• Title/Summary/Keyword: 소아치과학

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소아치과학

  • Han, Se-Hyeon
    • The Journal of the Korean dental association
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    • v.20 no.9 s.160
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    • pp.736-736
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    • 1982
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Colorimetric Analysis of Preformed Zirconia Anterior Crowns for Esthetic Restoration (심미수복용 기성 지르코니아 크라운의 색조 평가)

  • Lee, Changkeun;Park, Kibong;Yang, Yeonmi;Lee, Daewoo;Kim, Jaegon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.3
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    • pp.318-327
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    • 2019
  • The purpose of this study was to identify which combination of zirconia crowns and cements is most similar in color to the maxillary primary incisors by varying the color of zirconia crowns, crown thickness, and shade of cements. Prefabricated zirconia crowns in 3 shades and crowns fabricated using 6 types of zirconia blocks were used in this study. These were filled with A2-shade or translucent-shade resin cement and the $L^*$, $a^*$, and $b^*$ values were calculated using a spectrophotometer. The color differences between the natural teeth and the zirconia crowns were assessed. The shade of the final restoration was more similar to that of the natural teeth using A2-shade than translucent-shade resin cement. Application of A2-shade cement to a 0.5-mm-thick crown fabricated from a smile series 2 zirconia block resulted in the color most similar to that of the natural teeth. A2-shade resin cement is recommended for zirconia crown restoration in anterior primary teeth compared to TR-shade resin cement for more esthetic restoration. Since restorations with Nu-smile zirconia crowns were not esthetically favorable in terms of shade, improvement of the shade characteristics of the product or development of a new kind of zirconia crown is required.

Identification of Mesiodens Using Machine Learning Application in Panoramic Images (기계 학습 어플리케이션을 활용한 파노라마 영상에서의 정중 과잉치 식별)

  • Seung, Jaegook;Kim, Jaegon;Yang, Yeonmi;Lim, Hyungbin;Le, Van Nhat Thang;Lee, Daewoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.2
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    • pp.221-228
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    • 2021
  • The aim of this study was to evaluate the use of easily accessible machine learning application to identify mesiodens, and to compare the ability to identify mesiodens between trained model and human. A total of 1604 panoramic images (805 images with mesiodens, 799 images without mesiodens) of patients aged 5 - 7 years were used for this study. The model used for machine learning was Google's teachable machine. Data set 1 was used to train model and to verify the model. Data set 2 was used to compare the ability between the learning model and human group. As a result of data set 1, the average accuracy of the model was 0.82. After testing data set 2, the accuracy of the model was 0.78. From the resident group and the student group, the accuracy was 0.82, 0.69. This study developed a model for identifying mesiodens using panoramic radiographs of children in primary and early mixed dentition. The classification accuracy of the model was lower than that of the resident group. However, the classification accuracy (0.78) was higher than that of dental students (0.69), so it could be used to assist the diagnosis of mesiodens for non-expert students or general dentists.

Post-endodontic Restoration on Erupting Permanent First Molars Using Endocrown with a Polyglass Composite Resin: Report of Two Cases (맹출 중인 제1대구치의 근관 치료 후 엔도크라운을 통한 수복 증례 보고)

  • Jeong, Hyuntae;Kim, Seonmi;Kim, Jaehwan;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.1
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    • pp.111-118
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    • 2019
  • Post-endodontic restorations are both important and challenging for clinical success in endodontically treated posterior teeth. Several options have been proposed to restore endodontically treated molars. In pediatric dentistry, restoration using conventional single crowns, especially for partially erupted molars with insufficient retentive tooth structure, has proven to be difficult. However, the endocrown presents a conservative and esthetic restorative alternative to conventional crowns with post-and-core, as it acquires additional retention within the pulp chamber. The tooth preparation consists of a circular, equigingival, butt-joint margin and a central retention cavity in the pulp chamber that helps to construct both the crown and core as a single unit. This case report describes the esthetic and conservative endocrown restorations of erupting permanent first molars with extensive coronal destruction.

