• 제목/요약/키워드: periodontal problem

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Oral Health Diagnosis by Using Combination of Evidence in Dezert-Smarandache Theory

  • Fadhillah, Muhammad Kamil;Listio, Syntia;Choi, Yong Keum;Lee, Hyun
    • International journal of advanced smart convergence
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    • 제7권4호
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    • pp.185-196
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    • 2018
  • Based on World Health Organization (WHO) children and adults have a problem with their oral health, such as Dental cavities and periodontal disease. It is not easy to obtain the high convince level of result of the dental and periodontal diseases. Because each of them have different degrees of uncertainty and there have several discounting factors (error rates) in different of survey. To solve this problem we propose the Dezert-Smarandache Theory (DSmT) for efficient combination of uncertain, imprecise and highly conflicting sources of information. Moreover, we apply the SEFP as a context reasoning. Finally, we make the simulation by using 12 surveys and compare Propotional Conflict Redistribution 5 (PCR5) and Dempster-Shafer Theory (DST) to show the belief or probability for the low, a heavy, high and ultra-high risk situation.

임부의 치주염이 조산 및 저체중아 출산에 미치는 영향 (Association between periodontitis and preterm birth and low birth weight)

  • 하정은
    • 한국치위생학회지
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    • 제16권2호
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    • pp.155-163
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    • 2016
  • The purpose of the review article is to investigate the influence of periodontal diseases on preterm birth(PTB) and low birth weight(LBW). PTB and LBW are the main risk factors of infant mortality and a major public health problem. PTB is defined as delivery at less than 37 weeks and LBW is less than 2,500 grams. Over Approximately 60 percent of perinatal mortality results from PTB or LBW. Although the causes of PTB and LBW are not fully understood, infection is the leading cause of PTB and LBW. Periodontal diseases are serious disease burdens because they are caused by bacterial endotoxin, inflammatory reaction, and cytokine. The periodontal diseases are the predisposing factors of cerebrovascular and cardiovascular diseases including atherosclerosis. Over the past 15 years, previous studies revealed that periodontitis had adverse outcomes including PTB and LBW in pregnancy.

이주 노동자의 구강건강관리에 따른 치주치료요구도 (Community periodontal index treatment needs in relation to dental health care of migrant worker)

  • 정명희;김주영
    • 한국치위생학회지
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    • 제7권4호
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    • pp.553-567
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    • 2007
  • Migrant Worker are rapidly increasing in Korea since 1990. They are nowadays main sources of laborer groups engaging in medium-sized factories. The purpose of this study is to provide the basic information to establish proper oral health policy. Dental caries and periodontal disese are the most common disease that occur in the mouth. Periodontal disease is the most common disease in humans and the biggest reason for the loss of the teeth in the adult population. The CPITIN has been developed jontly by the international Dental Federation and the World Health Organization. CPITN is now an established index of level, of periodontal condition in populations for which specific intervention might be considered. This study was conducted to obtain the information regarding to CPITN of migrant workers located in Daegu, Questionaire survey was carried out for 289 workers from July 9 to August 8, 2006. Total survey was 289, 224 males and 65 females. The result was as follows: First, The number of nationality was 14. The first majority was China as 31.8% Among 14 nationalities were Cambodia 18.0%, Vietnam 12.8%, Sri Lanka 12.1%, Indonesia 7.3%, Nepal 4.2%, the other 13.8%, those who are aged from 20 to 29 were 43.9%, and salary from 1,000,000 won to 1,490,000 won 51.2%.(as for their residence, those who resided) over 3 years were 42.6% and not insured reached 68.5%. Second, more than 93.4% of the subjects need periodontal treatment, only 4.9% of non-smoker was health periodontal states, four times frequency of tooth brushing per a day was 16.7%. Third, 28.7% of migrant workers had experienced visit of dental clinic, and 22.9% had received treatment of decayed tooth. Fourth, It is difficult for them 65.1% of them to visit dental clinic in korea, the First was a communication problem and the second was time. Fifth, Most of them didn't have a oral health education but 85.1% of them said that they wish they attend oral health education. We conclude that the situation of migrant workers was very bad considering their working conditions, circumstances, and health condition. According to this study, more than 93.4% of the people need periodontal treatment. Besides they didn't have accurate knowledge about prevention of periodontal disease. Therefor our considering these facts, the policy of dental health by government should be established for migrant workers.

