• 한국치위생학회지
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• 제12권6호
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• pp.1221-1231
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• 2012

Objectives : The purpose of this study was to examine the oral health behavior and examine closely the connection factor and plans oral health promotion. Methods : This survey was conducted on 370 high school students in Kyunggi-do Suwon from November 21 to 23, 2011. 352 questionnaires were collected and analyzed. The collected data was analyzed using the statistical package SPSS WIN 15.0 using frequency, mean and standard deviation analysis, T-test, one-way ANOVA and Duncan's test correlation analysis. Results : The results state that 73.3% of students believe brushing teeth is very important and 26.7% of the students method of tooth brushing is up and down. for correct teeth brushing, they think choosing a brush is important(70.7%) also their brush shapes were uneven form(44.3%) and flat form(43.5%). 31.4% of students are using an oral hygiene device and 31.4% of students had received oral health education. 42.7% of female students get information about oral health from their dental clinics. 24.8% of male students receive information on oral health from parents and relatives. They think the best educator for oral health education will be a Dental hygienist(46.5%), or Dentist(48.0%). we found that a correlation between oral health interest, importance, knowledge and condition effect each other(p<.001). It means that if students have high oral health interest, oral care importance and oral health knowledge which can improve their oral health condition. Conclusions : The results of this study state that we need continuous oral health education systems and prevention programs to raise awareness among students and for the improvement of their oral health.

• The Journal of Advanced Prosthodontics
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• 제4권1호
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• pp.13-17
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• 2012

PURPOSE. We aimed to identify a more esthetic width-to-length ratio by analyzing maxillary central incisor of Korean adult population. Information regarding tooth ratio in the Korean population may be useful to clinicians when restoring anterior teeth. MATERIALS AND METHODS. A total of 40 men and 40 women were included in this study. The NON-MEDIA group included 40 non-celebrities, who were healthy and 25 to 39 years old, with normal dentofacial appearance. The MEDIA group consisted of 40 celebrities selected only on the basis of their soft-tissue facial appearance. The facial photographs of 40 celebrities were collected from the Internet websites. The width and length of the maxillary central incisor were measured using Adobe $Photoshop^{(R)}$ 7.0, a software for analysis, measurement and edition of photographs. Data were analyzed statistically using the Independent t-test at 5% statistical significance level. RESULTS. The mean ratio for the MEDIA group was 0.77, whereas that of the NON-MEDIA group was 0.88. The difference between the two groups was statistically significant. No significant gender differences were found in the width-to-length ratio in MEDIA group. In NON-MEDIA group, however, there were significant differences between female and male. CONCLUSION. After analyzing maxillary anterior teeth of Korean adults, our results were in accordance with the general Western standards of esthetics. A dentist restoring the natural look and beauty of teeth will have to consider those standards.

• 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.

• 치위생과학회지
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• 제11권4호
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• pp.293-297
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• 2011

치과위생사 직업명칭에 대한 인지도를 파악하기 위해 경기도 평택시에 소재하는 한 고등학교의 재학생 중 각 학년별로 70명씩 할당추출을 하여 총 210명을 대상으로 자기기입식 설문조사를 실시하였다. 일반적 특성 및 치과진료경험에 따른 인지도와 다른 보건의료직종 직업명칭 인지도 등을 빈도분석, 교차분석, 로지스틱 회귀분석 등에 의해 분석한 결과 다음과 같은 결론을 얻었다. 1. 일반적 특성 중 여학생은 19.3%가 치과위생사 직업명칭을 인지하고 있으나, 남학생의 인지율은 5.7%에 불과하였다(p=0.006). 학년에 따른 차이는 나타나지 않았다. 자연계 학생들의 인지율은 24.2%로서 인문계 학생들의 인지율(14.3%)보다 높았다(p=0.037). 치과진료경험, 치과정기검진, 구강보건교육 경험 등에 따른 차이는 나타나지 않았다. 2. 보건의료직종 중 직업명칭에 대한 인지도는 간호사가 가장 높고(93.8%), 치과의사(78.1%), 물리치료사(52.4%), 간호조무사(15.7%), 치과위생사(14.8%), 치과기공사(12.9%), 방사선사(10.0%), 임상병리사(3.3%), 작업치료사(1.0%) 순으로 나타났다. 조사대상자 중 '치과위생사'라고 정확하게 기재한 학생은 8명(3.8%)에 불과하였고, 23명(11.0%)이 '치위생사'라고 응답하였다. 3. 치과위생사 직업명칭 인지에 영향을 미치는 요인을 알기 위해 이분형 로지스틱 회귀분석을 실시한 결과 성별(Wald=4.287, p=0.038)과 임상병리사(Wald=7.016, p=0.008) 및 물리치료사(Wald=12.630, p<0.001) 직업명칭 인지 여부가 통계적으로 유의한 관련이 나타났다. 결론적으로, 치과위생사라는 직업명칭에 대한 인지도는 간호사, 치과의사, 물리치료사 등 다른 보건의료직종에 비해 매우 낮은 수준이며, 치과위생사에 대한 직업인지도를 높이기 위한 다각적인 노력이 필요하다는 점을 시사하고 있다.

