• Title/Summary/Keyword: 치과치료

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재근관치료를 통한 치근단 병소의 치유

  • 전정훈;황호길
    • Proceedings of the KACD Conference
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    • 2002.05a
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    • pp.340-341
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    • 2002
  • 근관치료 후 성패는 근관치료 직후의 방사선 사진에서 보이는 근관충전의 양상으로 판단 될 수 없다. 근관치료의 성공을 위해서는 근관치료 직후의 방사선 소견과 주기적인 환자의 관찰을 통한 방사선 소견을 비교 평가하여 치근단 병소의 소실과 더불어 불편한 임상증상이 소실되었을 때 비로소 근관치료의 성공이라고 볼 수 있다.

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근관치료 의뢰환자의 유형별 해결책

  • 황호길
    • Proceedings of the KACD Conference
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    • 2004.05a
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    • pp.334-334
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    • 2004
  • 최근 대학병원 보존과 환자의 유형을 살펴보면 의뢰환자가 80% 이상을 차지한다. 그 중 대부분의 의뢰환자는 개인의원에서 근관치료 도중 의뢰된 경우가 가장 많고 근관치료 후 임상 제증상이 소실되지 않아 후속진료가 어렵게 되어 의뢰된 경우를 많이 경험할 수 있다. 의뢰된 환자의 특징을 살펴보면 개인의원에서 상급의료기관으로 의뢰되기 때문에 초진 시에 소개된 경우를 제외하고 근관치료 도중이나 후에 장기간 치료 후 의뢰된 경우에는 기존 치과의사에 대한 불신감과 많은 오해를 낳게 된다.(중략)

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Using 3-dimensional digital smile design in esthetic restoration of anterior teeth: A case report (3차원 Digital Smile Design을 활용한 전치부 심미수복 증례)

  • Hong, Sungman;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.451-458
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    • 2021
  • Currently, digital technology is being used in various fields of dental treatment. In particular, in the case of anterior esthetic restoration, the traditional restoration method cannot contain facial information and it is difficult for the patient to predict the treatment result. However, in the case of esthetic restoration through digital design, the visualization of the prosthesis design and the ease of reflecting patient feedback, and expecting the treatment result is available. In this case, the patient confirmed the results of restoration treatment using a digital method before treatment and obtained consent for treatment in an anterior tooth trauma patient. In addition, since the conventional digital smile design method uses only the patient's facial and smile information, the design was made on a two-dimensional plane, and its application was somewhat limited. However, in this case, a three-dimensional virtual patient was created and thus the designed restoration was viewed from various angles. Through this case, it was possible to obtain a high degree of satisfaction with the ease of communication with the patient and the technician during the esthetic restoration using the digital method, the simplicity of the procedure, and the treatment result.

Impact of Coronavirus Disease 2019 on Dental Service Utilization of Korean Children and Adolescents (코로나 바이러스 감염증-19가 한국 소아청소년의 치과 이용에 미치는 영향)

  • Joo-Hee, Kim;Hoi-In, Jung;Ik-Hwan, Kim;Jaeho, Lee;Chung-Min, Kang
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.2
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    • pp.206-216
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    • 2022
  • This study aimed to investigate the frequency of dental visits after coronavirus disease 2019 (COVID-19) in children and adolescents in comparison to that of adults. The data on the number of dental visits on the basis of different classification and treatment codes for all the age groups were provided by the Health Insurance Review and Assessment Service from January 2017 to December 2020. To reduce the impact of the population change, dental visits per 1000 people was used. After the start of the pandemic, dental visits per 1000 people decreased in all age groups when analyzed for the diseases of pulp and periapical tissues classification code and dental visits per 1000 people decreased over 5 years age groups when analyzed for the pulp treatment code. Regarding the restorative treatment code, visits in the 0 - 19 years age group decreased after the pandemic. Based on the comparison of the number of confirmed COVID-19 cases to that of monthly dental visits by treatment codes, the change rate of pulp and restorative treatments gradually decreased after the waves of the pandemic in February and August 2020 in Korea. Furthermore, dental visits per 1000 people for gingivitis and periodontal disease classification code increased after the pandemic in all age groups. The rate of decrease in dental visits per 1000 people for restorative treatments in children and adolescents was higher than that in adults. The rate of decrease in the number of dental visits for multi-visit pulp treatments showed a rapid decrease as compared to that of 1-visit pulp treatments after the pandemic. This study identified changes in the number of dental visits of children and adolescents after COVID-19 transmission in comparison to that observed in adults.

