• Title/Summary/Keyword: Dental problem

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Intravenous Target Controlled Infusion Sedation for Patients with Amyotrophic Lateral Sclerosis: Case Report (근위축성 측삭경화증 환자(ALS)의 치과 진료 시 목표농도 주입법을 이용한 정주 진정 마취: 증례 보고)

  • Doh, Re-Mee;Kim, Seung-Oh
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.3
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    • pp.177-181
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    • 2012
  • Amyotrophic lateral sclerosis (ALS) is one of the major neurodegenerative diseases that involves degeneration at all levels of the motor system- from the cortex to the anterior horn of the spinal cord. Patients with ALS often have difficulty of ambulation for dental treatment though they have poor oral hygiene state. General anesthesia may cause respiratory problem due to its high sensitivity to muscle relaxant and weakened upper airway. In this case report, 38-year-old female patient with ALS required many dental treatments. Conscious sedation with intravenous target controlled infusion method was successfully employed and patient was discharged without any complications.

Principles and considerations of orthodontics for Prosthodontic treatment (심미보철치료를 위한 교정치료의 원칙과 고려사항)

  • Chang, Won-Gun
    • The Journal of the Korean dental association
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    • v.56 no.9
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    • pp.503-511
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    • 2018
  • Outcome of esthetic ceramic restorations are affected by tooth size, gingival contour, occlusal relationship, etc. For this reason, demand of orthodontic treatment before esthetic ceramic restoration is increasing. If a Bolton ratio discrepancy, a problem of the maxillary incisor's vertical position, a problem of inclination of anterior teeth, a pathogenic occlusion is existed, a pre-prosthodontic orthodontics should be accomplished. These problems can be satisfactory only after the prosthetic treatment is performed after orthodontic treatment. When orthodontic treatment is given, it should be treated with the following principle. 1. Treat it in the direction of functioning occlusion. 2. Keep the patient's stable occlusal scheme. 3. Treat the teeth by considering the average tooth size and Bolton ratio. Ortho-Prostho combined treatment with optimal treatment plan can lead a patient's function, esthetics, and long-term stability.

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Pharmacologic management for the patient with paresthesia after implant surgery or extraction (임프란트 수술이나 발치 후 지각이상 환자에서의 약물치료)

  • Kim, Seong-Taek;Kim, Il-Young;Gang, Hee-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.2
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    • pp.109-113
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    • 2003
  • The inferior alveolar nerve provides unilateral innervation to the dentition, labial mucosa and skin from about commissure to the mental protuberance. Injury to this nerve resulting in sensory impairment can be a distressing problem to some patients. The causes of this problem include trauma, extraction, implant surgery and any maxillofacial surgery and generally the altered sensation is temporary. The surgical procedure has been the most common treatment for this condition but it has some complications. The antidepressants and anticonvulsants have been effective to the treatment of trigeminal dysesthesia. This case report suggests that the use of antidepressants and anticonvulsants is an alternative method to treat the paresthesia after implant surgery or extraction.

A Historical Consideration of Dispute Among Physicians, Dentists, and Korean Medicine Doctors (의·치·한의학 간 분쟁에 관한 역사적 고찰)

  • Kim, Junhewk
    • The Journal of the Korean dental association
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    • v.58 no.4
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    • pp.251-262
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    • 2020
  • Until recently, dentistry did not show notable social conflicts with other medical professionals. This means that conflicts did not surface as medical doctors took the dominant position even though areas of intervention have been overlapped. The recent conflict between medical professionals, which began with clashes in the area of oral and maxillofacial surgery, have been embodied in the Supreme Court ruling on the use of Botox by dentists and the court ruling on the use of oral devices in oriental medicine. We look discuss at each case in detail to seek a solution to the problem of interprofessional conflict. We present professional duty of self-development and interprofessional education as a way to resolve disputes between medical professionals, which would be a major problem in the future of dentistry and medicine.

