• Title/Summary/Keyword: 치의학

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Effectiveness of Oral Health Education Program using Home-using Portable Device for Children (정량광형광기를 이용한 어린이의 구강건강관리교육 효과)

  • Lee, Jeongsang;Kim, Shin;Jeong, Taesung;Shin, Jonghyun;Lee, Eungyung;Kim, Jiyeon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.3
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    • pp.301-309
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    • 2019
  • This study was performed to determine the effectiveness of oral health education program with a home-using portable device according to the individual oral health status in children. 58 children who were 6 - 12 years old were included in this study. All subjects were affiliated to moderate or high caries risk group based on caries risk test. They were divided into 2 groups: (I) home-using portable device group (II) control group. Both groups were evaluated with simple plaque score (SPS) using camera type quantitative light-induced fluorescence device and educated with identical oral health education methods. Subjects in group I were demanded to use a home-using portable device. After 1 month, both groups were re-evaluated. Cariview score that can reflect the acidogenic potential of plaque bacteria was statistically reduced in both groups (p < 0.001). There was a statistically significant difference between two groups in the change of Cariview score (p = 0.022). In group I, the decrease was larger than that in group II. There was no statistically significant difference in the change of SPS (p = 0.937). Oral health education improved oral hygiene status in children. However, this study confirmed that it was much more effective to improve oral health status in children with a home-using portable device in their daily oral hygiene care.

Application of various digital technique on full mouth rehabilitation: A case report (디지털 기술을 활용한 전악 고정성 보철 수복 증례)

  • Bae, Min-Soo;Song, Kwang-Yeob;Ahn, Seung-Geun;Park, Ju-Mi;Lee, Jung-Jin;Seo, Jae-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.43-54
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    • 2021
  • Based on rapid improvement in digital fields, many advanced digital technologies are utilized in prosthodontic treatment. Especially, intraoral scanners and 3D printing technology are commonly used, and facial scanning technology is recently being attempted to be part of these digital routines. This case report aims to introduce a digital procedure using the intraoral scanner, facial scanner, and 3D printing technology to create definitive restorations, which are esthetic and harmonious with patient's face. From thoroughly evaluated full-mouth provisional restoration which was manufactured and fitted conventionally, definitive prostheses were fabricated using various digital technique. Stable occlusion with functionally and aesthetically satisfying results were achieved.

Implant-assisted overdenture using milled bar and ADD-TOC in edentulous maxilla: A case report (상악 무치악 환자에서 Milled Bar와 ADD-TOC을 이용한 임플란트 피개의치 수복 증례)

  • Jo, Yong-Bum;Jeong, Chang-Mo;Huh, Jung-Bo;Yun, Mi-Jung;Lee, So-Hyoun;Kim, Min-Jung
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.160-167
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    • 2022
  • One of the treatment options for edentulous state patients with residual ridge resorption is implant overdenture using milled bar and attachment. It not only provides improved retention and stability but can also reduce the coverage of palatal surface. In addition, when a small number of implants are used, milled bar has the effect of being splinted between implant fixtures, which makes it mechanically advantageous under functions such as mastication. The patient in this case was a maxillary edentulous state patient with a considerable amount of residual alveolar bone resorption after removing the existing failed implants. Three implants were planted on both sides and an implant overdenture was fabricated using milled bar and ADD-TOC attachment.

Implant overdenture using milled bar and attachment in partially edentulous mandible: a case report (하악 부분 무치악 환자에서 Milled Bar와 부착장치를 이용한 임플란트 피개의치 수복 증례)

  • Kim, Min-Jung;Huh, Jung-Bo;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Jo, Yong-Bum
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.71-79
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    • 2022
  • Excessive crown height space increases can cause crestal bone loss and screw loosening after prosthesis is placed. Milled bar and implant overdenture can be used as a treatment method for partially edentulous patients who have severe alveolar bone loss and excessive crown height space. Milled bar can provide primary splinting effect and stability between implants. Also, milled bar with additional retention device such as Advanced Dental Device-Treatment Of Choice (ADD-TOC) and magnet can provide additional retention force for implant overdenture. In this case, the patient has a partially edentulous mandible that has severe alveolar bone loss and multiple number of teeth loss after excision due to leiomyosarcoma. Because of the long-term loss of mandibular molars, the opposing teeth were extruded. Maxillary left molars were corrected to the occlusal plane through molar intrusion, and mandibular left molar region were treated with implant overdenture, using milled bar with ADD-TOC and magnet after implant placement. The clinical result was satisfactory on the aspect of esthetic and masticatory function.

Fabrication of complete denture using 3D printing: a case report (3D 프린팅을 이용한 양악 총의치 제작 증례)

  • Lee, Eunsu;Park, Chan;Yun, Kwidug;Lim, Hyun-Pil;Park, Sangwon
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.202-210
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    • 2022
  • Recently with the advance in digital dentistry, the fabrication of dentures using computer-aided design and computer-aided manufacturing (CAD-CAM) is on the rise. The denture designed through a CAD software can be produced in a 3-dimensional manufacturing process. This process includes a subtractive processing method such as milling and an additive processing method such as 3D printing and in which it can be applied efficiently in more complex structures. In this case, complete dentures were fabricated using Stereolithography (SLA)-based 3D printing to shorten the production time and interval of visits in patient with physical disabilities due to cerebral infarction. For definitive impression, the existing interim denture was digitally replicated and used as an individual tray. The definitive impression obtained with polyvinyl siloxane impression material was including information about the inclination and length of the maxillary anterior teeth, vertical dimension, and centric relation. In addition, facial scan data with interim denture was obtained so that it can be used as a reference in determination of the occlusal plane and in arrangement of artificial teeth during laboratory work. Artificial teeth were arranged through a CAD program, and a gingival festooning was performed. The definitive dentures were printed by SLA-based 3D printer using a FDA-approved liquid photocurable resin. The denture showed adequate retention, support, and stability, and results were satisfied functionally and aesthetically.

