• Title/Summary/Keyword: Dental Medical Environment

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Development of Bioreactor for Regenerative Medicine and Effect of Mechanical Stimuli on Mesenchymal Stem Cells in Polyurethane Scaffolds (바이오리액터 개발과 기계적 자극에 의한 중간엽 줄기세포의 영향에 관한 연구)

  • Joo, Min-Jin;Chun, Heoung-Jae;Jung, Hyung-Jin;Lee, Chang-Gun;Heo, Dong-Nyoung;Kwon, Il-Keun;Moon, Seong-Hwan
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.34 no.6
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    • pp.675-681
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    • 2010
  • It is well known that mesenchymal stem cell(MSCs) can be differentiated into fibroblasts, chondrocytes, and osteoblasts and that they develop into fibrous tissue, cartilage, or bone, as a result of mechanical stimulation. In this study, we developed a bioreactor system, which is composed of a reactor vessel that provides the required cell culture environment, an environment controlling chamber to control the media, a gas mixer, and a reactor motion control subsystem to apply mechanical stimuli to the cells. For the MSC culture, We used a poly-urethane (PU) scaffold, with a collagen coating to ensure improved cohesion ratio. Then, we transferred the cultivated MSCs in the PU scaffold, cultured the cells in the bioreactor system, and confirmed the proliferation, differentiation, and ossification processes, resulting from mechanical stimuli.

Monitoring of Methicillin-resistant Staphylococcus aureus in Nasal Swabs Obtained from Dental Clinic Healthcare Providers and Medical Environment Nurses

  • Han, Seung-Ho;Song, In-Sook;Kim, Jong-Koan;Park, Jum-Gi;Park, Jang-Hwan;Lee, Myeong-Jae;Kim, Shin-Moo;Kim, Kang-Ju
    • International Journal of Oral Biology
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    • v.35 no.1
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    • pp.7-12
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    • 2010
  • The aims of this study were to investigate the nosocomial infection route of methicillin-resistant Staphylococcus aureus (MRSA) and explore preventative methods for this pathogen that involve blocking its dispersion. We cultured MRSA from nasal cavity swabs collected between June and July 2008 that we obtained from eight dental healthcare providers, 32 nurses and the sputum specimens of two patients from our hospital. In addition, we used VITEK 2 equipment to measure drug sensitivity, and we further performed biochemical testing and pulse-field gel electrophoresis (PFGE) to isolate MRSA colonies. The incidence of these bacteria on the nasal swabs was 25.0% from dental clinic healthcare providers, 13.6% from the internal medicine ward nurses and 30.0% from intensive care unit nurses. Moreover, MRSA was detectable in sputum specimens of ward patients. The antimicrobial agents resistance and partial PFGE types of MRSA showed a similar pattern. We suggest from these analyses that nasal cavity infection by MRSA could occur by cross contamination between healthcare providers and patients which underscores the importance of stringent MRSA management practices.

Research on consciousness of the dental technicians about smoking realities-2005 (2005년 치과기공사의 흡연실태와 의식조사)

  • Park, Yong-Duk;Hwang, Kyung-Sook;Kim, Nam-Joong;Kang, Jong-Oh
    • Journal of Technologic Dentistry
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    • v.28 no.1
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    • pp.161-176
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    • 2006
  • The purpose of this study was to evaluate smoking of dental technicians in 2005, and we have distributed questionnaires about smoking in 2005-KDTA general meeting and analyzed them. All 555 respondents who attended KDTA general meeting were selected by random sampling. However we dismissed 41 because of invalidness, so we got 504 people. Therefore, we have got conclusions below: 1. The rate of smokers who attended in 2005 KDTA was 33.93%, 46.3% in men, 1.44% in women. When we compared to other specialist groups, the rate of dental technician smokers was higher than them. 2. When we analyzed the ages of first smoking, 55.56% of the people started to smoke when they were in 24 years old. This result was very similar to the rate of dentist smokers in 2005 KDA research. 3. According to the answers of smokers and people who wire smokers in the past about quitting smoking period and willness in future, 60.82% among all members failed to quit smoking and also 69.2% among all members did not leap over 3 months but, they have thought to quit smoking for 6 months. 4. According to the answers about antismoking training related to environment in dental and clinical labs, most dental technicians(92.66%) have never been trained, also 37.70% among all members have not fulfilled their duty at self office. They have not recognized the danger of the indirect smoking. 5. When we asked chiefs in dental and clinical labs, the reason why they, didn't do the antismoking training their staffs, 32.1% of them replied that they were so busy, and 42.13% did because of their staffs, abhorrence and needlessness. 6. As Pan-dentistry members, over 80% agreed to the thought of the antismoking, also had medical knowledge about smoking. So we have the conclusion that dental technicians have identification as the Pan-dentistry members. 7. Most dental technicians expected KDTA to play a role about the antismoking training for their members. We have two suggestions to KDTA about the antismoking problem for members according to above conclusions. First, KDTA should prepare the antismoking training in the curriculum. Second, KDTA should support the antismoking programs of schools for students.

