• 대한치과보철학회지
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• 제61권1호
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• pp.82-89
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• 2023

혀는 대표적인 구강암 호발 부위 중 하나로, 현재 설암 치료의 표준은 외과적 절제술로 알려져 있다. 그러나 설암으로 인해 혀 절제술을 받은 환자의 경우 혀의 가동성이 저하되어 연하와 발음 같은 정상적인 구강기능을 수행하는 데 어려움을 겪을 수 있다. 따라서 이러한 환자들의 보철 수복 시에는 손상된 혀의 기능을 보완하기 위한 추가적인 고려가 필요하다. 구개증대보철물은 구개 연마면의 위치를 낮추어 혀-구개 접촉을 도움으로써 혀의 움직임이 제한된 환자의 구강기능을 개선할 수 있다. 본 증례에서는 설암으로 인한 혀의 좌측 부분 절제술 및 피판 재건술 이후 혀의 가동성이 감소된 상하악 완전 무치악 환자를 대상으로 구개증대보철물로써의 상악 총의치와 전통적인 하악 총의치를 제작하였으며, 최종 보철물을 통해 저작과 연하 및 발음 기능이 개선되어 환자와 술자 모두 만족하는 결과를 얻었기에 이를 보고하고자 한다.

• 대한치과보철학회지
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• 제54권3호
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• pp.286-290
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• 2016

최근에 열가소성 레진 클라스프를 이용한 가철성 장치의 사용이 빈번해졌다. 통상적으로 사용하는 아크릴릭 레진과 비교했을 때 열가소성 레진은 낮은 굴곡 강도와 탄성률을 가지고 있다. 그러므로 열가소성 레진으로 제작된 가철성 장치는 파절의 위험이 낮아 의치상이 얇고 가볍게 만들어져 환자들이 편하게 사용할 수 있다. 또한 장치가 치아 언더컷에 수동적으로 장착될 수 있어 지대치의 삭제가 최소이거나 거의 없다. 이 증례에서는 경도의 구개인두부전을 가진 44세 여환은 polyester 계열 열가소성 레진으로 제작된 구개거상장치로 치료를 받았다. 환자가 결손치가 없고 보존적인 치료를 원하기 때문에 열가소성 레진을 이용한 가철성 장치가 상대적으로 만족스러운 치료 결과를 보였다.

• 보건의료산업학회지
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• 제10권3호
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• pp.135-146
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• 2016

Objectives : This study explored ways to improve the quality of life related to oral health and the oral health of senior citizens by identifying the relevance of oral health-related quality of life issues, and satisfaction with dentures in elderly 65 years of age or older. Methods : This study surveyed 220 senior citizens who are currently using dentures and 65 years of age or older living in Busan. As a result, 200 questionnaires were returned. All of these questionnaires were used in the final analysis. The method of analysis was descriptive statistics using SPSS VER. 19.0, t-test, ANOVA, Pearson correlation coefficients, and regression analysis. Results : First, when verifying the difference in the quality of the health-related life of the oral cavity in accordance with the general characteristics, only average monthly income showed a significant difference. Second, the results of the analysis for factors that affect the quality of the health -related life of the oral cavity, fixation satisfaction, and mastication satisfaction, in that order, affected the general satisfaction of the elderly. Conclusions : Dentures satisfaction and the quality of the health-related life of the oral cavity show a high correlation and causality.

• 대한치과보철학회지
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• 제33권3호
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• pp.440-452
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• 1995

A success of complete denture prosthesis can be determined by the satisfaction degree of the dentist and the patient. There are many factors influencing on the satisfaction of the complete denture patients. The purpose of this study is to analyze the correlation between the masticatory satisfaction and clinical evaluation, and the speech satisfaction and clinical evaluation in complete denture patients. 79 patients(total 119 complete dentures) were examined in this study who were treated in Seoul National University Dental Hospital. Through clinical evaluation, 2 examiners evaluated sex, age, edentulous period, the years of having used present complete denture, the number of the previous dentures, the state of the opposite arch, retention, stability, support, occlusion, vertical dimension of the complete denture and the condition of the residual alveolar ridge. Through questionnaires concerned with mastication and speech, examiners evaluate the satisfaction degree of the patients. This study led to the conclusion that : 1. The satisfaction degree of the mastication was lower in older patients(p<0.001) and in patients whose present complete denture period was shorter(p<0.05). The satisfaction degree of the mastication in male was higher than in female patients(p<0.01). 2. The satisfaction degree of the mastication was high when the retention of the complete denture was good(p<0.05), and when the condition of the residual alveolar ridge was good(p<0.05). 3. The satisfacion degree of the speech was high when the retention of the complete denture was good(p<0.01). 4. The satisfaction degree of the mastication was higher in patients with upper and lower complete denture than in patients with single complete denture whose oppsite arch was unilateral partial denture(p<0.05).

