• 제목/요약/키워드: 한국 치과의사

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AWARENESS OF KOREAN DENTISTS ON BISPHOSPHONATE RELATED OSTEONECROSIS OF THE JAWS : PRELIMINARY REPORT (한국인 치과의사의 비스포스포네이트 관련 악골괴사에 대한 인식 연구 : 예비보고)

  • Park, Yong-Duck;Kim, Young-Ran;Kim, Deog-Yoon;Chung, Yoon-Sok;Lee, Jeung-Keun;Kim, Yeo-Gab;Kwon, Yong-Dae
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.3
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    • pp.153-157
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    • 2009
  • Recently, an increasing number of bisphosphonate related osteonecrosis of the jaw(BRONJ) is being reported. A guideline has been already established in the US, but it does not seem to be fully recognized by clinicians in Korea. Therefore, a survey study was done to inform and have clinicians realize the seriousness of BRONJ. 1,341 practitioners were randomly selected out of 13,405 practitioners(by Feb of 2008, KDA) in Korea. A questionnaire was given to them between May to July in 2008. Questions were designed to investigate each respondent's experience term years in the clinic, occupation, speciality, awareness on risk of bisphosphonate, experience on treating osteonecrosis patients, awareness about the guideline on BRONJ suggested by AAOMS and whether if they ask about bisphosphonate medication history to patients before invasive treatment. 45.1% of the clinicians have reported on experiencing delayed healing on bone exposed site after extraction both in the maxilla and the mandible. However, clinicians have asked the patients whether if they are on bisphosphonate or not in only 15.1% of these cases. 56.5% of the clinicians simply knew about BRONJ but only 28.9% of the clinicians were aware that bisphosphonate can cause osteonecrosis after invasive dental treatment. Only 19.3% knew about the contents of guideline on BRONJ and 57.2% were aware of the seriousness of BRONJ. Clinicians with shorter clinical experience term were more aware of BRONJ and the guideline on BRONJ than the experienced clinicians. But awareness of the possibility of BRONJ after invasive dental treatment were about the same regardless of their clinical experience. The results show that Korean clinicians need to be more aware about BRONJ. Data on BRONJ cases in Korea should be collected and provided with additional education to let Korean clinicians know and be more aware about BRONJ.

An External Surfaces Modeling of Inlay/onlay Using Geometric Techniques (기하학 기술을 이용한 인레이/온레이의 외면 모델링)

  • Yoo kwal-Hee;Ha Jong-Sung
    • The KIPS Transactions:PartA
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    • v.12A no.6 s.96
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    • pp.515-522
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    • 2005
  • This paper presents a method for effectively modeling inlay/onlay prostheses restoring a tooth that are partially destroyed. An inlay/onlay is composed of internal surface adhering to an abutment, and external surface revealed to the outside sight. Internal surfaces are modeled using Minkowski sum expanding the grinded surface parts of abutments so that the internal surfaces can adhere to the abutments with closer contact. In modeling external surfaces, we exploit 3D mesh deformation techniques: DMFFD(direct manipulation free-form deformation)[19] and MWD(multiple wires deformation)[17] with three kinds of informations: standard teeth models, mesh data obtained by scanning a plaster cast of a patient's tooth, FGP(functionally guided plane) measuring the occlusion of the patients's teeth. The standard teeth models are used for building up the basic shapes of external surfaces, while the plaster fast and FGP data are used for reflecting the unique properties of adjacent md occlusal surfaces of the patients's teeth, which are slightly different to each other but very important for correct functioning. With these informations as input data, the adjacent and occlusal surfaces are automatically generated as mesh data using the techniques of DMFFD and m, respectively. Our method was implemented so that inlay/onlay prostheses fan be designed more accurately by visualizing the generated mesh models with requirements by dentists.

