• 한국병원경영학회지
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• 제22권3호
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• pp.118-132
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• 2017

This study developed key elements of dental service guidelines for the disabled patients. In order to provide consumer-oriented service guidelines for the dental patients with disability, service design method was applied. Using service design method guided by the double diamond design process, this study implemented consumer survey, observation, and contextual interviews for consumers' needs assessment. And customer journey map, mind maps, and blueprints were utilized to visualize consumer needs and guidelines for dental care services for the disabled. According to the study, disabled consumers have needs for expertise of the medical staff, dental care institutions specialized on the disabled, financial support, establishment of the facilities for the disabled, comfortable atmosphere in the institutions, and communication with medical staffs. Based on the needs of the disabled, 5 key elements of the dental care services were developed: convenience, expertise, empathy, financial support, and education and management. And service design guidelines were proposed to implement key elements of dental care services for the patients with disability. This study is significant in that it is the first attempt to apply the service design technique from the consumer perspectives in the field of dental care for the disabled. Furthermore the process of this study has become a reference that can be utilized and applied to other medical institution.

• 대한소아치과학회지
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• 제25권1호
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• pp.197-208
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• 1998

This study was carried out to compare the amount of the maxillary bone remodeling and tooth displacement in each three maxillary superimposition methods, Ricketts, Best-fit, Structural method. Forty cases of the lateral cephalometric radiographs from 27 boys and 13 girls who had been treated to correct anterior cross-bite were selected for the study. The initial radiographs were taken at about 8-year-old and the second radiographs were taken in about 3.3 years later. Followings were the results: 1. With the Structural method, backward movement was shown in PNS, while forward movement was observed in ANS and point A. With the Ricketts method, however, all structures were shown significant backward movement comparing with Structural method(P<0.05). With the Best-fit method, the amount of horizontal movement was similar to that of the Structural method(P>0.05). 2. The palate seemed to be moved downward with Structural method, but there was no measured downward remodeling on nasal floor with Ricketts and Best-fit method(P<0.05). 3. Comparing with Structural method, Ricketts and Best-fit method significantly underestimated the eruption of the teeth by 20% to 30% (P<0.05). 4. The Structural method showed the anteroinferior rotation (43%) and posteroinferior rotation(57%) of the palatal plane, while the Best-fit method showed mostly anterosuperior rotation(87%), but no change was found in the Ricketts method. 5. With the Structural method, there was a statistically significant correlation between the amount of the rotation of the palatal plane and that of N-S line(r=0.86). 6. The measured angles of the long axis of the incisors and molars showed no significant difference in each 3 methods(P>0.05).

• 대한소아치과학회지
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• 제1권1호
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• pp.41-47
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• 1974

The dental caries survey of "K" primary school children was performed twice for one year interval and evaluated the transitional trend of dental caries prevalences. The number of children surveyed at the first year, 1973, was 819 boys and 653 girls; and the second year, 1974, was 815 boys and 661 girls aged 6 to 12. Under this survey, the following results were detected: 1. The average df person rate in deciduous teeth was increased by 7.52% in boy, 5.59% in girl and 6.65% of both. 2. The average df Index in deciduous teeth was increased by 0.13 in boy, 0.04 in girl and 0.1 of both. The average dt Index was decreased by 0.59 in boy, 0.64 in girl and 0.61 of both. The average ft Index was increased by 0.73 in boy, 0.68 in girl and 0.71 of both. 3. There showed no significant differences in DMF person rate between 1973 and 1974. 4. The DMFT Index of the permanent teeth was decreased by 0.19 in boy, and increased by 0.22 in girl. There showed no significant differences in both sexes between 1973 and 1974. The average DT Index was decreased by 0.43 in boy, 0.03 in girl and 0.31 of both. The average FT Index was increased by 0.23 in boy; 0.35 in girl and 0.29 of both. The average MT Index showed no significant differences in both sexes between 1973 and 1974.

