• 치위생과학회지
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• 제23권4호
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• pp.312-319
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• 2023

Background: Parental attention is crucial for preventing childhood oral diseases. Mothers play a significant role in maintaining their families' oral health, and their educational level influences their children's oral health behaviors. This study investigates the impact of mothers' educational levels on adult oral health behaviors using data from a national survey. Methods: This study employed a cross-sectional analysis of secondary data. The data used were obtained from the 8th Korea National Health and Nutrition Examination Survey. Descriptive statistics were calculated to identify participant characteristics. Next, t-tests and one-way analysis of variance were conducted to examine the effects of the explanatory variables on the distribution of the dependent variable. Finally, logistic regression analysis was used to investigate the influence of the explanatory variable on the dependent variable, using "no education" as the reference value, and calculate the odds ratios. Results: Children of mothers with a college education or higher had a 1.13 times higher likelihood of receiving oral examinations than those whose mothers had no education. Children whose mothers graduated from college or higher had a 2.23 times higher probability of receiving preventative dental treatment than those whose mothers had no education. Children whose mothers graduated from college or higher had a 1.92 times higher probability of receiving scaling than those whose mothers had no education. Children whose mothers graduated from high school had a 1.35 times higher probability of receiving scaling than those whose mothers had no education. Conclusion: Developing oral health programs is important for low-educated and low-income parents to change theirs and their children's oral health behaviors/attitudes. This will help reduce oral health disparities among adults raised by parents of higher and lower socioeconomic statuses. Therefore, a comprehensive approach is essential for adults to maintain good oral health, regardless of variations in their parental educational levels during childhood.

• 대한장애인치과학회지
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• 제12권1호
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• pp.27-30
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• 2016

이번 증례에서는 불편감이나 증상을 스스로 표현하기 어려운 10살의 지적장애를 가진 환자에서 발생한 타석증을 제거하였다. 일반적으로 타석증 환자들은 식사 전이나 식사 도중 심해지는 얼굴 또는 목의 통증으로 치과에 내원하게 된다. 이번 증례에서 본 환자는 인지능력 부족으로 의사소통 능력이 제한되어 증상이나 불편감을 표현하지 않았지만 정기검진 시 치과에서 시행된 검사로 병소를 발견하여 국소마취 하에 절개하여 외과적으로 제거하였다. 장애인 환자에서 구강내의 병소를 파악해서 적절한 시기에 알맞은 치료를 제공하기 위해서 치과의사는 구내외에 걸친 자세하고 전반적인 검사를 시행해야 한다.

• 디지털융복합연구
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• 제12권3호
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• pp.299-308
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• 2014

오늘날 치과의료관광은 자국에서의 비용-효과적인 측면과 치과진료의 질과 기술적인 측면 그리고 관광의 매력 때문에 보편적인 현상이 되어가고 있다. 우리나라는 인기 있는 의료관광지 중의 하나로 각광을 받고 있으며 인도네시아는 잠재적인 치과의료관광 시장으로서의 가치가 충분하다. 이에 본 연구에서는 한국과 인도네시아의 치과의료관광에 대한 지식, 태도, 그리고 경험을 비교하여 치과의료관광 발전의 기초자료를 제공하기 위해 시도되었다. 연구도구는 각국의 언어로 된 구조화된 설문지를 사용하였으며, 인도네시아는 2010년 4월부터 7월까지 33개 도시에서 총 923부를 조사하였고, 한국은 2010년 5월부터 8월까지 총 312부를 조사하였다. 연구 결과, 많은 응답자들이 치아의료관광에 대해 들어 본 경험이 없었고, 들어 본 사람들은 주로 인터넷을 통해 알고 있었다. 인도네시아의 경우 치과보험은 치과의료관광에 대한 지식에 유의한 상관관계가 있는 것으로 나타났고, 양국 모두 치과의료관광에 대한 태도는 자국의 치료가 더 안전하다고 느끼기 때문에 부정적인 측면이 강했다. 한국인 응답자 중에는 치과의료관광 경험자가 없는 반면, 인도네시아는 2.4%가 경험하였다. 본 연구 결과를 바탕으로 대상자들의 치과의료관광에 대한 지식과 태도, 경험을 높이기 위해서는 긍정적이고 포괄적인 정보의 제공이 효율적으로 생각되었다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제31권3호
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• pp.267-272
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• 2009

Bone grafting the alveolar cleft allows for stability and continuity of the dental arch, provides bone for eruption of permanent teeth or placement of dental implants, and gives support to the lateral ala of the nose. Closure of residual oronasal fistula can occur simultaneously. Repair of alveolar clefts can occur at a variety of stages defined as primary, early secondary, secondary, and late. Most centers perform this surgery as secondary bone grafting. Autogenous bone provides osteogenesis, osteoinduction and conduction and is recommended for grafting to the cleft alveolus and several donor sites are available. The surgeon should select the best flap design considering the amount of mucosa available, blood supply and tension-free closure, and the extent of the oronasal communication. The authors provide a comprehensive understanding of alveolar clefts and their repair by reviewing the historical perspective, objectives for treatment, timing, source of graft, presurgical orthodontics, surgical techniques, postoperative care, and complications.

