• Title/Summary/Keyword: 치주과학

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Intravenous Sedation in Periodontal Practice (치주임상에서의 정주진정법의 적용)

  • Lee, Seoung-Ho;Lee, Jun-Young;Park, Jung-Ju
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.4 no.1 s.6
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    • pp.17-20
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    • 2004
  • Chronic periodontitis is one of the most common disease in clinical dentistry, which needs various surgical interventions to treat the moderate to severe destruction of supporting periodontium. Most patients have fear and anxiety to these surgical procedures and some dentists also have problems to deal with these patients. Applying the conscious sedation technique in outpatient units, periodontists have become to manage their patients successfully without any fear and anxiety and increased the level of patients' satisfaction. Particularly, periodontal treatments require relative long chair-time and patients are usually reluctant to the periodontal instruments used in the oral cavity. This study is focused on the sedation procedure with intravenous midazolam infusioon performed in Department of Periodontology, Ewha Womans University Hospital. The whole procedure of intravenous midazolam sedation is briefly reviewed from patient selection to patient discharge.

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Necessity of measuring the periodontal pocket depth according to dental hygiene studentsin the mock national board examination (일부 치위생(학)과 학생들의 치과위생사 국가고시 실기시험에서의 치주낭 측정 평가 필요성에 관한 연구)

  • Yong-Keum, Choi;Eun-Jeong, Kim
    • Journal of Korean Dental Hygiene Science
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    • v.5 no.2
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    • pp.13-24
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    • 2022
  • Background: This study was aimed at investigating the perception of the requirement of measuring the periodontal pocket depth of the dental hygiene students in the mock national board examination. Methods: SPSS 25.0 (IBM SPSS Statistics) was used to perform the independent t-test for the recognition level of dental hygiene students in the interdisciplinary practical national board examination. A p-value < 0.05 was set to indicate statistical significance. Results: Participants showed a high recognition level for the requirement of measuring the periodontal pocket depth without any difference among disciplines. When periodontal pocket depth measurement was included in the national board examination, the educational and clinical work of dental hygienists was expected to be unified, and the professionalism of dental hygienists was expected to be strengthened. Conclusion: The results of this study suggest that the feasibility of introducing periodontal pocket depth measurement in the practical national board examination for dental hygienists should be reviewed by a group of experts.

A review on the accuracy assessment methods of 3-dimensional digital dental models (디지털 치과모형의 정확도 평가 방법에 대한 고찰)

  • Park, Ji-Su;Lim, Young-Jun;Lee, Jungwon;Kim, Bongju
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.2
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    • pp.55-63
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    • 2019
  • The aim of this article was to review various methods used to evaluate the accuracy of digital dental models. When evaluating the accuracy of digital models, the errors can be reduced by educating examiners and using artificial landmarks. The accuracy evaluation methods of digital dental models are divided into linear measurement, 2-dimensional cross-sectional analysis, and 3-dimensional best fit measurement. As the technology of scanners develops, many studies have been conducted to compare the accuracy of digital impression and conventional impression. According to improvement of scan technologies and development of 3-dimensional model analysis software, the ability to evaluate the accuracy of digital models is becoming more efficient. In this article, we describe the methods for evaluating the accuracy of a digital model and investigate effective accuracy analysis methods for each situation.

Scoping Review on the Oral Health Education Studies for North Korean Defectors in South Korea (북한이탈주민 대상 구강보건교육 연구에 대한 스코핑 리뷰)

  • Kim, Hyeong-Mi;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.367-375
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    • 2021
  • It is effective personally and nationally that dental professionals provide oral health education to North Korean defectors. This study aims to examine literature on oral health education for North Korean defectors. The method of this study is a scoping review, which is a method for qualitatively reviewing and reinterpreting previous studies with the literature review method. There were differences in age and period of settling in South Korea among the study participants of the literature. It be divided into a study that evaluated the annual oral health education experience rate, and a study that applied an educational program and evaluated its effectiveness. It showed positive results in all literature for various effects evaluation variables such as dental health, periodontal health, and oral health knowledge. This study is significant in that it sought the direction of development of oral health education for North Korean defectors. It is suggested when planning oral health education for North Korean defectors, it is necessary to establish a differentiated approach strategy in consideration of oral health gaps, cultural differences such as language, psychological characteristics according to the settling period in South Korea, and age.

