• Title/Summary/Keyword: Dental chair

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AN EXPERIMENTAL STUDY ON THE EFFECT OF POSTURAL CHANGES UPON THE CLINICAL DENTAL TREATMENT (치과치료시에 있어서 적성체위에 관한 실험적 연구)

  • Yang, Dong-Gyu
    • The Journal of the Korean dental association
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    • v.13 no.12
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    • pp.1131-1133
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    • 1975
  • Healthy adults in the ranges of from 22 to 25 years old, 208 males and 140 females respectively, who have no specific organic diseases in the heart and lung, were experimentally studied on the effect of blood pressure, pulse and breath rates, and blood circulation by the postural changes of the supine, semi-supine, upright, sitting and trendelenburg position. The results obtained were as follows : 1) The blood pressure showed makred differences in the postural changes of the upright>sitting>semisupine>trendelenburg>supine position, orderly. 2) The breath rate did not show specific findings in the postural changes. 3) If the dental chair were suddenly tilted forwardly and backwardly, patients would be subjected to fall in the dangerous state, fainting.

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Considerations during crown reattachment procedure over the pulpal exposure: case report

  • Kim, Bona;Lee, Yoon;Song, Min-Ju;Shin, Su-Jung;Park, Jeong-Won
    • Restorative Dentistry and Endodontics
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    • v.37 no.4
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    • pp.240-244
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    • 2012
  • Crown reattachment is the most conservative treatment which can be used to restore fractured tooth, presumably with sufficient strength, while maintaining original contour, incisal translucency, and reducing chair time and cost. However, in case of crown fracture with pin-point pulp exposure, we should cautiously minimize the irritation to the pulp and consider pre-treatment pulpal status, choice of pulp capping materials, choice of bonding system and treatment sequence during crown reattachment procedures. This case reports the considerations while crown reattachment with direct pulp capping using calcium hydroxide (Dycal, Dentsply Caulk).

Prosthetic restorations with cementless screw-retained implant systems: a case report (시멘트리스 나사 유지형 임플란트 시스템을 이용한 보철물 수복 증례)

  • Young-hae Jung;Im-Sun Kim
    • Journal of Technologic Dentistry
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    • v.45 no.4
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    • pp.124-130
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    • 2023
  • This study aims to describe the clinical experience of single and bridge crowns fabricated using a cementless screw-retained implant prosthesis system. In the case of single crown (#37), regular link (HDL) was used, and bridge crowns (#15~#24), (#26~#27), (#17~#14) (#24~#26) were fabricated by selecting regular link and short link considering the vertical height. One abutment was hex shaped to ensure that it could be mounted while preventing insertion and prosthesis rotation. The advantages of cementless implant prosthesis include shorter chair time and periodic care, strong retention with LINK abutment, safety from inflammation, bacterial infection, and complications due to peri-implant cement, and high patient satisfaction. Dentists should double-check the position of the implant fixture and dental technicians should continuously manage the fit of the link and prosthesis with digital equipment to reduce screw loosening and fractures.

Midazolam and Ketamine Intramuscular Premedication in Attention Deficit Hyperactivity Disorder Patient with Poor Cooperability (치과 진료에 비협조적인 주의력 결핍 과잉행동 장애 증후군 환자에서의 전처치로서의 미다졸람 케타민의 근육투여)

  • Kim, Young-Jae;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Chong-Chul;Kim, Hyun-Jeong;Seo, Kwang-Suk;Lee, Jung-Man;Shin, Soonyoung
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.2
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    • pp.111-114
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    • 2012
  • Attention deficit hyperactivity disorder (ADHD) is characterized by inattention, impulsivity, and hyperactivity. Given high incidence of ADHD, many children with ADHD is likely to present for anesthesia. This case report suggests intramuscular premedication as an alternative method for anesthetic induction. A 9-year-old male patient with ADHD was transferred for dental treatment under general anesthesia. The patient refused to go into dental clinic office. Oral midazolam was given to the patient, however, he was resistant to take midazolam via oral route. Instead, we administer midazolam and ketamine via intramuscular route. After less than 10 miniutes, the patient became drowsy and was transferred to dental chair. Intravenous access and mask inhalation was possible. The patient received dental treatment under general anesthesia and recovered in a non-complicated way. In this case, intramuscular sedation with midazolam and ketamine was used as a premedication in highly uncoopearive patient refused to take oral sedative medication.

