• Title/Summary/Keyword: 치의학 연구

Search Result 504, Processing Time 0.03 seconds

The Prevalence and Characteristics of Pre-eruptive Intracoronal Radiolucencies in Children and Adolescents (소아·청소년에서 맹출 전 치관 내 방사선 투과상의 유병률과 특징)

  • Ahn, Younghyun;Yang, Yeonmi;Hwang, Jaejoon;Jeong, Taesung;Shin, Jonghyun
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.48 no.2
    • /
    • pp.160-167
    • /
    • 2021
  • The purpose of this study was to investigate the prevalence and characteristics of pre-eruptive intracoronal radiolucencies (PEIR) from panoramic radiographs in Korean children and adolescents. This study examined panoramic radiographs of 3,000 patients aged between 5 and 14 years old who visited ten dental hospitals in Korea. The age and gender of the patients, the tooth type, the number of intracoronal radiolucent lesions, and the location and size of the lesions were recorded. The overall prevalence of patients with PEIR was 2.5%. The difference in the presence of PEIR between both genders was not significant. Within each tooth type, the mandibular first molar showed highest prevalence of PEIR (29.6%). The central part of the crown was the most frequently observed location of PEIR (56.8%). The size of the PEIR lesions was mostly limited to less than one-third of the thickness of coronal dentin.

Detecting of Proximal Caries in Primary Molars using Pen-type QLF Device (펜-타입 QLF 장비의 임상적 유구치 인접면 우식 탐지 성능)

  • Cho, Hyejin;Kim, Hyuntae;Song, Ji-Soo;Shin, Teo Jeon;Kim, Jung-Wook;Jang, Ki-Taeg;Kim, Young-Jae
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.48 no.4
    • /
    • pp.405-413
    • /
    • 2021
  • The purpose of this in vivo study was to assess the clinical screening performance of a quantitative light-induced fluorescence (QLF) device in detecting proximal caries in primary molars. Fluorescence loss, red autofluorescence and a simplified QLF score for proximal caries (QS-proximal) were evaluated for their validity in detecting proximal caries in primary molars compared to bitewing radiography. Three hundred and forty-four primary molar surfaces were included in the study. Carious lesions were scored according to lesion severity assessed by visual-tactile and radiographic examinations. The QLF images were analyzed for two quantitative parameters, fluorescence loss and red autofluorescence, as well as for QS-proximal. For both quantitative parameters and QS-proximal, the sensitivity, specificity and area under receiver operating curve (AUROC) were calculated as a function of the radiographic scoring index at enamel and dentin caries levels. Both quantitative parameters showed fair AUROC values for detecting dentine level caries (△F = 0.794, △R = 0.750). QS-proximal showed higher AUROC values (0.757 - 0.769) than that of visual-tactile scores (0.653) in detecting dentine level caries. The QLF device showed fair screening performance in detecting proximal caries in primary molars compared to bitewing radiography.

A Case of Developing a Competency model for the revision of the dentistry education curriculum on the competency-based (역량기반 치의학 교육과정 개편을 위한 역량모델 개발 사례)

  • Hwang, Jae yeon
    • Journal of Digital Convergence
    • /
    • v.18 no.11
    • /
    • pp.347-354
    • /
    • 2020
  • The purpose of this study is to develop a competency model for the revision of the dentistry education curriculum based on the competency of W College of Dentistry. For this, this study made progress of the competency model development procedure in three stages. The preparation stages of the competency model was developed by performing an analysis about the awareness investigation of the members, and the development stages were progressed through the competency level and behavioral index, etc. The content validity was verified by an expert for the evaluation stage. As a result, content validity index was high with CVI of .91 and a competency model was developed with the 4 key competencies, which are the common competencies of the university linked with job competency, the major competency. This study holds significance by the fact that the competency model development case developed through this procedure provided basic data for research that requires the development of the competency model and the education curriculum revision based on the competency of W College of Dentistry is planned to also be applied.

