• Title/Summary/Keyword: Tooth Impact

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Improvement in periodontal healing after periodontal surgery supported by nutritional supplement drinks

  • Lee, Jaeri;Park, Jung-Chul;Jung, Ui-Won;Choi, Seong-Ho;Cho, Kyoo-Sung;Park, Yoo-Kyoung;Kim, Chang-Sung
    • Journal of Periodontal and Implant Science
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    • v.44 no.3
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    • pp.109-117
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    • 2014
  • Purpose: The aim of this study was to determine the effects of nutritional supplements on periodontal health and tooth mobility after surgery. Methods: Patients were randomly assigned to an intervention group who consumed nutritional supplement drinks for 8 weeks, while the placebo group did not receive any such supplements. The gingival index (GI) and tooth mobility were measured at baseline and at 1, 4, and 8 weeks. In addition, the oral health impact profile-14 and anthropometric measurements along with loss of appetite and dietary intake were assessed at baseline and 8 weeks. Results: At 1 week, GI values were reduced in the intervention group (P<0.05), and tooth mobility had increased, but to a lesser extent in the intervention group (P<0.05). At 8 weeks, the intakes of protein, vitamins A and B1, and niacin were increased in the intervention group. Conclusions: These results demonstrate that nutritional supplementation improves early periodontal healing after surgery.

Effect of different tooth preparation designs on the marginal and internal fit discrepancies of cobalt-chromium crowns produced by computer-aided designing and selective laser melting processes

  • Yu, Na;Dai, Hong-Wei;Tan, Fa-Bing;Song, Jin-Lin;Ma, Chao-Yi;Tong, Xue-Lu
    • The Journal of Advanced Prosthodontics
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    • v.13 no.5
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    • pp.333-342
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    • 2021
  • PURPOSE. To evaluate the impact of five different tooth preparation designs on the marginal and internal fit discrepancies of cobalt-chromium (CoCr) crowns produced by computer-aided designing (CAD) and selective laser melting (SLM) processes. MATERIALS AND METHODS. Five preparation data were constructed, after which design crowns were obtained. Actual crowns were fabricated using an SLM process. After the data of actual crowns were obtained with structural light scanning, intaglio surfaces of the design crown and actual crown were virtually superimposed on the preparation. The fit-discrepancies were displayed with colors, while the root means square was calculated and analyzed with one-way analysis of variance (ANOVA), Tukey's test or Kruskal-Wallis test (α = .05). RESULTS. The marginal or internal color-coded images in the five design groups were not identical. The shoulder-lip and sharp line angle groups in the CAD or SLM process had larger marginal or internal fit discrepancies compared to other groups (P < .05). In the CAD process, the mean marginal and internal fit discrepancies were 10.0 to 24.2 ㎛ and 29.6 to 31.4 ㎛, respectively. After the CAD and SLM processes, the mean marginal and internal fit discrepancies were 18.4 to 40.9 ㎛ and 39.1 to 47.1 ㎛, respectively. The SLM process itself resulted in a positive increase of the marginal (6.0 - 16.7 ㎛) and internal (9.0 - 15.7 ㎛) fit discrepancies. CONCLUSION. The CAD and SLM processes affected the fit of CoCr crowns and varied based on the preparation designs. Typically, the shoulder-lip and sharp line angle designs had a more significant effect on crown fit. However, the differences between the design groups were relatively small, especially when compared to fit discrepancies observed clinically.

