• 제목/요약/키워드: Operative Restoration

검색결과 87건 처리시간 0.017초

치과위생사의 치과보존분야 직무수행 현황 분석 (An Analysis of the Job Performance in Operative Restoration by Dental Hygienists)

  • 조평규
    • 한국치위생학회지
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    • 제4권2호
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    • pp.277-291
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    • 2004
  • The purpose of this study is to analyze the dental hygienists' overall performance in operative restoration and the clinical performance in operative restoration according to dental hygienists' career and to provide basic data for establishing the appropriate range of dental hygienists' work. Subjects of this study are 339 dental hygienists working at dental clinic and hospital nationwide, selected by their working place, career, type of clinic, and location of clinical institution. The distribution of people who responded to the survey shows that 81 belong to beginner level(less than 2 years since entering clinic), 115 intermediate level(2 to 3 years since entering clinic), 81 higher level(4 to 5 years since entering clinic) and 62 advanced level(more than 6 years since their entering clinic). In terms of the types of clinical institution, 178 belong to dental clinics and 161 belong to dental hospitals. The survey used in this study are focused on perception about clinical performance in operative dentistry and adequacy of the work. Operative dentistry consists of operative restoration and endodontic therapy. The operative restoration consists of 15 categories such as patient welcoming, examination and diagnosis, planning of treatment, anesthesia, control of moisture, cavity preparation, pulp protection, matrix band application, amalgam filling, resin filling, glass ionomer cement filling, abrasive strip removal, rubber dam removal, bite check and polishing, patient education, and arrangement. The reliability was Cronbach's Alpha .9453. SPSS 10.0 for Windows was used to analyze the responses. One way ANOVA was utilized to verify the differences in the dental hygienists' job performance in operative restoration and their job performance according to career. When significant difference was found. Duncan multi comparison post hoc was done. To sum up the results of this study, patient welcoming look the first place in the operative restoration. It was followed by patient education, examination and diagnosis, introducing treatment plan, resin filling, glass ionomer cement filling, amalgam filling, bite check and polishing, anesthesia, pulp protection, control of moisture, abrasive strip removal, cavity preparation, matrix band application, rubber dam removal, and anesthesia. In terms of the clinical performance by career, there were significant differences in 19 activities such as medical eraluation, oral examination, patient charting, intra oral readio graphs, firm developing fixing mounting, curing light gun, education of attention content after operation. Based on the results of this study, the specific range of operative restoration for dental hygienists should be focused on providing basic data for dentists' diagnosis, alleviation of fear and aching accompanied by injection and anesthesia, data providing for dentists' decision of anesthesia degree, and maximization of control of moisture.

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Endocrown restorations for extensively damaged posterior teeth: clinical performance of three cases

  • Tzimas, Konstantinos;Tsiafitsa, Maria;Gerasimou, Paris;Tsitrou, Effrosyni
    • Restorative Dentistry and Endodontics
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    • 제43권4호
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    • pp.38.1-38.9
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    • 2018
  • The restoration of endodontically treated teeth (ETT) with more than one cusp missing and thin remaining walls is challenging for the general practitioner. The use of posts combined with full coverage restorations is a well-established approach, yet not following the minimal invasive principles of adhesive dentistry. Endocrowns are indirect monoblock restorations that use the pulp chamber of the ETT for retention. In this study the fabrication of 4 endocrowns and their clinical performance will be discussed. Two clinical cases include computer-aided design/computer-aided manufacturing manufactured molar endocrowns (one feldspathic ceramic and one hybrid composite-ceramic restoration) and the other two are dental laboratory manufactured resin composite premolar endocrown restorations. The modified United States Public Health Service criteria were used to assess the clinical behavior of the restorations at different follow up periods. Endocrown restorations present a satisfactory clinical alternative, either by the use of resin composite or glass ceramic and hybrid materials. Specific guidelines with minimal alterations should be followed for an endocrown restoration to be successful. Due to limited evidence regarding the long term evaluation of this restorative technique, a careful selection of cases should be applied.

Studies on Root Restoration: Embedding Titanium and Cultured Periodontal Ligament Fibroblasts into the Intradentinal Cavities in Dogs.

