• 한국치위생학회지
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• 제12권6호
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• pp.1148-1157
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• 2012

Objectives : The purpose of this study is to analyze factors impacting dental treatment of fear and distrust of dentists. The subjects of this study consists of 720 middle & high school students in Daegu area. Methods : The data were collected from June 1, 2009 to September 30, 2009 by self-administrative questionnaires. The data received was analyzed using the descriptive statistic, t-test, ANOVA, and multiple linear regression analysis with level of significance as p<0.05 stimulus response factors in oral health education, often highly-experienced, and distrust of the dentists of factors the lower stimulus response factors are highly. Results : A female dental treatment of fear and distrust of dentists showed higher than male. Showed higher dental treatment of fear and the higher distrust of dentist. Showde the treatment-avoidance factors the higher patient of negligence factors and distrust of dentists factors are highly statistically significant. Showed the stimulus response factors in oral health education, often highly-experienced, and distrust of the dentists of factors the lower stimulus response factors are highly. Showed the similar results physiological arousal factors and the stimulus response factors. Conclusions : The results suggest that oral health status of improve adolescent before treatment of patients identify biological characteristics and personality can decrease dental treatment of fear and distrust of dentist.

• 대한소아치과학회지
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• 제38권4호
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• pp.362-367
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• 2011

본 연구의 목적은 경기지역 일부 중학생의 치과치료 관련 공포 및 불안 수준을 측정하고, 그와 관련된 요인 및 이에 영향을 미치는 요인에 대해 분석하여 불안과 공포감을 완화시킬 수 있는 방법을 모색하여 보다 편안하고 효율적인 구강건강관리가 이루어 질 수 있도록 하는데 있다. 본 연구는 경기도 일부 중학생 622명을 대상으로 설문조사를 실시하여 남학생 337명, 여학생 277명으로서 과거 치과치료 경험이 있는 총 614명의 자료를 이용하였다. 분석 방법은 각 문항별 답변의 분포를 알아보기 위해 빈도분석을 실시하였고, 남녀별 응답의 차이를 검정하기 위해 교차분석을 실시하였으며 공포점수의 비교를 위하여 Mann-whitney U 검정을 실시하였다. 연구 결과 경기도 일부 중학생들은 치과 전문가가 일반적으로 생각하지 못한 부분에서도 치과공포를 느끼는 것으로 나타났고, 진료실에서 직접 치료를 하는 경우와 관련된 항목에서 공포를 느끼는 경우가 많은 것으로 나타났다. 마지막으로 여학생이 남학생보다 높은 수준의 치과공포도를 보였다(p<0.05).

• 보건의료산업학회지
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• 제7권4호
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• pp.1-12
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• 2013

This study is to analyze the personality trait and dental fear of high school students. This study is conducted with a total of 603 first grader at high school in DaeGu city from 1st September to 30th October, 2009. In prevention and dental treatment knowledge category, the average score of female are higher than male. The concern of oral health, the experience of oral health education and the number of toothbrush are significantly different in the knowledge category. In dental fear category, the number of dental pain, the visiting is treatment, the recognize of dental state, the number of toothbrush and the change of dental visiting date are significantly different. In the prevention knowledge according to dental fear state, low fear group 7.03 is higher than high fear group. In the dental treatment knowledge according to dental fear state, high fear group 7.15 is higher than low fear group. In personal temperament, there are not significantly relationship between prevention knowledge, dental treatment knowledge and dental fear. These findings are basis to development of education programs which were included prevention and dental treatment knowledge before visiting dental clinics for reducing dental fear.

