• 제목/요약/키워드: Dental consideration

검색결과 337건 처리시간 0.023초

치수절제술 시 고려해야 할 유구치 치근과 근관 (Consideration of primary molar's root and root canal for pulpectomy treatment)

  • 마연주
    • 대한치과의사협회지
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    • 제57권8호
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    • pp.474-479
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    • 2019
  • The purpose of the pulp treatment is to make the function of the primary molar in the oral cavity possible for as long as possible until the exfoliation of the tooth or the development of the occlusion is as long as possible. The pulpectomy is a relatively common procedure for the pediatric dentist in the clinic with dental care of the children nowadays. Primary molar is morphologically more susceptible to dental caries than permanent tooth, and the dental pulp treatment is frequently performed. Furthermore, unlike permanent teeth, the root canal has a large degree of curvature and morphological diversity and complexity, careful consideration is needed. Therefore, it is very important to comprehensively understand the morphological characteristics and diversity of the root and root canals for the successful pulp treatment of the primary molars.

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의료기관에서 리더십과 조직문화가 조직유효성에 미치는 영향에 관한 연구 -치과의원 중심으로- (The Effect of Leadership and Organizational Culture on Organizational Effectiveness : A Dental Clinics-Based Study)

  • 김용태;신동면
    • 보건행정학회지
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    • 제20권3호
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    • pp.73-103
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    • 2010
  • This study aims to explore how the transformational leadership (consisting of three factors"charisma, individualized consideration, and intellectual stimulation) and the organizational culture (typified by developmental, rational, consensual, and hierarchical culture) are related to the organizational effectiveness (consisting of job satisfaction, organizational commitment, and intention to leave a job) of dental clinics. We found the following empirical results through a survey of 378 persons who work in dental clinics. Firstly, the respondents acknowledged charismatic leadership as the typical type of leadership ; as for organizational culture, a culture of consensus is recognized as the representative type. Secondly, transformational leadership has different effects according to the type of organizational culture: a positive influence in developmental and rational cultures, but a negative influence in consensual and hierarchical cultures. Thirdly, developmental culture has proven to be the most suitable for increasing job satisfaction and organizational commitment. The developmental, rational, and consensual cultures have all contributed to reducing intention to leave among clinic staff, whereas in the hierarchical culture, intention has been elevated. Fourthly, transformational leadership has a positive effect on the job satisfaction and organizational commitment; the intent to leave has been lessened under individualized consideration and charismatic leadership, but has been increased under leadership of intellectual stimulation. Fifthly, it is consideration and charisma that help to increase organizational effectiveness. These influences will become more effective through a developmental culture. Based on the above empirical results, we propose practical measures to improve the organizational effectiveness of clinics, in particular dental clinics. In order to build developmental culture, the doctor (manager) should produce an atmosphere in the clinic in which staff members are able to create and jointly own ideas and then promote awareness of staff participation. Additionally, in order to bring leadership of charisma and consideration into full play, the doctor should shape a relationship of mutual trust mainly by recognizing and praising the work of clinic staff. Finally, the doctor needs to acknowledge that organizational effectiveness can be significantly improved by increasing the transparency of the business.

치과위생사의 경증 장애인 환자 진료 고려사항에 대한 지식 측정 도구의 타당도와 신뢰도 검증 (Testing the validity and reliability of an assessment tool for dental hygienists' consideration of patients with mild disabilities)

  • 김예지;노희진;문소정;한선영
    • 한국치위생학회지
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    • 제23권1호
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    • pp.55-62
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    • 2023
  • Objectives: The purpose of this study was to test the reliability and validity of an assessment tool for dental hygienists' consideration of patients with mild disabilities. Methods: Thirty-seven preliminary questions were compiled through literature review, and thirty-two questions were selected through content validity testing by eight experts. Two hundred and three dental hygienists completed the assessment tool as an online survey. The construct validity, internal consistency, and test-retest reliability of the tool were investigated using the SPSS 26.0 program. The construct validity was assessed using exploratory factor analysis. The internal consistency was assessed using Cronbach's alpha. The intraclass correlation coefficient (ICC) value with 95% confidence intervals was calculated for test-retest reliability. Results: Ten items and four factors were selected through exploratory factor analysis. The internal consistency reliability of the tool was found to be Cronbach's alpha=0.658, and test-retest reliability was found to be ICC=0.812. Conclusions: An assessment tool of care for patients with mild disabilities by dental hygienists is a reliable and valid tool suitable for the job characteristics of dental hygienists. It can be used in clinical practice and research.

의료기관 종별 만성 치주염 진료의 지역 간 차이 (Regional Difference of Chronic Periodontal Care Services in Korea)

  • 윤영주;이경수;김창숙;김창윤;황태윤
    • 한국치위생학회지
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    • 제15권5호
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    • pp.899-905
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    • 2015
  • Objectives: This study aimed to investigate the regional difference of chronic periodontal care services in Korea by the analysis of 2010 raw data from Health Insurance Review and Assessment Service. Methods: The subjects were the chronic periodontitis patients over 35 years old from dental care facilities in Korea. The study population was 278,319 including 264,994 claims made by dental clinics, 8,084 by dental hospitals, 3,509 by general hospitals, and 1,732 by tertiary hospitals. Results: There was a significant difference in medical care cost benefit between the provinces(p<0.0001). The age groups showed a clear difference in the patient charge, cost of insurance, and medical care cost benefit(p<0.0001). In consideration of the first visit or revisit, there were differences in the rate of prescription, dental examination, and surgical procedures of the chronic periodontal patients from dental facilities. The radiographic use rate in the tertiary hospitals was 2.6 times higher than that of the dental clinic in the treatment of the new chronic periodontal patients. Conclusions: The use of dental services in the periodontitis is influenced by the types of medical services facility, cost of medical insurance, and patient charge. In consideration of cost benefit analysis, prevention is the most important care for the periodontitis. Regional difference in peridontitis is cause by the use of medical services and quality of treatment.