  • Yamamoto, T.;Hirata, M.;Iwarnatsu, Y.;Tadatomo, Y.;Shimonishi, M.;Murakami, Y.;Nagaoka, S.;Higuchi, S.;Sato, H.;Kanehira, M.;Kindaichi, K.;Komatsu, M.
    • 대한치과보존학회:학술대회논문집
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    • 대한치과보존학회 2001년도 추계학술대회(제116회) 및 13회 Workshop 제3회 한ㆍ일 치과보존학회 공동학술대회 초록집
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    • pp.568.1-568
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    • 2001
  • The purpose of our study is new formation of periodontal ligament (PDL) around titanium implants. In this study, we investigated histologically whether cultured periodontal ligament fibroblasts (CPLFs) would form new PDL on titanium implants in beagle dogs. PDL fibroblasts were obtained from upper premolars of dogs and cultured in ${\alpha}-MEM$ supplemented with 10% FBS. Some CPLFs were cultured on glass-beads-sandblasted titanium specimen. Artificial intradentinal cavities were prepared through alveolar bone to dentin of lower premolars.(omitted)

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일본의 Co-operative Housing 관련 회사 및 프로세스 특성 (Characteristics of Related Companies and Process of Japanese Co-operative Housing)

  • 박지현;배정윤;송민정;유복희;윤정숙
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2003년도 정기총회 및 추계학술대회
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    • pp.207-212
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    • 2003
  • Today, demands on the housing that is fit f3r each and every person and restoration of the community are increasing rapidly. USA Europe and Japan have been constructing Co-operative Housing as an alternative residence. Therefore this study has a purpose to show the characteristics of related companies and the process of Japanese Co-operative Housing through the field trip in Japan.

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아말감과 금합금의 Galvanic 전류 측정에 관한 실험적 연구 (A STUDY ON THE GALVANIC CURRENT BETWEEN GOLD AND AMALGAM)

  • 김영남;엄정문
    • Restorative Dentistry and Endodontics
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    • 제10권1호
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    • pp.63-70
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    • 1984
  • It was the purpose of this study to determine the galvanic current between a gold alloy inlay and four types of amalgam using the circuit through pulp chambers when the freshly extracted teeth with those restorations were brought into contact in a physiologic saline solution, and to investigate the effectiveness of cavity varnish or ammonated silver-nitrate on the surface of amalgam restoration in reducing galvanic current. The current was measured with current-to-voltage converter and recored on a physiograph 6630-257. The following results were obtained. 1. Generally, galvanic current decreased as the time elapsed. 2. Galvainc current decreased significantly in the first day and after then minimal change was observed until 30th day. 3. Initial galvanic current was 29.6 ${\mu}A$ in the cut amalgam and 24.5 ${\mu}A$ in Dispersalloy amalgam and after then the current was significantly decreased. 4. Initial galvanic current was 12.6 ${\mu}A$ in spherical amalgam (low copper amalgam) and 13.8 ${\mu}A$ in Tytin amalgam and the amount of change was lower in sperical amalgam and Tytin amalgam than that in lathe cut amalgam and Dispersalloy amalgam. 5. Painting ammoniated silver-nitrate or Copalite on the surface of amalgam resotration decreased initial galvanic current and ammoniated silver-nitrate is more effective in decreasing galvanic current than Copalite. 6. Galvanic current by contact between amalgam restoration and gold restoration increased abruptly and dropped rapidly becoming almost.

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복합레진의 충전방법에 따른 변연접합성에 관한 주사전자현미경적 연구 (A Scanning Electron Microscopic Study for the Effect of the Filling Techniques of Composite Resin on the Marginal Adaptation)

  • 조현경;박동수;이찬영;이정석
    • Restorative Dentistry and Endodontics
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    • 제13권1호
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    • pp.139-150
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    • 1988
  • The purpose of this study was to evaluate the marginal adaptation of Class V resin restorations by the filling techniques. The cavities were filled with Heliosit$^{(R)}$ light curing composite resin system in accordance with the following three filling techniques - bulk-pack placement technique, apical to occlusal layering placement technique, and buccolingual layering placement technique. And the interface between the restoration and the tooth structure was observed with scanning electron microscope. The following results were obtained. 1. Marginal adaptation of enamel showed excellent irrespective of the filling techniques. 2. Marginal leakage of dentin was observed irrespective of the filling techniques. 3. No difference of marginal adaptation according to the filling techniques was observed in light curing composite resin.

