• 구강회복응용과학지
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• 제37권4호
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• pp.251-258
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• 2021

치아 외상은 어린이와 비교적 젊은 연령에서 흔히 발생하며 외상 발생 시점, 환자의 나이, 치아의 성숙 상태 등이 치료 방법에 영향을 미친다. 약 파절편이 건전하고 잔존 치아와 밀접한 적합을 보일 경우, 파절편 재부착은 유용한 치료 옵션이 될 수 있다. 이 방법은 치아 본래의 형태와 교합의 회복뿐만 아니라 기능, 표면 광택과 질감을 그대로 재현할 수 있는 여러 가지 이점이 있다. 본 증례보고는 복잡 치관 파절된 치아를 섬유 강화형 포스트를 활용하여 파절편 재부착을 시행한 두 증례에 대해 소개한다.

• 대한소아치과학회지
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• 제32권1호
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• pp.26-32
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• 2005

치아 매복이란 여러 가지 이유로 구강 점막이나 악골내에서 치아가 맹출하지 못하고 있는 상태를 의미한다. 상악 중절치 매복의 원인은 치아종, 과잉치, 공간의 상실, 선행유치의 만기잔존 또는 조기상실, 선행유치의 외상으로 인한 치관이나 치근의 기형, 치배의 이소위치 등이 있다. 매복된 상악 중절치의 경우, 측절치가 빠르게 근심으로 이동하여 공간을 상실하고, 정중선의 변이가 발생하며, 낭종을 형성할 가능성도 있다. 따라서, 매복치의 조기 진단과 그에 따른 적절한 처치가 즉각적으로 이루어져야 한다. 일반적으로 매복의 정도가 심하지 않거나, 각화조직에 의해 매복이 초래된 경우 외과적인 노출만으로도 맹출을 유도할 수 있지만, 외과적인 노출후에 일정기간의 관찰에도 맹출이 되지 않는다거나, 치아의 맹출 방향이 자가 교정될 수 없을 정도로 심하게 변위되어 있는 경우, 매복의 위치가 너무 심부에 있는 경우에는 교정적 견인을 시도하는 것이 바람직하다. 본 증례는 매복된 상악 중절치 중 일정기간의 주기적 관찰후 맹출이 기대되지 않았기에, 교정적으로 견인하여 치료하였으며, 치료후 다소의 지견을 얻었기에 보고하는 바이다.

• Journal of Periodontal and Implant Science
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• 제31권1호
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• pp.257-269
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• 2001

Removal of subgingival calculus is essential for the success in periodontal treatment. Subgingival instrumentation is used for the removal of all bacterial plaque and calculus. In this study, Gracey curet and Ultrasonic curet were used on single rooted teeth to conduct subgingval scaling and root planning. The remaining amount of calculus was evaluated according to type of instrument, depth of pocket, and tooth surface. 24 teeth were extracted from 14 patients being treated at department Periodontology Seoul Advantist dental hospital were used. Total 96 area(4 surface per teeth) were evaluated. 12 teeth treated with Gracey curet were used as the control group and the other 12 teeth treated with Ultrasonic curet were examined for experimental group. The 4 surface of the teeth(buccal, mesial, lingual or palatal, distal) were observed through the stereomicroscope and the images of the surface were captured and saved in CCD. The images were displayed on the monitor and the amount of calculus remained was evaluated by overlapping $10{\times}10$ grid pixel screen produced by Microsoft power point. The results evaluated were as follows 1. There was no statistically significant difference in residual calculus and tooth position following scaling and root planning of all group, but statistically significant correlation with residual calculus, probing depth, instruments and tooth surface. 2. There was statistically significant correlation between residual calculus and probing depth, but no statistically significant difference in residual calculus, tooth surface and tooth position on experimental(Ultrasonic curet) group. 3. There was no statistically significant difference in residual calculus according to the pre-treatment pocket depth and tooth position, but statistically significant correlation with tooth surface. The amount of residual calculus increase with mesial, distal, buccal and lingual(or palatal) surface on control(Gracey curet) group. 4. The Gracey showed better results than ultrasonic curet in mesial and distal surface, and there is significant difference. The results demonstrate that ultrasonic curet alone is inadequate for thorough subgingival debridement and suggest that Ultrasonic curet with Gracey curet should be more effective.

