• The Journal of Korean Academy of Prosthodontics
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• 제60권2호
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• pp.160-167
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• 2022

One of the treatment options for edentulous state patients with residual ridge resorption is implant overdenture using milled bar and attachment. It not only provides improved retention and stability but can also reduce the coverage of palatal surface. In addition, when a small number of implants are used, milled bar has the effect of being splinted between implant fixtures, which makes it mechanically advantageous under functions such as mastication. The patient in this case was a maxillary edentulous state patient with a considerable amount of residual alveolar bone resorption after removing the existing failed implants. Three implants were planted on both sides and an implant overdenture was fabricated using milled bar and ADD-TOC attachment.

• Journal of dental hygiene science
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• 제14권2호
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• pp.114-122
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• 2014

The purpose of this study was to analyze the effect of mediating variables on the relationship between job stress and stress response. A survey was conducted to 243 clinical dental hygienists from January 15, 2013 to March 20, 2013 and the data were analyzed using t-test, one-way ANOVA, Pearson's correlation analysis, and hierarchical multiple regression analysis. The subjects who worked in poor working environment, had high level of role conflict and overload and aggressive nature showed high stress responsivity (p<0.01). The variable that showed mediation effect on the relationship between job stress and physical discomfort, depression was shown to be personality type (p<0.05). Also, the variable that showed mediation effect on the relationship between job stress and turnover intention was social support (p<0.05). According to the results, personality type and social support were shown to be important parameters when it came to the relationship between job stress and stress response. Therefore, in order to reduce negative outcomes caused by stress, it is suggested to provide an educational opportunity on self-control management while increasing social support from the organizational and structural level. Especially, it is asked to expand the system that provides encouragement and recognition to feel the sense of achievement in the course of their duty execution.

• Journal of the Korea Convergence Society
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• 제9권4호
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• pp.397-408
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• 2018

The purpose of this study is to understand and describe the hospitalization stress experience of patients with schizophrenia. The subjects of this study were 15 inpatients who were hospitalized in three psychiatric hospital closure wards. As a result of the study, the contents of hospitalized stress were classified into five categories, 17 sub-categories and 58 meaningful contents. The five top categories were 'missing and guilt for family', 'discomfort due to poor therapeutic environment', 'not respected of rights Patient's, 'anxiety about life after discharge', 'social prejudice and self-perceived stigma. This study has significant implications for the provision of basic data to mediate hospitalization stress of patients with schizophrenia.

• Journal of the Korean Home Economics Association
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• 제40권8호
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• pp.13-21
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• 2002

본 연구의 목적은 유방절제수술을 받은 여성들을 위해 개발한 다섯 종류의 브래지어와 두 종류의 보정물 유형에 따른 착용감과 쾌적성을 검토하기 위한 것이다. 피험자로는 유방절제시술기간이 3년 이상이며 브래지어 사이즈 85에 컵사이즈 A컵인 여성 세 명을 선정하였다. 실험방법은 보정물을 삽입한 브래지어를 하루에 최소 15시간 이상 연속착용하도록 하고 실험복을 착용한 상태에서 피험자들의 일상과 그에 소요된 시간을 기록하도록 하였으며 이 때 착용한 브래지어와 보정물에 대한 느낌을 5점 척도로 표시하게 하였다. 실험기간은 다섯 종류의 브래지어를 하루에 한 가지씩 정해진 순서대로, 처음 5일은 옥보정물과 함께 착용하도록 하고 그 후 5일은 스펀지 보정물과 함께 착용하도록 하였으며 이러한 순서를 두 번 반복하게 하여 총 20일이 소요되었다. 각각의 피험자들에 대해서는 실험이 진행되는 동안 반복적인 면접을 통하여 진행상황을 기록하였으며 아울러 실험복에 대한 제언을 수렴하여 보다 나은 제품개발을 위한 기본 자료화하였다. 실험결과는 다음과 같다. 1. 브래지어에 있어서는 세 명의 피험자가 일치된 결과를 나타내어 일반적인 브래지어 형태와 가장 유사하면서 어깨 끈과 하변밴드 폭만 약간 넓혀준 실험복이 착용감에서 가장 높은 점수를 받았다. 착용자의 편의를 고려하여 앞트임으로 제작한 실험복의 경우에는 앞으로 구부렸을 때 밴드부분이 꺾이는 현상이 생겼으며 피험자들이 모두 뒤트임에 익숙하여 앞트임 브래지어 착용에 불편함을 나타내었다. 브래지어 착장평가에 있어서는 피험자들의 일상적인 행동이나 보정물의 종류가 영향을 미치지 않는 것으로 나타났다 2. 보정물 평가에 있어서는 모든 피험자가 옥가루 재질의 보정물만으로는 수술부위를 자극하는 느낌이 든다고 하였으나 3mm 두께의 스펀지와 함께 삽입했을 때는 아무런 문제가 없는 것으로 나타났다. 또한 보정물의 무게 조절이 가능하므로 실리콘재질의 보정물에서 쉽게 찾아볼 수 있는 무게에 대한 문제를 제기한 피험자는 없었다. 그러나 스펀지로 제작된 보정물에 대해서는 무게가 너무 가벼워 모든 피험자들이 양 쪽 가슴의 균형이 잘 맞지 않는다고 답하였으며 특히, 운동을 즐기고 활동이 많은 피험자의 경우 스펀지로 제작된 보정물에 대해 큰불만을 표시하였다.