A Making of Aesthetic Dental restorations with Nano Hybrid Ceramic material by CAD/CAM System (치과 CAD/CAM용 Nano Hybrid Ceranic 소재를 이용한 심미 치과보철물의 제작)

  • Choi, Beom-jin
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.2
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    • pp.98-108
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    • 2016
  • In recent days, perhaps the biggest driver in new material development is the desire to improve restorations esthetics compared to the traditional metal substructure based ceramics or all-ceramic restorations. Each material type performs differently regarding strength, toughness, effectiveness of machining and the final preparation of the material prior to placement. For example, glass ceramics are typically weaker materials which limits its use to single-unit restorations. On the other hand, zirconia has a high fracture toughness which enables multi-unit restorations. This material requires a long time sintering procedure which excludes its use for fast chair side production. Hybrid ceramic material developed for CAD/CAM system is contained improved nano ceramic elements. This new material, called a Resin Nano Hybrid Ceramic is unique in durability of function and aesthetic base compositions. The new nano-hybrid ceramic material is not a composite resin. It is also not a pure ceramic. The material is a mixture of both and consists of nano-ceramic fillers. Like a composite, the material is not brittle and is fracture resistant. Like a glass ceramic, the material has excellent polish retention for lasting esthetics. The material is easily machined by chair side or in a dental lab side, could be an useful restorative option.

Syncope and Unconsciousness after Intravenous Injection of Antibiotics in Patient with Cerebrovascular Accident : Report of a Case (뇌졸중 환자에서 항생제 정주 후 유발된 실신과 의식소실: 증례보고)

  • Yoo, Jae-Ha;Son, Jeong-Seog;Kim, Jong-Bae
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.4
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    • pp.215-221
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    • 2012
  • The loss of consciousness in the dental office have many causes, such as, vasodepressor syncope, drug administration, orthostatic hypotension, epilepsy, hypoglycemic reaction, acute adrenal insufficiency, acute allergic reaction, acute myocardial infarction, cerebrovascular accident, hyperglycemic reaction and hyperventilation. Patients have fainted during all phases of dental care: during tooth extraction and other surgical procedures, during local anesthetic injections, or during procedures such as venipuncture, on being seated in the dental chair, and even on first entering the dental office. If an elderly patient with known cardiovascular or cerebrovascular problems experiences a syncopal episode, differentiation from cerebrovascular insufficiency of more serious etiology, such as cerebrovascular accident, must be considered. And anaphylactic shock is also suggested during intravenous drug administration. This is a case report of syncope care during venous injection of cephalosporin in patient with cerebrovascular accident.

A Study on the Correlation of Dental Anxiety Based on Dental Fear Scale (DFS) (치과불안척도(DFS)에 근거한 치과공포 연관성 연구)

  • Shin, Jae-Won;Kim, Sun-Il
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.28 no.1
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    • pp.54-60
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    • 2019
  • Objective: Dental fear is a feeling of anxiety and fear without intervention during a dental visit, mainly due to past negative dental treatment experiences, and in adults, despite the recognition of the need for dental treatment, it can lead to avoidance of dental treatment, which may cause deterioration of oral health. Therefore, this study was conducted to measure dental fear and anxiety level in some adults, and to identify related factors and their causes. Methods: This study used Kleinknecht's Dental Fear Survey scale and the SPSS 21 program (IBM SPSS Statistics 21) was used for analysis. Result: When the dental fear was the higher, the "access to the dental clinic" was found to be the highest, followed by "sitting in dental unit chair" and "smell of dental clinic" in that order. Conclusions: Dentists and dental hygienists should be able to understand the fear, anxiety, and concerns of the dentist office and to find various ways to provide systematic medical services.

Analysis of the effect of oral midazolam and triazolam premedication before general anesthesia in patients with disabilities with difficulty in cooperation

