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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
Journal Basic Information
Journal DOI :
Korean Academy of Pediatric Dentistry
Editor in Chief :
Volume & Issues
Volume 42, Issue 4 - Nov 2015
Volume 42, Issue 3 - Aug 2015
Volume 42, Issue 2 - May 2015
Volume 42, Issue 1 - Feb 2015
Selecting the target year
A Survey of Students' Satisfaction on Participation Learning Using Role-play in Clerkship
Hong, Jiwon ; Kim, Jungwook ; Kim, Youngjae ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 1~9
DOI : 10.5933/JKAPD.2015.42.1.1
This study was conducted for the purpose of providing basic data that aims to develop the clinical practice education program and improve satisfaction for clerkship by evaluating the satisfaction of students who participated in learning using role-play in the clerkship of the department of pediatric dentistry. 85 senior dental students participated in this study. The students were divided into 17 groups and randomly performed role-plays in their role. After each role-play, a questionnaire designed to evaluate students' satisfaction on interest and appropriacy and satisfaction on usefulness towards role-play were completed by 77 students. The mean score of total satisfaction was 3.38 on a 5 point Likert scale. The mean score satisfaction on interest and appropriacy was 3.99 and the mean score satisfaction on usefulness was 3.79. The satisfaction score in the role group of parents was the highest and there was a significant difference in mean scores by the role groups (p < 0.05). Students evaluated the role-play as an interesting and useful educational tool in clerkship. It is necessary to undergo further trials and complement programs to upgrade the quality of dental clerkship.
Detection of Streptococcus mutans in Saliva using Monoclonal Antibodies
Lee, Minjeong ; Lee, Daewoo ; Kim, Miah ; Lee, Kyungyeol ; Baik, Byeongju ; Yang, Yeonmi ; Kim, Jaegon ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 10~21
DOI : 10.5933/JKAPD.2015.42.1.10
The purpose of this study was to determine the usefulness of a detection method for Streptococcus mutans in saliva with monoclonal antibodies developed targeting Ag I/II and glucosyltransferases (gtf B, gtf C and gtf D) in Streptococcus mutans. In the three groups tested (adults, minors, and minors under orthodontic treatment), the results of the DMFT scores, the colony density (CFU/mL) in their saliva was measured using
-SM strip mutans, polymerase chain reaction was performed to test whether Streptococcus mutans and Streptococcus sobrinus were present, and Streptococcus mutans detecting tests performed in their saliva using four types of monoclonal antibody were collected. In conclusion, it was demonstrated that the Streptococcus mutants plays more important role in forming dental caries compared to Streptococcus sobrinus, and that the monoclonal antibodies against glucosyltransferases (gtf B, gtf C, gtf D) and Ag I/II of Streptococcus mutans are superior in detecting Streptococcus mutans to
-SM strip mutans or polymerase chain reaction.
Eruption Pattern in Madibular Premolars Associated with Dentigerous Cysts after Marsupialization
Choi, Shinae ; Kim, Youngjin ; Kim, Hyunjung ; Nam, Soonhyeun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 22~29
DOI : 10.5933/JKAPD.2015.42.1.22
The purpose of this study was to evaluate the eruption patterns of mandibular premolars associated with dentigerous cysts after marsupialization regarding the depth, angulation and root development of impacted teeth. Spontaneous eruption was found in 93% of mandibular premolars after marsupialization. Eruption speed and rate of angulation change were greater in mandibular premolars associated with a cyst than those on the non-cyst side. The group with less matured roots tended to have greater eruption speed and angulation change. The eruption speed and angulation change declined rapidly during the first 6 months after marsupialization. Based on the results of this study, it might be possible to predict the eruption pattern of mandibular premolars associated with a cyst after marsupialization, which would be useful for treatment planning.
Correlation between Caries Experience and New Colorimetric Caries Activity Test in Children
Cho, Seonghyeon ; Lee, Hyoseol ; Choi, Byungjai ; Kim, Bakil ; Kim, Seongoh ; Choi, Hyungjun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 30~37
DOI : 10.5933/JKAPD.2015.42.1.30
A new colorimetric test (
) using a new type of pH indicator can reflect the acidogenic potential of plaque bacteria. The objective of this study was to evaluate the correlation between
and the caries experience (measured through the dmft index) of children, and to compare
. Having obtained informed consent, 135 children less than 6 years old participated in the study. We examined their dmft index, and performed two caries activity tests (
) according to the manufacturers' instructions. In the results,
showed a moderate correlation with the dmft index (r = 0.43, p < 0.01).
showed a sensitivity of 68.8%, a specificity of 69.2%, and an area under curve of 0.686 in the ROC curve analysis.
had a significant correlation with the children's caries experience and had a slightly better explanatory ability than Dentocult
was convenient and easy to use on uncooperative children, and also had an educational effect with its visual colors. It is suggested that
could be used clinically to identify the children susceptible to develop caries and to establish a preventive strategy.