Comparison of Expectation and Satisfaction of Implant Patients in Pre-post Implant Therapy (임플란트 시술환자 시술 전·후의 기대와 만족도 비교)

  • Han, Ji-Hyoung;Kim, Ki-Eun
    • Journal of dental hygiene science
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    • v.11 no.2
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    • pp.121-127
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    • 2011
  • This study was conducted to improve patients satisfaction by comparing patients expectation prior to the implant therapy to patient satisfaction after the implant therapy. The data of 158 patients with dental implant in Seoul, Gyeonggi-Do and Cheonan city was obtained. The results are as follows : 1. 40.5% of patients placed one implant and 36.1 % of patients answered that the average cost for each implant is from 1,500,000 to 2,000,000won. 23.4% of them answered they decided to have implant because no tooth preparation is required. 2. Overall, the expectation level for implant therapy in general properties, women showed higher level of expectation than men. Especially, 'Implant has a longer life than other denture' showed significant difference between women(4.29) and men(3.87). Expectation by age, 'Implant has similar color and shape' was found the highest in age 20(4.38). Satisfaction by general properties, 'No tooth preparation required' was found the highest in age 20(4.57) and was statistically significant(p<.002). 3. Comparing patients' expectation prior to implant therapy to satisfaction afterward, 'Implant prevents jawbone resorption and keeps facial appearance' showed 3.7 of expectation but satisfaction was found increased to 3.87(p=.020). No tooth preparation required' was found 3.95 in expectation prior to implant therapy but after therapy it was found 4.23 in satisfaction (p<.001). 4. Overall satisfaction in implant therapy was found 4.25, recommendation to other patients was found 4.18 and repurchase was found 4.17.

Reliability of the Visual Discrimination Scale on Oral Mucosa Pressure Ulcer for Healthcare Providers (의료인을 위한 구강점막욕창 시각적 감별도구의 신뢰도)

  • Uhm, Ju-Yeon;Kim, Myoung Soo
    • Journal of the Korea Convergence Society
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    • v.11 no.11
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    • pp.443-450
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    • 2020
  • The purpose of this study was to examine the inter-rater and intra-rater reliability of the oral mucosa pressure ulcer classification system based on the photographs. The study consisted of two stages; development and evaluation. In the developmental stage, 9 photographs of 82 were selected. In the evaluation stage, a total of 49 participants were invited web-based survey by e-mail. Cohen's weighted kappa and Krippendorff's alpha were used to define the inter-rater reliability. Nine photographs consisted of two, three, three, and one in normal, stage 1, stage 2, and stomatitis, respectively. The inter-rater reliabilities of wound care nurse specialist, intensive care nurse specialist, and dentist groups were 0.75, 0.70, and 0.78, respectively. The intra-rater reliability was 0.73. The inter-rater and intra-rater reliabilities of the oral mucosa pressure ulcer classification system showed substantially good agreement.

An Effective Modeling of Artificial Teeth Single Cores Prostheses (인공 치아 단일 코아 보철물의 효과적인 모델링)

  • Yoo, Kwan-Hee
    • Journal of the Korea Computer Graphics Society
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    • v.8 no.1
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    • pp.13-20
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    • 2002
  • Recently, there is a great demand for artificial teeth prostheses made of the materials which are sintered at $1500^{\circ}C$ such as zirconia ceramic. Since degree of strength of the materials is very high, however, it is very difficult for technicians to manually fabricate the prostheses for these ceramics. So the prostheses have been fabricated by using CNC(computer numerical control) machines. In doing them by using CNC, it is very important that the prostheses satisfying dentists's requirements are accurately modeled into 3D objects. In this paper, we propose an effective method for modeling single cores such as single caps and Conus cores, which are the main those of artificial teeth prostheses. And we also present the visual examples of 3D models for these single cores modeled by the proposed methods. In special, the method has used Minkowski sum and ZMap for modeling the single cores.

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Impact of Servant Leadership Perception on Job Satisfaction, Organizational Commitment and Turnover Intention of Dental Hygienists (치과위생사의 서번트 리더십 지각수준이 직무만족, 조직 몰입 및 이직의사에 미치는 영향)

