• 한국치위생학회지
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• 제15권1호
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• pp.129-135
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• 2015

Objectives: The purpose of this study is to investigate the influencing factors on oral health related self-efficacy and social support in high school students. Methods: The subjects were 750 high school students in Jeonbuk by convenience sampling. A self-reported questionnaire was completed from April 3 to June 4, 2013. Except incomplete answers, 589 data were analyzed using SPSS 18.0 program for t-test, ANOVA, post hoc Scheffe test, and multiple regression analysis. The questionnaire consisted 6 questions of general characteristics of the subjects, 8 questions of oral health related self-efficacy, and 8 questions of oral health related social support. The instrument for self-efficacy was developed by Sherer and Maddux and measured by Likert 4 scale. Interpersonal Support Evaluation List(ISEL) was developed by Cohen and Hoberman and revised by Suh as oral health related social support in high school students, and measured by Liker 4 scale. Cronbach's alpha in self-efficacy was 0.768 and that in social support was 0.772. Results: The good oral health behavior in the high school students was closely related ro self-efficacy and social support. Higher self-efficacy and social support could make the students practice good oral behavior. Conclusions: Higher self-efficacy and social support can influence on the good oral health behavior in high school students. So it is very important to provide the continuous oral health education that can enhance self-efficacy and health promotion.

• 한국치위생학회지
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• 제15권1호
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• pp.73-79
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• 2015

Objectives: The purpose of this study was to investigate the factors influencing on the denture satisfaction in the low income elderly people. Methods: The subjects were 143 elderly people from 60 to 75 years old wearing dentures and receiving consistent follow-up in the public health center in Busan. A self-reported questionnaire was filled out by the elderly people from February 1 to March 1, 2013. The questionnaire consisted of denture satisfaction, social variables, and psychological variables. Data were analyzed by ANOVA and multiple regression analysis using SPSS 18.0. The sociodemographic characteristics included gender, age, and chronic diseases. The recognition of oral health included pronunciation, denture maintenance, mastication ability, and education for denture care. The questionnaire was measured by Likert 5 scale. Results: Gender, chronic disease, denture care instructions, and the self-preception of the oral health after denture treatment were closely correlated with denture satisfaction(p<0.001). Age and the number of repairs were very important factor to denture satisfaction(p<0.05). Elderly women were more satisfied with denture than men and those who had no chronic diseases tended to be more satisfied with denture. Those who received oral care instructions were more satisfied with the denture than those who did not. The younger age group and no repairing prosthetic group tended to be more satisfied with the denture. Conclusions: It is important to provide the denture management services to the low income elderly when they demand the services. The national dental health policy must be focused on connection of the elderly people denture services with the public health center.

• 대한치과기공학회지
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• 제43권3호
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• pp.99-105
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• 2021

Purpose: This study aims to examine the stress distribution effect of tightening torques of different abutment screws in a custom-abutment implant system on the abutment-fixture connection interface stability using finite element analysis. Methods: The custom-abutment implant system structures used in this study were designed using CATIA program. It was presumed that the abutment screws with a tightening torque of 10, 20, and 30 N·cm fixed the abutment and fixture. Furthermore, two external loadings, vertical loading and oblique loading, were applied. Results: When the screw tightening torque was 10 N·cm, the maximum stress value of the abutment screw was 287.2 MPa that is equivalent to 33% of Ti-6Al-4V yield strength. When the tightening torque was 20 N·cm, the maximum stress value of the abutment screw was 573.9 MPa that is equivalent to 65% of Ti-6Al-4V yield strength. When the tightening torque was 30 N·cm, the maximum stress value of the abutment screw was 859.6 MPa that is similar to the Ti-6Al-4V yield strength. Conclusion: As the screw preload rose when applying each tightening torque to the custom-abutment implant system, the equivalent stress increased. It was found that the tightening torque of the abutment influenced the abutment-fixture connection interface stability. The analysis results indicate that a custom-abutment implant system should closely consider the optimal tightening torque according to clinical functional loads.

