• Title/Summary/Keyword: 술자평가

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Relationship between locus of control and treatment compliance in adult orthodontic patients (성인교정환자의 내외통제소재와 치료협조도에 대한 연구)

  • Lee, Shin-Jae
    • The korean journal of orthodontics
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    • v.32 no.2 s.91
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    • pp.71-78
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    • 2002
  • It could be suggested that adult orthodontic patients may have peculiar psychological features as well as different periodontal tissue conditions compared with adolescent patients. The aims of the present investigation were to explore the relationships between psychological characteristics and treatment compliance of patient to orthodontist and assistants (dental hygienists). Two types of locus of control data (I-score, Internal locus of control score ; E-score, External locus of control score) were obtained for 312 adult patients and 765 adolescents and then analyzed in relation to their sex and treatment compliance. In general, orthodontic patients showed higher I-score trends than ordinary persons and adult patients manifested higher I-score than adolescent patients. Unlike adult patients, female adolescent patients showed higher I-score than male adolescent patients. Adult patients with higher E-score and adolescent patients with higher I-score than their counter-part subgroup were classified into more compliant group. Orthodontist performed more generous decision about patients' compliance than assistants. The results of this study also suggest that psychological survey in orthodontic field could comprise useful diagnostic criteria.

Comparison between denture wearer's evaluation and clinician's rating for complete denture (총의치 사용에 대한 환자와 술자간 평가 비교)

  • Byun, Jin-Soo;Huh, Yoon-Hyuk;Cho, Lee-La;Park, Chan-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.364-369
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    • 2016
  • Purpose: The aim of this study was to compare denture wearer's evaluation and clinician's technical rating for complete denture used on edentulous patients. Materials and methods: Total 43 edentulous patients who had complete denture fabricated more than one year ago were recalled. The questionnaire based on the various literatures was modified and applied to patients for subjective assessments. Functional aspects related to retention, stability, occlusion and denture condition were included in operator's evaluation. In addition, correlations were evaluated between patient's subjective and operator's objective assessments. Friedman test and Cohen's Kappa value were used for statistical analysis. Results: It was found that denture wearers' evaluations were slightly or fairly agree to clinician's rating for complete denture. More differences were found in maxillary denture than mandibular denture and moderate difference was found in esthetic, occlusion aspects. Conclusion: There were slightly or fairly agreement between subjective and objective evaluations.

Reliability of Muscle Evaluation with a Tactile Sensor System (촉각센서를 이용한 근육평가의 신뢰도 조사)

  • Oh, Young-Rak;Lee, Dong-Ju;Kim, Sung-Hwan;Kim, Mee-Eun;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.30 no.3
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    • pp.337-344
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    • 2005
  • A tactile sensor employs a piezoelectric element to detect contact frequency shifts and thereby measure the stiffness or softness of material such as tissue, which allows the sensor to be used in many fields of research for urology, cardiology, gynecology, sports medicine and caner detection and especially for cosmetics and skin care. In this study, reliability of the tactile sensor system was investigated with its manual application to the muscles susceptible to temporomandibular disorders. Stiffness and elasticity of anterior temporalis, masseter and trapezius muscles were calibrated bilaterally from 5 healthy men with an average of 24.5$\pm$0.94 years. The tactile sensor used in this study had a computer-controlled and motor-driven sensor unit which automatically pressed down on the skin surface over the muscles being measured and retracted, thereby providing the hysteresis curve. The slope of the tangent of the hysteresis curve (${\Delta}f/{\Delta}x$) is defined as stiffness of the muscle being measured and the distance between the two parts of the curve as its elasticity. To determine inter-examiner reliability, all the measurements were performed by the two examiners A and B, respectively and the same examination were repeated with an interval of 2 days for intra-examiner reliability. The results from this study demonstrated high reliability in measuring stiffness and elasticity of anterior temporalis, masseter and upper trapezius muscles using a tactile sensor system. It is suggested that the tactile sensor system can be a highly reproducible and effective instrument for quantitative evaluation of the muscle in head and neck region.

Anterior esthetic restoration using DSD (digital smile design) for a patient with congenital missing tooth of maxillary central incisor (선천적 상악 우측 중절치 결손 환자에서 DSD (digital smile design)를 이용한 전치부 수복 증례)

  • Park, Hye Jeong;Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.3
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    • pp.170-179
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    • 2019
  • The prosthodontic treatments in maxillary anterior teeth focus on achieving esthetic appearances. It is possible to improve the esthetic appearance by adjusting the shape, arrangement, and color of the maxillary anterior teeth. For anterior teeth restoration, it is necessary to evaluate the relationship of teeth, lip and gingival architecture with the facial profile of patient. Also, clinician needs to fully understand what the patient wants to. DSD (digital smile design) concept can be applied as a tool to improve communication with the clinician, technician and patient. In addition, DSD can help to meet the needs of the patient. In this case, it was impossible to achieve symmetry due to congenital missing of maxillary central incisor. The definitive treatment goal was to get the harmony of maxillary anterior teeth, lip and the patient's face. This case report describes that the patient and clinician got the satisfying esthetic outcome by using DSD.

