• Title/Summary/Keyword: 치과적 고려사항

Search Result 87, Processing Time 0.023 seconds

유치에 대한 Traumatic Injury의 처치

  • Han, Se-Hyeon
    • The Journal of the Korean dental association
    • /
    • v.22 no.5 s.180
    • /
    • pp.383-385
    • /
    • 1984
  • 생활양식의 변화에 따라 유치 및 유영구치에 대한 traumatic injury가 크게 증가하고 있으며 이는 어린이나 보호자에게 심리적으로 커다란 영향을 미칠 수 있는 것이다. 어린이의 신체중 구강주위에 가장 많은 injury를 받는 것으로 나타나고 있고 하악전치 보다는 상악전치가, 여자 보다는 남자가 더욱 많은 injury를 받는 것으로 알려져 있으며 유전치에 대한 injury가 가장 많은 시기는 걷는 것, 달리는 것을 처음 재우게 되는 1½~2½세 사이이다. 물론 같은 어린이가 수회의 injury를 받을 수 있으며 특히 조심성이 없거나 가정이 파괴된 상태의 어린이에 있어 사고 위험이 높은 것으로 나타나고 있다. 일단 injury가 발생하면 가능한 한 빨리 치료가 이루어져야 하는데 유치는 계승치 맹출에 의하여 정상적인 치근 흡수현상을 나타내고 발육중인 유영구치는 치근이 미완성된 상태이므로 성숙된 영구치와는 처치방법이 다르며 때 고려해야 할 사항으로, ① management of child, ② degree of root resorption (degree of permanent tooth development), ③ space problems, ④ degree of parental concern, ⑤habits, ⑥ speech, ⑦ esthetics등이 있다.

  • PDF

Development of a Tool to Measure Knowledge of Clinical Dental Hygienists on Precautions for Dental Treatment of Dementia Patients (임상 치과위생사의 치매 환자 치과 진료 시 주의 사항에 관한 지식측정 도구 개발)

  • Nahyun Kim;So-Jung Mun;Hie-Jin Noh;Sun-Young Han
    • Journal of Korean Dental Hygiene Science
    • /
    • v.6 no.2
    • /
    • pp.79-89
    • /
    • 2023
  • Background and Objectives: The prevalence of dementia is steadily increasing each year, and preceding studies continue to explore the association between dementia and oral health. Dental hygienists require specialized competencies to provide appropriate dental healthcare services, necessitating the development of a tool for the objective measurement of their knowledge levels. This study aimed to develop a knowledge assessment tool for dental hygienists concerning considerations for dental care for patients with dementia. Methods: The study constructed preliminary items based on a literature review and then conducted expert validation, a pilot survey, and the main survey. The main survey was conducted among 220 dental hygienists. Validity and reliability analyses were conducted with the collected data to select the final items, and the correctness rates for each selected item were verified. Results: As a result of the analysis of the collected data, 18 items were eliminated out of a total of 40 preliminary items, leaving a total of 6 factors and 22 items. The Cronbach's α value for the selected items was 0.791. The six factors are as follows: 'Considerations during dental treatment for dementia patients' (5 items), 'medication side effects in dementia patients' (4 items), 'oral care methods for dementia patients' (4 items), 'communication with dementia patients' (4 items), 'psychological reactions of dementia patients' (3 items), and 'guidance for dementia patients' (2 items). The item with the highest correctness rate was item 2 of the 'guidance for dementia patients' category at 98.6%, while the item with the lowest correctness rate was item 2 of the 'psychological reactions of dementia patients' category at 5.9%. Conclusion: This study validated the reliability and validity of the knowledge assessment tool, which lays the foundation for future research on dental hygienists and dementia. It contributes essential data for ongoing education, development of educational programs, and establishing operational guidelines in healthcare institutions.

