• 제목/요약/키워드: Dental office

검색결과 234건 처리시간 0.311초

Office-based 2-stage Posterior Maxillary Segmental Osteotomy for Mandibular Implant Placement: Clinical Study

  • Jeong, Bong-Jin;Oh, Yeonjin;Jo, Hyunmi;Jung, Junho;Choi, Byung-Joon;Ohe, Joo-Young
    • Journal of Korean Dental Science
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    • 제13권2호
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    • pp.67-72
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    • 2020
  • Purpose: This clinical study presented the effectiveness of 2-stage posterior maxillary segmental osteotomy (PMSO) under local anesthesia in gaining interarch space to restore the posterior mandibular segment with dental implants. Materials and Methods: Nine patients who received two-stage PMSO for mandibular implant placement from 2003 to 2011 were included in the study. Of the 9 patients, 7 were female and 2 were male. Ages ranged form 28 to 72 (mean 46.6). Potential complications were investigated such as sinus infection, survival of bone segment, inflammatory root resorption of adjacent teeth, relapse of bone segment and timing of implant placement, delivery of implant prosthesis and stability of bone segment. Result: None of the patients showed relapse or complication. Bone segments were stabilized by opposed implant prosthesis. Conclusion: Office-based 2-stage PMSO under local anesthesia can be considered a stable and predictable procedure. Also pedicle damage can be avoided by allowing favor of blood supply to the bone segments. From these advantages, it can be concluded that this surgical procedure can decrease post-operative complications.

Establishment of an intravenous conscious sedation service at a University Dental Clinic in Tanzania

  • Karpal Singh Sohal;Frank Bald;Samwel Mwalutambi;Paulo J Laizer;David K Deoglas;Jeremiah Robert Moshy;Baraka Kileo;Noah Joshua;Sospeter Sewangi
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제23권2호
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    • pp.83-89
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    • 2023
  • Background: With advances in safety measures for anesthesia, conscious sedation has gained popularity in the field of dentistry and has become essential in dental practice worldwide. However, in Tanzania, intravenous (IV) sedation is rarely practiced in the dental field. Therefore, we report the establishment of sustainable IV conscious sedation in dental practices and subsequently train local OMS residents in Tanzania. Methods: In 2019, intravenous conscious sedation was initiated at the University Dental Clinic of the Muhimbili University of Health and Allied Science (MUHAS), Tanzania. During the preparatory phase of the program, local oral and maxillofacial surgeons (OMSs) were given a series of lecture notes that concentrated on different aspects of IV conscious sedation in dentistry. During the on-site training phase, an oral surgeon from the United States joined the OMSs for case selection, IV-conscious sedation procedures, and patient follow-up. Patients were recruited from existing patient records at the MUHAS Dental Clinic. Results: The first conscious IV sedation program in dentistry was successfully launched at the University Dental Clinic in Tanzania. The local team of OMSs was trained on the safe administration of sedative agents (midazolam or ketamine) to perform various minor surgical procedures in a dental office. Nine patients with different ages, body masses, and medical conditions benefited from the training. No complications were associated with IV conscious sedation in the dental office. Conclusion: This was the first successful "hands-on" training on IV conscious sedation provided to OMSs in Tanzania. It laid the foundation for the sustainable care of patients with special needs requiring oral health-related care in the country.

치과기공사의 호흡기 증상과 폐환기능 검사와의 관계 (Relationship between Pulmonary Function and Symptoms in Dental technicians)

  • 이규선
    • 대한치과기공학회지
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    • 제15권1호
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    • pp.73-87
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    • 1993
  • This study was performed to determine respiratory manifestations of 105 male and 16 female dental technicians who were resident in seoul. The prevalence of respiratory symptoms was 19% on cough, 40% on sputum, 33% on coryza, and 36% on dyspnea without past cardiopulmonary disease. The number of subjects who was abnormal ventilatory function among % predicted value for FVC(<80%), FEV1(<80%) and $FEV_1$/FVC(<75%) was 18(22%). Indices FVC and $FEV_1$ among smokers were 3 to 6% lower than that of nonsmokers.

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치위생과 학생의 임상실습에 관한 의식실태조사 (Research on the Actual Condition of Consciousness that the Students in Dept. of dental hygiene have about Clinical Training)