장애자에 대한 치과진료

  • Kim, Sin
    • The Journal of the Korean dental association
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    • v.24 no.11 s.210
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    • pp.929-935
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    • 1986
  • 치과임상에 있어서 대다수의 치과의사들이 가장 어려움을 느끼는 분야들 중의 하나가 Management Problem을 가진 어린이를 치료하는 일일 것이며, 그 중에서도 더욱 많은 지식과 노력을 가지고 치료에 임해야 할 분야가 바로 장애자에 대한 치과진료이다. 근년에 들어 사회복지를 포함한 각 분야의 발전과 더불어, 장애자에 대한 관심이 증가되고, 그들에 대한 사회적 책임이 강조 되고 있는 바, 이러한 사회적 인식의 변화를 떠나서라도, 우리 의료인들이 이들에 대한 최선의 치료를 위한 관심과 능력을 갖는 것은 지극히 당연한 일일 것이다. 이 글에서는 우리 치과의사가 장애자를 맞아 진료를 시행하는 데에 있어서 알아야 할, 몇 가지 지식과 방법을 제시하고자 한다. 1. 정의 및 분류 2. 치과진료에 흔히 문제가 되는 질환 3. 장애아동의 보호자에 대한 배려 4. 장애아동을 위한 Behaviour Management 5. 장애자들을 위한 예방적 측면 6. 장애자 치과진료의 실제 7. 결론

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양질의 보철 제작을 위한 치과의사와 치과기공사 간의 의사소통의 중요성

  • Oh, Seung-hyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.26 no.2
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    • pp.130-142
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    • 2017
  • There are frequent cases of retreatment due to lack of communication between dentists and dental technicians during general prosthetic treatment. The success of large-scale therapy begins with small treatments. This report reminds you of the importance of communication through a simple example. To reproduce better colors and shapes, the dentist must provide specific and accurate information and feedback to the dental technician, and the dental technician must have the skills to accurately analyze and express it. In this process, we need to create an environment where we can exchange mutual opinion and produce better prostheses.

A COMPARISON OF DECISIONS FOR PRIMARY ANTERIOR TEETH BETWEEN PEDIATRIC DENTISTS AND GENERAL DENTISTS (유전치 우식에 대한 치과의사들의 치료 선택 현황 조사)

  • Kim, Seong-Hee;Kim, Young-Jong;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.3
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    • pp.242-248
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    • 2012
  • Children usually have varying degree of caries in primary anterior teeth, and treatment planning for each case prescribed by each dentist can also be varied. This survey was conducted to compare the preferred treatment method and restorative materials between general dentists and pediatric dentists in regard to the treatment of primary incisors. The questionnaires, composed of 18 questions were sent to 45 general dentists and 50 pediatric dentists. Among which 30 and 31 questionnaires were retrieved respectively. The collected data were analyzed by rate and the results were as follows: 1. For the teeth with initial caries without cavitation, general dentists showed the tendency to prefer restorative treatment(30%) or observation without any treatment(42%), whereas pediatric dentists prefer preventive treatment(76%). 2. The primary factor in choosing restorative materials by both groups was its manipulativeness. 3. For anterior esthetic restoration, general dentists seldom use the full-coverage restoration(13%) but resin restoration(75%), whereas pediatric dentists frequently used full-coverage crow(64%). 4. In the treatment of dentinal caries, pediatric dentist did not perform the treatment lesser than 2.0 years before the exfoliation (compared to 1.2 years of general dentist). 5. In the treatment of 1 year children, both pediatric and general dentists tend to select preventive procedure as first choice of treatment(84%, 52%). When treating primary incisor caries, it is shown that pediatric dentists are more interested in restorative/preventive treatment than general dentists are.