Orthodontic Traction of Impacted Tooth (매복된 치아의 교정적 견인을 통한 치험예)

  • Kim, Kyung-Ho;Choy, Kwang-Chul;Lee, Ji-Yeon;Kang, Chang-Soo
    • The korean journal of orthodontics
    • /
    • v.28 no.6 s.71
    • /
    • pp.991-999
    • /
    • 1998
  • Tooth impaction may lead to malocclusion, root resolution, cyst or aberrant changes in adjacent teeth. Clinical and radiographic examinations are used to locate the impaction, and appropriate treatment plans must be made to relocate the impacted tooth. When surgically exposing the impacted tooth, periodontal considerations to conserve maximum amount of soft and hard tissue are used. Oral hygiene instructions are emphasized to maintain sound periodontal health. Securing enough space for the impacted tooth and proper anchorage is important. Proper use of force and mechanics is crucial to prevent such complications as root resolution. Various patterns of orthodontic traction may be employed as situation permits. Most impaction cases can be managed with orthodontic traction to restore function and esthetics, provided that early detection and proper diagnosis and treatment planning are made.

  • PDF

Oral Health Behavior and Dental Clinics Satisfaction of Chinese Students' Studying in Korea (중국인 국내 유학생의 구강건강행태와 치과병의원 만족도)

  • Jin, Hye-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.14 no.10
    • /
    • pp.4996-5002
    • /
    • 2013
  • This study was performed to identify the oral health behaviors and dental clinics satisfaction of Chinese students' studying in Korea. This research was based on self questionnaire survey which 195 Chinese students in Korea. An interview questionnaire was used to collect information on general characteristics and oral health behaviors. Also, to compare between adults who participated to Korea National Health and Nutrition Examination Survey and dental health conditions. The statistical analysis was done by using the SPSS 19.0 program. Chinese students in Korea brushing teeth average appeared to be 2.14, and Korean adults teeth brushing average appeared to be 2.81. So Korean adults brushing teeth appeared to be more higher than Chinese student in Korea(p<0.05). Chinese student in Korea appeared to be overall satisfaction for using domestic dental clinic was 3.77. For using domestic dental clinic, Chinese student in Korea tell that improvement they should consider was high costs(15.3%), difficulty with communication(8.6%), foreigner discrimination(5.7%) by order of this. Chinese student in Korea have to keep their dental health well and necessary to grow right habit of dental health through dental health education program to accomplish efficient education during staying in Korea to study.

Complete denture making in a patient of partial glossectomy using polished surface impression taking and direct metal laser sintering method: A case report (부분 설절제술을 받은 환자에서의 연마면 인상 및 Direct Metal Laser Sintering 을 이용한 총의치 제작 증례)

  • Jung, Yeon-Wook;Lee, Gyeong-Je;Kim, Hee-Jung
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.57 no.4
    • /
    • pp.350-355
    • /
    • 2019
  • For the success of complete denture, three essential requirements such as retention, stability and support are needed. Moreover, due to the absorption of residual ridge and scarring due to the surgery, when making a complete denture, which is difficult to form the mandibular lingual margins, various considerations such as the arrangement of the Non-anatomical dl non-anatomical teeth, the polished surface impression, the internally weighted metal framework and the use of the denture adhesive cream are necessary. In this case report, the patient has a severely resorbed edentulous ridge from severe periodontitis and has some soft tissue problems after the glossectomy due to tongue cancer. To obtain additional retention and stability, some trials such as polished surface impression taking, internally weighted metal insertion and minimal pressure impression were done for the better result. Moreover To make a metal framework that precisely shapes the desired three-dimensional shape and reduces the complicated process, minimal pressure impression method and direct metal laser sintering technique were used.

Dental Management in a Patient with Congenital Insensitivity to Pain with Anhidrosis : A Case Report (선천성 무통 무한증 환자의 치과적 관리 증례보고)

  • Bae, Cheolhyeon;Lee, Daewoo;Kim, Jaegon;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.46 no.4
    • /
    • pp.416-421
    • /
    • 2019
  • Congenital insensitivity to pain with anhidrosis (CIPA) is a rare, autosomal recessive disorder; affected patients are characterized by inability to feel pain and to sweat over the entire body, as well as by mental retardation. Because, in the oral examination, no specific findings on soft or hard tissue may be found except possible lesions due to self-mutilation, early recognition and diagnosis are essential for these patients. Pediatric dentists must be aware of the clinical manifestations and treatment considerations related to uncontrolled body temperature, tactile hyperesthesia and lack of pain reflex. In this case report, dental management of CIPA was suggested by presenting a 6-year follow-up of young patient.