• 한국치위생학회지
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• 제13권1호
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• pp.98-104
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• 2013

Objectives : The purpose of this study was to measure the fear of dental care and analyze the related factors between reliability for members in dental office and fear of dental care, dental office. Methods : Located in Gwangju, 260 college women who had dental experience in the past year were surveyed. SPSS windows ver. 11.0 by demographic characteristics and oral health characteristics of the frequency and percentage, and related factors in the fear of dental care and the reliability about dental health care workers of one way ANOVA, Tukey test for Post-Hoc test. and were factors associated with dental fear of the stepwise multiple regression analysis was performed. Results : The fear will be higher when subjective oral health status is considered lower, the reliability of dental health care workers is lower(p<0.05). Evasion and overall fear, overall fear and stimulations of dental care, stimulations of dental care and overall feeling were related(p<0.05). Conclusions : The reliability of dental health care workers is lower and subjective oral health status is considered lower, the fear of dental care increase and everage number of brushing has increased, the fear of dental care decrease.

• 한국치위생학회지
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• 제14권6호
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• pp.951-959
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• 2014

Objectives: The purpose of this study was to find out the fear of dentist care, subjective recognition of dental health, and quality of life in the male high school students and to analyze the influencing factors on dental health care. Methods: A self-reported questionnaire was filled out by 243 special high-school in Deagu province from March 3 to March 14, 2014. The questionnaire consisted of general characteristics of the subjects(5 questions), subjective recognition of health and activities to improve health(6 questions), dental fear(20 questions), oral health related quality of life(16 questions). The instrument for dental fear was adapted from measured by Berggren Dental Fear Survey(DFS). A total of 20 DFS questions included treatment avoidance(8 questions), stimulus reaction(6 questions), and physiological reaction(5 questions) and score by Likert 5 scale. Cronbach alpha was 0.974 in the study. Oral health related quality of life was measured by 16 questions of CPQ11-14 for the adolescents by Lau. CPQ11-14 consisted of oral symptoms(4 questions), functional restriction(4 questions), and emotional wellbeing(4 questions). The instrument was score by Likert 5 scale and Cronbach alpha was 0.9354 in the study. Data were analyzed using SPSS 18.0 program for ANOVA and multiple regression analysis. Results: Fear of dentist care showed significant differences in treatment avoidance factor(p<0.001), stimulus reaction factor (p<0.05), and physiological reaction factor(p<0.001). The factors depended on subjective recognition of health and health-improving activities and differences in treatment avoidance factor(p<0.05) and physiological reaction factor(p<0.01). The dental symptoms factors showed significant differences in health recognition(p<0.001), interest in health(p<0.001), alcohol drinking status(p<0.001) and regular meal(p<0.001). While function limit factors showed differences in health recognition (p<0.001), interest in health(p<0.001), smoking(p<0.001), alcohol drinking(p<0.001) and regular meal(p<0.001). Mental and social stabilities factors showed significant differences in health recognition(p<0.001), interest in health(p<0.001) and alcohol drinking status(p<0.001). Among the factors influencing on the quality of life in dental health, interest in health(p<0.005), alcohol drinking(p<0.005) and physiological reaction in the midst of fear of dentist care(p<0.001) were the significant impact factor. Conclusions: It is necessary to develop a continuous and systematical program of dental health and dental care by experts so that the students can reduce the fear of dentist care by regular dental checkup and preventive treatment and care.

• 한국치위생학회지
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• 제12권4호
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• pp.741-749
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• 2012

Objectives : High school students to measure fear of dental treatment, dental health care workers according to the level of reliability of this study is to determine the extent of terror was carried out. Methods : Located in Gwangju, 165 high school students were surveyed. SPSS windows ver. 11.0 by demographic characteristics and oral health characteristics of the frequency and percentage, and dental health care workers about the reliability of the Chi-square test, the general characteristics and oral health characteristics by dental fear of the t-test and one way ANOVA and were factors associated with dental fear of the stepwise multiple regression analysis was performed. General characteristics, except Cronbach-${\alpha}$ coefficient was 0.911. Results : According the general fear of Dental Treatment Fear Factor item 4, you'll feel the highest fear when you feel the muscle tension and the needle pricks your skin. The reliability of dental health care workers if the dentist lower the higher the grade, subjective oral health status is considered more reliable health was higher, the stronger the reliability of pain was significantly lower (p<0.05). Other care coordination include the reliability of sources of interest in subjective oral health history, no past experience in treating pain and increase the number of reliability was low (p<0.05), past experience and increase the number of pain during treatment the stronger the fear of more pain showed an increase (p<0.05). Conclusion : According the related factors about the fear of dental treatment, stimulus-response and fear of dental office have increased, the fear of dental treatment increase.