The Relationship between Meal Regularity and Oral Health and Metabolic Syndrome of Adults in Single Korean Households

  • Jung, Jin-Ah;Cheon, Hye-Won;Ju, On-Ju
    • Journal of dental hygiene science
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    • v.21 no.3
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    • pp.185-197
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    • 2021
  • Background: This study aimed at investigating the meal regularity, health, and oral health habits of single Korean households to understand the impact of these factors on the risk of metabolic syndrome, in addition to preventing and managing metabolic syndrome. Methods: Using raw data from the 8th Korea National Health and Nutrition Examination Survey (2019), 274 study subjects, aged 19 to 64, were selected primarily from single adult households. Complex sample statistical analysis was performed using the Predictive Analytics Software Statistics ver. 18.0 program. Results: Regarding the meal regularity in single-person households in Korea, the younger group outperformed the middle-aged group, and those who drank more than once a month performed better than those who drank less than once a month. In terms of oral health, regardless of the age and the income level, participants who ate three meals a day had a higher rate of speech problems and chewing difficulties than those who ate irregularly or regularly on a regular day. Factors influencing the risk of developing metabolic syndrome were age, speech problems, and frequency of toothbrushing. Compared to the younger group, there were 0.361 times more people in the middle-aged group; and compared to those without speech problems, there were 1.161 more people with speech problem. Compared to those who tooth brushed more than four times a day, there were 1.284 more people who tooth brushed 2 to 3 times a day and there were 5.673 times more people who tooth brushed less than once. Conclusion: Based on the study results, it is necessary to implement a program that can plan and apply customized management measures and prevent metabolic syndrome by improving and correcting the health and oral health behaviors of single-person households in Korea. Therefore, active mediation measures, such as support and publicity at the local or national level, should be planned.

The Effects of the Q-Ray View on Reliability of Assessing a Tooth Status for Dental Hygiene Process (Q-Ray View 활용이 치위생과정을 위한 치아 검사의 신뢰도 향상에 미치는 영향)

  • Oh, Hye-Young;Jung, Hoi-In;Ku, Hye-Min;Kim, Baek-Il
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.461-467
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    • 2014
  • The objective of this study was to evaluate the impact of the Q-ray view, a novel optical device on reliability of assessing a tooth status by dental hygiene students in the training for dental hygiene process. Twenty patients were enrolled in this study. Oral examinations were conducted by both seventeen third-year dental hygiene students and a trained faculty member. Traditional visual inspection was performed in phase I and then re-examined with Q-ray view in phase II. Restoration codes and lesion codes for each tooth were recorded separately according to the predefined criteria. As a measure of reliability, percent agreement and Cohen's kappa were determined. Agreements for each intraoral regions and types of lesion and restoration were calculated. Paired t-test and Pearson chi-square test for two proportions were used to compare mean Cohen's kappa and percent agreement at each phase. For the lesion code, mean kappa values of phase II for intraoral regions were significantly greater than that of phase I (p=0.017). For the both of the lesion code and restoration code, percent agreements of phase II for each types of lesion and restoration were significantly greater than that of phase II (p<0.001 and p<0.001, respectively). Especially difference of percent agreements between phase I and II for incipient caries, caries and fracture were significant for the lesion code (p=0.046, p<0.001, and p=0.029, respectively) and for not restored or sealed, tooth-colored restoration were significant for the restoration code (p<0.001 and p=0.011, respectively). The reliability of assessing a tooth status was improved when the Q-ray view used in dental hygiene student with beginner level of expertise. Q-ray view can be a promising device for conducting and educating the dental hygiene process better.

The Effect of a Shock-Absorbable Polymer(Chitosan) on the Initial Stability and Dynamic Behavior of Dental Implant (충격흡수용 고분자재료의 이용이 Implant 초기안정성과 동적거동에 미치는 영향)

  • Joo, W.;Choi, K.;Kwon, I.C.;Choi, J.B.;Moon, H.J.;Shin, J.W.;Lee, Y.C.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.337-342
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    • 1997
  • Dental implant has been increasingly used to recover the masticatory unction of tooth. It has been well known that the success of dental implant is heavily dependent on initial stability and long-term osseointegration due to optimal stress distribution in the surrounding bones. The role of periodontal ligament, removed during operation, is to absorb impact force and to distribute them to alveolar bone. or this reason, the study for artificial periodontal ligament has become an important issue in this field. In this study, chitosan was coated on dental implant or the purpose of replacing the role of intact periodontal ligament. The results by experiment and FEM analysis showed : I) Initial stability of dental implant was significantly increased(35%) when the implant was coated with chitosan. II) The coated implant showed higher impact absorption, more even stress distribution and lower stress magnitude under impact force than uncoated implant. Accordingly, the micro-fracture of the surrounding bones due to impact force would be lessened by chitosan coating on dental implant.

