• 대한치과의사협회지
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• 제53권11호
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• pp.789-794
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• 2015

섭식 연하장애는 수술이나 치료로 인한 기질적 원인, 뇌혈관장애나 뇌성마비, 근육이나 신경장애 등으로 인한 기능적 원인, 그리고 거식증이나 폭식증과 같은 심리적 원인에 의해 발생할 수 있다. 치과의원급에서는 주로 음식물의 인식장애 단계부터 인두로의 전달장애 단계까지의 환자에게 적극적으로 도움을 줄 수 있으며, 그 방법으로는 치의학적 전문지식을 바탕으로 환자의 섭식, 저작과정을 주의 깊게 관찰하여 문제점을 파악하여 각 단계에 적절한 기초 훈련과 섭식 훈련을 실시하는 것이며, 또한 필요시 혀 접촉 보조장치와 같은 장치를 제작하여 환자에게 장착시키고 섭식, 연하 훈련을 시행하여 환자의 연하능력을 개선시켜줄 수 있다. 하지만 무엇보다 가장 중요한 것은 환자가 식전과 식후에 엄격한 구강관리를 시행할 수 있도록 잘 지도하고, 치과의 정기적 방문과 전문적 관리를 통해 구강내 저작기관의 해부학적, 기능적 문제점을 해결해 주도록 하며, 이 때 마다 심리적으로도 환자가 섭식, 연하에 문제가 없도록 세심하게 설명하고 상담해 주는 것으로, 이는 모두 치과의사의 책무라고 할 수 있다.

• 구강회복응용과학지
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• 제25권2호
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• pp.191-200
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• 2009

줄기세포는 미분화 상태의 세포로 지속적인 자가 분열능과 특정 세포로 분화 할 수 있는 분화능을 지니고 있으며 이러한 특성으로 말미암아 난치병의 새로운 장을 열 것이라는 기대감을 얻고 있다. 즉, 세포이식 후 특정 세포로 분화 유도를 시켜 기존의 치료 방법으로는 치료가 되지 않았던 많은 의학적 난제들을 풀 수 있는 열쇠인 것이다. 치아는 평생에 걸쳐 발거되는 조직으로 치아줄기세포는 얻기가 비교적 쉬워서 다른 성체줄기세포들보다 더 높이 평가되고 있다. 과잉치는 전 세계 다양한 인종에서 발견되는 중요한 임상적 질환이다. 과잉치의 유병율은 관련 연구 보고서마다 다양하나 소아치과 의사들의 경우 임상에서 자주 과잉치를 발거하고 있다. 그러나, 현재까지 진행된 줄기세포 관련 연구들을 살펴보면 과잉치의 줄기세포에 관한 보고는 없으며, 이는 줄기세포로 이용 가능한 중요한 자원을 파기하고 있는 것은 아닌지 의문이 생긴다. 그러므로 본 연구는 과잉치에 포함된 세포가 줄기세포의 특징을 가지고 있는지를 밝혀내기 위해 진행되었다.

• 대한치과마취과학회지
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• 제4권1호
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• pp.21-24
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• 2004

Facial nerve paralysis following the administration of a local anaesthetic can be alarming. By reading reports of such incidents, dentists who find themselves in similar situations will be able to reassure their patients and act accordingly. This article reviews the classifications of anesthetic complication, local complications, etiology, prevention, treatment of facial nerve paralysis fellowing the administration of a local anaesthetic. A thorough knowledge of the relevant anatomy pertinent to the various injections used in dental surgery is essential.

• 대한소아치과학회지
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• 제42권2호
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• pp.197-202
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• 2015

치수괴사가 있는 미성숙 치아를 치료할 때 많은 도전을 받는데, 역사적으로 수산화칼슘을 장기간 적용하여 석회 차단벽의 형성을 유도하는 것이 사용되어 왔다. 2004년 개방성 근첨을 치료할 수 있는 '재혈관화'라는 새로운 방법이 소개되어 널리 인정받게 되었다. 기존의 근첨형성술과 이 방법이 다른 점은 근관을 세 항생제 (ciprofloxacin, metronidazole and minocycline)로 소독하고 인위적으로 근관내 출혈을 유도한 다음, MTA로 밀폐한다. 괴사된 미성숙 영구치를 재생 근관치료를 성공적으로 하였을 경우, 지속적인 치근의 성장과 상아질벽 두께의 증가, 및 치근첨의 폐쇄를 얻을 수 있다. 이는 치수-상아질 복합체의 기능적 회복과 발달이 궁극적으로 자연치의 유지에 기여하는 점이다.

