• Journal of Korean Dental Science
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• 제7권2호
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• pp.94-98
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• 2014

Numerous oral and maxillofacial surgeons have found facial space infections after tooth extraction. Most of these infections can be managed easily, but some of them could be life-threatening. Among the facial infections, temporal space infections are rare. Most temporal space infections could be observed as secondary to maxillary third molar infections, maxillary sinusitis, and maxillary sinus fractures. Note, however, that there are insufficient studies on temporal space abscess due to mandibular second molars, especially with acupuncture. A 74-year-old female came to our hospital with severe trismus and facial swelling on the right temporal, buccal, posterior auricular, and cervical regions. The patient had undergone extraction of tooth #47 secondary to dental caries by a general dentist about a month ago. After the dental procedure, the patient had been treated with acupuncture therapy around the right temporomandibular joint area at the oriental medicine clinic. We performed emergency incision and drainage under general anesthesia and started antibiotic treatment with IV ampicillin/sulbactam 3 g every 24 hours and vancomycin 1 g every 24 hours for 5 days. The patient's symptoms subsided and ultimately disappeared. Temporal space abscess after mandibular molar extraction is quite rare. In this case, the spreading mechanism against gravity is considered to be acupuncture therapy.

• 한국치위생학회지
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• 제13권2호
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• pp.181-191
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• 2013

Objectives : The research was performed to be used as basic data for dental hygienists' job satisfaction during clinical practice, and planning and operating effective clinical practice by analyzing stress factors in dental hygienists and the extent of stress caused by students in clinical practice. Methods : The research was aimed at dental hygienists working at college dental hospitals, dental clinic of general hospitals, dental hospitals and dental clinics located in Seoul and Gyeonggi province where clinical practices were conducted for dental hygiene students. For analysis, collected data was analyzed by using SPSS 20.0. Results : Results derived from analysis on characteristic difference by pattern of hospital were observed that there was a significant difference in job satisfaction by pattern of hospital. Results from analysis on correlation among stress factors were observed that there was correlation between behavior and attitude, interpersonal relationships, role and activity, ideal and value, and treatment fields. Results derived from analysis on the effect of stress factors on the job satisfaction were observed that role and activity (p=.002<.01), ideal and value (p=.019<.05), and treatment fields (p=.032<.05) affected the job satisfaction, while behavior and attitude (p=.386>.05), and interpersonal relationships ((p=.421>.05) did not affect the job satisfaction. A stress factor, role and activity (${\beta}$=.350) affected the job satisfaction the most, followed by ideal and value (${\beta}$=.242), and treatment fields (${\beta}$=-.185). For the explanation ability, the stress factors accounted for 20.5% of the job satisfaction. Conclusions : In conclusion, most of the dental hygienists are satisfied with students' clinical practice by pattern of hospital. Positive correlation was shown between stress factors. Behavior and attitude and ideal and value are high in stress in college dental hospitals, role and activity and treatment fields are high in stress in dental hospital, and interpersonal relationships are high in stress in dental clinics.

• 대한구순구개열학회:학술대회논문집
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• 대한구순구개열학회 2003년도 종합학술대회
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• pp.42-42
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• 2003

• 한국치위생학회지
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• 제5권1호
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• pp.39-51
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• 2005

This study was conducted to investigate the dental health and physical & psychological health status of the aged. The subjects were 61 old persons, women who were over 65, living at Sahagu in Pusan. The data for this study were collected by using direct interviewing method from October 22th, 2004. The data were analysed by using a computerized program named statistical package for social science including frequency, percentage, ANOVA. The results of the study were summarized as follows: 1. The dental status and the use of dental care institute 1) In status of denture use, it was found to be no denture(45.2%), full denture(35.5%), partial denture(19.4%). 2) In the questionaire of "when did you go to the dental care institute recently?", it was found to be uncertain(41.9%), less than one year(38.8%), 2~3years(16.1%), 1~2years(3.2%). 3) In the questionaire of "what type of the dental care institute did you use?", it was found to be in the dental clinic(80.6%), others(9.7%), dental hospital(6.5%), department of dentistry in general hospital(3.2%). 4) In the questionaire of "why did you select the dental care institute?", it was found to be in the nearly distance(80.6%), relative advice(16.1%), advertisement(3.2%). 5) In the questionaire of "how did you go to the dental care institute?", it was found to be walking(71.0%), bus & subway(22.6%), car(3.2%) and others(3.2%). 6) In the questionaire of "how long did it take to the dental care institute?", it was found to be 10~30min(48.4%), less than 10min(38.7%), 30min~1h(6.5%), 1~2h(3.2%), more than 2h(3.2%). 7) In the questionaire of "what kind of dental care did you take?", it was found to be denture making(45.2%), extraction of tooth, dental surgery, general exam(12.9%), caries(9.7%), denture repair(6.5%), others(3.2%). 8) In the questionaire of "how much did you pay for dental care recently?", it was found to be less than 5,000won(35.5%), 20,000~100,000won(19.4%), 1~3million won(16.1%), 5,000~20,000won, 100,000~300,000won, 500,000~1million won, more than 3million(6.5%), 300,000~500,000won(3.2%). 9) Average score of the subject's physical health status was 4.11 and psychological health status, 4.01 in a 5 point Likert scale. 10) The physical and psychological health status showed the significant differences according to the frequency of eating snack(pE0.05) and snack type(pE0.01). Above findings suggest that geriatric oral health program is necessary in improving the dental health & health status of the aged.