Reliability of Infrared Thermographic Imaging in the Orofacial Region (구강안면부에서 적외선 체열검사의 신뢰도에 관한 연구)

  • Han, Dong-Joon;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
    • /
    • v.26 no.4
    • /
    • pp.355-367
    • /
    • 2001
  • 치의학 분야에서 디지탈 근적외선 체열측정 장치(digital infrared thermographic imaging; DITI)의 응용이 미미한 것은 과거 열측정장치의 기술력이 부족한 것이 주된 요인이었다. 그러나 최근들어 기술이 진보함에 따라 실시간 열영상을 재현할 수 있게 되었고 이는 치의학 및 의학계에 많은 관심을 일으키고 있다. 지금까지의 연구를 보면 두개하악장애시 구강영역의 온도변화의 임상적 효용 가능성을 제시하였으나 안면 및 두경부에 대한 실제 기기 및 측정방법의 신뢰도에 대한 연구는 이루어지지 못한 상태이다. 본 연구에서는 DITI에 대한 신뢰도를 조사하였다. DITI의 모니터 상에서 비활동성 발통점의 부위를 찾아내기가 쉽지 않다. 따라서 모니터상에서 안면발통점(joint, temporalis anterior, masseter anterior, masseter inferior)의 부위를 찾아 온도를 찾아내는 방법과 미리 발통점 피부상에 링모양의 마크를 부착하여 모니터상에서 쉽게 찾아내는 방법을 사용하여 신뢰도를 조사하여 비교한 결과 다음과 같다. 1. 조사한 발통점 중에서 temporalis anterior, joint, masseter anterior과 masseter inferior의 순서로 피부온도가 유의하게 온도가 높았으나(p<0.05) masseter 내에서는 유의한 차이를 보여주지 않았다. 2. 4개의 발통점 모두에서 높은 열적 대칭성을 보였으며, 좌우 온도차이는 $0.1^{\circ}C$미만이었다. 3. 다른 시기에 조사한 조사자내 신뢰도는 두 조사자 모두 높은 상관관계를 보여주지 않았으며 대조군과 마크를 사용한 군간에는 뚜렷한 차이를 볼 수 없었다. 4. 동일한 시기에 조사한 조사자간 신뢰도는 두 시기 모두 joint 부위의 일부를 제외하고 높은 상관관계를 보여주었으며, 마크를 사용한 경우 사용하지 않은 경우 보다 훨씬 신뢰도가 높은 상관관계를 나타내었다. 이상의 결과로 보아 DITI는 두개하악장애환자에 대한 두경부 발통점의 온도변화를 측정하는 데 있어 시간에 따른 신뢰도는 결여되었으나 동일 시기의 측정에는 매우 유익할 것으로 사료되며, 특히 발통점에 대한 표시를 사용하는 경우 매우 정확한 온도를 조사할 수 있을 것으로 판단된다.

  • PDF

Prosthetic rehabilitation by double-processing technique for edentulous patient with soft palate defect after maxillectomy: A case report (연구개를 포함한 상악골 절제술을 받은 완전 무치악 환자에서 이중 온성법으로 제작한 구개 폐색장치를 통한 보철수복: 증례 보고)

  • Park, Jin-Yong;Wang, Yuan-Kun;Song, Kwang-Yeob;Park, Ju-Mi;Lee, Jung-Jin
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.57 no.4
    • /
    • pp.356-363
    • /
    • 2019
  • A patient who went through maxillectomy can have soft palate defects including oronasal fistulas and suffer from dysphagia and dysarthria due to velopharyngeal insufficiency. This defect causes the food to enter nasal cavity and creates hypernasal sound which debilitates a quality of life. An obturator can rehabilitate the substantial oral tissue defects. The maxillary obturator separates the nasopharynx from the oropharynx during speech and deglutition by closing of the defect. For edentulous obturator patient, it is difficult to obtain proper retention due to reduced peripheral sealing. Therefore, the contours of the defects must be used to maximize the retention, stability, and support. Hollow type obturator can improve physiologic function by reducing weight than the traditional obturator. This case report describes a patient with hemi-maxillectomy who recovers mastication, speech, deglutition, and appearance with a maxillary obturator using physiological border molding of the velopharyngeal area and double-processing method.