A Case Report of Stevens-Johnson Syndrome with Intraoral Lesions (구강 증상을 동반한 Stevens-Johnson 증후군의 임상 증례)

  • Kim, K.A.;Jang, S.Y.;Ryu, S.S.;Byun, Y.H.;Lee, J.M.;Lee, C.H.;Kee, W.C.;Choi, J.K.
    • Journal of Oral Medicine and Pain
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    • v.22 no.1
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    • pp.23-29
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    • 1997
  • A 49 years old male patient was referred from the Department of Medicine, KNUH for the management of painful oral lesions. The patient had disability of food and drug intake due to multiple intraoral ulcers. Extraoral findings showed upper and lower lip swelling, crust formation on the lips. The lesions were diagnosed as Stevens-Johnson syndrome based on clinical and hematologic findings. The patient was treated with saline irrigation and pulsed Nd:YAG laser irradiation. After 5 daily treatment, the lesions decreased in size and severity, and the patient became more comfortable for food intake and speeching. It was suggested from the results of this clinical trial that a pulsed Nd:YAG laser therapy would be helpful for the symptoms associated with Stevens-Johnson syndrome.

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A Preliminary Study Protocol to Evaluate Patient Outcomes, Feasibility, Preliminary Effectiveness, Safety and Economic Evaluation of Korean Medicine Treatment for Periodontal Disease (치주질환에 대한 한의치료의 환자성과, 연구 가능성, 예비 효과, 안전성 및 경제성 평가를 위한 예비 연구 프로토콜)

  • Jiyun Lee;Kyungsun Han
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.37 no.2
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    • pp.14-26
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    • 2024
  • Objectives : The purpose of this study is to assess the feasibility of conducting a study on traditional Korean medicine treatments for periodontal diseases, specifically gingivitis and mild periodontitis. Methods : This study will employ a randomized, controlled, parallel-group design. Subjects with gingivitis and mild periodontitis will be recruited in one university hospital. In total, 45 subjects will be randomized into three arms (Acupuncture therapy group, herbal mouthwash group and usual care group), and will be followed up for 4 weeks. We will assess clinical variables such as, pocket depth, bleeding on probing, gingival index, plaque index, visual analog scale, uroqol-5 dimensions-5 levels to analyze changes in microbial flora before and after the intervention. Results : The protocol for this study was approved by the Institutional Review Board (IRB) of Dongguk University Ilsan Oriental Medicine Hospital, and registered with the Korean Clinical Trial Registry on March 29, 2024. Conclusions : This study is the first clinical research on periodontal diseases conducted in a Korean traditional medicine institution. The research aims to broaden the scope of traditional Korean medicine and is expected to serve as crucial data for future large-scale studies.

Evaluation of Statistical Analysis of Articles in Journal of Korean Academy of Periodontology (대한치주과학회지에 게재된 학술논문의 통계분석에 대한 평가)

  • Nam, Min-Sook;Jeon, Chang-Kil;Han, Kyung-Yoon;Kim, Byung-Ock;Shin, Kwang-Yong
    • Journal of Periodontal and Implant Science
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    • v.30 no.3
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    • pp.699-707
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    • 2000
  • The purpose of this study was to analyze the statistical errors of articles in the Journal of Korean Academy of Periodontology from 1973 to 1999. Of the 662 articles examined, 263 were included which analyzed the data. They were classified into 2 groups with time lapse; group 1: 1973∼1989, group 2: 1990∼1999. Authors made checklists for analyzing the data and detecting the errors and analyzed them with professional statistician. The results were as follows: 1. Of 263 atricles which applied statistical method, 40(19.3%) was in group 1, 223(49.0%) in group2. 2. In the number of statistical method applied, 170(64.6%) were analyzed with 1 statistical method, 73(27.8%) with 2 methods, 18(6.8%) with 3 methods, and 2(0.8%) with 4 methods 3. The number of statistical methods applied was 14, and they were applied in order of 119 of ANOVA, 72 of Student t-test, 63 of Paired t-test, 36 of CORRELATION, and 21 of Mann- Whitney U test. 4. In 87(33.1%) of 263 articles and in 18 error items, statistical errors were found out. In group I, 9 items (55%) of error were found out, and were in order of 5 of Student t-test instead of Paired t-test, and 4 of unnecessary statistical analysis. In group II, 16 items (29.1%) of error were found out, and were in order of 22 of Student t-test instead of Paired t-test, 7 of no multiple comparison test after ANOVA, 6 of Student t-test instead of ANOVA, 6 of unnecessary statistical analysis, and 5 of ANOVA instead of Paired t-test. In conclusion, the results noted that statistical analyses were increased, but statistical errors were decreased with time. But authors suggest that researchers should refer to standard statistical texts and seek advice from professional statisticians to avoid the statistical errors.