• 한국치위생학회지
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• 제4권1호
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• pp.1-17
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• 2004

The purpose of this study is to investigate the actual condition of consciousness that the students in Dept. of dental hygiene who will be engaged in dental hygiene at a dental office in the future have about a clinical training, to see whether there is any difference between the results, and then to provide fundamental data which can be helpful to develop more effective clinical training programs. For this, we investigated consciousness, that 114 daytime school students and evening school students(76 daytime school students and 38 evening school students) in Dept. of dental hygiene in J college have, using questionnaires on clinical training with Self-Administrated Method. SPSS 12.0 for Windows was used to analyze all of the questionnaires, and the results analyzed at meaningful level a=.05 are like followings: 1. The degree of satisfaction on clinical training was high as average 3.30 ; it was high in case of night training as 3.34, and of a dental office in a general hospital and an university hospital as 3.83. The degree of stress caused by clinical training was high as average 3.30, and it means that they are under relatively heavy pressure ; it was shown they got the most heavy stress as 3.39 at night, as 3.68 at a dental clinic 2. The students showed the highest tendency to recognize that clinical training is needed "for learning various clinical case experiences" as average 3.54 ; the students trained at daytime showed the highest average 3.55, and at a clinical hospital, the highest average 3.64. 3. In the study on an actual condition of consciousness about clinical training according to class difference by time(at day time and at night), there is meaningful difference between two kinds of class ; the students trained at day time showed average 2.68 that they don't like to attend, on the other hand the students at night showed higher average 2.84(p<.05). In the study on an actual condition of consciousness about clinical training according to the institutions they are trained, there is meaningful difference at satisfaction on learning method and amount of assignment : they show the highest degree of satisfaction on the learning method in case of working at a dental office in a general hospital and an university hospital as average 3.3(p<.0.1) ; the amount of assignment was shown most high at a dental clinic and a dental office in a general hospital and an university hospital as average 3.00 each(p<.05). 4. In the study of the degree of satisfaction on the clinical training, it has relatively high connections with learning contents(r=.656), learning methods(r=.497), special lessons and supplementary lessons(r=.472), the case they don't like attend at work (r=-.439), discriminatory treatment(r=-.25l), respectability on the senior dental hygienists(r=.464), a social status of a dental hygienist(r=.213), the degree of satisfaction from the relationship with other dental hygienists(r=.274), the degree of understanding which clinical training institutions have on the trained students(r=.494), trainers' ability to teach the students(r=.499). enthusiasm on guiding (r=.523), the amount of assignment(r=.333). 5. In the study on stress they got from a clinical training, it has relatively high connections with learning contents(r=-.399). learning methods(r=-.536), comprehension on training program(r=-.208), special lessons and supplementary lessons(r=-.306), the case they don't like attend at work(r=.467), discriminatory treatment(r=.366), respectability on the senior dental hygienists(r=-.341), a social status of a dental hygienist(r=-.l97), the degree of satisfaction from the relationship with another dental hygienists(r=-.289), the degree of understanding which clinical training institutions have on the trained students(r=-.430), trainers' ability to teach the students(r=-.396), enthusiasm on guiding(r=-.495).

• 전자공학회논문지SC
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• 제40권2호
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• pp.26-37
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• 2003

치과의사는 일반 의사들과 다르게 진단과 치료를 위한 거의 모든 과정을 혼자서 처리하는 것이 일반적이다. 이러한 환경에서 치과의사의 진단효율을 향상시키기 위해서는 진단자료와 방사선사진이 동시에 제시되는 효율적인 진료환경이 필요하다. 본 논문에서는 치과병원에서의 진단과 치료를 위한 통합환경을 제안한다 제안된 시스템은 치과병원의 주요업무인 환자기록생성, 진단을 위한 영상취득과 분석, 치료계획수립, 시술시뮬레이션 등을 하나의 시스템으로 유기적으로 결합함으로서 필름과 종이가 없는 병원환경을 실현하였다. 또한 모든 임상자료의 신속한 검색과 정량적인 분석을 지원함으로서 환자에게 보다 정확하고 예측이 가능한 치료를 제공할 수 있도록 하였다.

