• Title/Summary/Keyword: 치과임상학

Search Result 1,169, Processing Time 0.026 seconds

Status and Survey of Pulp Treatment by Korean Pediatric Dentists (한국 소아치과의사의 치수치료 술식에 대한 실태조사)

  • Bae, Jee Soo;Kim, Ik-Hwan;Choi, Hyung-Jun;Song, Je Seon
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.47 no.3
    • /
    • pp.277-292
    • /
    • 2020
  • The pulp treatment of primary and immature teeth in the children and adolescents is affected by the environment of the patients, clinical careers and dentists performing the techniques, as well as clinical modalities and pulpal diagnosis. The purpose of this study was to investigate the current status of pulp treatment performed in real clinical practice, as well as the reasons behind the choice of treatment methods. The study was conducted on a total of 153 members of the Korean Academy of Pediatric Dentistry, and statistical data from the Health Insurance Review and Assessment Service (HIRA) from 2010 to 2018 were analyzed together. Both the survey results and the statistics from the HIRA showed that 1-visit pulpectomies of primary teeth were most common, and the frequency of the use of the Ni-Ti file was increased in children with primary or mixed-dentition. In the treatment of immature permanent teeth, regenerative endodontic treatment by individual dentists was found to be less frequent than in university hospitals.

Clinical Management and Short-term Prognosis of Molar-Incisor Malformation Affected Patients: Case Reports (대구치-절치 형태이상 환자의 임상적 치료 및 단기 예후: 증례 보고)

  • Kim, Hyojin;Lim, Sumin;Kim, JinYoung
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.49 no.1
    • /
    • pp.121-130
    • /
    • 2022
  • Molar-incisor malformation (MIM) is a newly reported dental anomaly with molar root deformity and incisor crown defects. MIM-affected teeth may cause severe pain with no apparent tooth caries. Since the affected molars clinically appear normal, radiographs are recommended for accurate diagnosis on the first visit. Since MIM-affected patients are in mixed dentition, timely and appropriate interventions are needed to avoid unnecessary pain and complicated clinical issues. This report was written to describe two patients who had MIM in early mixed dentition and report their 2-year follow-ups.

Clinical performance of esthetic ceramic partial-coverage restorations with supra-gingival margin using minimally invasive tooth preparation method according to the concept of adhesive dentistry (접착치의학 개념에 따른 최소 침습적 치아 삭제법을 적용한 심미적인 치은 연상 변연 도재 부분피개관 수복 증례)

  • Hong, Myung-Sik;Choi, Yu-Sung;Lee, Jong-Hyuk;Ha, Seung-Ryong
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.59 no.3
    • /
    • pp.319-332
    • /
    • 2021
  • With the rapid development of aesthetic ceramic materials and resin adhesives, the transition from metal ceramic crown to all-ceramic restoration is being actively carried out. When making porcelain restorations, the advantages can be maximized only when appropriate forms and techniques are used. Recently, an esthetic partial-coverage restoration method with supra-gingival margins was introduced by applying a minimally invasive tooth removal method that preserves enamel as much as possible and enhances adhesion efficiency. Through this, various advantages such as minimization of tooth structure removal and ease of excess cement removal can be obtained. In addition, since this manufacturing method does not require cord packing, it is possible to save time for impression taking and reduce patient discomfort. Furthermore, the margins can be clearly obtained without the intervention of gingival fluid or blood, making it possible to manufacture more accurate restorations. In the following cases of patients with partial tooth defects, esthetic ceramic partial-coverage restorations with supra-gingival margin was applied using minimally invasive tooth preparation method according to the concept of adhesive dentistry. Therefore, unnecessary tooth abutment preparation was prevented and residual tooth structure could be preserved as much as possible. After delivery of the ceramic partial-coverage restorations, favorable outcome was obtained.

Aspiration and Ingestion of Foreign Bodies in Dental Practice (치과진료 중 발생한 이물질의 섭취와 흡인)

  • Heo, Narang;Lee, Kwanghee;An, Soyoun;Song, Jihyun;Shin, Gayoung;Ra, Jiyoung
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.42 no.1
    • /
    • pp.69-74
    • /
    • 2015
  • Despite preventative efforts, aspiration and ingestion of foreign bodies during clinical dental procedures occasionally occur. Careful clinical and radiographic examination and prompt emergency management can prevent potentially serious consequences. In this report, we describe a case of accidental foreign body ingestion and discuss prevention and management of dental instrument aspiration and ingestion.

스트레스 없는 인상 채득

  • Lee, Seung Kyu
    • Journal of the Korean Academy of Esthetic Dentistry
    • /
    • v.26 no.1
    • /
    • pp.24-38
    • /
    • 2017
  • Prosthetics procedures in dental clinics 1) Tooth preparation 2) Temporary restoration 3) Post and core 4) Impression 5) Cementation of final prosthesis The final step in the prosthodontic procedure is the fitting of the final prosthesis to the patient's abutment with an exact fit and occlusal relationship. By the way, this final prosthesis is not made in the clinic but is made in the dental lab and comes to the clinic with some time difference. In the clinic, the only medium to deliver the patient's oral information to the dental laboratory is the impression. However, many errors occur in this process. Dentists and dental technicians should try to identify the cause and make an accurate prosthesis to reduce this error.

