• Title/Summary/Keyword: 잔존치아 수

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The Relationship between Dementia and Oral Health in Some Elderly in Daejeon (대전 일부 노인의 치매와 구강건강의 관계)

  • Go, Hye-Bin;Kim, Min-Gyeong;Kim, Jin-Young;Kim, Hyun-Soo;Park, Young-Seo;Seo, Seung-Hyeon;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.16 no.6
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    • pp.481-487
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    • 2016
  • The elderly population with dementia is rapidly growing in South Korea. The aim of this study was to investigate the relationship between dementia and oral health in 197 subjects aged ${\geq}65$ years. The questionnaire included questions on subjective health status, subjective health concern, subjective oral health status and behavior, mastication ability, Oral Health Impact Profile-14 (OHIP-14), and Korean Dementia Screening Questionnaires (KDSQ). Oral examination was conducted by a single dentist to evaluate upper or lower denture use, and determine the numbers of remaining and functioning teeth, including implant and fixed prosthesis. The subjects who required a dementia test (KDSQ-C [cognition] of ${\geq}6$) had significant differences in systemic disease prevalence rate, subjective health status, subjective health concern, KDSQ-V (vascular disease) score, KDSQ-D (depression) score, subjective oral treatment need, key food mastication ability and OHIP-14 score compared to the healthy subjects. The proportion of denture wearers, total remaining teeth, total functioning teeth, toothbrushing frequency, oral pain severity, symptoms of periodontal disease, subjective oral health status, and subjective oral health concern showed no significant differences between the two groups. KDSQ-C and OHIP-14 scores showed a strong positive relationship, while KDSQ-C score and total remaining teeth or key food mastication ability showed a weak negative relationship. In the multiple regression analysis, the KDSQ-D, KDSQ-V, and OHIP-14 scores influenced the KDSQ-C scores. We suggest a relationship between oral health and cognitive impairment.

EFFECT OF BITE RAISING METAL SPLINT ON DEVELOPMENT OF CHILDREN'S OCCLUSION (교합 거상 금관이 어린이 교합 발육에 미치는 영향)

  • Shin, Jeong-Geun;Kim, Jae-Gon;Yang, Yeon-Mi;Lee, Sun-Young;Baik, Byeoung-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.101-108
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    • 2005
  • Children are in mixed dentition during 6 years after 3 years old. this time is very important for sound permanent dentition. There are many factors of influence to tooth eruption stage ; adjacent teeth, tooth resorption, early loss or retention of deciduous tooth, local lesion, lip and tongue, masticatory muscles, ect. These factors should be in balance, if not, relation of adjacent teeth is changed, then severe malocclusion is occurred maybe. These cases revealed influences of resin bonded metal splint on occlusal surface of children's molar to mixed dentition. Splints interfere with falling off of deciduous tooth, tooth eruption, normal occlusion formation, and development of mixed dentition and occlusion. Therefore we removed the metal splint from teeth, follow-up checked occlusion and tooth eruption.

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The Effect of Sociological Characteristics and Oral Health Behaviors on Oral Health Index in Korean Elderly (한국 노인의 인구사회적 특성과 구강보건행위가 구강보건지수에 미치는 영향)

  • Park, Myung-Ho;Park, Mee-Yong;Lee, Hee-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.10
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    • pp.4989-4995
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    • 2013
  • The purpose of this study was to evaluate oral health status using oral health index in the elderly population and determine methods for improving oral health status. The date collected from 'The fifth korean national health and nutrition examination survey 2010' was analyzed in this study. The subjects included in this study were 712 elderly people, aged 65 years or older and who had completed the oral examination, health questionnaires and nutrition examination. Statistical analysis was done using the SPSS 19.0 for Windows. We determined Frequency analysis and multiple regression analysis. General characteristics and oral health behaviors showed differences in number of teeth associated with as male, the lower age, as dong, the higher education level, the lower smoking, the more use oral health goods, in DMFT associated with the lower age, the lower income level, the higher education level, in FS-T associated with as female, the higher income level, the more use brushing, in T-Health associated with as male, the lower age, as dong, the lower smoking, the more use oral health goods, in CPI associated with as male, the lower age, as dong, the lower smoking, the more use oral health goods. In conclusion, oral health behavior have effect on oral health index, in order to improve the quality of life and promote oral health of the elderly, oral health education system should be organized. Local governments should be supported active and various oral health program for the elderly.

