• Journal of Periodontal and Implant Science
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• 제35권2호
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• pp.413-426
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• 2005

수직 치근파절은 특이성을 나타내지 않기 때문에 치과의사가 정확한 진단을 하기 어렵다. 따라서 수직 치근파절의 임상적 특징, 진단적 증상을 파악하여 향후 근관치료된 치아나 치료되지 않은 치아에서 수직 치근파절의 유발인자와의 관련성 및 고찰을 통해 수직 치근파절의 예방 및 치료에 응용할 수 있을 것으로 생각된다. 연구대상은 조선대학교 부속치과병원 치주과에 내원한 환자 중 최근 2년간 144명의 환자에서 근관치료를 받았거나 받지 않았던 치아 중 임상적 및 방사선학적으로 수직 치근파절로 진단된 156개의 증례를 대상으로 하였다. 모든 불확실한 증례에서 수직 지근파절의 최종 진단은 외과적 탐지를 통해 이루어졌고, 금이 간 치아와 관련될 수 있는 치근파절의 증례의 경우는 제외되었다. 근관치료된 치아와 치료되지 않은 치아, 환자의 나이와 성별, 치아종류 및 파절된 치근부위, 자각증상의 유무를 기준으로 각각의 수치와 백분율로 분류하였다. 수직 치근파절의 증상과 증후별로 분류하였으며, 진단방법에 의한 분류, 치료방법에 따른 분류, 근관 치료 후 수직 치근파절이 발생한 기간에 따른 분류를 시행하고 통계분석을 하여 다음과 같은 결과를 얻었다. 1. 근관치료를 받지 않았던 치아의 수직 치근파절의 발생율은 58%였다. 2. 성별에 따른 발생률에 있어서 남성의 호발양상을 나타내었다. 3. 근관치료된 치아에 있어서 치료되지 않은 치아에 비해 호발연령이 낮았다. 4. 전치부의 수직 치근파절은 관찰되지 않았으며 특히, 강한 교합력을 필요로 히는 구치부에서의 높은 발생율을 나타냈다. 5. 수직 치근파절의 가장 주된 증상 및 증후는 깊은 치주낭 깊이였다. 6. 근관 치료 후 수직 치근파절이 발생한 기간은 평균 5.7년이었다. 7. 다수 증례에 있어서 3개 이하의 결손치를 가졌고, 자각증상이 나타났다. 이상의 결괴에서 한국인에 있어서 근관치료를 받지 않은 치아의 수직 치근파절은 드문 현상이 아님을 알 수 있었고 남성과 구치부에 있어서의 높은 발생율을 알 수 있었다. 그 이유로는 강한 교합력, 딱딱한 음식의 저작습관, 치조골 흡수에 따른 낮은 저항성, 골 유연성의 저하 등으로 여겨진다. 그러나, 수직 치근파절은 아직까지 정확한 진단을 내리기는 여전히 어려운 상태이며, 이를 위한 다양한 진단방법 및 더 나은 연구가 필수적이라 하겠다. 그리고, 향후 보다 많은 증례에 대한 분석, 치주질환에 이환되지 않은 경우의 분석, 치료 후 생존 기간에 대한 고찰 등도 필요하리라 사료된다.

• Journal of Periodontal and Implant Science
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• 제23권1호
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• pp.183-192
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• 1993

The purpose of this epidermiological analysis was to evaluate the periodontal status of Korean young adults(twenties) in order to provide detail & baseline data for frequence of periodontal disease. Two hundred and fifty young adults, aged 20-29 years, were selected by random sampling. Dental visity, scaling treatment, education, income, toothbrushing frequence & method were checked, and plaque index(Loe and silness), calculus index(Ramfjord), gingival index(Loe and silness), attached gingival width, perio probing depth, gingival recession were measured. The obtained results were as follows. 1. Average plaque index(1.96), calculus index(1.43), gingival index(1.7) were higher in mandible than maxillar. It was most prevalent in lst molar. 2. Average attached gingival width(4.0mm) was wider in maxillar than mandible. It was most prominent in lateral incisor. 3. Pocket depth(>4mm) was distributed in 42% subject, it was higher in mandible than maxilla and most prevalent in 1st molar. 4. Gingival recession(>1mm) was distributed in 94% subject, it was higher in mandible than maxilla, and most prevalant in canine. 5. According to unpaired t-test, palque index, calculus index, gingival index were not statistically significant in history of scaling treatment, level of eduction and account of income, but were showed statistically significant in histrory of dental clinic.(PB0.05) 6. According to ANOVA test, correlation between tooth-brushing(frequence, method) and gingival index was showed statistically significant.(P<0.05) 7. There was gingival recessionof 87% subject in only one time brushing, 80% subject in two time, and 68% subject in three times. There was gingival recessionof 68% subject in leftright direction tooth brushing, 73% subject in upper-low method and 77% subject in combination method.

