• Journal of Dental Anesthesia and Pain Medicine
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• 제17권2호
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• pp.129-134
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• 2017

Efforts to apply augmented reality (AR) technology in the medical field include the introduction of AR techniques into dental practice. The present report introduces a simple method of applying AR during an inferior alveolar nerve block, a procedure commonly performed in dental clinics.

• 치위생과학회지
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• 제8권2호
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• pp.65-71
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• 2008

본 연구는 건강보험에 대한 인식을 파악하여 치과 건강보험제도의 운영과 개선방안에 도움이 되고자 2006년 8월부터 10월까지 행정기관 및 임상전문가 568명과 의료기관에 내원한 의료소비자 1036명을 대상으로 설문조사를 실시하여 다음과 같은 결론을 도출하였다. 1. 전문가 집단의 인구 사회학적 특성에서 여성이 84.7%로 높은 비중을 차지하였으며, 연령은 20대, 30대, 40대 순으로 나타났다. 의료소비자 집단의 인구 사회학적 특성은 여성이 50.2%, 남성이 49.8%로 비슷한 분포를 나타냈으며, 연령은 20대, 30대,40대 순으로 나타났다. 2. 치과 건강보험의 재정확보에 관한 의견에 대해 조사한 결과 급여확대를 위한 재정수준에서는 전문가, 의료소비자 모두 '보험급여 재정수준을 늘여서 추가적으로 급여항목을 확대하되 우선순위도 재조정하자'는 의견이 높게 나타났다. 재원조달방법으로는 전문가의 경우 '정부 예산 지원비율 확대'와 '사회보장제도 마련', '지방자치단체의 예산편성' 순으로 나타났으며, 의료소비자의 경우 '정부의 예산 지원비율 확대', '지방자치단체의 예산편성', '소득수준에 따른 격차 확대' 순으로 나타났다. 3. 치과 건강보험에 대한 전반적인 견해에서 전문가는 비급여를 포함한 본인부담 비용의 적절성(2.47), 급여적용 항목수의 적절성(2.29) 순이었으며, 의료소비자의 경우 전체 건강보험 예산 중 치과 건강보험의 급여비율의 적절성(2.26), 급여적용 항목수의 적절성(2.16) 순을 기록하였다. 우선순위 설정 기준이 필요하다는 의견에서는 각각 3.75, 2.93을 나타냈다. 4. 치과 건강보험에 관한 인식도에 있어서 전문가와 의료소비자 모두 비슷한 의견을 보였으며, 특히 치과건강보험 제도에 대한 필요성을 크게 인식하고 있었다. 만족도에 있어서는 두 집단 모두 만족도가 모든항목에서 3점 이하로 불만족하는 경향을 보였으며, 특히 보험적용 항목에 대한 만족도가 가장 낮았다.

• 대한소아치과학회지
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• 제48권2호
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• pp.151-159
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• 2021

대한민국에서 2019년 1월부터 만 12세 이하 어린이에 대한 우식 영구치 복합 레진 수복 치료가 급여화 되었다. 이 연구의 목적은 2009년 1월부터 2020년 3월까지 급여화 적용 전후의 강동 경희 치과대학병원에서의 만 12세 이하 영구치 복합 레진 치료 패턴을 분석하는 것이다. 급여화가 시작된 2019년에 만 12세 이하 어린이 대구치 복합 레진 수복량은 2배 이상 증가하였다. 급여화 전후 치료 나이, 성별, 치아의 위치에는 유의한 변화가 없었으나 와동의 형태에서 유의한 변화가 관찰되었다. 수용할 만한 생존율을 보이는 영구치 복합 레진 수복에 대한 접근성이 급여화로 증가함에 따라, 만 12세 이하 어린이의 초기 영구치열에서의 구강 건강이 증진될 것으로 보인다.

