• 제목/요약/키워드: Dental error

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Dental accidents and malpractice disputes survey (치과의사의 설문을 통해 본 치과의료사고 및 분쟁)

  • Park, Seon Gyu;Kim, Sun-Mi;Shin, Ho Sung
    • The Journal of the Korean dental association
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    • v.53 no.2
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    • pp.103-110
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    • 2015
  • The dental accidents and disputes among Korean dentists have been on the increase with time. The main purpose of this study is to figure out the actual status of the dental accidents and malpractice disputes based on a questionnaire survey. The findings showed that 64.8% of respondents had been experienced the dental accidents, and 52.9% of respondents had been locked into the disputes. Within 5 years from the start of dental practice, the nearly half of the dentists responded the experience of the dental accidents and disputes. The amount of compensation for dental accidents and disputes wereindentalimplant, prosthodontics, and oral surgery treatments in descending order. The highest incident type was wrong process/treatment/procedure problem in clinical process/procedure.

A Comparative Study on Rate of Error with Bisecting Angle Technique and Paralleling Technique (등각촬영법과 평행촬영법에서의 실책 비교 연구)

  • Lee, Kyeong-Hee;Park, Il-Soon;Jung, Jung-Ock
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.155-161
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    • 2011
  • The purpose of this study was to obtain data necessary for guiding students in the future by grasping which rate of error is made how much depending on a shooting technique in the filming of periapical radiograph. 14,402 films, which were instructed targeting students for the Department of Dental Hygiene at D Health College and S Health College, were analyzed. The following results were obtained by conducting questionnaire survey targeting 263 students who completed the shooting practice lesson of bisecting angle technique and paralleling technique. 1. In case of having shot with bisecting angle technique, the ratio of error was the highest in both maxillary and mandibular first molar. 2. In case of having shot with paralleling technique, the ratio of error was the highest in the maxillary bicuspid and the mandibular first molar. 3. As for ratio of error in light of a shooting technique, both bisecting angle technique and paralleling technique were indicated to be the highest in inaccuracy of film position. The bisecting angle technique was indicated to have the higher ratio of error compared to the paralleling technique. 4. As for ratio of error in light of the processing technique, both bisecting angle technique and paralleling technique were indicated to be the highest in dark image and light image. The bisecting angle technique was indicated to have the higher ratio of error compared to the paralleling technique. 5. Students were indicated to feel it to be most difficult for grasping the processing level in the film-developing process. As the above results, to reduce ratio of error given the periapical radiography, a method of reducing ratio of error given the periapical radiography is considered to be what correctly understands the morphological and anatomical structure inside the mouth and what acquires the shooting technique by filming several times with having enough time.

A study of shrinkage and expansion for dental casting process (치과 주조공정의 수축 및 팽창에 관한 연구)

  • Kim, Yung-Hoon
    • Journal of Technologic Dentistry
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    • v.42 no.2
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    • pp.107-112
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    • 2020
  • Purpose: This study compares how accurately the specimen produced by the machining method and the rapid prototyping method is produced and how much dimensional error occurs with the finished casting body, and presents the results as experimental comparative data. Methods: Specimens produced using a digital processing method were cast by a conventional dental casting process, and dimensional changes of the finished casting body were measured to compare shrinkage and expansion. Results: In the control group that did not artificially induce large swelling, the dimensional error was the smallest, and the shrinkage and expansion reactions cannot be elimainated in all processes. Conclusion: The shrinkage and expansion depend on the given conditions, so if there is a change in the traditional dental casting process, it is necessary to adjust all the parameters to obtain an accurate casting body.

Positioning errors and quality assessment in panoramic radiography

  • Dhillon, Manu;Raju, Srinivasa M.;Verma, Sankalp;Tomar, Divya;Mohan, Raviprakash S.;Lakhanpal, Manisha;Krishnamoorthy, Bhuvana
    • Imaging Science in Dentistry
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    • v.42 no.4
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    • pp.207-212
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    • 2012
  • Purpose: This study was performed to determine the relative frequency of positioning errors, to identify those errors directly responsible for diagnostically inadequate images, and to assess the quality of panoramic radiographs in a sample of records collected from a dental college. Materials and Methods: This study consisted of 1,782 panoramic radiographs obtained from the Department of Oral and Maxillofacial Radiology. The positioning errors of the radiographs were assessed and categorized into nine groups: the chin tipped high, chin tipped low, a slumped position, the patient positioned forward, the patient positioned backward, failure to position the tongue against the palate, patient movement during exposure, the head tilted, and the head turned to one side. The quality of the radiographs was further judged as being 'excellent', 'diagnostically acceptable', or 'unacceptable'. Results: Out of 1,782 radiographs, 196 (11%) were error free and 1,586 (89%) were present with positioning errors. The most common error observed was the failure to position the tongue against the palate (55.7%) and the least commonly experienced error was patient movement during exposure (1.6%). Only 11% of the radiographs were excellent, 64.1% were diagnostically acceptable, and 24.9% were unacceptable. Conclusion: The positioning errors found on panoramic radiographs were relatively common in our study. The quality of panoramic radiographs could be improved by careful attention to patient positioning.

