• 한국치위생학회지
• /
• 제15권3호
• /
• pp.417-424
• /
• 2015

Objectives: The purpose of the study is to investigate the relationship between oral health conditions and their subjective oral health perception in the elderly in Gimcheon. Methods: The study subjects were 214 elderly aged over 65 years old in Gimcheon. The study was carried out by direct interview method of from February 20 to 24, 2014. The oral examination was performed by the dentist base on the World Health Organization criteria including direct examination and observation. The questionnaire consisted of sex, type of family, use of medical services, and oral health behavior, The independent variable included three questions of the general characteristics of the subjects, two questions of use of medical services, and two questions of oral health behavior. The subjective oral health perception was composed of heathy and unhealthy. The objective oral health condition was evaluated by number of residual teeth, FT index, MT index, and DMFT index. Results: In the elderly, the number of residual tooth was $8.89{\pm}9.72$ and the number of decayed teeth was $0.03{\pm}0.20$. The numbers of missing teeth and filled teeth were $19.26{\pm}9.65$ and $0.28{\pm}1.01$, respectively. The DMFT index was $19.57{\pm}9.28$. In relation to the subjective oral health perception, 76.6% answered 'good' and 23.4% answered 'bad'. The subjective oral health perception showed a weak quantitative linear relationship of r=0.235 with the number of residual tooth. the subjective oral health perception showed a weak negative linear relationship(p<0.01) of r=-0.225 with the number of missing teeth and r=-0.217 with DMFT(number of decayed missing and filled teeth) index.

• 대한치과의사협회지
• /
• 제44권2호통권441호
• /
• pp.115-122
• /
• 2006

Objective : The purpose of this study was to evaluate the dimensional errors between real tooth, 3D CT image and CARP model. Materials and Methods : Two maxilla and two mandible block bones with intact teeth were taken from two cadavers. Computed tomography was taken either in dry state and in wet state. After then, all teeth were extracted and the dimensions of the real teeth were measured using a digital caliper at mesio-distal and bucco-lingual width both in crown and cervical portion. 3D CT image was generated using the V-works $4.0^{TM}$ (Cybemed Inc., Seoul, Korea) software. Twelve teeth were randomly selected for CARP model fabrication. All the measurements of 3D Ct images and CARP models were made in the same manner of the real tooth group. Dimensional errors between real tooth, 3D CT image model and CARP model was calculated. Results : 1) Average of absolute error was 0.199 mm between real teeth and 3D CT image model, 0.169 mm between 3D CT image model and CARP model and 0.291 mm between real teeth and CARP model, respectively. 2) Average size of 3D CT image was smaller than real teeth by 0.149 mm and that of CARP model was smalier than 3D CT image model by 0.067mm. Conclusion : Within the scope of this study, CARP model with the 0.291 mm average of absolute eror can aid to enhance the success rate cf autogenous tooth transplantation due to the increased accuracy of recipient bone and donor tooth.

• 대한소아치과학회지
• /
• 제40권3호
• /
• pp.203-208
• /
• 2013

과잉치의 발생 원인 및 빈도, 치료 등 과잉치에 대한 많은 선학의 연구가 있었으나, 현재에 있어서도 과잉치의 발생 원인은 여전히 명확하지 않은 상태이다. 전체 인구에서 0.15%~1.0%의 발병률을 보이는 과잉치의 병인론으로는 계통발생학적 돌연변이(atavism), 치배분열론(dichotomy theory), 치아판의 국소적인 증식 그리고 유전 및 환경적 요인들의 조합(unified etiologic explanation) 등이 있다. 동일한 수정란으로부터 생긴 쌍생아인 일란성 쌍생아는 유전학적으로 동일한 개체이다. 이들에게서 나타난 과잉치에 대한 보고는 과잉치의 병인론에 있어 유전적인 요인이 강하게 작용함을 뒷받침할 수 있다는 면에서 의미를 가진다. 본 연구에서는 경북대학교 치과병원 소아치과 외래를 내원한 3쌍의 일란성 쌍생아에서 나타난 과잉치를 관찰하였으며, 이는 유전적인 원인에 의한 과잉치의 발생을 뒷받침함에 의미가 있어 보고하는 바이다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제30권3호
• /
• pp.186-192
• /
• 2004

