• 제목/요약/키워드: Dental treatment needs

검색결과 219건 처리시간 0.028초

구취의 자각요인과 강박증에 관한 연구 (A study on factors relevant to the self-perception of halitosis and the correlation between halitosis and obsessive-compulsive disorders)

  • 이미라;김남송;심재숙
    • 한국치위생학회지
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    • 제13권2호
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    • pp.231-237
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    • 2013
  • Objectives : The purpose of this study to provide preliminary data to effective halitosis control. Methods : A survey was carried out the self-perception of causative factors of halitosis in 98 female college students in Chungnam province. In addition, the levels of oral gas and breath gas were measured by use of the B&B checker, and an analysis was made of the correlation between halitosis and obsessive-compulsive disorder (OCD). Results : 1. Subjective halitosis awareness degree different degree of dryness, 'None', 'some', 'little' people who feel as the 'little fly' (68%), 78.3%, 70% was higher (p<0.05), halitosis interest 'very worried', 'worry', 'normal' person with a' not at all 'to 58.3% higher (p<0.01). 2. In regard to OCD severity, 49.0%, 34.7% and 16.3% were found to be mild, moderate and severe respectively. Halitosis tended to be severe in proportion to OCD severity, which was statistically significant (p<0.05). 3. Oral gas had a positively correlation with breath gas (r=0.329, p<0.01), but had a negative one with OCD severity (r=0.204, p<0.05). Conclusions : Symptoms of oral dryness and halitosis interest were associated with self-perception of halitosis. The levels of oral gas and breath gas were in inverse proportion to OCD severity. Hereat, it needs to analyze psychogenic factors properly as regards the diagnosis or treatment of halitosis.

임상가를 위한 특집 2 - 가철성 보철의 교합 (Removable prosthodontic occlusion)

  • 신수연
    • 대한치과의사협회지
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    • 제51권5호
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    • pp.250-254
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    • 2013
  • 가철성 보철물에서는 교합을 어떻게 형성하느냐에 따라 의치에 가해지는 힘의 크기가 결정되고 그에 따라 의치의 안정에도 영향을 미친다. 즉, 의치에 가해지는 외력이 의치의 유지력보다 크면 의치가 불안정해지지만 가해지는 이탈력을 줄여서 의치의 유지력보다 작아지도록 하면 의치의 안정을 얻을 수 있다. 그러므로 주의 깊은 검사와 진단과정을 통해 환자에게 적절한 교합을 설계하는 것은 의치 성공의 중요한 기준인 안정에 필수적이다.

전신마취하에서 유치 조기발거시 간격유지장치의 설계 및 장착에 대한 증례보고 (DESIGN & DELIVERY OF SPACE MAINTAINERS WHEN PREMATURE EXTRACTION OF PRIMARY MOLAR UNDER GENERAL ANESTHESIA : A CASE REPORT)

  • 강덕일;정문용;이상호;이창섭
    • 대한소아치과학회지
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    • 제24권3호
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    • pp.704-709
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    • 1997
  • Space maintainers needs following extraction of primary molars, due to severe dental caries under general anesthesia. Delivery of conventional space maintainers has three of the disadvantages of the method, there being a impression taking and time consuming due to laboratory procedure, and delivery problem due to relaxed tongue. For this problem improved, modified space maintainer is prefabricated before procedure, and adjust, delivery in operation room, favorable results were obtained. The following results were obtained. 1. Delivery time is very reduced than conventional space maintainers. 2. After space maintainer delivery, follow check-up, without impingement of soft tissue, distortion of wire. After space maintainer delivery, continuous research is required so that space maintainer delivery is applied to usual dental treatment, and it is necessary of long term research.

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Computer-aided proximal caries diagnosis: correlation with clinical examination and histology

  • Kang Byung-Cheol;Scheetz James P;Farman Allan G
    • Imaging Science in Dentistry
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    • 제32권4호
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    • pp.187-194
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    • 2002
  • Purpose: To evaluate the performance of the LOGICON Caries Detector using RVG-4 and RVG-ui sensors, by comparing results of each detector to the results of clinical and histological examinations. Materials and Methods : Pairs of extracted teeth were radiographed, and a total of 57 proximal surfaces, which included both carious and non-carious situations, were analyzed. The RVG-4 produced 8-bit images, while the RVG-ui unit produced 12-bit images, which were taken in the high sensitivity mode. The images produced by the LOGICON were evaluated by a trained observer using both automated and manual caries detection software modes. Ground sections of the teeth established the actual absence or existence of caries. Results: LOGIC ON-aided caries detection and depth discrimination of the RVG-4 and RVG-ui sensors were equally inconsistent irrespective of whether the LOGIC ON software was set to the automated or manual mode. Sensitivity ranged from 50% to 57% for caries penetration of the enamel-dentin junction. Conclusion: Care needs to be taken when using LOGIC ON in conjunction with RVG images as an adjunct for treatment planning dental caries. Even when applied by a trained observer, substantial discrepancies exist between the results of the LOGIC ON software-guided evalutations using RVG images and histologic examination.