  • Kim, Eun-Sook;Yu, Seung-Hum;Sohn, Tae-Yong;Park, Eun-Cheol
    • Korea Journal of Hospital Management
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    • v.16 no.4
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    • pp.1-16
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    • 2011
  • The purpose of this study is to examine impacts of servant leadership perception of dental hygienists on organizational commitment, job satisfaction and turnover intention as strong predictors of turnover rate. These data were collected from the structured questionnaire survey, from April 1 through April 30, 2011, to 383 people among those in the field of dental hygiene affairs, working for nine dental hospitals or twenty-four dental clinic under two dental university hospital in capital area. The principal findings of this research are as below; First, servant leadership perception had a significantly positive influence on job satisfaction and organizational commitment. Also servant leadership perception of dental hygienists had a significantly negative influence on turnover intention. Second, job satisfaction and organizational commitment of dental hygienists has a negative influence on turnover intention. Third, servant leadership perception of dental hygienists were revealed as a meaningful effects ones on job satisfaction and organizational commitment, but they didn't have meaningful effect on turnover intention. However, we can understand that servant leadership perception have indirect effect on turnover intention via job satisfaction and organizational commitment. This result indicates that the managers of dental hospital and clinic should perceive that the consistent management effort to improve servant leadership can increase job satisfaction, and finally will increase the organizational commitment that means the loyalty to organization. In short, hospital operators and managers should examine each manager's qualification, type and style of leadership in the hospital organization, and they must develop lasting programs for effective education and training for developing characteristics of leadership are in needed to have managers with appropriate managerial mind to respective post and status.

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저온 대기압 플라즈마 제트를 이용한 우치 미백효과

  • Sim, Geon-Bo;Kim, Yong-Hui;Park, Dae-Hun;Gwon, Jae-Seong;Choe, Hye-Suk;Lee, Chae-Bok;Eom, Hwan-Seop;Kim, Gyeong-Nam;Choe, Eun-Ha
    • Proceedings of the Korean Vacuum Society Conference
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    • 2013.08a
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    • pp.175-175
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    • 2013
  • 현재 치과에서 상용되는 치아미백법은 과산화수소와 레이저를 사용하여 의사가 직접 치료를 하고 있다 [1]. 단기간에 높은 미백효과를 얻기 위해, 고농도의 과산화수소를 이용하게 되는데, 이는 암 또는 심장병 등을 유발시키는 원인이 될수 있음으로 인체에 매우 유해하다 [3,4]. 우리는 식품의약품안정청에서 규제하고 있는, 카바마이드 퍼옥사이드(15%)를 사용하였다. 카마바이드 퍼옥사이드(15%), 수증기, 저온 대기압 플라즈마 제트를 사용하여 미백효과를 관찰하였다. 기체 유량은 1,000 sccm 이며, 공기와 질소를 사용하였다. 미백효과를 보기 위한 대상으로는 우치(牛齒)를 사용하였으며, 플라즈마를 처리하여 미백효과를 관찰하였다. 실험 대조시료군으로는 카바마이드 퍼옥사이드(15%)와 수증기(0.4%)를 첨가한 다음, 공기 플라즈마와 질소 플라즈마를 조사하여 비교해보았다. 수증기를 첨가한 이유는 활성산소의 농도를 높이기 위함이며, 탁월한 미백효과를 얻을 수 있다. 실험을 통하여 우치에 카바마이드 퍼옥사이드(15%)와 수증기(0.4%)를 처리한 경우 플라즈마의 미백효과가 탁월함을 보였다. 이때 CIE색좌표 ($L^*a^*b^*$)에서 명도도가 높아짐을 보았다. 미백효과에 대한 측정은 측색분광기(cm-3500d)를 이용하였다. 라만은 빛이 어떤 매질을 통과할 때 빛의 파장을 변화시켜 빛의 일부는 진행방향에서 이탈해 다른방향으로지행하는 현상을 산란이라고 한다. 이를 이용하여 빛의 파장을 변화시키는 현상을 라만산란이라고 한다. 이것을 이용하여 같은 우치의 표면을 플라즈마 처리 전 후를 라만을 통해 측정하였다. 대기압 저온 플라즈마에서 발생되는 ROS는 미백효과에 큰 영향을 미친다. 모든 실험의 플라즈마 처리시간은 최대 20분까지로 하였다.

