유치와 영구치에서 치과용 접착제의 전단결합강도

최진영,최남기,박영준,최충호,양규호 大韓小兒齒科學會 2007 大韓小兒齒科學會誌 Vol.34 No.4

The objective of this study was to compare the shear bond strengths of five adhesive systems to the enamel and dentin of primary and permanent teeth. Fifty noncarious primary and fifty permanent teeth were collected and stored in an 0.1% thymol solution at room temperature after extraction. The tested adhesives were: Adper Scotchbond Multi-purpose Plus Adhesive (SM) Adper Single bond 2 (SB), Clearfil SE Bond (SE), Adper Prompt L-Pop (PL), G-Bond (GB). For the shear bonding test, the labial and lingual surfaces of primary and permanent teeth were used. To obtain a flat surface, the labial and lingual surfaces of the teeth were sanded on SiO₂with number 600 grit and then divided into 20 groups of 10 surfaces each. All samples were theromocycled in water 5℃ and 55℃ for 1000 cycles. The results were as follows: 1. For primary enamel, shear bond strengths of SM and SB were significantly higher than that of SE and also SM, SB, and PL were higher than GB(p<0.05). 2. For primary dentin, there were no significant differences among the shear bond strengths of any other bonding systems except differnece between SE and GB. 3. For permanent enamel, SB showed significantly higher mean shear bond strength than those of any other bonding systems(p<0.05). 4. For permanent dentin, SM showed significantly higher mean shear bond strength than that of PL and GB(p<0.05). 5. Between the primary enamel and dentin, there were significant differences in SM, SB, and GB, whereas there was statistically significant difference in PL between the permanent enamel and dentin(p<0.05). 6. Between the primary and permanent teeth on enamel, there were no significant differences among all bonding systems, whereas there were statistically significant differences in SM and SB between the primary and permanent teeth on dentin(p<0.05). 본 연구에서는 최근에 개발된 치과용 접착제를 대상으로 유치와 영구치의 법랑질과 상아질에 대한 결합력을 비교 평가하여 입상에서 상아질 접착제를 적절하게 선택하는데 도움을 주고자 시행하였다. 실험재료로 Adper Scotchbond Multi-purpose Plus Adhesive (SM; 3M ESPE,USA),Adper Single bond 2 (SB; 3M ESPE,USA),Clearfil SE Bond (SE; Kuraray Medical Inc.,Japan),Adper Prompt L-Pop (PL; 3M ESPE,USA),G-Bond (GB:GC Cooperation Toyko,Japan)를 이용하여 전단결합강도를 평가하여 다음과 같은 결과를 얻었다. 1. 유치 법랑질에서 전단결합강도는 SM이 28.47±7.93 MPa로 가장 높았고 SB (28.18±6.84),PL (24.02± 6.14),SE (21.70±6.56),GB (17.70±6.68) 순이었다. SM과 SB는 SE보다 통계적으로 유의하게 높은 결합 강도를 보였으며,SM,SB,PL은 GB보다 높았다(p<0.05). 2. 유치 상아질에서 전단결합강도는 SE가 28.72±14.44MPa로 가장 높았고,PL (20.10±6.13),SM 07.72± 10.65),SB (15.48±2.66),GB (10.10±5.45) 순이었으며 SE와 GB간 에는 유의한 차이가 있었으나,다른 군 들 간에는 유의한 차이가 없었다. 3. 영구치 법랑질에서의 전단결합강도는 SB가 28.36±5.68 MPa로 가장 높았고 SM (22.77±4.63), PL(22.05 士6.57),SE (21.74±4.62),GB (15.60±6.75)순이었다. SB는 다른 접착제보다 통계적으로 유의하게 높은 결합력을 나타냈으며,GB는 가장 낮은 결합력을 보였다(p(0.05). 4. 영구치 상아질에서의 전단결합강도는 SM이 28.22±5.56 MPa로 가장 높았고,SB (21.68±7.44),SE (20.13 ±9.88),GB (14.30±6.81),PL (14.18±5.88)순이었으며,SM은 PL,GB와 유의한 차이가 있었다(p<0.05). 5. 유치의 법랑질과 상아질 간에는 SM,SB,GB에서 유의한 차이가 있었고,영구치 법랑질과 상아질 간에는 PL에서 유의한 차이가 있었다(p<0.05). 6. 유치 법랑질과 영구치 법랑질 간에는 모든 접착제에서 유의한 차이가 없었으나,유치 상아질과 영구치 상아질 간에는 SM과 SB에서 유의한 차이가 있었다(p<0.05).