Use of Ketamine Hydrochloride for Pediatric Dental Patient at General Hospital
Cha, Yoonsun ; Kim, Jihun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 38~44
DOI : 10.5933/JKAPD.2015.42.1.38
Children commonly experience orofacial injuries and often need emergency treatment. Due to fear and anxiety, children tend to be uncooperative in emergency rooms. Ketamine hydrochloride is a well-known sedative agent at medical-based emergency rooms which has been used for procedural sedation. In this paper, we will discuss the sedation of uncooperative young patients, who needed dental treatments in the emergency room at Wonju Severance Christian Hospital, using ketamine. We collected the records of patients under 18-years-old who visited the emergency room for dental treatment from January 2010 to May 2014. The data was categorized by age, sex, required dental treatments and application of ketamine sedation. Among 659 pediatric patients who visited for emergency dental treatments, 118 patients were treated under sedation using ketamine. Majority of patients were under the age of 6 (110 patients), and the most frequent cause of sedation was suture of oral laceration (105 patients). Though ketamine should not be used by dentists alone, dentists in emergency rooms can easily meet the patients under deep sedation using ketamine. Hence, dentists in emergency rooms need to be aware of the clinical effects, considerations, and potential adverse effects of ketamine.
Facemask Effects in Two Types of Intraoral Appliances : Bonded Expander vs. Hyrax
Park, Chanyoung ; Park, Kitae ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 45~52
DOI : 10.5933/JKAPD.2015.42.1.45
The purpose of this study was to compare and evaluate facemask effects when two types of intraoral appliances were used for maxillary protraction for patients with class III malocclusion. Eighteen patients with class III malocclusion were treated with a facemask for an average of 12 months. Two types of intraoral appliances were used: nine patients were treated with bonded expander (Group 1), and nine patients with Hyrax (Group 2). Cephalometric radiographs were taken before and after treatment. Cephalometric radiographs were traced, analyzed, and the results such as sagittal, vertical and soft-tissue changes were compared between two groups. The amount of anchorage loss was also measured to evaluate the difference between two groups. All patients showed significant sagittal skeletal changes after treatment, and there was no statistically significant difference between the two groups. When anchorage loss was evaluated, no differences were shown between the two. Facemask with Hyrax or bonded expander is similarly an effective method as a treatment in class III malocclusion patients.
Micro-CT Evaluation of Stainless Steel Crowns on Extracted Primary Molars
Jung, Boram ; Shin, Jonghyun ; Jeong, Taesung ; Kim, Jiyeon ; Kim, Shin ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 53~61
DOI : 10.5933/JKAPD.2015.42.1.53
This study was conducted for the purpose of evaluating the stainless steel crowns on extracted primary molars and thus identifying frequent errors and defects. Visual assessment and micro-computed tomography (micro-CT) image analysis were performed on 97 primary molars for evaluation of the state of marginal adaptation, cement loss, secondary caries, ledge formation, attritive perforation and marginal polishing defect. The results were as follows: In the examination of object teeth by evaluation criteria, cement loss was found most frequently (98%), followed by secondary caries (42.3%), marginal polishing defect (41.2%), ledge formation (29.9%) and attritive perforation (17.5%), in this order. The cement loss at the margins showed a significant relationship with marginal gap and secondary caries: the larger the marginal gap is, the more frequent is the cement loss (p < 0.05). The average marginal gap was
and showed the highest value in the maxillary 2nd primary molars. The location of the crown margin above the cementoenamel junction was found most frequently and it was found that the higher the crown margin is located, the less the marginal gap becomes (p < 0.05). In conclusion, it is thought very desirable to pay closer attention to crown margins and shapes for stainless steel crown restoration in order to minimize the marginal gaps and consequent cement loss.
Non-syndromic Multiple Supernumerary Teeth in a Family : Case Reports
Bae, Doohwan ; Kim, Jihun ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 62~68
DOI : 10.5933/JKAPD.2015.42.1.62
Supernumerary teeth (SNTs) refer to extra teeth over normal numbers. SNTs can influence adjacent teeth and structure. Therefore, it is important to find SNTs before they cause problems and to decide when to extract them. Etiology of SNTs has not exactly been found, but it has been proposed that genetic and environmental factors are associated. SNT appears as a single unit in most cases and multiple SNTs usually occur as a part of a syndrome. Non-syndromic multiple SNTs are rarely seen. This report is to document the occurrence of multiple supernumerary premolars in a father and his three sons. Heritage is an important factor in SNT development so familial history is important for early detection of SNT.