Effectiveness of Oral Health Education Program using Home-using Portable Device for Children (정량광형광기를 이용한 어린이의 구강건강관리교육 효과)

  • Lee, Jeongsang;Kim, Shin;Jeong, Taesung;Shin, Jonghyun;Lee, Eungyung;Kim, Jiyeon
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.46 no.3
    • /
    • pp.301-309
    • /
    • 2019
  • This study was performed to determine the effectiveness of oral health education program with a home-using portable device according to the individual oral health status in children. 58 children who were 6 - 12 years old were included in this study. All subjects were affiliated to moderate or high caries risk group based on caries risk test. They were divided into 2 groups: (I) home-using portable device group (II) control group. Both groups were evaluated with simple plaque score (SPS) using camera type quantitative light-induced fluorescence device and educated with identical oral health education methods. Subjects in group I were demanded to use a home-using portable device. After 1 month, both groups were re-evaluated. Cariview score that can reflect the acidogenic potential of plaque bacteria was statistically reduced in both groups (p < 0.001). There was a statistically significant difference between two groups in the change of Cariview score (p = 0.022). In group I, the decrease was larger than that in group II. There was no statistically significant difference in the change of SPS (p = 0.937). Oral health education improved oral hygiene status in children. However, this study confirmed that it was much more effective to improve oral health status in children with a home-using portable device in their daily oral hygiene care.

Long-Term Outcome of Reattached Tooth Fragment in Permanent Anterior Teeth of Children and Adolescents (소아 및 청소년의 영구치 치관 파절시 파절편 재부착술의 추적 관찰)

  • Kang, Hoyeon;Chae, Yongkwon;Lee, Koeun;Lee, Hyo-seol;Choi, Sungchul;Nam, Okhyung
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.48 no.1
    • /
    • pp.42-49
    • /
    • 2021
  • This study aimed to evaluate the long-term outcomes of teeth treated with reattachment technique in children and adolescents. Twenty seven permanent anterior teeth from 21 patients treated with fragment reattachment were evaluated. Clinical photos and medical records were used to assess treatment outcomes. Effect of pulp treatment and the ratio of fragment on success rate were statistically analyzed. Detachment of fragment was observed in 17 teeth, and their duration of retention was 21.41 ± 23.39 months. Repeated trauma was found to be the most frequent causes of failure. Pulp treatment before reattachment did not affect the success rate (p > 0.05). The mean ratio of fragment was 0.482 ± 0.147, and the success rate was affected by the ratio of fragment (p = 0.018). The median retention time of the teeth was 72 months if the ratio was under 0.5, and 8 months for that of the others. A significant correlation was found between the ratio of fragment and retention time (p = 0.003). Reattachment can be a predictable treatment option for crown fracture in anterior teeth in children and adolescents when a fracture involves less than 50% of the clinical crown.

An assessment of statistical errors of articles in the Journal of Korean Academy of Prosthodontics: Comparison between Korean version and English version (대한치과보철학회지에 게재된 논문의 통계적 오류: 국문논문과 영문논문의 비교)