Dental microscope in Nonsurgical Endodontics (임상가를 위한 특집 3 - 현미경을 이용한 비외과적 근관치료)

  • Kim, Jin-Woo
    • The Journal of the Korean dental association
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    • v.51 no.10
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    • pp.556-564
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    • 2013
  • Modern endodontics has essentially changed following the introduction of the dental microscope since 1990's. One of main advantage of using dental microscope in nonsurgical endodontic treatment is enhancing clinician's ability and quality of treatment through illumination and magnification. Scopes of dental microscope in nonsurgical endodontics are finding a missed or additional root canal and a tooth crack, management of procedural errors, and others. These improvements in technology will result in greater confidence in treatment and better success in clinical practice.

Analysis of Error Source in Subjective Evaluation on Patient Dentist Interaction : Application of Generalizability Theory (환자-치과의사 관계(PDI Patient Dentist Interaction) 평가의 오차원 분석: 일반화가능도 이론 적용)

  • Kim, Jooah;Cho, Lee-Ra
    • The Journal of the Korean dental association
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    • v.57 no.8
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    • pp.448-455
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    • 2019
  • This study aims to apply the Generalizability Theory (G-theory) for estimation of reliability of evaluation scores between raters on Patient Dentist Interaction. Selecting a number of raters as multiple error sources, this study was analyzed the error sources caused by relative magnitude of error variances of interaction between the factors and proceeded with D-study based on the results of G-study for optimal determination of measurement condition. The estimated outcomes of variance component for accuracy among the Patient Dentist Interaction evaluation with G-theory showed that impact of error was the biggest influence factor in students. The second influence was the item effect, and the rater effect was relatively small. The Generalizability coefficients for case1 and case2 which were estimated through the D- study were calculated relatively low.

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Analysis research about awareness of demanders of recuperation allowance for dental clinic health insurance in Daejun and Chunchung area (대전·충청지역 치과건강보험 요양급여비용 청구자의 인식도 분석조사)

  • Kim, Sung-Hee;Kim, Min-Ja;Nam, Yong-Ok
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.2
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    • pp.275-289
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    • 2011
  • Objectives : The recognition rate for issues and improving resolution for the recuperation income expense claim policy was examined. Methods : 1,135 copies of survey have been sent to the group of people who have claimed the dental recuperation income expense to dental recuperation institutions in Daejeon, Chungcheong Do that are registered to the health insurance evaluation and estimation office as of the May 2010 and 207 surveys that were regarded to be sincere for answering were analyzed. Results : Majority of respondence were belonged to the dentist institutions with more than 5 years of claim experiences as well as 10~50% of claim rate. The recognition of medical fee evaluation guideline was normal level, and negative recognition was higher to the health center with daily charge policy compare to the dental hospital and university affiliated dental center with treatment charge policy, Highest opinion for inappropriateness of dentist with significance was found (p<0.05). The openness of evaluation cases are regarded to be discharged through the transparent evaluation and most of the opinions for insurance claim evaluation adjustment are within the both 'Do not understand the evaluation guideline and program error of disease category, code and program' with significance(p<0.05). The reaction after the evaluation adjustment was high in reflection on the claim process after examining the reason for the evaluation adjustment through the evaluation and estimation office and university affiliated dental institution and dental center was regarded to be most active and deputy reclaimment was seemed to be most actively discharge the objection registration task (p<0.05). The claim error improving resolution recognition was highly prioritized to the accurate charting for the disease title and treatment description, improving the setting of claim program, and most highly recognized by the university affiliated dental hospital/dental center and comparably low by health center(p<0.05). and although the most of the responds of treatment description and browsing the medical fee was positive, 50% of dentists disagreed the idea so that this was creating a significant discrepancy with other groups(p<0.05). Conclusions : From this research, the recognition of medical fee evaluation guideline for dental (university) hospital and dentists were negative and high adjustment experience was examined as lacking of evaluation guideline understanding and error of disease name, code and programs and deputy reclaimment, university affiliated dental hospital/dental center were most actively handle the objection registration tasks and dentists have objection on the treatment description and browsing the treatment fee so that if these indexes can be referred to implement into the recuperation income claim process, this can be regarded to be a opportunity to create mutual credibility between recuperation institution, treatment pensioner and the evaluation institutions.