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한국인의 상악동 외골증 평가 (Evaluation of antral exostoses in a Korean population)

  • 조봉혜;정연화
    • 대한치과의사협회지
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    • 제55권3호
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    • pp.208-214
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    • 2017
  • Purpose: This study was performed to survey the incidence and imaging characteristics of the antral exostoses in a Korean population. Materials and methods: The cone-beam computed tomographic images of 5,268 patients were reviewed for the presence of antral exostoses. Incidence, location, shape, structure and dimension were evaluated. Gender and side difference were analyzed by chi-squared test. Results: Ninety eight antral exostoses were found in 78 (1.5%) out of 5,268 patients. Gender and sides showed no statistically significant differences. Antral exostoses was often found in the lateral wall and floor of the maxillary sinus, accounting for 58.2% and 38.8% of the exostoses, respectively. Most exostoses had broad base and were composed of spongy bone surrounded by compact bone. The mean dimension was 9.1(W)*4.9(D)*5.3(H) mm. Conclusion: Antral exostoses is not uncommon in a Korean population. The identification of antral exostoses is clinically significant to avoid unnecessary examination and treatment. It also needs to be examined carefully in the implant planning or sinus lift procedure.

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지적장애를 가진 장애아동의 구강저에 발생한 타석증 (SIALOLITHIASIS ON THE MOUTH FLOOR IN A CHILD WITH INTELLECTUAL DISABILITY)

  • 박민지;이제호;강정민
    • 대한장애인치과학회지
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    • 제12권1호
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    • pp.27-30
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    • 2016
  • 이번 증례에서는 불편감이나 증상을 스스로 표현하기 어려운 10살의 지적장애를 가진 환자에서 발생한 타석증을 제거하였다. 일반적으로 타석증 환자들은 식사 전이나 식사 도중 심해지는 얼굴 또는 목의 통증으로 치과에 내원하게 된다. 이번 증례에서 본 환자는 인지능력 부족으로 의사소통 능력이 제한되어 증상이나 불편감을 표현하지 않았지만 정기검진 시 치과에서 시행된 검사로 병소를 발견하여 국소마취 하에 절개하여 외과적으로 제거하였다. 장애인 환자에서 구강내의 병소를 파악해서 적절한 시기에 알맞은 치료를 제공하기 위해서 치과의사는 구내외에 걸친 자세하고 전반적인 검사를 시행해야 한다.

학교구강보건교육의 필요성에 관한 조사 연구 (A research study on the necessity of school oral health education)

  • 곽정숙;우승희;김은주
    • 대한치위생과학회지
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    • 제1권1호
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    • pp.47-55
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    • 2018
  • The purpose of this study was to examine the influence of oral health education experience on needs for oral health education in children and adolescents in elementary and secondary schools. A self-administered survey was conducted on the students in elementary, middle and high schools located in the city of Mokpo, South Jeolla Province, from October 1 to 31, 2018. The data that were collected from 327 students were analyzed by SPSS 21.0. Statistical data on frequency, percentage, mean and standard deviation were obtained, and t-test, one-way ANOVA, correlation analysis and logistic regression analysis were carried out. The findings of the study were as follows: First, the subjects got 2.25 on a three-point scale in self-rated oral health status. This score was above average, which indicated that the students thought they were in good oral health. As for problems with oral health, dental caries was given the highest score of 2.48 on a five-point scale, followed by oral malodor with 2.35. Second, the students who experienced oral health education accounted for 69.1 percent, and the students who felt the need for this education represented 82.6 percent. As for educational content desired, the biggest group of 57.8 percent hoped to learn about how to prevent and manage dental caries, and the second largest group of 17 percent wanted to learn about how to take care of oral health during orthodontic treatment. Third, as a result of investigating the state of oral health education by the grade of school, the elementary school students had more oral health education experience than the middle and high school students, and the middle school students placed the most importance on the necessity of oral health education. The differences were statistically significant. Fourth, as a result of analyzing the correlation between oral health education experience and the necessity of oral health education, the students who had more oral health education experience asked more for this education, which implies that there was a statistically significant positive correlation. The findings of the study ascertained that oral health education should be provided for students in childhood and adolescence to boost the level of their oral health knowledge and change their oral health attitude in a positive manner. If oral health practice programs that connect schools, local communities and families with one another are developed to guide the oral health behaviors of teenagers in the right direction, it will make a contribution to the promotion of oral health.

성인의 생애주기별 구강보건 지식과 교육 요구도에 관한 연구 -웰에이징 구강보건교육안 개발 기초자료 조사- (A Study on the Oral Health Knowledge and Education Needs of Adult's Lifestage -Research on Basic Data for Developing Oral Health Education Plan for Well-aging-)

