• 한국치위생학회지
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• 제15권2호
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• pp.225-233
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• 2015

Objectives: The purpose of this study was to investigate the quality improvement of dental prosthetic treatment and better dental service for the patients. Methods: A self-reported questionnaire was completed by 320 users of dental prosthesis in Seoul and metropolitan area from April to June, The questionnaire consisted of 4 questions of general characteristics, 5 questions of dental prosthesis treatment, 5 questions of functional satisfaction, and 6 questions of psychological and aesthetic satisfaction by Likert 5 scale. Cronbach's alpha was o.691 in functional satisfaction and 0.716 in psychological and aesthetic satisfaction. Except 18 incomplete answers, 302 data were analyzed. Results: The functional satisfaction mean was $3.70{\pm}0.51$ and that of psychological aesthetic satisfaction was $3.60{\pm}0.48$. Monthly income was the most important influencing factor on full and partial prosthesis use. Conclusions: In order to improve the satisfaction level in dental prosthetic treatment, the insurance coverage for the dental prosthetic treatment is necessary. The palliative supportive measure for the prosthesis is also required.

• 한국치위생학회지
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• 제17권1호
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• pp.89-98
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• 2017

Objectives: The purpose of the study is to investigate the perception and satisfaction of faces and the need for aesthetic dental treatments in college students. Methods: A self-reported questionnaire was completed by 247 college students in Suncheon from August 29 to September 2, 2016. The questionnaire consisted of satisfaction of face (16 items), perception of the face (7 items), need for aesthetic dental treatment (3 items), and general characteristics of the study subjects (8 items). Tooth shade was measured using a shade guide (VITA classical shade guide, VITA North America, Chicago, USA). Data was analyzed using t test, ANOVA, and post hoc $Scheff{\acute{e}}$ test. Results: The students were satisfied with eye, mouth corner, and lip, but they were not satisfied with tooth shade, bilateral symmetry of face, and angle of jaw. The students tended to be concious of perception of others. Their most common tooth shade was orange and yellow. They preferred to have a brighter tooth color. Conclusions: To satisfy the needs of patients, it is important to understand the perception and satisfaction of face and the need for aesthetic dental treatment.

• 대한치과의사협회지
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• 제56권9호
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• pp.512-520
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• 2018

As the demand for natural and beautiful smiles increases, the demand for anterior aesthetic treatment is increasing. Orthodontic treatment is often necessary for esthetic, healthy and natural treatment outcome. Particularly, in the case of middle-aged patients, minor tooth movement limited to anterior teeth is more effective than comprehensive orthodontic treatment which requires a long-term treatment period. Clinician who is in charge of aesthetic dentistry should have the ability to select a case that can be treated with partial orthodontic treatment and to determine the most effective treatment method. This article provides decision flowchart for case selection and choosing the best treatment modality for anterior teeth alignment.

• 한국치위생학회지
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• 제18권5호
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• pp.741-750
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• 2018

Objectives: This study aimed to investigate factors affecting treatment satisfaction of patients with dental implants and quality of life. Methods: A questionnaire survey was conducted for adults who underwent dental implant treatment. at dental departments of general hospitals or dental clinics in Seoul and Gyeonggi-do. Data was analyzed to get descriptive statistics of variables, and was under independent t-test, one way ANOVA, and multiple regression analysis. Results: The mean of total satisfaction with implants was $3.73{\pm}0.41$ in the 5-point scale, and that of general satisfaction was $3.97{\pm}0.53$, followed by mean values of psychological satisfaction of $3.68{\pm}0.51$, aesthetic satisfaction of $3.67{\pm}0.49$, and masticatory function of $3.65{\pm}0.53$. Factors that affect implant treatment satisfaction among patients were monthly income (more than 4 million won), hesitation of the procedure (treatment period), regular checkup (yes) and concerns during treatment (work). Factors that affect the quality of life of patients who underwent implant treatments were satisfaction of aesthetic function and overall satisfaction. Conclusions: The above results showed that the higher the aesthetic satisfaction and overall satisfaction with the implant are, the higher the quality of life of patients get. Therefore, it is necessary for dental specialists to perform dental implants well to improve quality of life of patients.

• 한국치위생학회지
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• 제6권2호
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• pp.93-102
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• 2006

This study investigated the satisfaction level of aged patients over sixty five years old or over who were treated in a dental hospital or clinic in the metropolitan area. The difference in satisfaction level by general characteristics of aged patients and characteristics related to the treatment as well as the correlation of satisfaction level by each factors with the overall satisfaction level of the treatment were analyzed, resulting as follows. 1. Satisfaction level of dentures by each factors resulted as following. Average general satisfaction level marked $3.47{\pm}0.74$, average functional satisfaction level marked $2.66{\pm}0.83$, and aesthetic satisfaction level marked $3.78{\pm}0.65$. 2. There were no significant difference in general and functional satisfaction level by each factors from the population statistic of the participants. Aesthetic satisfaction level differed by the educational background(p=0.01). 3. There were no significant difference in general and aesthetic satisfaction level by the oral health condition as well as the treatment quality. Functional satisfaction level differed by the oral health condition(p=0.01). 4. The correlation of satisfaction level by each factors with the overall satisfaction level of the treatment differed as follows. In case each factors were satisfactory, the overall result of the treatment marked satisfactory as well. However, in case each factors were dissatisfactory, the overall result of the treatment marked dissatisfactory showing difference with the above result(p=0.000). 5. Each factor showed statistically positive correlation. Functional satisfaction level and general satisfaction level showed the highest correlation(r=0.677).