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Thermomechanical Effect on the Water Wet Dental Hard Tissue by the Q-switched Er : YAG Laser

  • Y. H. Kwon;Ky0-han Kim
    • Journal of Biomedical Engineering Research
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    • v.20 no.2
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    • pp.231-236
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    • 1999
  • Understanding the exgenous water induced thermomechanical effect on the dental hard tissue by the Q-switched Er:YAG laser (1-$mutextrm{s}$-long pulse width) has an important impact on the further understanding of the free-running Er:YAG laser (250-$mutextrm{s}$-long pulse width) ablation on the dental gard tissue because one macroscopic effect in the free-running laser is an accumulation of microscopic effects we investigated in this study. The Q-switched Er:YAG laser with exogenous water on the tooth enhanced ablation rate compared to the case of no water on the tooth. The frequency of exogenous-water jet on the tooth has affected the ablation rate in such a way that as we dispensed water drops less frequently we could get more enhanced ablation rate. The amplitude of the recoil pressure depends on the tooth surface conditions such that as surfaces wet, and as the volume of the exogenous water drop increased, the amplitude of the recoil pressure increased also. From this study we realized that the 1 $mutextrm{s}$ long pulsed induced thermomechanical effect provides us useful information for the understanding of the free-running Er:YAG laser induced ablation with exogenous water.

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Prognostic factors influencing clinical outcome of nonsurgical endodontic treatment (비외과적 근관치료의 임상적 성공에 영향을 미치는 예측 인자들의 평가)

  • Kim, Seon-Ah
    • Restorative Dentistry and Endodontics
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    • v.35 no.6
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    • pp.436-444
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    • 2010
  • Objectives: This study aimed to assess prospectively the clinical outcome of nonsurgical endodontic treatment and identify patient- and tooth-related factors, rather than treatment-related factors, that were the best predictors of this outcome. Materials and Methods: The inception cohort comprised 441 teeth (320 patients) and 175 teeth (123 patients) were followed up for 1-2 years. Age, gender, presence of medical disease, number of canals, previous endodontic treatment, presence of sensitivity and pain, pulp vitality, swelling or sinus tract of pulpal origin on the gingiva, periapical radiolucency and tendency of unilateral bite on the affected tooth were recorded at treatment start. Results: The outcome was classified on the basis of periapical radiolucency as healed or non healed. The overall healed rate in these cases, including nonsurgical retreatment, was 81.1%. Four tooth-related factors had a negative impact in the bivariate analysis: previous endodontic treatment, necrotic pulp, preoperative gingival swelling or sinus tract of pulpal origin, and preoperative periapical radiolucency. Stepwise logistic regression analysis including patient-, tooth-related factors and level of the root canal filling as a treatment-related factor showed that preoperative gingival lesion (odds ratio [OR]: 4.4; p = 0.005), preoperative periapical radiolucency (OR: 3.6; p = 0.011), and $\leq$ 1-2 mm under root filling length (OR: 9.6; p = 0.012) were significant predictors of failure. Conclusions: A preoperative gingival lesion of pulpal origin can influence the outcome of nonsurgical endodontic treatment in addition to preoperative periapical radiolucency.