• 대한치과보철학회지
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• 제50권1호
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• pp.67-73
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• 2012

최근 디지털 인상채득 시스템이 개발되면서 이를 기존의 CAD/CAM 시스템과 접목한 인레이, 온레이, 크라운이나 간단한 계속가공의치 등의 고정성 보철물의 제작이 활발히 소개되고 있다. 그러나 임플란트 보철에서는 주로 기존의 아날로그식 인상채득 후 이를 스캔하여 제작하는 방법이 사용되어 왔으나, 구강 내 디지털 스캔한 데이터를 이용하여 나사형 보철물을 제작하는 술식은 아직 활발히 이루어지지 않았다. 이에 본 증례보고에서는 6명의 환자를 대상으로 구강 내 스캐너인 iTero를 사용하여 디지털 스캔을시행한후그중다섯명은맞춤형지대주와 시멘트 합착 후 나사형 임플란트 보철물(screw-retained implant prosthesis after cementation, or SCRP)을 제작하였고, 임상적으로 기능과 심미적인 측면으로 만족할 만한 결과를 얻었기에 이를 보고하고자 한다.

• 대한치과기공학회지
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• 제23권2호
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• pp.61-74
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• 2002

This experiment was to find out the complacency of wearing dentures and the linkage to the quality of life style of oldsters 60 years old and over. 122 numbers of oldsters who came to aid to the health center were put to survey. This was taken place within the areas of Deajun, Koonsan, Mooju and Jinahn, thus procured the following result. 1. The length of edentulous period of 1-6years of oldsters aged around 60s showed 26.0%. The oldsters with edentulous period of over 7years aged in the 70s showed 26.1 % and 56.0% on oldsters aged in the 80s. This shows that as the age increases the edentulous period lengthens. (P<0.05) The length of time of using the denture shows. llyears or over on women 41.9%, less than 6years on men 71.4% as the highest rate. 11 years or over on towns/subcounty show 57.5%, small and medium cities more than 1 year 63.6%, less than six years also 63.6% and Kwangyuk city 47.6%. 2. The complacency on medical treatment of dentures was highest in Kwangyuk city of 61.3%, compared to towns/subcounty of 50.8% and small and medium cities of 33.3%. (P<0.05) 3. The complacency on mastication and pronunciation appears, 2.74% in Kwangyuk city, 3.10% in towns/ subcounty which is higher than the small and medium cities showing 1.09% on average. Satisfaction rate tends to be higher as the length of time of using the denture is longer. 4. Inconvenience on eating habits caused by dentures were felt by women. Wanting to get a new denture was 25.6% by women showing much higher rate than that of men which is 2.8% by men. (P<0.05) 5. The complacency of change in their life style after wearing the dentures were higher in Kwangyuk city of 64.5% whereas it showed 27.0% in towns! subcounty and 16.7%in small and medium cities. (P<0.05)

• 대한치과보철학회지
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• 제52권3호
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• pp.252-257
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• 2014

완전 무치악 환자에서 전악 수복시 환자 고유의 악간관계, 교합평면의 위치, 구순지지, 치아형태와 교합양상을 알 수 없기 때문에 그 모든 것을 임시의치에 기록한 후 이것을 최대한 최종 보철물에 반영하여 이상적인 보철물을 제작해 주어야 한다. 본 증례의 환자는 치주질환에 의한 다수 치아 동요가 존재하여 예후가 불량한 잔존치아 전악 발거 후 임플란트 식립하여 임시치아에 환자의 수직 및 수평 악간관계, 교합평면의 위치, 수직 및 수평 피개의 양, 치아 크기, 전치부 길이를 기록하였다. 그 후 임시치아를 스캐너와 CAD/CAM 기술을 이용하는 double scanning technique로 복제하여 임시치아와 동일한 형태의 단일 구조 지르코니아 브릿지 보철물을 제작하였다. 치료 이후 4개월간의 임상 관찰에서 환자는 심미적, 기능적으로 만족하고 안정적으로 유지되었기에 이를 보고하고자 한다.

