• 구강회복응용과학지
• /
• 제33권2호
• /
• pp.163-168
• /
• 2017

전치부에 발생한 치간이개는 심미적으로 문제를 일으키는 흔한 원인이 된다. "Black triangle"을 생성시키지 않고 치간이 개를 폐쇄시키는 것은 심미치과학에서 도전적 과제 중 하나이다. 전치부 수복치료의 성공 여부는 연조직과 경조직간의 심미적인 연합에 달려있다. 이번 증례에서는 치은-치아 계면에서 자연스러운 외형을 가지는 출현윤곽(emergence profile)을 형성하여 줌으로써 치은의 재생 과정이 일어나 심미적으로 만족스러운 치간이개 폐쇄를 이루어내었기에 이를 보고하는 바이다.

• 대한장애인치과학회지
• /
• 제11권2호
• /
• pp.58-61
• /
• 2015

The people with disabilities living in residential facilities have more difficulty in caring oral hygiene than those living at home. The purpose of this study is to evaluate the recent 2014 dental treatment records of free mobile dental clinic service for disabled people in Korea. 203 disabled living in residential facilities participated in mobile dental clinic. Patients classified according to types of disability. Mental retardation were 75.3%, mental disorder were 6.0%, crippled disorder were 7.4%, brain disorder were 6.5%, visual disorder were1.4%, auditory and speech disorder were 2.3% and autism disorder were 0.9%. Performed treatments were 99 scaling and curettage, 88 fluoride varnish and TBI, 4 extraction, 1 endodontic treatment, 16 caries control (resin filling, GI filling), 1 denture repair and 8 refuse the treatment. Free mobile dental clinic can not provide complex dental treatment. So, the organization should systemize advanced dental treatment and regular preventive programs. Furthermore, we need to have a more concerns about the people with disabilities living in residential facilities and constantly participate on a dental voluntary work.

• 한국치위생학회지
• /
• 제6권1호
• /
• pp.37-48
• /
• 2006

Dental personnels faced risks of infection in the clinic. For infection control, recognition and practice of dental personnels are important factor. This study was performed to investigate the recognition and practice of dental hygiene for infection control and infection waste control. A stratified convenience sample of dental hygienists in dental health-care settings. The major finding of the present study are as follows: 1. The existence of education about Standard Precaution and low of infection waste storage was higher dental hospital than dental clinic. 2. The degree of practice in the storage of dental wastes was low in absorbent cotton and body tissue exclude damage waste. And the degree of practice in the disposal of dental wastes was high in all three. 3. Practice in the storage of dental waste was higher dental hospital than dental clinic. 4. At the conclusion of this investigation, systematic refresher training of infection control should be prepared by campaign an various media, Dental health care workers should be encouraged to practice those action items from training. For successful implementation of infection control in every dental health-care settings, it is highly demanded as well that development of effective safe-guard tools, stategic support, and standardized action items against infection problems.

• 한국치위생학회지
• /
• 제9권2호
• /
• pp.207-220
• /
• 2009

This study researched into literature materials in order to utilize basic data on job importance in dental coordinator, and analyzed questionnaire on job importance in dental coordinator for about 2 months from August and September in 2008 targeting dental hygienists and other manpower for dental hospitals & clinics where are located in D region and neighboring region. The following are the results: 1. Dental hospital & clinics where dental coordinators work were surveyed to be totally 66.9%. Dental coordinators were indicated to be 71.1% as for dental hospital$^{\circ}{\S}$clinic(women), and to be 28.4% as for a case with none. There was significant difference according to final academic degree and working place(P<.001). 2. License holders(women) for dental hygienist as dental coordinator accounted for 39.8%. The opposite case accounted for 60.2%. A case of doing duty of dental coordinator given not dental hygienist was indicated to be high. There was significant difference according to working place(p<.01). 3. The task importance on job that a dental coordinator directly performs was indicated to be averagely 3.24, thereby having been recognized to be important. 4. As for the recognition on job importance according to working-year number, it was indicated to have higher recognition on task importance in the more working-year number regarding customer management(p<.01), organization management(p<.05), and self-management(p<.01). 5. Given seeing difference in recognition on task importance according to medical institution, it was indicated to be 3.34 for dental clinic and 3.25 for dental hospital. Thus, the task importance was indicated to be slightly high in a person who works for dental clinic. There was no significant difference. In light of the above results, in order to educate dental coordinator who can successfully perform a role at dental hospital & clinic, a dental hygienist is required who is equipped with dental-clinic career rather than a person without a major. A professionally educational program for dental coordinator needs to be developed. Even in a dental coordinator's task, there is necessity for the curricular development and the specialized education.

• Imaging Science in Dentistry
• /
• 제53권2호
• /
• pp.161-168
• /
• 2023

Nasopalatine duct cysts (NPDCs), the most common non-odontogenic cysts of maxilla, are often incidental findings on diagnostic imaging. When symptomatic, they usually present as a painless swelling with possible fistula. Conventional radiography shows a round-to-ovoid or heart-shaped radiolucency between the roots of central maxillary incisors. While the radiographic features of NPDCs in X-ray-based modalities have been well described, their magnetic resonance imaging (MRI) features have rarely been reported. Developments in dental MRI in recent years and the introduction of various dental MRI protocols now allow a wide range of applications in dental medicine. MRI is becoming an important tool for the detection and diagnosis of incidental or non-incidental dentomaxillofacial cysts. This report presented and discussed the characteristics of 2 NPDC cases visualized on MRI using both conventional and newly implemented specific dental MRI protocols with a novel 15-channel mandibular coil, demonstrating the use of these protocols for radiation-free maxillofacial diagnoses.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제15권2호
• /
• pp.77-83
• /
• 2015

