문진표와 행동 요법을 이용한 임플란트 고정성 보철 수복 증례)

  • Sohn, Changmo;Kim, Yu-Jin;Lee, Cheon-Seo;Choi, Na-Rae;Kwon, Eun-Young;Kim, So-Yeun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.333-340
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    • 2021
  • Although gag reflex is an essential function and a useful physiological defense mechanism, it can become an obstacle in a dental treatment. In this case, a questionnaire was designed and used in consultations to objectify the factors associated with gag reflex. Based on the questionnaire, various treatment protocols were planned, such as behavioral control, which is a systematic desensitization that adapts by placing dental instruments in the oral cavity, and habit control to eliminate vomiting habits after drinking. Except for the placement of the implant fixture under general anesthesia, all restoration procedures were performed in the outpatient clinic in the same manner as the conventional implant fixed prosthetic restoration. The systematic desensitization and behavior technique were repeated until the patient was able to endure discomfort and relieve gag reflex in dental treatment. The patient was successfully received the implant-fixed prosthetic restoration in the partial edentulous region.

A Survey on Utilization of Dental Services by Foreign Children in Seoul (서울 거주 외국인 아동의 치과 이용 실태 조사)

  • Vanda, Rute Mateus;Sun, Yeji;Lee, Hyseol;Kim, Seunghye;Lee, Jaeho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.2
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    • pp.154-163
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    • 2017
  • This study aims to investigate the utilization status of dental services by foreign children living in Seoul and their level of satisfaction with the treatments. We developed a structured questionnaire with 35 questions, which comprised 14 questions (demographic characteristics) and 21 questions (oral hygiene and dental experience of the child). In this study, the distribution of nationality of 391 participants differed from the actual statistics in Korea. It consisted of high percentage of participants from African countries (23.6%), as well as North American countries (24.1%). In addition, the education status of most parents was above the level of college graduate. Despite the relatively high socioeconomic status of the participants, they showed minimal dental health knowledge regarding the aspect of oral hygiene. Utilization of dental health services and the types of dental clinics visited by them were similar before and after coming to Korea. The participants showed overall satisfaction with the care, but many of them expressed the need for improvement with regard to treatment fee and communication. In conclusion, foreign children living in Seoul require appropriate dental health education and governmental support to promote regular dental check-ups, to improve their overall oral health, and prevent the incidence of dental caries.

Maxillary complete denture and mandibular All-on-4 implant restoration considering maintenance: a case report (유지 관리를 고려한 상악 총의치와 하악 All-on-4 임플란트 보철 수복 증례)

  • Kim, So-Yeun;Kwon, Eun-Young;Jung, Kyoung-Hwa;Jeon, Hye-Mi;Kang, Eun-Sook;Yun, Mi-Jung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.1
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    • pp.37-45
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    • 2019
  • In the case of edentulous patients, the total amount of occlusal force is dispersed by the keratinized gingiva during mastication, in result, causing lower masticatory and chewing efficiency. In particular, the mandibular area has more side effects such as pain than the maxilla has. It gets worse when the patient has more absorption of alveolar bone, but the implant treatment is often interrupted due to the existence of the inferior alveolar nerve. In this case, a patient treated with the all-on-4 method by placing the implant in the anterior part of mandible and with the conventional complete denture for the maxilla has maintained without complications and was satisfied with the restoration both functionally and esthetically.

A Research on Perception of Oral Health Behavior among High School Students in Some Areas (일부지역 고등학생의 구강건강행위에 관한 인식조사)

  • Yu, Ji-Su;Kim, Han-Hong;Han, Yang-Keum;Kim, Seung-Hee
    • Journal of dental hygiene science
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    • v.10 no.5
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    • pp.411-416
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    • 2010
  • In this study a survey was conducted with tenth, eleventh, and twelfth-graders in some academic and vocational high schools in Seoul, Gyeonggi Province, and South Chungcheong Province from April 3 to 30, 2009; then, 600 questionnaires returned were analyzed, obtaining the following results. It was found that there were some differences in subjective perception and behavior among some high school students by school type (p<0.001). This suggests the need to make systematic programs within curricula for oral health education and prevention programs that practically help to improve oral health.

A multidisciplinary approach to restore crown-root fractured maxillary central incisors: orthodontic extrusion and surgical extrusion (치관-치근 파절이 발생한 상악 중절치를 수복하기 위한 다각적 접근법: 교정적 정출술과 외과적 정출술)

  • Kwon, Eun-Young;Kim, So-Yeun;Jung, Kyoung-Hwa;Choi, Youn-Kyung;Kim, Hyun-Joo;Joo, Ji-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.262-271
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    • 2020
  • To restore a tooth with a fracture line extending below the marginal bone level, a surgical crown lengthening procedure accompanied by ostectomy could be considered to expose the fracture line and reestablish the biologic width. However, this procedure could lead to esthetic failure, especially in the anterior teeth. Therefore, orthodontic extrusion, which elevates the fracture line from within the alveolar socket without sacrificing the supporting bone and gingiva, is recommended. This technique allows for the proper placement of the crown on a sound tooth structure, with the reestablishment of the biologic width. Alternatively, surgical extrusion is an one-step procedure that is simpler and less time-consuming than orthodontic extrusion; placing and adjusting the orthodontic appliance does not require multiple visits. This study presents successful restoration in 2 cases with a crown-tooth root fracture of the maxillary central incisor treated using a multidisciplinary approach through orthodontic extrusion or surgical extrusion followed by successful restoration.

