• Title/Summary/Keyword: 예방치과

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A Study on the Development and Application of Inclusive Dental Hygiene Practice Model (통합 치위생 실습모형 개발 및 적용에 관한 연구)

  • Park, In-Suk;Woo, Seung-Hee;Choi, Mi-hye
    • Journal of dental hygiene science
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    • v.10 no.3
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    • pp.155-160
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    • 2010
  • The purpose of this study was to develop an inclusive dental hygiene practice model in an effort to stir up the self-directed learning of learners to boost their problem-solving skills and ability of providing inclusive personal oral health care in a systematic and efficient manner. The subjects in this study were 41 dental hygiene students who were in their second year in C college located in South Jeolla Province as of 2009. An inclusive dental hygiene practice was implemented during a 15-week period of time from August 31 to December 7, 2009, and a self-administered survey was conducted before and after that by using the same questionnaires. Whether there were any differences between before and after the application of the inclusive dental hygiene practice model was checked, and there was improvement in all the learning motivation, self-directed learning capabilities and satisfaction level. Concerning the relationship of academic standing to changes in learning motivation, self-directed learning capabilities and satisfaction level, the inclusive dental hygiene practice model brought more favorable changes to the students in the lower tiers. The inclusive dental hygiene model should be applied to not only practical courses but theoretical ones so that learners could make progress both in theory and practice, and evaluation tools geared toward assessing their academic achievement and practical abilities should be developed.

ORTHODONTIC TRACTION OF A TRANSPOSED IMPACTED MAXILLARY CANINE OF A DOWN SYNDROME PATIENT WITH CONGENITAL HEART DISEASE (심장질환이 있는 Down 증후군 환자의 전위 매복 치아 교정 치료 증례 보고)

  • Lee, Hyon Joo;Shin, Teo-Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Chong-Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.8 no.2
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    • pp.118-121
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    • 2012
  • Down syndrome (DS) is a genetic disease known as trisomy 21. Congenital cardiac anomalies are present in about 40% of DS patients. Dental anomalies are also common among DS patients. In DS patients, canine impaction is 10 times more frequent and transposition of maxillary canine and first premolar is 50 times more common than in general population. A female DS patient with congenital heart disease was diagnosed as having a transposed impacted maxillary canine. Sectional fixed appliance with Nance holding arch was used for the orthodontic treatment. After space was regained for the eruption of the canine, orthodontic button was attached using flap operation with closed technique. Traction and alignment of the tooth followed. To prevent endocarditis, prophylactic antibiotics were prescribed for the recommended dental procedures. Total treatment time was 25 months and no complication was found.

Case report : The Bisphosphonate-associated Osteonecrosis of the Jaw(BONJ) (증례 보고: 악골에 발생한 비스포스포네이트 관련 골괴사증 (BONJ))

  • Kim, Kyun-Yo;Ko, Yu-Jung;Hur, Yun-Kyung;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.34 no.3
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    • pp.295-301
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    • 2009
  • Recently, bisphosphonate-associated osteonecrosis of the jaw(BONJ) is added to the list of diseases of the oromaxillofacial region. BONJ is defined as exposed bone in the jaw that does not heal within 8 weeks after identification, in a patient who has been received to bisphosphonates and has not taken radiation therapy to the craniofacial region. Bisphosphonates binded to bone mineral are concentrated in highly active remodeling site, reside in the skeleton for a long time, and do a role as powerful inhibitors of bone resorption. As the patients receiving bisphosphonates therapy grow in number, the patients of BONJ would go on increasing in Korea. We would like to present two patients who were suspected to BONJ, describe the outline of BONJ, and mention importance of our understanding about BONJ. BONJ is rare disease, but once it develops, its prognosis is very poor. Our adequate understanding of BONJ is necessary to prevent it and cope with it properly.

