• Title/Summary/Keyword: dental treatments

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Comparative evaluation of the effectiveness of two innovative methods in the management of anxiety in a dental office: a randomized controlled trial

  • Panchal, Jay;Panda, Anup;Trivedi, Krishna;Chari, Deepika;Shah, Rushita;Parmar, Binny
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.4
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    • pp.295-304
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    • 2022
  • Background: The first dental experience is vital in molding a child's attitude towards dentistry and dental outcomes. The cooperation of a child during dental treatment is essential to render successful and high-quality treatment. Dental anxiety is common in children undergoing dental treatment. The success of pediatric dental treatments and patient comfort depends on controlling the levels of patient anxiety in clinical settings. This study aimed to compare the effectiveness of the recorded maternal voice and virtual cognitive tool (Roogies application) in the management of pediatric dental patients. Methods: The study was carried out with children aged of 4-7 years [n = 80, (40 male and 40 female)], without any past dental history, and were randomly allocated into two groups. After informed consent was obtained, the entire procedure was explained to the parents. Anxiety was assessed pre-, during, and post-treatment by measuring pulse rate, and recording Venham Picture Test (VPT) scores. Group A [n = 40; 20 boys and 20 girls)] was provided with a headphone that played a recorded maternal voice. Group B [n = 40; 20 boys and 20 girls)] was administered the virtual cognitive tool. After conditioning the children, oral prophylaxis was performed for both groups. A comparative evaluation was conducted for each treatment session. Results: The intra-group comparison of VPT scores and heart rate for patients assigned to the recorded maternal voice showed a statistically significant difference in dental anxiety (P-value ≤0.001). Conclusion: This study demonstrated that a reduction in dental anxiety with the help of recorded maternal voice forms an important component of non-pharmacological behavior management. Alternatively, the use of a virtual cognitive tool as an anxiety-reducing technique can also be advocated.

Perception and satisfaction of the face and the need for aesthetic dental treatment in the college students

  • Lee, Seung-Hun
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.1
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    • pp.89-98
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    • 2017
  • Objectives: The purpose of the study is to investigate the perception and satisfaction of faces and the need for aesthetic dental treatments in college students. Methods: A self-reported questionnaire was completed by 247 college students in Suncheon from August 29 to September 2, 2016. The questionnaire consisted of satisfaction of face (16 items), perception of the face (7 items), need for aesthetic dental treatment (3 items), and general characteristics of the study subjects (8 items). Tooth shade was measured using a shade guide (VITA classical shade guide, VITA North America, Chicago, USA). Data was analyzed using t test, ANOVA, and post hoc $Scheff{\acute{e}}$ test. Results: The students were satisfied with eye, mouth corner, and lip, but they were not satisfied with tooth shade, bilateral symmetry of face, and angle of jaw. The students tended to be concious of perception of others. Their most common tooth shade was orange and yellow. They preferred to have a brighter tooth color. Conclusions: To satisfy the needs of patients, it is important to understand the perception and satisfaction of face and the need for aesthetic dental treatment.

Occlusion and articulation in digital dentistry: A review (디지털 치의학 시대의 교합)

  • Lee, Jae-Hyun
    • The Journal of the Korean dental association
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    • v.58 no.8
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    • pp.505-512
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    • 2020
  • With the fourth industrial revolution, digitization is accelerating in all healthcare areas. In the field of dentistry, active discussions on digital dental technologies are ongoing, with increasing interest from clinicians daily. Thus far, accuracy and efficiency have primarily been emphasized in digital dentistry, and interest in occlusion has been relatively low. This is because digital dentistry has been predominantly used to restore small numbers of teeth rather than extensive prosthetic reconstruction. However, in the future, most dental treatments will undergo a digital transformation that will require the application of digital technology to more extensive prosthetic rehabilitation, for which discussion of occlusion is essential. In extensive prosthetic reconstruction, occlusion and articulation involve determining the position of the dental arch in relation to the reference plane of the skull or the long axis of the face and the position of the transverse horizontal axis. It also includes determining an occlusal surface with a shape that allows the mandible to move in an eccentric path and masticate most efficiently without any occlusal interference. To better understand how digitization will impact dentistry, this review article summarizes and discusses occlusion and articulation using digital dental technologies. This discussion is divided into several aspects, including facial scan, virtual articulation, augmented reality, and virtual reality.