• Journal of Periodontal and Implant Science
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• 제24권2호
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• pp.390-396
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• 1994

This study investigates the effect of wind instrument playing on the periodontal condition by comparing and analyzing wind instrument players and non-wind instrument players by various clinical paramenters, including periodontal index, bleeding index, simplified oral hygiene index, and non-functional tooth index. The subjects consist of 65 wind instrument players and 31 non-players. The players were divided into 4 groups ; Those who use cup-shaped mouthpieces as Group A, single reed mouthpieces as Group B, double reed mouthieces as Group C, and hole mouthpieces as Group D. Non-players are designated as Group E. The results are as follows ; 1. Periodontal Index Group A recorded $1.2{\pm}0.7$, Group B $1.1{\pm}0.7$, Group C $1.3{\pm}0.5$, Group D $2.1{\pm}0.5$, and Group E $0.9{\pm}0.6$, with no statistically significant differences among the groups. 2. Bleeding Index Group A shwed 0.23, Group B 0.25, Group C 3.0, Group D 0.38, and Group E 0.23, with no statistically significant differences among the groups. 3. Non-functional Tooth Index Group A recorded 2.0, Group B 1.0, Group C 3.0, Group D 0, Group E 0.7, with no statistically significant differences among the groups. 4. Simplified Oral Hygiene Index Buccal sides of maxillary 1st molars, lingual sides of mandibular 1st molars, labial sides of maxillary anterior teeth, and lingual sides of mandibular anterior teeth were investigated, and there was no statistically significant differences among the groups.

• 대한치과보철학회지
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• 제56권4호
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• pp.384-390
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• 2018

치주적으로 지지가 불리한 소수의 잔존치가 남은 환자에게 있어 하이브리드 텔레스코픽형 이중관의치는 장기적으로 안정적인 예후를 보이는 치료가 된다. 편측 악궁에 소수 잔존치가 남고 반대측 악궁에 다수의 자연치가 존재 하는 경우 임플란트를 식립하여 자연치와 혼재된 형태의 이중관 의치를 제작 할 시 의치의 지지 및 안정요소의 향상과 더불어 저작력의 균형을 맞추어 줄 수 있게 된다. 본 증례는 55세 여자 환자로 만성 치주염으로 인해 치주 지지가 감소한 소수 잔존치 상태에서 자연치만으로 하이브리드 텔레스코픽형 이중관 의치 치료를 통해 9.5년간 의치를 사용하였다. 9.5년 후 지대치 파절로 내원 하여 임플란트의 식립을 통해 자연치와 임플란트가 혼재된 하이브리드 텔레스코픽형 이중관 의치로 재수 복 하였으며, 이를 통해 재 치료에서도 장기적 예후의 안정성을 기대 할 수 있다.

• 한국치위생학회지
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• 제12권5호
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• pp.861-870
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• 2012

Objectives : This study has made a comparison of the difference between the periodontal parameter before and after applying dental hygiene process on patients requiring supportive periodontal therapy at a private dental clinic. Methods : The entire process was conducted on 74 patients. As a result of analyzing the difference in periodontal parameters such as PPD>4mm, BOP, and O'Leary Index of 29 patients that has completed 1 circle of dental hygiene process. Results : All periodontal parameters in all subject patients had been significantly reduced(p<0.05). Furthermore, as a result of comparing the periodontal conditions of the smoking group and non-smoking group, complier and non-complier, all parameters were reduced with a significant difference in the non-smoking group and the complier, but the smoking group and the non-complier did not show difference in all parameters. As a result of making an assessment of before and after dental hygiene process according to PRA classifications, high risk group has been generally changed to moderate or low risk group. Conclusions : Accordingly, the supportive periodontal therapy applying dental hygiene process has been shown to be effective. The dental hygiene process in periodontal patients who require continuous management is anticipated to be a very efficient process.

• 구강회복응용과학지
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• 제33권3호
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• pp.216-222
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• 2017

지적장애는 정신 발육이 항구적으로 지체 되어 지적 능력의 발달이 불충분하고 불완전한 장애이며, 지적장애를 가지면 자신의 일을 처리하는 것과 사회생활에의 적응이 상당히 곤란하다. 그렇기 때문에 환자 스스로 구강상태를 위생적으로 관리하는 것이 쉽지 않아 다발적 우식이 쉽게 관찰되며 치주질환 이환율이 높다. 본 증례의 환자는 지적장애 1급을 판정받은 33세 여환으로 치아 및 치주 건강이 좋지 않아 식사에 어려움이 있다는 주소로 내원하였다. 초진 구내 검사 시 환자는 치주염과 다발성 우식으로 수직고경이 감소되고 구치부 교합이 붕괴되어 있었다. 이를 가철성 국소의치 이용하여 교합을 재구성함으로써 심미적, 기능적으로 만족할 만한 결과를 얻었기에 보고하는 바이다.