• Journal of Gastric Cancer
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• 제9권4호
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• pp.215-222
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• 2009

Purpose: Billroth II gastroenterostomy is a typical reconstruction method after distal gastrectomy for gastric carcinoma, but it has problems, especially frequent reflux esophagitis. Various methods have been tried to address this problem. Among them are Braun enteroenterostomy and Roux-en-Y gastroenterostomy, which are performed separately according to the size of the gastric remnant. The aim of our study was to determine whether these applications are compatible. Materials and Methods: Between September 2003 and April 2007, we performed Roux-en-Y gastroenterostomy operations (14 patients) when the size of the gastric remnant was <10%, Braun enteroenterostomy (17 patients) when the size was between 10 and 20%, and Billroth II gastroenterostomy (14 patients) when the size was between 20 and 40% after subtotal gastrectomy for gastric cancer by a single surgeon at our hospital. We analyzed the results of each treatment. We evaluated the symptoms and endoscopic findings using questionnaires and hospital records. To evaluate nutritional states, we reviewed albumin and hemoglobin levels and body weight changes. Results: All operations were performed safely mortality was 0% and postoperative complications were 8.9%. On endoscopy, reflux gastritis was observed to occur in 7.63%, 18.65% and 40.0%, respectively, of patients who had undergone Roux-en-Y, Braun and Billroth II operations (P=0.13). Reflux esophagitis was observed in 1 patient in the Roux-en-Y group and 1 patient in the Braun group. Endoscopic gastrostasis was observed in 2 patients in the Roux-en-Y group, one of which was thought to cause reflux esophagitis. Patients in the Roux-en-Y group and Braun groups ingested a lower volume of food than did those in the Billroth II group (respectively, 7.1%, 0.0% and 28.7%) and complained less of postprandial discomforts (respectively, 14.3%, 23.5% and 57.1%) and reflux symptoms (respectively 0.0%, 11.8% and 42.9%). Conclusion: The application of Braun enteroenterostomy and Roux-en-Y gastroenterostomy to the small gastric remnant may be effective for reducing reflux symptoms and abdominal discomfort after distal gastric resection. We recommend Roux-en-Y gastroenterostomy when the size of the gastric remnant is <10%, and Braun anastomosis in the others. It will need to be determined which reconstructive procedure is better for many different conditions.

• The Journal of Korean Academy of Prosthodontics
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• 제54권3호
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• pp.267-272
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• 2016

This case report describes the treatment of two fully edentulous patients with mini-implant overdentures using different implant systems on narrow mandibular alveolar bone ridge. They were complaining about discomfort and pain wearing mandibular conventional complete dentures caused by insufficient retention. Each patient received four miniimplants in the interforaminal area of the mandible using the non-submerged flapless surgical approach. One-body type implant (Slimline, Dentium, Seoul, Korea) was used for a patient and loaded immediately after surgery. Metal housings of O-ring were attached by direct technique. For the other patient, two-piece type implant (LODI, Zest Anchors, Escondido, CA, USA) was used and impressions were made for attachment connection of the Locator's metal housings after 8 weeks of surgery. Within this case report, mandibular miniimplant overdentures using different implant systems showed improvement of patient satisfaction with favorable peri-implant tissue response 6 months after attachment connection. However, long-term follow-up is needed for further evaluation.

