• Title/Summary/Keyword: Caries pattern

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Analysis of Factors that Affect the Follow-up Pattern after Dental Treatment under Conscious Sedation in Children (어린이의 진정법 하 치과치료 후 정기검진에 영향을 미치는 요인 분석)

  • Hwang, Inkyung;Mah, Yonjoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.45 no.3
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    • pp.324-333
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    • 2018
  • Children need regularly dental check-ups after dental treatment because there are a lot of changes of oral conditions such as tooth exfoliation and eruption, occlusion, and recurrence of dental caries. The purpose of this study is to determine the factors that affect the follow-up pattern after dental treatment under conscious sedation. Patients who were treated under sedation at the department of pediatric dentistry of Ewha Womans University Mokdong Hospital from 2009 to 2013 were included in this study. The final samples comprised of 562 patients that were classified into 4 groups according to the number of visits during 3 years. The chi-square test was used to determine the factors affecting regular follow-up. There were statistically significant differences between each treatment groups and factors such as the change of doctor, overall treatment time, the number of treated teeth under sedation, restorative treatment, minor operation, and preventive treatment (p < 0.05). This study identified factors that affect regular follow-up after dental treatment under conscious sedation. It is recommended to educate the importance of regular check-ups to parents who are less likely to return.

DENTAL CHARACTERISTICS OF A PATIENT WITH MCCUNE-ALBRIGHT SYNDROME (McCune-Albright syndrome 환자의 치과적 특성)

  • Lim, Jae-Young;Song, Je-Seon;Lee, KoEun;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.1
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    • pp.41-44
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    • 2018
  • McCune-Albright syndrome (MAS) is a rare disease characterized by fibrous dysplasia (FD), Cafe-au-lait spots, and endocrine disorder. A 4-year-old girl with MAS visited the clinic with a chief complaint of facial asymmetry and bruxism without any pain. Facial asymmetry and many dental problems such as midline deviation, "ground glass appearance" on the entire jaw, thinned cortical bone, loss of lamina dura and ectopic germs were found. Because of severely displaced tooth germs and FD affected jaw, there is a high possibility of malocclusion during mixed/permanent dentition. It is necessary to observe the eruption pattern periodically. If there are clinical symptoms like an abnormal eruption pattern, facial asymmetry or high caries susceptibility, appropriate interventions of dentist are required.

THE PRACTICE PATTERN OF PEDIATRIC DENTISTS IN KOREA (소아치과 개원의 진료 현황 분석)

  • Choi, Eun-Jung;Jung, Tae-Ryun;Hahn, Se-Hyun;Kim, Young-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.504-509
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    • 2006
  • Pediatric dentistry is differentiated from other fields of dentistry in that it provides comprehensive dental care for children and adolescents. In early days, pediatric dentistry used to be confined to the caries treatment and extraction of primary teeth However, the practice spectrum of pediatric dentistry has broadened to the orthodontic, surgical, esthetic and preventive treatments A survey that contained questions about practice patterns were mailed to 50 pediatric dentists, and 21 surveys were returned. Results were as follows: 1. The average number of patients per week was 82.4, and the average number of treated teeth per patient was 2.35. 2. Preventive treatments comprised 15.7%, restorative treatments 55.7%, endodontic treatments 15.6%, surgical treatments 10.5%, and orthodontic treatments 2.4%. 3. In restorative treatments, amalgam restoration comprised 3.8%, glass ionomer 5.5%, composite resin 63.0%, and stainless steel crown 27.7%.

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A TEM STUDY OF THE RESIN-DENTIN INTERDIFFUSION ZONE FORMED BY ONE-BOTTLE DENTIN ADHESIVE SYSTEMS (단일용기 상아질 접착제 처리 후 레진-상아질 경계면에 대한 투과전자현미경적 연구)

  • Yang, Dong-Woon;Park, Seong-Ho;Lee, Chan-Young
    • Restorative Dentistry and Endodontics
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    • v.25 no.2
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    • pp.180-192
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    • 2000
  • One bottle system was recently developed in order to simplify the clinical skills and save chair time after continuous improvements on dentin bonding agents. There has been many studies to measure the bond strength of one bottle systems but no actual work has been done on micromorphologic study of resin-dentin interdiffusion zone after one bottle system application. To evaluate the bonding patterns of various commercially available one bottle systems to dentin, observation of resin-dentin interdiffusion zone under TEM was performed. Caries-free human third molars within one month of extractions were chosen for the experiments. The molars were sectioned 1mm above the cementoenamel junction and got rid of the root portions. Crown portions of the teeth were sectioned parallel to occlusal surface so that dentin discs of 1mm in thickness were remained. 7 one bottle systems and 1 two bottle system were applied according to manufacturer's instructions and followings were the results. 1. In every experimental groups, cross bandings of collagen fiber were distinguishable and tight bon dings between the bonding agents and dentin were observed. 2. Hybrid layer was clearly observed in ONE-STEP$^{(R)}$, Prime & Bond$^{(R)}$ 2.1, Syntac$^{(R)}$ SC, MAC-BOND II groups but it was not clear in Single Bond, D-Liner Dual PLUS, ONE COAT BOND groups. 3. Electron-density of hybrid layer was uniform in pattern in MAC-BOND II, Prime & Bond$^{(R)}$ 2.1 groups but not so uniform in ONE-STEP$^{(R)}$ group. 4. Electron-dense amorphous phase in most superior layer of the resin-dentin interdiffusion zone was characteristically observed in Single Bond, Syntac$^{(R)}$ SC, ONE COAT BOND groups. It can be concluded that bondings between the dentin bonding agents and dentin can be various in pattern according to their chemical compositions and the condition during applications.

