• Restorative Dentistry and Endodontics
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• 제35권2호
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• pp.65-68
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• 2010

복합레진의 개발 및 환자의 심미적 욕구로 인해 기존의 아말감을 복합레진 수복이 빠른 속도로 대체하고 있다. 하지만 복합레진의 경우 술식의 어려움, 중합수축으로 인한 응력의 발생, 재료의 파절, 이차우식등의 문제를 가지고 있으며 아직까지 복합레진 수복을 위해서는 치과용 접착제의 사용이 필수적이다. 이에 본 글에서는 현재 복합레진이 가지고 있는 문제점을 극복하기 위해 복합레진 수복의 가장 많은 실패 원인으로 알려진 이차우식을 억제할 수 있는 재광화 물질을 방출할 수 있는 복합레진의 개발이 어디까지 이루어지고 있는지 살펴보고 앞으로의 임상적용 가능성에 대해 생각해보고자 한다.

• 한국치위생학회지
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• 제8권3호
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• pp.1-11
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• 2008

Oral health projects that cater to the disabled should be more prevailing in order to ensure the maintenance and successful promotion of the oral health of disabled people. 70 public dental clinics that conducted oral health projects geared toward the disabled were examined to get a precise grip on their oral health projects. The findings of the study were as follows: 1. 31 out of 70 public dental clinics investigated(44.3%) were equipped with two or more dental hygienists who were professional human resources in charge of the oral health projects for the disabled. As for the age and disability type of the beneficiaries of the oral health projects, adolescents(74.3%) and people with mental retardation(87.1%) benefited most from the oral health projects. Concerning the most common implementation frequency of the projects, the projects were carried out once to three times a week(62.9%). 2. The most dominant oral disease treatment provided to disabled people was amalgam treatment and resin treatment(68.6%), which were the early dental caries treatment. The most common preventive treatment that was offered to improve their oral health was oral prophylaxis(82.9%). As for reform measures for the oral health projects, education of personnels in charge of the projects and their specialization(58.6%) were most emphasized. 3. Regarding factors related to the preventive oral health projects for the disabled, the implementation of oral prophylaxis and toothbrushing education was linked to the age of the beneficiaries. More oral prophylaxis was offered to teens, and more toothbrushing education was provided to preschoolers and adolescents. The age of the beneficiaries and the number of dental hygienists responsible for the projects had something to do with the application of fluorides. 4. Concerning the relationship of the preventive oral health projects for the disabled to the number of dental hygienists, one of the personnels in charge of the projects, the application of fluorides( 54.4%) and pit & fissure sealing(56.8%) were more prevalent when there were two or more dental hygienists. There was a statistically significant disparity in that regard(p<0.05). The above-mentioned findings illustrated that in order to boost the oral health of the disabled, dental hygienists who are responsible for the oral health projects for the disabled should put ceaseless efforts into fostering their professional knowledge and ability and offering quality service to disabled patients. Every public dental clinic should be equipped with plenty of professional personnels to enlarge the scope of treatment and ensure the efficiency of treatment and the preventive projects.

• 대한치과의사협회지
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• 제53권4호
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• pp.266-274
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• 2015

The price for health service are decided by very complicated process because many of factors are related with them. The RBRVS(resource-based relative value scale) were used to calculate the Korean health service fees including dental fees. This study aimed to compare dental fees of Korea with other countries, such as Japan, Germany, and the US for evaluating the adequacy. Dental fees were categorized as oral evaluation and imaging, dental treatment including restorative, periodontal, and surgical work, and preventive treatment and compared by each country. The official documents about dental fees were collected from Korea, Japan, Germany, and the US. Each fee was presented as their own currency at first. Then they were converted into Korean won (KRW) by applying the market exchange rates at a specific point of time. Finally the fees were adjusted by purchasing power parities (PPPs) which equalize the different currencies. In general, the level of Korean fees were markedly low compared to those of Japan, Germany, and the US. German fees were similar or higher than that of Japan, and the US. The Korean fees were lower than three other countries 1.2~4.1 times for oral evaluation and 2.2~7.3 times lower for panoramic radiography. The endodontic fees of Japan, Germany, and the US were higher 1.8~15.3 times and 4.0~35.9 times for the deciduous teeth extraction compared to the Korean. In Japan the prophylaxis was 3.2 times more priced than the Korean fee. Exceptionally, the fees for re-evaluation, amalgam filling, and scaling were lower priced in Japan than other countries. This study has limitations on the items in definition and contents of dental practices units which were not exactly comparable and differently determined by countries. However, this study is meaningful because it surveyed the price levels to compare four different countries and then applied PPPs adjustment. This finding can be used to develop the dental RBRVs of Korean national health insurance and will contribute to improving the payment systems of health care.