Purpose: Human tooth proteins are highly heterogeneous, comprising diverse proteins derived from a number of genes. The attempts to identify protein for activity of tooth matrix proteins have been defied by several factors. First, the amount of proteins within teeth is very small relative to many extracellular matrix proteins of other tissues. Second, the bioassay system is tedious and needed for long time. Therefore we tried to find easy techniques, which increase the product rate, and an assay of small proteins, with which amino acid sequence is possible without additional procedures. Materials and Methods: Total protein were extracted from 300 g enamel removed teeth and 600 g teeth with 4 mol/L guanidine HCl and purified by gel chromatography. Aliquot of proteins was implanted into muscle pouches in Sprague-Dawley rats for bioassay. By SDS-PAGE and membrane blotting, molecular weight of each protein was estimated and a partial amino acid sequence was obtained. Each fraction blotted on the membrane was cut out and inserted in rat ectopic model. Results: In dissociative method, total tooth proteins were obtained 1mg/ml from enamel removed teeth and 3.5 mg/ml from teeth. In SDS-PAGE, four clear bands at the sites corresponding to 66, 40, 20 and 18 kD. Especially The 66 kD band was clearly exhibited. Amino acid sequencing from tooth could be possible using PVDF membrane blotting technique. In amino acid sequencing, 66 kD protein was identified as albumin. Conclusion: Compared with conventional method for extraction of teeth protein and bioassay of proteins, the methods in this study were easy, time-saving and more productive technique. The matured tooth proteins omitting additional procedure of mechanical removal of enamel were simply analyzed using blotted PVDF membrane. This method seems to make a contribution as a technique for bioassay and amino acid sequencing of protein.

• 대한치과교정학회지
• /
• 제21권3호
• /
• pp.673-683
• /
• 1991

This research was performed to find out the adaptation patterns of maxillary and mandibular posterior teeth to the changes in relationships of vertical skeletal components, which constitute the skeletofacial complex. For this research, 61 adult malocclusion patients were chosen as subjects according to the Hellman's dental age with normally ranged FMN-A-B angle. These subjects were divided into 4 groups in maxilla and 3 groups in mandible according to mesiodistal inclinations of teeth. Following results were obtained after studying the relationships of the vertical skeletal components between each group. 1. Inspire of the fact that the FMN-A-B angle was within a normal range, the degree of mesiodistal inclinations of maxillary and mandibular posterior teeth showed differences in relation to the anteroposterior relationships of maxilla and mandible. In case where the FMN-A-B angle was large, the mesial inclinations of maxillary posterior teeth showed more increase from the posterior to the anterior, whereas in mandible it showed overall decrease. 2. The degrees of mesial inclinations of mandibular posterior teeth were increased when the angulations of lower facial height, occlusal plane angle and mandibular plane angle were greater. 3. The patterns of mesial inclinations of maxillary posterior teeth were varied according to the angulation of lower facial height. If relatively large, it showed more increase from the posterior to the anterior and it was decreased nearly consistent when the angulation was small. 4. The degrees of mesial inclinations of maxillary posterior teeth were decreased as the lower facial height, palatal plane angle, occlusal plane angle and the mandibular plane angle became greater.

• 대한소아치과학회지
• /
• 제24권4호
• /
• pp.781-787
• /
• 1997

In spite of the improvements of the techniques in the field of preventive dentistry, many children still present with extensive destruction of primary anterior teeth. Not only the practioner must consider the pulp state of the primary incisor, but also restore the form, function and esthetics of the tooth. Restorative treatment of primary incisor tooth requires durability, retention and esthetics. Stainless steel crowns used in restoring primary anterior teeth is retentive and durable in comparison with the composite resin, celluloid crown. But they are not esthetic. To enhance the esthetics of the anterior stainless steel crown without reducing its superior retention, an open-face stainless steel crown has been suggested. Several authors have suggested cutting away the labial portion of the stainless steel crown and placing the composite resin in that area. By following this technique, the practioner can prepare a retentive, durable, and esthetic restoration for primary teeth which have suffered from extensive loss of teeth structure. In addition, the single missing primary anterior teeth can be successfully restored by soldering the stainless steel crown together. Open-face stainless steel crown is indicated in the areas of large interproximal lesions involving incisal edge, crown fracture with pulp exposure and congenital malformation of the teeth. By this technique, the practioner can restore primary anterior teeth successfully regardless of the amount of remaining tooth structure, bruxism habit and presence of attrition. In this case, rampant caries with extensive loss of tooth structure and single missing of primary anterior tooth hart been successfully treated with open-face stainless steel crown.

