• Title/Summary/Keyword: 치아 관리

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DENTAL MANAGEMENT OF A PATIENT WITH PRADER-WILLI SYNDROME : A CASE REPORT (Prader-Willi syndrome 환자의 치과 치료 : 증례보고)

  • Lee, Myeong-Yeon;Jung, Younwook;Kim, Seong-Oh;Choi, Hyung-Jun;Son, Heung-Kyu;Lee, Hyo-Seol
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.1
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    • pp.26-30
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    • 2014
  • Prader-Willi syndrome (PWS) is a rare neurodevelopmental disease caused by abnormality of chromosome 15q11-13. The estimated prevalence of PWS is 1/10,000-30,000. Most common features of this disease are feeding problems characterized by poor sucking habit related with neonatal or infantile hypotonia and obesity due to early childhood hyperphagia involved with lack of satiety. In the orodental findings, enamel hypoplasia, rampant caries, delayed eruption, poor oral hygiene, hypodontia, supernumerary teeth, increased tooth wear, decreased salivary flow and change in saliva composition were reported. This case report describes the dental treatment of 3-year-9-months-old male patient with PWS. Periodic check-ups and conservative treatments were followed, however, rapid dental caries progression caused by estimating hyposalivation was observed. Because of lack of patient cooperation, dental procedures were performed under general anesthesia.

Association between cardiovascular disease and periodontal disease prevalence (치주질환에 의한 심장질환 발생의 관련성)

  • Jeong, Mi-Ae;Kim, Jee-Hee
    • Journal of the Korea Convergence Society
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    • v.2 no.4
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    • pp.47-52
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    • 2011
  • Periodontal disease is a common inflammatory disorder that is being considered as a risk factor for atherosclerotic complication. Recent epidemiological evidence also supports that its potential association with increased blood pressure levels and hypertensive prevalence. Data from cross-sectional studies suggest that in hypertensive patients periodontal disease may enhance the risk and degree of target organ damage. So dental infections have been associated with cardiovascular diseases. There are potential pathophysiologic links between hypertension and periodontits. The role of the inflammatory pathway include C-reactive protein(CRP). CRP is an inflammatory mediator that has been shown to predict the development of hypertension independently of baseline BP and traditional risk factors, has been consistently reported as at least mildly elevated in patients with periodontal disease. Reactive oxygen species produced by locally infiltrating neutrophils participate in periodontal tissue destruction. Periodontits can lead to inflammatory responses in the atrial myocardium, which disturbs the structural and electrophysiologic properties of the atrium and facilitates atrial fibrillation in the animal experiment.

Molar-Incisor Malformation: Three Cases of a Newly Identified Dental Anomaly (Molar-Incisor Malformation: 최근 확인된 치아 이상의 증례 보고)

  • Choi, Suji;Lee, Jewoo;Song, Jihyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.3
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    • pp.370-377
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    • 2017
  • Molar-incisor malformation (MIM) is a recently described dental anomaly characterized by root malformation in permanent first molars accompanied sometimes by abnormal root forms in primary second molars or enamel defects in maxillary central incisors. This report presents three cases of MIM along with a review of previous studies. Three patients exhibited abnormal root forms in the permanent first molars, with varying degrees of deformation. Two of the patients experienced medical events at birth. One of the patients was a monozygotic twin, whose twin sister exhibited normal dentition without any significant abnormalities. The present report also reviews recently reported cases of MIM in literature. In the management of MIM-associated clinical issues, consideration of microscopic features and accompanying characteristics might facilitate early diagnosis and comprehensive treatment planning.

Design and Implementation of Scaling Training System Using Virtual Reality (가상현실을 이용한 스케일링 훈련 시스템 설계 및 구현)

  • Hyo-Seung Lee;Woo-Jin Choi
    • The Journal of the Korea institute of electronic communication sciences
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    • v.19 no.3
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    • pp.619-624
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    • 2024
  • Scaling is one of the most basic dental gum treatments and involves removing tartar that has hardened on teeth. However, inexperienced and unprofessional removal of tartar may damage the gums, resulting in excessive bleeding or damage to the teeth. For this reason, scaling must be done delicately according to the gum structure of various people, and sufficient practice must be provided. Related departments at the university are conducting scaling exercises. However, from the perspective of students who have not had sufficient practice, selecting subjects and conducting practice is not easy, and practice subjects may also avoid participating in practice due to discomfort and anxiety. Accordingly, in this study, we designed and implemented a virtual reality practice system using VR to create a virtual patient rather than an actual subject and implement various gum shapes step by step to enable repetitive practice and various scaling experiences.

Effect of Microhardness on Premary Teeth following Fluoride Toothpaste for Children (어린이 불소치약에 따른 유치의 미세경도에 대한 효과)

  • Jeong, Mi-Ae;Nam, Seoul-Hee;Kim, Hye-Young
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.893-899
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    • 2013
  • This study was to determine the efficacy in the remineralization on premary teeth following the application of toothpaste with and without sodium fluoride. All tooth were checked using microhardness tester and the calcium (Ca) and phosphorous (P) concentration by electron probe microanalyzer (EPMA) analysis for the 4 weeks. The collected data was analysed using the statistical software program SPSS, 20.0. The applied enamel of premary teeth with 0.243% fluoridated toothpaste resulted in significant differences in the microhardness values (p>0.05). The Ca and P concentrations of applied premary teeth with fluoridated toothpaste were also significant difference in norm wt% (p>0.05). As a results, a increasing the surface microhardness of the premary teeth and providing a remineralizing effect by increased Ca and P concentrations.