• 대한장애인치과학회지
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• 제13권1호
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• pp.23-27
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• 2017

본 증례에서와 같이 외배엽 이형성증 환자에서는 획일화된 치료 방법은 없다. 술자 입장에서는 기능적 또는 형태적으로 완벽한 장치가 아니라 할지라도, 외배엽 이형성증의 무치악 환아에게는 심미적 요구가 만족됨으로써 자존감을 드높일 수 있는 치료가 될 수 있다. 특히 외배엽 이형성증 환아는 어린 나이에 의치 장착을 시작하기 때문에 환자의 나이와 구강상태, 심미적인 요구 수준, 저작 방법 등 여러가지를 고려한 개별적 맞춤화 과정을 통해 치료방법을 찾는 것이 중요하다. 또한 환자의 성장에 맞춰 장치를 교환해주며 타 과와의 활발한 교류로 최선의 치료를 해주는 것이 추천되며, 술자와 환자 및 환자 보호자간의 충분한 대화를 통해 치료 방법을 신중하게 결정하는 것이 좋다.

• 대한치과기공학회지
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• 제30권2호
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• pp.135-147
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• 2008

The results are as following. This study aimed to furnish basic data for improving the oral health of the elderly by conducting research into the relationship between denture satisfaction and the perceived oral health status of elderly people with removable dentures. The study performed research involving 246 elderly people who were living in Jeonju and Iksan, jeonbuk, and who were 65 years old or over from August 1 to December 5, 2007. The research method was a face-to-face interview. 1. The denture satisfaction of respondents for the research averaged $3.74{\pm}0.69$, and there was a significant difference in their satisfaction according to the level of education, the cohabitant family type, the procurement of living expenses, the performance of leisure activity, the period of current denture use, the number of denture changes, the experience during a dentist visit for denture maintenance, the experience of restricted activity due to annual oral diseases, and the opinions about denture prices. 2. 48.8% of respondents answered that their oral health status was good, and there was a significant difference in their satisfaction according to the procurement of living expenses, the total period of denture use, the period of current denture use, the number of denture changes, the experience of restricted activity due to annual oral diseases, and the opinions about denture prices. 3. The most highly influential variable affecting denture satisfaction was the opinions about denture prices(R=33.7%). 4. The most highly influential variable affecting the perceived oral health status was the educational level(R=17.3%). 5. As a result of analyzing the relationship between denture satisfaction and perceived oral health status, more respondents were satisfied with their dentures the more they thought their oral health status was in good shape.

• 대한치과보철학회지
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• 제43권5호
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• pp.633-649
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• 2005

Statement of problem: In spite of the progress in techniques and materials in complete denture prosthodontics, patients still complain of discomfort after the insertion of complete dentures. For the last several decades many prosthodontists tried to find factors influencing patient complete denture satisfaction, however the reported results became a controversy. Purpose: The purpose of the present study was to verify the factors influencing patient satisfaction with complete dentures using multiple regression analysis. Materials and methods: 33 patients who visited the department of prosthodontics, dental hospital of Yonsei University, 4 to 6 weeks after the complete denture delivery, were asked to complete the questionnaires on complete denture satisfaction, social variables and psychological variables. The Prosthodontists who treated the patients with complete dentures were also asked to complete the questionnaires on evaluation of patients' oral condition and technical quality of dentures. The factors influencing patients' satisfaction with their complete dentures were analyzed using multiple regression analysis. Results: Among the patients' sociodemographic variables. the variables of relationship with children, economic status, housing condition, other people's opinions of dentures and gender were the influential factors on patients' satisfaction with complete dentures. Patients showing the symptoms of depression, one of the psychological variables, were dissatisfied with their complete dentures. In spite of the good oral condition, patients were dissatisfied with complete dentures, where-as the technical quality of dentures did not influence patients' complete denture satisfaction. Conclusion : According to the results above, patients' sociodemographic and psychological variables rather than clinical variables including oral condition and technical quality of dentures were the influential factors on complete denture satisfaction. The results of this study may not only enable prosthodontists to predict the success and failure of complete denture treatment, but also help both prosthodontists and patients be informed of the essentials of increasing satisfaction with complete dentures.