• 한국콘텐츠학회논문지
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• 제20권8호
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• pp.666-673
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• 2020

의료시장 개방 등으로 의료시장이 확대되면서 일반 병원 뿐만 아니라 치과 병·의원에서도 고객 서비스 제공을 위한 다양한 시도를 하고 있다. 이 연구의 목적은 고등학생을 대상으로 치과병원 결정요인과 의료서비스 만족도에 관해 조사하고자 2019년 9월부터 10월 사이 편의표본추출 방법으로 일부지역 고등학교 재학생을 대상으로 조사하였으며, 그 결과는 다음과 같다. 일반적인 특성에 따르면, 스케일링 경험, 교정 치료, 학교 생활에 대한 만족도, 주관적인 구강 건강 상태가 치과 병원의 만족도와 관련성이 있었다. 직원 서비스 만족도가 가장 중요한 병원결정요인이었고, 병원 결정 요인 중 시설, 타인의 추천, 사용 절차, 서비스 적절성, 직원 서비스 만족도가 의료 서비스 만족도와 유의 한 양의 상관 관계가 있었다. 치과 병원 만족도에 영향을 미치는 요인으로, 주관적인 구강 건강이 음의 관련성, 이용 절차와 직원 서비스 만족도는 양의 관련성을 나타냈다. 이 연구는 일부 지역 고등학생을 대상으로 도출된 결과이기에 일반화 할 수는 없겠지만 서비스 경쟁력을 높여 환자의 만족도를 높이는 것이 병원선택에 중요한 요인이라고 할 수 있겠다.

• Journal of Korean Dental Science
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• 제5권2호
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• pp.68-76
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• 2012

Purpose: The headache is a symptom that various somatic or non-somatic disorders gives an effect to head and neck system. The neck and the shoulder pain is a common muscle pain that can not control and bothers the patient after chronic state. The headache and the neck and the shoulder muscle pain are treated with various conventional treatment methods. But, there are cases that symptoms did not resolve or increased in some clinical cases. And generally, the result of temporomandibular disorders (TMD) treatment is good. But, despite of a normal treatment was performed for TMD, there are cases that TMD symptoms did not resolved in clinical cases. In template clinic of Soonchunhyang University Bucheon Hospital, co-operative neurophysiologic treatment of Department of Neurosurgery and Dentistry are done for patients, who had head and neck pain or atypical symptoms that did not treated with various conventional treatment method such as surgery or medication etc. Materials and Methods: Four hundred fifty one patients who have treated in the template clinic, Soonchunhyang University Bucheon Hospital, from January of 2006 to December of 2008 were subjected in this study. Result: Overall average age was 31.9 years old. Ratio of numbers is 74.3% in female and 25.7% in male. The success rate of treatment in TMD symptom was 89.9%, in headache was 88.8%, in muscle pain was 81.6%. Statistically significance of differences visual analogue scale evaluation between before and after had been treated patients who have over average grade headache was calculated by paired t-test. P<0.05 was considered significant. Conclusion: We suggest the template appliance can be attempted for cases whose headache, the neck and the shoulder muscle pain and TMD are not resolved with various conventional treatment methods.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제39권
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• pp.22.1-22.9
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• 2017

Background: Two-jaw surgery including mandibular and maxillary backward movement procedures are commonly performed to correct class III malocclusion. Bimaxillary surgery can reposition the maxillofacial bone together with soft tissue, such as the soft palate and the tongue base. We analyzed changes of pharyngeal airway narrowing to ascertain clinical correlations with the prevalence of snoring after two-jaw surgery. Methods: A prospective clinical study was designed including a survey on snoring and three-dimensional (3D) computed tomography (CT) in class III malocclusion subjects before and after bimaxillary surgery. We conducted an analysis on changes of the posterior pharyngeal space find out clinical correlations with the prevalence of snoring. Results: Among 67 subjects, 12 subjects complained about snoring 5 weeks after the surgical correction, and examining the 12 subjects after 6 months, 6 patients complained about the snoring. The current findings demonstrated the attenuation of the largest transverse width (LTW), anteroposterior length (APL), and cross-sectional area (CSA) following bimaxillary surgery given to class III malocclusion patients, particularly at the retropalatal level. The average distance of maxillary posterior movements were measured to be relatively higher (horizontal distance 3.9 mm, vertical distance 2.6 mm) in case of new snorers. Conclusions: This study found that bimaxillary surgery could lead to the narrowing of upper airway at the retropalatal or retroglossal level as well as triggering snoring in subjects with class III malocclusion. Based on the current clinical findings, we also found that upper airway narrowing at retropalatal level may contribute to increasing the probability of snoring and that polysonography may need to be performed before orthognathic surgery in subjects with class III malocclusion.

• 구강회복응용과학지
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• 제38권3호
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• pp.178-188
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• 2022

모든 잔존치의 발거를 계획한 환자의 경우 최종 보철 제작 전 무치악으로 지내는 기간을 최소화하기 위해 미리 임시 즉시 의치를 제작하게 된다. CAD/CAM 시스템을 이용하면 전통적 방식에서의 한계점들을 보완하여 진료실과 기공실에서의 제작 과정을 간소화 시킬 수 있다는 장점이 있다. 하지만, 환자의 악간관계에 관한 정보를 정확하게 기공실의 디지털 네트워크로 전달하는 과정에서 오차가 발생하여 교합관계가 불안정하거나 비심미적인 보철물이 제작될 빈도가 높다는 단점도 있다. 이러한 문제점을 극복하기 위해 간단하고 정확한 POP BOW 시스템의 교합평면 디지털 전이법을 이용하여, 상하악 전치부 잔존치 발거 후 심미적이고 기능적인 3D 프린팅 임시 즉시의치를 장착한 환자의 성공적인 증례를 보고하고자 한다.