Long-Term Outcome of Reattached Tooth Fragment in Permanent Anterior Teeth of Children and Adolescents (소아 및 청소년의 영구치 치관 파절시 파절편 재부착술의 추적 관찰)

  • Kang, Hoyeon;Chae, Yongkwon;Lee, Koeun;Lee, Hyo-seol;Choi, Sungchul;Nam, Okhyung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.1
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    • pp.42-49
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    • 2021
  • This study aimed to evaluate the long-term outcomes of teeth treated with reattachment technique in children and adolescents. Twenty seven permanent anterior teeth from 21 patients treated with fragment reattachment were evaluated. Clinical photos and medical records were used to assess treatment outcomes. Effect of pulp treatment and the ratio of fragment on success rate were statistically analyzed. Detachment of fragment was observed in 17 teeth, and their duration of retention was 21.41 ± 23.39 months. Repeated trauma was found to be the most frequent causes of failure. Pulp treatment before reattachment did not affect the success rate (p > 0.05). The mean ratio of fragment was 0.482 ± 0.147, and the success rate was affected by the ratio of fragment (p = 0.018). The median retention time of the teeth was 72 months if the ratio was under 0.5, and 8 months for that of the others. A significant correlation was found between the ratio of fragment and retention time (p = 0.003). Reattachment can be a predictable treatment option for crown fracture in anterior teeth in children and adolescents when a fracture involves less than 50% of the clinical crown.

Academic Effectiveness of Non-face-to-face Classes in Deciduous Tooth Morphology Practice during COVID-19 Pandemic (COVID-19 대유행 시기에 유치 치아형태학 실습을 통한 비대면 수업의 학습 효과)

  • Hyeji, Son;Jongseong, Kim;Gimin, Kim;Hyunjung, Kim;Soonhyeun, Nam;Jaesik, Lee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.3
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    • pp.310-320
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    • 2022
  • This study aimed to evaluate the academic effectiveness of non-face-to-face classes in deciduous tooth morphology practice. Under the course name dental morphology, a total of 60 dental students took face-to-face classes while 55 pre-dental students took non-face-to-face classes. Students were required to submit their practical assignments after 5 weeks of practical classes. To evaluate the academic effectiveness of non-face-to-face classes, practical assignments were scored by an evaluator and compared with face-to-face classes using the Mann-Whitney U test and the chi-square test. The results showed that the practical score in face-to-face classes was 77.43 ± 5.97 and the practical score in non-face-to-face classes was 76.04 ± 5.83. There was no significant difference in the academic effectiveness of face-to-face classes compared to non-face-to-face classes in deciduous tooth morphology practice (p > 0.05). This study suggests that non-face-to-face classes on introductory practice such as the dental morphology course can provide comparable quality to the education taught in traditional face-to-face classes.

Developing a Mobile Tutorial Tools Using 3D Modeling Technology on Tooth Carving for Dentistry (3D모델링 기술을 활용한 모바일 튜토리얼 방식의 치아카빙 실습지원도구 개발)

  • Park, Jong-Tae;Park, Sa-Beom;Lee, Jeong Eun
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.546-557
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    • 2016
  • Tooth carving practice is required for novice learners in dentistry to understand dental morphology and acquire clinically underlying skills. Tooth carving practice is more effective when sequential models can be observed. The purpose of this study is to suggest a tooth carving practice model and to develop a mobile practice supporting tool based on tutorial providing 3D modeling information about steps of tooth carving. As a result, tooth carving practice model consists of the class activity including tooth information lecture and practice and mobile seamless learning connecting learners' practice and regular learning with the mobile tutorial tool. The mobile tutorial tool is implemented with tooth morphology dictionary, tooth carving practice/training tutorial, and 3D tooth modeling. The experts' evaluation on the developed contents shows that the content and function are valid(content validity: 5.0, interface validity: 4.53). Therefore, the mobile tutorial tool is suitable for supporting mobile seamless learning for tooth carving practice. Further researches are expected to be conducted to develop instructional models utilizing ICT and mobile contents in dentistry.

The Prevalence and Characteristics of Pre-eruptive Intracoronal Radiolucencies in Children and Adolescents (소아·청소년에서 맹출 전 치관 내 방사선 투과상의 유병률과 특징)

  • Ahn, Younghyun;Yang, Yeonmi;Hwang, Jaejoon;Jeong, Taesung;Shin, Jonghyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.2
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    • pp.160-167
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    • 2021
  • The purpose of this study was to investigate the prevalence and characteristics of pre-eruptive intracoronal radiolucencies (PEIR) from panoramic radiographs in Korean children and adolescents. This study examined panoramic radiographs of 3,000 patients aged between 5 and 14 years old who visited ten dental hospitals in Korea. The age and gender of the patients, the tooth type, the number of intracoronal radiolucent lesions, and the location and size of the lesions were recorded. The overall prevalence of patients with PEIR was 2.5%. The difference in the presence of PEIR between both genders was not significant. Within each tooth type, the mandibular first molar showed highest prevalence of PEIR (29.6%). The central part of the crown was the most frequently observed location of PEIR (56.8%). The size of the PEIR lesions was mostly limited to less than one-third of the thickness of coronal dentin.