Masticatory Performance and the Related Factors in Korean Children and Adolescents (한국 소아청소년의 저작 능력 평가 및 관련 요인)

  • Minah, Lee;Taeyang, Lee;Baek-il, Kim;Je Seon, Song
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.49 no.2
    • /
    • pp.170-179
    • /
    • 2022
  • This study aimed to evaluate the masticatory performance of Korean children and adolescents and to investigate related factors. Early loss of primary molars, degree of occlusion of first molars, occlusal relationship of first molars, and presence of anterior crossbite were considered. From March 2020 to July 2021, 56 children and adolescents between the ages of 6 and 12 were included. The mixing ability index (MAI) was calculated to evaluate the masticatory efficiency of children and adolescents. The subjects were classified into three groups according to the number of early lost primary molars; normal dentition, 1 - 2 teeth lost, more than 3 teeth lost. The number of participants are 23, 18, and 15, respectively. There was no difference in the MAI values between the normal dentition group and the group has 1 - 2 teeth lost. However, when 3 or more primary molars were lost, the MAI value decreased and a significant difference was observed. This study is the first study to evaluate the masticatory performance of children and adolescents in Korea, and it will be helpful to pediatric dentists who evaluate the masticatory performance of children and adolescents and strive to improve the masticatory efficiency of children and adolescents in clinical practice.

The Convergence Effect of Major Satisfaction, Resilience on Clinical Practice Satisfaction of Dental Hygiene Students (치위생(학)과 학생의 전공만족도, 회복탄력성이 임상실습만족도에 미치는 융합적 영향)

  • Lee, Ji-Won;Choi, Ha-Na;Jung, Ui-Jung;Kim, Mi
    • Journal of the Korea Convergence Society
    • /
    • v.12 no.10
    • /
    • pp.113-120
    • /
    • 2021
  • This study was conducted to investigate the degree of major satisfaction, resilience and clinical practice satisfaction of dental hygiene students, and to find out factors affecting clinical practice satisfaction. A survey was conducted for students from the dental hygiene department with clinical practice experience, and a total of 256 questionnaires were finally analyzed. For data analysis, descriptive statistics, t-test, ANOVA, and multiple regression analysis were performed according to the purpose of the study. As a result of the study, it was found that relational of major satisfaction had a significant positive effect on the variables affecting clinical practice satisfaction. Based on these results, in order to improve clinical practice satisfaction, it is important to increase relationship satisfaction as a sub-factor of major satisfaction.

Clinical Report by using hybrid telescopic double crown Removable Partial Denture on a few remaining teeth with severe periodontal disease (치주적으로 불리한 소수 잔존치에서 하이브리드 텔레스코픽 이중관 국소의치를 이용한 임상증례)

  • Seo, Jang-Won;Lee, Cheong-Hee
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.57 no.1
    • /
    • pp.24-30
    • /
    • 2019
  • The successful results of the treatment using a double crown denture have been reported in several papers for some of the few remaining teeth in patient. In particular, double crown dentures may be an alternative to treatment in cases where the periodontal status is poor and clasp type removable partial dentures are inappropriate (crown/root ratio > 1). In this case, the patient visited clinic with a chief complaint of difficulty in mastication due to loss of posterior teeth and overall teeth mobility. After teeth with severe periodontitis were extracted, treatment plan of mandible is Kennedy class I removable partial denture (RPD) and treatment plan of maxilla is hybrid telescopic double crown RPD with a friction pin. Patient is well adapted after the prosthetic treatment and we report due to achieving satisfactory results in pronunciation, mastication, retention and aesthetics.

A Clinical and Radiological Study of Regional Odontodysplasia: Five-year Follow-up (국소적 치아이형성증의 임상적 방사선학적 연구 : 5년 추적관찰)

  • Song, Jihyun
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.41 no.4
    • /
    • pp.322-327
    • /
    • 2014
  • Regional odontodysplasia (RO) is a rare and nonhereditary dental malformation. It is a dental alteration of unknown etiology, involving both mesodermal and ectodermal dental components, which is characterized by clinical, radiographic, and histologic features. The maxilla is more often involved than the mandible (especially the left side), and there is no racial predilection, but females are affected twice as often as males. The affected teeth are clinically hypoplastic and hypocalcified, presenting a "ghost-like" appearance radiographically. The present case features a male patient aged 4 years and 6 months who was diagnosed with regional odontodysplasia in the maxilla on the right side, confirmed by clinical and radiographic examination, with a follow up of 5 years. Since teeth affected by RO have a poor prognosis due to the fragile tooth surface and open apices, the long-term treatment strategy depends on periodic clinical and radiological observations.

Treatment of Facial Arteriovenous Malformations by Embolization: A Case Report (색전술에 의한 안면부 동정맥 기형의 치료 : 증례 보고)

  • Jeongyeon, Kim;Hyunsoo, Lim;Okhyung, Nam;Hyo-seol, Lee;Sungchul, Choi;Misun, Kim
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.49 no.2
    • /
    • pp.228-233
    • /
    • 2022
  • Arteriovenous malformations (AVMs) are rare congenital anomalies characterized by direct communication between arteries and veins that bypass the capillary bed. AVMs may not manifest clinically until late infancy or childhood. In particular, facial AVMs can cause urgent life-threatening dental events. A 5-year-old girl without a medical history visited the hospital because of spontaneous gingival bleeding around the posterior gingival area of the lower left 2nd primary molar. Angiography through the femoral approach under general anesthesia was performed for differential diagnosis and therapeutic option. The blood flow was effectively reduced after arterial embolization alone, and there was no evidence of recurrence at the 5-month follow-up. The present study reports that embolization of the affected vessels can be a more effective and safe method than surgical resection for the treatment of AVM during the growth period.