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FAILURE OF ODONTOGENESIS AFTER CHEMO-RADIATION THERAPY FOR RHABDOMYOSARCOMA (횡문근육종의 항암제-방사선치료 후 치아발육장애)

  • Choi Sun-Young;Hong Sung-Woo;Koh Kwang-Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.28 no.1
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    • pp.285-297
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    • 1998
  • This report details a case of 8-year-old girl showing failure of odontogenesis after chemo-radiation therapy for the rhabdomyosarcoma at the age of 4. The observed results were as follows : 1. Past history revealed that she had received for a total radiation dose of 4430cGy, 29 fractions in 6 weeks and chemotherapy with vincristine, actinomycin D and cytoxan, followed as maintenance phase for 2 years. 2. The patient was symptom -free and appointed for the treatment of multiple dental caries. 3. Oral examination showed hypoplastic enamel on whole erupted permanent teeth and showed retarded eruption. 4. Conventional radiograms showed failure of root development including abrupt cessation of root formation and root agenesis, and microdontia, missing teeth, irregular enamel, dislocation of the impacted teeth. Additional finding showed good healing bone pattern on the left mandibular ramus and angle area. 5. Cephalometric analysis revealed failure of bite raising due to incomplete eruption of all the first molars and made it possible to suspect entrapped mandibular growth and then Class II tendency growth. 6. There was correlation between the time of chemo-radiation therapy and the damage of the teeth.

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A Study on Oral Health Knowledge and Behaviors of 12 year old Children in Seongnam City (성남시 12세 아동의 구강보건의식과 행태에 관한 조사 연구)

  • Ahn, Yong-Soon
    • Journal of dental hygiene science
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    • v.2 no.2
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    • pp.69-73
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    • 2002
  • The purpose of this study was to obtain baseline data for developing oral health education program. The questionaire about oral health knowledge and behaviors were given to 1419, 12 year-old children who lived in Seongnam City. The results were obtained as follows; 1) Of respondents, 46.2% visited dental offices within a year. And 33% of them were for the purpose of routine examinations and prevention. 2) 67.1% of them exhibited toothbrushing before bedtime and only 11.3% and 8.9% of them toothbrushed after between-meal intake and lunch. 3) 47.7% of them experienced dental health education programs and 72.3% of the programs had been during elementary school days. 4) 56.2% of them chose dentifrices without standards and 21.6% of them considered the presence of fluoride. 5) Of respondents, 57.4% and 46.4% knew the importances of toothbrushing and dietary pattern. But only 18.7% and 8.5% of them knew the methods of using fluoride and scaling. 6) 33% of them replied negatively to the probabilities of preventing dental caries. 7) Also, it is necessary to expand the oral health education programs for 12 year-old children in Seongnam City and include the annual screening dental examination, toothbrushing, dentifrice selection, using fluoride and scaling.

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A METHOD OF CAST CROWN RESTORATION FOR EXISTING PARTIAL DENTURE CLASP AND A CASE REPORT OF IT (기존 Clasp에 적합한 주조 금관 형성법과 임상응용 1 예)

  • Lee, Ho-Yong;Chung, Moon-Kyu;Kim, Chong-Youl
    • The Journal of the Korean dental association
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    • v.16 no.2 s.105
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    • pp.123-128
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    • 1978
  • Sometimes in clinic, we have found that cast crown construction is necessary to fit the existing partial denture clasp, when the abutment is involved with caries, a failing restoration, periodontal disease, or fracture. This is important not only to protect the abutment tooth from missing, but to restore retention, bracing and support for partial denture. For constructing the cast crown, several methods have been reported by many of previous authors. The number of techniques reported during the past are ideal but have uncertain results However, with more improved and practical technic developed by me, the problem becomes more successful. One method in which does not need the laboratory technecian is the wax pattern has been made in chairside waxing by doctor himself. The other in which requires the laboratory technician is to use special impression method and articulator for laboratory waxing. In one case of the reported here, we have successful results in restoring the abutment with cast crown for original denture clasp.