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Dental characteristics on panoramic radiographs as parameters for non-invasive age estimation: a pilot study

  • Harin Cheong;Akiko Kumagai;Sehyun Oh;Sang-Seob Lee
    • Anatomy and Cell Biology
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    • v.56 no.4
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    • pp.474-481
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    • 2023
  • The dental characteristics created by acquired dental treatments can be used as age estimators. This pilot study aimed to analyze the correlation between the number of teeth observed for dental characteristics and chronological age and to develop new non-invasive age estimation models. Dental features on panoramic radiographs (420 radiographs of subjects aged 20-89 years) were classified and coded. The correlation between the number of teeth for each selected code (codes V, X, T, F, P, and L) and age was observed, and multiple regression was performed to analyze the relationship between them. Eleven regression models with various combinations of dental sextants were presented. The model with the data from both sides of the posterior teeth on both jaws showed the best performance (root mean square error of 14.78 years and an adjusted R2 of 0.461). The model with all teeth was the second-best. Based on these results, we confirmed statistically significant correlations between certain dental features and chronological age. We also observed that some regression models performed sufficiently well to be used as adjunctive methods in forensic practice. These results provide valuable information for the design and performance of future full-scale studies.

Dental Hygienists in Japan

  • Oh, Sang-Hwan;Nishimura, Rumi;Sugiyama, Masaru
    • Journal of dental hygiene science
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    • v.20 no.4
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    • pp.200-205
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    • 2020
  • The purpose of this study was to determine the status of dental hygienists in Japan. The study explicated the history, core curriculum, National Examination for Dental Hygienists, work roles of dental hygienists, and workplaces of dental hygienists. This study was based on the government policy report on dental hygienists and the information published by each public institution. The latest statistics presented by the institutions were collected through official websites. The employment information of graduates from Hiroshima University was analyzed based on actual field study. The results of the study revealed that social demand for dental hygienists has steadily increased and policies and education have been revised accordingly. The work roles of dental hygienists have expanded to meet the needs of the treatment and those of public health fields. In line with major policy changes, the educational period has been extended from 1 year to 3 or 4 years, while the mandatory credits for graduation have been established. Licensing examinations were being performed by the local governments since 1948 due to the different situations of dental hygienists in different areas. In 1992, they were converted into a single national examination. The work roles have expanded from assisting dental treatments to health guidance, home care, and perioperative care. Consequently, the number of dental hygienists has increased, especially in healthcare facilities for the elderly. Dental hygienists perform various roles. However, the most essential role is to provide the best oral care services to the patient. The expected role of dental hygienists has expanded in alignment with public healthcare needs and support for the elderly. The government and universities are expected to bring about improvements such as diversifying the channels of education and establishing policies to respond to growing patient needs by cultivating excellent dental hygiene professionals.

Day Stay Anesthesia in Dentistry

  • Lee, Doo-Ik
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.1 no.1 s.1
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    • pp.5-9
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    • 2001
  • Day stay anesthesia should include: rapid smooth onset; rapid recovery without residual side effects; absence of adverse effects (N/V); and providing postoperative analgesia. General anesthesia with multi-modalities (inhalation, intravenous and local anesthesia) may be preferable in day stay surgery. Future studies on new drugs and techniques for day stay anesthesia need comparing the increased coat of newer treatments with the potential financial savings resulting from earlier hospital discharge, reduced supplemental drugs, and earlier return to work.