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Influence of Smoking Cessation on Periodontal Biomarkers in Gingival Crevicular Fluid for 1 Year: A Case Study (1년간 금연이 미치는 치은열구액 내 치주염 바이오마커 변화: 사례연구)

  • Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.525-536
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    • 2014
  • Although tobacco use has been known as one of the biggest risk factors on periodontal health, little is known about the effect of smoking cessation on it. The aim of this study was to investigate the change of concentration of matrix metalloproteinase (MMP)-8, MMP-9 and interleukin (IL)-$1{\beta}$ in gingival crevicular fluid (GCF) of 11 quit-smokers for 1 year after smoking cessation. Eleven male subjects to maintain quit-smoking for 1 year participated the oral examination, GCF and saliva collection without periodontal treatments at baseline, after 2 weeks, 2 months, 4 months, 6 months and 1 year. To confirm quit-smoking, nicotine and cotinine concentrations in saliva were measured by high performance liquid chromatography. MMP-8, MMP-9 and IL-$1{\beta}$ concentrations in GCF of upper anterior teeth area were measured by enzyme-linked immunosorbent assay. Change of MMP-8 in GCF during smoking cessation showed fluctuation with decrease (5 subjects) or increase (2 subjects) or maintenance tendency (4 subjects). Changes of MMP-9 were decrease (6 subjects), or increase (2 subjects), or maintenance (3 subjects). Change of IL-$1{\beta}$ also showed fluctuation with decrease (5 subjects) or increase (3 subjects) or maintenance tendency (3 subjects). The subjects with increase tendency had the relatively smaller amount concentration of MMP-8 and MMP-9 at the baseline. It was unclear smoking cessation without periodontal treatment could affect MMP-8, MMP-9, and IL-$1{\beta}$ in GCF. Fluctuation of periodontal biomarkers during smoking cessation might result from feedback interaction between environmental factors and periodontal cells.

DENTAL MANAGEMENT ASSOCIATED WITH ERUPTION DISORDERS IN A PATIENT WITH EHLERS-DANLOS SYNDROME : A CASE REPORT (Ehlers-Danlos syndrome 환아의 맹출장애 : 증례보고)

  • Jin, Dallae;Kim, Chong-Chul;Lee, Sang-Hoon;Kim, Jung-Wook;Kim, Young-Jae;Hyun, Hong-Keun;Shin, Teo-Jeon;Jang, Ki-Taeg
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.8 no.2
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    • pp.127-133
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    • 2012
  • Ehlers-Danlos syndrome (EDS), an inherited connective tissue disorder, is caused by mutations in genes encoding different types of collagen or collagen-processing enzymes. EDS most typically affects the joints, ligaments, skin, and blood vessels. Oral health may be severely compromised in EDS as a result of specific alterations of collagen in orofacial structures. Dental hard tissue defects, root dilaceration, pulp stones, ectopic or delayed eruption, impaction, and periodontal disease could be observed. Therefore, a number of tissue responses related to collagen and precautions should be anticipated when considering dental treatment in EDS. Long-term and comprehensive dental management is required. The purpose of this report is to describe a clinical case of eruption disorders in a patient with EDS.

Antibacterial and Antibiofilm Activities of Alnus japonica Stem Extract against Porphyromonas gingivalis (Porphyromonas gingivalis에 대한 오리나무 줄기 추출물의 항균활성 및 생물막 형성 억제 효과)

  • Kim, Hye Soo;Cho, Soo Jeong
    • Journal of Life Science
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    • v.29 no.12
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    • pp.1386-1392
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    • 2019
  • This study investigated the potential of dye plants as natural oral health products. The antibacterial activity of ethanol stem extracts of A. japonica, R. verniciflua Stokes, G. jasminoides, D. morbifera, P. amurense Rupr., and S. japonica against P. gingivalis KCTC 5352, S. mutans KCTC3065, S. downei KCTC3634, S. sanguinis KCTC3284, and S. gordonii KCTC 3286 was confirmed. Among the stem extracts from 6 dye plants grown in Korea, ethanol extract from A. japonica stem (1 mg/disc) showed the highest antibacterial activity against P. gingivalis KCTC5352. The A. japonica stem extracts showed antibacterial activity similar to chlorhexidine, which was used as a positive control. The MIC and MBC of P. gingivalis KCTC5352 were 0.4 mg/ml and 0.6 mg/ml, respectively. The biofilm production rate and cell growth of P. gingivalis KCTC5352 in the cultures treated with 0.2-2.0 mg/ml of A. japonica extract were significantly decreased in a concentration-dependent manner. In addition, the mRNA expression of the superoxide dismutase and fimA associated with fimbriae formation in these cultures was suppressed, also in a concentration-dependent manner. Based on these results, it is concluded that A. japonica stem extracts can be used as an oral health product derived from natural materials, as demonstrated by its antibacterial action against and inhibition of biofilm formation of P. gingivalis KCTC5352.