• 대한소아치과학회지
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• 제35권1호
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• pp.102-109
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• 2008

2004년 보건복지부에서 시행한 전국 장애인 구강보건실태조사 자료 중 만 6-17세 사이의 소아 청소년 장애인 677명을 대상으로 하여 장애유형을 신체장애, 정신지체 및 감각장애로 분류한 후 이들의 치아우식증 실태를 파악하여 다음과 같은 결론을 얻었다. 소아 청소년 장애인들의 전체 평균 우식경험영구치지수와 우식경험영구치면지수는 각각 3.06개 및 5.24면이었고, 각 연령대별 우식경험영구치지수와 우식경험영구치면지수는 6-8세는 0.90개 및 1.45면, 9-11세는 2.32개 및 3.76면, 12-14세는 3.63개 및 6.33면 그리고 15-17세는 4.93개 및 8.35면이었다. 또한 소아.청소년 장애인들의 우식경험영구치지수에 유의한 영향을 미친 변수로는 연령, 잇솔질 횟수 및 잇솔질 의존도 그리고 저작 및 기능장애이었다. 연령이 증가할수록(b=1.34, p<0.001), 잇솔질 횟수가 적을수록(b=-0.27, p=0.034), 잇솔질을 자력으로 하는 경우에(b=-1.43, p<0.001), 그리고 구강 내에 저작 및 기능장애가 있는 경우에(b=1.24, p=0.011) 우식 경험영구치지수가 유의하게 높았다. 또한 우식경험영구치면지수에 유의한 영향을 미친 변수는 연령, 잇솔질 횟수 및 잇솔질 의존도로, 연령이 증가할수록(b=2.49, p<0.001), 잇솔질 횟수가 적을수록(b=-0.66, p=0.024) 그리고 잇솔질을 자력으로 하는 경우(b=-1.75, p=0.042)에 우식경험영구치면지수가 유의하게 높게 나타났다. 따라서 우리나라 소아 청소년 장애인들의 치아우식증의 진행과 중증도를 감소시키기 위해 각 연령대별로 보다 효과적인 잇솔질 교습을 포함한 구강건강증진 프로그램을 개발하여 적용하는 것이 필요한 것으로 사료되었다.

• 한국치위생학회지
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• 제7권2호
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• pp.153-166
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• 2007

The job of dental hygienists is specialized, and they have to be capable of performing their primary duties including prevention of oral diseases, oral prophylaxis, and oral health education. To ensure their successful job performance, dentists should have an accurate understanding of their duties and need a change of mind-set about them. And there should be written legal and concrete regulations on the coverage of their work in order to let them boost their job performance with pride and a sense of responsibility. The purpose of this study was to examine the actual roles and job performance of dental hygienists in clinical field in an attempt to discuss the substantial job performance of dental hygienists and their job enlargement. It's basically meant to help enhance the efficiency and quality of medical services. The subjects in this study were 471 dental hygienists in dental clinics, dental hospitals, university hospitals and general hospitals across the nation, on whom a survey was conducted in person from March 2 to 25, 2005. The collected data were analyzed with SPSS Win 12.0 program, and the findings of the study were as follows: 1. The major jobs they currently performed included oral health education, hospital management, simple duties, extensive dental hygiene duties and joint treatment assistance. They hoped to continue to be responsible for oral health education, preventive treatment and extensive dental hygiene duties. 2. As for their current job by age, extensive dental hygiene duties, preventive treatment, joint treatment assistance, preserving treatment, prosthetic treatment and pediatric treatment were most conducted by the dental hygienists who were at the age of 26 to less than 31, and those who were at the age of 31 and up were most responsible for hospital management and simple duties. 3. As to job awareness by workplace, their workload was statistically significantly different according to their workplace. The hospital employees took care of more work than those in clinics. 4. Concerning job awareness by age, the younger dental hygienists suffered more role conflicts and were given a less free hand in work handling, the middle-aged group's job was uncertain. Legal regulations about the coverage of their work should be prepared in detail as a measure to stir up their responsible job performance and pride. In order to take advantage of experienced dental hygienists, their duties should be more differentiated and specialized, and their working conditions should be improved to boost their job satisfaction. That is, they should be given ample chances for promotion and serving as a middle manager and be given fair treatment according to their career. If their work is accurately darified and specialized based on career, it will boost the efficiency of dental treatment. Dental hygienists also should direct sustained efforts into self-development in order to become a skilled and professional oral health personnel.