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The relationship among Career Decision Efficacy, Learning Flow, Academic Achievement, and Department adjustment in Some Dental Hygiene Students (일부 치위생과 학생의 진로결정효능감, 학습몰입, 학업성취도와 학과적응도와의 관계)

  • Choi, Gyu-Yil;Lee, Da-Hyun
    • Journal of the Korea Convergence Society
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    • v.10 no.1
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    • pp.299-305
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    • 2019
  • The purpose of study was to investigate the effects of career decision efficacy, learning Flow, and academic achievement on department adaptation of dental hygiene students. The subjects of the study are self-administered surveys of 200 students who indicated their intention to participate. 181 questionnaires were analyzed using SPSS 18.0. The results of this study show that career decision efficacy, learning flow, academic achievement affect to major satisfaction, major confidences, major attachment. The results of this study show that career decision efficacy, academic achievement affect to major vision. Some dental hygienists students need support systems such as learning methods and educational environment that can improve academic achievement and learning commitment in order to help students adapt to their department. In addition, education and career support for career decision efficacy should be continuously maintained.

The effects of dental medical institutions of user reactions by mobile message type (모바일메시지 속성별 이용자 반응이 치과의료 이용의사에 미치는 영향)

  • Im, Ae-Jung;Han, Soo-Yeoun;Lim, Hee-Jung
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.2
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    • pp.81-91
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    • 2019
  • Objectives: It helps dental clinic to work 1:1 consulting and select the properties of the Kakao Talk message. The study was designed to determine the influence of users cognitive and emotional responses by message attribute that affect intention of use of dental clinic. Methods: This study targeted 297 peple Kakao Talk users aged 20-50 s, in Seoul, Gyeonggi-do and Incheon from, February 6 to April 7, 2017. We analyzed the data with frequency analysis, t-test, one-way ANOVA, and multiple regression analysis by using SPSS ver 24.0(SPSS Inc, Chicago, USA). The significance level for significance was set at 0.05. Results: Among the user's responses about the event type Kakao talk message, the ease(${\beta}=0.121$, p<0.01), usefulness(${\beta}=0.148$, p<0.001), affinity(${\beta}=0.471$, p<0.001), satisfaction(${\beta}=0.249$, p<0.001). affected intention of use of dental clinic. Among the user's responses about the dental information type, the ease(${\beta}=0.150$, p<0.05), expertise(${\beta}=0.151$, p<0.05), satisfaction(${\beta}=0.237$, p<0.001) affected intention of use of dental clinic(p<0.05). Among the user's responses about the general public relations type, the expertise(${\beta}=0.254$), affinity(${\beta}=0.193$), satisfaction(${\beta}=0.474$) affected intention of use of dental clinic(p<0.001). Conclusion: It is necessary to elicit a positive intention of use of dental clinic through a highly emotional response from the users to improve the image of the dental clinic and to attract patients.

The objective and quantitative analysis of malocclusion - Part 2. Influence of malocclusion components to treatment difficulty (부정교합의 객관적 정량분석: Part 2. 부정교합 요소들의 치료난이도에 미치는 영향)

  • Joo, Bo-Hoon;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.35 no.1 s.108
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    • pp.69-81
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    • 2005
  • As one of the variations in growth and development of the craniofacial complex. malocclusion shows lack of concordance In the recognition and severity of malocclusion for dentists as well as the acceptance and need of orthodontic treatment for the patient The purposes of this study were 1) to examine the relationships between objective malocclusion severity aid subjective treatment difficulty. 2) to evaluate the effect of malocclusion components to the subjective perceived difficulty of treatment. 3) to establish the weighted values of malocclusion components to reflect the treatment difficulty 100 pairs of dental casts with the general characteristics of malocclusion. were selected from the orthodontic departments of Kyunghee University and Samsuug Medical Center. The severity of malocclusion was evaluated by the author with the PAR index The perceived treatment difficulty and the estimated treatment duration on these dental models were evaluated by 8 experienced orthodontists. The relationships between the objective malocclusion severity and the subjective treatment difficulty were statistically evaluated. and the weighted values of malocclusion components to reflect treatment difficulty were statistically formulated. There were significant relationships between objective malocclusion severity and subjective treatment difficulty The malocclusion components which significantly affected the treatment difficulty and their weighted values in parentheses were as follows upper anterior alignment(1). overbite (2). buccal occlusion (3) middline (4), and overjet (5). This study Provides the fundamental principle to evaluate the objective malocclusion severity which is reflected by the subjective treatment difficulty of Korean orthodontists.