• 구강회복응용과학지
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• 제36권4호
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• pp.203-210
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• 2020

현대사회는 4차 산업혁명 시대를 맞아 정보통신기술의 발달로 환자 개인 맞춤 의료서비스가 확대되고있다. 이러한 변화에 따라 질병의 진단, 환자 감시, 의사결정 지원에 디지털 의료기기가 활용되기 시작했으며 최근엔 장애나 질병예방, 관리 또는 치료하기 위한 목적의 소프트웨어 의료기기가 각광받고 있다. 본 종설은 현재 미국을 중심으로 활발하게 이뤄지고 있는 치료 목적의 소프트웨어에 대한 개념과 현황을 파악하고 앞으로 어떤 분야에서 적용될 수 있는지 알아보고자 한다. 또, 스마트 헬스케어와 관련된 국내 정책 동향을 파악해 다가올 의료계의 변화에 발맞춰 치과 임상에서 가능한 디지털기반 소프트웨어 의료기기의 적용에 대해 알아보고자 한다.

• 대한치과기공학회지
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• 제34권3호
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• pp.291-302
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• 2012

Purpose: It is to survey old men's utilization status of dental clinic and temporary-binding dentures and then to provide basic data to make a program for manufacturing old men's dentures and their teeth health education. Methods: Random selection was made on old men living in Daejeon and Chungnam, and a survey was conducted from April 15 to May 20, 2011. 500 questionnaires were distributed and 420 questionnaires were collected. Using spss 18.0 program, final analysis was made on 363 questionnaires except for 57 questionnaires which had missing value or showed some doubts about the unreliability. Results: 1. With respect to number of natural teeth as per the age, the upper/lower jaws had meaningful differences (P<.001), which means that the older the person is, the smaller number of natural teeth is. In the meantime, there was no meaningful difference according to sex. 2. With respect to kind of prosthetics installed in a mouth as per the age, there was meaningful difference in the upper jaws (P<.05) but there was no meaningful difference in the lower jaws. It was found out that the older the persons are, the more they use removable dentures while the younger the persons are, the more they use fixed partial dentures. 3. With respect to mouth health condition recognized by oneself, it showed bad (44.4%) and good (10.3%),which means recognition as bad is greater, and the age when prosthetics were first used is dispersed variously from below 40 to over 70. 4. Dental care institutions which they mainly used are hospital and clinics (91.5%), and 66.4% of them visited dental clinics lately. Preferential treatment if they go to dentists is as follows in the order of prosthetics (33.9%), gum treatment (24.2%) and pain treatment (14.9%). 5. 68.4% of them revisited dentists after installation of dentures and the reason for revisit is as follows in the order of poorly fitted dentures (35.1%), painful gum 25.9%, regular check-up 25.4% and difficult chewing 9.6%. Conclusion: As our country enters into an aging society, mouth health problem of old men has come to a serious issue, and therefore, a survey was conducted on some old men with respect to their utilization status of dental clinic and removable dentures in order to provide basic data for improvement of quality of their life, maintenance and enhancement of their mouth health. The study result shows that the older they are, the higher the loss rate of teeth as well as needs for prosthetics are, and thus it is thought the study will help to develop mouth health education program which may improve quality of old men's life by recovery of mouth functions declined due to loss of teeth and by regular check-up, education for mouth health control and following-up control of dentures.

• 치위생과학회지
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• 제9권2호
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• pp.153-160
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• 2009

본 연구는 금속-도재 수복물 제작에 사용되는 Ni-Cr alloy와 Co-Cr alloy, 그리고 티타늄에 gold bonding agent를 도포하여 Au coating 층을 형성하였다. 각 시편의 절단면을 전자현미경으로 Au coating 층과 porcelain bonder, 그리고 불투명 도재간의 결합을 관찰하였고, 각 계면의 상태를 SEM/EDS 방법으로 조사하였다. 실험에서 사용된 재료와 방법의 범위 내에서 다음과 같은 결론을 얻었다. 1. Gold bonding agent를 사용하여 형성한 Au coating 층은 미세다공성을 가진 구조로 판단되었다. 2. Au coating 층과 porcelain bonder 그리고 불투명 도재간의 결합은 잘 일어나 보였다. 3. Au coating 층은 도재 소성과정에서 발생하는 산화층의 확산을 제한하는 것으로 관찰되었다.

