• The Journal of Korean Academy of Prosthodontics
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• v.51 no.4
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• pp.292-299
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• 2013

Purpose: There is a growing concern for the cost management of medical institutions. The purpose of this study was to estimate Activity-Based Costing (ABC) for dental implant cost. ABC refers to allocating resources or cost based on the activities of services. Materials and methods: A dental institution located in the metropolitan area was selected in this study. The tax accounting data of the institution were utilized to confirm total cost, and the institution was asked to make out clinical activities to figure out what activities were carried out. The direct cost and indirect cost for dental implant were separately estimated, and cost driver was analyzed to estimate the indirect cost accurately. Results: The rates of the direct and indirect cost respectively stood at 35.8 and 49.5 percent. The cost for a dental implant was found to be approximately 1,579 won, and the cost of prosthetic surgery and treatment that included implant surgery accounted for the largest portion of the cost, which was 470 thousand won (30%). And the weight of training and education on dentistry was relatively higher than that of the other kinds of treatment. Conclusion: In order to ensure accurate and scientific costing for dental implant, not only direct medical procedure but every pre- and post-procedure activity should fully be taken into account. Pre-activities, post-activities, education and training are included in the indirect cost, but all these activities are mandatory and associated with the quality of treatment and the satisfaction level of patients.

• Proceedings of the Korean Institute of Surface Engineering Conference
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• 2018.06a
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• pp.21-21
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• 2018

다양한 소재(금속, 세라믹, 고분자 소재 등)들이 3차원 형상기반 적층제조법에 적용되고 있는데, 금속 소재를 이용하여 3D 프린팅 법으로 치과용 수복물을 제조하는 연구가 많이 보고되고 있다. 하지만, 티타늄 또는 티타늄 합금 분말을 이용하여 3D 프린팅 법으로 제작한 치과용 보철물에 관한연구 보고는 많지 않다. Kanazawa 등 (2014)은 Ti-6Al-4V 합금분말을 이용하여 SLM법으로 총의치 용 framework를 제작하여 주조법으로 제작한 것과 비교 평가하였고, Mangano 등(2013)은 Ti-6Al-4V 합금분말로 지름이 작은 일체형 (1-piece narrow-diameter) 임플란트를 SLS법으로 제작하여 16명의 환자에게 식립한 다음, 2년간 관찰하였고, Mangano 등 (2014)은 cone-beam computed tomography (CBCT) data를 3D이미지로 변환시켜 DLMS법으로 치근 형상의 임플란트를 제작하여 15명의 환자에게 식립한 다음, 1년간 관찰하였다. 또한 서울대학교 및 연세대학교 치과생체재료과학교실 (2016)에서는 3D 프린팅 법으로 제작한 티타늄 시편과 기계 가공한 티타늄 시편의 물성을 비교하였다. 그러나 티타늄 합금 분말을 이용하여 3D 프린팅 법으로 제작한 치과용 보철물을 실제 임상에 적용하는 단계에서 기존 기계가공 방식으로 제작한 티타늄 보철물과 3D 프린팅 법으로 제작한 티타늄 보철물의 물성과 표면특성을 다양하게 비교 평가하는 것이 필요하여 본 연구에서는 3D 프린팅 법으로 제작한 티타늄 시편과 기계 가공한 티타늄 시편의 물성특성과 표면특성을 비교하여 조사하였다.

• Journal of dental hygiene science
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• v.12 no.2
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• pp.85-91
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• 2012

The purpose of this study was to examine the factors influencing the decision to get implant treatment at dental clinic. The subjects in this study were 321 patients at dental hospitals and clinics. Andersen model in which predisposing variables, enabling variables and need variables were suggested as independent variables was used. The implant decision making was selected as a dependent variable in the model. Using logistic regression analysis, we found statistically significant effects of three independent variables: 1) class, 2) satisfaction with the facility; 3) familiarity with others received implant treatment. Those with the middle or high class background were more likely to take implant treatment. Those who were satisfied with clinic facility were more likely to take implant treatment. Those who were familiar with others received implant treatment were more likely to take implant treatment. This result implies the importance of opinion of others were received the same treatment. Hence viral marketing effort is required even in dental care field.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.1
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• pp.576-584
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• 2015