Minimally Invasive Techniques for the Treatment of Mucoceles in Young Patients: A Case Series (소아환자의 점액종 치료 시 최소침습적 방법: 증례 보고)

  • Kim, Jongsung;Kim, Gimin;Lee, Jaesik;Kim, Hyunjung;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.1
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    • pp.113-120
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    • 2022
  • Oral mucocele is a common exophytic lesion resulting from the accumulation of saliva due to pathological changes in the minor salivary glands. It is typically asymptomatic and painless and characterized by semipermeable, fluctuant nodules. General treatment methods for mucocele include surgical excision, marsupialization, cryosurgery, and steroid injection. This case report presents the treatment of oral mucocele using micro-marsupialization and a tying method as minimally invasive techniques rather than surgical treatment. Based on this case report, it is suggested that micro-marsupialization and the tying method can be used as alternative methods for the treatment of oral mucocele infants and children with behavioral control problems.

Prosthetic full mouth rehabilitation of patient with mandibular prognathism and asymmetry: a case report (하악의 전돌 및 비대칭을 가진 환자에서 보철적 전악 구강회복 증례)

  • Jaeyeong Lim;Hwa-Jeong Lee;Jong-Eun Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.28-37
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    • 2024
  • Severe cases of mandibular prognathism can be treated with orthodontic therapy or surgical correction, but there are situations where only prosthetic improvement is possible. An understanding of class III patients is needed, including a vertical chewing pattern and the absence of anterior guidance. Additionally, it is relatively easy to increase occlusal vertical dimension to correct the anterior crossbite, but this approach can sometimes lead to unfavorable results, necessitating careful diagnosis and treatment planning. In this case report, oral rehabilitation was conducted in a patient with mandibular prognathism and asymmetry, utilizing implants and fixed dental prosthesis. Through a step-by-step treatment approach, the existing occlusal vertical dimension was maintained, and the final fixed dental prosthesis restoration was completed. Accordingly, it shows functional and aesthetically appropriate results, and reports on the patient's diagnosis and treatment process.

An Epidemiological Study on the Dental Treatment Needs of Adolescents in Yangsan (양산시 거주 청소년의 치과치료 필요도에 대한 조사연구)

  • Kwon, Minsuk;Shin, Jonghyun;Kim, Jiyeon;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.4
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    • pp.354-364
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    • 2016
  • To evaluate the oral health status and to assess the resultant dental treatment needs in adolescents, 2,062 adolescents aged 14-17 years attending middle and high schools in Yangsan were surveyed by clinical examination and questionnaires. The obtained results were as follows. In the dental caries examination based on WHO criteria, the treatment needs of 66.7% of the subjects were determined. Assessment of dental erosion by the VEDE system indicated the treatment needs in 27.8% of the subjects, while MIH examination based on EAPD criteria indicated the treatment needs in 14.7%. Assessment of malocclusion using the occlusal index showed good occlusion in 67.8%, no need for treatment in 19.7%, slight need for treatment in 6.8%, definite need for treatment in 4.5%, and worst occlusion in 1.1% of the subjects, showing 12.5% of average treatment need. The prevalence and treatment need for periodontal disease was found to be 71.2% by CPITN assessments. The assessment of temporomandibular disorders by Helkimo's anamnestic index showed no symptoms in 67.1%, mild symptoms in 13.4%, and severe symptoms in 19.5% of the examinees. The overall treatment need of TMD was 20.6%. Periodontal diseases were ranked the highest in treatment need, followed by dental caries, dental erosion, MIH, TMD, and malocclusion in order. The results of this study indicated the overall status of adolescents'oral health and dental treatment needs. These might hopefully provide fundamental data and contribute to establishing promotional projects for adolescent oral health in Korea.