• 한국치위생학회지
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• 제15권1호
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• pp.63-71
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• 2015

Objectives: The purpose of the study is to investigate the relationship between bone mineral density and remaining teeth in Korean adults. Methods: Using National Health and Nutrition Examination Survey(KNHANES) 5th Year 1(2010), 1,985 adults over 50 years old having bone mineral density test were selected. Male adults were 883, and female adults were 1,102. The raw data consisted of general characteristics of the subjects, bone density data, and oral examination data. The questionnaire consisted of general health survey, laboratory examination study, and nutrition study. Data were analyzed using SPSS 18.0 program for multiple regression analysis, ANOVA, t-test. The variables included general characteristics of the subjects, health behavior, diet habit, and oral health behavior. General characteristics consisted of gender, age, residence area, education level, marital status, monthly income, and vocation. Health behavior consisted of smoking, alcohol drinking, body mass index(BMI), physical activity, and mental health. Diet habit consisted of frequency of meal, milk, coffee, and calcium ingestion. Oral health behavior consisted of frequency of tooth brushing, use of oral health care devices, and oral examination. Systemic diseases were measured by the questionnaire for hypertension, diabetes mellitus, and hyperlipidemia. Bone density was measured in T-score of femoral bone, neck of femur, and lumbar vertebrae. Bone density was classified into normal($T-score{\geq}-1.0$), osteopenia(-2.5 < T-score < -1.0), and osteoporosis ($T-score{\leq}-2.5$). The remaining teeth were measured by the differences between normal teeth and missing teeth. Results: Smoking and age are the most influencing factors on the number of remaining teeth and bone density(p<0.01)(p<0.05). Those who had higher bone density, younger age, and nonsmoker significantly had more remaining teeth. Those who were men, diabetic, lowly educated women, and low birth weighted persons tended to have less number of teeth(p<0.01). Conclusions: The study suggested that there were significant differences between men and women according to the oral health management behavior and systemic disease control. Proper management of the oral health and good quality of bone mineral density can reserve the remaining teeth through the whole life.

• 한국인공지능학회지
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• 제3권1호
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• pp.4-6
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• 2015

These days, citizens have made change of food life to take Western style food and to suffer from diabetes because of excessive nutrition taking, less exercise, stress and other environmental factors. They may suffer from diabetes because of genetic defect, surgery of pancreas, disinfection and medicine and others. One of ten Koreans may have symptom of diabetes to be popular. The diabetes that is a kind of metabolic disease has high blood sugar at disorder of hyper insulinism and/or defect of insulin action. Long time high blood sugar may produce chronic disease of kidney, eyes, nerve, heart and blood vessel and others. The purpose of health care of diabetes patient was to reach target blood sugar by diet, physical exercise and medicine and to prevent and delay complication. Diabetes patient shall control blood sugar to keep healthy. The blood sugar control requires time and effort, and all of the patients are difficult to make effort and to spend time. You can control blood sugar by the application. The application allows patients to control blood sugar and to save time and efforts and to make small sized input and automation of remaining area. The service was limited to blood sugar graph, and user carries smart phone to conduct test and to have difficulty. Further study needs to solve the problems and to investigate blood sugar testing not carrying smart phone and to make application of easy control of blood sugar.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제26권1호
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• pp.73-79
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• 2000

A material of 48 patients with 60 avulsed and replanted permanent teeth were followed retrospectively in the period of 1996. 1 to 1998. 12 (mean observation period=1year 7months). The age of the patients at the time of replantation ranged from 9 to 63 years (mean=24 years). Clinical records of patients were reviewed to obtain valid data concerning the extent of injury and treatment provided. Pulpal and periodontal healing states were examined with periapical x-rays and clinical examination procedures (i.e. percussion test and mobility test) at their recall visit. Root ankylosis was found in fifty-two teeth(87%) and root resorption in twenty-four(40%). Only two of the replanted teeth(3%) showed partial regeneration of the periodontal ligament. Six teeth(10%) resulted in tooth loss, but the remaining fifty-four were clinically well functioning. Most of teeth have mild marginal bone loss accompanied by gingival retraction without pathological periodontal pockets. The incidence of root resorption was much higher in younger age group. However, it was not affected by the interval between avulsion and replantation, the condition of supporting tissues, the degree of root formation and the type of splinting, indicating that multiple factors involved in determining the prognosis of replanted teeth. Based on these findings, avulsed teeth in unfavorable conditions (i.e. long extra-alveolar periods, etc.) should be preserved if possible.

