• Title/Summary/Keyword: 치과 환자

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Comparison of Related Influencing Factors on Medical Services Satisfaction between General Dental Patients and Orthodontic Patients (치과 교정치료환자와 일반치료환자의 의료서비스 만족도 관련요인)

  • Lee, Dong-Geon;Han, Sam-Sung;Yoo, Wang-Keun
    • The Journal of the Korea Contents Association
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    • v.18 no.6
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    • pp.257-266
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    • 2018
  • This study was carried out to examine comparison of relating influencing factors on medical service satisfaction between general dental patients and orthodontic patients and to improve quality of the medical services by the treatment type of the visit. The data were collected from 421 patients who visited dental clinics and hospitals in Daegu and Gyeongbuk region, using self-administered questionnaire for the period from Sep 1 to Sep 30, 2015. The multiple regression showed that the medical staff and medical fee were common statistically significant independent variables to influence service satisfaction in both groups, however, fear in the treatment was added to statistically significant variables in only the orthodontic patients. Therefore, based on the provision of high - quality medical services and adequate medical care for patients' satisfaction, comprehensive plans including tailor-made counseling management and reducing the fear of dental treatment for general dental patients should be needed.

Maxillary complete denture rehabilitation in flabby tissue patient considering of function and stability: A clinical report (Flabby tissue 환자에서 기능과 안정을 고려한 편악 총의치 수복 증례)

  • Choi, Youngkyun;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.422-430
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    • 2021
  • It is very difficult to achieve denture support, stability and retention in single-maxillary complete denture patients with flabby tissue. A 57-year-old male patient was uncomfortable with the existing denture and wanted treatment. The reduction of flabby tissue was confirmed using the treatment denture. Non-pressure impression was obtained using an intraoral scanner during the definitive denture process. This is reported because the resulting denture improved when observing the retention, support and stability of the denture during occlusion.

Digital workflow for prosthetic restoration in the pan facial fracture patient: A case report (다발성 안면 골절 환자의 보철 수복을 위한 디지털 워크플로우: 증례보고)

  • Kim, Seung-Wan;Park, Geun-Taek;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra;Ko, Kyung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.395-403
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    • 2022
  • In the fracture operation of pan facial fracture, there are many cases where the shape and position of the occlusal and oral structures are abnormally changed because the index for repositioning to the original position is insufficient. And trismus and gag reflex in patients with pan facial fractures increase the difficulty of dental treatment, and the difference in the position of the jaw bone makes it difficult to restore aesthetically and functionally. In this case, digital workflows for minimal intraoral work could be selected to reduce patient discomfort and the difficulty of dental treatment. This case is using a digital workflow from implant planning to final prosthesis production in a patient with acquired skeletal grade III, trismus, and gag reflex due to pan facial fracture 15 years ago. In this case report, the use of digital workflow in a patient who has difficulty in dental treatment was able to minimize patient discomfort and obtain esthetic and functionally appropriate results.

A Trend of Treatment in Department of Pediatric Dentistry for 10 Years (최근 10년간 단국대학교 치과병원 소아치과의 진료 경향)

  • Kim, Hyewon;Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.3
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    • pp.328-336
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    • 2019
  • The purpose of this study is to analyze the changes in patient distribution and practice pattern resulted from changes of socioeconomic circumstances. From January 2008 to December 2017, information about patient distribution and practice pattern was collected and reviewed. Both the number of new patients and revisiting patients increased. The average age of new patients showed a declining trend. Children aged between 0 and 6 had the majority. In case of restorative treatment, the use of composite resin decreased, whereas resin modified glass ionomer increased. As to pulp treatment of primary tooth, the proportion of pulpectomy increased significantly, but decreased in pulpotomy. The results showed an increase in the treatments under sedation and general anesthesia and with the use of midazolam and nitric oxide increased after 2014.

Prosthetic full mouth rehabilitation of patient with mandibular prognathism and asymmetry: a case report (하악의 전돌 및 비대칭을 가진 환자에서 보철적 전악 구강회복 증례)

  • Jaeyeong Lim;Hwa-Jeong Lee;Jong-Eun Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.28-37
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    • 2024
  • Severe cases of mandibular prognathism can be treated with orthodontic therapy or surgical correction, but there are situations where only prosthetic improvement is possible. An understanding of class III patients is needed, including a vertical chewing pattern and the absence of anterior guidance. Additionally, it is relatively easy to increase occlusal vertical dimension to correct the anterior crossbite, but this approach can sometimes lead to unfavorable results, necessitating careful diagnosis and treatment planning. In this case report, oral rehabilitation was conducted in a patient with mandibular prognathism and asymmetry, utilizing implants and fixed dental prosthesis. Through a step-by-step treatment approach, the existing occlusal vertical dimension was maintained, and the final fixed dental prosthesis restoration was completed. Accordingly, it shows functional and aesthetically appropriate results, and reports on the patient's diagnosis and treatment process.