• 한국치위생학회지
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• 제14권6호
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• pp.881-886
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• 2014

Objectives: The purpose of the study was to investigate the related factors to dental fear in some adults. Methods: A self-reported questionnaire was filled out by 320 adults in Seoul and Gyeonggi-do from April to June, 2013. Except 14 incomplete answers, data were analyzed by SPSS 18.0 program. The questionnaire consisted of general characteristics of the subjects(7 questions), dental fear related factor(18 questions), distrust for dentist(15 questions), and distrust for dental hygienist(11 questions). The instrument for dental treatment fear was Dental fear Survey(DFS) adapted from Kleinknecht and partly modified by Choi. Out of 20 questions, 18 questions were reconstructed and score by Likert 5 scale. Higher score means higher dental fear. Cronbach alpha was 0.959 in the study. The distrust for dentist and dental hygienist was adapted from Choi and reconstructed and score by Likert 5 scale. Higher score means higher distrust for dentist and dental hygienist. Cronbach alpha was 0.937 in distrust for dentist and 0.874 in distrust for dental hygienist in the study. Results: Those who experienced dental pain tended to have dental fear. The reasons for dental fear were as follows; bad breath(2.96 out of 5 points, hereafter represented as of 2.96/5), dental caries(2.88/5), missing teeth(2.87/5) and tooth pain(2.77/5). The distrust for the dentist was the main dental fear in the adults. Conclusions: The dental fear was closely related to gender, experience of dental pain, oral symptoms and distrust for the dentist. As the psychological pain in the patients was mainly influenced by the trustful atmosphere, it is necessary to make the patient easy before treatment.

• 한국산학기술학회논문지
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• 제17권12호
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• pp.198-204
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• 2016

본 연구는 대학생들이 인지하는 구강 내 증후증상과 공포감의 관련성을 연구하여 적절한 시기에 치료와 예방을 위한 방안을 모색하고자 2015년 9월부터 3개월간 부산지역에 거주하는 대학생을 대상으로 최종 288명을 최종 분석하였다. 공포수준은 모든 항목에서 여자에서 높게 나타났으며, 세부적으로는 약속 미룸(p=0.014), 진료 시 긴장(p=0.001), 진료 시 호흡 가쁨(p=0.009), 진료 시 심장 박동 수 증가(p=0.010), 약속 시 두려움(p=0.003), 치과도착 시 두려움(p=0.001), 대기실 대기 시 두려움(p=0.001), 치과냄새 두려움(p=0.006), 마취 시 두려움(p<0.001), 주사바늘 주입 시 두려움(p<0.001), 치아삭제용 기구를 볼 때 두려움(p<0.001), 치아삭제용 기구 소리 두려움(p<0.001), 치아삭제 시 느낌에 대한 두려움(p<0.001), 치석제거 시 두려움(p<0.001), 치과치료 전체에 대한 느낌 나쁨(p<0.001)에서 통계적으로 유의한 차이를 보였다. 증후증상 인지에 따른 공포수준은 충치가 있는 경우 진료회피(p=0.001), 생리적 반응(p=0.001), Dental Fear Survey(DFS) 전체(p=0.003), 깨진 치아가 있는 경우 진료회피(p=0.010), 자극요인(p=0.031), DFS전체(p=0.019)에서 공포수준이 높았다. 상실치아가 있는 경우 생리적 반응(p=0.019), DFS전체(p=0.033), 아픈 치아가 있는 경우 자극요인(p=0.031), 잇몸의 통증이 있는 경우 자극요인(p=0.013), DFS전체(p=0.034)에서 공포수준이 높았다. 따라서 통증을 느끼기 전 정기적 검진과 더불어서 예방적 처치를 할 수 있는 전반적인 시스템을 구축하여 치과를 내원하는 환자들로 하여금 공포감을 줄여 적절한 시기에 치료를 받을 수 있도록 하여야 할 것이다.

