• 대한소아치과학회지
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• 제43권2호
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• pp.151-157
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• 2016

본 연구는 3-6세 어린이의 비만과 치아우식 사이의 관련성을 알아보고자 하였다. 익산시 소재의 어린이집과 유치원 아동 769명을 대상으로 우식경험유치지수(dft index)를 조사하고, 신장과 체중을 측정하여 체질량지수(body mass index)를 계산하였다. 표준성장도표의 체질량지수 백분위수를 이용하여 저체중, 정상, 비만위험, 비만의 4개 군으로 분류하였고, 저체중인 15명을 제외한 754명을 대상으로 분석하였다. 평균 dft index는 3.39였고, 남녀간의 유의한 차이는 없었다. 연령에 따라 dft index는 증가하였으며, 4세에서 5세에서 증가폭이 가장 컸다. 비만위험군과 비만군은 정상군보다 더 많은 우식경험률을 보였다. 그러나 3세 집단을 제외한 모든 연령군에서 정상, 비만위험, 비만 집단간의 통계적으로 유의한 차이를 보이지 않았다. 결론적으로 비만과 유치열의 우식경험에는 유의한 관련성이 없음을 알 수 있었다.

• 대한소아치과학회지
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• 제44권1호
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• pp.11-19
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• 2017

본 연구는 유치 융합치의 특징과 영구치열에 미치는 영향을 알아보고자 하였다. 4 - 6세 어린이 중 융합치가 관찰되는 84명의 어린이를 조사하였으며, 융합치의 분포는 상악보다 하악에서, 2개의 융합치보다 1개가 발생한 경우가 높은 비율로 관찰되었으며 우식이환율은 하악보다 상악에서 높았다. 계승 영구치의 선천적 결손은 상악 유중절치와 유측절치 융합, 하악 유측절치와 유견치 융합, 하악 유중절치와 유측절치 융합 순이었으며, 과잉치 발생은 상악 유중절치와 유측절치 융합, 하악 유중절치와 유측절치 융합, 하악 유측절치와 유견치 융합 순으로 나타났다. 유치의 융합에 의한 계승 영구치의 맹출 지연은 하악에서는 나타나지 않았으나 상악의 경우 지연 발육되는 과잉치의 발생 가능성 및 이로 인한 영구 중절치의 맹출 지연 양상이 높은 빈도로 관찰되었다. 따라서 융합치로 인한 맹출 지연의 문제를 최소화하기 위해 주기적인 방사선 검사 및 조기 치료가 필요할 것으로 사료된다.

• 대한소아치과학회지
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• 제24권1호
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• pp.179-185
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• 1997

The prevalence of congenital teeth missing is about 2-10% of population and it is more common in permanent dentition than primary dentition. In the patients with congenital missing teeth symptoms such as conical tooth, prolonged retention of primary tooth, tooth attrition. and deficient alveolar bone growth can be accompanied. In this paper the results of clinical observation of the congenital teeth missing brothers and their familial history are presented.

• 치과방사선
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• 제24권2호
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• pp.239-247
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• 1994

20 radicular cysts of primary teeth mimicking dentigerous cyst were reviewed. The following results were obtained. 1. The patients' age ranged from 7 to 14 years. Males(60%) were more involved than females(40%). 2. The mandible(85%) was affected more frequently than the maxilla(15%) The mandibular deciduous molar area(80%) was the most frequently involved. 3. The diameter of the cyst varied from 10 to 30㎜. 55% of permanent successors showed underdeveloped roots less than one-third. 4. The etiologic factors were pulp-treated teeth(65%), severe caries (20%), trauma(10%), deep amalgam filling(5%).