Opening Exercise Therapy with Locking-free Appliance(LA) : Preliminary Study (Locking-free Appliance(LA)를 이용한 개구운동치료 : 예비실험)

  • Jung, Won;Lee, Kyung-Eun;Sun, Sae-Ah;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
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    • v.38 no.1
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    • pp.29-34
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    • 2013
  • Objective: All patients who have the disc displacement with reduction (DDwR) are always not progressive but some of them with significant catching or locking progress to disc displacement without reduction (DDw/oR). In this study, we suggest opening exercise therapy using Locking-free Appliance (LA) to be helpful to prevent progressive derangement. Methods: Retrospectively, a total 37 patients who received exercise treatment using LA was analyzed from January 2010 to December 2011. Patients had been instructed in proper exercise technique to practise for opening and closing of mouth wearing the appliance 30 times a day in locking-free position. Results: None of the patients took a turn for worse to DDw/oR (37 patients). The 16 patients (43.2%, locking-free group) of them could open their mouth without intermittent condylar locking. Measurement of data was analyzed using and Mann-Whitney test. There was no statistically significant difference for age, gender, presence of palpational pain, locking period, VAS quantitative pain score between locking-free group and locking group. Conclusions: In this study, some patients could open their mouth without intermittent locking and did not take a turn for worse to DDw/oR after opening exercise therapy with LA. Furthermore, LA had advantages which were short wearing time, low costs and minimizing patients' uncomfortable compared to conventional treatment method. This therapy can be more appropriate new treatment to prevent progress to DDw/oR.

A Study on Oral Behavior and Missing Teeth of Some Workers (일부 근로자들의 구강건강관리행태와 결손치에 관한 연구)

  • Bae, Ji Young;Jung, Gi-Ok
    • Journal of dental hygiene science
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    • v.13 no.3
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    • pp.339-346
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    • 2013
  • This study conducted questionnaire survey with 268 workers in Ulsan city to examine influencing factors about Oral behavior and Missing teeth of some workers. The collected data were analyzed using SPSS 12.0 program. The analysis results are as follows. 1. Oral health awareness was highest in thirties (p<0.01). For oral health sensitivity, female was higher than male (p<0.01). The lower the age was (p<0.05) and the higher the academic background was, there was statistically significant difference (p<0.01). 2. The lower the age was (p<0.001) and the higher the academic background was, the number of daily tooth brushing was more (p<0.001) and there was statistically significant difference. 3. The more the number of daily tooth brushing was, portion of Missing teeth was low (p<0.01). When oral hygiene devices such as interdental brush, dental floss etc. were used, portion of Missing teeth was low (p<0.01). When dental visit for prevention was made, portion of Missing teeth was low (p<0.05). In case of periodontal disease, portion of Missing teeth was high so that there was statistically significant difference (p<0.01). 4. There was positive relationship according to oral health awareness and oral health sensitivity, oral health status. The oral health status and Missing teeth had a negative effect relationship. Relationship between number of Tooth brushing and Missing teeth showed negative one. In summary, oral health education is needed to increase the motivation of industrial workers to control their basic dental disease.

Effects of edcuation about dental hygiene devices on their use (구강위생용품 관련 교육이 구강위생용품 사용에 미치는 영향)

  • Lee, Kyeong-Hee;Jung, Eun-Seo
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.245-256
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    • 2015
  • In this study, to provide the implications of dental health care training direction in the future after researching the effect on the use of dental hygiene devices, data were collected from 320 patients who visited dental clinics located in Seoul and Gyeonggi-do for about 6 months between December 2013 and May 2014. Among them, the following results were obtained by analyzing 299 copies accounting for 93.4% of the collected data after excluding 21 copies lacking in answer. It was shown that education about dental hygiene devices had statistically significant effects on the dependent variables, perception of dental hygiene devices (p<0.001). Based upon the results above, it is considered that for the sake of prevention of oral diseases, more opportunities to learn correct knowledge and usage of suitable dental hygiene devices for individual oral conditions should be provided for patients, and active patient education as well as the development, implementation and publicity of systematic and popular oral health education programs will contribute to improved oral health.

A Comparison of Effect of Lecture-Based Learning and Problem-Based Learning on Scientific Reasoning in Basic Medicine (교재중심 강의와 문제중심학습 방식이 기초의학에서 과학적 추론에 미치는 효과 비교)