• 대한치과기공학회지
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• 제28권2호
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• pp.331-346
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• 2006

Free-end partial dentures, which are supported by teeth surrounded by dental root membranes and elastic mucous membrane tissues, may cause stress to the abutment teeth due to external force imposed on the denture base, increase the mobility of the abutment teeth, and bring about a change in the periodontal tissue. General retainers used in partial dentures are categorized into clasp, attachment, and Konus crown. Stress imposed on the abutment teeth and mobility of the denture base have relations with the lifetime of a crown and abutment teeth, and have direct relations with the chewing ability. Thus, a need arises to make a comparative analysis of stress of the three direct retainers on the abutment teeth and interpret the mobility of the denture base. This study designed three kinds of removable partial dentures (one kind of attachment partial denture, one kind of Konus crown partial denture, and one kind of clasp partial denture), and fabricated Dentiforms of bilateral partial dentures (Kennedy Class I) with lower left 1st premolar and lower right 1st and 2nd premolars being as the abutment teeth. A strain gauge was installed in the mesial and distal surface of the lowerr left 1st premolar (No. 34) of the fabricated dentiform and in the lower part of the denture base, and installed were a clasp partial denture, an attachment partial denture, and a Konus crown partial denture. Then, the vertical static load of 5kgf and 7.5kgf at the occlusion surface of the lower left No. 6 molar was generated for a total of 20 frequencies of load each using a push-full gauge, and thus a change in the output of the strain gauge was measured. With the respective application of Konus crown, attachment and RPI clasp in the free-end partial denture, surveyed was the distribution of stress imposed on the abutment teeth and the denture base according to the location of occlusion force load so as to come up with the following results. 1. Konus crown and attachment partial dentures generated much stress, and more stress on the abutment teeth than RPI clasp dentures did. Attachment dentures tended to further intensify stress on the abutment teeth than Konus crown dentures did. 2. Attachment dentures and Konus dentures imposed less stress on the denture base than RPI clasp dentures did. There was no stress difference between Attachment and Konus crown dentures. 3. Dentures that were designed with the application of retainers using sturdy linkage methods tended to be less mobile.

• 디지털융복합연구
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• 제12권6호
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• pp.467-479
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• 2014

본 연구는 한국 노인의 가공의치 보철장착실태 및 필요도를 분석함으로써 노인 구강보건정책에 관련 논의의 근거자료를 마련하고자 한다. 제 5기 국민건강영양조사 대상자 중 65세 이상 노인 4,557명을 대상으로 복합표본 빈도분석, 복합표본 교차분석, 복합표본 로지스틱회귀분석을 이용하여 자료분석을 실시하였다. 분석결과 상 하악 보철물상태 및 상 하악 국소의치 및 총의치 필요에서 연령이 증가 할수록, 농촌지역 일수록, 교육수준이 낮을수록 총의치 장착 및 필요에 유의하게 나타났다. 또한 고정성필요에서는 소득, 주관적 건강상태가 관련성이 있었고, 틀니필요에서는 성별, 연령, 교육, 주관적 구강건강상태와 관련성이 있는 것으로 나타났다. 따라서 노인의 구강기능을 회복하기 위해 구강보건정책과 함께 구강건강증진을 위한 구강보건교육도 마련되어야 할 것이다.

