• Title/Summary/Keyword: 소아치과의사

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Review of 24th Seoul IAPD Congress (제 24회 서울 세계소아치과학회 개관(槪觀))

  • Lee, Sangho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.1
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    • pp.93-118
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    • 2014
  • The Korean Academy of Pediatric Dentistry hosted the $24^{th}$ IAPD Congress in Seoul, Korea on June 12-15, 2013. The main theme of the congress was the "New visions in Pediatric Dentistry" A total number of 1,855 participants, including exhibitors and press from 67 countries, participated in the 24th IAPD Congress. The scientific program consists of 85 invited lectures, 126 oral presentations, and 553 poster presentations. 46 companies and organizations have supported and participated in Seoul IAPD Congress. Overall the congress was a success in terms of high attendance rate from 67 countries over the world. Considering the fact that Korea is located in the far-east, the number of overseas delegates(943) are remarkable. Also it is desirable to have over 100 delegates from developing countries which eventually aim to collaborate worldwide. The scientific program covered a variety of topics and many of the delegates stayed in the session room until the last day of the congress. Although it could have been more beneficial to allot more time for each speaker to discuss further, the program fit the Congress theme "New Visions for Paediatric Dentistry". All social event tickets were sold out early and it attracted participants with interesting program enabling participants to interact and exchange ideas outside of the meeting.

Detection of Proximal Caries Lesions with Deep Learning Algorithm (심층학습 알고리즘을 활용한 인접면 우식 탐지)

  • Hyuntae, Kim;Ji-Soo, Song;Teo Jeon, Shin;Hong-Keun, Hyun;Jung-Wook, Kim;Ki-Taeg, Jang;Young-Jae, Kim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.2
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    • pp.131-139
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    • 2022
  • This study aimed to evaluate the effectiveness of deep convolutional neural networks (CNNs) for diagnosis of interproximal caries in pediatric intraoral radiographs. A total of 500 intraoral radiographic images of first and second primary molars were used for the study. A CNN model (Resnet 50) was applied for the detection of proximal caries. The diagnostic accuracy, sensitivity, specificity, receiver operating characteristic (ROC) curve, and area under ROC curve (AUC) were calculated on the test dataset. The diagnostic accuracy was 0.84, sensitivity was 0.74, and specificity was 0.94. The trained CNN algorithm achieved AUC of 0.86. The diagnostic CNN model for pediatric intraoral radiographs showed good performance with high accuracy. Deep learning can assist dentists in diagnosis of proximal caries lesions in pediatric intraoral radiographs.

ESTHETIC RESTORATION WITH FIBER-REINFORCED POST FOR CHILDHOOD AND ADOLESCENT PATIENTS (소아, 청소년 시기의 섬유 강화형 포스트를 이용한 심미 수복)

  • Park, Duck-Yong;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.78-83
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    • 2009
  • In case of endodontic treatment and extensive restoration of severe dental caries, trauma, and developmental defect, esthetic restoration of primary incisors and permanent anterior teeth for children and adolescents period is delicate matter for pediatric dentists. Existing restorative methods for anterior teeth have retentive and esthetic limitations for badly damaged teeth, especially for the adolescent anterior teeth. Therefore, the preparative stage for setting the permanent prosthesis as well as the retention and esthetics have to be considered. In this case, esthetic restoration for badly destroyed anterior teeth was tried with fiber-reinforced post and the result was satisfactory.