• Journal of Periodontal and Implant Science
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• 제41권3호
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• pp.131-134
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• 2011

Purpose: To test the plaque-removal efficacy of a single-tufted toothbrush on the posterior molars compared with a flat-trimmed toothbrush. Methods: Forty-nine subjects were selected. Professional instruction and written brushing instructions were given. After thorough supra-gingival scaling and polishing, all subjects were asked to abstain from oral hygiene procedures for 24 hours prior to the first experiment. The subjects were randomized to a treatment sequence. The modified Quigley and Hein plaque index was recorded pre- and post-tooth brushing, at 6 surfaces of the posterior molars. After a wash-out period, all the remaining plaque was removed professionally. Twenty-four hours of brushing abstinence was again performed. The plaque index was recorded pre- and post-tooth brushing after the subjects were given the second toothbrush in the cross-over sequence. Results: The percentage reductions in plaque scores achieved with the single-tufted brushes were significantly higher than those of the flat-trimmed brush at the maxillary buccal interproximal, marginal and mandibular lingual interproximal site. The other locations showed no significant difference. Conclusions: The results of the present study implied that the single-tufted brush could be an effective tool for the removal of plaque at some, but not all, sites of the posterior molars.

• 대한치과기공학회지
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• 제8권1호
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• pp.23-29
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• 1986

One of the primary advantage of acrylic resin teeth is their ability to bond chemically to the denture base resins. But, occasionally, failure have been observed in which acrylic resin teeth break lose from the denture, indicating that chemical bonding does not always occur. The most probable explanation for this type of failure was the presence of a trace of wax remaining as a residue on the surfaces of the teeth after the boiling-out procedure which adgered to the tooth surface and prevented bonding. The purpose of this stdy was preparing the specimens of denture base resin with acrylic resin teeth that four treatment method to ridge lap portion of the tooth and investigated bond between the teeth and denture base resin with tensile strength. Compared results of tensile strength on test specimens were as follows: 1. The mean of strength among the four test groups showed the difference was significant enough(P 0.01). The order of its strength mean was methylene chloride treatment group, detergent solution treatment group, kerosene-ether treatment grgoup, boiling water only group. 2. In compared results between the wax eliminating method groups, there were significant difference between the boiling water only group and other groups(P 0.01), no significant difference were found in the wax eliminating method groups except boiling water only group(P 0.05).

• 구강회복응용과학지
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• 제18권2호
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• pp.119-126
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• 2002

The purpose of this study was to restorate a patient who has a few remaining teeth with #15,23,24 supported Konus telescope denture in Maxillar and #44,43,33,34 supported Dolder bar retained overdenture in Mandible. Konus telescope and bar retained overdenture was taken better results in retention, support, stability compair with regular Removable partial denture. In Removable partial denture, the change of remaining teeth and edentulous ridge is natural. But Konus telescope and bar retained overdenture is a little effected in this change, so it is possiblble in long-term use. In cosider of patient's medical history and the possibility of additional tooth loss, Konus telescope denture can be easily repaired. Compaired with Konus telescope and bar retained overdenture showed high stability and easy cleansing because of rigid support, cross - arch splinting, and simple design. In delivery, patient had a difficulty with removal of denture and plaque control, but showed better condition, good oral hygienic care. Patient satisfied with denture functionally and esthetically. This study showed Konus telescope and bar retained overdenture was effective for treatment of patient remaing a few teeth in function, esthetic and psycologic satisfaction.

• 대한소아치과학회지
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• 제2권1호
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• pp.13-17
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• 1975

The purpose of this investigation was to make a comprohensive study and evaluation of the oral health of a group of orthopedically handicapped children by considering the DMF rate, occlusion, and oral hygiene status of 194 orthopedic children. The obtained results were as follows. 1. The DMF rate of over all examined children was 59.85%, and when the four orthopedic groups were compared among themselves, it was found that Cerebral Palsy group had a significant higher DMF rate than that occuring in any of the remaining groups. 2. Total prevalence of malocclusion was 50. 10%, and it was found that Cerebral Palsied children had a significantly higher incidence of malocclusion ($67.90{\pm}4.12$), and that Cerebral Palsy group showed a significantly different distribution of higher percentage of Class II occlusions from that observed in the remaining groups. 3. In dental plaque index, Average plaque index per tooth was 2.09. Plaque index of each group was as follows A) Cerebral palsy: 2.35 B) Poliomyelitis: 2.24 C) Tb Group: 1.65 D) miscellaneous Group: 1.72.