• 대한치과기공학회지
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• 제9권1호
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• pp.5-19
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• 1987

The factors which impact on the productivity of medical organization are technique, manager, raw materials, management style, manpower structure, job construction, and so on. Human resources is the most important factor among them, but the productivity of serice organization can not be measured easily. The purpose of this study was to verify the effect of laboratory status, the degree of job cognition, and stress on the productivity of dantal prosthetic products, and to fine out the factors which impact on the productivity. The results were as follows: 1. The job characteristice of crown bridge laboratory part and porcelain laboratory part similar to each other. Also partial denture laboratory part and complete denture laboratory part were similar to each other. But that of orthodontic laboratory part was different from other. 2. the degree of job cognition made significant difference statisfically according to job characteristics of each dental laboratorise. 3. The correlation coefficient between job cognition of dental laboratory technician and workshop environment was.23, but the correlation between job cognition job stress appeared reversely, its coefficient was-.17. 4. The productivity of technician engaged in dental laboratory was much heigher than that of technician engaged in dental clinical laboratory room, and each were different in the degree of job cognition. 5. the most important factors which impact one the performance productivity of dental laboratory technician were the fact whether he married or not and his status.

• 한국치위생학회지
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• 제15권3호
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• pp.411-416
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• 2015

Objectives: The purpose of this study is to identify oral health status and oral health care needs of elderly patients in long-term care hospital. Methods: Oral health examination was carried out by a dentist and questionnaire was completed by direct individual interview by a dental hygienist for 245 elderly patients in seven long-term care hospitals in Daegu from March 12 to April 16, 2011. Results: Those who need dental care were 188(76.7%) and was done by oral health examination by a dentist. 93 patients(38.0%) wanted dental care and 63 patients(25.3%) need dental care. The most important dental service in the elderly patients was denture and prosthetic service. As demand for denture and prosthetic service exceeds the supply, but only 35.9 percent of the elderly received the dental care service by the estimation of the caregivers. Conclusions: It will be necessary to establish the customized dental care service for the elderly patients in long term care hospitals. The oral health education for the caregivers is very important and the continuing education program must be implemented in the future.

• 대한치과보철학회지
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• 제48권2호
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• pp.101-110
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• 2010

연구목적: 사회복지관 이용 노인들을 대상으로 치과보철물 상태를 역학적으로 조사하고 이러한 치과보철물 상태가 구강건강관련 삶의 질에 미치는 영향을 살펴봄으로써, 향후 노인들의 치과보철물과 관련된 연구에 필요한 기초자료를 제공하고자 하였다. 연구 재료 및 방법: 대전광역시 소재 7개 사회 복지관을 이용하는 60세 이상의 노인 표본 275명을 대상으로, 주관적으로 느끼는 구강건강인식 및 삶의 질에 대한 설문조사와 치아 및 치과보철물 상태에 대한 구강검사를 실시하여 통계 분석하였으며, 삶의 질은 노인구강건강평가지수 (Geriatric Oral Health Assessment Index; GOHAI)를 이용하여 측정하였다. 결과:1. 연령이 낮을수록, 교육수준이 높을수록, 주관적인 경제상태가 좋을수록, 부부가 함께 사는 가족형태에서GOHAI는 높게 나타났다. 2. 가철성 의치를 처음 사용한 평균연령은 62.11세였고 의치의 평균사용수명은 10.76년이었다. 전체 조사 대상자의 57.5%가 가철성 의치를 사용하고 있었으며 총의치 사용자는 전체의 13.8%이었다. 3. 가철성 의치를 사용하지 않고 고정성 보철물로 수복한 경우나 총의치에서 편악 보다는 상 하악을 함께 총의치로 사용하는 경우에 저작 불편감과 발음문제를 적게 느끼며 저작능력지수와GOHAI는 높게 나타났다. 4. 의치 만족도가 높고, 항상 의치를 사용할 수 있으며 새로운 의치의 필요성이 없고 의치적합도가 양호한 경우에 GOHAI는 높게 나타났다. 결론: 본 연구의 결과로 볼 때 구강건강관련 삶의 질에 가장 관련이 있는 것은 저작이 가능한 기능 치아를 구강 내에 많이 가지고 있는 것이었다. 자연치아의 상실이 많은 노인의 구강건강관련 삶의 질을 향상시키기 위해서는 적절한 치과보철물을 통하여 치아를 수복하여 줌으로 정상적인 저작기능을 회복하여 주는 것이 필요함을 보여준다.

• 보건의료산업학회지
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• 제10권2호
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• pp.167-177
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• 2016

Objectives : The aims of this study were to identify life satisfaction of elderly living alone based on their health status and suggest measures that improve their physical, mental and oral health, which could be used in future welfare policies on the elderly. Methods : The study subjects were 307 senior citizens who lived alone and used senior citizen centers in Jeonju-si, Jeollabuk-do. Results : Life satisfaction tended to be high when the subjects had a low number of chronic diseases, no activity limitations and stress, no suicidal feelings, no tooth mobility and chewing difficulty and denture use. Conclusions : To improve life satisfaction, elderly living alone need to make effort to maintain their health however, policy programs that improve the physical, mental and oral health of the elderly need to be promoted.