Aspiration and Ingestion of Foreign Bodies in Dental Practice
Heo, Narang ; Lee, Kwanghee ; An, Soyoun ; Song, Jihyun ; Shin, Gayoung ; Ra, Jiyoung ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 69~74
DOI : 10.5933/JKAPD.2015.42.1.69
Despite preventative efforts, aspiration and ingestion of foreign bodies during clinical dental procedures occasionally occur. Careful clinical and radiographic examination and prompt emergency management can prevent potentially serious consequences. In this report, we describe a case of accidental foreign body ingestion and discuss prevention and management of dental instrument aspiration and ingestion.
Sevoflurane Insufflation Sedation for the Dental Treatment of a Patient with Pulmonary Arterial Hypertension : A Case Report
Chi, Seongin ; Kim, Seungoh ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 75~79
DOI : 10.5933/JKAPD.2015.42.1.75
Pulmonary arterial hypertension (PAH) is a common complication of Congenital heart defects (CHD) with left-to-right shunts, and PAH with increased pulmonary vascular resistance (PVR) is associated with considerable morbidity and mortality. General anesthesia (GA) can be life-threatening in patients with PAH, because the positive pressure ventilation during GA increases pulmonary arterial pressure and decreases pulmonary blood flow. This may also lead to hypoxia. Therefore, spontaneous ventilation may be safer than positive pressure ventilation in patients with PAH. A five-year-old male child, weighing 11 kg, with medical history showing a total correction of Tetralogy of Fallot (TOF) in 2009 and ongoing treatment with hypertension (HTN) medicine since 2007, visited the Dankook University Dental Hospital. He had multiple dental caries, and the treatment was completed under sevoflurane insufflation sedation via nasal cannula. The patient remained sedated throughout the operation while maintaining normal vital signs and spontaneous respiration. In conclusion, sevoflurane insufflation sedation may be a safer alternative to GA for the dental treatment of patients with PAH.
The Qualification of Dentist for Sedation : BLS and ACLS
Kim, Jongbin ; Yoo, Seunghoon ; Kim, Jongsoo ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 80~86
DOI : 10.5933/JKAPD.2015.42.1.80
Dentists who want to perform sedation must have abilities to control any emergent situation that may occur during treatment procedures. In the 2010 guideline for the use of sedation by dentists, he/she must has valid certifications for basic life support (BLS) and for advanced cardiovascular life support (ACLS). The Korean Association of Cardiopulmonary Resuscitation (KACPR) has made a contract with the American Heart Association for education and certification. From 2004, they have held many courses for BLS and ACLS providers and instructors. The author of this research participated in the above mentioned courses and qualified as a BLS provider, BLS instructor and ACLS provider. The present paper was intended as an introduction to and arrangement of BLS and ACLS courses for health care providers through a year of experience. However, the previous course of the ACLS provider was focused more toward medical doctors. It is necessary to develop a new advanced course for dentists who employ sedation in their medical practices.
Clinical Implications of the Premature Loss of the Mandibular Primary Canine
Lee, Sang-Ho ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 87~101
DOI : 10.5933/JKAPD.2015.42.1.87
The premature loss of the mandibular primary canine is relatively frequent and a sign of the upcoming space problems in the transitional period. This situation is caused by the permanent lateral incisor resorbing the root of the primary canine during its eruption. Bilateral loss of primary canines in a crowded arch leads to the lingual tipping of the permanent incisors, with the consequent reduction in the arch perimeter and increase in overbite. When the loss of a primary canine is unilateral, tipping of the adjacent incisors occurs toward the space, resulting in midline deviation. In these situations, treatment possibilities, such as extraction of the antimeric tooth or placement of a passive lingual arch, can be applied; although there are some controversies concerning this. Most space problems with less than 4 mm can be resolved through preservation of the leeway space using sequential disking of the primary teeth and a passive lingual arch, regaining space or limited arch expansion in the late mixed dentition. In cases with 4~6 mm of space problems, arch expansion (A-P or transverse) can be applied. Space problems with more than 6 mm should be treated through diagnosis and treatment planning. Most of these cases will require extraction of permanent teeth including serial extraction (guidance of eruption).
Saliva: Diagnostic Applications in Medicine and Dentistry
Kim, Jiyeon ; Jeong, Taesung ;
THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY, volume 42, issue 1, 2015, Pages 102~111
DOI : 10.5933/JKAPD.2015.42.1.102
Due to the rapid advancements in detection technologies, saliva has the potential to become a first-line diagnostic sample of choice in the fields of medicine and dentistry. Saliva has many useful advantages to serum. Simple, non-invasive and cost-effective approaches can be made possible for the screening of large populations. There is minimal risk of infections during sample collection and saliva can be used in clinically challenging situations, such as obtaining samples from children, or disabled or anxious patients. This review examines the diagnostic application of saliva and provides a summary of recent research advancement.