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The practices of dental implant maintenance care in dental service consumers according to their knowledge and attitude (지식, 태도에 따른 치과의료소비자의 임플란트 유지관리 실태)

  • Han, Su-Jin;Kim, Hyun-Jung;Han, Hwa-Jin;Yoo, Eun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.3
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    • pp.479-492
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    • 2017
  • Objectives: The purpose of this study is to understand the practices of the dental implant maintenance care according to knowledge and attitude toward dental implant in the dental service consumers. Methods: T-test, ANOVA, and cross tabulation were carried out to understand the knowledge and attitude toward the dental implant, the experiences of the treatments, and the practices of their maintenance care depending on the general characteristics and the oral-health education experience. The collected data were analyzed using by SPSS Windows Program 23.0. Results: The actual state of the implant maintenance care was revealed to be high in the use of oral care products with 83.9% and in the professional maintenance care with 86.0%. In terms of the implant-related experiences, the participation and the participation frequency in the professional maintenance care were resulted to be higher especially in those with more cases of surgical procedures and in those with more failure experiences. Examining the practices of management according to knowledge and attitude toward dental implant, the higher in knowledge and attitude led to the higher uses of oral care products. The periodically professional maintenance care was indicated to be received even if being taken high management cost. Conclusions: Effective education methods and programs are necessary to be developed and executed so that information and knowledge can lead the correct practices in the dental service consumers.

The necessity of ban on opening and operating the multiple medical institutions in medical law in Dental case (의료법에서의 의료기관 이중개설 금지조항의 필요성에 대한 치과 사례연구)

  • Ju, Jin-han;Lee, Ga-yeong;Jung, Ku-chan;Lee, Jae-yong;Min, Gyeong-ho
    • The Journal of the Korean dental association
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    • v.57 no.9
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    • pp.514-522
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    • 2019
  • In accordance with Article 33(8) of the Korean Medical Law, it is stated that a medical person cannot open or operate a medical institution by borrowing the name of another medical person. However, the publicity of medical care is threatened by the recent illegal network dental clinics. The purpose of this study is to investigate the actual condition of illegal network dentistry and to analyze the cases and to find out the reason why the prohibition of double opening & operating of medical institution. As a result, the illegal network dental clinics treated less health care insurance treatment such as dental caries and periodontal treatment than general dental hospitals. In contrast, the rate of implementation of illegal network dentistry was high in endodontics treatment and extraction, which could lead to uninsured treatments such as crowns and implants. As a result of Supreme Court precedent analysis, it is concluded that illegal act is not only the opening of a medical institution by borrowing the name of other medical personnel, but also the duplicated operation which has the authority to make decision about management matters of medical institutions. The results of the patient's case survey also showed that excessive dental treatment due to such as dental staff incentive system. In conclusion, the illegal network dental clinics not only threatens the oral health of the public, but also causes leakage of health insurance premiums. In other words, the ban on opening and operating the multiple medical institution should be strictly applied as a strong protection device for protecting the patient in dental case.

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Oral findings and dental management of a patient with Moebius syndrome: a case report

  • Lee, Eunkyoung;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.2
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    • pp.101-105
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    • 2014
  • Moebius syndrome is a rare, congenital neurological disease involving facial paralysis and limitation of eye movements. It results from maldevelopment of the sixth and seventh cranial nerves. Dental features of this syndrome include micrognathia, microstomia, tongue deformity, cleft palate, hypoplasia of the teeth, and congenital missing teeth. A 7-year-old female with Moebius syndrome was referred from a local dental clinic for caries treatment. She presented with facial paralysis and microstomia. Oral findings included multiple caries with enamel hypoplasia, congenital missing teeth, and tongue deformity. Dental treatments including restorative and preventive procedures were performed. Oral findings and management aspects of Moebius syndrome for this case are discussed. Early evaluation and multidisciplinary care are needed for children with Moebius syndrome.

THE PROVISION OF SEDATION FOR BEHAVIORAL CONTROL IN THE SPECIAL NEED PATIENTS (장애인 환자에서의 진정법)

  • Shin, Teo Jeon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.9 no.1
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    • pp.1-10
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    • 2013
  • This article discusses the provision of sedation for uncooperative special need dental patients. Most of dental treatments have been performed in these patients with the techniques of behavioral control. However, if this behavioral control fails during treatment, it is nearly impossible to treat them without either sedation or general anesthesia. Sedation is also beneficial for patients because it circumvent the aggravation of negative behaviors related to their stress during the treatment. Also, the morbidity and mortality related to dental sedation is relatively low. In this regard, the provision of sedation for people with special needs can be considered as a safe and necessary techniques for their treatment.