  • 김설희;김두리;안상윤;황혜정;김광환
    • 한국산학기술학회논문지
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    • 제22권4호
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    • pp.263-272
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    • 2021
  • 본 연구는 성인의 생애주기별 구강건강 지식과 교육 요구도를 조사하여 웰에이징을 위한 구강건강 교육안을 개발하는데 기초자료를 제공하고자 한다. 2021년 2월 한 달 동안 한국갤럽의 온라인・모바일 조사를 통해 만 19세 이상 성인 319명을 조사하였다. 연구내용은 일반적 특성, 구강건강관련 삶의 질, 구강보건 지식, 웰에이징 교육 요구도를 조사하였다. 조사 자료는 PASW Statistics ver 18.0 (IBM Co., Armonk, NY, USA) 통계 프로그램을 이용하였다. 구강보건 지식과 교육 요구도 조사결과 전 연령층에서 예방법이 가장 높게 나타났다. 그 다음으로 청년층은 원인, 중년층은 치료법, 장년층과 노인층은 구강질환과 전신질환 관련성이 높게 나타나 연령층별 교육 요구도에 차이가 있었다. 관심 있는 구강질환은 시린이, 구취, 치주질환, 치아변색 순서이었다. 구강보건 교육 희망기관은 인터넷 치과・의료기관, 보건소 순서이었다. 교육방법은 강의+체험, 동영상, 전문가강의 순서로 나타났다. 본 연구는 웰에이징을 위한 생애주기별 교육 시행시 대상자의 요구도를 반영한 교육안 개발을 위한 기초자료로 활용할 수 있을 것으로 사료된다.

소아청소년의 전신마취 하 치과 치료의 추세변화 및 치과 영역 중증 장애 유무에 따른 전신마취 재시행 양상에 대한 연구 (Trends of Dental Treatment under General Anesthesia and Patterns of Repeated General Anesthesia in Children and Adolescents with Severe Disabilities)

  • 이아름;김현태;송지수;신터전;현홍근;김정욱;장기택;김영재
    • 대한소아치과학회지
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    • 제50권1호
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    • pp.75-88
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    • 2023
  • 이 후향적 연구는 2011년 1월부터 2020년 12월까지 서울대학교 치과병원 소아치과에서 시행된 전신마취 하 치과 치료의 추세 변화를 분석하고 치과 영역 중증 장애 여부에 따른 전신마취 재시행 양상을 비교해보고자 하였다. 1,719명의 환자에게 1,857건의 전신마취 하 치과 치료가 시행되었으며 평균 연령은 5.1세였고 남자가 59.3%였으며 ASA 2등급 이상인 환자가 52.9%, 치과 영역 중증 장애 환자는 26.8%였다. 연구 기간 동안 전신마취 시행 건수는 지속적으로 증가하였으며, 6.6%의 환자가 2회 이상의 전신마취 하 치과 치료를 받았고 10년 동안 전신마취 재시행률은 7.4%였다. ASA 2등급 이상인 환자(p < 0.0001)와 치과 영역 중증 장애 환자(p < 0.0001)에게서 전신마취 재시행의 가능성이 높았으며, 치과 영역 중증 장애 환자가 전신마취를 시행받은 시기의 연령이 더 높게 나타났다(p < 0.0001). 치과 영역 중증 장애 환자에게 첫 전신마취와 두 번째 전신마취에서 모두 영구치의 수복 치료(p = 0.002, p < 0.0001)가 더 많이 시행되었다. 최근 10년간 소아치과 영역에서 전신마취의 사용이 증가하고 있으며 치과 영역 중증 장애를 가진 소아청소년 환자의 전신마취 재시행을 줄이기 위한 정기 검진과 구강 위생 관리를 통한 예방이 중요하다.

시각장애인의 구강보건행태가 DMFT지수에 미치는 영향 (The effect of oral health behavior of the visually impaired on DMFT index)

  • 이종화;이승희;윤현경
    • 한국치위생학회지
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    • 제17권3호
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    • pp.331-342
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    • 2017
  • Objectives: This study aimed at helping oral health prevention of the blind and related management plan, which is defined as the influence factors between missing and filled permanent teeth index and general feature and oral health behavior of the blind in Korea (estimates 229,678 persons) using data of the 6th Korea National Health and Nutrition Examination Survey from 2014 Korea Centers For Disease Control and Prevention. Methods: The blind over the age of 30 were selected as study subjects who have conducted health survey and dental inspections in KNHANES VI-2. Estimates of the subjects were 229,67 persons. For analyzing data, general linear models: GLM and covariance analysis were conducted to identify the relation between general feature and oral health behavior and missing and filled permanent teeth index. SPSS 21 statistical program was used, which is possible to conduct complex sampling design, and the significance level was 0.05. Results: The missing and filled permanent teeth index was 8.58 points. Regarding the results of the analysis, R-squared of the missing and filled permanent teeth index depending on general features of the blind was 0.839 points, which shows gender, age, residence, education level, individual income, disability rating, kinds of health insurance, marital status and recipient of basic living had an effect on the missing and filled permanent teeth index. R2 of the missing and filled permanent teeth index depending on oral health form of the blind was 0.728 points, which shows oral examination, dental treatment, smoking and toothbrushing after lunch had an effect on the missing and filled permanent teeth index. Conclusions: With the result of this study, we found the oral health actual condition of the blind in Korea. Therefore, it is considered that the government needs to introduce the personalized oral health education program to maintain oral health of the blind and to develop a program that uses braille and voice device which enables to access and utilize to improve oral health behavior that the government could use it as a reference to establish the policy plan.