• 대한심미치과학회지
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• 제25권1호
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• pp.50-63
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• 2016

전치부 심미 보철에서의 성공은 안모에서의 심미와 구강 내 주의 치아와 치주 조직간의 조화라 할 수 있다. 정상적인 교합평면을 가진 안면대칭의 환자에서는 여러 심미 책에 나오듯 기준을 잘 정하고 그 기준에 맞게 제작하면 별 탈없이 조화롭고 심미적인 보철을 제작할 수 있다. 하지만 안면 비대칭 환자의 경우 안면 대칭의 환자의 기준에 억지로 맞추어 제작하게 되면 심미적이지도 않을뿐더러 기능적이지도 않은 결과로 끝나기 쉽다. 또한 치은 퇴축이 심한 환자의 경우 달라진 치아주위 환경에 맞게 보철의 형태를 부여해야만 치주조직에 조화롭고 심미적이며 자정작용이 뛰어난 보철제작이 가능하다.

• 대한치과교정학회지
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• 제27권6호
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• pp.871-880
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• 1997

본 연구에서는 치열심미지수(DAI)의 10가지 교합적 요소와 악안면 형태와의 상호관계를 단변수와 다변수 통계처리 기법을 이용하여 조사하였다. 자료는 교정치료를 위해 내원한 영구치열을 가진 182명(남자 79명, 여자 103명)의 치료전 연구모형과 측모 두부규격방사선 사진으로부터 얻었다. 악안면 형태를 분석하기 위해서 DiPaolo의 사변형 분석 방법을 이용하였으며 치열심미지수의 10가지 교합적 요소는 Jenny, Cons 등에 의해 발표된 진단기준에 따라 각 항목을 측정하여 기록하였다. 또한 안모의 심미관계도 조사하여 다음과 같은 결론을 얻었다. 1. 치열심미지수의 구성요소중 결손치수, 절치부 총생도, 절치부 공극도, 정중이개량, 상악전치부 최대 변이량등 대부분의 구성요소가 악안면 형태와 상관관계를 보이지 않았다. 2. 치열심지지수의 구성요소중 상악전치부 수평피개량, 하악전치부 수평피개량, 전 후방 구치관계 등은 시상면적 악골관계를 나타내는 골격요소인 MdBL/MxDL, MdLL/MxLL, MdSL/MxSL들과 상관관계를 보였다. 3. 치열심미지수의 구성요소중 전치부 수직 개방교합량은 수직적 악골관계를 나타내는 ALFM/AUFH, MPA, SA등과 미약한 상관관계를 보였다. 4. 교합의 여러 측면을 기초로 한 치열심미지수는 악안면 형태와 무관하였다. 5. 교정치료 필요 유무의 선별 및 부정교합의 심도에 관한 포괄적인 평가에는 어느 특정 지수에 의존하기보다는 교합적 요소와 악안면 골격적 요소 모두에 기초를 두어야 할 것으로 사료된다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제19권4호
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• pp.239-244
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• 2019

The effectiveness of dental implants in patients with disability, who are non-compliant during treatment, is controversial because of their poor oral health. Thus, oral health-care and management in such patients is concerning. Moreover, limited information is available on prognosis after implant placement. Herein, we describe a patient with schizophrenia who underwent dental implantation under multiple inductions of general anesthesia (5 times) and required conservative treatment and tooth extraction for multiple dental caries and retained roots because of inadequate oral health-care. Postoperatively, fracture of the prosthodontics and progression of dental caries were observed, and with 3 additional inductions of general anesthesia, conservative treatment, implant surgery, and prosthesis implantation were conducted. Postoperative 12-month follow-up since the last prosthesis implantation showed successful results. For patients with schizophrenia, multiple implantation can reduce horizontal bone loss and achieve aesthetic results compared to treatment with removable prosthodontics and could serve as an alternative treatment modality.

• Restorative Dentistry and Endodontics
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• 제45권1호
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• pp.9.1-9.7
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• 2020

The restorative procedure in posterior teeth involves clinical steps related to professional skill, especially when using the incremental technique, which may fail in the long term. A recent alternative is bulk-fill resins, which can reduce polymerization shrinkage, decreasing clinical problems such as marginal leakage, secondary caries, and fracture. This scientific study aims to report a clinical case using bulk-fill resin with an occlusal matrix. As determined in the treatment plan, an acrylic resin matrix was produced to establish an improved oral and aesthetic rehabilitation of the right mandibular first molar, which presented a carious lesion with dentin involvement. The occlusal matrix is a simple technique that maintains the original dental anatomy, showing satisfactory results regarding function and aesthetic rehabilitation.

• 대한심미치과학회지
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• 제28권2호
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• pp.95-115
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• 2019

심미보철치료를 성공하기 위해서는 crown part심미(White Esthetic)와 Tissue part 심미(Pink Esthetic)을 반드시 잘 컨트롤해야 한다. 임상적으로 White esthetic은 치과기공사의 영역이고 Pink esthetic은 치과의사의 영역이지만 상대방 영역에 대한 깊은 이해을 통해 더 성공적인 결과를 만들어 낼 수 있다. 이 논문에서는 이러한 과정에 대해 간략히 서술해 보고자 한다.