• Title/Summary/Keyword: 치과임상학

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Dental infection control in clinical practice institutions experienced by dental hygiene students in the COVID-19 situation (코로나바이러스감염증-19 상황에서 임상실습 중 치위생(학)과 학생의 감염관리 인식과 치과의료기관의 감염관리 수행정도)

  • Son, Jung-hui;Jeong, Seo-young
    • Journal of Korean Academy of Dental Administration
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    • v.9 no.1
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    • pp.25-31
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    • 2021
  • The aim of this study was to investigate the level of dental infection control experienced by dental hygiene students in clinical practice institutions to identify problems and improve infection control in dental institutions. This study conducted online surveys targeting 269 dental hygiene students from universities that conducted clinical practice to determine the students' level of awareness regarding dental infection control in dental institutions and the reality of infection control in dental institutions. The results showed that dental hygiene students recognized the need for infection control and education about infection control at a high level. However, only 47% of the students were accurately informed about COVID-19. Basic instruments, periodontal instruments, and implant surgical instruments were sterilized after use for each patient, mostly by the institution, but 3-way syringe tips, preservation instruments and prosthetic instruments were more frequently reused without sterilization immediately after use. For dental infection control to be practiced at dental institutions, it is necessary to establish a systematic and safe infection control system, including infection control education, designation of infection managers, and provision of infection control guidelines.

Evaluation of Virtual Reality Simulation of Dental Caries through Student Questionnaire (학생 설문을 통한 가상현실 치아우식 시뮬레이션의 평가)

  • Kim, Byunggee;Ryu, Jeeheon;Kim, Jaehwan;Kim, Seonmi;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.3
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    • pp.293-302
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    • 2020
  • The purpose of this study was to evaluate the applicability of virtual reality simulation after experience of dental caries diagnosis for dental students before exposing to clinical pediatric practice. A pediatric patient model of a five-year-old child with primary dentition was developed and a caries model that is amenable to VR(virtual reality) diagnosis was organized and set-up. The dental student's were allowed to use the simulated model for fifteen minutes and their experiences were evaluated using a self-reported questionnaire to evaluate presence and usability of this application. Overall, virtual presence and appearance area of the simulation were highly scored. The result indicates that the VR model has no significant difference from the actual clinical caries regardless of grade of students, gender and VR experience. If the prototype is continuously advanced, its applicability in dental education will increase.

A Study on Evaluation of Clinical Practice of Dept. of Dental Technology - Construction of items and grading of the evaluation table at clinical practice - (치기공과 임상실습평가에 관한 연구 - 임상실습평가표 항목구성내용과 배점을 중심으로 -)

  • Lee, Hwa-Sik;Bae, Bong-Jin;Chang, Ki-Whan
    • Journal of Technologic Dentistry
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    • v.29 no.2
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    • pp.65-77
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    • 2007
  • This study is for the purpose of studying the validity of the construction of items and grading of the evaluation table at clinical practice used as the method of evaluation when clinical practice of Dept. of Dental Technology. 205 dental technicians in 4 cities were questioned to analyze the relation between items of the evaluation table at clinical practice and its grading. The collected materials were inspected by SAS V8 for Windows. The results are as follows: 1. Making up all the items and grading seem to be appropriate because they had the marks more than midium(more than 3.28). 2. Making up detailed items and grading seem to be trusted because they had the marks more than 3.30. 3.The significance level of the relation between items of the evaluation at clinical practice and its grading by t-inspection is p<0.0001 and so it appears to be meaningful. 4. It proved to be meaningful in result of regression analysis of the influence on the construction of the evaluation at clinical practice and its grading. With this result, further study is needed for the better methods of the evaluation in its adjustment and graduated grading among the items.

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A study on the relationship between clinical practice stress and clinical practice satisfaction in students of department of dental technology (치기공과 학생의 임상실습 스트레스와 임상실습 만족도의 연관성)

  • Kang, Wol;Kim, Im-Sun;Choi, ByungHwan
    • Journal of Technologic Dentistry
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    • v.39 no.4
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    • pp.275-284
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    • 2017
  • Purpose: This study aimed to identify the effects of clinical practice stress on clinical practice satisfaction and to provide basic data for clinical practice improvement strategies. Methods: 150 students who had clinical experiences in Daegu Health College from June 12 to August 11, 2017 were selected by convenience sampling method and analyzed 130 questionnaires excluding 20 incomplete questionnaires. Statistical analysis was conducted using SPSS (Statistical Package for Social Science) 22.0 for windows Results: The satisfaction on major and the type of residentice showed statistically significant effect on the clinical practice satisfaction. The training environment in practice and the interpersonal relationship conflicts mostly effect on clinical practice satisfaction. Conclusion : In order to increase the clinical practice satisfaction, it is necessary to consider ways to improve the practical training environment and reduce interpersonal conflicts.