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TOOTH SURFACE CARIES PATTERNS IN THE PRIMARY DENTITION ACCORDING TO BREAST OR BOTTLE FEEDING (수유 요인에 따른 유치열의 치면별 우식패턴)

  • Im, Kyeong-Wook;Lee, Kwang-Hee;Ra, Ji-Young;An, So-Youn;Kim, Yun-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.2
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    • pp.151-158
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    • 2010
  • The purpose of this study was to investigate the tooth surface caries patterns in the primary dentition according to breast or bottle feeding. The subjects of study were 815 children, 36 to 71 months old, in Iksan, Cheongju and Ulsan cities. The caregivers of the children were asked which they fed between the breast milk and the infant formula during the 1st year after birth and the duration of feeding. There was no significant difference in dmfs between the breast milk group and the infant formula group(significance level 0.05, same below). Tooth groups, tooth surface groups, teeth, and tooth surfaces which had significantly higher dmfs in the breast milk group than in the infant formula group were upper anterior teeth(tooth groups), upper incisors' buccal and proximal surfaces(tooth surface groups), upper incisors and upper second molars(teeth), upper central incisors' buccal and distal surfaces, upper lateral incisors' buccolingual and proximal surfaces, upper 2nd molars'lingual, proximal, and occlusal surfaces, and lower 2nd molars' buccal and distal surfaces. In the breast milk group, tooth groups, tooth surface groups, teeth, and tooth surfaces which dmfs significantly increased as the duration of the feeding increased were upper anterior teeth and upper molars(tooth groups), upper anterior teeth's proximal surfaces, upper molars' buccolingual, proximal, and occlusal surfaces, lower molars' proximal surfaces(tooth surface groups), upper anterior teeth, upper molars, lower 2nd molars(teeth), upper anterior teeth's proximal surfaces, upper 1st molars'buccolingual, proximal, and occlusal surfaces, upper 2nd molars' buccal surfaces, and lower 2nd molars'mesial surfaces(tooth surfaces). In the infant formula group, dmfs increased after 3 years of feeding, but the difference was not significant. Caries prevention is necessary in case of breastfeeding more than two years.

Dental Consultations and Treatment Pattern of Pediatric Inpatient in Severance Hospital (세브란스 병원에 입원한 환자들의 소아치과 협진의뢰 내용 및 진료현황)

  • Song, Jihyeo;Lee, Koeun;Song, Je Seon;Kim, Seong-Oh;Lee, Jaeho;Choi, Hyung-jun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.200-208
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    • 2019
  • The purpose of this study was to analyze the dental consultation of pediatric inpatients to the department of pediatric dentistry in Yonsei University Severance Hospital, and to investigate the change in patterns. In 2017, 268 pediatric patients (384 cases) admitted to the Severance Hospital were referred to the department of pediatric dentistry. The mean age was 6.6 years, and most of the patients were referred from the Department of Pediatric Hematology Oncology and Rehabilitation Medicine. The chief complaints were as follows: oral examination (31%), dental caries (20%), oral pain (10%), tooth mobility (10%), pre-operative evaluation (9%) and others (20%). 41% of the patients received only oral examination without treatment. Dental caries were the most frequent dental diagnosis of the patients. 28% (111 cases) of patients received operative treatments, 22 cases were treated under general anesthesia. Oral health is closely related to systemic diseases, especially for hospitalized patients. Dental consultations should be encouraged for prevention and early appropriate treatments. For this purpose, it is necessary to establish a referral system and perform dental treatment under general anesthesia.

EFFECT OF TYPE AND CEMENTATION METHOD OF POST-CORE ON MICROLEAKAGE (포스트코어의 종류와 접착방법이 미세누출에 미치는 영향)

  • Yun Myoung-Jae;Lee Sun-Hyung;Yang Jae-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.2
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    • pp.225-233
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    • 1994
  • The restorations of the severely damaged teeth by post core have been increased with the developement of endodontic procedures. But high failure rates of these procedures being reported, various restorative modifications were induced for successful treatments. Cast post-core and prefabricated post with core buildups are choice of treatment. The main causes of failure of the restorations are the fracture of post and core, root fracture, and recurrent caries due to microleakage. Recently, the acid etching technique and the use of dentin bonding agent at tooth surface to reduce the possible microleakage at the tooth-restoration interfaces were introduced. The object of this study was to measure and compare the microleakage by the types and cementation methods of post-core. For this study, forty extracted human anterior teeth were selected for specimen. After cleansing and routine endodontic procedures, anatomic crowns of each specimen were removed at the level of 2mm above the cementoenamel junction. Canals were preparated for post insertion and specimens were divided into four groups randomly. Post-cores were fabricated according to method for each group. Microleakage was measured by length of dye penetration at the tooth-restoration interfaces with measuring microscope at 50 magnification. Oneway ANOVA and t-test were performed for statistical analysis of resulting data. The following results were obtained from this study. 1. There wert significant statistical differences in degree of microleakage between each group (p<0.01). 2. Cast post-core cemented with ZPC (Group I) showed the most severe microleakage pattern$(1.5547{\pm}0.0872mm)$, and cast post-core cemented with adhesive resin cement after tooth surface treatment with dentin bonding agent (Group II) showed the least microleakage $(0.1497{\pm}0.0872mm)$. 3. Group IV revealed less dye penetrations than group III, but no statistical significance was seen between two groups.

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