This research studiedthe correlation between dental implant patients' oral hygiene behaviors and satisfaction. By doing so, this study seeks to provide the basic data for the development of diagonal and educational programs to improve implant prosthesis maintenance and satisfaction. The data was collected from January 7 to June 30, 2014, analyzed by SAS (ver 9.2) and for this research, 6 dental hospitals and clinics in Daegu, Busan and Jinju, South Korea were examined for their implant patients receiving treatment. As a result, a total of 266 sets of data were investigated herein to reach the following findings: 1. The survey on status of dental implant prosthesis use and maintenance knowledge found 1.41 on average out of the total score of 3. 2. In the survey on implant prosthesis maintenance after putting in, the dental scaling cycle was found to be 'none' (63.2%). 3. In the survey on implant use status and satisfaction with their implant prosthesis, the masticatory function (p=0.001) were found to be significantly higher in the group using such oral-hygiene goods. 4. In the correlation analysis among one's knowledge on dental implant maintenance, discomfort and satisfaction, it was found that the more they used oral-hygiene supplementary goods (${\beta}=0.095$), the more they had knowledge on implant maintenance (${\beta}=0.069$) and the more they experienced oral health education (${\beta}=0.032$), the higher their satisfaction levels were. It is deemed that, for enhanced satisfaction of dental implant patients, their maintenance behaviors need to be further improved through oral health educational programs.

• The Journal of Korean Academy of Prosthodontics
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• v.51 no.4
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• pp.252-260
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• 2013

Purpose: After the introduction of concept of osteointegration, dental implantology have been successful procedure in the dental field. Recently, it has shown successful results when used to restore single tooth missing. Considering the difference in bone quality of the mandible and maxilla, and the increased occlusal force in the posterior region, the success rates in each region may be different. In this study, success rates of single implants placed in the mandibular first and second molar areas were analyzed. Materials and methods: The subjects were patients (284 patients, 308 implants) who had been operated with single implant installation from 2002 to 2009 in seven dental clinics in Daegu city. One hundred sixty eight implants were placed in the mandibular 1st molar and 140 implants were placed in the mandibular 2nd molar. They were analyzed according to implant site, age, sex, length and diameter. Results: The survival rates of single implant of this study were 97.6% in the mandibular 1st molar and 92.9% in the mandibular 2nd molar. In the mandibular 1st molar, 4 implants were failed. In the mandibular, 2nd molar, 10 implants were failed. Conclusion: The restoration of the mandibular 1st molar using single implant was found to be clinically acceptable treatment and showed higher survival rate than mandibular 2nd molar single implant. Single implant in mandibular 2nd molar needs careful consideration of poor bone quality, risk of overloading and anatomical structure of the mandible.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.13 no.1
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• pp.72-77
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• 2014

3.2YSZ melted by the 'skull melting' method has good physical properties and does not undergo low-temperature degradation. Due to its excellent physical and mechanical properties, skull-melted 3.2YSZ has been developed as a dental implant material. In this study, a porous, resin-bonded diamond wheel was created and its grinding characteristics were compared with those of traditional nonporous wheels using skull-melted 3.2YSZ. The experimental results indicate that the porous, resin-bonded diamond wheel requires less grinding force and power. In addition, the porous, resin-bonded diamond wheel requires a greater degree of roughness.

• The Journal of the Korea Contents Association
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• v.11 no.11
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• pp.264-273
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• 2011

This study subject is to provide appropriately basic information about annually increased implant treatment by their lost teeth base on increasing old people and also analyze factors influencing implant treatment decisions for patient. For about 3 month from July on the 2010, This survey was carried out at 13 dental clinic as target of 217 patients on categorized into implant treatment-group and non-treatment-group in Seoul and Gyeonggi-do. Implant treatment-group showed highest portion at 50(30.3%), non- Implant treatment-group showed highest portion at 20's(35.7%), And The patients of implant treatment-group are good oral condition, and they showed a positive attitude. Result of analysis by multiple logistic analysis(regression), Factors of influencing implant treatment decision are age, gender, period of education, monthly income, condition of periodontal tissue, regular checkup, counseling attitude, trust in hospital. Therefore, proactive management about the necessity of regular dental check-up is needed the education and promotion. And medical team should have efforts to Improving technique of medical consultations and Improving the trust of the hospital's for implant treatment decision. Also, The patient's subjective determine rather than it is important to preparing to facilitate decision of specific clinical basis. And The government's financial support and policy alternatives are certainly required in order to be implant treatment without cost burden.

