• Title/Summary/Keyword: 치과치료공포

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Psychological Characteristics in Oral Malodor Patients (구취 환자의 심리학적 특징에 관한 연구)

  • Lee, Seung-Ryeul;Kim, Hyung-Suk;Kim, Young-Ku
    • Journal of Oral Medicine and Pain
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    • v.26 no.3
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    • pp.225-241
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    • 2001
  • 구취에 대한 환자의 주관적 감각은 다양한 심리학적 요소들에 의하여 영향을 받을 가능성이 있다. 본 연구에서는 구취 환자의 심리학적 특징을 살펴보기 위하여, 구취를 주소로 내원한 환자 446명과 일반적인 치과 치료를 위하여 내원한 환자 63명을 대상으로 간이정신진단검사 (SCL-90-R), 구취 설문검사, 구취 측정 검사를 시행하여 분석한 결과 아래와 같은 결론을 얻었다. 1. 남성 구취 환자와 여성 구취 환자의 연령분포는 통계학적으로 유의한 차이를 보였다 (p<0.001). 남성에서는 20대, 30대, 40대에 고르게 분포한 반면, 여성에서는 20대와 30대에 집중되어 분포하였다. 2. 구취의 인식 유형은 남녀간에 통계학적으로 유의한 차이를 보였다 (p<0.01). 구취 인식 유형 중 타인에 의한 지적이나 타인의 행동으로 인한 추측 없이 스스로 구취를 인지하는 유형은 여성 구취 환자에서만 관찰되었다. 3. 구취 환자는 대조군에 비하여 강박증, 불안, 적대감, 전체심도지수에서 높은 수치를 보였다 (p<0.05). 4. 여성 구취 환자는 남성 구취 환자에 비하여 강박증(p<0.05), 불안 (p<0.05), 편집증 (p<0.001)에서 높은 수치를 보였다. 5. 남성 구취 환자에서는 표출증상합계를 (p<0.05) 제외한 모든 간이정신진단검사 항목에서 고농도 VSC군과 저농도 VSC군간에 유의한 차이를 보이지 않았다. 여성 구취 환자에서는 저농도 VSC군이 신체화를 제외한 모든 간이정신진단검사 항목에서 고농도 VSC군에 비하여 높은 수치를 보였다 (p<0.05). 6. 여성 구취 환자에서 주관적 구취심도는 강박증, 대인예민성, 불안, 적대감, 공포불안, 전체심도지수, 표출증상심도지수 들과 유의한 상관관계를 보였고 (p<0.05), 주관적 구취불편감은 모든 간이정신진단검사 항목들과 유의한 상관관계를 보였다 (p<0.05).

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Factors Influencing Dental Fear in University Students (대학생의 치과 치료공포에 영향을 미치는 요인)

  • Moon, Hakjin;Lee, Jeongsuk;Lee, Ju-Yul;Kim, Hyeongmi
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.2
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    • pp.39-49
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    • 2014
  • Objectives: University students's oral health care practice and oral health status are very important. Because its affect their systemic disease, so as to have confidence, and to be eager to study. However if they feel dental fear, they avoid dental treatment. It is miss opportunities of early treatment and prevention treatment and have little effect on dental treatment. The aim of this study was to investigate the factors influencing dental fear of university students to reduce their dental fear. Methods: A total of 366 self-administered questionnaires were collected from university student in Cheon-an. To investigate the factors influencing dental fear of university students, t-test, one-way ANOVA, correlation analysis, linear regression analysis were carried out by using SPSS ver. 18.0 Results: University students feel the most fear of specific dental stimuli. Especially, 'Feeling the needle injected'. University Students felt dental fear in order of 'fear of specific dental stimuli', 'physiologic arousal', 'avoidance fear'. 'Feeling the needle injected', they felt severe dental fear. 'My muscles become tense' of Symptoms they feel dental fear was the most frequent Sex affects avoidance fear, physiologic arousal, fear of specific dental stimuli and dental fear. Femal feel more its than male. The time since last dental clinic visit affects physiologic arousal, fear of specific dental stimuli and dental fear. Group do not visit the dental clinic within a year feel more its than others. Conclusions: To reduce dental fear in university students, it is necessary to make them visit dental clinics frequently and dental staffs consider their sex. Therefore, Department of dental hygiene and dentistry must be added the management of dental fear of the curriculum. In addition, it must be emphasized that to visit dental clinics frequently for university students.

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EVALUATION OF THERMAL DIFFUSION IN LOWER End PRIMARY MOLAR WITH THERMOGRAPHY AND FINITE ELEMENT ANALYSIS (Thermography와 유한요소분석법을 이용한 하악 제2유구치의 열확산도 평가)

  • Park, Hee-Seung;Kim, Yong-Kee;Kwon, Soon-Won;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.4
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    • pp.519-528
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    • 2002
  • It is not a rare occasion that certain dental procedures involving tooth reduction being peformed under inadequate water cooling due to a variety of reasons. This situation could possibly inflict the critical insult to the pulpal tissue of indicated tooth. The purpose of this experiment was to study the pattern of diffusion of external heat produced during routine dental procedures into the pulpal tissue. 30 stone blocks containing three lower second primary molars were used for certain restorative procedures and the temperature of the indicated tooth surface was measured by thermography(Inframetrics 600) and further used as a baseline data for the finite element analysis model fabrication designed in order to evaluate the pattern of thermal diffusion. The ranges of highest surface temperature measured from several dental procedures under water cooling and non-water cooling were $30.8^{\circ}C{\sim}43.6^{\circ}C$ and $51.2^{\circ}C{\sim}103.4^{\circ}C$ respectively. Among procedures studied, crown preparation showed the highest value and amalgam removal showed the lowest. Comparisons between data measured under water cooling and non-water cooling conditions have shown the statistically significant difference(p<0.05). All the non-cooling conditions have shown the relatively larger increment of temperature change at the pulp horn area than the cooling conditions. The results of this study strongly indicate that the water coolant is the essential element in restorative procedures for the maintenance of healthy pulp. Further related studies involving more procedures and conditions are recommended.

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Fear of dentist care and quality of life in dental health in male high school students (일부 남자 고등학생의 치과치료 공포감과 구강건강 삶의 질에 관한 연구)

  • Lee, Jung-Hwa;Lee, Yeong-Ae;Kim, Young-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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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.