• Molecules and Cells
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• 제40권6호
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• pp.386-392
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• 2017

Periodontal ligament stem cells (PDLSCs) are multipotent stem cells derived from periodontium and have mesenchymal stem cell (MSC)-like characteristics. Recently, the perivascular region was recognized as the developmental origin of MSCs, which suggests the in vivo angiogenic potential of PDLSCs. In this study, we investigated whether PDLSCs could be a potential source of perivascular cells, which could contribute to in vivo angiogenesis. PDLSCs exhibited typical MSC-like characteristics such as the expression pattern of surface markers (CD29, CD44, CD73, and CD105) and differentiation potentials (osteogenic and adipogenic differentiation). Moreover, PDLSCs expressed perivascular cell markers such as NG2, ${\alpha}-smooth$ muscle actin, platelet-derived growth factor receptor ${\beta}$, and CD146. We conducted an in vivo Matrigel plug assay to confirm the in vivo angiogenic potential of PDLSCs. We could not observe significant vessel-like structures with PDLSCs alone or human umbilical vein endothelial cells (HUVECs) alone at day 7 after injection. However, when PDLSCs and HUVECs were co-injected, there were vessel-like structures containing red blood cells in the lumens, which suggested that anastomosis occurred between newly formed vessels and host circulatory system. To block the $SDF-1{\alpha}$ and CXCR4 axis between PDLSCs and HUVECs, AMD3100, a CXCR4 antagonist, was added into the Matrigel plug. After day 3 and day 7 after injection, there were no significant vessel-like structures. In conclusion, we demonstrated the perivascular characteristics of PDLSCs and their contribution to in vivo angiogenesis, which might imply potential application of PDLSCs into the neovascularization of tissue engineering and vascular diseases.

• Macromolecular Research
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• 제9권2호
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• pp.107-115
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• 2001

Poly(L-lactide-co-glycolide)(PLGA) was blended with poly[$\omega$-methacryloyloxyethyl phospho-rylcholine-co-ethylhexylmethacrylate (PMEH)] (PLGA/PMEH) to endow with new functionality i.e., to improve the cell-, tissue- and blood-compatibility. The characteristics of surface properties were investigated by measurement of contact angle goniometer, Fourier-transform infrared spectroscopy with attenuated total reflectance (FTIR-ATR) and electron spectroscopy for chemical analysis (ESCA). NIH/3T3 fibroblast and bovine aortic endothelial cell were cultured on control and PLGA/PMEH surfaces for the evaluation of ceil attachment and proliferation in terms of surface functionality such as the concentration of phosphoryl-choline. Also, the behavior of platelet adhesion on PLGA/PMEH was observed in terms of the surface functionality. The contact angles on control and PLGA/PMEH surfaces decreased with increasing PMEH content from 75$^{\circ}$ to about 43$^{\circ}$. It was observed from the FTIR-ATR spectra that phosphorylcholine groups are gradually increased with increasing blended amount of MPC. The experimental P percent values from ESCA analysis were more 3.28∼7.4 times than that of the theoretical P percent for each blend films. These results clearly indicated that the MPC units were concentrated on the surface of PLGA/PMEH blend. The control and PLGA/PMEH films with 0.5 to 10.0 wt% concentration of PMEH were used to evaluate cell adhesion and growth in terms of phosphorylcholine functionality and wettability. Cell adhesion and growth on PLGA/PMEH surfaces were less active than those of control and both cell number decreased with increasing PMEH contents without the effect of surface wettability. It can be explained that the fibronectin adsorption decreased with an increase in the surface density of phosphorylcholine functional group. One can conclude the amount of the protein adsorption and the adhesion number of cells can be controlled and nonspecifically reduced by the introduction with phosphorylcholine group. Morphology of the adhered platelets on the PLGA/PMEH surface showed lower activating than control and the number of adhered platelets on the PLGA/PMEH sample decreased with increasing the phosphorylcholine contents. The amount of fibrinogen adsorbed on the PLGA/PMEH surface demonstrated that the phospholipid polar group played an important role in reducing protein adsorption on the surface. In conclusion, this surface modification technique might be effectively used PLGA film and scaffolds for controlling the adhesion and growth of cell and tissue, furthermore, blood compatibility of the PLGA was improved by blending of the MPC polymer for the application of tissue engineering fields.