  • Kim, Hyeon-A;Kim, Kack-Kyun;Lee, Sung-Woo
    • Journal of Oral Medicine and Pain
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    • v.30 no.1
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    • pp.35-44
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    • 2005
  • Purpose: The aim of this preliminary study was to evaluate the effect of Problem-Based Learning (PBL) curriculum on development of comprehension of basic medical knowledge and quality of semi-structured problem solving including scientific reasoning skill. This scientific reasoning contained five components including: size of simple, design of research cause-effect, construction of risk factor, analysis statistic of data, interpretation of result. Materials and Methods: Seoul National University Dental students (100) participated in this experience during two weeks, 2004. Forty eight multiple-choice questions (MCQ) concerned "Infection Control and Prevention" were asked before and after two sections of Lecture-Based Learning (LBL) and PBL (pretest-posttest control group design). A semi-structured problem in epidemiological research was asked to these students after two sections (posttest-only control group design). Data (mean and SD) were analysed using the t Test for two independent samples (p<.05), comparing PBL versus LBL. Results: Our analyse of scores show no difference between LBL and PBL in the development of comprehension of "Infection Control and Prevention". The quality problem solving (epidemiological research) was significantly different between the two groups (p=.029); specially, two components' scores of reflection on scientific reasoning cause-effect (p=.000) and interpretation of result (p=.001) were significantly better for PBL than for LBL. Conclusion: Theses results indicate that comparing LBL and PBL, PBL curriculum have not been disadvantaged in comprehension of basic knowledge, and have contributed to develop the scientific reasoning in problem solving.

Experimental Research on the Surface Changes and the Abrasion Resistance of Pit and Fissure Sealant by Fluoride (불소도포제에 의한 치면열구전색제의 마모저항성과 표면 변화에 관한 실험연구)

  • Hwang, Su-Hyun;Yu, Ji-Su
    • Journal of dental hygiene science
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    • v.10 no.5
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    • pp.373-378
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    • 2010
  • To test the effects of representative fluoride vanishes-1.23% APF gel and 5% NaF Fluoride Varnish-on the surface structure of pit and fissure sealant, this study classified samples of pit and fissure sealant into five groups: Group I deposited in distilled water for ten minutes, Group II treated with APF gel for one minute, Group III treated with APF gel for four minutes, Group IV treated with Fluoride Varnish for one minute, and Group V treated with Fluoride Varnish for four minutes. An abrasion test was carried out to measure changes in weight, along with observation of the surface structure by using an optical microscope, consequently drawing the following conclusions. 1. The results of the abrasion test using pit and fissure sealant, Concise, showed that Group III had the reduction in weight more increased than Group I and that Group V had less reduction in weight (p<0.05); the results of the abrasion test using Eco-S showed Group III had the reduction in weight more increased than Group I and that Group V had less reduction in weight (p<0.05). 2. The results of observation using an optical microscope showed that application of APF gel made the filler remarkable due to loss of substrate and that Group III treated with APF gel for four minutes had the toughest surface, followed by Group II treated with APF gel for one minute, Group I deposited in distilled water for ten minutes, Group IV treated with Fluoride Varnish for one minute, and Group V treated with Fluoride Varnish for four minutes.

A Research on Perception of Oral Health Behavior among High School Students in Some Areas (일부지역 고등학생의 구강건강행위에 관한 인식조사)

  • Yu, Ji-Su;Kim, Han-Hong;Han, Yang-Keum;Kim, Seung-Hee
    • Journal of dental hygiene science
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    • v.10 no.5
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    • pp.411-416
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    • 2010
  • In this study a survey was conducted with tenth, eleventh, and twelfth-graders in some academic and vocational high schools in Seoul, Gyeonggi Province, and South Chungcheong Province from April 3 to 30, 2009; then, 600 questionnaires returned were analyzed, obtaining the following results. It was found that there were some differences in subjective perception and behavior among some high school students by school type (p<0.001). This suggests the need to make systematic programs within curricula for oral health education and prevention programs that practically help to improve oral health.

Clinical managements of implant periapical lesions: a report of three cases with five to twelve years of follow-up (임플란트 근단 병소의 임상적 접근 방법: 5 - 12년간의 증례 보고)

  • Kim, Hyun Ju;Park, Se Hwan;Chang, Beom-Seok;Um, Heung-Sik;Lee, Jae-Kwan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.150-157
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    • 2015
  • The purpose of this report is to suggest clinical managements of implant periapical lesions by presenting three clinical cases managed by either the infected form or the inactive form with the follow-up period of five to twelve years. One patient with no clinical symptom was regarded as inactive form. Two patients having pain were regarded as infected form and have been under the systemic antibiotic therapy. In one patient, the symptom subsided and the size of radiolucent lesion decreased. However, the other patient showed increased size of lesion causing the implant unstable, which leaded to remove the implant and to replace it. There was neither additional increase of the lesion nor functional problem for all three. It is important to detect implant periapical lesion in early stage before jeopardizing the stable implant and manage properly using systemic antibiotic therapy and surgical approach if needed, depending on infected form and inactive form.