• 보건교육건강증진학회지
• /
• 제25권4호
• /
• pp.55-65
• /
• 2008

Objective: This study aims to investigate the relationship between dental status and oral function by analyzing those in some long-term care elderly patients. Methods: It performed oral examination and 4 oromotor function examinations such as repeated swallowing function, correct pronunciation function, saliva secretion rate and maximum mouth opening to 91 elderly patents aged 65 and older in the municipal geriatric hospital located in Cheonan. Results: Dental status of patients such as the number of dental caries, treated teeth, retained teeth and function teeth were better in mobile elderly patients than in immobile elderly patients. Attachment rate of dental plaque and the number of teeth being extracted were more in mobile patients than in immobile patients. More retained teeth, the number of function teeth and dental caries and the score in pronunciation status test were significantly higher. With more function teeth, the score in pronunciation status test was significantly higher. As saliva secretion rate is higher, repeated swallowing function was significantly better. repeated swallowing function rate is higher pronunciation status was significantly better. Conclusions: With the results of this study, it was found that among long-term care elderly patients, oral function was worse in immobile patients than in mobile patients. Therefore, it may be necessary to plan and perform an oral function improvement program preferentially for elderly patients requiring long-term care.

• 한국치위생학회지
• /
• 제18권2호
• /
• pp.205-215
• /
• 2018

Objectives: The purpose of the study is to investigate the relationship between the number of remaining teeth and bone health status among adults over 65 years old. Methods: The study subjects were 1,843 adults over 65 years old drawn from the Korea National Health and Nutrition Examination Survey (KNHANES) in 2008-2010. Oral health status included the number of remaining teeth, and prosthetic appliance status. Bone health statuses were assessed using dual-energy X-ray absorptiometry (DEXA). Bone health statuses were classified into normal (T-score ${\geq}-1.0$), osteopenia (-2.5 < T-score < -1.0), and osteoporosis (T-score ${\leq}-2.5$). Complex samples chi-square test was used to estimate the relationship between the number of remaining teeth and bone health status, and related factors included in the model were analyzed with the complex samples logistic regression analysis. Results: Using the multinomial logistic regression analytic method, the elderly having 20 or more remaining teeth and those having less than 20 remaining teeth with prosthesis were compared. The latter group had 1.89 times higher rate of being diagnosed as having osteoporosis. Conclusions: This study suggests that oral health is an important factor for geriatric osteoporosis. Therefore, in order to prevent fractures due to osteoporosis and osteoporosis in old age, it is necessary to be aware of the relationship between oral health and osteoporosis, and oral health should be considered when preparing preventive management strategies.

• 대한치과재료학회지
• /
• 제43권1호
• /
• pp.81-89
• /
• 2016

The purpose of this study was to evaluate the effect of the experimental and commercial fluoride varnishes on the Vickers hardness of bovine teeth. The experimental fluoride varnishes with 5 wt.% NaF were fabricated using Bis-GMA or rosin as the resin base. The components were mixed with over-head stirrer under warming up in a double boiler for 30 minutes. Four commercial fluoride varnishes (V-varnish, Flor-opal, Cavity shield, Fluor protector) were compared with the experimental fluoride varnishes. Vickers hardness was measured on the labial surface of bovine anterior teeth after applying fluoride varnish on 5th and 30th day. The surface of bovine teeth was observed with a scanning electron microscope before and after applying fluoride varnish and the change of the components on the bovine teeth surface was measured with EDX. In terms of hardness, the experimental rosin-based fluoride varnish showed significantly higher hardness on the 5th and 30th day than the control (bovine teeth without fluoride treatment)(p<0.05). EDX results showed that the fluoride content on the surface of bovine teeth treated with the experimental rosin-based fluoride varnish was highest on the 1st and 10th day. The higher hardness and fluoride content of experimental rosin-based fluoride varnish can be considered to be used as an effective fluoride varnish to prevent dental caries.

• 대한심미치과학회지
• /
• 제31권2호
• /
• pp.47-55
• /
• 2022

임플란트 수복 후 발생하는 인접면 공간개방으로 인한 식편압입은 임플란트를 시술한 환자에게 매우 흔히 발생하는 현상이다. 이는 임플란트와 치아의 움직임 기전이 달라 발생하며 시간이 경과하면 30-60% 정도 발생하는데, 기여요인으로는 악골(하악), 부위(구치부), 인접치(실활치) 및 대합치(자연치 또는 임플란트) 등이 있다. 이런 현상을 방지할 수는 없으나 최소화하기 위한 노력을 기울여야 한다. 가급적 이상적인 인접접촉을 가지도록 상부 1/3에 협설로 인접치와 대칭적인 인접면 형태를 만들어 주기 위해 오목한 형태나 하방이 풍융한 인접치 형태를 수정하고 수복할 때는 다른 조건을 수정하여 변연융선의 높이를 맞추어 주어야 한다. 불규칙한 교합평면은 예후를 나쁘게 하는 원인이므로 정출된 대합치를 수정하고 기능이상을 유발하는 원심협측 교두를 수정함으로써 이상적인 교합평면을 회복함으로써 식편압입 현상을 최소화시켜야 한다.