• Title/Summary/Keyword: 의치 관리

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The Effect of Korean Elderly's Prosthetic Status on Health Related Quality by Using EuroQol-5 Dimension (한국 노인의 보철상태에 따른 건강관련 삶의 질)

  • Park, Jeong-Hye;Lee, Min-Kyung;Lee, Jung-Hwa;Jin, Hye-Jung
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.417-423
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    • 2014
  • The aim of this study was to evaluate the relationship between prosthetic status and health related quality of elderly by using EuroQol-5 dimension (EQ-5D) which is a standardized instrument used as a measure of health outcome. Data from 1,179 elderly subjects (over 65 years old) from the fifth Korea National Health and Nutrition Examination Survey were used in our analysis. Oral examination were conducted to obtain wearing prosthetic and needed prosthetic. EQ-5D is a widely used health condition measuring instrument. It consists of the five dimensions: Mobility, Self-care, Usual activities, Pain/discomfort and Anxiety/depression. EQ-5D index is a score calculated out of a weighting system. In this study, the mean score of the EQ-5D index among the elderly was 0.86. For EQ-5D index gender, female showed statistically significantly lower quality of life than male. The related factors EQ-5D index, when the lower demand for fixed prosthodontics and full denture. Wearers in partial and complete denture than non-wearers showed higher EQ-5D index. In order to improve EQ-5D index among the elderly who demand prosthetic status, which has lost its function through providing proper dental prostheses.

A Three-dimensional Photoelastic Analysis of Stress Distributions Around Osseointegrated Implants and Abutment Teeth According to Bridge Connecting Type (골유착성(骨癒着性) 임플란트와 치아간(齒牙間)의 보철물(補綴物) 연결(連結) 형태(形態)에 따른 주위(周圍) 골조직(骨組織)의 응력분산(應力分散)에 관한 3차원적(次元的) 광탄성(光彈成) 분석(分析))

  • Lee, Moo-Geon;Cho, Sung-Am
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.1
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    • pp.120-147
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    • 1994
  • This study was performed for the purpose of evaluating the stress distribution around threaded type implants, cylindrical type implants and teeth connected with rigid or non-rigid connector. The stress distribution around the surrounding bone was analyzed by three-dimensional photoelastic method. Twelve mandibular photoelastic epoxy resin models and a circular polariscope were used to record the isochromatic fringes. After the stress distribution around the implant and tooth was observed, the results were as follows ; 1. In threaded type implants, stress concentrated patterns were observed at the neck either vertical or 25 degree lateral force. 2. The stress concentrated patterns were observed at the tooth apical portion and neck portions of the implant and tooth when a threaded implant was connected with the tooth by either a rigid or non-rigid connector. More force was generated at the tooth neck portion by a rigid connector and more force at the implant neck portion by a non-rigid connector. 3. The stress concentrated patterns were observed at the apical portion of the implant and tooth when a cylindrical type ,implant was connected with the tooth either by a rigid or non-rigid connector. More force was generated at the tooth apical portion by a rigid connector and more force at the neck portion of the tooth and implant by a non-rigid connector. 4. The stress around the tooth was more equally distributed in a threaded type implant than in a cylindrical implant when the tooth was connected with either a rigid or non-rigid connector. 5. The stress around a threaded type implant was progressively more equally distributed in the following order : 1) when used a single implant, 2) a non-rigid connection with the implant and tooth, 3) a rigid connection with the implant and tooth, 4) a rigid connection with two implant fixtures.

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Rehabilitation of a patient by converting poorly maintained fixed implant prosthesis into implant overdenture: a case report (기존 임플란트 보철물의 불량한 유지관리를 개선하기 위해 임플란트 피개의치로의 상부 보철물 전환 증례)

  • Kim, Yeong-Kyu;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.127-134
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    • 2022
  • Among many contributing factors of implant failure, excessive loading and inflammation contribute mainly to increasing implant failure rate. Especially, poor oral hygiene around implants is one of the most common reasons for implant failure. When implant prosthesis fails to function, the clinician should re-diagnose and plan treatment using the remaining implants. Additional implantation may be needed to make a new type of prosthesis or either implant-assisted RPD and implant overdenture treatment may be performed using the remaining implants. In this article, a patient whose fixed implant prosthesis in the maxilla had failed of poor oral hygiene maintenance was reported to be recovered with removable implant overdenture by using remaining implant abutments and a milled bar with additional retentive elements. Through this treatment, the clinical results were satisfactory in terms of esthetics, masticatory function recovery and oral hygiene management.