• Journal of dental hygiene science
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• v.10 no.4
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• pp.219-225
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• 2010

The purpose of this study was to examine the patients' knowledge and expectation of dental implants and to provide effective consulting and accurate information on implants to them. To that end, between March 23, 2008 and June 5, 2008, patients who were visiting dental clinics (hospitals) in Seoul, Gyeonggi-do, and Incheon areas were surveyed. 84.7% of subjects said that they recognized implants, and the largest number of them (26.7%) of subjects came to know via friends. According to an analysis of subjects' knowledge of the dental implant operation, the maximum value was 4.06, and the minimum value was 3.05. The opinion value on the need to have regular examination after the implant operation was highest at 4.06. Regarding expectation over the implant operation, the maximum value was 4.42, and the minimum value was 1.78. The opinion value on considering the implant operation capability the most important was the highest at 4.42. The relationship between the knowledge of and expectation over implants was significant. By gender, females had a significantly higher level of knowledge than males. Regarding preference, females scored 3.27 points, and males scored 3.23 points. By occupation, professionals earned the highest score of 3.55 in knowledge, and professionals earned the highest score of 3.31 in expectation. According to an analysis of the relation between variables of knowledge of and variables of expectation over implants, the correlation coefficient (r) between the two factors was 0.362, indicating a positive relevancy(+)(p<.01).

• The Journal of Korean Academy of Prosthodontics
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• v.50 no.2
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• pp.99-105
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• 2012

Purpose: The change of the marginal bone around dental implants have significance not only for the functional maintenance but also for the esthetic success of the implant. The purpose of this study was to investigate the load transfer of internal conical joint type implant according to marginal bone resorption by using the three-dimensional finite element analysis model. Materials and methods: The internal conical joint type system was selected as an experimental model. Finite element models of bone/implant/prosthesis complex were constructed. A load of 300 N was applied vertically beside 3 mm of implant axis. Results: The pattern of stress distribution according to marginal bone resorption was similar. The maximum equivalent stress of implant was increase according to marginal bone resorption and the largest maximum equivalent stress was shown at model of 1 mm marginal bone resorption. Although marginal bone loss more than 1mm was occurred increasing of stress, the width of the stress increase was decreasing. Conclusion: According to these results, the exposure of thin neck portion of internal conical joint type implant is most important factor in stress increasing.

• Proceedings of the Materials Research Society of Korea Conference
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• 2011.05a
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• pp.20.1-20.1
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• 2011

타이타늄의 내부식 특성은 분해하기 어려운 산화물의 보호피막을 형성 함으로서 무독성의 생체친화적 성질을 가지고 있어 심장밸브, 인공 뼈 등 신체 조직의 이식에 사용될 만큼 인체에 무해한 금속으로 의료용으로 많이 응용되고 있다. 본 강연에서는 생체재료로써 의료용 타이타늄의 적용현황을 소개하고, 이를 통해 타이타늄의 가치를 다시 한번 재고하고자 한다. 타이타늄 임플란트에서 그 표면과 골사이의 골유착(osseointegration)은 성공적인 임상결과를 얻기 위한 중요한 요소 중의 하나이다. 1960년대에는 기계가공 된 매끈한 형태의 타이타늄 표면을 시작으로 골유착을 얻고자 하였다. 이러한 시도를 통해 임플란트가 점차 대중화 되면서 1980년대 부터 타이타늄 표면과 골과의 유착을 조기에 실현하고, 골유착 강도를 강화하기 위해 다양한 표면기술이 개발 되기 시작하였다. 크게는 1. 표면적 증대 기술, 2. 화학적 방식을 통한 표면기술, 3. 생체활성 유도형 표면기술, 4. 서방출 등을 응용한 골유도 및 활성 조절형 표면기술 등이 개발되어 제품화 되거나 그 연구가 진행 중에 있다. 다양한 표면기술에 대한 흐름을 이해하고 이에 대한 장, 단점을 이해함으로써 앞으로 기술적으로 극복해 나가야 할 과제를 제시하고자 한다. 또한 다양한 표면기술에 대한 유효성과 그에 대한 중, 장기 안전성에 대한 중요성을 이해하고 이를 평가하기 위한 여러 가지 절차와 방법 소개를 통해 신뢰성 있는 연구개발이 될 수 있기 바란다.