• The Journal of Korea Assosiation for Disability and Oral Health
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• 제13권2호
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• pp.95-98
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• 2017

Due to hypodontia, poor oral hygiene, and significantly more prevalent periodontal disease, patients with Down syndrome show higher incidence of edentulism. Oral rehabilitation of such patients is imperative but challenging as high rates of prosthesis failure are reported due to malocclusion, high masticatory force, and parafunctional habits. As CAD/CAM(Computer-Aided Design and Computer Aided Manufacturing) is the recent trend in prosthodontics, this report discusses the application of CAD/CAM in a Down syndrome patient. A 25-year-old patient with Down syndrome was presented to the Department of Pediatric Dentistry, Yonsei University Dental Hospital for oral examination. 5 maxillary teeth were missing, 3 were fully impacted, and 4 had grade III mobility. The patient underwent general anesthesia for extraction of impacted and mobile teeth, implant surgery, and final impression for prosthesis. Afterwards, CAD/CAM was used to design and manufacture a 10-unit zirconia bridge. However the bridge was fractured after 18 months due to the patient's bruxism and high masticatory force. Final impression taking, bite registration, cast fabrication, cast scanning, and prosthesis designing were not needed as CAD/CAM data remained. Previous CAD/CAM design was used to remanufacture the zirconia bridge. Down syndrome patients have malocclusion, high masticatory force, and parafunctional habits which increase the possibility of prosthesis fracture. CAD/CAM is beneficial for Down syndrome patients as previous digital records can be utilized for prosthesis repair or remake. In detail, application of CAD/CAM in remanufacturing decreases patient's discomfort of impression taking, shortens and simplifies dental laboratory procedures, and reduces clinician's effort of taking detailed final impressions or accurate bite registration. In conclusion, oral rehabilitation using CAD/CAM provides not only satisfactory levels of comfort, stability, and esthetics, but also easier repair or remake compared to conventional prostheses.

• Journal of the Korea Academia-Industrial cooperation Society
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• 제16권1호
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• pp.576-584
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• 2015

This research studiedthe correlation between dental implant patients' oral hygiene behaviors and satisfaction. By doing so, this study seeks to provide the basic data for the development of diagonal and educational programs to improve implant prosthesis maintenance and satisfaction. The data was collected from January 7 to June 30, 2014, analyzed by SAS (ver 9.2) and for this research, 6 dental hospitals and clinics in Daegu, Busan and Jinju, South Korea were examined for their implant patients receiving treatment. As a result, a total of 266 sets of data were investigated herein to reach the following findings: 1. The survey on status of dental implant prosthesis use and maintenance knowledge found 1.41 on average out of the total score of 3. 2. In the survey on implant prosthesis maintenance after putting in, the dental scaling cycle was found to be 'none' (63.2%). 3. In the survey on implant use status and satisfaction with their implant prosthesis, the masticatory function (p=0.001) were found to be significantly higher in the group using such oral-hygiene goods. 4. In the correlation analysis among one's knowledge on dental implant maintenance, discomfort and satisfaction, it was found that the more they used oral-hygiene supplementary goods (${\beta}=0.095$), the more they had knowledge on implant maintenance (${\beta}=0.069$) and the more they experienced oral health education (${\beta}=0.032$), the higher their satisfaction levels were. It is deemed that, for enhanced satisfaction of dental implant patients, their maintenance behaviors need to be further improved through oral health educational programs.

• The Journal of Korean Academy of Prosthodontics
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• 제58권4호
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• pp.342-348
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• 2020

Anatomical changes in the facial and alveolar bones occur after multiple teeth are extracted. In the maxilla, the alveolar bone is absorbed in the direction and inclination of the root, and the remaining alveolar bone becomes shorter, reducing the diameter of the arch. In addition, as the nasolabial angle increases, the support of the lips and the aesthetics of the face are lost. This case reports a functional and aesthetically satisfactory results of full mouth rehabilitation with the implant-supported fixed prosthesis using a zirconia framework.

• Journal of the Korea Convergence Society
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• 제11권2호
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• pp.69-73
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• 2020

This study was intended to prepare the basic data required for the development of oral products for the patient with diabetes by analyzing the relation between diabetes and oral health and the actual condition of oral care from the senior citizens diagnosed with diabetes out of the senior citizens over 65. In this study, 8 senior citizens who visited the senior welfare center in D city, were organized into the group of 4 senior citizens and the interview approximately for 40 minutes per group was conducted. In the results of this study, 5 core topics of 'Diabetes and Oral Health", 'Oral Discomfort', 'Oral Care Method', 'Visit to Dentist' and 'Demand for Oral Care' were drawn. For the relation between diabetes and the oral health, the most of research subjects answered that they heard about it for the first time, They answered that for the oral health care, they brushed the teeth using toothpaste 3 ~ 4 times a day and for the visit to dentist, they visited the dentist only when they had oral problem. For what is necessary for oral care, they answered that they wish that the oral care education customized for patient with diabetes and diverse oral care products such as toothpaste, etc. would be developed. Considering the results of this study, the development of oral care management program and the development of oral products in future are deemed to be necessary.