Short-term clinical outcome of intentionally replanted posterior molars (의도적 재식술을 시행한 대구치의 단기간의 임상 평가)

  • Choi, Yong-Hoon
    • Restorative Dentistry and Endodontics
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    • v.36 no.1
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    • pp.12-18
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    • 2011
  • Objectives: This retrospective study evaluated the therapeutic effects of the intentional replantation (IR) procedure performed on the maxillary and mandibular molars of 35 patients. Materials and Methods: For the subjects, IR was performed due to difficulties in anatomically accessing the lesions and/or close proximity to the thick cortical bone, inferior alveolar nerve, or maxillary sinus, which rendered the ordinary periradicular surgery impossible. The patients'progress was followed for a year and up to 2 years and 4 months. The success of the procedure was evaluated in terms of clinical and radiographic success (%). Results: The results revealed the following: (a) 1 case (3%) of failed tooth extraction during IR; (b) 2 cases (6%) of extraction due to periodontal diseases and inflammatory root resorption; (c) 3 cases (9%) of normally functioning teeth in the oral cavity with minor mobility and apical root resorption, and; (d) 29 cases (82%) of normally functioning teeth without obvious problems. Conclusions: IR was confirmed to be a reliably repeatable, predictable treatment option for those who cannot receive conventional periradicular surgery because of anatomic limitations or patient factors.

Evaluation of the Ergonomic Method and Musculoskeletal Symptoms in Dental Hygienist (치과위생사의 근골격계질환 자각증상과 인간공학적 평가)

  • Oh, Na-Rae;Kim, Hae-Kyeong;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.12 no.9
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    • pp.234-243
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    • 2012
  • The purpose of this study was to estimate the prevalence of musculoskeletal symptoms and work-related factors of these symptoms in dental hygienists. The self-administered questionnaire was surveyed and collected from August 1-12 of 2011 targeting 210 dental hygienists Seoul, Gyeonggi, Daegu, Pohang. Except 5 people whose responses are not clear and who suffered accident, the analysis was made on 205 people. Data analysis was performed using the chi square test and multiple logistic regression analysis using the SPSS WIN(ver 18.0) program, RULA and, REBA. The overall Experience rate of musculoskeletal symptoms was 95.6% (196/205). The specific Experience rate of musculoskeletal symptoms for different regions of the body were as follows:The highest was shown 82.4% in Neck-shoulders(R), 78% in Neck, 69.8% in shoulders(R), 66.3%in Wrist(R). Therefore, Improvements of working environments in dental clinics are needed to prevent musculoskeletal disease development in dental hygienists.

The Efficiency of the Ni-Ti Rotary Files in Curved Simulated Canals Shaped by Novice Operators (만곡모형근관에서 초심자가 근관형성시 Ni-Ti 전동파일의 효용성)

  • Park, Se-Hee;Cho, Kyung-Mo;Kim, Jin-Woo
    • Restorative Dentistry and Endodontics
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    • v.28 no.2
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    • pp.146-155
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    • 2003
  • 여러 가지 장점으로 인해 Ni-Ti 전동 파일을 근관성형에 사용하는 빈도가 점차 증가되는 추세이지만, 초심자를 대상으로 한 연구는 부족한 실정이다. 이에 본 연구에서는 초심자에서 Ni-Ti 전동 파일을 사용할 때 근관 형성의 효용성을 평가하고, 어떤 방법이 초심자에게 적절한지를 알아보고자 하였다. 근관형태가 재현된 레진 블록을 이용하여 12명의 초심자와 4명의 숙련자가 근관 형성을 시행하였다. 각 술자는 ProFile, ProTaper, Hybrid (ProFile+ProTaper)를 이용하여 각각의 레진 블록을 세 개씩 근관형성하고, 각 파일 별의 근관 형성 시간을 기록하였다. 근관 형성 전과 후의 digital 이미지를 중첩하여 치근단으로부터 1, 2, 3, 4, 5, 6, 7mm level에서 근관단면의 총길이 변화량, 만곡 외측의 길이 변화량, 만곡 내측의 길이 변화량, 중심이동량, 중심이동율과 치근단에서의 apical transportation을 구하고, 초심자와 숙련자 사이의 차이를 비교 평가하였다. 실험결과 ProFile군의 1, 3, 5, 6, 7mm level과 ProTaper군의 6mm level, Hybrid군의 3mm level에서 초심자의 근관단면의 총길이 변화량이 숙련자보다 많았다. 모든 군에서 치근단으로부터 4, 5, 6, 7mm level에서는 근관 중심이 만곡내측으로 이동하였고, 1 2, 3mm level 에서는 만곡외측으로 이동하였으나, 숙련자가 시행한 Hybrid군의 3mm level과 비숙련자가 시행한 ProTaper 군의 3mm level에서는 만곡내측으로 이동하였다. 모든 군의 3mm level과 ProFile 군의 5mm level에서 초심자의 중심이동율이 숙련자에 비해 컸으며, 초심자가 ProTaper를 사용시 더 큰 apical trans portation을 보였고, 모든 군에서 초심자가 근관형성시 더 많은 시간이 걸렸다. ProFile과 ProTaper를 이용한 Hybrid technique이 초심자에게 추천되며, 초심자들도 충분히 교육받는다면 만곡된 근관의 근관형성에 있어서 Ni-Ti rotary file의 이용이 가능하리라고 사료된다.