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DENTAL MANAGEMENT OF A PATIENT WITH MOYAMOYA DISEASE UNDER GENERAL ANESTHESIA: CASE REPORT (모야모야병(moyamoya disease) 환자의 전신마취 하 치과치료: 증례보고)

  • Chae, Jong Kyun;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.40-44
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    • 2019
  • Moyamoya disease (MMD) is a chronic, occlusive cerebrovascular disease of unknown etiology characterized by progressive stenosis at the terminal portion of the internal carotid artery and an abnormal vascular network at the base of the brain. The clinical presentations of MMD include transient ischemic attacks (TIA), ischemic stroke, hemorrhagic stroke, seizures, headache, and cognitive impairment. MMD is the most important cause of stroke or TIA in children in East Asian countries. A 5-year-3-month old boy with MMD experienced cerebral infarctions five times. Cerebrovascular anastomosis surgery was performed on him four years ago. He had dysphagia, developmental delay, hemiplegia, and strabismus. Besides, a number of dental caries in primary dentition were identified during clinical oral examination. Dental treatment under general anesthesia using sevoflurane was performed due to his lack of cooperation and underlying systemic disease. MMD is associated with various medical diseases requiring thoughtful consideration during dental treatment. Crying and hyperventilation in MMD patients may cause hypocapnia and have a cerebral vasoconstrictive effect. If dental treatment is required, control of pain and anxiety is very important. General anesthesia may be considered for dental treatment in uncooperative or very young patients with MMD.

소아의 치조골 돌출도 및 전치경사도에 관한 두부방사선계측학적 연구

  • SoHn, Dong-Soo
    • The Journal of the Korean dental association
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    • v.20 no.12 s.163
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    • pp.1049-1052
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    • 1982
  • This study was performed to investigate the changes of dento-alveolar relationship in relation to the eruption of in cisors using roentgenocephalometry. The Subjects consisted of 76 females from 4 to 8 years with normal occlusion. The following conclusions were obtained: 1. When maxillary and mandibular permanent central incisors were erupted, maxillary alveolar prognathism was increased, while mandibular alveolar prognathism was not changed. 2. Axial inclination of permanent incisors was greater than that of primary incisors.

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소아치열기의 저작능률에 관한 실험적 연구

  • Kim, Jin-Tae
    • The Journal of the Korean dental association
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    • v.12 no.4
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    • pp.241-244
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    • 1974
  • The author measured the masticatory efficiency in the 50 children with normal sound dentition, in the 20 children with amalgam filling and in the 20 children with fixed type space maintainer i.e. in the 90 children in total and got the following results. 1. the masticatory efficiency were 53.8% in children with normal sound primary dentition. 2. The masticatory efficiency 48.3% in children with amalgam filling and 40.0% in children with fixed type space maintainer 3. The masticatory efficiency of children were 60.0% of adult's in normal dentition.

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Three Dimensional Skeletal, Dentoalveolar and Airway Space Changes after Slow Maxillary Expansion in Children (어린이에서 저속 상악 확장에 따른 골격성, 치아치조성, 기도 변화에 대한 3차원적 평가)

  • Nawoon Kim;Daewoo Lee;Jae-Gon Kim;Yeonmi Yang
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.2
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    • pp.155-167
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    • 2023
  • The aim of this study was to investigate the effects of slow maxillary expansion (SME) on the dentoalveolar, skeletal, upper airway, and maxillary sinus using cone-beam computed tomography (CBCT). Twenty-three orthodontic patients (mean age 8.93 ± 1.61 years) who were treated with maxillary expansion using banded hyrax in the Department of Pediatric Dentistry at Jeonbuk National University Dental Hospital were included. According to the expansion speed applied, they were divided into two groups: SME (12 subjects, mean age 8.92 ± 1.45 years) and rapid maxillary expansion (RME, 11 subjects, mean age 8.94 ± 1.84 years). CBCT were obtained before (T0) and after (T1) the treatment and were analyzed with InVivo5 software (Anatomage, San Jose, CA, USA). Descriptive statistics showed no significant differences between the two groups in age, sex, or skeletal maturity. There were significant increases in maxillary width at the dentoalveolar and skeletal levels for both groups. Upper airway volume revealed a significant increase of 38.59% in the SME group and 28.72% in the RME group. However, there was no significant difference between SME group and RME group in all measurements. This study suggested the efficacy of SME in growing patients. SME was effective in increasing not only dentoalveolar and skeletal measurements but also airway volume. Therefore, pediatric dentists should select an appropriate expansion method considering the physiological aspects of periodontal tissues and discomfort in growing children.