The eleven reasons why dentist should study the geriatric dentistry (임상가를 위한 특집1 - 노년치의학을 배워야 하는 11가지 이유)

  • Choi, Yong-Geun
    • The Journal of the Korean dental association
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    • v.49 no.10
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    • pp.584-598
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    • 2011
  • The age structure has been experiencing substantial change due to the decreased birth rate as well as the increased life expectancy. Gorge Magnus, an English economist, casts warnings of population ageing which has the potential of huge socioeconomic impact human society has never experienced before. The prediction that proportion of elderly people in need of oral health care will increase substantially is a new challenge to dentists in the future. The old paradigm that the aged person is just the person who was born earlier and needs the same conventional oral health care should be shifted to the new one. Elderly people tend to express their political interest related with health care system by actively participating in the national elections. The need to sustain economic status for the extended life span makes them seek eagerly esthetic health care to maintain sound social function. Most of them are under multiple chronic diseases and take related medicines. In addition, many studies report about mental change as well as physical change among the aged people. Since the prevalence of dental diseases among the aged is higher than other chronic devastating diseases, the aged seeking oral health care will increase. The aged who has different physical and psychological status as well as chronic disease and related medicine will show unexpected response to the conventional oral health care. In addition, the impact of tooth loss is substantial physically, mentally and emotionally. Dentist should prepare different approaches for the elderly dental patient.

A FEM study on stress distribution of tooth-supported and implant-supported overdentures retained by telescopic crowns (텔레스코픽 크라운 임플란트 지지 피개의치와 치아 지지 피개의치의 하악골내 응력분포에 관한 유한요소분석)

  • Paek, Jang-Hyun;Lee, Chang-Gyu;Kim, Tae-Hun;Kim, Min-Jung;Kim, Hyeong-Seob;Kwon, Kung-Rock;Woo, Yi-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.1
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    • pp.10-20
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    • 2012
  • Purpose: The purpose of this study was to investigate the stress distribution in mandibular implant-supported overdentures and tooth-supported overdentures with telescopic crowns. Materials and methods: The assumption of this study was that there were 2, 3, 4 natural teeth and implants which are located in the second premolar and canine regions in various distributed conditions. The mandible, teeth (or implants and abutments), and connectors are modeled, and analyzed with the commercial software, ANSYS Version 10.1. Stress distribution was evaluated under 150 N vertical load bilaterally on 3 experimental conditions - between canine areas, canine and $2^{nd}$ premolars, 10 mm posterior to $2^{nd}$ premolars. Results: Overall, the case of the implant group showed more stress than the case of the teeth group in stress distribution to bone. In stress distribution to superstructures of tooth and implants, there was no significant difference between TH group and IM group and the highest stress appeared in TH-IV and IM-IV. The stress caused from bar was much higher than those of implant and tooth. TH group showed less stress than IM group in stress distribution to abutment teeth and implant. Conclusion: The results shows that it is crucial to make sure that distance between impact loading point and abutment tooth does not get too far apart, and if it does, it is at best to set abutment tooth on premolar tooth region. It will be necessary to conduct more experiments on effects on implants, natural teeth and bone, in order to apply these results to a clinical treatment.

Impact of Dietary habits on Tooth Care among Some High School Students (일부 고등학생의 식습관이 치아관리에 미치는 영향)

  • Jeong, Mi-Ae
    • Proceedings of the Korea Contents Association Conference
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    • 2010.05a
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    • pp.210-212
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    • 2010
  • 본 연구는 청소년기의 고등학생을 대상으로 식습관 및 간식습관 실태를 분석하여, 우리나라 청소년기의 건전한 성장발달은 위한 올바른 식생활 정착에 도움이 되는 자료를 제공하여 건전한 식습관을 형성하고자 한다. 학생들이 간식을 섭취하는 이유에 대해 살펴본 결과 배가 고파서 섭취하는 학생이 31.8%로 가장 많았으며, 다음으로 맛이 좋아서 21.2%로 조사되었다. 학생들의 식습관수준에 대해 살펴본 결과는 과일주스 및 과일을 좋아 한다가 91.3%로 가장 많았으며, 식습관 평가시 10점 만점 중 전체 평균이 5.03으로, 학생들은 식습관이 그다지 좋지 않은 것으로 나타났다.

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