• 대한소아치과학회지
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• 제1권1호
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• pp.57-61
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• 1974

The Study reported here was designed to analyze the prevalence of Dental Caries in the primary teeth of monozygote twins, and to ascertain and compare the intrapair differences with the intrapair differences in control pairs. The prevalence of dental caries in the primary teeth of 40 pairs of presumably monozygote twins, based on phenotypic analysis, was studied. The age range was from 3 to12 years. The control group consisted of pairs that included a twin chosen at random and an unrelated child of the same sex and age, so that for each pair of twins there was a corresponding control pair. The clinical examination was carried out by an operator using an oral mirror and sharp explorers, and with good lighting. 40 pairs of twins were examined with a total of 4,950 primary tooth surfaces (990 primary teeth) and 40 control pairs with a total of 4,935 primary tooth surfaces (987 primary teeth). Five surfaces were considered for each tooth. After the def individual index was determined, the ratio between this index and the number of examined surfaces was established in each case, the cer (Caries experience rate) index. The def and cer averages were determined for the subjects and the controls. All intrapair differences in twin and control groups were compared following the paired sampling method. The following conclusions were made: 1. Intrapair differences in the control group were significantly greater than in twins, when defs, ds, es, fs, and cer were compared. 2. The genotype appeared to be a determining factor in dental caries susceptibility or resistance, although the environment played an important role as well. 3. Intrapair differences in American children were significantly greater than in Korean when defs, es, fs, and cer were compared, but ds was equal.

• 융합정보논문지
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• 제11권7호
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• pp.172-180
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• 2021

본 연구의 목적은 외국인 유학생을 대상으로 치과진료 이용실태 및 치과의료기관 선택기준을 파악하여 이들의 치과의료 이용에 대한 문제점을 파악하고 구강건강관리 방안을 개선하기 위한 기초자료를 제공하고자 수행하였다. 연구방법은 S 대학교 외국인 유학생 145명을 대상으로 설문조사를 하였으며, 수집된 자료는 SPSS 24.0 프로그램(SPSS Inc. Chicago. IL, USA)을 이용하여 기술통계, 교차분석 및 회귀분석을 실시하였다. 분석결과 치과진료경험에서 일본, 중국, 말레이시아, 기타 유학생 모두 치아우식치료가 가장 많았으며, 건강보험에 가입자는 35.9%에 불과하였다. 치과의료기관 선택기준의 문항별 평균점수는 구강보건교육 프로그램의 제공이 가장 많았으며, 구강보건교육 프로그램이 중요한 경우에 향후 치과진료이용의 의지가 긍정적이었다. 따라서 향후에는 외국인 유학생들을 위한 구강보건교육 프로그램 활성화 및 보건의료 정보제공이 요구된다.

• Journal of Korean Dental Science
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• 제14권2호
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• pp.79-89
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• 2021

Purpose: The technique introduced in this study describes a technique for surface treatment that applies a photocuring resin to the surface of an interim crown fabricated by three-dimensional (3D) printing without a conventional polishing method. The purpose of this study was to evaluate marginal and internal fit and the intaglio surface trueness of interim crowns after surface treatment of 3D-printed crowns for clinical application. Materials and Methods: An interim crown was fabricated using a 3D printer with digital light-processing technology, and the surface support was removed. After the posttreatment process, the resin was thinly applied to the surface of the interim crown and polymerized to solve the esthetic problem of the surface without the conventional polishing process. In addition, the marginal and internal fits were measured to verify the clinical use of this technique, and the trueness was evaluated to confirm the deformation of the inner surface according to the technical application of the outer surface of the interim crown. The difference before and after the evaluation by a statistical method was verified using an independent t-test (α=0.05). Result: There was no significant difference in the marginal and internal fit before and after the application of this technique (P>0.05). There was no significant difference in intaglio surface trueness before and after the application of this technique (P=0.963). Conclusion: There was no change in the marginal and internal fit or in intaglio surface trueness of the interim crowns to which this technology was applied. This surface treatment technique is a more convenient method for interim crowns fabricated using 3D-printing technology without the conventional polishing process.