THE PRACTICE PATTERN OF PEDIATRIC DENTISTS IN KOREA (소아치과 개원의 진료 현황 분석)

  • Choi, Eun-Jung;Jung, Tae-Ryun;Hahn, Se-Hyun;Kim, Young-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.504-509
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    • 2006
  • Pediatric dentistry is differentiated from other fields of dentistry in that it provides comprehensive dental care for children and adolescents. In early days, pediatric dentistry used to be confined to the caries treatment and extraction of primary teeth However, the practice spectrum of pediatric dentistry has broadened to the orthodontic, surgical, esthetic and preventive treatments A survey that contained questions about practice patterns were mailed to 50 pediatric dentists, and 21 surveys were returned. Results were as follows: 1. The average number of patients per week was 82.4, and the average number of treated teeth per patient was 2.35. 2. Preventive treatments comprised 15.7%, restorative treatments 55.7%, endodontic treatments 15.6%, surgical treatments 10.5%, and orthodontic treatments 2.4%. 3. In restorative treatments, amalgam restoration comprised 3.8%, glass ionomer 5.5%, composite resin 63.0%, and stainless steel crown 27.7%.

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Assessment of the Object Detection Ability of Interproximal Caries on Primary Teeth in Periapical Radiographs Using Deep Learning Algorithms (유치의 치근단 방사선 사진에서 딥 러닝 알고리즘을 이용한 모델의 인접면 우식증 객체 탐지 능력의 평가)

  • Hongju Jeon;Seonmi Kim;Namki Choi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.3
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    • pp.263-276
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    • 2023
  • The purpose of this study was to evaluate the performance of a model using You Only Look Once (YOLO) for object detection of proximal caries in periapical radiographs of children. A total of 2016 periapical radiographs in primary dentition were selected from the M6 database as a learning material group, of which 1143 were labeled as proximal caries by an experienced dentist using an annotation tool. After converting the annotations into a training dataset, YOLO was trained on the dataset using a single convolutional neural network (CNN) model. Accuracy, recall, specificity, precision, negative predictive value (NPV), F1-score, Precision-Recall curve, and AP (area under curve) were calculated for evaluation of the object detection model's performance in the 187 test datasets. The results showed that the CNN-based object detection model performed well in detecting proximal caries, with a diagnostic accuracy of 0.95, a recall of 0.94, a specificity of 0.97, a precision of 0.82, a NPV of 0.96, and an F1-score of 0.81. The AP was 0.83. This model could be a valuable tool for dentists in detecting carious lesions in periapical radiographs.

Benzocaine, Methemoglobinemia and Methylene Blue (벤조케인 도포마취제와 메트헤모글로빈혈증 그리고 메틸렌블루)

  • Lee, Joonhaeng;Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.3
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    • pp.393-399
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    • 2018
  • The aim of this review is to introduce about the issue of benzocaine and methemoglobinemia. Through blocking the pain during dental treatment, fear and anxiety of patients will be reduced. Thus, anesthetic agent containing benzocaine is commonly used while controlling the pain of patients during treatment. However, on May 28, 2018, the Ministry of Food and Drug Safety reported a medication safety report about restricting the use of benzocaine-containing agents in infants under 24 months and children. Also, they recommended a cautious use to adolescents and adults to prevent methemoglobinemia (MHb). This report was published due to an advice from Food and Drug Administration (FDA) on May 23, 2018. When using agents containing benzocaine, dentists must consider the probability of MHb and prepare for early diagnosis and appropriate action. Since 1930s, methylene blue is known to cure MHb patients. Therefore, the proper use of methylene blue for emergencies and diagnosis methods for early diagnosis of MHb should be familiar to dentists planning for the use of topical anesthetic agents. Dentists should be trained for emergency situation of MHb caused by the use of benzocaine.