• Title/Summary/Keyword: periodontal problem

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A Study of Causes for Removal of Fixed Prostheses and Fate of Abutment (고정성 치과보철물의 제거원인 및 지대치 재사용에 관한 연구)

  • Mok, Won-Kyun;Kim, Hee-Jung;Jeong, Chae-Heon;Oh, Sang-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.1
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    • pp.1-17
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    • 2008
  • The purpose of this study were to report the reasons for removal of fixed prostheses and survival rate of abutment teeth. A total 192 fixed prostheses removed at Chosun university Dental Hospital and 308 abutment were investigated. The most frequent reason of removal was periodontal problem(30.7%), followed by caries(29.7%), then periapical problem(18.8%) and defective margins(14%). In metal ceramic crown, periodontal problem was the most frequent reason of removal. In complete cast crown, caries was the most frequent reason of removal. Periapical and periodontal problem was the most frequent reason people under forties and over fifties, respectively. Of the 308 abutment teeth, vital and non-vital teeth were 135(43.8%) and 173(56.2%), respectively. Of 135 vital abutment teeth, 39(28.9%) were extracted and of 173 non-vital abutment teeth, 85(49.1%) were extracted. Each risk factor for removal of fixed prostheses and extraction of abutment should be evaluated more clearly for prediction of prognosis of final prostheses and abutment teeth.

TUNNEL TRACTION OF IMPACTED MAXILLARY CANINES (매복된 견치의 Tunnel을 통한 교정적 견인)

  • Jeon, Jeong-Hoon;Oh, You-Hyang;Lee, Nan-Young;Lee, Sang-Ho;Lee, Chang-Seop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.33-39
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    • 2005
  • The impacted maxillary canine is a common problem of which all dental practitioners should be aware. The surgical orthodontic treatment of impacted canines is replaced correction position in dental arch without periodontal damage. Many treatment possibilities have been considered for this goal; window procedure, apically positioned flap, closed eruption technique and tunnel traction. Prognosis for these treatment may be very uncertain in many case(infraosseous impacted tooth). Other steps are required to achieve a satisfactory periodontal outcome. Satisfactory results could be expected if the physiologic eruption pattern is restored by tunnel traction, because permanent tooth erupts through the gingiva near the crest of the ridge so that periodontal damage is reduced. This article report that the surgical orthodontic treatment using tunnel traction is obtained proper position and reduced periodontal damage in facially impacted maxillary canines.

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Periodontal and prosthetic treatment of maxillary incisors with pathological tooth migration: a case report with 10-year follow-up (병적 치아 이동된 상악 전치의 치주, 보철 치료 후 10년 경과 증례)

  • Kim, So-Yeun;Kwon, Eun-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.1
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    • pp.26-33
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    • 2022
  • Anterior tooth spacing is observed by pathological tooth movement (PTM), which is common in periodontal patients. And various occlusal factors contribute to PTM, especially in the maxillary anterior region, when there is excessive occlusal force, flaring due to position problem easily occurs. Teeth with loss of periodontal support tissue can secure stability when expanding the support area through intentional splinting, and change the occlusion when restored as a fixed prosthesis. After confirming the stable occlusion through the provisional prosthesis, it can be transferred to the final prosthesis through CAD-CAM. In this case, we present a long-term stable case through accurate diagnosis and treatment of the maxillary anterior teeth that have lost interdental contact.

Qualitative evaluation of dental hygiene students following the application of the Capstone Design in dental hygiene theory and practice (일부 치위생학과 캡스톤 디자인 기반의 임상치위생학 수업 경험에 관한 질적 연구: 성찰일지 분석을 중심으로)

  • Choi, Yong-Keum;Jeon, Hyun-Sun;Park, Hyang-Ah
    • Journal of Korean Dental Hygiene Science
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    • v.4 no.2
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    • pp.77-88
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    • 2021
  • Background: In this study, the Capstone Design was applied to the clinical dental hygiene course of the Department of Dental Hygiene, and its effect was confirmed by qualitatively evaluating the students' reflection on the capstone design class experience. Methods: This study was conducted for the "Clinical Dental Hygiene and Practice III" course, in which third year students develop the ability to judge and plan dental hygiene based on problem-solving ability and critical thinking. By applying the Capstone Design within the core curriculum of the class, the students analyzed problems based on their major knowledge of dental hygiene in order to improve their ability to manipulate periodontal instruments, and focusedon the process of developing the contents of periodontal instruments by using them. Results: The application of Capstone Design on clinical dental hygiene and practice III classes increased students' active class participation, and through the problem-solving process, students' learning and confidence improved. Conclusion: The Capstone Design can be viewed as a teaching method that promotes the participation of students in the dental hygiene department and can effectively help their learning and confidence through a problem-solving process.