Trends of Dental Treatment under General Anesthesia and Patterns of Repeated General Anesthesia in Children and Adolescents with Severe Disabilities (소아청소년의 전신마취 하 치과 치료의 추세변화 및 치과 영역 중증 장애 유무에 따른 전신마취 재시행 양상에 대한 연구)

  • Ahreum Lee;Hyuntae Kim;Ji-Soo Song;Teo Jeon Shin;Hong-Keun Hyun;Jung-Wook Kim;Ki-Taeg Jang;Young-Jae Kim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.1
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    • pp.75-88
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    • 2023
  • The aim of this retrospective study was to evaluate the demographic characteristics of pediatric dental patients who underwent dental treatment under general anesthesia (DTGA) at the Seoul National University Dental Hospital from January 2011 through December 2020 and compare the patterns of repeated DTGA between dental patients with severe disabilities (DSD) and non-DSD (healthy or medically compromised patients without DSD). There were 1,857 DTGAs among 1,719 patients (mean age = 5.1 years; males = 59.3%; ASA 2 or above = 52.9%; DSD = 26.8%). Overall, 6.6% of patients underwent repeated DTGA, and the rate of repeated DTGA over a 10-year period was 7.4%. ASA 2 or above (p < 0.0001) and DSD (p < 0.0001) were more likely to undergo repeated DRGA compared to ASA 1 and non-DSD. At both GA1 and GA2, DSD received significantly more restorative treatment on permanent teeth than non-DSD (p = 0.002, p < 0.0001, respectively). There has been an increasing demand for DTGA in pediatric dentistry over the last 10 years. Regular check-ups and preventive oral health care are necessary for pediatric dental patients with severe disabilities to reduce the possibility of repeated DTGA.

From TMJ to 3D Digital Smile Design with Virtual Patient Dataset for diagnosis and treatment planning (가상환자 데이터세트를 기반으로 악관절과 심미를 고려한 진단 및 치료계획 수립)

  • Lee, Soo Young;Kang, Dong Huy;Lee, Doyun;Kim, Heechul
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.2
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    • pp.71-90
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    • 2021
  • The virtual patient dataset is a collection of diagnostic data from various sources acquired from a single patient into a coordinate system of three-dimensional visualization. Virtual patient dataset makes it possible to establish a treatment plan, simulate various treatment procedures, and create a treatment planning delivery device. Clinicians can design and simulate a patient's smile on the virtual patient dataset and select the optimal result from the diagnostic process. The selected treatment plan can be delivered identically to the patient using manufacturing techniques such as 3D printing, milling, and injection molding. The delivery of this treatment plan can be linked to the final prosthesis through mockup confirmation through provisional restoration fabrication and delivery in the patient's mouth. In this way, if the diagnostic data superimposition and processing accuracy during the manufacturing process are guaranteed, 3D digital smile design simulated in 3D visualization can be accurately delivered to the real patient. As a clinical application method of the virtual patient dataset, we suggest a decision-making method that can exclude occlusal adjustment treatment from the treatment plan through the digital occlusal pressure analysis. A comparative analysis of whole-body scans before and after temporomandibular joint treatment was suggested for adolescent idiopathic scoliosis patients with temporomandibular joint disease. Occlusal plane and smile aesthetic analysis based on the virtual patient dataset was presented when treating patients with complete dentures.

The Convergence Research on Waiting Time, Hospital Image, and Patient satisfaction in Dental Care Consumers (치과 의료소비자의 대기시간과 병원이미지 및 환자만족도간의 융합적 연구)

  • Ji, Min-Gyeong;Lee, Mi-Ra
    • Journal of Convergence for Information Technology
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    • v.8 no.4
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    • pp.27-35
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    • 2018
  • This study aimed to analyze the association among dental care consumers' responses to waiting time, hospital image, and patient satisfaction and provide basic data that could help qualitative waiting conditions management related to health care service. A survey was conducted from May 18 to June 20, 2016 in adults who had spent waiting time at dental hospitals or clinics, and the following conclusion was drawn: Hospital image was associated with the changes in reliance on dental care centers in case of long wait, the changes in reuse intentions, and the reservation system, and patient satisfaction was associated with gender, explanation of expected waiting time, the changes in reliance on dental care centers in case of long wait, the changes in reuse intentions, and the reservation system. The positive responses to waiting time was positively correlated with hospital image and patient satisfaction; the negative reaction to waiting time was negatively correlated with hospital image and patient satisfaction; and hospital image was positively correlated with patient satisfaction.