• 대한치과기공학회지
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• 제25권1호
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• pp.119-142
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• 2003

In the present work the knowledge of dental health as well as dental prosthesis has been studied on the basis of analysis of current dental prosthetic treatments for dental diseases prophylaxis and the final decision for dental prosthetic appliance. The results have been analyzed by the current dental health care and the subjective acknowledgement from 700 people of urban as well as rural inhabitance in our country. The results from the present work have been summarized as following: Depending dental status has been shown worse to be in the cases of divorce and bereavement, age and less educated or jobless. It is also interesting to note that the dental status has shown to be even worse than health status. It has been shown that the dental prosthetic treatments have been mainly caused by the oral disease (62.2%) and depend on the age and the educational level. According to the actual status of dental prosthetic treatments, the fixed partial denture was the most case (78.9%) that increased as divorced, bereavement and as less educated, less income, retired and jobless as well as from urban to rural. As a clinic for the dental prosthetic treatments, dental clinics have been most frequent visited as indicated by 59.6%, then the un-licensed dentist (6.5%), then the hospitals (3.7%), then the public health centers (2.2%). Most of those who are older in age, less educated and jobless have been treated by the un-licensed dentists. In point of view on the cost for dental prosthetic treatments, 93.1% have claimed to be too expensive, in as the divorced and the bereaved, the older age, the less educated and the jobless. About satisfaction of dental prosthetic treatments, 51.4% was satisfied, 39.4% was normal and 9.2% was dissatisfied. Most of people experienced increasing levels of satisfaction as their income increase. Most in the age range of 40-60 have wanted to be insured for the dental prosthetic treatments. It is also interesting to note that the older age and the less educated wanted to apply this kind of insurance.

• Journal of Korean Dental Science
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• 제10권2호
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• pp.87-95
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• 2017

This case study was to report the possible increase in the denture retention and psychological relief using the implant-supported fixed prostheses in a completely edentulous patient. The implants were placed in the anterior portion of the mandible in a patient who had completely edentulous state following the extraction of residual abutment teeth, and consequently a distal extension removable partial denture was fabricated. The patient's adaptation and satisfaction to the new prosthesis was monitored and confirmed in terms of masticatory function and esthetics, by restoring the oral condition similar to initial status before the residual teeth extraction. After 6 months, radiographic examination confirmed that both the abutment teeth and the implants were stable and well maintained. Considering the relatively short clinical follow-up period, however, continuous long-term monitoring was required.

• 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.

• 대한치과기공학회지
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• 제36권3호
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• pp.197-203
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• 2014

Purpose: The purpose of this study was to evaluate oral health status according to use of oral care products in the adult population and determine methods for improving oral health status. Methods: The date of 'The fifth korean national health and nutrition examination survey 2011' was analyzed for this study. The questionnaire was measured regarding oral care products, Oral health status and socio-economic characteristics. For statistical analysis, the Statistical Package for Social Sciences version 19.0 for Windows was used. We determined frequencies, percentage and determining statistical significance using multiple regression analysis. Results: General characteristics and oral care products showed differences in DMFT associated with residence, gender, age, education, dental floss, etc(waterpic, hi-tech toothbrush, denture care products), in FS-T associated with residence, gender, age, income level, education, health insurance, dental floss, Interdental brush, etc, in T-health associated with residence, age, education, health insurance, Interdental brush, etc. Conclusion: In conclusion, in order to promote oral health status of the adult have to suitable selection and accurate usage of oral care products. Education and program in oral care products for the adult should be needed.

• 대한치과보철학회지
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• 제53권1호
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• pp.58-65
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• 2015

완전 무치악 환자의 수복 시 총의치나 임플란트 지지 피개의치와 더불어 임플란트를 지대치로 이용하는 국소의치가 치료 방법의 하나로 고려될 수 있다. 적은 수의 임플란트를 전략적으로 중요한 위치에 식립한 후 가철성 국소의치로 수복할 경우, 임플란트를 통해 안정을 얻고 부가적으로 유지 및 지지를 확보할 수 있을 뿐만 아니라 광범위한 임플란트 식립을 통한 고정성 보철물에 비해 환자의 수술 부담을 줄여줄 수 있으며, 치료비용 절감 효과도 기대할 수 있다. 본 증례는 오랫동안 국소의치를 사용해 온 환자에서 치아 상실 후 잔존 치조골의 상태 및 환자의 요구를 고려하여 임플란트 지지 국소의치를 제작한 증례로서 전치부에 식립한 임플란트는 고정성 보철물로 수복하고 구치부의 짧은 임플란트는 지지 기능만 부여하였다. 또한 의치상과 클래스프를 열가소성 아크릴 레진으로 제작함으로써 기능적, 심미적으로 만족스러운 치료 결과를 얻었기에 이를 보고하는 바이다.

• 대한치과보철학회지
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• 제57권1호
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• pp.24-30
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• 2019

소수 잔존치의 부분 무치악 환자들에 있어 이중관을 이용한 치료의 성공적인 결과에 대해 여러 논문에서 보고되고 있다. 특히 이중관을 이용한 가철성 국소의치는 잔존치의 치주 상태가 좋지 않고 클라스프 유지 가철성 국소의치가 실패할 가능성이 있는 경우(crown/root ratio > 1) 대체적인 치료가 될 수 있다. 본 증례에서는 상하악 양측 구치부 상실과 전반적인 치아 동요로 인하여 저작의 어려움을 주소로 내원한 환자에서 심한 치주질환으로 다수의 치아 발치 후 하악은 전치부 고정성 수복과 자연치의 구강형성을 통해 Kennedy class I 가철성 국소의치로 치료 계획을 하였고 상악은 클라스프 유지 가철성 국소의치로 수복하기에 예후가 불분명하여 프릭션 핀을 이용한 하이브리드 텔레스코픽 이중관 국소의치로 치료를 계획하였다. 이와 같이 보철 치료 완료 후 환자는 잘 적응 하였으며 발음, 저작, 유지, 심미적으로 만족하는 결과를 얻었기에 이 증례를 보고하는 바이다.