Color Distribution Analysis of Maxillary Primary Central Incisors using a Spectrophotometer (분광광도계를 이용한 상악 유중절치의 부위에 따른 색조 분포 연구)

  • Yi, Seoksoon;Jang, Jihye;Lee, Daewoo;Yang, Yeonmi;Kim, Jaegon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.1
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    • pp.93-100
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    • 2019
  • The objective of this study was to analyze the color distribution of the maxillary primary central incisors and the relationship between the color of each tooth region by dividing tooth into incisal, middle and cervical region using a spectrophotometer. The subjects were 105 sound maxillary primary central incisors from 3 to 6 years old children. Color measurements were performed by one dentist using same protocol. CIE $L^*$, $a^*$, $b^*$, $C^*$, $h^*$ data and the best matched shades with coverage error were obtained for each region and whole labial surface. There was a significant difference in CIE $L^*$, $a^*$, $b^*$ according to regions and the difference in color between each region was more than the clinical acceptance. By correlating the relationship between the color of each region with $L^*$, $a^*$, $b^*$ values, it is possible to extrapolate the color of other region with one color or to be used as data for making restorative materials and prostheses that are more aesthetically pleasing for primary teeth.

Febrile Seizure Associated With COVID-19 in a Child: Case Report and Literature Review (소아 코로나바이러스감염증-19에서 발생한 열성 경련)

  • Yu Ri Jo;Nayoung Jung;Min Kyoung Kim ;Young Se Kwon;Dong Hyun Kim
    • Pediatric Infection and Vaccine
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    • v.31 no.1
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    • pp.147-152
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    • 2024
  • There have been several case reports of neurological manifestations in pediatrics as severe acute respiratory syndrome coronavirus-2 infection in children is being increased. We report a case of a 4-year-old boy who presented febrile seizure during follow-up in a negative pressure isolation room after confirmed coronavirus disease 2019, which has not yet been reported in Korea. He has no symptoms other than fever. The seizure was controlled after one dose of intravenous lorazepam, and there was no respiratory support during the hospitalization. He was discharged 12 days later without neurological sequelae.

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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Evaluation of the Color Adjustment Potential of Single-Shade Composite Resin in Primary Teeth (유치에서의 단일 색조 복합레진의 색조 적응력 평가)

  • Yongsoon Kim;Howon Park;Juhyun Lee;Haeni Kim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.1
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    • pp.113-120
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    • 2023
  • Restoring composite resins with the optimal shades for all primary teeth is a great challenge for pediatric dentists. A newly developed single-shade composite resin can exhibit a color similar to that of the surrounding tooth structure based on the structural color phenomenon. This study aims to evaluate the color adjustment potential (CAP) of a single-shade composite resin compared to conventional multi-shade composite resins in primary teeth. A single-shade composite resin and two conventional multi-shade composite resins were included in this study. Two types of specimens, a single specimen and a dual specimen, were evaluated. For single specimens, duplications of the primary second molar denture teeth were made using experimental composite resins. For dual specimens, cavities were prepared on the buccal surfaces of extracted primary second molars and restored with experimental composite resins. The L*, a*, and b* values were measured using a colorimeter for the extracted teeth and specimens. The mean ΔEab* values for single and dual specimens and CAP were calculated. Bonferroni post-hoc analysis was performed to confirm the statistical significance between the ΔEab* and CAP values of the experimental resins. Among the single specimens, the single-shade composite resin showed significantly higher ΔESingle compared to other composite resins (p < 0.0167). There was no significant difference between ΔEDual for all experimental resins. The single-shade composite resin showed highest CAP compared to other multi-shade composite resins. A single-shade composite resin exhibited the most prominent color adaptability compared to other conventional multi-shade composite resins for primary second molars. A single-shade composite resin can simplify shade matching and provide esthetic outcomes for the restoration of primary second molars.