The efficacy of denture cleansing agents: A scanning electron microscopic study (수종 의치세정제의 세척 효과에 관한 주사전자현미경적 비교 연구)

  • Yun, Bo-Hyeok;Yun, Mi-Jung;Hur, Jung-Bo;Jeon, Young-Chan;Jeong, Chang-Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.1
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    • pp.57-64
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    • 2011
  • Purpose: The purpose of this study was to compare the cleansing performance of a distilled water, a diluted solution of sodium hypochlorite as a household bleaching cleanser and three alkaline peroxide cleansers in vivo plaque deposits by using scanning electron microscope. Materials and methods: Five individuals were selected from department of the prosthodontics in Pusan National University Hospital, and each of them was inserted with specimens for plaque accumulation in their temporary dentures for 48 hours. The specimens were removed and cleaned by each cleansing agents for 8 hours. Scanning electron micrographs were made from the specimens at a magnification of ${\times}2,000$. A panel of ten persons with a dental or paradental background, but not directly involved in the study, was selected to analyze the photomicrographs to determine which denture cleanser was more effective in removing plaque. Results: Diluted solution of sodium hypochlorite was the most effective at removing plaque following $Polident^{(R)}$, $Cleadent^{(R)}e$, $Bonyplus^{(R)}$ and distilled water in order. But there was no significant difference of cleansing efficacy between diluted solution of sodium hypochlorite and $Polident^{(R)}$, $Polident^{(R)}$ and $Cleadent^{(R)}e$, $Cleadent^{(R)}e$ and $Bonyplus^{(R)}$, respectively (P > .05). Alkaline peroxide cleansers by themselves cannot adequately remove accumulated plaque deposits, especially if the deposits are heavy. Corrosion could be seen on the surface of non-precious alloy specimens immersed in diluted solution of sodium hypochlorite. Conclusion: It is recommended to use of alkaline peroxide type cleansers with brushing whenever possible, since denture cleanliness is often poor due to the relative inefficiency of these cleansers.

The Effect of Denture Care Skills Education Program on Denture Self-care, Denture Satisfaction and Oral Health-related Quality of Life (OHIP-14) among the Elderly (의치관리 실습프로그램이 노인의 의치자가관리, 만족도 및 구강건강관련 삶의 질에 미치는 효과)

  • Jang, In Sun;Park, Seungmi
    • Journal of Korean Biological Nursing Science
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    • v.18 no.4
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    • pp.239-246
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    • 2016
  • Purpose: The purpose of this study was to investigate the effect of denture care skills education program on denture self-care, denture satisfaction and subjective oral status among the elderly. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Total 61 elderly who visited a seniors center, Seoul, Korea, participated in this study. Participants were 31 elderly for the experimental group and 30 elderly for the control group. The experimental group received a lesson in denture care skills education program which was developed by the researchers. Using a structural questionnaire, the elderly's perception about denture self-care, denture satisfaction and subjective oral status were measured before and after the intervention. Descriptive statistics, independent t-test, chi-square test, and ANCOVA test were performed using SPSS WIN 21.0. Results: The experimental group showed significantly higher scores in denture satisfaction(p<.001), QOL of oral health(<.001), concern for oral health(p=.005), subjective oral health status(p<.001), bad breath(p=.010), oral dryness(p<.001) and number of denture clearing(p<.001). Conclusion: The results suggest that the denture care skills education program for elderly at a senior center was effective. Further work is required to develop more effective denture care skills education programs and an oral health promotion program to improve the health status of the elderly.

A Literature Review on Locator Attachment for Implant Overdenture (임플란트 피개의치를 위한 Locator 어태치먼트: 문헌 고찰)

  • Cha, Min-Sang;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.2
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    • pp.127-140
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    • 2013
  • The Locator attachment is used widely for implant retained overdenture. It can be used solitary and needs small vertical space. Locator can be applicable for parallel implants and divergent implants. Nylon male cap allow personalized retention for each case. In this literature review, initial retention force and changes in retention force of various attachments were evaluated. Rotation freedom and stress distribution around the attachment were reviewed. Moreover, patient satisfaction and maintenance care of Locator attachment were described. From all of the researches, it was drawn that Locator attachment can be used successfully and widely in several clinical situations.