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가철성 국소의치와 후방연장 계속가공의치를 장착한 환자의 치주 및 보철 상태 (PERIODONTAL AND PROSTHETIC FINDINGS IN PATIENTS TREATED WITH REMOVABLE PARTIAL DENTURES OR DISTALLY EXTENDING CANTILEVER BRIDGES)

  • 김정찬;한수부
    • Journal of Periodontal and Implant Science
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    • 제23권3호
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    • pp.635-645
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    • 1993
  • This study was perfomed to investigate the prosthodontic and periodontal status of the abutment teeth in distally extending bridges(DEBs) (78 cases) and removable partial dentures(RPDs) (43 cases) for 122 patients (55 males and 57 females) visiting department of Periodontology, Seoul National University Hospital. The average wearing periods were 67.8 months for DEBs and 66.4 months for RPDs. 38.4% of the patients in DEBs and 35.9% in RPDs complainted of chewing discomfort and 22.6% and 24.4% were not chewing on the prosthodontically - treated sides, respectively. In DEBs, when the restoration for 2nd molar supported by 1st molar & 2nd premolar was grouped to type 1, 1st molar supported by 1st & 2nd premolars was type 2, and 1st & 2nd molars supported by 1st & 2nd premolars was type 3, there was a significant differences only in the tooth mobility score among clinical parameters (type 2>type 1>type 3). In RPDs, when bilateral free-end case was grouped to type 1, and unilateral case was type 2, there was a significant difference in the Gingival index (type 1>type 2). In DEBs, 62.8% of restoration were overcontoured, 72% had interproximal space closures, 30.5% overextended pontics and 86.6% overhanging margins. In RPDs, 24.4% of the restorations were overcontoured, 45.5% had interproxinal space closures and 58.3% overhanging margins. From these results of this study, periodontal problems caused by prosthodontic defects were considered to be contributing factors in chewing discomfort.

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치주치료 후 지각과민 감소를 위한 다이오드 레이저와 Ms coat 처치 직후 임상적 효과 비교 (The comparison clinical study effect of Diode Laser & Ms coat usage for dentinal hypersensitivity following Periodontal therapy)

  • 최현복;홍기석;정진형;임성빈
    • Journal of Periodontal and Implant Science
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    • 제37권2호
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    • pp.201-208
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    • 2007
  • The purpose of this study was to evaluate the effect of diode laser & desensitizing agents to overcome hypersensitizing root surfaces problem after periodontal treatment. 20 patients(60 teeth) presented were volunteered in this study. Diode laser & MS coat was respectively applied on hypersensitizing root surfaces after periodontal treatments. Following application they were evaluated immediately. The results were as follows: 1. The frequency and degree of root surface hypersensitivity levels were measured by the sequence of tactile and air stream. 2. Reduction of root surfaces hypersensitivity by tactile were for Diode laser and Ms coat application respectively $3.0294{\pm}2.0224$ and $3.2692{\pm}1.6139$. 3. Reduction of root surfaces hypersensitivity by air stream were for Diode laser and Ms coat apapplication respectively $3.0294{\pm}2.0224$ and $2.2692{\pm}1.6139$. 4, It could be said that Diode Laser and Ms coat application were significantly effective in reducing dentin hypersensitivity as far as concerned effect, Ms coat applicatio showed more effective than Diode laser. In conclusion, both methods were significantly effective in reducing dentinal hypersensitivity. Therefore, it was recommended that Diode laser and desensitizing agents could be used routinely for patients dentinal hypersensitivity following periodontal treatment.

치과보철(齒科補綴) 의료(醫療) 수요(需要)에 관(關)한 연구(硏究) (A STUDY ON THE DEMAND FOR PROSTHODONTIC TREATMENT OF THE POLICEMAN AND OFFICIALS)

  • 이재봉
    • 대한치과보철학회지
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    • 제33권1호
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    • pp.156-163
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    • 1995
  • A total of 2,510 police personnel aged 20-59 were examined to determine the prosthodontic demands. The results were as follows. 1. Prosthodontic demands increase with aging. 2. Periodontic problem is the major cause of the prosthodontic needs in old personnel. 3. Trauma is the more popular cause of the prosthodontic need than periodontal problem in policeman. 4. The major cause of the untreatment is the lacks of time. 5. The younger persons have more fear of dental treatment. 6. Prostodontic demands show declining trends.

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골결손부에서 흡수성 차폐막 단독 또는 이종골을 동반하여 시행한 조직유도재생술 (Guided tissue regeneration using resorbable membrane with or without xenograft in osseous defect)

  • 이원진;김원기;안용범;장문택;김형섭
    • Journal of Periodontal and Implant Science
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    • 제38권4호
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    • pp.737-744
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    • 2008
  • Purpose: In advanced case of periodontitis, surgical treatment without bone contouring may result in residual pockets inaccessible to proper cleaning during post-treatment maintenance. This problem can be avoided or reduced by applying guided tissue regeneration. Materials and Methods: All of 3 patients had deep periodontal pocket depth and bleeding on probing, and radiograph revealed osseous defect, so we planned guided tissue regeneration using resorbable membrane with or without xenograft. Result: 6 months later, periodontal pocket depth and bleeding on probing was improved and gingiva was stable. Conclusion: Guided tissue regeneration using resorbable membrane with or without xenograft in osseous defect is predictable.