말초동맥질환에 있어서 혈장 호모시스테인 농도의 의미

최동현,이상목,고석환,홍성화,오수명,윤충,박호철 대한혈관외과학회 2004 Vascular Specialist International Vol.20 No.1

심실중격을 박리하며 파열된 선천성 발살바동 동맥류로 뇌경색증이 동반된 2예

최락경,김인원,정승묵,한춘호,고충원,임달수,박헌식,홍석근,황흥곤 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.5

천안북일 남자고등학교 1학년 학생들의 구강보건실태에 관한 연구

최충호 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2

The aims of this study were to evaluate recognition about oral health care and to know oral condition and treatment need of students. For this study, the ready made questionnaire and oral examination were carried out during 3 days. The sample was consist of the 569 freshmen in Chunanbukil high school.. The results were as follows: 1. The results of past history were dental visit(30.9%) and scaling(9.8%). 2. The results of self evaluations of freshmen's oral condition were sound(31.7%), unclear condition(34.0%), dental caries(21.4%), periodontal disease(4.4%), dental caries and periodontal disease(0.2%). 3. The results of diet habit which had a high frequency intake were sweet food and soft drink(43.1%), hard and tough(13.5%) and snack(58.5%). In the low frequency intake diet , it were sweet food and soft drink(8.8%), hard and tough(40.9%) and snack(4.9%). 4. The results of tooth brushing frequency per one day were 2(55.2%), 3(24.4%), 1(7.9%), 4(3.7%), and more than 5(0.3%). About timing of tooth brushing, the results were after breakfast(33.5%), before sleep(27.2%), after dinner(22.0%), before breakfast(10.7%), after snack(3.7%), after lunch(2.9%). The results of tooth brushing method were horizontal(18.3%), rolling(60.6%) and both(3.5%) 5. The results of oral sign and symptom were hypersensitivity due to cold food(35.7%), hypersensitivity due to tooth brushing(4.4%), gingival bleeding tendency(20.2%), clicking sound on TMJ(temporomandibular joint)(18.3%), pain on TMJ or limitation of mouth opening(4.4%), halitosis(27.2%) and easy crown fracture and to be fine(4.4%) 6. In the treatment need, the results were no treatment need(32.7%), restoration(31.8%), crown & bridge(5.6%), scaling and periodontal treatment(18.9%), check up(2.9%), extraction(2.7%), emergency(0.9%), soft tissue lesion and TMJ disorder therapy(0.3%).

치과의사의 장애인 치과진료실태에 관한 조사 연구

최충호 대한구강보건학회 2003 大韓口腔保健學會誌 Vol.27 No.1

The purpose of this study were to prepare baseline data for developing and implementing oral health policies in disabled people. So it was stueied that dental services status of the disabled performed by dentists. Dentists's recognition about the dental treatment of the disabled was investigated, and professional, institutional, and social problems were analyzed. Survey was performed in 10,493 dentists with questionnaire by mailing method. The rerurned rate of answer was 5.0% The questionnaire contained dental treatment experience for the disabled, what are the desirable dental treatment for the disabled, the difficulty and the method to solve the problem when dentists treat the disabled, the demand of oral health education in realtion to dental treatment of the disabled. The obtained results were as follows; 1. The characteristic of the respondents and dental treatment experience for the disabled; Respondents had a more rate in male(77.2%), under 40 years old(60.6%), 5-9 years of dental practitioner(40.2%), a lage city(60.3%) and dental clinic by oneself(87.1%). Many respondents had concern about dental treatment for the disabled(77.2%) and the had a experience of dental treatment for the disabled(94.0%). The dentists who treat the disabled days was 47.7%. The dentists who want to participate with network for treating disabled was 63.6%. 2. Desirable dental treatment type for the disabled; Many dentists treated disabled patients in their clinic(past:62.2%, present:46.5%). So they want to treat the disabled in specialized institute(42.5%). It needs more acceptable conditions-like support system for the cost and time consuming problem for the disabled. 3. The problems and the solutions of the disabled's dental health; The difficulty of cooperation and insufficiency of specialty or confidence was main problems. So they needed treating equipment for the disabled and improvment of specialty. Decreased ability of disabled's dental health management(52.4%) was main problem to promote the disabled's dental health. The suggested solutions were the obligation of facilities for disabled's dental treatment in new dental service institute(34.1%)and the improvement of social recognition for the disabled(22.1%). 4. The need and experience of education for disabled's dental treatment; The dentists who had the experience of education were 41%. They received the information in dental college(19.7%), books(8.3%), graduate or training course(6.8%) , small group study(2.9%) and education for dental practitioners(1.5%). The needs of education were understanding of the disabled(32.7%), behavior control therapy(30.4%), changing of treatment method according to the degree of disabled(25.8%) and the education for emergency situation(5.9%).