  • Lim, Seon Woo;So, Eunsun;Yun, Hye Joo;Karm, Myong-Hwan;Chang, Juhea;Lee, Hanbin;Kim, Hyun Jeong;Seo, Kwang-Suk
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.4
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    • pp.245-254
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    • 2018
  • Background: When performing dental treatment under general anesthesia in adult patients who have difficulty cooperating due to intellectual disabilities, anesthesia induction may be difficult as well. In particular, patients who refuse to come into the dental office or sit in the dental chair may have to be forced to do so. However, for adult patients with a large physique, physical restraint may be difficult, while oral sedatives as premedication may be helpful. Here, a retrospective analysis was performed to investigate the effect of oral sedatives. Methods: A hospital-based medical information database was searched for patients who were prescribed oral midazolam or triazolam between January 2009 and December 2017. Pre-anesthesia evaluation, anesthesia, and anesthesia recovery records of all patients were analyzed, and information on disability type, reason for prescribing oral sedatives, prescribed medication and dose, cooperation level during anesthesia induction, anesthesia duration, length of recovery room stay, and complications was retrieved. Results: A total of 97 patients were identified, of whom 50 and 47 received midazolam and triazolam, respectively. The major types of disability were intellectual disabilities, autism, Down syndrome, blindness, cerebral palsy, and epilepsy. Analyses of changes in cooperation levels after drug administration showed that anesthesia induction without physical restraint was possible in 56.0% of patients in the midazolam group and in 46.8% of patients in the triazolam group (P = 0.312). Conclusions: With administration of oral midazolam or triazolam, general anesthesia induction without any physical restraint was possible in approximately 50% of patients, with no difference between the drugs.

Applications of Non-Thermal Atmospheric Pressure Plasma in Dentistry (상온 대기압 플라즈마의 치의학적 응용)

  • Uhm, Soo-Hyuk;Kwon, Jae-Sung;Lee, Eun-Jung;Lee, Jung-Hwan;Kim, Kyoung-Nam
    • The Journal of the Korean dental association
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    • v.52 no.12
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    • pp.783-794
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    • 2014
  • Since the introduction of non-thermal atmospheric pressure plasma in the field of the dentistry, numerous applications have been investigated. Especially with its advantages over existing vacuum plasma in terms of portability, low cost, and non-thermal damage, it can be directly applied in the oral cavity, giving number of potentials for dental application. First, possible application of non-thermal atmospheric pressure plasma in the field of dentistry is relation to dental caries and periodontal diseases. Teeth and alveolar bones are one of the strongest bony structures in our body, but it cannot be regenerated when they are damaged by dental caries or periodontal disease. Hence many studies to prevent such diseases have been carried out, though no perfect solution has been found yet. With recent studies of modifying surfaces through non-thermal atmospheric pressure application that can prevent attachment of bacteria, or studies on bactericidal effects of non-thermal atmospheric pressure plasma can be applied here to prevent oral pathogen and 'biofilm' attachment to the surface of teeth or directly eliminate the dental caries/periodontal disease causing germs. Secondly, non-thermal atmospheric pressure application will be useful on the surface of dental implant. It is well known that the success of dental implant surgery depends on the process known as 'osseointegration' that result from osteoblast attachment, proliferation and differentiation. As the application of non-thermal atmospheric pressure plasma on the surface of dental implant just before its introduction by the chair-side of dental surgery. Despite its long history, the generation of non-thermal atmospheric pressure plasma has been greatly increased with its application in dentistry.

The study on advertisement of dental devices & instrument during Japanese colonized period (광고를 통해 본 일제강점기 치과 장비 및 기구 광고에 관한 연구)

  • Shin, Jai-Eui
    • The Journal of the Korean dental association
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    • v.48 no.12
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    • pp.893-918
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    • 2010
  • This article is purposed of reviewing the development history of Japanese dental devices and instrument, and their related advertisement activities during the Japanese colonized period in Korea in early 20th century. Japanese dental devices and instrument were redesigned to accommodate their ergonomic shape above the simple imitation, and it implies the excessive desires brought them frustrations. The tragic earthquake on Sep. l, 1923, medical insurance law enforcement on Jan. 1, 1927, celebration of "Cavity prevention Day" started on Jun. 4, 1928, and the attack of Manchuria and China by Japan after 1931, all of these historical incidents become the preliminary requirement for the development of dental devices. On Nov. 1, 1937, Japanese government started to control dental materials, driving the campaigns for excluding foreign products and encourging the use of local products. In 1939, Nakajima dental manufacturers used this political and social atmosphere on their advertisement as saying "Our Nakajima's products have no compromise with the short raw materials, but only commitment to our quality". Since after 1940, the price and supply have been strongly under control, and the control group was appeared to manage all of supply and distribution of raw materials, regular price system, and specifications. At last, the Japanese national power were devastated in its production and distribution capacities, and get to the frustrated period. The main advertised dental devices and instruments in Korea during the Japanese colonized period were 1) dental chair, unit and cabinet, 2) dental x-ray, 3) compressors, 4) dental needles, 5) small instrument and carryon medical(emergency) kit, 6) oral hygiene and pyorrhea alveolaris, infrared rays, sunlight lamp, ultrashort wave treatment devices, 7)crown former, electric furnace, casting machine, articulator, electric lathe, and laboratory equipments, etc.