• 대한치과마취과학회지
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• 제14권1호
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• pp.29-39
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• 2014

Background: Dental phobia or anxiety of patients is the serious impediment to appropriate and effective dental treatment. Sedative technique helps to mitigate patients' fear and anxiety thus make them more cooperative and familiar to dental practices. With increasing attention to sedative dentistry in dentists, educational requirements and technical qualification also become stricter but actual survey on recent sedative dentistry has not been reported yet. Especially there is insufficient study reporting the survey of sedative dentistry subjected to Korean adults. In this paper, we conducted a survey study on the actual condition and practice related to sedation with a questionnaire to dentists in South Korea. Methods: The survey was done for members of The Korean Dental Society of Anesthesiology (KDSA), who had great interest in sedation and for whom survey-by-mail was convenient. 472 members of The KDSA having dental license and solid address and contact information were subjected to the survey by sending them survey questions about their sedative techniques and knowledge. In order to increase the response rate, small gifts were presented to those who accurately responded to the survey questions and text messages and phone calls were made to encourage their participation. We collected their responses over two months and examined the returned surveys. Statistical analysis was performed using IBM SPSS Statistics 21 for each question. Results: Out of 472 dentists, 181 responded (38.4% response rate). 63.0% (114 dentists; 77 male and 37 female) of respondents had experience on sedative technique and their average age was $39.8{\pm}7.6$ year. 74 of them were private practitioners, 17 of them were professors (14.9%), 11 of them were dentists-in-service (9.6%), 11 of them were residents (specialist training) (9.6%) and 1 of them was military doctors (0.9%). There were 89 dentists (78.1%) who were specialists or receiving trainings to be specialist, most of whom were pediatric dentists (55, 48.2%) and oral surgeon (31, 27.2%). The most popular route for drug medications was orderly oral, inhalational, intravenous medication. Combination of oral and inhalational medications or single use of intravenous medication was the most common. The most preferred sedative drug was pocral in oral sedation and midazolam in intravenous sedation. 48.2% of practitioners responded that they experienced side effects and emergency situations. Airway obstruction was the most frequent. Conclusions: Results from the survey show that the protocol and system for sedative dentistry have been improved compared to the past. Nevertheless, quality of emergency protocol, monitoring devices and preparation of sedative drugs was still insufficient to achieve safe sedative procedure. This study acquires novelty since actual survey on recent sedative dentistry for adult patients has not been reported yet.

• 한국컴퓨터정보학회논문지
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• 제25권3호
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• pp.177-183
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• 2020

연구의 목적은 학부별 눈높이에서 치과위생사의 의료인화에 대한 의견을 수집하여 정책 반영에 기초자료로 제시하고자 한다. 이를 위해 비보건계열인 유아교육과, 미용예술과, 보건계열의 치위생과 전공자 중 2학년 여대생 180명을 대상으로 설문조사를 시행한 후 빈도분석과 교차분석을 통한 카이제곱 검정을 실시하였다. 전공별로 치과위생사의 법적 업무와 법적 외 업무에 대한 인식정도는 통계적으로 유의적인 차이가 있었고, 유아교육과 전공자들은 96.7%, 미용예술과 전공자들은 73.3%, 치위생과 전공자들은 85.0%가 치과위생사를 의료인이라고 생각하고 있었다. 그 이유로는 유아교육과 치위생과 전공자들의 경우는 1순위로 국가시험을 통해 보건복지부 장관이 면허증을 교부하기 때문에 각각 32.8%, 41.2%로 가장 높았으나, 미용예술 전공의 전공자들은 치과의사의 지도하에 시행하는 진료의 보조가 31.8%로 가장 높게 나타나 학과별로 통계적으로 유의한 차이가 있었다.