Convergence Assessment of the Salivary Relationship between dental caries and periodontitis among the University students. - Sill-Ha ST-4910 Salivary Testing Instrument - (일부 여대생의 치아우식병과 치주병 예측을 위한 타액의 융합적 평가 - 타액측정시스템(Sill-Ha ST-4910)이용 -)

  • Choi, Eun-Mi;Kim, Young-Hee
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.273-280
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    • 2020
  • Upon investigating the dental health of teeth and gum, and the cleanliness of the oral cavity of female college students in the early 20's, it was reported to be that the number of cariogenic bacteria was heavily related to the acidity of saliva or ammonia. Also, cariogenic bacteria and ammonia was found out to be related with proteins (p<0.01), and ammonia, the synthetic product of cariogenic bacteria was heavily related to blood and white blood cells (p<0.01). To conclude, the healthiness of teeth was related to the acidity of saliva and ammonia, the healthiness of gum was related to blood, proteins and white blood cells while the oral hygiene was most likely to be related to ammonia. This result matched to the seven oral disease cause analyses of the saliva analysis apparatus (Sill-Ha ST-4910), which implied further utilization of this data to clinical implications. However, this study is limited to young personnel who does not have any chronic or general diseases; therefore further study is required to generalize this study.

The Result of Oral Health Care on Primary School Children Using Dental Caries Activity Test (일부 초등학생의 치아우식활성검사를 이용한 계속구강건강관리 효과)

  • Son, Eun-Yung;Choi, Moon-Sil
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.93-102
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    • 2012
  • The purpose of this study was to evaluate the effectiveness of oral health care including some of dental caries activity test on dental clinics of regular visiting on primary school children. The dental surveys and initial caries control and some of dental caries activity test (Alban's, Lactobacillius, S'mutans, un-stimulation saliva test)were performed by trained dental hygienists with dentist from on 6 to 13 years old patients of S dental hospital in Gwangju Metropolitan Cities. The sample size of 39 children (18 in oral health care group, 21 in control group ) and accepted to their parents. The results of caries activity test score(Alban's and Lactobacillius test)were reduced 1.4 to 1.6 times in oral health care group(OHCG). Oral Hygiene Simplified Index of OHCG was reduced 1.6 times during six months and 1 year. DMFT index of OHCG was reduced 1.4 times more than Control Group(CG) after 1 year. DT index of OHCG was reduced 12 times more than Control Group(CG) after 1 year. Dental health capacity of the first perment molar of OHCG was reduced 1.02 times more than CG after 1 year. From the above results, long life related incremental oral health care system has reinforced to primary school children in dental clinic with oral health professional teams.

Clinical Competency of Dental Hygiene Students to Manage Disabled Patients in Some Areas (일부 지역 치위생학과 학생들의 장애인 환자 관리에 대한 역량)

  • Hwang, Hyeon-Jeong;Kim, Ah-Hyeon;Kim, Jeong-Hee;Seo, Bo-Ryeon;Lee, Da-Hye;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.18 no.6
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    • pp.349-356
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    • 2018
  • The demand for medical care and welfare for patients with disabilities is expanding, and healthcare professionals are also increasingly interested in the need for medical care for patients with disabilities. The purpose of this study was to evaluate the competency of disabled patients' management and the education experience of dental hygiene students, who are the main players of oral health care for disabled patients. A total of 196 students in the dental hygiene department and 3rd and 4th grade students were surveyed using questionnaires. As a result, most of the students had a positive awareness of disabled patients; 84.7% answered with the need to train dental hygienists in specializing in handicapped patients, 76.5% were willing to attend seminars related to disabled patients after graduation, and 71.4% of the students provided dental treatment for patients with disabilities in curriculum and comparative curriculum. The students who provided treatment for disabled patients showed that their competence in most areas of knowledge of disabled patients, oral health education, and oral disease prevention was highly evaluated as significant. The competence of respondents who answered that the theoretical education was sufficient was significantly higher. Based on this, institutional support for the education of dentistry for disabled patients is needed, and sufficient theoretical education and practical training should be offered to foster personnel capable of contributing to the improvement in the oral health of patients with disabilities. In addition, in-depth discussions on the training of dental hygienists specialized in handicapped patients should be conducted.