• Title/Summary/Keyword: dental change

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A Study on Dental Hygienist' Knowledge, Awareness and Performance of Patient's Personal Information Protection (환자 개인정보보호에 관한 치과위생사의 지식과 인식도 및 실천도에 관한 연구)

  • Choi, Ye-Jin;Kang, Hyun-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.416-426
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    • 2016
  • This study intended to identify dental hygienists' knowledge and extent of awareness and performance of patient's personal information protection. In addition, this research was conducted to contribute to medical centers' preparation of measures to strengthen the personal information protection by identifying the factors affecting dental hygienists' extent of performance related to the patient's personal information protection. After explaining the purpose and meaning of the research to the survey participants and gaining their consent, a self-administered survey was conducted from November 7, 2014 to June 30, 2015. The data on 210 dental hygienists in Busan city and Gyeongsangnam-do province was used for analysis. As a result, in dental hygienists with more than 10 years experience, the extent of the performance was significantly high (p<.05). In positions higher than a senior manager, the extent of knowledge was high (p<.01) and the extent of performance was significantly high (p<.05). In hospitals with more than 10 to 20 workers, the extent of awareness was significantly high (p<.05). Regarding the correlation of knowledge and the extent of awareness and performance, a high level of knowledge showed a positive correlation of the extent of awareness and performance (p<.01). As a result of a survey regarding what effects dental hygienists' knowledge and extent of awareness of patient's personal information protection have on dental hygienists' extent of performance, it was found that knowledge (.231) and the extent of awareness (.212) are factors affecting the extent of performance. Therefore, to increase the extent of dental hygienists' performance of patient's personal information protection, there is a need to improve the knowledge of patient's personal information protection and change its awareness. To change the awareness of patient's personal information protection, there is a serious need to carry out education targeting dental hygienists.

Simplified nonsurgical treatment of peri-implantitis using chlorhexidine and minocycline hydrochloride

  • Heo, SunJin;Kim, Hyun-Joo;Joo, Ji-Young;Lee, Juyoun;Kim, Sung-Jo;Choi, Jeomil
    • Journal of Periodontal and Implant Science
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    • v.48 no.5
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    • pp.326-333
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    • 2018
  • Purpose: The present study investigated the outcomes of a newly-developed, simple, and practical nonsurgical treatment modality suitable for most forms of intrabony defects around failing dental implants using intrasulcular delivery of chlorhexidine solution and minocycline hydrochloride (HCl). Methods: Forty-five dental implants in 20 patients diagnosed with peri-implantitis were included. At baseline and the study endpoint, the probing pocket depth (PPD), clinical attachment level (CAL), and the presence of bleeding on probing (BOP) at 6 sites around each implant were recorded. The radiographic osseous defect morphology at the mesial or distal proximal aspect of each implant was classified as 1) narrow or wide and 2) shallow or deep. For a comparative analysis of bone changes according to the defect morphology, the distance from the implant shoulder to the most coronal bone-to-implant contact point (DIB) at the mesial and distal aspects of each implant was measured at baseline and the endpoint. Patients were scheduled to visit the clinic every 2-4 weeks for intrasulcular irrigation of chlorhexidine and delivery of minocycline HCl. Results: We observed statistically significant decreases in PPD, CAL, and BOP after treatment. At the endpoint, bone levels increased in all defects, regardless of the osseous morphology of the intrabony defect. The mean DIB change in deep defects was significantly greater than that in shallow defects. Although the mean bone gain in narrow defects was greater than in wide defects, the difference was not statistically significant. Conclusions: We propose that significant and sustainable improvements in both clinical and radiographic parameters can be expected when intrabony defects around dental implants are managed through a simple nonsurgical approach involving combined intrasulcular chlorhexidine irrigation and local delivery of minocycline HCl.

Clinical Study of Natural Recovery of Altered Sensation after Minor Dental Surgery

  • Kim, Jong-Hwa;Yun, Pil-Young;Kim, Young-Kyun
    • Journal of Korean Dental Science
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    • v.4 no.1
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    • pp.14-19
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    • 2011
  • Purpose: The aim of our study was to evaluate natural recovery of neurologic injury after minor dental surgery based on subjective neurologic evaluation. Materials and Methods: From December 2005 through July 2009, 30 patients from Seoul National University Bundang Hospital were identified as having been treated with minor dental surgery. The patients were composed of 12 men and 18 women, with a mean age of 50.6 years. The median duration of this study was 62 weeks. Results: The patients were treated by implants (17 cases), tooth extractions (6 cases), bone grafts (4 cases), inferior alveolar nerve transpositions (2 cases) and periodontal surgery (1 case) prior to the occurrence of altered sensation. Areas of altered sensation after minor surgery included the lip (36.7%), chin (30.0%) and tooth (21.7%), and at final follow-up, there was no change of ranking. Altered sensations expressed by patients included numbness (33.3%), discomfort (22.9%), relieving sense (14.6%), tingling (14.6%) and itching (14.6%). There was no change of ranking of altered sensation at the last follow-up. Patients experienced the altered sensation always (47.8%), during tactile stimulation (26.1%), when chewing food (13.0%), and talking (13.0%). Mean visual analogue scale (VAS) was $3.43{\pm}2.84$ for pain and $6.64{\pm}2.72$ for paresthesia. VAS of pain was decreased significantly between the first visit and the end of follow-up, and paresthesia also showed a significant difference. Conclusion: Altered sensations may occur at any time after minor dental surgery, but we observed that natural recovery of altered sensation occurred as time went on.