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A study on dental hygiene management for mentally retarded person's oral health care of life rehabilitation teacher (지적장애인의 구강건강관리를 위한 생활재활교사의 치위생 중재에 관한 연구)

  • Kim, Sun-Sook;Youn, Hye-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.513-523
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    • 2017
  • This study examined living rehabilitation teachers of disability facilities in Kyungkido to determine the status of the personal and oral hygiene of the disabled. The results are as follows. First, the personal hygiene of residential disabled people was positively correlated with voluntary toothbrushing, recognition of the importance of toothbrushing, and finding of their own toothbrush. Second, the difficulties related to the oral hygiene practice of residents with disabilities were found to be carrying out abnormalities in their toothbrush and oral examinations at dental medical institutions. In addition, in the spontaneous performance, they did not do well in gum massage and in restraining sugary foods. Third, voluntary toothbrushing was positively correlated with training on toothbrushing, and toothbrushing for more than 3 minutes and the rolling method toothbrushing were positively correlated with the supplement of oral health materials. Therefore, a dental hygiene management program is required continuously for living rehabilitation teachers and the disabled.

Intra-Oral Factors Influencing Halitosis in Young Women

  • Shon, Ho Sun;Kim, Kyoung Ok;Jung, Jae Kwan;Cha, Eun Jong;Lee, Su Ok;Kim, Kyung Ah
    • Osong Public Health and Research Perspectives
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    • v.9 no.6
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    • pp.340-347
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    • 2018
  • Objectives: The aim of this research was to determine intra-oral factors that affect halitosis in young women. Methods: This study was performed between March 2014 to May 2014, and included 35 women in their 20s with good oral health. Correlation and logistic regression analyses were performed to investigate the change in halitosis immediately, and 1 hour after scaling. Results: In both oral gas (OG) and extraoral gas (EG) groups, halitosis was reduced after scaling compared to before scaling. The logistic regression analysis of oral state factors in OG showed that as oral fluid [odds ratio (OR) = 0.792, p = 0.045] and dental plaque (OR = 0.940, p = 0.016) decreased by 1 unit, the OR in the OG group decreased (> 50). In addition, as glucose levels in the oral cavity (OR = 1.245, p = 0.075) and tongue coating index (OR = 2.912, p = 0.064) increased by 1 unit, the OR in the OG group increased (> 50). Furthermore, in the EG group, as oral fluid (OR = 0.66, p = 0.01) and dental plaque (OR = 0.95, p = 0.04) decreased, the OR in the EG group decreased (> 50) significantly. Conclusion: To control halitosis, it is necessary to increase oral fluid and decrease the amount of tongue plaque. Furthermore, maintaining a healthy oral environment, aided by regular scaling and removal of dental plaque, may significantly control halitosis.

Utilization of desktop 3D printer-fabricated "Cost-Effective" 3D models in orthognathic surgery

  • Narita, Masato;Takaki, Takashi;Shibahara, Takahiko;Iwamoto, Masashi;Yakushiji, Takashi;Kamio, Takashi
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.24.1-24.7
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    • 2020
  • Background: In daily practice, three-dimensional patient-specific jawbone models (3D models) are a useful tool in surgical planning and simulation, resident training, patient education, and communication between the physicians in charge. The progressive improvements of the hardware and software have made it easy to obtain 3D models. Recently, in the field of oral and maxillofacial surgery, there are many reports on the benefits of 3D models. We introduced a desktop 3D printer in our department, and after a prolonged struggle, we successfully constructed an environment for the "in-house" fabrication of the previously outsourced 3D models that were initially outsourced. Through various efforts, it is now possible to supply inexpensive 3D models stably, and thus ensure safety and precision in surgeries. We report the cases in which inexpensive 3D models were used for orthodontic surgical simulation and discuss the surgical outcomes. Review: We explained the specific CT scanning considerations for 3D printing, 3D printing failures, and how to deal with them. We also used 3D models fabricated in our system to determine the contribution to the surgery. Based on the surgical outcomes of the two operators, we compared the operating time and the amount of bleeding for 25 patients who underwent surgery using a 3D model in preoperative simulations and 20 patients without using a 3D model. There was a statistically significant difference in the operating time between the two groups. Conclusions: In this article, we present, with surgical examples, our in-house practice of 3D simulation at low costs, the reality of 3D model fabrication, problems to be resolved, and some future prospects.