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2급/ 5급 와동 복합레진 수복 술식에 대한 남녀 치과 의사의 비교 (COMPARISON OF OPERATIVE TECHNIQUES BETWEEN FEMALE AND MALE DENTISTS IN CLASS 2 AND CLASS 5 RESIN COMPOSITE RESTORATIONS)

  • 장주혜;김혜영;손호현
    • Restorative Dentistry and Endodontics
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    • 제35권2호
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    • pp.116-124
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    • 2010
  • 본 연구에서는 복합 레진을 이용한 2급/5급 와동의 직접수복에 있어서 치과의사의 성별에 따른 술식의 차이를 비교하였다. 2008년 대한치과의사협회에 등록된 치과의사 12,193명을 대상으로 이 메일을 통한 설문조사를 실시하였다. 이 메일 수신이 확인된 2,632명 중 840명이 응답하였으며 응답자의 남녀 비율은(남 78.9%, 여 21.1%) 전체 치과의사의 남녀 비율과 유의한 차이를 보이지 않았다(p > 0.05). Chi-square test 와 multiple logistic regression analysis 를 이용하여 남녀간 술식의 차 이를 검증하였다. 2급 와동 수복에서 여자치과의사는 4회 이상의 적층 분할 수복을 하는 경향이 남자치과의사에 비해 1.87배 높았으며, 술식 당 30분 이상 소요하는 경향은 2.72배 높았다(p < 0.05). 5급 와동 수복에서 여자치과의사는 베이스를 사용하는 경향이 1.83배 높았으며, 술식 당 20분 이상 소요하는 경향은 1.63배 높았다(p < 0.05). 본 설문조사에 따르면 남녀 성별에 따라 복합 레진 수복 술식의 차이가 존재하는 것으로 나타났다.

치과용 접착제(Dental adhesive)를 사용한 제5급 복합레진수복물의 변연누출에 관한 실험적 연구 (IN VITRO STUDY ON THE MARGINAL LEAKAGE OF THE CLASS V COMPOSITE RESTORATION WITH DENTAL ADHESIVE)

  • 정근철;박동수;이찬영;이정석
    • Restorative Dentistry and Endodontics
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    • 제10권1호
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    • pp.135-144
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    • 1984
  • This study was undertaken to evaluate the degree of the marginal leakage of composite restoration with 3 brands of dental adhesives by means of the dye penetration at the enamel and dentinal margins. 150 cavities of class V were prepared on the buccal and lingual surfaces of 75 extracted anterior and premolar teeth, which were devided into 3 groups. The cavities were filled with composite resin, Silar$^{(R)}$ (3M) and Heliosit$^{(R)}$ (Vivadent) after application of the dental adhesives, specifically Scotchbond$^{(R)}$ (3M) which is essentially composed with halophosphorus ester of Bis-GMA, Dentin Adhesit$^{(R)}$ (Vivadent) which is polyurethane resin, and Enamel Bond$^{(R)}$ (3M) which is a product of Bis-GMA with low viscosity at internal surfaces and margins of the cavities. All specimens were immersed in $37^{\circ}C$, 0.5% methylene blue solution for 24 hours after thermocycling at $4^{\circ}C$ and $60^{\circ}C$, embedded in acrylic resin, and sectioned with diamond disk into two parts. The sectioned specimens observed with the light microscope. The following results were obtained: 1. The group filled with Scotchbond$^{(R)}$-Silar$^{(R)}$ the other two groups at the enamel margins. 2. No significant difference in the degree of the marginal leakage had appeared between Dentin Adhesit$^{(R)}$-Heliosit$^{(R)}$ group an d Enamel Bond$^{(R)}$-Silar$^{(R)}$ group at the enamel margins. 3. Severe marginal leakage with penetration of dye to the floor of cavity had appeared from the all three groups and no significant difference in the degree of marginal leakage existed between the three groups at the dentinal margins.

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맞춤형 치유 지대주를 이용한 임플란트 수복 증례 (Clinical case of implant restoration using customized healing abutment)

  • 박정완;홍민호;이규복
    • 대한치과보철학회지
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    • 제53권3호
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    • pp.222-227
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    • 2015
  • 최근 임플란트 수복 영역에서 심미성이 강조되고 있다. 그러나 수술 후 초기 연조직 회복 과정에서 기성 치유 지대주를 사용하는 것은 연조직 형태 및 치경부 출현각을 형성하기 어려운 문제점들을 가지고 있다. 이러한 한계점을 극복하기 위하여 본 증례에서는 맞춤형 치유 지대주를 제작하여 사용하였으며, 맞춤형 치유 지대주의 형태는 원형이 아닌 최종 맞춤형 지대주 형태로 제작하여 임플란트 수복 시 심미성의 향상을 관찰 하였다. 본 증례는 임플란트 수술 후 맞춤형 치유 지대주를 이용하여 연조직의 치유를 도모함으로써 이후, 최종 맞춤형 지대주 장착 시 연조직의 변위를 줄여보다 심미적이고 기능적으로 좋은 결과를 얻었기에 보고하고자 한다.