• 한국융합학회논문지
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• 제9권2호
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• pp.125-136
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• 2018

본 연구는 의료소비자를 대상으로 실시되고 있는 치과건강보험급여화의 인식도를 조사하여 미래 치석제거 국민들의 구강건강향상을 위해 치과건강보험급여가 확대되고자 하는데 목적이 있다. 연 1회 치석제거급여 연령에 대한 적절성 여부는 나이와 교육수준에서 유의한 차이가 있었고(p<0.05), 연 1회 치석제거 급여횟수에 대한 적절성 여부는 결혼여부, 지역(구), 자가구강건강인지에서 유의하였으며(p<0.05), 연 1회 치석제거 급여수가에 대한 적절성 여부에서는 하루잇솔질총횟수가 통계적으로 유의하였다(p<0.05). 결국 연령이 증가하면서 나타나는 치주질환의 증가로 국가 차원에서의 건강보험급여 항목이 추가되어야 하며, 본 연구결과에서와 같이 치석제거 건강보험급여화는 연령, 횟수, 수가부분에서 더욱 확대 되어야하며, 향후 치과건강보험 급여정책 향상을 위한 노력은 국민의 구강건강을 위해 계속되어야 한다.

• 한국치위생학회지
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• 제5권1호
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• pp.1-13
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• 2005

The study aimed to estimate the importance of job tasks, job training requirement and work satisfaction felt by dental hygienists to help dental hygienists work efficiently and effectively. A total of 142 dental hygienists working in dental hospitals located in J participated in the study. A SPSS 10.10 for Windows was used for statistical analysis. The statistical significance was defined as ${\alpha}$=.05. The results of the study are summarized as follows: 1. The mean score for the importance of job tasks was 4.09. The respondents considered dental clinic management and assistance to dentists the most important among their job descriptions showing the mean score of 4.44. The need for job training was 4.15 in average. The respondents wanted to have training on how to make a dental health insurance claim to receive payment other than any training with the mean score of 4.42. The work satisfaction of the respondents was 3.65 in average. The respondents were most satisfied with their work in dental assistance. 2. By the category of job tasks, the levels of importance of job tasks, job training requirement and work satisfaction were higher in plague removal with an ultrasonic scaler related to clinical oral prophylaxis, pit and fissure sealants related to preventive dental treatment and instruction in the correct usage of toothbrush related to public dental health education 3. In dealing with dental radiation machines, the radiation protection was considered the most important. While the training for periapical radiography was most needed, the respondents were satisfied with working in the same area. The levels of job importance, training requirement and work satisfaction were high in preventive dental care in the community performed in relation to the public dental health care. 4. In the dental health insurance claim category, the levels of importance of job task, training requirement and work satisfaction were higher in insurance claiming. The levels of job importance and training requirement were high in dental clinic management and assistance to dentists performed for preventive dental treatment. The work satisfaction was higher in maintaining medical chart records. The levels of job importance, training requirement and work satisfaction were higher in dental assistance in relation to dental protection. 5. There was significant relationship between the level of importance and work experience. Those with a longer period of work experience had higher levels of job importance in dental health insurance claim, dental clinic management and assistance to dentists and the overall task(pE0.05). 6. A significant relationship was observed between the need for job training in dental cleaning and preventive dental treatment and work experience. Those with more than 8 years of work experience demonstrated that job training is most needed(pE0.05). 7. The work satisfaction level was higher in the group with more than 8 years of work experience, compared with those in other work experience periods(pE0.05). 8. A positive correlation was seen between the level of importance and the need for job training among three variables.

• 대한치과의사협회지
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• 제36권2호통권345호
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• pp.144-150
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• 1998

The dental insurance had been enforced in Korea past 20 years. The major part of the insurance was filling, and the filling was divided into two parts-the cavity preparation and cavity filling, The Cavity filling was estimated into 6 levels according to the cavity types. But the tooth cavity preparations was not evaluated by the cavity types but merely only one-the one visit filling or cavity preparation. Korean dentists tend to turn away from the amalgam to the non-insurance treatments. The purpose of this study was to relate the cavity preparations and cavity fillings to the cavity types. So I measured the real time and surveyed the relative difficulties of cavity preparations from the 31 dentists according to the cavity types, who had been trained in conservative dentistry. The conclusion of this study was below. 1. The estimations of tooth cavity preparation was divided same as the cavity filling. 2. There must be reasonable considerations about the times and difficulties in cavity preparation. 3. There was differences between the premolars and molars, upper jaw and lower one. 4. Two or more cavities in one tooth must be evaluated according to the number of cavities, not in one cavity.