New maxillary anterior ridge classification according to ideal implant restorative position determined by CAT (전산화단층영상을 이용한 이상적 임플란트 수복 위치에 따른 상악 전치부 치조제의 새로운 분류)

  • Park, Young-Sang;Cho, Sang-Choon;Kim, Kyoung-Nam;Kim, Kwang-Mahn;Choi, Seong-Ho;Moon, Hong-Seok;Lee, Yong-Keun
    • Journal of Periodontal and Implant Science
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    • v.37 no.sup2
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    • pp.385-396
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    • 2007
  • This study proposed a new classification system for maxillary anterior alveolar ridge deformities based on CAT-scan implant simulation as a useful concept in order to more precisely predict treatment outcomes and the necessity for ridge augmentation prior to implant placement. The results indicate that a high number of cases in the maxillary anterior area would require augmentation procedures in order to achieve ideal implant placement and restoration.

Rehabilitation in a patient with limited restorable space using double scanning technique: A case report (구치부 보철 수복 공간이 부족한 환자에서 이중 스캔을 이용한 구강회복 증례)

  • Kim, Jun-Yub;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Yang, Hongso
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.205-211
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    • 2017
  • Loss of posterior support may cause extrusion of antagonistic teeth and excessive wear of remaining teeth which often leads to the destruction of the occlusal plane. In such cases, it is critical to verify the need to increase vertical dimension of occlusion (VDO). Should you increase VDO, provisionalization is crucial in evaluating function and esthetics. Double scanning technique is a useful method when fabricating definitive restoration that mimic provisional restoration. In this case, a patient with apparently no loss of VDO and insufficient interocclusal space for dental materials due to loss of posterior support and extrusion of antagonistic teeth was rehabilitated using double scanning technique.

Managing Complications Related to Multiple Supernumerary Teeth (다수 과잉치로 인한 합병증 치료의 임상적 고찰)

  • Kim, Jongbin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.2
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    • pp.180-186
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    • 2014
  • One or two mesiodens are mostly common to the clinician. However, three mesiodens is rarely found and can cause complications such as orthodontic problems or interruptions of the adjacent teeth with more than 1 or 2 mesiodens. Many factors cause irregularities in the permanent dentition. Mesiodens, especially in the anterior maxilla, can disturb the eruption of adjacent permanent teeth and cause diastemas, ectopic eruptions, root resorption, or the formation of dentigerous cysts. The early diagnosis of mesiodens is important for preventing such complications, and the timing of intervention should be based on their location and number. Periodic checkups and improved diagnostic devices make it easy to find mesiodens and associated complications. In this case, 3 supernumerary teeth in the maxillary anterior region were affecting the eruption of the adjacent permanent incisors. To minimize complications and preserve the deciduous teeth, the three supernumerary teeth were extracted in 2 steps. Since cone-beam computed tomography was not available, a brace wire was used to measure the depth of the mesiodens.

Treatment of retrograde peri-implantitis: seven-year follow-up study (역행성 임플란트 근단병소 주위염(Retrograde Peri-implantitis) 치료의 7년 관찰)

  • Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.3
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    • pp.259-264
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    • 2014
  • Retrograde peri-implantitis (RPI) is defined as a clinically symptomatic periapical lesion. RPI is generally accompanied by symptoms of pain, tenderness, swelling and fistula. Several etiologic factors of RPI were possible, residual bacteria would be the main cause of RPI. Various treatment modalities have been introduced: debridement only or a combination of debridement with the grafting material accompanied by a detoxification of the infected implant surfaces, apicoectomy and so on. Although the definitive management methods remain undefined, many favorable clinical results of a treatment of RPI have been published. This case report introduces the 7-year long-term clinical result of the application the principle: implant surface detoxification using saline and chlorhexidine and guided bone regeneration with bone graft material and barrier membrane. If the implant was not mobile, it would be possible to treat RPI according to surgical approach and good results will be maintained over long term.