• Current Optics and Photonics
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• 제6권5호
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• pp.489-496
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• 2022

Our previous study on monitoring cerebral oxygenation with a variation of isoflurane concentration in a rat model showed that near-infrared spectroscopy (NIRS) signals have potential as a new depth of anesthesia (DOA) index. However, that study obtained results from the brain in a completely invasive way, which is inappropriate for clinical application. Therefore, in this follow-up study, it was investigated whether the NIRS signals measured in a minimally invasive model including the skull and cerebrospinal fluid layer (CSFL) are similar to the previous study used as a gold standard. The experimental method was the same as the previous study, and only the subject model was different. We continuously collected NIRS signals before, during, and after isoflurane anesthesia. The isoflurane concentration started at 2.5% (v/v) and decreased to 1.0% by 0.5% every 5 min. The results showed a positive linear correlation between isoflurane concentration and ratio of reflectance intensity (RRI) increase, which is based on NIRS signals. This indicates that the quality of NIRS signals passed through the skull and CSFL in the minimally invasive model is as good as the signal obtained directly from the brain. Therefore, we believe that the results of this study can be easily applied to clinics as a potential indicator to monitor DOA.

• 대한소아치과학회지
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• 제34권4호
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• pp.639-645
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• 2007

유전치의 조기상실시 가철성 또는 고정성 공간유지장치의 제작이 필요하며, 보다 심미적인 결과를 얻기 위해서는 자연치아의 색조에 부합하는 레진치의 사용이 요구된다. 현재 가장 많이 사용되는 유치레진치는 Resin Natural $Teeth^{TM}$ (Nissin dental, Japan)로, A형 1번 색조와 A형 2번 색조로 구성되어 있다. 본 연구는 유치레진치의 전치부 색조특성을 이해하고 자연치아와의 색조비교를 위한 기본 자료를 만들기 위한 목적으로, A1 색조군과 A2 색조군의 유치레진치의 상악 4전치부의 순면을 각각 17 set에 대해 치아분광측색장치(spectrophotometer)인 ShadeEye $NCC^{TM}$(Shofu, Japan)로 각 3회씩 측정하여 CIE 표색계의 $L^*,\;a^*,\;b^*$ 값을 구하고 Kruskall-Wallis Test, Mann-Whitney U Test를 이용해 95%의 신뢰도(P<0.05)로 분석하여 다음과 같은 결과를 얻었다. 1. ${\Delta}E$값 및 $L^*$값, $b^*$값의 분포로 볼 때, A1 색조군이 A2 색조군보다 치아위치별 색조차이가 작았다. 각 색조군내에서 $a^*$값의 치아위치별 색조차이는 거의 없었다(P>0.05). 2. A1 및 A2 색조군내에서의 ${\Delta}E$값이 매우 작아(최대 ${\Delta}E{\le}1.23$) 육안으로 그 차이를 구분하기 어려운 것으로 보이며, A1과 A2 색조군의 대표값 간의 ${\Delta}E$값은 3.97로 육안으로 군 간의 차이를 구분할 수 있었다. 3. A1 색조군의 측정평균값은 $L^*=73.8$, $a^*=-1.8$, $b^*=-4.7$이었으며, A2 색조군의 측정평균값은 $L^*=75.8$, $a^*=-2.7$, $b^*=-1.4$이었다. 향후 자연 유전치에 대한 색조특성을 연구하여 본 결과와의 차이점을 비교해 색조적합성이 좋은 레진치의 개발이 필요할 것으로 사료된다.