대동맥-장골동맥 폐색증에 대한 경피경관 혈관성형술 및 스텐트삽입술의 누적개존율

최동현,이상목,고석환,홍성화,오수명,윤충,박호철,오주형 대한혈관외과학회 2004 Vascular Specialist International Vol.20 No.1

청소년 행동장애의 6개월 단기 예후에 영향을 미치는 변인

최충식,진태원,채정호 대한소아ㆍ청소년정신의학회 1996 소아청소년정신의학 Vol.7 No.2

다양한 광원에 의한 광중합형 수복물질의 미세경도에 관한 연구

최남기,양규호,김선미,최충호 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.4

이번 연구의 목적은 청색광을 방출하는 다이오드(LED) 광중합기(FreeLight2, L.E.Demetron Ⅰ, Ultra-Lume 5)가 3가지의 레진재료들 (Z250, Point 4, Dyract AP)의 미세경도에 미치는 영향을 평가하고 그들의 최적 중합시간을 찾는 것이다. 표본들은 각각의 복합체에 대하여 아크릴릭 몰드(2.0mm×3mm)를 사용하여 만들었다. 모든 표본들은 평평한 유리판위에 Mylar strip을 위치시킨 후 제작되었다. 몰드에 복합체가 위치된 후 또다른 Mylar strip으로 덮고 유리판으로 가볍게 압력을 가하였다. 광조사 시간은 Elipar TriLight은 40초, Elipar FreeLight 2, L.E.Demetron I, Ultra-Lume 5는 각각 5,10,20,40초씩으로 하였으며 평균 경도값은 각각의 그룹에서 상층과 하층을 사용하여 계산했다. 결과의 통계적 유의성을 위해 ANOVA와 Sheffe's test를 사용하였다. FreeLight 2. Ultra-Lume 5, and L.E.Dementron Ⅰ는 대조군인 할로rps 광중합 40초에 비교하여 Point 4를 20초에 중합시킬수 있었다. FreeLight 2dhk L.E.DemetronⅠ는 대조군인 40초의 할로겐 광중합에 비교하여 Dyract AP를 10초에 중합시킬수 있었다. 이번 연구에서 사용된 LED 광중합기는 통상적으로 이용되는 할로겐 광중합기와 비교시 절반이하의 조사시간으로도 적절한 미세 경도를 얻을 수 있었다. The aim of this study is to evaluate the effects of blue light emitting diode (LED) Light Curing Units(FreeLight 2, L.E.Demetron Ⅰ,Ultra-Lume 5) on the microhardness of three resin composites (Z250, Point 4, Dyract AP) and to determine their optimal curing time. Samples were made using acrylic molds (2.0mm x 3mm) of each composite. All samples were prepared over a Mylar strip placed on a flat glass surface. After composite placement on the molds. the top surface was covered with another Mylar strip and a glass slab was gently pressed over it. The times of irradiation were as follows: Elipar TriLight, 40s; Elipar FreeLight 2, L.E.Dementron I, and Ultra-Lume 5, 10s, 20s, 40s, respectively. Mean hardness values were calculated at the top and bottom for each group. ANOVA and Sheffe's test were used to evaluate the statistical significance of the results. Results showed that FreeLight 2. Ultra-Lume 5, and L.E.Demetron I were able to polymerize point 4 in 20 seconds to a degree equal to that of the halogen control at 40 seconds. FreeLight 2 and L.E.Demetron I were able to polymerize Z250 in 10 seconds to a degree equal to that of the haogen control at 20 seconds. FreeLight 2 and L.E.Demetron I were able to polymerize Dyract AP in 10 seconds to a degree equal to that of the halogen control at 40seconds. The commercially available LED curing lights used in this study showed an adequate microhardness with less than half of the exposure time of a halogen curing unit.