• 대한치과보철학회지
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• 제30권2호
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• pp.259-271
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• 1992

This study was designed to investigate the criteria of the perfect smile that was necessary to improve the esthetic problem in oral and maxillo-facial region and treating the anterior tooth region. The author took the facial straight photograph of 240 university students(male : 129, female : 111) in a resting and a smiling position, measured and analized the lip pattern and the relation between the lip and the teeth when they were smiling. Besides, 10 members of committee for appraisal (dentist : 5 persons, professor of the college of fine arts : 5 persons) estimated the smiling pattern. After that the author have compared and analyzed the obtained results. The results obtained were as follows : 1. In the shape of the upper lip, when the upper lip curved downward, it was 42.92% , straight was 45.00% and curved upward was 12.08%. The group in which the upper lip curved upward was the most esthetic. 2. In the relation between the upper lip and the teeth, high smile was 29.17%, average smile was 55.83% and low smile was 15.00%. The group of average smile was the most esthetic. 3. In the parallel relation between the lower lip and maxillary anterior incisal curvature, the group of paralled was 60.42%, the group of straight was 34.17% and the group of reverse was 5.41%. The group of parallel was the most esthetic. 4. In the relationship between maxillary anterior incisor and lower lip, the group of the maxillary anterior incisor were slightly covered by the lower lip was 10.42%, the group of the maxillary anterior teeth touched to the lower lip was 35.83%, and the no-touching was 53.75%. The group of the maxillary anterior teeth touched to the lower lip was the most esthetic. 5. In the teeth displayed in a smile, displayed to the canine was 0.84%, displayed to the first premolar was 19.17%, displayed to the second premolar was 57.92%, displayed to the first molar was 20.00% and displayed to the second molar was 2.08%. The group of displayed to the first molar was the most esthetic. 6. At smiles, the width of the mouth corner was 0.46 times of the full face width, 0.95 times of the interpupillary distance, and 1.23 times of the resting position. 7. At smiles, the lengh of the upper lip was 0.71 times and lower lip was 0.93 times of the length in the resting position.

• 대한치과보철학회지
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• 제52권3호
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• pp.239-245
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• 2014

총의치 보철은 잔존 자연치가 완전히 소실된 환자를 위한 상, 하악의 상실된 관련 구조물과 자연치의 수복을 포함한다. 보철치료의 궁극적인 목적중에 심미적 그리고 기능적인 회복이 포함된다. 최근에는 고령의 환자들에도 심미적인 요구가 크게 증가되고 있기에 총의치 보철치료에 있어서도 이점을 간과해서는 안 된다. 총의치 보철치료에서도 자연 치아와 유사하게 보이기 위해 치아 마모 정도 및 배열, 치경부 치은의 퇴축, 착색, 치은의 색조 개선 등을 표현하려는 다양한 시도들이 이루어져 왔다. 본 61세 여환은 5년 전 개인치과에서 제작한 의치가 부러지고 잘 맞지 않는다는 주소로 본원 보철과 내원하였고 상악 총의치 및 하악의 임플란트 피개의치를 제작하기로 계획하였다. 환자는 기본적인 저작기능의 회복을 고려하고 있었지만, 그보다는 자연스럽고 심미적인 총의치 제작에 최우선 순위를 두고 있었다. 심미적이며 자연스러운 형태를 표현하기 위하여 Aesthetic Color Set Easy system$^{(R)}$ (Candulor dental GmbH, Wangen, Germany)을 활용하여 치은의 다양한 색조를 재현한 총의치를 제작하였다. 보철물 시적이 완료되었고 총의치의 기능적인 면이 회복되었을 뿐만 아니라 환자의 심미적인 요구까지 충족시킬 수 있었다. 적절한 심미적 재료의 선택과 더불어 개개인에 적합한 특성을 잘 표현할 수 있다면 환자와 치과의사 모두에게 만족감을 주는 총의치 보철치료가 가능할 것이라고 생각된다.