• 대한소아치과학회지
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• 제39권4호
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• pp.383-388
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• 2012

본 연구의 목적은 유동성 자이오머인 Beautifil flow와 유동성 복합레진인 $Filtek^{TM}$ Z350, Z350XT의 압축강도와 표면 미세경도를 비교 평가하는 것이었다. 각각의 재료를 사용하여 15개의 시편을 제작하였다. 만능시험기를 사용하여 초 당 1 mm 횡단 속도 하에서 압축강도를 측정하였으며, 표면 미세경도는 보압 시간 10초 조건하에서 4.9 N의 힘을 가해 비커스 경도를 측정하였다. 압축 강도 측정 결과 2군인 $Filtek^{TM}$ Z350XT는 $218.7{\pm}18.4$ MPa로 가장 높은 값을 보였고, 1군인 $Filtek^{TM}$ Z350은 $205.5{\pm}27.1$ MPa로 나타났다. 3군인 Beautifil flow F00는 $176.5{\pm}30.3$ MPa이었으며, 4군인 Beautifil flow F10의 압축 강도는 $173.4{\pm}26.2$ MPa이었다. 2군이 3군과 4군에 대해 통계학적 유의차를 보였다(p < 0.05). 표면 미세 경도 측정값은 2군 $Filtek^{TM}$ Z350XT가 $39.1{\pm}2.1$로 가장 높은 값을, 4군 Beautifil flow F10가 $27.9{\pm}1.8$으로 다음으로 높았고, 3군 Beautifil flow F00가 $23.1{\pm}1.1$, 1군 $Filtek^{TM}$ Z350이 $20.4{\pm}0.9$로 측정되었다. 모든 군 간에 통계학적 유의차를 보였다(p < 0.05). 결론적으로, 유동성 자이오머의 압축강도는 복합레진에 비해 낮지만, 표면 미세경도는 비슷한 양상을 보였다. 자이오머의 압축 강도가 보완된다면 임상에서 복합 레진의 좋은 대체재로 사용될 수 있을 것으로 사료되었다.

• 대한소아치과학회지
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• 제40권4호
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• pp.283-295
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• 2013

본 연구는 시효처리가 세 가지 상아질 접착제의 미세누출에 미치는 영향을 MicroCT를 이용하여 조사하였다. 5세대 상아질 접착제인 Adper$^{TM}$ Single bond Plus(3M-ESPE, USA)와 6세대 상아질 접착제인 AdheSE$^{(R)}$(Ivoclar Vivadent, Lichtenstein)와 Adper$^{TM}$ Prompt$^{TM}$ L-Pop$^{TM}$(3M-ESPE, USA)을 이용하였다. 세 가지 상아질 접착제를 이용하여 3MESPE 사의 Filtek$^{TM}$ Z250을 V급 와동에 수복하고 24시간 생리식염수에 보관한 군(I군), 열 순환을 시행한 군(II군), 인공 칫솔질 법을 적용한 군(III군), 인공 타액에 6개월간 보관한 군(IV군)으로 분류하였다. Adper$^{TM}$ Single bond Plus를 이용한 시편은 II군과 III군에서 미세누출의 양이 늘어났으며 IV군에서 감소하였다. I군에 비해 II군이 많은 미세누출을 보였으며(p < 0.05), II군과 III군에 비하여 IV에서 적은 미세누출을 보였다(p < 0.05). AdheSE$^{(R)}$를 이용한 시편은 차이를 보이지 않았다(p > 0.05). Adper$^{TM}$ Prompt$^{TM}$ L-Pop$^{TM}$을 이용한 시편은 차이를 보이지 않았다(p > 0.05). I군에서는 AdheSE$^{(R)}$가 Adper$^{TM}$ Single bond Plus와 Adper$^{TM}$ Prompt$^{TM}$ L-Pop$^{TM}$에 비해 미세누출이 많다(p < 0.05). II군에서는 상아질 접착제간 차이가 없었다(p > 0.05). III군에서는 AdheSE$^{(R)}$가 Adper$^{TM}$ Single bond Plus와 Adper$^{TM}$ Prompt$^{TM}$ L-Pop$^{TM}$에 비해 미세누출이 많았다(p < 0.05). IV군에서는 Adper$^{TM}$ Single bond Plus에 비해 AdheSE$^{(R)}$와 Adper$^{TM}$ Prompt$^{TM}$ L-Pop$^{TM}$의 미세누출이 많았다(p < 0.05).