Reasons for Extraction of Permanent Teeth in Private Dental Clinics (치과의원 내원환자의 영구치 발거원인에 관한 조사연구)

  • Lee, Byung-Ho
    • Journal of dental hygiene science
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    • v.8 no.1
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    • pp.1-6
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    • 2008
  • The purpose of this study was to analyze the reasons and mean age for tooth extraction among patients living in Busan city. The researcher observed 1,119 patients' teeth extracted due to dental caries, periodontal disease and other reasons. This study examined the reasons for tooth extraction by age, sex, and tooth-kind. The reasons for tooth extraction were dental caries, periodontal disease, eruption problems and others. The obtained results were as follows; 1. Among the reasons for tooth extraction, dental caries accounted for 25.9%, periodontal disease 56.5%. 2. Periodontal disease was the main reason for tooth extraction and continued throughout life irrespective of sex. However dental caries was remarkably increasing in those aged 30 years old and under. 3. In the extraction of permanent teeth, males outnumbered females while upper teeth did lower teeth. 4. Although the third molars were most extracted in all kinds of teeth, the main reasons for the extraction were eruption problem. 5. The mean age of the tooth extracted was 47.9 years in both sexes for the mandibular first molars and the mandibular first molars had the shortest life except third molars of total teeth. The mandibular canines had the longest life of total teeth. Because dental caries and periodontal disease are the main causes of tooth extraction in Korea, the dental health policy should be focused on the prevention and treatment of these two diseases in the government level.

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Factors associated with access to dental care among Korean adults (성인의 구강의료접근성의 관련요인 - 구강질환의 의사진단 및 처치율을 중심으로-)

  • Noh, Hie-Jin;Choi, Choong-Ho;Sohn, Woo-Sung
    • Health Policy and Management
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    • v.18 no.4
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    • pp.170-184
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    • 2008
  • Objectives: The aim of this analysis was to investigate factors associated with dental visits in terms of getting diagnosis and receiving care for diagnosed dental diseases among Korean adults. Methods: Data used in this analysis were from the 2005 Korean National Health and Nutrition Examination Survey which involved a representative sample of 25,487 adults nineteen years of age and older who resided in Korea. This analysis used data of adults who had completed health interview survey (n = 25,215). Uni- and bi-variate analysis, Chi-square test, and logistic regression analyses. were conducted using SAS. Results: The percentages of people diagnosed (treated) dental canes, periodontal disease. and temporomandibular joint disorder were 70.4(77.1), 16.1 (55.7), and 0.6(37.4), respectively. The reception of treatment for diagnosed dental caries and periodontal disease was significantly associated with older age, high monthly household income, and high education attainment. Logistic regression model indicated that age, monthly household income, education attainment, type of health insurance, and chewing problem were significantly associated with getting diagnosis and treatments of dental diseases. Most frequently answered reason for non - or delayed treatments of diagnosed dental diseases during the last one year was cost of treatments. Conclusions: The findings indicated that socio-economic-status still significantly affected reception of needed dental treatments among Korean adults despite the national health insurance system. Oral health policy and programs should be augmented to provide further support to adults of low socio-economic-status who are more prone to dental diseases yet lack resources for needed dental treatments.

Use of a Miniplate for Skeletal Anchorage in the Forced Eruption of a Severely Impacted Mandibular Second Molar: Case Report (Miniplate를 골격성 고정원으로 사용한 심도있는 매복 하악 제2대구치의 맹출 치료: 증례보고)

  • Lim, Jae-Sung;Yoon, Hyun-Joong;Lee, Sang-Hwa
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.2
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    • pp.185-189
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    • 2011
  • Tooth impaction represents the stop of eruption by clinical and radiographical disturbance in eruption path or the dislocation of tooth germ. The most common factor in tooth eruption disorders are spacial deficiency with other causes reported to be odontogenic tumors, periodontal ligament injury, etc. Impaction of the mandibular second molar is relatively rare and reported in about 3 out of 1,000 people. Because the second molars tend to erupt in a mesial direction, this situation can lead to serious problems if untreated, including dental caries, periodontal disease and root resorption of the first molar. Treatment of this problem includes, surgical repositioning and orthodontic forced eruption. Because each procedure have the definite advantages and disadvantages, and influenced by circumferential environment, these have limits for successfu1 recovery as independent treatment. In a case at St. Mary's Hospital, we performed successful correction of a horizontal impacted mandibular second molar using a miniplate skeletal anchorage system. We introduce this treatment as a valid method for an impacted second molar and consider a oromaxillofacial surgeon's role in tooth movement treatment.