  • Park, Dong-Gyu;Choi, Yong-Geun;Kim, Young-Su;Shin, Sang-Wan
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.47 no.3
    • /
    • pp.273-285
    • /
    • 2009
  • Statement of problem: The aim of dental research is to advance scientific knowledge and leads to improvement in the treatment and prevention of dental disease. Utilizing an effective research design and adequate statistical methods are essential procedures ensuring that the results of researches are based on evidences. A research should utilize proper statistical methods without statistical errors; Otherwise, it could adversely affect clinical practice and future research. Purpose: This study was made to investigate the statistical methods used in the Journal of Korean Academy of Prosthodontics (JKAP) and then to assess them for the statistical errors. Material and methods: Among the total of 399 articles in the JKAP published from 2000 to 2006, 292 articles using statistics were reviewed. The validity of the statistical methods used in them were assessed using a checklist based on the guideline for statistical reporting in the uniform requirements for manuscripts submitted to biomedical journals by International Committee of Medical Journal Editors. The checklist consisted of three categories of statistical errors: 1) Unspecified computer statistical packages, 2) Inadequate description of statistical methods, 3) Misuse of statistical terms. Then, the results were compared between the Korean version and the English version in the JKAP. Results: Among the 212 articles using statistics in the Korean version, 115 articles (54%) and among the 80 articles using statistics in the English version, 47 articles (59%) were shown to have unspecified computer statistical packages without statistically significant difference (P = .66). Likewise, 101 articles (48%) in the Korean version and 25 articles (31%) in the English version were shown to have the inadequate description of statistical methods without statistically significant difference (P = .09). However, 114 articles (54%) in the Korean version and 19 articles (24%) in the English version were shown to have the misuse of statistical terms with statistically significant difference (P = .01). Conclusion: Some of the articles in the JKAP had inadequate statistical validity, given the statistical errors identified in this assessment. Hence, dental researchers should be more careful when it comes to describing and applying statistical methods.

Comparison of Musculoskeletal Disorders between Pediatric Dentists and General Dentists (소아 진료 치과의사 및 성인 진료 치과의사의 근골격계 통증 비교 설문 조사)

  • Kim, Gimin;Lee, Jaesik;Kim, Hyunjung;Nam, Soonhyeun
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.48 no.2
    • /
    • pp.184-197
    • /
    • 2021
  • The purpose of this study was to investigate the characteristics related to the musculoskeletal disorders in pediatric dentists and general dentists. This study was conducted based on the survey results of a total of 109 dentists who have been working for the last year. Forty - three pediatric dentists and 66 general dentists were surveyed through online survey tool. Both pediatric dentists and general dentists mainly complained of musculoskeletal disorders in the neck, shoulders, wrists, and back. Most pediatric dentists usually suffered from back pain due to their unbalanced posture while giving dental treatments. Pediatric dentists in sedative treatment felt more pain in particular part of their body, such as neck and shoulder. Regular exercise and stretching for the prevention of musculoskeletal disorder have been shown to mainly relieve pain in the back but no other parts in their body.

The hardening effect by ice-quenching after oxidation of a Pd-Ag-Sn-Au metal-ceramic alloy during porcelain firing simulation (금속-세라믹용 Pd-Ag-Sn-Au계 합금의 모의소성 시 산화처리 후 급랭에 의한 경화 효과)

  • Shin, Hye-Jeong;Kim, Min-Jung;Kwon, Yong-Hoon;Kim, Hyung-Il;Seol, Hyo-Joung
    • Korean Journal of Dental Materials
    • /
    • v.44 no.3
    • /
    • pp.197-206
    • /
    • 2017
  • The hardening effect by ice-quenching after oxidation of a Pd-Ag-Sn-Au metal-ceramic alloy during porcelain firing simulation was investigated by means of hardness test, field emission scanning electron microscopic observations, and X-ray diffraction analysis. The hardness decreased by ice-quenching after oxidation, which was induced by the homogenization of the ice-quenched specimen. The decreased hardness by ice-quenching after oxidation was recovered from the wash stage which was the first stage of the remaining firing process for bonding porcelain. After wash stage, the hardness of the ice-quenched specimens decreased during the subsequent porcelain firing process. But the final hardness of the ice-quenched specimens after oxidation was higher than that of the specimens cooled at stage 0 after oxidation. The increase in hardness of the specimens during the first firing process was caused by the lattice strains generated at the interface between the face-centered cubic Pd-Ag-rich matrix and the face-centered tetragonal Pd3(Sn, Ga, In) precipitate. The decrease in hardness of the specimens during the remaining firing process was caused by the microstructural coarsening.