• 대한소아치과학회지
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• 제25권2호
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• pp.383-399
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• 1998

Tooth development is usually described in four stages such as bud stage, cap stage, bell stage and crown stage. Exact time of appearance of tooth primordia is different among reports, and up to now there is no timetable regarding initial tooth development. To understand the congenital malformations and other disorders of the orofacial region, there is a need to establish a standard timetable on early tooth development. Till now, studies on the tooth development were mainly on later fetuses, and only few reports on early stage. Also, there were no reports on the time when bud stage turns to cap stage, and cap stage to bell stage. In this study, external morphology of face and the early development of the tooth, and transition of bud stage to cap stage, cap stage to bell stage were studied using 27 staged human embryos and 9 serially sectioned human fetuses. The results are as follows: 1. Mandibular region was formed by union of both mandibular arch at stage 15, and maxillary region by union of maxillary arch, medial nasal prominence, and intermaxillary segment at stage 19. 2. Ectodermal thickening which represents the primordia of tooth appeared in mandibular region at stage 13, and maxillary region at stage 15. 3. Bud stage began from mandibular primary central incisor at stage 17, and maxillary primary central incisor at stage 18. And the sequence of appearance was in the mandibular primary lateral incisor at stage 19, maxillary primary lateral incisor at stage 20, mandibular primary canine at stage 22, maxillary primary canine and primary first molar at stage 23, madibular primary first molar and maxillary primary second molar at 9th week, and mandibular primary second molar at 10th week of development. 4. Cap stage began from the primary anterior teeth at 9th week, and primary second molar still had the characteristics of cap stage at 12th week of development. 5. Transition to bell stage started from the primary anterior teeth at 12th week, and primary second molar started at 16th week of development. 6. Trnasition to crown stage started from primary anterior teeth at 16th week, and primary second molar at 26th week of development.

• Restorative Dentistry and Endodontics
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• 제40권4호
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• pp.276-285
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• 2015

Objectives: The purpose of this study was to evaluate the efficacy of mineral trioxide aggregate (MTA), Biodentine and Propolis as pulpotomy medicaments in primary dentition, both clinically and radiographically. Materials and Methods: A total of 75 healthy 3 to 10 yr old children each having at least one carious primary molar tooth were selected. Random assignment of the pulpotomy medicaments was done as follows: Group I, MTA; Group II, Biodentine; Group III, Propolis. All the pulpotomized teeth were evaluated at 3, 6, and 9 mon clinically and radiographically, based on the scoring criteria system. Results: The clinical success rates were found to be similar among the three groups at 3 and 6 mon where as a significant decrease in success rate was observed in Group III (84%) compared to both Group I (100%) and Group II (100%) at 9 mon. Radiographic success rates over a period of 9 mon in Groups I, II, and III were 92, 80, and 72%, respectively. Conclusions: Teeth treated with MTA and Biodentine showed more favorable clinical and radiographic success as compared to Propolis at 9 mon follow-up.

• 한국학교보건학회지
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• 제13권2호
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• pp.295-317
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• 2000