• 대한치과보철학회지
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• 제57권1호
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• pp.75-80
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• 2019

낙상에 의해 치아 및 주변 조직이 손상되어 구강 내 경조직 및 연조직의 상실이 발생한 경우 이를 재건하기 위한 방법으로 외과적 접근법과 보철적 접근법이 제시될 수 있다. 치은부가 포함된 보철물을 이용하는 보철적 접근법은 외과적 수술을 생략함으로써 치료 과정을 단순화 하고 치료 시간과 비용을 줄일 수 있다는 장점이 있다. 특히, 상악 전치부 치아 및 치조골의 상실을 보철적으로 재건하는 경우 치은부가 포함된 보철물에 의해 확실한 안면부 지지를 제공하게 되어 안모의 심미적 결손을 보상할 수 있고 상 하악의 관계를 개선시킬 수 있다. 본 증례는 낙상으로 인해 상악 전치부에 광범위한 손상을 입은 노인 환자에서 수술을 배제하고, 치은 색상의 도재가 포함된 고정성 보철물을 이용하여 수복함으로써 예지성 있는 심미적 결과를 얻었기에 이를 보고하고자 한다.

• 대한장애인치과학회지
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• 제15권1호
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• pp.89-93
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• 2019

본 증례 보고는 기관 삽관 경험이 있는 조산아에서 상악 유전치의 발육장애가 나타난 증례이다. 본 증례들에서는 기관 삽관으로 인해 치관 형태 이상, 법랑질 결함, 맹출 지연이 나타났다. 또한 치배의 변위로 인한 맹출 경로 이상, 치근 만곡, 후속 영구치의 비정상적인 치근 형성도 나타났다. 이환 치아에 대해서는 예방적 수복치료 및 관리, 적절한 시기에 발치를 고려해야 한다. 소아치과의사는 삽관 경험이 있는 조산아에서 나타날 수 있는 상황에 대해 이해하고, 적절한 개입을 통해 구강 건강 증진을 도모해야 한다.

• Restorative Dentistry and Endodontics
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• 제46권4호
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• pp.52.1-52.11
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• 2021

Objectives: This study evaluated the effects of low and moderate concentrations of triple antibiotic paste (TAP) and double antibiotic paste (DAP) loaded into a hydrogel system on crown discoloration and explored whether application of an adhesive bonding agent prevented crown discoloration. Materials and Methods: Intact human molars (n = 160) were horizontally sectioned 1 mm apical to the cementoenamel junction. The crowns were randomized into 8 experimental groups (calcium hydroxide, Ca[OH]₂; 1, 10, and 1,000 mg/mL TAP and DAP; and no medicament. The pulp chambers in half of the samples were coated with an adhesive bonding agent before receiving the intracanal medicament. Color changes (ΔE) were detected by spectrophotometry after 1 day, 1 week, and 4 weeks, and after 5,000 thermal cycles, with ΔE = 3.7 as a perceptible threshold. The 1-sample t-test was used to determine the significance of color changes relative to 3.7. Analysis of variance was used to evaluate the effects of treatment, adhesive, and time on color change, and the level of significance was p < 0.05. Results: Ca(OH)₂ and 1 and 10 mg/mL DAP did not cause clinically perceivable tooth discoloration. Adhesive agent use significantly decreased tooth discoloration in the 1,000 mg/mL TAP group up to 4 weeks. However, adhesive use did not significantly improve coronal discoloration after thermocycling when 1,000 mg/mL TAP was used. Conclusions: Ca(OH)₂ and 1 and 10 mg/mL DAP showed no clinical discoloration. Using an adhesive significantly improved coronal discoloration up to 4 weeks with 1,000 mg/mL TAP.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제41권2호
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• pp.59-65
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• 2015

The extraction of third molars is a common task carried out at dental/surgery clinics. Postoperative pain is one of the two most common complications of this surgery, along with dry socket. Knowledge of the frequent risk factors of this complication is useful in determining high-risk patients, planning treatment, and preparing the patients mentally. Since the risk factors for postoperative pain have never been summarized before while the risk factors for dry socket have been highly debated, this report summarizes the literature regarding the common predictors of postextraction pain. Except for surgical difficulty and the surgeon's experience, the influences of other risk factors (age, gender and oral contraceptive use) were rather inconclusive. The case of a female gender or oral contraceptive effect might mainly be associated with estrogen levels (when it comes to dry socket), which can differ considerably from case to case. Improvement in and unification of statistical and diagnostic methods seem necessary. In addition, each risk factor was actually a combination of various independent variables, which should instead be targeted in more comprehensive studies.

• Imaging Science in Dentistry
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• 제31권1호
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• pp.57-65
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• 2001

Osteoradionecrosis is one of the most serious complication after heavy irradiation of bone and most particularly following treatment of cancers within the head and neck. The irradiated bone has the decreased vascularity and is easily infected. As a result, the spread of infection may cause a nonhealing wound that is very difficult to be treated. A comprehensive prophylactic dental care as well as proper blocking of the radiation field before radiotherapy must be considered to reduce the risk of osteoradionecrosis. We present three cases of osteoradionecrosis which developed after extraction of teeth in irradiated patients.

• 대한소아치과학회지
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• 제23권4호
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• pp.937-945
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• 1996

Nitrous oxide has acquired widespread use as a tool for management of anxious and comprehensive pediatric dental patients. Clinical impressions have suggested that inhalation sedation with $N_2O/O_2$ reinforces the effect of other sedatives. Fifteen uncooperative children, mean age of 37months, who were regarded as fail in the first treatment using chloral hydrate-hydroxyzine orally, midazolam orally or intranasally, were sedated with the same sedatives in conjunction with $N_2O/O_2$. All the children were restrained in a pediwrap and were monitored with pulse oximeter for their heart rate and oxygen saturation. Degree of sleep, crying and movement were evaluated. The clinical results indicated that a satisfactory level of sedation was achieved in approximately two thirds of the cases (about 66 %) under those sedation manner. Complications were rare and those of treatments were successfully completed without difficulty.