Shisha Smoking and Associated Factors among Medical Students in Malaysia

  • Al-Naggar, Redhwan A.;Bobryshev, Yuri V.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.11
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    • pp.5627-5632
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    • 2012
  • Background: The aim of the study was to determine the prevalence of shisha smoking and associated factors among medical students in Malaysia. Materials and Methods: A cross-sectional study was conducted at the Management and Science University from December 2011 until March 2012. The questionnaire consisted of five sections including socio-demographic, social environment, knowledge about shisha, psychosocial factors, and personal shisha smoking behavior. Obtained data were analyzed using Statistical Package for the Social Sciences (SPSS 13). T-test was used to determine the relationships between shisha smoking and socio-demographic characteristic. Results: A total number of 300 medical students participated in this study. Mean age was $22.5{\pm}2.5$ years. The majority were female, Malay, single, from urban areas (67%, 54%, 97%, 73%; respectively). The prevalence of shisha smoking among medical students was found to be 20%. The study revealed that many students believed that shisha does not contains nicotine, carbon monoxide, does not lead to lung cancer, dental problems and does not lead to cardiovascular diseases (25%, 20.7%, 22.3%, 29%, 26.7%; respectively). Age and sex were found to be significantly associated with smoking shisha status among medical students (p=0.029, p<0.001; respectively). Furthermore, having parents, siblings and friends smokers of shisha were found to be significantly associated with shisha smoking status (p<0.001, p<0.001, p<0.001; respectively). Furthermore, family problems, problems with friends, financial problems and university life were found to significantly associated with shisha smoking status among medical students (p<0.001, p=0.002, p<0.001, p=0.002; respectively). Conclusions: There is a high prevalence of shisha smoking and a poor knowledge about its impact on health among medical students. More attention is needed to focus on medical education in this regard. The policies that are currently employed in order to reduce the cigarettes smoking should be applied to shisha smoking and shisha products.

Effect of probiotics intake on oral environment changes of the elderly in long-term care facilities (프로바이오틱스 섭취가 장기요양시설 노인의 구강환경 변화에 미치는 효과)

  • Jo, Se-Rim;Cho, Ja-Won;Jang, Jong-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.5
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    • pp.753-762
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    • 2020
  • Objectives: This study was aimed at evaluating the effects of changes in the oral environment of the elderly in long-term care facilities after the intake of Weissella cibaria. Methods: The test group ingested the W. cibaria strain Chonnam Medical University (CMU), and the control group ingested the control food. Of all randomized trial subjects, 62 were analyzed (32 in the experimental group and 30 in the control group). In this 8-week demographic study, we evaluated self-perceived halitosis, changes in halitosis, sensory test results, tongue plaque index scores, saliva buffering capacity, and the salivary flow rate. Results: The W. cibaria CMU intake in the elderly in long-term care facilities during the experimental period did not demonstrate statistically significant changes in the salivary flow rate. However, self-perceived halitosis, organoleptic test results, tongue plaque index scores, and salivary buffering capacity demonstrated statistically significant differences between the experimental and control groups. These findings partially confirmed the beneficial effects of the W. cibaria CMU on the oral environment in the elderly. Conclusions: Research results on the role of probiotics in the oral cavity should be summarized, and utilization plans should be sought to obtain a clearer understanding of the clinical efficacy and related factors. The value of probiotic use may be high in improving the oral health of people by enabling treatment and prevention.

A CLINICAL STUDY ON ORAL & MAXILLOFACIAL FASCIAL SPACE ABCESS (구강악안면 근막간극감염에 관한 임상적 고찰)

  • Shin, Sang-Hun;Park, Sung-Hwan;Hwang, Hee-Sung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.2
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    • pp.152-157
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    • 1998
  • Disturbances of the interrelationship among the host, environment, microorganism will cause the infection clinically. Infection can be classified into bacterial, viral, fungal origin, Bacterial infection is most common due to dental caries, periodontal disease. These infections have the potential to spread via the fascial spaces in the head and neck region. We have undertaken clinical studies on infections in the oral and maxillofacial regions by analyzing 78 hospitalized patients in the Dept. of Oral and Maxillofacial Surgery, Dong-A University Hospital from 1994 to 1997. The results were as fellows; l. Odontogenic infections were most common with the incidence of 84.6%. 2. Considering the number of involved space, single space was 83.3%, double or more space was 16.6%. The most common fascial space involved was submandibular space and followed by buccal space, 3. The most causative organism isolated from the pus cultures was streptococci group 35.4%. 4. Antibiotics were administrated in all cases, and surgical incision and drainage was performed in 87.2%. 5. Combined administration of penicillin and aminoglycoside was most common in 34.6%.. 6. 7 cases were diagnosed as Ludwig's angina and tracheostomy was done in 2 cases of them.

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A Study on the Change of Dental Scaling Experience in Some Areas after Applying Scaling Insurance (스케일링 보험적용에 따른 일부지역의 스케일링 경험 변화 연구)

  • Park, Il-Soon
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.387-397
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    • 2017
  • The purpose of this study is to investigate the regional change of dental scaling experience by scaling insurance coverage in July, 2013. The data were used in the "Community Health Survey" of the 2012 and 2014. The results of the study are as follows; 1) The subjective oral health status and brushing of lunch was highest in Gangnam-gu in both 2012 and 2014(p<0.001). 2) Regular dental check-up was high in Gangnam-gu in both 2012 and 2014(p<0.001). 3) The Scaling experience rate increased in all three regions(p<0.001). 4) The socio-demographic characteristics and scaling experience were higher in 2012 and 2014(p<0.001). The scaling experience was higher when there were office workers and spouses(p<0.001). From the policy perspective, it seems necessary to take measures to reduce the gap in scaling experience rate due to differences in income and unequal medical environment.