• Title/Summary/Keyword: 치아우식치료

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Effects of Oral Health Knowledge and Practices on Decayed, Missing and Filled Teeth Index and Quality of Life -Path Analysis Using Structural Equation Modeling- (구강보건 지식과 실천이 우식경험치아와 삶의 질에 미치는 영향 -구조방정식을 이용한 경로분석을 중심으로-)

  • Lee, Young-Soo;Bae, Sung Yoon;Ji, Jae-Hoon
    • Journal of dental hygiene science
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    • v.13 no.1
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    • pp.1-12
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    • 2013
  • This study aims to measure oral health knowledge and practice level among dental clinic patients, and examine their relationships with decayed, missing and filled teeth (DMF) index and the oral health-related quality of life (QOL). Empirical data have been collected from 311 patients through structured questionnaires and dental examinations conducted in Busan area. According to the analysis of causal relationship, oral health knowledge turned out to have a direct effect on oral health practices, which exerted both direct and indirect effects on DMF index and oral health-related QOL. While DMF index directly affected the oral health-related QOL, oral health knowledge proved to have only an indirect effect on DMF index and oral health-related QOL, mediated by oral health practices. Considering all these findings, effective oral health education and other intervention programs should focus on motivating people to participate in the active practices of desirable oral health behaviors, which will lead to the prevention of oral diseases and the subsequent improvement in the QOL.

EARLY CARIES DETECTION WITH DIGITAL IMAGING FIBER-OPTIC TRANS-ILLUMINATION (Digital Imaging Fiber-Optic Trans-Illumination을 이용한 초기우식의 탐지)

  • Lee, Jun-Seok;Kim, Jong-Soo;Yoo, Seung-Hoon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.3 no.2
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    • pp.87-90
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    • 2007
  • It's important that detect early caries of deciduous and permanent teeth to prevent dental caries and prevserve teeth, especially on proximal surface of deciduous teeth. The reason is that their prominent pulp horn lead to pulp treatment easily due to rapid caries progression. There are conventional exploring, visual inspection and radiographic exam for early caries detection. But, the standard method for diagnosing dental caries is subject and cavitation may be accelerated during exploring procedure. Caries can be diagnosed up to 40% mineral loss with radiograph. $DIFOTI^{(R)}$ (Digital Imaging Fiber-Optic TransIllumination) is diagnostic imaging system for early caries detection using fiber-optic illumination. It is possible that remineralize the tooth surface without tooth preparation and conserve the tooth structure by using $DIFOTI^{(R)}$.

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Antimicrobial Activity of Extracts from Some Traditional Oriental Medicinal Plants against Dental Caries Bacteria (치아우식 원인균에 대한 한약재 추출물의 항균효과)

  • Lee, Hee-Woen;Lee, Pureunhaneul;Kwon, Hyun-Jung;Han, Kook-Il;Han, Man-Deuk
    • Journal of dental hygiene science
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    • v.13 no.1
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    • pp.45-52
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    • 2013
  • Antimicrobial activity of extract from some traditional oriental medicinal plants were evaluated for their antimicrobial activity against six oral pathogens, Streptococcus salivarius, Streptococcus oralis, Streptococcus mutans, Streptococcus sanguinis, Lactobacillus acidophilus and Lactobacillus casei, which are associated with caries disease. The antimicrobial activity was examined by determining the inhibition zone using the disc diffusion assay. In antibacterial activity test, extracts of Scutellaria baicalensis, Chrysanthemum indicum, Kochia scoparia, Hydnocarpus anthelmintica and Caesalpinia sappan showed inhibitory effects (40 mg/ml) against tested caries bacteria. Especially, the C. sappan extract showed the strongest activity on S. oralis (40 mm), L. casei (35 mm) and S. mutans (28 mm). Thus, this result suggests that C. sappan may be applicable to preventing dental caries.

A Study on the Conditions of Dental Caries on the First Molar in the Elementary School Students in H City (H시 초등학교 학동의 제 1대구치 치아우식 실태조사 연구)

  • Kim, Eung-Gwon;Im, Sun-Hwan
    • Journal of dental hygiene science
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    • v.2 no.2
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    • pp.89-94
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    • 2002
  • The present study attempts to find the ways to efficiently manage dental caries, one of the major causes of tooth loss, and to cope with oral diseases that deteriorate oral health. For this purpose, this study seeks to obtain fundamental data needed in planning the oral health projects. The study was conducted to the first-grade elementary school students in Hwa-Seong city, Gyeonggi-do, from April 1 - 30, 2002. The result was as follows: 1) Among a total of 2,710 subjects, 598 (274 boys and 324 girls) have more than 1 permanent tooth with a caries legion whether it was treated or not. 2) The number of permanent teeth examined is 6,029, in which girls' teeth are more (3,165) than boys' (2,864). 3) Out of a total of 6,029 teeth examined, 1,106 permanent teeth (508 boys' and 598 girls') have caries legions. 4) Out of 1,106 permanent teeth with caries legions, 170 (15.4%) were treated - 67 teeth for boys (13.2%) and 103 teeth for girls (17.2%). 5) 22.1% of the children have experienced dental caries in their permanent teeth. Among them, 20.1% are boys and 24.1% are girls. 6) The rate of the permanent teeth that once had, or now have caries legions are 21.2%, among which the rate for boy's teeth is 20.1% and that for girl's teeth is 22.1%. 7) The number of the permanent teeth that had caries legions is 0.5 for all the subjects. A boy has 0.4 and a girl has 0.5 teeth with caries legions regardless of whether it was treated or not. 8) The rate of the permanent teeth with caries legions is 86.7% for overall subjects - 88.3% for boys and 85.3% for girls. 9) The rate of treated permanent teeth is 13.3% for all the subjects - 11.7% for boys and 14.7% for girls. Based on the above result, the study draws a conclusion that in order to prevent dental caries in young students and to perform an early treatment for the dental caries that already occurred an oral health office should be installed at all the elementary schools so that elementary school students don't experience a loss of time and effort for learning and suffer nutritional imbalance or disorder. Besides, the oral health education concerning the importance of dental care should be conducted to the citizens, especially to the young people, in the community as an essential project of oral health centers in the community health offices, the public medical institutions.