  • 강용주;장계원
    • 한국치위생학회지
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    • 제4권1호
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    • pp.1-17
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    • 2004
  • The purpose of this study is to investigate the actual condition of consciousness that the students in Dept. of dental hygiene who will be engaged in dental hygiene at a dental office in the future have about a clinical training, to see whether there is any difference between the results, and then to provide fundamental data which can be helpful to develop more effective clinical training programs. For this, we investigated consciousness, that 114 daytime school students and evening school students(76 daytime school students and 38 evening school students) in Dept. of dental hygiene in J college have, using questionnaires on clinical training with Self-Administrated Method. SPSS 12.0 for Windows was used to analyze all of the questionnaires, and the results analyzed at meaningful level a=.05 are like followings: 1. The degree of satisfaction on clinical training was high as average 3.30 ; it was high in case of night training as 3.34, and of a dental office in a general hospital and an university hospital as 3.83. The degree of stress caused by clinical training was high as average 3.30, and it means that they are under relatively heavy pressure ; it was shown they got the most heavy stress as 3.39 at night, as 3.68 at a dental clinic 2. The students showed the highest tendency to recognize that clinical training is needed "for learning various clinical case experiences" as average 3.54 ; the students trained at daytime showed the highest average 3.55, and at a clinical hospital, the highest average 3.64. 3. In the study on an actual condition of consciousness about clinical training according to class difference by time(at day time and at night), there is meaningful difference between two kinds of class ; the students trained at day time showed average 2.68 that they don't like to attend, on the other hand the students at night showed higher average 2.84(p<.05). In the study on an actual condition of consciousness about clinical training according to the institutions they are trained, there is meaningful difference at satisfaction on learning method and amount of assignment : they show the highest degree of satisfaction on the learning method in case of working at a dental office in a general hospital and an university hospital as average 3.3(p<.0.1) ; the amount of assignment was shown most high at a dental clinic and a dental office in a general hospital and an university hospital as average 3.00 each(p<.05). 4. In the study of the degree of satisfaction on the clinical training, it has relatively high connections with learning contents(r=.656), learning methods(r=.497), special lessons and supplementary lessons(r=.472), the case they don't like attend at work (r=-.439), discriminatory treatment(r=-.25l), respectability on the senior dental hygienists(r=.464), a social status of a dental hygienist(r=.213), the degree of satisfaction from the relationship with other dental hygienists(r=.274), the degree of understanding which clinical training institutions have on the trained students(r=.494), trainers' ability to teach the students(r=.499). enthusiasm on guiding (r=.523), the amount of assignment(r=.333). 5. In the study on stress they got from a clinical training, it has relatively high connections with learning contents(r=-.399). learning methods(r=-.536), comprehension on training program(r=-.208), special lessons and supplementary lessons(r=-.306), the case they don't like attend at work(r=.467), discriminatory treatment(r=.366), respectability on the senior dental hygienists(r=-.341), a social status of a dental hygienist(r=-.l97), the degree of satisfaction from the relationship with another dental hygienists(r=-.289), the degree of understanding which clinical training institutions have on the trained students(r=-.430), trainers' ability to teach the students(r=-.396), enthusiasm on guiding(r=-.495).

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치과진료 시 발생한 심정지에서 기본생명구조술 (Basic Life Support for Cardiac Arrest during Dental Treatment)

  • 서광석
    • 대한치과의사협회지
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    • 제53권8호
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    • pp.522-529
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    • 2015
  • Cardiac arrest can occur in dental clinics. All dental professionals should be trained to deal with emergency situations that is threatening life. Dental professionals should be familiar with the protocol which include basic life support, advanced life support and specific drugs to be administered in emergencies. Emergency can occur in any dental office without any warnings. Further, it has been noted in recent times there is an increase in a number of medico-legal cases due to rise in a number of death in the dental chair. This review article aims at briefing the basic life support required to manage the medical emergency having life-threatening potential.

치과기공사에 있어서 직무만족도와 삶의 질의 관련성 (The Relationship between Job Satisfaction and Quality of Life in Dental Technicians)

  • 민경진;고영주;차춘근
    • 보건교육건강증진학회지
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    • 제21권1호
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    • pp.217-242
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    • 2004
  • This study was carried out to measure job satisfaction and quality of life and to clarify the factors in job satisfaction which influence on quality of life of dental technicians, using developed tools for job satisfaction and WHOQOL-BREF for quality of life. The subjects for this study were 238 people who worked the in the Daegu-Kyungbuk area. The results of this study were as follows; the general characteristics that influenced job satisfaction, were especially education, hobbies, salary level, job career and work hours. The factors that influenced the quality of life, were especially Married status, hobbies, job position, and office hours. All subfactors in job satisfaction were related to each other. Growth-development factor was intensely related with recognition factor. Also, all subfactors in quality of life were in positive relation to each other, especially psychological domain was highly related with social domain. Factors of safety, recognition and accomplishment in job satisfaction intensely affected quality of life. Therefore, It is suggested that social recognition for dental technician should be promoted and it might be needed to adjust office hours and support hobby life.

측두하악관절장애에 있어서 표준질병사인분류기호 부여의 문제점에 대한 고찰 (A review on the problems in coding system of Korean Classification of Disease for temporomandibular disorders)

  • 송윤헌;김연중
    • 대한치과의사협회지
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    • 제48권6호
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    • pp.459-468
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    • 2010
  • International Classification of Disease (ICD-10) is widely used as a crucial reference not only in the medical diagnosis of diseases but also within the health insurance system. It makes possible for medical personnel to make decisions systematically and for the people working in the health insurance or public health industries to better understand medical issues. However, this classification is often not enough or acceptable in a clinical setting. Many countries amend in their own way to make it more appropriate for their people. Korean Classification of Disease (KCD-5) was made by adding a 5 digit code for some diseases to clarify the conditions of the patients. The authors found problems of KCD-5 in temporomandibular disorders and several related medical problems. Medical treatment for these problems had not been covered even by public health insurance until 2000 in Korea. For the last decade, private insurance companies have introduced new items for reimbursement of the treatment fees the patients actually pay. The authors assumed that many patients with these medical problems encountered difficulties in the reimbursement from private insurance companies because KCD-5 did not classify these medical conditions appropriately. An overview of KCD-5 and suggestions for improvement are introduced in this study.

Dental treatment under general anesthesia for patients with severe disabilities

  • Choi, Junglim;Doh, Re-Mee
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제21권2호
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    • pp.87-98
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    • 2021
  • Patients with disabilities have difficulties tolerating in-office dental treatment due to limitations relating to cooperation and/or physical problems. Therefore, they often require general anesthesia or sedation to facilitate safe treatment. When deciding on dental treatment under general anesthesia, the plan should be carefully determined because compared to general patients, patients with disabilities are more likely to experience anesthetic complications because of their underlying medical conditions and potential drug interactions. Clinicians prefer simpler and more aggressive dental treatment procedures, such as extraction, since patients with impairment have difficulty maintaining oral hygiene, resulting in a high incidence of recurrent caries or restorative failures. This study aimed to review the available literature and discuss what dentists and anesthesiologists should consider when providing dental treatment to patients with severe disability under general anesthesia.