최근 치과용 지르코니아 CAD/CAM 수복물의 임상적 고찰 (A clinical consideration of current dental zirconia CAD/CAM restorations)

  • 이해형
    • 대한치과의사협회지
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    • 제49권5호
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    • pp.279-285
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    • 2011
  • Currently there is no dental ceramic material can be used in all dental situations need to be restored. However, in view of recent clinical reports, the most viable alternative is zirconia ceramic. Clinical success of dental zirconia restorations strongly depends on proper selection of materials, accurate laboratory procedure and final cementation, which can be achievable with the correct understanding of zirconia. As dental materials, zirconia ceramics have a very bright future, because they are being used increasingly in the anterior region as implant fixtures, as well as crown and bridge restorations and implant abutments. Many dental ceramics showing poor clinical performance have been gone from the dental market. However, in terms of outstanding mechanical properties and esthetic nature, new dental materials can replace zirconia ceramics will not be available in the foreseeable future.

Use of local anesthetics for dental treatment during pregnancy; safety for parturient

  • Lee, Ji Min;Shin, Teo Jeon
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제17권2호
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    • pp.81-90
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    • 2017
  • Pregnancy induces significant anatomical and physiological changes in the mother. Many pregnant women need dental treatment due to poor oral hygiene related to pregnancy. However, most dentists are reluctant to provide, and most pregnant women are reluctant to receive, dental treatment during pregnancy. Theoretically, maternally administered drugs are transferred to the fetus. Depending on the types of drugs and the stage of pregnancy, the effects of drugs on the mother, as well as the fetus, may vary. Local anesthetics are the most widely used in dental treatment. It is, therefore, important to understand the potential effects of local anesthetics during pregnancy. In this review, we will focus on the maternal and fetal effects of local anesthetics widely used in dental treatment with consideration of the use of local anesthetics during pregnancy.

Considerations for the Survival of Complete Arch Implant-Supported Zirconia Restorations; Status of Antagonistic Arches and Stress Distribution on Frameworks: A Case Report

  • Choi, Jung-Yoo;Sim, Jae-Hyuk;Yeo, In-Sung Luke
    • Journal of Korean Dental Science
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    • 제10권2호
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    • pp.74-81
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    • 2017
  • This report describes two cases of complete arch implant-supported restorations. The first patient had seven dental implants in each arch with monolithic zirconia frameworks. At four weeks' follow-up, the one-piece maxillary framework was fractured, which was re-designed and re-fabricated using laser-sintered cobalt-chrome alloy. The second patient had four implants in the mandible only. A mandibular monolithic zirconia framework and a maxillary conventional complete denture were fabricated and delivered. At five years' follow-up, the patient reported no significant discomfort. Careful consideration and monitoring of the status of antagonistic arches and stress distribution on zirconia frameworks were suggested for complete arch implant-supported fixed restorations.

임상가를 위한 특집 3 - 치과용 심미수복재의 심미적 특성 (Esthetics of Dental Materials)

  • 안진수
    • 대한치과의사협회지
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    • 제51권1호
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    • pp.18-24
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    • 2013
  • Esthetic aspect is one of the most important factors in clinical dentistry. Esthetics of dental restorative materials consist of translucency, surface texture, and most importantly 'colour'. Main characteristics of optical properties and its clinical representation and general outlook as to the current information on colour and its representation has been considered in this study. Characteristics of esthetic materials are concerned with the field of science and dental professionals should take into consideration the importance, characteristics, and applications to actual clinical settings of esthetic restorative materials. Relevant information regarding natural teeth and esthetic restorative materials and training will lead to the heightened ability of dental professionals.

Analysis and Consideration of Factors for Predicting Cooperation Levels in Pediatric Dentistry

  • Soomin Lim;Namki Choi;Seonmi Kim
    • 대한소아치과학회지
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    • 제51권3호
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    • pp.229-244
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    • 2024
  • This study aimed to evaluate various factors related to cooperation levels in pediatric dentistry and determine their correlation with children's cooperation during dental treatments. This study included one hundred children and their guardians who visited the dental hospital at the Chonnam National University. Children and their guardians completed surveys regarding dental fear, dental caries experience, dental treatment experience, temperament, and guardians' dental anxiety, as well as the background characteristics of the children. Based on these data, factors associated with children's cooperation during dental treatment were investigated. Dental fear, caries experience during the primary and mixed dentition stages, and temperament traits such as shyness and negative emotionality significantly impacted children's cooperation during dental visits, with higher levels of these factors corresponding to lower cooperation. The extent of dental experience also modestly influenced children's cooperation, with higher levels of cooperation observed in children with greater dental experience. Additionally, children's dental fear was strongly correlated with guardians' dental anxiety, increasing as guardians' anxiety levels increased. Twelve-year-old children exhibited significantly lower levels of dental fear compared to other age groups, and regardless of cooperation levels, injections (shots) were identified as the primary factor inducing dental fear among the children. To improve children's cooperation in pediatric dentistry, strategies should focus on alleviating their fears and adopting an individualized approach that consider their oral health status and temperamental traits.