Evaluation of occlusal strength using T-Scan Novus and Dental prescale II in dental prosthodontic treatments: A case report (보철물 수복 형태에 따른 T-Scan Novus와 Dental prescale II를 이용한 교합력 평가 활용 증례)

  • Su-Hyun Choi;Yu-Sung Choi;Jong-Hyuk Lee;Seung-Ryong Ha
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.160-178
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    • 2023
  • Diagnosis and analysis of occlusal relationships are important factors in prosthetic treatment. A thorough occlusion analysis and evaluation should be performed before treatment to restore a stable interocclusal relationship. Analysis and evaluation are essential during the treatment process and at regular follow-ups. Recently, with the development of dental equipment and digital processing methods, new quantitative analysis methods that can record the patient's occlusal relationship have been introduced. Among them, the T-Scan Novus (Tekscan Inc., S. Boston, MA, USA) displays the strength of the initial contact point and the occlusal contact point of the teeth using a pressure sensor. With this, occlusal contact time of the teeth, anteroposterior and left-right balance of occlusal force can be compared. The Dental prescale II (GC Co., Tokyo, Japan) scans the occlusal contact point using a pressure-sensing film and analyzes the density of the contact point. It can measure the distribution and strength of the occlusal force of the teeth in the most natural occlusion state. Based on this, appropriate prosthetic treatment (four-unit fixed partial denture, removable partial denture, complete denture, and complete oral restoration cases) was performed according to the area and extent of the patient's tooth loss. The patient's occlusion at the first visit, treatment stage, right after treatment, and regular follow-up were compared and evaluated using a quantitative method for appropriate occlusion analysis using T-Scan Novus and Dental prescale II. This report enhances the understanding of occlusion analysis during prosthetic restoration. The results satisfied both the clinician and patients in terms of function and aesthetics.

A Study on Photon Spectrum in Medical Linear Accelerator Based on MCNPX (MCNPX를 이용한 의료용 선형가속장치의 광자 스펙트럼에 관한 연구)

  • Park, Euntae;Lee, Dongyeon;Ko, Seongjin;Kim, Junghoon;Kang, Sesik
    • Journal of the Korean Society of Radiology
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    • v.8 no.5
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    • pp.249-254
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    • 2014
  • Medical linear accelerator is used for radiotherapy since it was developed in 1952, the utilization rate is further increased. It is used high energy radiotherapy using the energy of the photon of 6 MeV or more is universal at present, but the creation of the neutron by photonuclear reaction cause a problem that is radiation exposure of patients and operators. Therefore, in this study, to analyze the spectrum of the photon beam of 6 to 24 MV that occurred in the medical linear accelerator using the Monte Carlo code MCNPX, the number of photons of 7.41 MeV or more, which is a neutron production threshold energy of tungsten and average energy. The result of 24 MV in the beginning and the 8 MV was 0.59% of the total number of detected photons and it was founded that the number of photons are increased which are possible to cause the photonuclear reaction.

Zirconia resin-bonded fixed partial denture in maxillary single-tooth edentulous area: A case report (상악 전치부 단일치 상실 환자에서 지르코니아 레진접착성 고정성 국소의치를 이용한 수복 증례)

  • Rojee Oh;Hee-Won Jang;Na-Hong Kim;Joo-Hyuk Bang;Keun-Woo Lee;Yong-Sang Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.135-142
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    • 2023
  • Resin-bonded fixed partial denture (RBFPD)as known as Maryland bridge is is a well-known conservative method for its minimized invasion of the teeth for an anterior single tooth edentulous area. Despite of its various advantages, RBFPD was not widespread because of its high debonding rates, non-esthetic look or weak structure for material property. Currently, with the introduction of zirconia to dental material for RBFPD, Maryland bridge entered upon a new phase. Zirconia surmounts poor esthetics of metal framework, having proper strength, and overcomes ceramic's structural weakness, being sufficiently esthetic. In this case, edentulous area of maxillary left lateral incisor was restored using zirconia resin-bonded fixed partial denture. Restoration of missing tooth in anterior area was achieved using non-invasive and esthetic prosthesis, then we report this case as satisfactory results were obtained for both the operator and the patient.