Prosthetic Treatment Strategies for Improving Denture Retention in Pediatric Patients with Hypohidrotic Ectodermal Dysplasia: a Report of Two Cases (저한성 외배엽 이형성증을 가진 소아 환자에서 의치 유지력 향상을 위한 보철 치료 전략: 두 가지 증례 보고)

  • Hongju Jeon;Seonmi Kim;Namki Choi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.4
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    • pp.483-494
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    • 2023
  • This report presents two cases concerning strategies for improving denture retention in pediatric patients with oligodontia caused by hypohidrotic ectodermal dysplasia (HED). Both patients presented with multiple missing teeth, conical canines, alveolar bone atrophy, and a skeletal Class III tendency. In the first case, a modified form of conical-crown-retained denture was used to cover the canines. This approach was carried out without tooth extraction or coping. In the second case of severe alveolar bone resorption and a distally tilted lower left canine, the tooth was restored with a hybrid ceramic crown. It was subsequently converted into a clasp-retained removable partial denture, utilizing a suction mechanism. Both patients are currently receiving regular check-ups for the maintenance of their prosthetic appliances and the evaluation of their growth patterns. This study presents innovative prosthetic treatment methods for pediatric patients with HED who have inadequate denture retention.

Effects of Oral Health Risk Factors and Denture Management Behavior on the Life Satisfaction of Denture-Wearing Elderly (의치사용노인의 구강건강위험요인과 의치관리행태가 삶의 만족도에 미치는 영향)

  • Park, So-Young
    • The Korean Journal of Health Service Management
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    • v.12 no.3
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    • pp.107-118
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    • 2018
  • Objectives: The purpose of this study was to investigate the general characteristics, oral health risk factors, and denture management behaviors of the elderly and improve their oral health and life satisfaction. Methods: This study was conducted on 386 individuals from elderly welfare facilities in Gyeonggi-do selected by convenience sampling. Results: The female participants were more satisfied with their family relationship than the male participants. Among the risk factors for oral health, life satisfaction was higher among the participants who had no psychological inconvenience and bad breath symptoms. Among the factors for denture management behavior, the participants who did not receive dental checkups regularly expressed greater life satisfaction than those who had not received denture care education. Conclusions: The practical and theoretical implications for elderly welfare programs and oral health management education for denture-wearing elderly were discussed.

A Study of Oral Health Knowledge and Status of the Elderly in Ulju-gun (울주군 일부지역 노인의 주관적 구강건강인지 및 수준에 관한 조사)

  • Lee, Jung-Hwa;Seong, Mi-Gyung;Kang, Hyun-Kyung;Cho, Gab-Suk
    • Journal of dental hygiene science
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    • v.7 no.4
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    • pp.281-286
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    • 2007
  • The purpose of this research was to find out their perception of the dental hygiene and level of its knowledge by estimating status of senior adults' dental health management. First, questionnaires were distributed to the 256 target senior adults aged more than 60, who were going to school for senior adults located in Ulju Country and the survey was conducted by interview directly. The results were as follows; 1. As for tooth brushing method, scrubbing method was used in male and rolling method was used in female and the survey results statistically revealed that rolling method was the most used in aged from 60 to 70(68.1%) and scrubbing method was the most used in aged more than 70(80.4%)[p < 0.001]. 2. As for reason of visiting dental clinic, female respondents accounting for the highest said they visited dental clinic when they feel a pain in the teeth and as for frequence of dental clinic, male respondents visited dental clinic for a once per a year. there was no difference statistically according to age(47.9%). 3. As for the perception of the necessity of dental prosthetic treatment, there was higher positive response in the female than male, in the lower aged groups than higher aged group[p<0.05]. 4. As for the question of whether to use of denture or not now, the survey results was statistically that the higher aged group and male groups were higher used dentures [p < 0.001]. 5. As for maintenance of denture, female respondents said the highest that they keep it in cold water after cleaning(95.5%), there was no difference statistically according to age and educational background [p < 0.001].

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