This study was conducted to prevent oral disease of primary school, middle school, and high school students, providing basic data for the development of oral health education programs. Data were collected from 898 primary school, middle school, and high school students from March 2, 1999 to May 31, 1999. The results of this study are summarized as follows; 1) The subjects of this study were primary school students(32.6%), middle school students(33.0%), and high school students(34.4%). Boy students were slightly more prevalent than girl students. That is, primary school boys were 56.3%, middle school boys were 53.2%, and high school boys were 52.6%. 2) According to the self-judgement of oral health, primary school students were better than middle/high school students and boy students were better than girl students, 63.5% of primary school students and 57.8% of middle/high school students brushed their teeth once or twice a day. 3) 76.3% of middle/high school students and 63.5% of primary school students experienced dental caries. Girl students were higher than boy students in experiencing dental caries, 35.9% of primary school students and 27.6% of middle/high school students experienced periodontal disease. 4) 22.9% of primary school students and 7.9% of middle/high school students received oral examinations periodically. Girl students showed a higher rate than boy students in primary school, while boy students showed a higher rate than girl students in middle/high school. 5) Explaining to the reasons for reluctant visits to dental hospitals and clinics, 'no time to go' was highest(22.9% of primary school students; 27.4% of middle/high school students) and the rate of 'feeling scared' was second highest. Middle/high school students were more reluctant to visit dental hospitals and clinics than primary school students. In case of problematic symptoms in the mouth, the rate of 'feeling painful or cold in teeth when eating cold or hot foods' was highest, 71.3% of primary school students was concerned about oral health, while 68.6% of middle/high school students was concerned about it. 6) In gathering to the sources of information on oral health, the rate of medical institutions was highest(30.0%) in primary school students, while the rate of family members or persons around them was highest in middle/high school students. 7) 54.9% of primary school students received oral health education, while 13.1% of middle/high school students received it. Only 4.7% of middle school and high school girls received it. In relation to dental health education, the rate of 'possibility of prevention of oral caries or disease of the gum' was highest. 79.5% of primary school students and 80.3% of middle school students answered that they would attend oral health education. 8) 60.4% of primary school students and 60.2% of middle/high school students think the purpose of oral health is to prevent dental caries and disease of the gums. In preventing dental caries, 78.8% of primary school students and 71.8% of middle school students thought that periodical oral examination was effective, 88.4% of primary school students and 88.8% of middle/high school thought that brushing one's teeth was effective and 64.1% of primary school students and 50.7% of middle school students thought that the use of toothpaste containing fluoride was effective. In preventing periodontal disease, 91.1% of primary school students and 90.2% of middle/high school students thought that brushing one's teeth was effective, while 72.4% of primary school students and 70.3% of middle/high school students thought that teeth cleaning was effective. 9) 16.0% of middle school students and 12.7% of high school students thought that their oral health condition was healthy. According to individual experiences in dental treatment, the rate of experience of middle school students was higher than that of high school students, 12.7% of middle school students received oral examinations periodically, while only 3.3% of high school students did so. 10) In cases of 'having no problematic symptoms in the mouth' and 'concerns about oral health', the rate of middle school students was higher than that of high school students. In gathering obtaining information on oral health, the rate of obtaining it through broadcast media including TV, Radio, etc. was highest in middle school students, while the rate of obtaining it through family members or persons around them was highest in high school students. 11) 81.7% of middle school students have not received oral health education. In case of girl students, 97.3% have not received it in high school students. 85.6% of middle school students and 151.2% of high school students think that oral health education is necessary. 12) According to the knowledge level of oral health, the point of high school students($26.33{\pm}2.33$) was similar to the point of high school students($26.23{\pm}2.30$). It appeared that the point of primary school students was highest($26.35{\pm}2.50$) The more concerned about oral health the students were the higher the knowledge level of oral health was. In conclusion, the middle/high school students' knowledge level of oral health was lower than primary school students. The rate of middle/high School students' experience in oral health education was too low. Therefore, it is necessary to intensify oral health education for middle/high school students. Especially, the necessity of oral health education to girl students is strongly recommended. Developing an oral health education program for primary school, middle school, and high school students, related public authority and organizations, teachers; and dentists must actively make efforts together in order to maintain healthy teeth through having students prevent dental caries and periodontal disease.

• 대한소아치과학회지
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• 제34권4호
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• pp.579-589
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• 2007

