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신터전(Teo Jeon Shin) Asia association of Disability and Oral health 2013 International Journal of Disability and Oral Healt Vol.9 No.1
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.
신터전(Teo Jeon Shin) 대한치과의사협회 2013 대한치과의사협회지 Vol.51 No.7
Sedation is frequently required to relieve anxiety in the field of dentistry. Among sedation techniques, oral sedation has been widely used because it is easy for administration and has a wide acceptability for dentists. This article discuss the pharmacology of oral sedatives and therapeutic considerations of these drugs, and finally how to manage apprehensive patients using oral sedation. Also, we recommend how pertinent drugs should be used to maintain an adequate level of sedation, not deep sedation
북한의 치의학 교육 시스템을 통해 고찰해 본 남북한 치의학교육 통합방향에 대한 시사점
신터전(Teo-Jeon Shin),한동헌(Dong-Hun Han),진보형(Bo-Hyoung Jin),김태일(Tae-Il Kim),이재일(Jae-Il Lee),김종철(Chong-Chul Kim) 대한치과의사협회 2015 대한치과의사협회지 Vol.53 No.10
There are big differences in dental education system between South Korea and North Korea. In North Korea, there is no college of dentistry and official license system and thus, dentists can treat a patient right after graduation from medical school. There are also positions such as paradentists capable of providing dental treatments, whereas such positions do not exist in South Korea. In this regards, in order to get ready for the United Korea, we need to establish a system designed to complement the differences in dentistry education and license system between South and North Korea. Such system would help to minimize the social cost in relation to the unification in near future.
뇌성마비환자의 전신마취 하 치과치료 후 혀 깨물기 손상 관리
신터전(Teo-Jeon Shin),서광석(Kwang-Suk Seo),김현정(Hyun-Jeong Kim),박성수(Sung Soo Park),김혜정(Hye-Jeong Kim),양소영(So-Young Yang) Asia association of Disability and Oral health 2010 대한장애인치과학회지 Vol.6 No.2
Trauma to the lips and tongue can occur by accidental self-biting after dental treatment. After local anesthesia, it is likely that the patient may feel painless even in biting the tongue. In case of young children and disabled patients, the dentists should be careful not to bite the tongue. In this report, we present a case of deep lingual laceration due to biting the tongue in the course of dental treatment under general anesthesia. A 33 year-old male was transferred to our hospital to treat tongue laceration. Before 2 hour on arrival, he had received dental care under general anesthesia at a dental hospital for the disabled because of cooperation difficulty and cerebral palsy. During recovery from general anesthesia, he tried to bite his own tongue involuntary. The doctors and nurses tried to prevent the patient from being injured. Despite these efforts, massive bleeding occurred from the injured sites of the tongue. Because we could not communicate with him, we decided to evaluate the extent of the injury and treat the injured sites under general anesthesia. The laceration wound was sutured for nearly 1 hr general anesthesia. During recovery we inserted mouth prop into the oral cavity to prevent further injuries from tongue biting. After full recovery from general anesthesia he didn’t try to bite his tongue. After 4 hour admission, he was discharged without other complications.
신터전(Teo Jeon Shin) 대한치과의사협회 2016 대한치과의사협회지 Vol.54 No.11
Managing uncooperative behaviors related to dental treatment is necessary for guiding children and adolescence to more favorable behaviors. The first approach should be controlling their behaviors using non-phamarcologic behavior management techniques. However, if this approach fails, it is helpful to control negative behaviors pharmacologically. Accordingly, sedation is frequently used to relieve anxiety related to dental treatment. Also, general anesthesia has been applied to the situations in which sedation is either ineffective or impossible to gain cooperation during treatment. This article discusses the pharmacology of widely used sedatives for children and adolescence and clinical considerations of managing uncooperative children and adolescence with the use of sedation. Furthermore, we recommend clinical indication of selecting general anesthesia rather sedation for the purpose of behavior management.
Complete denture rehabilitation of a patient with anodontia from ectodermal dysplasia: A case report
Wonkyu Shin,Hyuntae Kim,Ji-Soo Song,Teo Jeon Shin,Hong-Keun Hyun,Jung-Wook Kim,Ki-Taeg Jang,Young-Jae Kim Asia Association for Disability and Oral Health 2022 대한장애인치과학회지 Vol.18 No.1
Ectodermal dysplasia is a condition in which two or more ectodermal origins fail to develop. X-linked hypohidrotic ectodermal dysplasia, the most common form of this disorder, is characterized by a triad of signs: hypohidrosis, hypotrichosis, and hypodontia. Dental management of these patients is necessary not only for their functional and esthetic needs, but for social rehabilitation. This report shows a case of a patient with anodontia from ectodermal dysplasia, treated with maxillary and mandibular complete dentures. The overall process of fabricating dentures followed that for edentulous elderly patients. Each step is challenging both for the patient and the clinician. Children usually cannot endure certain procedures such as impression taking. Teeth selection and denture retention are another consideration for clinicians, since jaws are continuously growing and developing in children. In this case, both the patient and his parents reported satisfaction after rehabilitation, and short term follow up results show good stability and retention in both dentures.
Jihyun Lee,Teo Jeon Shin,Young-Jae Kim,Jung-Wook Kim,Ki-Taeg Jang,Sang-Hoon Lee,Chong-Chul Kim,Hong-Keun Hyun 대한치과의사협회 2016 대한치과의사협회지 Vol.54 No.6
Objectives: The aim of this study was to assess the morphologic characteristics of two types of stainless steel crowns (SSCs) for the first primary molar using a 3D scanner. Study design: Two types of SSCs, KIDS CROWN (KC) and 3M ESPE ND-96 (ND), for the first primary molars were scanned using a 3D scanner. The mesiodistal and buccolingual diameters at the height of the contour and the cervical margin, occlusocervical diameters on the mesial, distal, buccal, and lingual aspects were measured, and the crown shape ratio, the smooth surface crown height ratio, and the cervical convergence were calculated. Results: In the crown shape ratio of the mandibular SSC, KC was larger buccolingually compared with ND. In the smooth surface crown height ratio, ND was larger than KC in all of the maxilla and mesial, distal, and lingual aspects of the mandible. ND was more convergent to the cervical mesiodistally and buccolingually compared with KC. Conclusion: In the superimposed images of the maxillary SSC, the mesiolingual and distolingual line angles of KC were more prominent compared with ND. In the mandible, ND demonstrated higher cusps and more obvious buccal developmental lobes than KC. ND showed a larger cervical undercut than KC.