• 한국치위생학회지
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• 제4권1호
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• pp.49-64
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• 2004

This study is designed to conduct a questionnaire research into the safety control and the actual condition of radiography by working with dentistry belonging to university hospitals, dental hospitals and dental clinics for three months ranging from August, 2003 to October, 2003. The researcher came to the following conclusions. 1. The research on the current condition of possessed radiational equipment shows that 61.2 percent of the subjects had one intraoral radiation medicine and that 70.1 percent of the subjects had more than one extraoral radiation medicine and that 37.3 percent of the subjects had more than one digital radiation medicine. 2. Most of intraoral radiography (82.1%) was conducted by dental hygienists, and 7.5 percent of intraoral radiography was conducted by nurse aids. On the other hand, most of extraoral radiography (76.6%) was conducted by dental hygienists and digital radiography was conducted by dental hygienists(60.6%), dentists(32.0%) and radiographer(80.0%). 3. The less-than 1-meter-long distance between cone and the radiographer accounted for 44.8 percent. And the more-than 1.6-meter-long distance accounted for no more than 13.4 percent. The exposure time per standard film which was adjusted to each part accounted for 71.6 percent. Fixing the film on the part of healthy patients accounted for 76.1 percent. Fixing the film of elderly patients and children patients by the radiographer accounted for 43.3 percent. 4. The average daily photographing frequency of standard films stood at six to ten pieces(31.3%), and the average weekly photographing frequency of bitewing films stood at less than one piece(47.8%), and the dentistries where bitewing films were not employed accounted for 25.4%. The subjects whose average weekly photographing freqeuncy of occlusal films stood at less than a piece accounted for 59.7 percent. The dentistries whose average weekly photographing frequency of pediatric films stood at one to five pieces accounted for 41.8 percent. In case of panorama & cephalo, one to five pieces on a weekly average accounted for 36.2 percent. The dentistries whose average daily photographing frequency of digital radiation medicine stood at less than 1 piece accounted for 40.0 percent. 5. The research on the use of protective clothes shows that pregnant ·women only accounted for 31.3 percent. In regard to the use of protective clothes in case of the radiographers fixing films, the cases where no protective clothes were employed accounted for 88.1 percent. The reason was said to he attributable to the trouble related to wearing the clothes(54.2%). 6. The survey on the measurement of exposure dose shows that the cases where no measurement was made accounted for 76.1 percent. As far as the measurement methods of exposure dose was concerned, the employment of film badge accounted for 68.8 percent. The subjects turned out to conduct measurement of exposure dose every third month, which accounted for 43.8 percent. The barriers to the measurement of measurement of exposure dose were attributable to the recognition that a little amount of exposure dose need not be measured(29.9%). 7. The survey on the distinction of radiation rooms and clinic rooms reveals that the cases where radiation rooms exclusively existed accounted for 67.2 percent. 43.3 percent of the subjects turned out to have only one protective garment, and 49.3 percent of the subjects proved to conduct a periodical checkup of radiational equipment. The survey on the examination certificates of radiational generators and protective facilities indicates that 80.6 percent of the subjects had the certificates. The research also shows that the subjects with the marks indicating the radiational areas accounted for 70.1 percent. And trustees turned out to handle developing solutions and fixing solutions.