성견 3면 골내낭에서 Paste형 Calcium Sulfate 가 치주조직 치유에 미치는 영향 (THE EFFECTS OF PASTE TYPE CALCIUM SULFATE ON THE PERIODONTAL HEALING OF 3-WALL INTRABONY DEFECTS IN DOGS)

  • 현석주;김창성;최성호;조규성;채중규;김종관
    • Journal of Periodontal and Implant Science
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    • 제32권2호
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    • pp.429-455
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    • 2002
  • There are numerous kind of materials and techniques to regenerate the periodontal tissue which has been lost due to destructive periodontal disease, including bone graft material. Many bone graft materials have been reported and among these materials, synthetic material has been developed fin the long time because of its sufficient supply economically. Calcium sulfate which was evaluated as including much calcium, has been used in the clinical field. In the dental field calcium sulfate has been used as bone graft material and Kim reported that improved bone formation and more amount of new attachment after grafting calcium sulfate. but, because calcium sulfate has the problem that it generates the heat in setting period and resolves fast, we need to evaluate the effect of the improved calcium sulfate on periodontal tissue. The present study evaluates the effect of paste type calcium sulfate on the epithelial migration, alveolar bone regeneration, cementum formation and gingival connective tissue attachment in intrabony defect in dogs. Four millimeter deep and four millimeter wide 3-wall defects were surgically created in the mesial or distal aspects of premolars or molars. the test group received paste-type calcium sulfate with a flap procedure and the control group underwent flap procedure only. Histologic analysis after 8 weeks of healing revealed the following results : 1. The length of epithelial growth(the distance from CEJ to the apical end of JE) was 0.52${\pm}$0.26mm in the control and 0.56${\pm}$0.25mm in the test group. there was no statistically significant difference between the two groups. 2. The length of connective tissue adhesion was 1.74${\pm}$1.06mm in the control and 1.28${\pm}$0.57mm in the test group. there was no statistically significant difference between the two groups. 3. The length of new bone was 2.01${\pm}$0.95mm in the control and 2.62${\pm}$0.81mm in the test group. there was no statistically significant difference between the two groups. 4. The length of new cementum was 1.86${\pm}$0.80mm in the control and 2.77${\pm}$ 0.86mm in the test group. there was a statistically significant difference between the two groups.(P<0.01) These results suggest that the use of paste type calcium sulfate in 3-wall intrabony defects has significant effect on new cementum formation , but doesn't have any significant effect on the prevention of junctional epithelium migration and new bone formation. Finally, the paste type calcium sulfate that is used in this study is suggested to be the material that can have a significant effect on the periodontal healing, if its biocompatibility is improved.

치주질환으로 인한 전치부 정출(Extrusion)의 심미적 수복에 관한 증례 (Esthetic Realignment of Periodontally Compromised Anterior Teeth)

  • 최원석
    • 대한심미치과학회지
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    • 제8권1호
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    • pp.60-63
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    • 1999
  • Dental clinicians commonly encounter extrusion of the anterior teeth due to localized alveolar bone loss in adult patients with chronic periodontitis. This pathologic migration of the anterior not only may cause loss of functional anterior guidance and continuous periodontal destruction, but also can lead to esthetic disaster. In fact, most frequently reported chief complaint of the patients with extruded anterior teeth is the 'loss of esthetics', not the periodontal problem itself. The utilization of the expertise and skills in the various dental disciplines is thought to be the best treatment modality for the ultimate functional and esthetic attainment. Interdisciplinary therapy, involving periodontics, orthodontics, and restorative dentistry, was performed for the highest levels of patient and provider satisfaction in this case.

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전반적 급진성 치주염 환자의 치주, 교정, 보철의 다학제간 접근에 대한 증례보고 (Multidisciplinary treatment of generalized aggressive periodontitis: case report)

  • 차현정;배주은;조진현;서조영
    • 대한치과의사협회지
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    • 제55권6호
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    • pp.388-399
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    • 2017
  • Generalized aggressive periodontitis cause intrabony pocket, loss of teeth, and severe alveolar bone defect. As a result, pathologic tooth migration occurs and esthetic problem happens according to this, especially on the anterior teeth of maxilla. The purpose of this study was to assess the multidisciplinary treatment including periodontics, orthodontics and prosthetics of a patient caused by generalized aggressive periodontitis. This study presents a case using full mouth periodontal treatment, immediate orthodontic treatment for 5 months, implantation with guided bone regeneration and free gingival graft, and prosthetic treatment. Treatments took totally 14 months. Periodontal indicators such as probing pocket depth, bleeding on probing, tooth mobility improved. Also, the patient was satisfied with the esthetic and functional improvement.

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