Analysis of Some Online Questions with High Frequency about Dental Treatment in Korea

  • Kang, A-Reum;Go, Ye-Eun;Kim, Ka-Eun;Kim, Min-Joo;Kim, Seon-Jeong;Hwang, SooJeong
    • Journal of dental hygiene science
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    • v.19 no.3
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    • pp.190-197
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    • 2019
  • Background: The Internet has advantages in terms of accessibility and amount of information, and the search for health information over the Internet is increasing exponentially. The purpose of this study is to analyze the information generated about some dental treatment on the internet by year. Methods: Naver Knowledge (JisikIn in Korean) which is an interactive search service was selected as the first search site in Korea. Scaling, wisdom tooth extraction, and endodontic treatment that can be paid by Korean health insurance were selected. Finally, 4,729 questions about scaling, 23,963 wisdom teeth extraction questions and 17,733 endodontic treatment questions were extracted. The question contents, the information about the questioner and the answerer, and an error of answers were investigated. Frequency analysis was used and chi-square test was used if necessary. Results: The most frequently asked questions were discomfort and dissatisfaction after the treatment. The need for treatment was the second in questions of the wisdom tooth extraction and endodontic treatment, but the health insurance benefit was the second in dental scaling. Most of the questioners didn't disclose personal information. The public answered the most in 2013~2014, but the highest percentage of the respondents was experts in 2017. Responses were mostly personal experience, but showed a tendency to decrease with years, and professional knowledge showed an increasing tendency. The error of the answer has also gradually decreased. Conclusion: Questions about dental care over the Internet are increasing exponentially, experts are responding increasingly, and errors in answers are decreasing. Nevertheless, it is necessary to pay attention to the related expert group to prevent misinformation.

Ensuring Patient Safety in Pediatric Dental Care

  • Daewoo Lee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.51 no.2
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    • pp.109-131
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    • 2024
  • This review aims to examine safety concerns in pediatric dental care and underscore the need for comprehensive patient safety initiatives within the Korean Academy of Pediatric Dentistry. Drawing insights from the prevailing patient safety policies of the American Academy of Pediatric Dentistry, case reports, and systematic reviews, this review elucidates issues such as dental fires during sedation, ocular complications from local anesthesia, and surgical emphysema. This review highlights the significance of safety toolkits encompassing infection control, medical error reduction, dental unit waterline infection, and nitrous oxide safety in pediatric dental settings, underscoring the need to foster a safety culture. Furthermore, this study explores the curriculum for pediatric dentistry residency programs, emphasizing concepts such as high-reliability organizations and mortality and morbidity conferences. The study suggests the need for initiatives to enhance patient safety, including establishing safety committees, expanding reporting systems, policy development, and supporting research related to patient safety. In conclusion, this study underlines key messages, emphasizing the utmost priority of patient safety, acknowledging the inevitability of human error, promoting effective communication, and cultivating a patient safety culture. These principles are vital for advancing patient safety in pediatric dental care and improving outcomes among pediatric patients.

Comparison of the Rate of Error with the Bisecting Angle Technique and the Paralleling Technique (등각촬영법과 평행촬영법에 따른 실책율 비교)

  • Lee, Yeong-Ae;Jo, Min-jung
    • Journal of dental hygiene science
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    • v.4 no.3
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    • pp.97-102
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    • 2004
  • In order to find out the rate of error according to intraoral standard radiographic techniques, this study analyzed 3,251 standard films, and conducted a questionnaire with 120 Daegu Health College students who have used the bisecting angle technique and the paralleling technique. Followed are the results of the study: 1. The rate of error was the highest in canine from both maxilla and mandible when used by the bisecting angle technique. 2. The rate of error was the highest in premolar from both maxilla and mandible when used by the paralleling technique. 3. The technical error was occurred most frequently in elongation. 4. The rate of error and distortion was higher in the bisecting angle technique than in the paralleling technique. 5. The processing error was occurred most frequently in light film. 6. In applying radiographic techniques, the subjects indicated that the vertical angulation of central radiation in the bisecting angle technique and the oral fixation of film holder in the paralleling technique were the most difficult.

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