• Journal of Periodontal and Implant Science
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• 제34권3호
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• pp.647-657
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• 2004

A non-carious cervical lesion(NCCL) is the loss of tooth structure at the cementoenamel junction level that is unrelated to dental caries. This study was to evaluate the occlusal and periodontal status of teeth with non-carious cervical lesions. We evaluated 105 teeth with non-carious cervical lesions in 35 subjects aged 38-75 years and characterized them based on the shape and dimension, plaque retention, bleeding on probing(BOP), probing pocket depth(PPD), occlusal status, brushing type, hypersensitivity and wear facet. The results of this study were as follows 1. No significant association was observed between cervical lesions and occlusal contact in lateral excursions. 2. No significant difference occurred in plaque retention, PPD, BOP between teeth with and without cervical lesions. 3. Test teeth had a significantly higher percentage of hypersensitivity and occlusal wear facet than teeth without cervical lesions. 4. Wedge shaped lesions had a significantly higher percentage of plaque than saucer shaped lesions. 5. Teeth with plaque were found to have significantly deeper PPD than teeth without plaque retention in cervical regions. 6. Teeth with occlusal contacts were found to have significantly deeper PPD than teeth without occlusal contacts. 7. No significant association was observed between cervical lesions and PPD independent of plaque retention and occlusal contacts Although more knowledge is necessary, our results suggest that occlusal contact and bacterial plaque may influence on periodontal tissue, but NCCL is not directly associated with periodontal health

• Journal of Periodontal and Implant Science
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• 제36권2호
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• pp.489-502
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• 2006

The purpose of this study was to determine the relationship between the third molar and periodontal status of the adjacent second molar. Fifty patients who had four maxillary and mandibular second molars were consecutively selected for the study subjects. The subjects provided a total of 200 molars, i. e., 100 maxillary and 100 mandibular molars, and classified the groups as follows; third molars that are normally erupted are control group, that are impacted are test 1 group, that are simply extracted are test 2 group, that are surgically extracted are test 3 group. Probing depth, plaque index, gingival index and mobility were measured. The results were as follows. 1. In mesial probing depth, there was no significantly difference. In distal probing depth, there was a significantly difference between control group and test 1 & 3 group in maxilla and between control & test 2 group and test 1& 3 group in mandible(p<0.05). 2. In buccal probing depth, there was a significantly difference between test 2 group and test 3 group in mandible. In lingual probing depth, there was a significantly difference between control group and test 1 & 3 group in mandible(p<0.05). 3. In plaque index, there was a significantly difference between test 1 group and test 2 group in maxilla, between test 1 group and control & test 2 group in mandible(p<0.05). 4. In gingival index, there was a significantly difference between control group and test 1 & 3 group in mandible. In mobility, there was no significantly difference(p<0.05). As a result of this study, the second molars adjacent to the third molars that are impacted or surgically extracted had poor prognosis, so impacted third molars should be extracted in early time and the second molars are actively treated for periodontal health.

• Journal of Periodontal and Implant Science
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• 제29권3호
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• pp.635-645
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• 1999

The present study examines the effects of orthodontic treatment of surgically exposed impacted upper canines or ectopically erupted upper canines to periodontal condition and whether various opening procedures have significant difference in postoperative periodontal status. The subjects included 23 orthodontic patients(7 men, 16 women) with unilateral upper canine impaction treated either with closed eruption technique(group I), with apically positioned flap procedure (group II), and those with canines ectopically erupted through keratinized gingiva (group III). In each subject, the ectopic canine was orthodontically aligned, and changes in periodontal tissue were assessed by measuring keratinized gingival width, attached gingival width, probing depth and bone probing depth. In all three groups, the width of keratinized gingiva was preserved while showed no signs of detrimental periodontal condition such as gingival recession. In all three groups, no significant difference in periodontal pocket depth from control was observed. The width of attached gingiva was significantly greater in patients treated with apically positioned flap procedure(group II) than in patients on other groups.

• 대한치과기공학회지
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• 제34권2호
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• pp.157-164
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• 2012

Purpose: The purpose of this study was to survey periodontal status using oral health index in the elderly population and determine methods for improving oral health status. Methods: The date collected from 'The fifth korean national health and nutrition examination survey 2010' was analyzed in this study. Statistical analysis was done using the Statistical Package for Social Sciences version 19.0 for windows. We determined frequencies and percentage, calculating means, and standard deviations, and determining statistical significance using logistic regression analysis, multiple regression analysis. Results: General characteristics showed differences in oral health behaviors associated with gender, age, residence, education. General characteristics showed differences in periodontal status associated with gender, family type, gender, residence, education. Oral health behaviors showed differences in periodontal status associated with using oral health care products, dental treatment. Conclusion: In conclusion, in order to improve oral health of the elderly, the importance and needs of periodontal status should be emphasized. periodontal status related education for the elderly should be operated.