Change in Pulpal Blood Flow of Heat-induced Neurogenic Inflammation in Feline Dental Plup (고양이 치수에서 열 자극으로 유도된 신경병증 염증에서 치수 혈류량 변화)

  • Park, Min-Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6340-6345
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    • 2013
  • This study examined the involvement of histamine in heat-induced changes in pulpal blood flow(PBF) to determine the mechanism of neurogenic inflammation in feline dental pulp. The experiments were carried out in 10 felines anesthetized with sodium pentobartial and histamine injected into the dental pulp through the external carotid artery. The change in the pulpal PBF was measured using a laser Doppler flowmeter(Periflux 4001, Stockholm, Sweden). The probe of laser Doppler flowmeter was placed on the buccal surface of the ipsilateral canine teeth. Heat was applied to the tooth using a heat stimulator controlled script file with an input/output device. The application of heat ($40-65^{\circ}C$) induced a significant increase in PBF. The application of histamine($5{\mu}g/kg/1ml$) followed by heat($45^{\circ}C$) resulted in an increase in PBF. Therefore, the results of the present study showed that heat and histamine are capable of vasoconstriction caused by neurogenic inflammation in feline dental pulp. In addition, neurogenic inflammation plays an active role in modulating the microcirculation of the dental pulp.

A Study on the Learning Attitude of some Dental of Dental Technology Department students (일부 치기공학과 학생들의 학습태도에 관한 연구)

  • Lee, Ju-Hee;Lee, Hye-Eun
    • Journal of Technologic Dentistry
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    • v.40 no.3
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    • pp.163-172
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    • 2018
  • Purpose: The research comprehends learning attitude level of Dental Technology Department students, searches variable element to affect and is trying to provide basic material of method arrangement to induce change of positive learning attitude. Methods: It was conducted survey 410 students, who understand purpose of the research, consentient to involve research, in universities which is located in Daegu area, Daejeon City, Gangwon province from Aug., 1stto Nov.,10th2017, Questionnaires were distributed to 410 students totally. it was finally analyzed 374 questionnaires except 36 questionnaires that answer was not sufficient. Results: The positive answer over 'Average (3)' among study attitude factors was presented highly in order of 'Targeting & Execution' (3.351). 'Effective Content Summary' (3.307), 'Study Plan' (3.173), 'Priority and Self-Management' (3.116), and 'Study Habit & Enhancement' (2.925) showed negative trend under average. The five sub-factors of learning attitude were examined according to general characteristics and there were statistically significant differences according to gender, grade, high school of origin, academic aptitude(p<0.01, p<0.001). Conclusion : As male students show more positive learning attitude than female students, we need to develop more special programs to encourage them. Meanwhile we also need to find out a motive to bring positive effect to change the academic aptitude and learning attitude of female students, or methods to improve their learning attitude in a complementary way by their high school, gender and grade.

A Study on Change of Physical Property in Porcelain Fused to 18K Gold Alloy by Small Additional Elements (도재소부용 18K 금합금의 미량원소의 첨가에 따른 물리적 성질의 변화에 관한 연구)

  • Lee, Kee-Dae
    • Journal of Technologic Dentistry
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    • v.30 no.2
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    • pp.31-37
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    • 2008
  • A variety of the porcelain fused to gold(PFG) have been developed to which porcelain can be fused. PFG alloys developed for this purposed have a high melting point and do not discolor when combined with porcelain. The design of the compositions of PFG is very important to esthetic restorative materials applying to porcelain. The purpose of this study is on the change of physical and mechanical characteristics in PFG 18K alloy by the small additional elements. Principal results are as follows. The high Au alloy containing 18Karat gold contents is respectively Au(75%), Pd(10%), Pt(4%), Ag(4%), In(2%), Sn(2%), Cu(2%), Ti(1%). These alloys are composed mainly of gold, platinum, silver and palladium with a few percent of the additional elements. By the addition of small amounts of elements such as In, Sn, Ti, the fine grain castings are produced in gold alloy and the small addition of platinum is very effective in increasing of hardness and strength. These gold alloys are representative of the changes to be expected as a result of heat treatment. These changes in strength and hardness values are sufficient to demonstrate a significant difference in performance between a as-casted and a heat-treated. These alloys have mechanical properties characteristics of Type and Type gold alloys. These alloys are useful to porcelain-metal restorations and dental laboratory. Also the porcelain fused to metal(PFM) alloys containing gold are commonly use for dental purposes in dental laboratory.