• 대한치과기공학회지
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• 제10권1호
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• pp.25-41
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• 1988

In order to provide the National Dental Health Program with dasic data, and to implove the laborartory managent style, the author studied the operational situations of dental lads through questionaire. The results are as follows, 1. Unlicensured personnel should be replaced by the licensured(from present rate lf 49.2% licensured to more than80%) 2. Minimum wage guarantee system as well as well as oage raise should be established. 3. Monthly balancing accounts system and bepreciation reserve accounts system should be established for the reasonable management. 4. Manufacturing period should be elongated from presnt 2.8 days to 5-7 days for quality betterment of the processes. 5. Medical insurance system should be applied to the dental processes. 6. Manufacturing cost should be increased by 35%. 7. Retirement grants lr retirement annuity system, improvement of occupational environ-ment, and holidays incentives, and participation in medical insurance system should be adopted for the wellfare of the dental technicians. 8. Laboratory managers should operate the lads with pride and valuation. 9. Business Management course should be included in the curriculum of the dental labo-ratory school. 10. Good relationship between Korean Association of Dental Laboratory Technicians and local laboratories shorld be improved.

• 대한치과의사협회지
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• 제58권2호
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• pp.83-92
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• 2020

In the anterior maxillary area, dental implants for tooth replacement are challenging due to the need to satisfy high esthetic level as well as functionality. Immediate implant placement and provisionalization can dramatically reduce the edentulous period, and then fulfill patient's demand for esthetics. The aim of present case report is to demonstrate two cases that successfully restored single tooth with immediate implant placement and provisionalization in the anterior maxillary area. A 47 years old female was scheduled to replace her maxillary right central incisor due to crown-root fracture by trauma. Another 54-year-old female was planned to place dental implant following tooth extraction of maxillary right lateral incisor owing to continuous pus discharge despite repetitive treatments including apicoectomy. In these two cases, surgical and prosthetic procedures progressed in a similar way. After minimal flap elevation, atraumatic tooth extraction was performed. Implant was placed in proper 3-dimensional position and angulation with primary stability. Bone graft or guided bone regeneration for peri-implant bone defect was conducted simultaneously. Provisionalization without occlusal loading was carried out at the same day. Each definitive crown was delivered at 7 and 5 months after the surgery. Two cases have been followed uneventfully for 2 to 5 years of loading time. In conclusion, Immediate implant placement and provisionalization could lead to esthetic outcome for single tooth replacement with dental implant under proper case selection.

• Journal of Periodontal and Implant Science
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• 제53권4호
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• pp.269-282
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• 2023

Purpose: Dental fear hinders patients from receiving appropriate dental treatment. In particular, the noise generated by high-speed air turbines and ultrasonic scalers can adversely affect patients. Many efforts have been made to reduce the discomfort caused by noise, but no methods are definitively recommended. The purpose of this study was to determine the efficacy of active noise-canceling (ANC) headphones in reducing the pain and discomfort associated with dental scaling. Methods: Fifty-five patients requiring scaling and root planing, aged ≥19 years and showing no auditory problems, were included. Scaling was performed for the bilateral maxillary molars and premolars while patients wore headphones, with ANC turned either on or off. The degree of noise and pain reduction in the on and off conditions were surveyed using a visual analog scale (VAS). The Wilcoxon signed-rank test was performed to compare noise-and pain-related discomfort with ANC turned on and off. Results: The sample included 28 men and 27 women with a mean age of 45.45±13.12 years. The average noise-related discomfort score was 3.84±2.12 and 2.95±1.99 when noise-canceling was turned off and on, respectively, with a statistically significant difference (P<0.05). Similarly, the average pain-related discomfort score was 3.78h±2.00 and 3.09±1.96 when noise-canceling was turned off and on, respectively, which was a statistically significant difference (P<0.05). Conclusions: The use of ANC headphones seems to reduce the discomfort caused by noise and pain in patients undergoing scaling.

• Journal of Dental Anesthesia and Pain Medicine
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• 제17권4호
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• pp.317-321
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• 2017

The present case report describes a complication involving facial blanching symptoms occurring during inferior alveolar nerve block anesthesia (IANBA). Facial blanching after IANBA can be caused by the injection of an anesthetic into the maxillary artery area, affecting the infraorbital artery.