• 한국치위생학회지
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• 제17권6호
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• pp.1013-1024
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• 2017

Objectives: The study investigated health professionals working in the metropolitan area and Jeolla-bukdo, South Korea, from April 30 to May 17, 2017 to understand their views on the issue of including dental hygienists in the scope of medical personnel of South Korea. Methods:A total of 270 surveys were analyzed in this study. The survey consists of 5 questions on general issues; 10 on the awareness of present work of dental hygienist; and 1 on opposition or approval about including dental hygienist in medical personnel. The collected data were analyzed using SPSS for Windows 18.0, as well as frequency analysis, cross analysis and logistic regression analysis. Statistical significance level (${\alpha}$) is 0.05. Results: 1. Broken down by gender, male subjects showed more oppositions against including dental hygienists in the category of medical personnel while female subjects showed more favorable opinions (p<0.05). In terms of academic background, those who had graduated from graduate school or higher showed a higher propensity for opposition while those who had graduated from a 3-year college showed a higher tendency for approval on the idea (p<0.05), In terms of occupational type, health professionals showed more opposing views whereas medical technologists showed more approvals than others (p<0.001). 2. With respect to the awareness of work specialty and proficiency of dental hygienist according to general characteristics, the higher the age, the higher the awareness level was. In terms of the occupational type, medical technologists were found to have higher awareness level than health professionals (p<0.001). 3. With respect to the relationship between general characteristics and view on including dental hygienists in medical personnel, the occupational type of health professional was found to have 6.33 times more oppositions than medical technologists. When the awareness level on proficiency of dental hygienist was low, opposition was 6.52 times more frequent (p<0.05). Conclusions: Based on the findings above, the inclusion of dental hygienists in medical personnel seems necessary in properly establishing the specialty and role of dental hygienist in the dentist medical environment of the country in order to enhance national oral health related preventive dental service and expand the demand. To this end, it is necessary to provide nationwide promotion, work to change the awareness of health professionals in other occupational types, and facilitate public promotion for legal ground establishment.

• Journal of Oral Medicine and Pain
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• 제38권2호
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• pp.109-114
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• 2013

구강점막의 화학화상은 다양한 화학제품과의 접촉에 의해 일어날 수 있으며 국소 점막염, 각화성 백색병소, 출혈, 통증성조직 표면 등과 같은 임상적 특징을 나타낸다. Policresulen(알보칠$^{(R)}$)은 산부인과, 피부과, 이비인후과 영역에서 점막이나 피부의 소독 및 지혈 목적으로 사용되는 일반의약품이다. pH 0.6의 강산성을 띠고 있어서 강력한 부식제로 작용할 수 있으며 구강점막에 접촉될 경우 괴사나 화학화상과 같은 부작용을 나타낼 수 있기 때문에 사용상 세심한 주의를 요한다. 56세 여자 환자가 입술의 궤양과 부종 및 염증성 삼출물을 주소로 구강내과에 내원하였다. 이 환자는 약 10년 전부터 혓바늘이 가끔 발생하였으며 그런 경우에 알보칠$^{(R)}$을 종종 사용했었다고 하였다. 최근에는 혀와 입술의 통증 때문에 알보칠$^{(R)}$을 혀와 입술에 광범위하게 여러 차례 도포한 적이 있다고 하였다. 임상검사상 혀의 전방 1/2 부위에서 홍반성 미란 및 염증성 삼출물이 관찰되었고 상, 하순에 출혈성 가피 및 궤양이 형성되어 있었다. 알보칠 사용을 중단하게 한 후 구순부에 스테로이드 연고 도포 및 스테로이드 구강 가글액 사용 후 1주일 만에 병소는 현저히 줄어들었으며 2주 후 완치되었다. 본 증례를 통해서 일반의약품으로 쉽게 접할 수 있는 Policresulen(알보칠$^{(R)}$)의 오용으로 인한 구강점막의 출혈성 궤양의 발생 양상 및 치료과정을 소개하였으며, 구강점막에서 발생하는 화학화상에 대해 고찰하였다.