Background: To prepare for possible emergency situations during dental treatment, it is helpful to know how often and what kinds of emergencies may arise. This study set out to evaluate the incidences, causes, treatments, and outcomes of emergency situations in the outpatient clinic of a dental teaching hospital in Korea. Methods: We retrospectively reviewed the records of patients who had experienced an emergency situation and emergency response team activated in a selected outpatient clinic between November 2004 and November 2013. Specific information about the emergency cases was collected, including the patient characteristics and the frequency, types, treatments, and outcomes of the emergency situations. Results: We identified 35 instances of emergency situations in 2,890,424 patients (incidence = 0.012 per 10,000 outpatients). The number of cases was as follows: 10 (28.6%) in the Department of Periodontics, 10 (28.6%) in the Department of Oral and Maxillofacial Surgery, 6 (17.1%) in the Department of Oral and Maxillofacial Radiology, 4 (11.4%) in the Department of Prosthodontics, 2 (5.7%) in the Department of Conservative Dentistry, 2 (5.7%) in the Department of Pediatric Dentistry, and 1 (2.9%) in the Department of Orthodontics. Three (8.6%) of the emergency situations arose before treatment, 22 (62.9%) during treatment, 7 (20.0%) after treatment, and 2 (5.7%) in a patient's guardian. Conclusions: In accordance with the growing elderly population and more aggressive dental procedures, the number of emergency situations may increase in the future. We recommend that clinicians keep in mind airway management and the active control of emergency situations.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제40권
• /
• pp.6.1-6.2
• /
• 2018

• 한국콘텐츠학회논문지
• /
• 제10권10호
• /
• pp.267-273
• /
• 2010

본 연구는 국내 치과 병(의)원에 근무하는 중간관리자의 호칭, 업무, 월평균 소득, 지식경로, 업무 시 어려움 등의 현황을 조사하여, 중간관리자로서의 역할과 위치를 확립하는 기초자료로 삼고자 국내 치과병(의)원 중 총 108곳의 중간관리자에게 이메일을 이용한 설문지를 배포하여 중간관리자가 직접 설문에 응하도록 하였으며, 조사기간은 2008년 6월 1일부터 6월 30일까지 조사하였다. 통계분석은 SPSS 12.0 프로그램을 활용하여 카이제곱 검정과 분산분석을 실시하였으며, 무응답은 시스템 결측치로 처리하였다. 이에 다음과 같은 결과를 얻었다. 1. 직종별 구성원의 수는 병원 규모에 따라 치과병원이 구성원 수가 가장 높게 나타났으며, 구성원 중 치과위생사의 수가 치과병원에서 통계적으로 유의하게 높게 나타났다. 2. 중간관리자의 명칭은 대부분 실장으로 불리며 중간관리자로서의 경력은 치과병원은 1년에서 5년미만이 48.0%, 네트워크치과는 5년에서 10년미만이 52.9%, 치과의원은 1년에서 5년미만이 69.4%로 많았으며 통계적으로 유의하였다. 3. 업무 수행 시 지식 습득 경로는 대부분 병원 자체 세미나와 학회 세미나가 높게 나타났고, 업무 시 어려움은 치과병원에서는 원장님의 높은 기대가 네트워크치과와 치과의원은 다양한 지식습득의 어려움이 가장 높게 나타났다. 4. 중간관리자로서의 업무는 환자응대, 환자예약 및 변경, 전화업무, 치료계획 및 비용상담의 순으로 나타났다. 업무 중 병원경영, 우편물관리, 컴퓨터관리와 같은 행정업무는 낮은 비율로 나타났다.

• 대한치과마취과학회지
• /
• 제9권1호
• /
• pp.9-16
• /
• 2009

Background: This study aimed to evaluate the cooperative levels of dental patients requiring general anesthesia during dental treatments. Anesthetic induction methods for patients were also recorded and analyzed using descriptive statistics. Methods: Total 566 patients who visited Seoul National University Dental Hospital Clinic for Persons with Disabilities were reviewed on pre-anesthetic review and anesthesia records. The cooperative levels of patients were graded by 4 levels and induction methods used for the patients during general anesthesia application were analyzed. Results: More than half of patients(55.8%) were willing to receive the anesthetic induction(cooperative level 1), 18.6% were minimally cooperative(level 2), 20.8% needed physical restraint prior to induction(level 3), and 4.8% was poorly cooperative and induction procedure was performed under an unconscious condition after ketamine intramuscular injection(level 4). There was no gender difference in cooperative levels(P=0.11). Patients over 30 years revealed better cooperation levels compared to other age groups(P<0.05). For patients of level 1, 53.5% were anesthetized in a way of intravenous induction, while 77.1% out of patients of level 3 were anesthetically induced through inhalation method. Conclusion: Many dental patients with special needs were not cooperative to receive anesthetic induction. Additional behavioral support may be applied to poorly cooperative patients for the safe and successful clinical outcome.

• 대한장애인치과학회지
• /
• 제13권2호
• /
• pp.67-72
• /
• 2017

The purpose of study was to analyze the types of dental treatment and their frequencies in a charity dental clinic for the disabled people, and to figure out baseline data for developing oral health policies. This study was based on the 141 patient records who visited the charity free dental clinic between 2011 and 2016. Data were evaluated according to gender, types of disability, types of treatment, and the average number of caries. The number of dental treatment according to sex was 70% for men and 30% for women. Patients were classified according to types of disability. The most common type of disability is intellectual disabilities (53.9%). After that, developmental disabilities were 37.5%, and brain lesions were 8.51%. The highest frequency of dental treatment is preventive treatment (45.1%). The mean number of dental caries was higher than the number of initial dental caries in all types of disability. Preventive oral care education and regular oral screening are necessary for the oral health of patients with disabilities.