Acute Malocclusion and Temporomandibular Disorders (급성 부정교합과 턱관절장애)

  • Byun, Jin-Seok;Lee, Kyung-Eun;Suh, Bong-Jik
    • Journal of Oral Medicine and Pain
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    • v.32 no.1
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    • pp.121-128
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    • 2007
  • If patients complain about sudden ill-fitting occlusal sensation(acute malocclusion), a dentist has to consider many possible causes about that. Acute malocclusion is characterized its sudden onset and mainly can be caused by teeth and its related structure problem. But we always keep on mind that acute malocclusion also can be caused by temporomandibular disorders In this 3 cases of acute malocclusion, evaluating by patient history, clinical and radiographic findings, we diagnosed them as 1. Lateral pterygoid muscle spasm, 2.. Retrodiscitis, 3. Osteoarthritis. Through this non-odontogenic acute malocclusion cases, we emphasize the key of diagnosis is on comprehensive and careful patient history taking and clinical examination.

Rehabilitation of the Worn Dentition (심하게 마모된 치열의 전악 수복에 대한 임상적 고찰)

  • Kim, Yu-Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.4
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    • pp.455-462
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    • 2010
  • Patients often seek rehabilitative treatment for severely worn dentition. The etiology of noncarious tooth wear due to attrition, abrasion, and erosion is multifactorial. To treat the worn dentition, it is important to identify and eliminate and/or control the factors that contribute to excessive wear. Many situations requiring complete mouth rehabilitation present with the challenge of a lack of restorative space. To establish a correct occlusal plane and space for prostheses, it is necessary to increase vertical dimension. This may require an increase in occlusal vertical dimension. Also clinicians should be able to choose the appropriate restorative materials to achieve excellence in natural esthetics as well as proper biomechanics and durability. This article presents a method for altering occlusal vertical dimension to restore dentitions with limited restorative space due to loss of tooth structure.

Mandibular 4 incisors implant restoration (하악 4전치 상실 시 임플란트 수복)

  • Park, Jong hyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.31 no.2
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    • pp.56-63
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    • 2022
  • The mandibular 4 anterior incisor restoration has small teeth and a small space, so the choice of abutment is always a concern. The mandibular 4 anterior incisor extraction is caused by periodontal disease, interdental embrasure greatly open is advantageous of oral hygiene management. Try to make it small diameter with custom abutment, it is limited to the space for the screw. Rather than setting the post site of one body implant to a horizontal cross-section, it is advantageous to set it to a longitudinal cross-section, for interdental embrasure formation. When using an internal bone level implant, rather than using a two-piece abutment, using a one-piece abutment can more effectively secure space for interdental embrasure.

The Dental Biofilm Reduction Effect & Control Difficulty Level of University Students through Dental Biofilm Control Program (일부 대학생에서 치면세균막 관리 프로그램에 의한 치면세균막 감소 효과 및 관리 난이도)

  • Choi, Ha-Na;Lim, Soon-Ryun;Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.12 no.1
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    • pp.39-44
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    • 2012
  • For the purpose of examining the dental biofilm reduction effect and control difficulty level through a dental biofilm control program in this study, the total of 131 medical records (82.9%) were used for the final analysis upon excluding the records that were not suitable for this study among the records of 158 persons for the medical records of clinical hygiene case reports that were submitted from 2006 to 2011 by students at the Department of Dental Hygiene at N University located in Chungnam region. The result of examining the dental biofilm reduction effect according to the visit number when conducting a dental biofilm control program showed that the dental biofilm index reduced meaningfully as the visit number increased. However, in the case of those that visited for 7 sessions, the level of reduction was not statistically meaningful. For the purpose of comparing the dental biofilm index mean per area of teeth during the final session visit of dental biofilm control program, the area of teeth was classified into labial/buccal surface, lingual/palatal surface and proximal surface, and the dental biofilm index of lingual/palatal surface was the highest with 26.5%. The result of measuring the dental biofilm of maxilla/mandible revealed meaningful differences between the dental biofilm index of maxilla and mandible. The result of analyzing the dental biofilm index of labial/buccal surface, lingual/palatal surface and proximal surface revealed meaingful differences among the dental biofilm index of labial/ buccal surface, lingual/palatal surface and proximal surface.

Case study on Dental Hygiene Care Program with the Focus on Non-surgical Periodontal Treatments with the Maternal and Child Health Center (일부 보건소 모자보건실 연계 비외과적 치주처치 중심의 치위생관리 프로그램 운영 사례연구)

  • Son, Jung-Hui;Kim, Sang-hee;Bae, Soo-Myoung
    • The Journal of the Korea Contents Association
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    • v.19 no.2
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    • pp.269-276
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    • 2019
  • This research was conducted by targeting pregnant women in the trial operation of dental hygiene care program with the focus on non-surgical periodontal treatments at the Maternal and Child Health center in the public health center. This study was conducted to provide basic data to dental hygienists who operate oral health promotion programs by targeting pregnant women of the local community through the evaluation on structure, the assessment process and results from the pilot program at the public health center. The targets are nine pregnant women who have been involved in the Dental hygiene care program three times. An evaluation on the structure, process and results according to the Indicators of each program were conducted. The results of dental hygiene care program found that the retention rate decreased. The retention of the probing pocket depth larger than 4mm was 40.4% to 14.0%(p<0.05). The retention rate of the gingival bleeding teeth was 4.6% to 2.7% (p=0.180). PHP Index improved. 1.7 points in the 1st to 1.4 points in the 3rd in the case of the second pregnant woman and 2.4 points in the 1st to 1.3 points (p<0.05) in the 3rd in the case of the third pregnant woman. The applicable and expandable possibility of the dental hygiene care program with the focus on non-surgical periodontal treatments at the Community Health Center is significant in the result of this study. In the future, long-term operation and ongoing monitoring of this program is needed.