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A Study on Medications and Health Histories of 2,528 Dental Patients (초진시 치과환자가 복용중인 약과 병력에 관한 조사연구)

  • 고경용;정성창
    • Journal of Oral Medicine and Pain
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    • v.5 no.1
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    • pp.17-25
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    • 1980
  • The purpose of this survey is to determine what medication dental patients are taking and to compile information from medical histories on the most frequent conditions. The frequency of use of drug and positive medical findings are reported by age and sex group. 1.Use of drugs were found to increase with age. The proportion taking a medication was 1 in 5 for teenage group, 1 in 4 for young adults, 1 in 3 for patients in their 40s, and 1 in 2 for patients aged 50and older. 2. One seconds of all dental patients in the study had a positive medical history for at least one problem, and more than 35% of these patients reported multiple medical problem.

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Oral Health Diagnosis by Using Combination of Evidence in Dezert-Smarandache Theory

  • Fadhillah, Muhammad Kamil;Listio, Syntia;Choi, Yong Keum;Lee, Hyun
    • International journal of advanced smart convergence
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    • v.7 no.4
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    • pp.185-196
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    • 2018
  • Based on World Health Organization (WHO) children and adults have a problem with their oral health, such as Dental cavities and periodontal disease. It is not easy to obtain the high convince level of result of the dental and periodontal diseases. Because each of them have different degrees of uncertainty and there have several discounting factors (error rates) in different of survey. To solve this problem we propose the Dezert-Smarandache Theory (DSmT) for efficient combination of uncertain, imprecise and highly conflicting sources of information. Moreover, we apply the SEFP as a context reasoning. Finally, we make the simulation by using 12 surveys and compare Propotional Conflict Redistribution 5 (PCR5) and Dempster-Shafer Theory (DST) to show the belief or probability for the low, a heavy, high and ultra-high risk situation.

Diagnosis and treatment of abnormal dental pain

  • Fukuda, Ken-ichi
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.1
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    • pp.1-8
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    • 2016
  • Most dental pain is caused by an organic problem such as dental caries, periodontitis, pulpitis, or trauma. Diagnosis and treatment of these symptoms are relatively straightforward. However, patients often also complain of abnormal dental pain that has a non-dental origin, whose diagnosis is challenging. Such abnormal dental pain can be categorized on the basis of its cause as referred pain, neuromodulatory pain, and neuropathic pain. When it is difficult to diagnose a patient's dental pain, these potential alternate causes should be considered. In this clinical review, we have presented a case of referred pain from the digastric muscle (Patient 1), of pulpectomized (Patient 2), and of pulpectomized pain (Patient 3) to illustrate referred, neuromodulatory, and neuropathic pain, respectively. The Patient 1 was advised muscle stretching and gentle massage of the trigger points, as well as pain relief using a nonsteroidal anti-inflammatory and the tricyclic antidepressant amitriptyline. The pain in Patient 2 was relieved completely by the tricyclic antidepressant amitriptyline. In Patient 3, the pain was controlled using either a continuous drip infusion of adenosine triphosphate or intravenous Mg2+ and lidocaine administered every 2 weeks. In each case of abnormal dental pain, the patient's diagnostic chart was used (Fig.2 and 3). Pain was satisfactorily relieved in all cases.

Recognition on technical skills of temporary resin jacket of dental hygienist (치과위생사의 임시치관제작 기술 숙련에 대한 인식도)