• 대한소아치과학회지
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• 제26권4호
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• pp.623-629
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• 1999

근막극(fascial space)이란 느슨한 결체조직으로 채워진 근층(fascial plane)사이에 존재하는 잠재적인 공간으로 두개악안면 부위에는 복잡한 해부학적 구조와 근육들에 의해 많은 근막 간극이 존재한다. 이들 근막극은 두개악안면부위에 감염이 존재할 경우 일반적으로 근층에 의하여 자연적으로 감염의 확산이 제한되기도 하지만, 감염의 정도가 심한 경우에는 이러한 근층이 파괴되어 감염이 인접 근막 간극으로 전파되는 자연적인 통로가 되며 이로 인해 안면과 경부의 심층까지 감염이 확산되기도 한다. 치성감염이 연조직내로 침투하면 결체조직을 통하여 그리고 근막극을 따라 최소저항의 방향으로 확산되므로 염증은 치성 원인에서 먼 곳까지 파급될 수 있고 심지어는 생명까지도 위험하게 된다. 두경부 연조직의 감염은 현대에는 다양한 항생제가 발달되어 치료에 도움을 주고 있으나, 조기에 적절한 치료가 이루어지지 않을 경우에는 기도폐쇄, 균혈증, 뇌농양, 혈전성 정맥염 등의 심각한 합병증을 야기할 수 있으므로 이들에 대한 조기진단과 적극적인 치료가 필요하겠다. 본 증례에서는 두경부 악안면 근막극 농양환아에 있어서 근관내 배농을 통하여 치료한 바 외과적 술식을 이용한 치료에 비하여 다음과 같은 잇점이 있는것으로 평가되어 이에 보고하는 바이다. 1) 입원을 피함으로서 환자의 경제적 부담 감소 2) 시술의 편의성 3) 환아의 공포감 조성 방지

• 대한소아치과학회지
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• 제27권4호
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• pp.558-563
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• 2000

1960년대 최초로 Ruby 레이저의 개발 이래로, 치과용 드릴인 고속용 핸드피스를 대신해 치아 경조직 삭제에 레이저의 적용이 시도되어져 오고 있는데, 최근 Er:YAG레이저의 개발로 경조직 삭제시 이들의 삭제 효능과 치질의 온도상승에 관한 연구에 관심이 증대되었다. 과거 여러 종류의 레이저에 비해 2.94um Er:YAG 레이저는 파장의 특성이 치질의 수분과 하이드록시아파타이트에 매우 흡수율이 높아 치질내 수분이 고열에 의해 증기화되어 폭발하므로써 치질이 제거되므로 crack이나 탄화된 부위가 없이 와동 변연부가 명확하고 깨끗하며 효과적인 치질의 삭제가 가능하다. 삭제시 치질내 온도 상승이 레이저의 경조직 적용시 고려되는 중요한 문제점으로 대두되나 이는 물분사와 적적한 레이저 parameter의 사용으로 열 발생을 최소화하면 치수 손상이 발생하지 않는다고 보고 된다. 본증례는 치수에 근접하지 않은 우식 병소의 처치를 주소로 내원한 소아 환자들에 있어서 Er:YAG 레이저 적용시 기존의 고속용 삭제 기구에 비해 소음과 진동이 적어 소아 환자들의 치과 치료에 대한 공포감이나 동통을 최소로 하며 적절한 레이저 parameter와 물분사의 사용으로 치수에 대한 열자극이나 치질의 변색과 같은 임상적인 문제를 초래하지 않고 효과적으로 우식 병소의 제거 및 와동 형성을 시행할 수 있었다.