• 구강회복응용과학지
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• 제27권3호
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• pp.305-316
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• 2011

균열치는 저작운동과 온도자극에 대한 치아의 통증을 호소하는 환자에서 자주 발견되는 질환으로 균열의 진행정도에 따라 다양하게 분류할 수 있다. 가장 흔한 원인으로는 저작과정 중의 갑작스러운 사고로 알려져 있지만 대부분 증령, 기존 수복물 또는 의원성 응력집중과 같은 기여요인이 있을 때 발생한다. 균열의 진행정도 및 치수침범에 대한 정확한 진단이 필수적이며 저작시 통증을 확인한 후 균열을 가급적 눈으로 확인하는 것이 좋다. 이를 위해 투과광이나 염색과 같은 보조적 방법을 이용할 수 있다. 치료는 즉각적인 통증완화를 위한 교합조정이나 파절편 고정이 필요하며 치수의 상태에 따라 근관치료가 추가적으로 필요할 수도 있다. 궁극적인 치료로는 복합레진이나 접착 아말감으로 균열부위에 가해지는 충격을 완화시킨 후 주조수복물을 이용한 교두보호가 필요하다. 이 논문에서는 균열치에 대한 다양한 원인, 치료, 예후 등에 관한 문헌을 고찰할 것이다.

• 한국환경보건학회지
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• 제35권4호
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• pp.287-294
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• 2009

This study analysed the mercury concentration in the hair of 62 students (male : 21, female : 41) of D university in Najusi, Jeon-Nam area. Also, questionnaire, which developed by NIES, were completed by the students. According to the questionnaire, most of the students had a higher intake of meat than that of fish. Also, among the students, there were many smokes and many had dental treatment with amalgam. Based on the gender, female showed 1.024 ${\mu}g/g$ and male showed 0.882 ${\mu}g/g$ of the mercury concentration. This means that female students had higher level of mercury in their hair, but it was not a significant statistic difference. Comparing by the intake frequency of meat, processed food stuffs, protein foods, it shows the more they at the higher mercury concentration was observed. According to the intake frequency of fish, when the number of times they intake increased, the mercury concentration was higher. Under one time was 0.857 ${\mu}g/g$ and twice or more times were 1.152 ${\mu}g/g$, which showed a significant statistical difference (p<0.05). Depending on the Life style, the mercury concentration in the hair was high with workout, outdoor activities, and direct smoking. The mercury concentration in the hair showed no difference for whether they received amalgam treatment but the personal dietary habit and the Living condition affects strongly on the mercury concentration level.

• Restorative Dentistry and Endodontics
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• 제27권1호
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• pp.24-33
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• 2002

Leakage studies have been performed frequently, since a fluid-tight seal provided by various dental fill-ing materials has been considered clinically important. The leakage of the various root-end filling materials has been widely investigated mostly dye penetration method. These dye studies cannot offer any information about the quality of the seal of a test material over a long period of time The purpose of this study was to evaluate the microleakage of root end cavities in blood contamination filed amalgam, intermediate restorative material(IRM), light cured glass ionomer cement(GI) and mineral trioxide aggregate(MTA) by means of a modified fluid transport model. Fifty standard human root sections, each 5mm high and with a central pulp lumen of 3mm in diameter, were and filled with our commonly used or potential root end fill ing materials after they were contaminated with blood. At 24h. 72h, 1, 2, 4, 8, and 12 weeks after filling, leakage along these filling materials was determined under a low pressure of 10KPa(0.1atm) using a fluid transport model. The results were as follows : 1 MTA group showed a tendency of decreasing percent of gross leakage (20m1/day) in process of time, whereas the other materials showed a tendency of increasing in the process time. 2. At the all time interval, GI group leaked significantly less than amalgam group and IRM group (p＜0.05). 3. At the 4 weeks, the percentage of gross leakage in MTA group decreased to 0% thereafter, the low per-centage of gross leakage was maintained in MTA group until the end of the experiment, whereas the percentage in IRM group increased to 100% 4. At the 12 weeks, percentage of gross leakage was significantly low in MTA group(0%), comparison with GI group(40%), amalgam group(90%) and IRM group(100%), but there was no significant difference between latter two materials.

• Restorative Dentistry and Endodontics
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• 제34권5호
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• pp.383-389
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• 2009

이 연구의 목적은 이중 중합복합레진과 수평 포스트를 이용하여 수복한 치관-치근 복합파절 치아의 수직파절 저항성을 알아보기 위한 것이다. 48개의 발치된 사람의 소구치에 실험적으로 치관-치근 복합파절을 일으킨 후 대조군 및 3개의 실험군에 (n=12) 각각 할당하였다. 대조군에서는 치아 파절편을 레진시멘트를 이용하여 접착한 후 근관치료를 시행하고, 근관와동을 이중중합 복합레진을 사용하여 충전하였다. 실험군에서는, 각각의 치아에 근관치료를 시행한 후 레진-포스트 군에서는 근관와동을 수평 포스트 및 이중중합 복합레진을사용하여 충전하였다. 레진 군에서는 근관와동을 포스트 없이 이중중합 복합레진만 사용하여 수복하였으며 아말감 코어 군에서는 근관와동을 접착 아말감을 사용하여 수복하였다. 이렇게 수복된 치아를 처음과 같은 방법으로 다시 치관-치근 복합파절을 유도하여 이때의 파절 저항성을 기록하고 이 값과 처음 파절을 유도하였을 때의 파절 저항성의 비를 계산하고 각 군별로 차이가 있는 지 검증하기 위해 Kruskal-Wallis test를 시행하였다. 수복된 치아의 파절저항성은 레진-포스트군, 대조군, 레진군, 접착 아말감 순으로 높았으며, 이 실험결과로 볼 때,치관-치근 복합파절 치아의 수복 시 수평 포스트를 사용하는 것이 재파절 방지를 위해 효과적 일 것으로 사료된다.