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The effect of repeated firings on the color change of dental ceramics using different glazing methods

  • Yilmaz, Kerem;Gonuldas, Fehmi;Ozturk, Caner
    • The Journal of Advanced Prosthodontics
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    • v.6 no.6
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    • pp.427-433
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    • 2014
  • PURPOSE. Surface color is one of the main criteria to obtain an ideal esthetic. Many factors such as the type of the material, surface specifications, number of firings, firing temperature and thickness of the porcelain are all important to provide an unchanged surface color in dental ceramics. The aim of this study was to evaluate the color changes in dental ceramics according to the material type and glazing methods, during the multiple firings. MATERIALS AND METHODS. Three different types of dental ceramics (IPS Classical metal ceramic, Empress Esthetic and Empress 2 ceramics) were used in the study. Porcelains were evaluated under five main groups according to glaze and natural glaze methods. Color changes (${\Delta}E$) and changes in color parameters (${\Delta}L$, ${\Delta}a$, ${\Delta}b$) were determined using colorimeter during the control, the first, third, fifth, and seventh firings. The statistical analysis of the results was performed using ANOVA and Tukey test. RESULTS. The color changes which occurred upon material-method-firing interaction were statistically significant (P<.05). ${\Delta}E$, ${\Delta}L$, ${\Delta}a$ and ${\Delta}b$ values also demonstrated a negative trend. The MC-G group was less affected in terms of color changes compared to other groups. In all-ceramic specimens, the surface color was significantly affected by multiple firings. CONCLUSION. Firing detrimentally affected the structure of the porcelain surface and hence caused fading of the color and prominence of yellow and red characters. Compressible all-ceramics were remarkably affected by repeated firings due to their crystalline structure.

Evaluation of Tooth Movement and Arch Dimension Change in the Mandible Using a New Three-dimensional Indirect Superimposition Method

  • Oh, Hyun-Jun;Baek, Seung-Hak;Yang, Il-Hyung
    • Journal of Korean Dental Science
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    • v.7 no.2
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    • pp.66-79
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    • 2014
  • Purpose: To analyze the amount and pattern of tooth movement and the changes in arch dimension of mandibular dentition after orthodontic treatment using a new three-dimensional (3D)-indirect superimposition method. Materials and Methods: The samples consisted of fifteen adult patients with class I bialveolar protrusion and minimal anterior crowding, treated by extraction of four first premolars with conventional sliding mechanics. After superimposition of 3D-virtual maxillary models before and after treatment using best-fit method, 3D-virtual mandibular model at each stage was placed into a common coordinate of superimposition using 3D-bite information, which resulted in 3D-indirect superimposition for mandibular dentition. The changes in mandibular dental and arch dimensional variables were measured with Rapidform 2006 (INUS Technology). Paired t-test was used for statistical analysis. Result: The anterior teeth moved backward, displaced laterally, and inclined lingually. The posterior teeth showed statistically significant contraction toward midsagittal plane. The amounts of backward movement of anterior teeth and forward movement of posterior teeth showed a ratio of 6 : 1. Although the inter-canine width increased slightly (0.8 mm, P<0.05), the inter-second premolar, inter-first molar, and inter-second molar widths decreased significantly with similar amounts (2.2 mm, P<0.05; 2.3 mm, P<0.01; 2.3 mm, P<0.001). The molar depth decreased (6.7 mm, P<0.001) but canine depth did not change. Conclusion: A new 3D-indirect superimposition of the mandibular dentitions using best-fit method and 3D-bite information can present a guideline for virtual treatment planning in terms of tooth position and arch dimension.

Clinical effects of different prescriptions on the inclination of maxillary and mandibular incisors by using passive self-ligating brackets

  • Savoldi, Fabio;Sangalli, Linda;Ghislanzoni, Luis T. Huanca;Dalessandri, Domenico;Gu, Min;Mandelli, Gualtiero;Paganelli, Corrado
    • The korean journal of orthodontics
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    • v.52 no.6
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    • pp.387-398
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    • 2022
  • Objective: Controlling the incisal inclination is fundamental in orthodontics. However, the relationship between the inclination prescription and its clinical outcome is not obvious, and the incisal inclination changes generated by different bracket prescriptions were investigated. Methods: Twenty-eight non-extraction dental Class II patients (15 females, 13 males; mean age = 12.9) were retrospectively analyzed. Patients were treated using passive self-ligating fixed appliances with three inclination prescriptions for maxillary incisors (high, standard, low), and two for mandibular incisors (standard, low). Clinical outcomes were compared among different prescriptions, and regression analysis was used to explain the effects of bracket prescriptions and to understand the prescription selection criteria (α = 0.05). Results: For maxillary central incisors, low and high prescriptions were related to linguoversion (p = 0.046) and labioversion (p = 0.005), respectively, while standard prescription maintained the initial dental inclination. Maxillary lateral incisors did not show significant changes. For mandibular incisors, low prescription led to linguoversion (p = 0.005 for central incisors, p = 0.010 for lateral incisors), while standard prescription led to labioversion (p = 0.045 for central incisors, p = 0.005 for lateral incisors). The factors affecting inclination changes were the imposed change and selected prescription, while prescription selection was influenced by the initial dental inclination and initial intercanine distance. Conclusions: The direction of correction of incisal inclination can be controlled by choosing a certain prescription, but the final inclination may show limited consistency with it. The amount of imposed inclination change was the most relevant predictor of the clinical outcome.