Clinical considerations with self-ligating brackets (자가결찰브라켓을 이용한 교정 치료의 임상적 고려사항)

  • Kim, Hoon;Kim, Kwang-Yoo;Kang, Yoon-Goo;Kim, Seong-Hun;Kook, Yoon-Ah
    • The korean journal of orthodontics
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    • v.36 no.6
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    • pp.474-482
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    • 2006
  • Self-ligating brackets have a permanently installed movable component to entrap the archwire which reduces much of the friction created by conventional ligation. Therefore, it allows for rapid tooth movement and shorter overall treatment time. Due to these advantages, interest in self-ligating brackets is increasing. In this report, several practical considerations for using self-ligating brackets are given to appreciate and maximize their benefits. It is thought that self-ligating brackets make shorter and more efficient treatment possible.

Utilization of an Artificial Intelligence Program Using the Greulich-Pyle Method to Evaluate Bone Age in the Skeletal Maturation Stage (골 성숙도 단계의 골령 평가를 위한 Greulich-Pyle 방법을 이용한 인공지능 프로그램의 활용)

  • Jihoon Kim;Hyejun Seo;Soyoung Park;Eungyung Lee;Taesung Jeong;Ok Hyung Nam;Sungchul Choi;Jonghyun Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.1
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    • pp.89-103
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    • 2023
  • The purpose of this study was to measure bone age using an artificial intelligence program based on the Greulich-Pyle (GP) method to find out the bone age corresponding to each stage of cervical vertebral maturation (CVM) and the middle phalanx of the third finger (MP3). This study was conducted on 3,118 patients who visited pediatric dentistry at Kyung Hee University Dental Hospital and Pusan National University Dental Hospital from 2013 to 2021. The CVM stage was divided into 5 stages according to the classification by Baccetti, and the MP3 stage was divided into 5 stages according to the methods of Hägg and Taranger. Based on the GP method, bone age was evaluated using an artificial intelligence program. The pubertal growth spurt in the CVM stage was CVM II and III. The mean bone age in CVM II was 11.00 ± 1.81 years for males and 10.00 ± 1.49 years for females, and in CVM III, 13.00 ± 1.46 years for males and 12.00 ± 1.44 years for females (p < 0.0001). The pubertal growth spurt in the MP3 stage was MP3 - G stage. The bone age at the MP3 - G stage was 13.14 ± 1.07 years for males and 11.40 ± 1.09 years for females (p < 0.0001). Bone age evaluation using artificial intelligence is worth using in clinical practice, and it is expected that a faster and more accurate diagnosis will be possible.

Oral Complications after Antineoplastic Treatment in Pediatric Patients (소아환자의 항암치료 후 나타나는 구강 내 합병증)

  • Lee, Yongjin;Kim, Jaehwan;Choi, Namki;Kim, Seonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.3
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    • pp.239-246
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    • 2019
  • The purpose of this study was to examine dental complications and to evaluate the effects of initial treatment age, treatment modalities, and treatment duration on the disorder after radiation and chemotherapy in pediatric cancer patients. For 93 children with clinical and radiographic data, the number of teeth, the morphology of teeth, the shape of the roots, and development status of the dentition were evaluated. Dental development disorders were found in 61.3% of the children. The mostly found abnormality was root deformity with the prevalence of 31.2%. In children submitted to the therapy before the age of 6, the number of missing teeth (p = 0.029) and microdontia (p = 0.003) were greater compared to the children who started to receive the treatment after the age of 6. The combination of radiation and chemotherapy showed significantly greater incidences of missing teeth (p = 0.030), microdontia (p = 0.046), and root deformity (p = 0.009) when compared with the sole application of chemotherapy. When the children were submitted to anticancer therapy for 18 months or longer duration, greater number of missing teeth (p = 0.032), microdontia (p = 0.011), root deformity (p = 0.025), and total number of teeth affected (p = 0.036) were observed compared with duration less than 18 months. The number of dental abnormalities increased when the children were treated at earlier ages, with combination of radiation and chemotherapy, and for longer period of time.