Peri-implant disease: what we know and what we need to know

  • Valente, Nicola Alberto;Andreana, Sebastiano
    • Journal of Periodontal and Implant Science
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    • v.46 no.3
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    • pp.136-151
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    • 2016
  • Peri-implant disease is a serious problem that plagues today's dentistry, both in terms of therapy and epidemiology. With the expansion of the practice of implantology and an increasing number of implants placed annually, the frequency of peri-implant disease has greatly expanded. Its clinical manifestations, in the absence of a globally established classification, are peri-implant mucositis and peri-implantitis, the counterparts of gingivitis and periodontitis, respectively. However, many doubts remain about its features. Official diagnostic criteria, globally recognized by the dental community, have not yet been introduced. The latest studies using metagenomic methods are casting doubt on the assumption of microbial equivalence between periodontal and peri-implant crevices. Research on most of the features of peri-implant disease remains at an early stage; moreover, there is not a commonly accepted treatment for it. In any case, although the evidence so far collected is limited, we need to be aware of the current state of the science regarding this topic to better understand and ultimately prevent this disease.

SINUS GRAFT AND VERTICAL AUGMENTATION OF MAXILLARY POSTERIOR ALVEOLAR RIDGE USING MANDIBULAR RAMAL BLOCK BONE GRAFT (상악동 골이식술과 하악지 자가골 블록을 이용한 상악 구치부 치조제 수직증강술)

  • Kim, Kyoung-Won;Lee, Eun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.3
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    • pp.276-281
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    • 2010
  • The maxillary posterior area is the most challenging site for the dental implant. After missing of teeth on maxillary posterior area due to periodontal problems, the remaining alveolar ridge is usually very thin because of not only pneumatization of maxillary sinus but also destruction of alveolar bone. The maxillary sinus bone graft procedure is one of the most predictable and successful treatments for the rehabilitation of atrophic and pneumatized endentulous posterior maxilla. But, in case of severe destruction of alveolar bone due to periodontal problems, very long crown length is still remaining problem after successful sinus graft procedures. We performed vertical augmentation of maxillary posterior alveolar ridge using mandibular ramal block bone graft with simultaneous sinus graft. After this procedures, we could get more favorable crown-implant ratio of final prosthodontic appliance and more satisfactory results on biomechanics. This is a preliminary report of the vertical augmentation of maxillary posterior alveolar ridge using mandibular ramal block bone graft with simultaneous sinus graft, so requires more long-term follow up and further studies.

Dental hygienist's job recognition and vocational competency reinforcement (치과위생사 직업인식과 직무역량 강화방안)

  • Jo, Eun-Deok;Kim, Eun-Sol;Hong, Hae-Kyung;Han, Gyeong-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.5
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    • pp.655-664
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    • 2020
  • Objectives: The aim of this study was to analyze the qualities and problems to be solved to strengthen the vocational competency of dental hygienists and to identify the work to be institutionally established. Methods: From April 1 to May 30, 2019, a total of 325 people participated (152 registered dental hygienists: RDH, 173 students of dental hygiene: SDH) in this study. The survey items were as follows: "job awareness" (6 items), "problem to be solved to strengthen vocational competency" (5 items), "qualities to be equipped to strengthen"competency" (9 items), and "practical work to be institutionally established" (4 items). Results: RDH and SDH had the highest perception of professionalism (3.68, 3.99 points), and low remuneration against work (4.21, 4.18 points) was perceived as the most important problem to be solved. The qualities for competency reinforcement showed the highest results in expertise knowledge (4.68, 4.64 points) and vocation for job (3.76, 4.09 points). Practical work to be established institutionally appeared as follows: X-ray film reading, dental hygiene diagnosis, periodontal pocket measurement, and periodontal pockets (<6 mm) treatment. Conclusions: This study is expected to be actively used to strengthen the vocational competency among dental hygienists, construct work autonomy, and rationalize and legalize practical work.