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Analysis of Factors that Affect the Follow-up Pattern after Dental Treatment under Conscious Sedation in Children (어린이의 진정법 하 치과치료 후 정기검진에 영향을 미치는 요인 분석)

  • Hwang, Inkyung;Mah, Yonjoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.3
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    • pp.324-333
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    • 2018
  • Children need regularly dental check-ups after dental treatment because there are a lot of changes of oral conditions such as tooth exfoliation and eruption, occlusion, and recurrence of dental caries. The purpose of this study is to determine the factors that affect the follow-up pattern after dental treatment under conscious sedation. Patients who were treated under sedation at the department of pediatric dentistry of Ewha Womans University Mokdong Hospital from 2009 to 2013 were included in this study. The final samples comprised of 562 patients that were classified into 4 groups according to the number of visits during 3 years. The chi-square test was used to determine the factors affecting regular follow-up. There were statistically significant differences between each treatment groups and factors such as the change of doctor, overall treatment time, the number of treated teeth under sedation, restorative treatment, minor operation, and preventive treatment (p < 0.05). This study identified factors that affect regular follow-up after dental treatment under conscious sedation. It is recommended to educate the importance of regular check-ups to parents who are less likely to return.

Effect of Dental Treatment Fear and Distrust of Dentists with Dental Caries Experience among Middle and High School Students in Daegu City, Korea (일부 지역 중·고등학생들이 치과치료공포감 및 치과의사불신감이 치아우식증에 미치는 영향)

  • Choi, Sung-Suk;Song, Keun-Bae;Kim, Han-Gon
    • Journal of dental hygiene science
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    • v.11 no.4
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    • pp.367-373
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    • 2011
  • The purpose of this study is to analyze factors impacting on the middle & high school students' dental treatment fear and distrust of dentists with dental caries experience to provide empirical data for the development of students oral health. The subjects of this study consists of 720 middle & high school students in Daegu area. The data were collected from July 1, 2009 to September 30, 2009 by self-administrative questionnaires. Among sub-scales of Dental Fear Survey(DFS), stimulate-response factor was the highest ($3.42{\pm}0.98$), and patient distrust toward dintist factor was the highest score($3.07{\pm}0.912$) among sub-scales of Dentist Distrust Survey(DDS). Mean score of DFS were DDS were higher in female than male student. The students who have higher DFS and DDS score, the also have high DMFT index. The higher DDS, the higher DFS, and it was statistically significant(p<0.001). The results suggest that oral health status of adolescent can improve diminishing dental fear and dentist distrust if patient-specific medical service may be provided.

노인환자의 보존치료

  • Im, Seong-Sam
    • The Journal of the Korean dental association
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    • v.20 no.12 s.163
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    • pp.1011-1013
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    • 1982
  • 년령이 증가함에 다라 치아도 신체 다른부위와 같이 노화현상이 나타나는데, 특히 보존영역에서는 상아질 및 치수의 노화에 대한 지식은 매우 중요하다고 생각된다. 일반적으로 상아질 및 치수의 노화는 치수강이나 치근관내 석회화된 조직의 양이 증가하고 세포나 혈관의 수가 감소되는 현상으로 나타나며, 임상에서는 흔히 치수강이나 치근관내 pub stone이나 dystrophic calcification을 발견하게 된다. 이러한 노화현상은 년령이 증가한다는 요소외도 우식, 마모, 교모, 또는 치과시술등이 그 원인이 된다고 알려져 있으며 실제 젊은환자에서도 상아질 및 치수가 노화되어 있는 치아를 볼 수 있다. 그러나 대개 년령적으로는 50세에서 60세사이의 환자에서는 치아의 노화가 있을수있는 가능성이 많다고 알려져 있으므로 임상에서 이점을 고려해야될 것으로 생각되며, 또 한가지는 상아질 및 치수에 이와같은 치유의 능력이 저하된다는 사실이다. 이러한 사실은 우리가 광범위한 충전물을 가진 치아에서 치수복조술을 시행할때는 충전물이 없고 우식이 생긴 치아에서 시술여부를 결정할 때 매우 중요한 점이 되고있는것 처럼 보존시술시 고려되어야 할 중요한 점으로 생각된다. 노인에서 보존치료의 결과는 환자가 신장질환이나 위장병, 폐결핵, 당뇨병등 만성적인 전신 질환을 가지고 있는 경우에는 그 치유가 지연되는 경우가 있기는 하나 시술시에 이러한 사실과 년령증가에 따른 치수 및 상아질의 형태학적 변화나 생리적변화등을 고려해서 치료술식을 약간 달리하면 젊은 환자에서와 똑같은 결과를 가져 올수 있다는 확신 또는 중요하다고 보겠다. 본 난에서는 노인환자의 보존치료시에 임상에서 고려해야할 사항들을 충전시술시와 근관치료시로 나누어서 각 시술 별로 간단히 살펴보조져 한다.