• 대한치과보철학회지
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• 제39권2호
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• pp.146-156
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• 2001

The purpose of this study was twofold. One was to evaluate the wettability of 4 elastomeric impression materials on tooth and different kinds of filling materials. The other was to identify the effect of topical surfactants sprayed on the surface of each impression. The elastomeric impression mate rials used in this experimental study were one polyether(Impregum F) and three polyvinyl siloxanes(Provil novo, Zerosil, Imprint). The abutments were prepared for 3/4 crown or onlay on the extracted human first molar. The filling materials used in this study for the duplication of prepared abutment were composite resin, amalgam, and casting metal. Impression was taken by manufacturer's recommendations and the number of voids on the impression surface was counted. The topical surfactants were Spannex $II^{(R)}$ and $Cohere^{(R)}$. The wettability was evaluated by comparing the number of voids between non-treated group and treated groups. The results were as follows : 1. $Zerosil^{(R)}$ showed the least number of voids on the impression surface. The number of voids increased in order of Provil $novo^{(R)}$, Impregum $F^{(R)}$, and $Imprint^{(R)}$. 2. Impregum $F^{(R)}$ and $Zerosil^{(R)}$ showed the least number of voids on the surface of dental stone master cast. The number is inclosed in order of Provil $novo^{(R)}$ and Imprint 3. When abutment material is tooth, the number of voids on the surface of master cast was smallest compared with that of other abutment materials. The number of voids increased in order of casting metal, amalgam and composite resin 4. The number of voids on the surface of the dental stone master cast was smallest when Spannex $II^{(R)}$ was used, followed by $Cohere^{(R)}$ treated group and non-treated group. These results suggest that the difference in wettability caused by the types of rubber base impression materials as well as abutment materials can affect the number of voids. And the use of topical surfactant for rubber base impression materials can improve the wettability of the materials and enhance the accurate master cast which has fewer surface voids.

• 대한소아치과학회지
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• 제31권3호
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• pp.534-540
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• 2004

Packable resin은 아말감을 대신할 수 있을 것이라는 기대와 함께 상용화되었다. 이런 packable resin은 종래의 hybrid resin과는 달리 필러함량이 높고 분포가 더 조밀하다. 본 연구에서는 높은 필러함량이 packable resin의 미세경도와 경화수축에 미치는 영향을 조사하고 그 결과들을 hybrid resin에서 얻은 것들과 비교하였다. 그 결과 packable resin은 hybrid resin에 비하여 보다 높은 미세경도를 보였는데 본 실험에 사용된 레진들은 종류에 관계없이 그들의 미세경도가 필러함량(vol%)과 상관관계가 있었다. 또한 packable resin은 hybrid resin에 비하여 훨씬 적게 경화수축 하였는데 관찰된 경화수축과 필러함량 사이에는 역상관관계가 있었다.

• 대한소아치과학회지
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• 제33권4호
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• pp.673-677
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• 2006

최근 출생률 감소, 우식 유병율 감소, 소아치과에 대한 일반 대중의 인식변화 등의 사회경제적 변화 및 치의학 기술의 발전에 따른 진료기법의 변화등에 의하여 소아치과 진료의 양상이 변화하고 있다. 이러한 변화양상을 파악하고 앞으로 소아치과 의료의 방향성을 설정하고자 본 연구를 시행하였다. 2000년 9월 1일부터 2005년 8월 31일까지 서울대학교 치과병원 소아치과에 내원한 모든 초진 및 재진환자를 대상으로 하여 신환 분포 및 진료 현황 변화 추세를 조사 연구한 결과 다음과 같은 결론을 얻었다. 1. 2000년도에는 예방치료가 14.5%, 수복치료가 52.6% 외과치료가 11.4%, 교정치료가 21.5%를 차지하였으나, 2005년도에는 예방치료가 12.1%, 수복치료가 38.3%, 외과치료가 13.7%, 교정치료가 35.5%를 차지하여 예방과 수복치료의 비율의 감소와 외과와 교정치료의 증가를 보였다. 2. 수복치료의 비율에 있어서 아말감과 기성금관, 치수치료의 비율은 감소하였고 글래스 아이오노머와 레진의 비율은 증가하였다. 3. 내원환자의 수는 2002년까지 증가하다 이후로는 감소 추세를 보였다. 4. 연령별 분포에서 2000년도에 비하여 2005년도의 신환 평균 연령이 감소하였다.