Esthetic Root Coverage for Gingival Recession (심미적인 결과를 얻기 위한 치근 피개술)

  • Ahn, MyungHwan
    • Journal of the Korean Academy of Esthetic Dentistry
    • /
    • v.26 no.1
    • /
    • pp.4-16
    • /
    • 2017
  • In dental esthetics, soft tissue plays an important part, probably very large portion of it. A clear understanding of the periodontal tissues and its management around teeth and implants help us to develop concepts for a modern dental treatment that addresses the needs of demanding patients in regard of esthetics and durability. When we talk about esthetic, we can say that one of the most important element is a harmonization with gingiva (soft tissue) called 'Pink Esthetic' As for the pink esthetics, gingival line(contour) takes most of the influence on esthetic result; it consists of labial gingival level, interproximal papilla height, and a line that connects them. In the gingival recession, labial gingival level and gingival contour move to the apical portion, and the root area is exposed. It leads to the unesthetic result. Root coverage technique is classically used to treat gingival recession (marginal tissue recession) of natural teeth. It is an essential technique on periodontal plastic surgery part. It is also a very useful technique to recover soft tissue problems in implant dentistry. So, root coverage technique must be mastered for a good implant esthetic result. The general overview of root coverage procedures will be discussed with step by step explanation to get more esthetic result.

Interdisciplinary approach on oral rehabilitation of an adolescent patient with multiple missing teeth: a clinical report (타과와의 협진을 통한 다수치 결손을 동반한 성장기 환자의 보철 수복 증례)

  • Kwon, Kung-Rock;Paek, Janghyun;Lee, Hyun-Woo
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.51 no.4
    • /
    • pp.339-346
    • /
    • 2013
  • In case of missing of permanent teeth by trauma or innate defect, the decision of treatment modalities and application timing have an important effect on the prognosis of oral rehabilitation. In this case report, interdisciplinary approach between the orthodontic and prosthodontic treatment, the way to re-establish the collapsed occlusal vertical dimension, and implant prosthetic considerations will be discussed. Proper diagnosis on teeth and craniofacial skeleton was made prior to treatment and provisional restorations were used in regard of growth patterns of the patient. Finally, the edentulous areas were restored with fixed implant prostheses. Diagnosis, treatment rationale and prognosis will be discussed thoroughly.

Considerations and clinical appliances of various abutments in implant prostheses (임플란트 보철 치료에서 지대주 선택시 고려사항과 임상적 적용)

  • Park, Sungwoo;Kim, Sunjai;Chang, Jae-Seung
    • The Journal of the Korean dental association
    • /
    • v.54 no.3
    • /
    • pp.191-197
    • /
    • 2016
  • In the past, restoration of implant crown, ready-made abutment produced by implant manufacturer could only be used. Using straight, angled abutment, there was a limit in adaptation multiple implants. Recently, with the development of implant and CAD/CAM technology, CAD/CAM customized abutment use has become possible which is different from the past when restoration was possible with only prefabricated abutment. Not only it makes emergence profile possible which is similar to natural teeth, but also it makes insertion path possible on CAD in multiple implant restorations. However, on anterior teeth which dental esthetics is very important, another restorations which are formed with natural colored gingiva area could be required. Titanium-based zirconia prostheses which have titanium connection and zirconia structure from 1mm above fixture platform are alternative. Therefore, the purpose of this review is to analyze the characteristics, advantages and disadvantages of the abutment which is used in multiple implant restorations, and to choose right abutment when clinical trials.

  • PDF

Esthetic restoration using Digital Smile Design: a case report ('Digital Smile Design'을 이용한 심미수복증례)

  • Kim, Kwanghyun;Lee, Kyuho;Pae, Ahran;Noh, Kwantae;Kim, Hyeong-Seob
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.53 no.2
    • /
    • pp.144-149
    • /
    • 2015
  • To achieve an esthetic restoration, visualized information considering the facial aspect of patient is required. As for the reasons of esthetic failure, it could be explained by lack of communication and information such as horizontal, vertical and esthetic line. Therefore, it is important to deliver that the visualized information to dental technicians or other dentists for the success of esthetic treatment. This case report presents the process of visualizing esthetic information and designing the restoration using a digital diagnostic tool; Digital Smile Design.