  • Kim, Kyung-Won;Kim, Gwang-Hui
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.4
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    • pp.559-568
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    • 2009
  • Objectives : In order to manage to reformative tendency of the educational whole with change request of dental hygienics education which is diversificated and professionalized the manufacturing practice of a temporary resin jacket which is educated with from much dental hygiene is become accomplished, so far also the recognition which relates with the manufacturing practice of a temporary resin jacket of dental hygiene students there is not researched. The present research carried out the practice evaluation with the target of students of a dental hygiene department, who finished a manufacturing practice of a temporary resin jacket, analyzed and investigated the material, reported its result, and enforced a research. Methods : This research selected students of 6 dental hygiene departments located in the Daegu Gyeongbuk region, who have manufacturing experience of a temporary resin jacket, by a convenient sampling method, and then a questionnaire was executed by a self-administration method, and a total of 290 copies were statistically treated. The content of the questionnaire are composed of 2 questions on an attitude survey before and after manufacturing practice of a temporary resin jacket, 3 questions on an educator for practice of a temporary resin jacket, 7 questions on recognition of technical skills for manufacturing a temporary resin jacket, 9 questions on the practice content evaluation of manufacturing of a temporary resin jacket and recognition on manufacturing practice of a the temporary resin jacket. Results : 1. The average of recognition on technical skills for manufacturing a temporary resin jacket of a dental hygienist was 3.82 points, the average of evaluation on practice content of manufacturing a temporary resin jacket being 3.75 points, and the average of recognition on the practice of manufacturing a temporary resin jacket was 3.71 points. 2. Currently, as the educator for the practice of manufacturing a temporary resin jacket, dental hygienists were 188 persons(64.8%) and dental technicians was 102 persons(35.2%), and as educators they want in the future, dental hygienists were 97 persons(33.3%) and dental technicians was 193 persons(66.7%). Persons hoping reeducation for manufacturing a temporary resin jacket were 219 persons(85.9%). 3. There was a significant difference in consciousness of students before and after practice of manufacturing a temporary resin jacket(p<.001). 4. There was a significant difference in practice evaluation and practice recognition according to the educational subject(p<.001). 5. There was a significant reverse correlation in the educational subject, practice evaluation and practice recognition(p<0.01). Conclusions : The practice for manufacturing a temporary resin jacket in education of dental hygiene is necessary to improve job performance ability in more various and specialized dental treatment and to solve desire for improvement of professional technical skill ability of students, and accordingly. About study process of the future students observation investigation or student objective interview investigation etc. seeks a problem in the become research lead, the succeeding research which gropes the plan which is the possibility of solving the problem which discovered is thought will be necessary.

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Interdisciplinary treatment of Class III malocclusion using mini-implant: problem-oriented orthodontic treatment (Mini-implant를 이용한 III급 부정교합 환자의 협진 치료: 문제중심의 교정치료)

  • Im, Dong-Hyuk;Kim, Young-Shin;Cho, Min-Ah;Kim, Ki-Sung;Yang, Sung-Eun
    • The korean journal of orthodontics
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    • v.37 no.4
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    • pp.305-314
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    • 2007
  • Interdisciplinary treatment of Class III malocclusion with congenital missing of unilateral maxillary canine and anterior crossbite is discussed focusing on a problem-oriented treatment planning, treatment progress, and treatment result. Maxillary mini-implant provided anchorage for distalization of the maxillary right porsterior dentition. Mandibular mini-implants were used to distalize the whole mandibular dentition. Total treatment time was 17 months to achieve a successful treatment goal. Stable occlusion was maintained after 12 months of retention.

A study on the effect of self-efficacy and stress-coping method of dental hygienist (치과위생사의 자기효능감이 스트레스 대처방식에 미치는 영향)

  • Won, Young-Soon;Park, So-Young;Kim, Jeong-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.5
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    • pp.909-919
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    • 2012
  • Objectives : The purpose of this study was to examine the impact of the self-efficacy of dental hygienists on their stress-coping method. Methods : The subjects in this study were the dental hygienists in dental institutions that were selected by convenience sampling from Jeonju, Iksan, Gimjei and Gunsan in North Jeolla Province. A survey was conducted by using structured questionnaires. Results : A regression analysis was carried out to see whether self-efficacy would affect stress-coping method, and it's found that those whose overall self-efficacy was better made more use of an overall stress-coping method(p>0.001). General and social self-efficacy exerted a significant influence on a problem-oriented stress-coping method(p>0.001, p>0.01), and general and social self-efficacy had an impact on a stress-coping method of social support pursuit(p>0.01, p>0.01). In addition, general and social self-efficacy exercised an influence on a stress-coping method of wishful thinking(p>0.01, p>0.05). Conclusions : The self-efficacy of the dental hygienists affected their own stress-coping method, and the finding of the study suggests that a lot of efforts should be made from diverse angles to boost the self-efficacy of dental hygienists.