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Application of Teeth Whitening LED for Prevention of Dental Caries : Antimicrobial Photodynamic Therapy Approach (치아우식 예방을 위한 치아미백기의 활용 : 광역동 치료로서의 접근)

  • Park, Choa;Park, Howon;Lee, Juhyun;Seo, Hyunwoo;Lee, Siyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.1
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    • pp.70-77
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    • 2020
  • The present study is aimed to assess the effect of antimicrobial photodynamic therapy (aPDT) on Streptococcus mutans biofilm through teeth whitening light emitting diode (LED). Planktonic and dynamic biofilm state cultures of S. mutans were used. Erythrosine 20 μM/L was used as the photosensitizer. Irradiation was performed by exposing cultures to clinic and homecare whitening LEDs for 15 minutes. The viability was measured through Colony Forming Unit counts and confocal laser scanning microscopy. aPDT using whitening LEDs and erythrosine significantly decreased the CFU count of S. mutans compared to that in the control group. Dynamic biofilm group showed more resistant features to aPDT compared with planktonic state. Clinic and homecare whitening LED device showed similar antimicrobial effect. The whitening LED, which could irradiate the entire oral arch, showed a significant photodynamic effect on cariogenic S. mutans biofilm. aPDT mediated by erythrosine and LEDs used for teeth whitening exhibited promising antimicrobial activity.

Dental Treatments and Oral Health Status of Adolescent Girl Inmates in a Juvenile Detention Facility for the Last 5 Years (최근 5년간 소년원 여학생의 치과치료 및 구강건강실태)

  • Jeon, Yowon;Baek, Kwangwoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.4
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    • pp.401-409
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    • 2016
  • This research investigates into overall oral health status of adolescent girl inmates in a juvenile detention facility and ordinary school students in the same age range of 11 to 18 years old and compares the results focusing on the difference between the two groups. The last 5 years dental records for girl inmates in Juvenile detention facility and for students who have visited the Department of Pediatric Dentistry at Ajou University Hospital was colleted and analyzed. The restorative treatments took up the greatest part in their history of treatments. While the percentage of extractions of permanent teeth due to dental caries had been gradually increased, in Juvenile detention facility students, throughout the transition period from middle school to high school, in dental hospital patients, the phenomenon of the same kind has hardly been detected. After that record analysis, oral examination for Juvenile detention facility students and dental hospital patients was conducted. DMFT index for dental hospital patients are 4.15, whereas, the value for Juvenile detention facility students are as twice as high to be 7.53.

Relationship between the Malocclusion and Caries Prevalence of Adolescents in Iksan (익산시 청소년의 부정교합과 치아우식 유병률 사이의 연관성)

  • Shin, Gayoung;Ra, Jiyoung;An, Soyoun;Song, Jihyun;Lee, Kwanghee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.3
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    • pp.207-217
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    • 2014
  • The purpose of the present study was to evaluate the relationship between the malocclusion and dental caries in adolescents with permanent dentition. The subjects of the study were 385 adolescents aged 12 to 15 years. Dental Aesthetic Index (DAI) and DMFT index were recorded as clinical indicators of malocclusion and dental caries. The mean Dental Aesthetic Index (DAI) score of the subjects was 12.42 and the mean DMFT index of the subjects was 2.89. Four students (1.04%) were included in the group of orthodontic treatment mandatory, which signifies the handicapping malocclusion. Moreover, the result of gender-specific analysis of the DAI components observed that the prevalence of midline diastema and mandibular overjet were significantly higher among boys (p < 0.05). In 7 components (missing teeth, incisal segment crowding, maxillary anterior irregularity, mandibular anterior irregularity, mandibular overjet, anterior openbite, antero-posterior molar relationship) among the 10 DAI components, abnormal groups showed significantly higher DMFT index than normal groups (p < 0.05). The subjects in the group of definite to handicapping malocclusion (DAI ${\geq}$ 26) showed significantly higher DMFT index than the subjects in the group of minor or no malocclusion (p < 0.01). In addition, the DAI score had significant positive linear correlation with the DMFT index (r = 0.584, p < 0.01). Consequently, the current findings suggested a positive relationship between the malocclusion and caries prevalence. And several specific types of malocclusion were supposed to be significantly correlated with dental caries.