본 연구에서는 최근에 개발된 치과용 접착제를 대상으로 유치와 영구치의 법랑질과 상아질에 대한 결합력을 비교 평가하여 임상에서 상아질 접착제를 적절하게 선택하는데 도움을 주고자 시행하였다. 실험재료로 Adper Scotchbond Multi-purpose Plus Adhesive (SM; 3M ESPE, USA), Adper Single bond 2 (SB; 3M ESPE, USA), Clearfil SE Bond (SE; Kuraray Medical Inc., Japan), Adper Prompt L-Pop (PL; 3M ESPE, USA), G-Bond (GB; GC Cooperation Toyko, Japan)를 이용하여 전단결합강도를 평가하여 다음과 같은 결과를 얻었다. 1. 유치 법랑질에서 전단결합강도는 SM이 $28.47{\pm}7.93\;MPa$로 가장 높았고 SB ($28.18{\pm}6.84$), PL ($24.02{\pm}6.14$), SE ($21.70{\pm}6.56$), GB ($17.70{\pm}6.68$) 순이었다. SM과 SB는 SE보다 통계적으로 유의하게 높은 결합강도를 보였으며, SM, SB, PL은 GB보다 높았다(p<0.05). 2. 유치 상아질에서 전단결합강도는 SE가 $28.72{\pm}14.44MPa$로 가장 높았고, PL ($20.10{\pm}6.13$), SM ($17.72{\pm}10.65$), SB ($15.48{\pm}2.66$), GB ($10.10{\pm}5.45$) 순이었으며 SE와 GB간에는 유의한 차이가 있었으나, 다른 군들 간에는 유의한 차이가 없었다. 3. 영구치 법랑질에서의 전단결합강도는 SB가 $28.36{\pm}5.68\;MPa$로 가장 높았고 SM ($22.77{\pm}4.63$), PL ($22.05{\pm}6.57$), SE ($21.74{\pm}4.62$), GB ($15.60{\pm}6.75$)순이었다. SB는 다른 접착제보다 통계적으로 유의하게 높은 결합력을 나타냈으며, GB는 가장 낮은 결합력을 보였다(p<0.05). 4. 영구치 상아질에서의 전단결합강도는 SM이 $28.22{\pm}5.56\;MPa$로 가장 높았고, SB ($21.68{\pm}7.44$), SE ($20.13{\pm}9.88$), GB ($14.30{\pm}6.81$), PL ($14.18{\pm}5.88$)순이었으며, SM은 PL, GB와 유의한 차이가 있었다(p<0.05). 5. 유치의 법랑질과 상아질 간에는 SM, SB, GB에서 유의한 차이가 있었고, 영구치 법랑질과 상아질 간에는 PL에서 유의한 차이가 있었다(p<0.05). 6. 유치 법랑질과 영구치 법랑질 간에는 모든 접착제에서 유의한 차이가 없었으나, 유치 상아질과 영구치 상아질 간에는 SM과 SB에서 유의한 차이가 있었다(p<0.05).

• 구강회복응용과학지
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• 제21권2호
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• pp.105-111
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• 2005

It is essential to establish the suitable position for artificial maxillary anterior teeth, because of not only esthetics, phonetics, mastication, but also optimal position of artificial posterior teeth for the construction of functional and esthetic prostheses. Anatomic landmarks have been used in the arrangement of artificial teeth. Such as incisive papilla and palatal rugae are useful landmarks for positioning occlusal rim and upper anterior artificial teeth because they are relatively stable and to be identified on master cast. Therefore, if average distance between maxillary anterior teeth and landmarks in dentate subjects are measured and applied, appropriate position of occlusal rim can be initially established. In this study, to present a guide to the position of the occlusal rim for upper anterior teeth of edentulous patients, horizontal distance between anatomic landmarks were measured. Maxillary casts were made in 72 Korean dentate subjects. Horizontal distance between central incisor and incisive papilla, between incisive papilla and intercanine line, and between primary palatine rugae and gingival margin of canine were measured on each cast. The results of this study were as follows ; 1. The mean distance from the incisal edge of central incisor to the posterior border of incisive papilla was 12.1 mm (Male 12.2 mm, Female 11.9 mm). 2. The mean distance between posterior border of incisive papilla and intercanine line was 3.5 mm (Male 3.4 mm, Female 3.6 mm / Left 3.6 mm, Right 3.4 mm). 3. The mean distance from the palatal gingival margin of canine to the lateral border of primary palatine rugae was 2.4 mm (Male 2.4 mm, Female 2.4 mm / Left 2.4 mm, Right 2.3 mm). 4. On all measured items, there were no significant differencies in measured values between male and female, and between left and right sides. (P>0.05).

• 대한치과의사협회지
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• 제52권2호
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• pp.69-74
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• 2014

Many patients have been suffering the continued hypersensitivity and pain of teeth after operative or endodontic treatment. The primary purpose of this paper is to examine the causes of the pain and the hypersensitivity of teeth, and to resolve conflicts between dentists and patients. The secondary aim of this paper is to prevent medical disputes. Evidence-based dentistry and making a good relationship with patients will reduce disputes on dental treatment.