An efficient way of communication between dentists and dental technicians to ensure optimum clinical outcome with implant restorations (임플란트 보철물 제작시 치과의사와 기공사가 효과적으로 소통하는 한가지 방법)

  • Kim, Chonghwa
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.2
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    • pp.66-74
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    • 2020
  • Communication and cooperation between dentists and dental technicians are two essential elements for the fabrication of high quality 'custom' prosthesis. For successful communication and cooperation between the two groups, however, dentists and dental technicians must share common understanding about clinical dentistry. Ironically, it is often noticed that they are not really sharing the same clinical knowledge. Although there is a strong association between 'Emergence Profile' of implant prostheses and periodontal health or esthetics, no definite guideline has ever been provided for ideal emergence profile of implant prosthesis in literature. Problems resulted from inherent differences between implants and natural teeth must be acknowledged and shared between dentists and dental technicians so that they can come up with desirable clinical results with implant prostheses.

A case of oral rehabilitation in a patient with severe tooth wear and occlusal plane collapse, utilizing maxillary fixed prosthesis and mandibular implant-assisted removable partial denture (과도한 치아 마모와 교합평면 붕괴를 보이는 환자에서 상악 고정성 보철 및 하악 임플란트 보조 국소의치를 통한 구강회복 증례)

  • Jae-Hyung Ahn;Sung-Yong Kim;Seong-A Kim;Yong-Sang Lee;Keun-Woo Lee;Hee-Won Jang
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.174-182
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    • 2024
  • In patients with multiple missing molars, wear patterns or displacement of anterior teeth, collapsed occlusal plane, and reduction in vertical dimension may occur. Particularly, in case of a few remaining teeth on one side, a removable partial denture has biomechanical disadvantage. For this reason, an implant-assisted removable partial denture with a few implant surveyed crowns can be an alternative. In this case, due to the right mandibular posterior teeth loss, the anterior teeth were severely worn and the occlusal plane was collapsed. With minimal increasing vertical dimension, oral rehabilitation was performed using a maxillary fixed prosthesis and mandibular implant-assisted removable partial denture. As a result, functional and aesthetic clinical outcomes were obtained.

Evaluation of Setting Time, Solubility, and Compressive Strength of Four Calcium Silicate-Based Cements (네 가지 규산 칼슘계 시멘트의 경화시간, 용해도, 압축강도 평가)

  • Yuji Jang;Yujin Kim;Junghwan Lee;Jongsoo Kim;Joonhaeng Lee;Mi Ran Han;Jongbin Kim;Jisun Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.2
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    • pp.217-228
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    • 2023
  • This study aimed to compare the physical properties of 4 kinds of calcium silicate-based cements (CSCs): 2 kinds of powder-liquid mix type (RetroMTA® [RTMX] and Endocem® MTA Zr [EZMX]) and 2 kinds of premixed type (Well-RootTMPT [WRPR] and Endocem® MTA premixed [ECPR]) CSCs, respectively. Further, we assessed the setting times, solubility values, and compressive strengths of the cements. The shortest setting time was observed for EZMX (123.33 ± 5.77 seconds), followed by RTMX (146.67 ± 5.77 seconds), ECPR (260.00 ± 17.32 seconds), and WRPR (460.00 ± 17.32 seconds), respectively. The highest solubility was observed for WRPR (9.01 ± 0.55%), followed by RTMX (2.17 ± 0.07%), EZMX (0.55 ± 0.03%), and ECPR (0.17 ± 0.03%). Furthermore, the highest compressive strength was observed for ECPR (76.67 ± 25.67 Mpa), followed by WRPR (38.39 ± 7.25 Mpa), RTMX (35.07 ± 5.34 Mpa), and EZMX (4.07 ± 0.60 Mpa). In conclusion, the premixed type CSCs (WRPR and ECPR) exhibited longer setting times compared to the powder-liquid mix type CSCs (EZMX and RTMX). The solubility test showed that ECPR had the lowest solubility while WRPR had the highest solubility, with a statistically significant difference between them (p < 0.0083). Additionally, the compressive strength test showed that ECPR had the highest compressive strength, while EZMX had the lowest compressive strength, also with a statistically significant difference between them (p < 0.0083). ECPR is a promising material as it is premixed, eliminating the need for mixing time, and it has also demonstrated improved solubility and compressive strength, making it a potentially favorable option for clinical use.