A COMPARATIVE STUDY OF THE EFFECT OF CHLORHEXIDINE ON THE BOND STRENGTH OF ADHESIVE RESTORATION (클로르헥시딘이 접착성 수복재의 결합에 미치는 영향에 관한 비교 연구)

  • Yeom, Hae-Woong;Kim, Jong-Soo;Kwon, Soon-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.1
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    • pp.30-37
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    • 2002
  • Bacterial microleakage around restorations is considered the principal cause of pulpal inflammation associated with restorations. The rationale for using cavity disinfectant is based on its antimicrobial properties but the cavity disinfectant may leave debris on dentin surfaces. The purpose of this study was to evaluate the effect of 2% chlorhexidine on shear bond strength and microleakage of adhesive restoration. 45 sound bovine teeth were used for the shear bond strength test and 30 for the micorleakage. For the experimental groups, 2% chlorhexidine was applied before the restorations, and was not for the control groups. The result from the this study can be summarized as follows; 1. No significant difference could be found in shear bond strength of each group. 2. No significant difference could be found in microleakage of each group.

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Esthetically improved complete denture by gingival shade alteration: a case report (무치악 환자에서 치은의 색조 개선을 통해 심미성을 향상 시킨 총의치 수복 증례)

  • Yim, Soo-Hyun;Kim, Jee-Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.239-245
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    • 2014
  • Complete denture prosthodontics includes replacement of natural teeth and associated maxillary and mandibular structures for full edentulous patients. The final objectives of prosthodontic treatment include esthetic and functional rehabilitation. Because the esthetic demand of senior patients has increased esthetic requirement should not be overlooked in denture treatment. In complete denture treatment, attempts have been made to reproduce tooth wear, arrangement, recession of cervical gingiva, staining, improved gingival shade and so on. This 61 year old female patient came to the Department of Prosthodontics with the chief complaint that dentures made 5 years ago in a local clinic were broken and did not fit well. The patient put more emphasis on fabrication of natural and esthetic dentures than recovery of masticatory function. Remake of maxillary complete denture and mandibular implant retained overdenture was planned. In order to create esthetic and natural contour, Aesthetic Color Set Easy system$^{(R)}$ (Candulor dental GmbH, Wangen, Germany) was used to make complete dentures reproducing various gingival shades. Patient's esthetic satisfaction was high. When complete denture prosthodontics treatment involves appropriate expression of individual characteristics in addition to proper selection of esthetic materials, treatment will give satisfaction to both dentist and patient.

TREATMENT FOR IDIOPATHIC MULTIPLE DENTIGEROUS CYSTS: CASE REPORT (양악 편측에 발생한 다발성 함치성 낭종의 치험례)

  • Kim, Ki-Baek;Kim, Seon-Mi;Yang, Kyu-Ho;Choi, Nam-Ki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.2
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    • pp.270-274
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    • 2009
  • Dentigerous cysts generally encompass the crown of an unerupted tooth. These cysts are usually solitary. They are the second most common odontogenic type of cysts following radicular cysts, and are frequently associated with impacted mandibular third molars or maxillary canines. Most multiple cysts found in the jaw are odontogenic keratocysts associated with the nevoid basal cell carcinoma syndrome, mucopolysaccharidoses and cleidocranial dysplasia. Although a single dentigerous cyst is well documented in the medical literature, including the prevalence, treatment and prognosis, multiple dentigerous cysts without any systemic symptoms is unusual. Furthermore, cases involving both the maxilla and mandible are especially rare. We present the case of an 11-year-old boy with nonsyndromic multiple dentigerous cysts associated with a mandibular second premolar and a maxillary canine. The treatment was conservative and included marsupialization and eruption guidance. Further follow up is planned to rule out additional problems and the possible identification of a syndrome.

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