정신분열병 입원 환자에서 단축형 증상관리 훈련의 효과:예비적 연구

최충식,채정호,우동원,최영희,함웅,이규항,장미화 대한신경정신의학회 2001 신경정신의학 Vol.40 No.1

연구목적: 정신분열병 환자에서의 재활치료는 개인의 극복 기술과 능력을 향상시키고 재발을 유발시킬 수 있는 스트레스의 부정적인 영향을 중화시킴으로써 질병의 만성화를 막고 사회기능을 호전시킬 수 있기에 점차 그 중요성이 대두되고 있다. 본 연구는 만성 정신분열병 입원 환자에서 재활치료의 하나인 단축형 증상관리 훈련이 정신장애에 대한 자기 인식에 미치는 효능을 알아보기 위하여 시행되었다. 방법: 정신분열병으로 진단받고 입원 중인 환자들에게 재발경고징후를 규명하는 것, 재발경고징후를 관리하는 것, 지속증상을 극복하는 것, 술과 불법 약물을 피하는 것 등으로 구성된 승인-UCLA 사회기술 및 독립적인 생활기술훈련 단위 중 증상관리단위를 기초로 한국실정에 맞게 축약한 증산관리 훈련을 주 1회, 60분씩, 4∼5주간 실시하였고 실시 전후에 전신장애 비인식 평가 척도(Scale to Assess Unawareness ofMental Disorder; 이하 SUMD)로 자신의 정신장애에 대한 인식을 평가하였으며 임상적 전반적 인상(Clinical Global Impression;이하 CGI)로 임상 상태를 조사하였고 각 인구학적 변인들을 조사하였다. 결과: 환자 30명이 훈련을 완수하였으며 이들의 평균 연령은 36.6±7.6세였고 남자가 14명(46.7%), 여자가16명(53.3%)이었다. SUMD 점수는 훈련 전 16.9±4.0점에서 훈련 후 12.9±4.2점으로 유의하게 줄어 정신장애에 대한 자기 인식 정도가 향상되었으며(p<0.01), CGI도 훈련전의 3.7±0.9점에서 훈련 후 2.8±0.8점으로 유의하게 호전되었다(p<0.01). 환자의 연령, 발병시 연령, 유병 기간, 입원 기간, 항정신병약물 사용 용량, 교육 정도, CGI로 평가한 임상 상태등은 정신장애의 자기 인식 정도와는 관련성이 없었다. 결론: 정신분열병 입원 환자에서 단축형 증상관리 훈련은 정신장애에 대한 자기 인식을 증가시킬 수 있는 방법이 될 가능성을 확인하였으며 이 방법이 정신분열병 재활치료의 중요한 요소가 될 수 있음을 알 수 있었다. Objectives : The purpose of this study was to examine whether Symptom Management Module-Korean Brief Version(SMM-B) is effective as a psychosocial treatment of the inpat-ients with chronic schizophrenia. We also questioned which of demographic and clinical characteristics could be predictors of differential treatment response. Methods : The subjects were composed of 30 inpatients with chronic schizophrenia, who were trained with weekly session of SMM-B for 5 weeks. Before and after the training, the level of psychopathology, knowledge about schizophrenia were assessed as dependent variables by using Clinical Global Impression(CGI) and Scale to Assess Unawareness of Mental Disorder(SUMD). Results : Overall, patients showed improvement over the treatment period on psychopath-ology as well as knowledge about psychosis. Total scores of SUMD were changed from 16.9±4.0 before training to 12.9±4.2 after training(p<0.01) and scores of CGI were improved from 3.7±0.9 to 2.8±0.8<p<0.01). Howver age, gender, years of education, age of onset, duration of illness, duration of admission, numbers of psychiatric admission, and clinical status evaluated by CGI were not correlated with unawareness of psychosis. Conclusion : These results suggest that SMM-B could be a reliable method to improve self-aw-areness of psychosis in patients whth chronic schizophrenia and one of important elements in rehabilitation.

부산, 울산, 경남지역 직업병감시체계에서 나타난 수지진동증후근의 역학적 특성

최영희,유철인,이지호,이충렬,이헌,김영욱,채창호,고상백,김은아,이유진,김양호 大韓産業醫學會 2003 대한직업환경의학회지 Vol.15 No.3

목적: 국내에서도 국소진동에 의한 수지진동증후군이 다수 있을 것으로 추정하나 최근에 이에 대한 보고가 적어 부·울·경 직업병감시체계를 통하여 수지진동증후군에 대한 환례를 수집하여 이의 역학적 특성을 밝히고자 본 연구를 실시하였다. 방법: 2001년 44월부터 2002년 12월까지 부산, 울산, 경남지역에 있는 종합병원 9곳을 통하여 특수 건강진단과 산업의학과 외래를 방문한 근로자를 대상으로 진동폭로에 대한 설문조사를 실시하고 이들중에서 수지진동으로 인한 증상을 호소하는 근로자는 이학적 검사와 Stockholm workshop scale을 이용하여 수지진동증후군이 있는지 평가하였다. 결과: 남자 188명, 여자 4명 등 총 192례의 수진진동증후군이 의심되는 환례를 수집하였으며, 업종별로는 조선업에 종사하는 근로자들이 가장 많았다. 국소진동의 주된 폭로원은 그라인더가 가장 많았으며, 혈관장해로 인한 증상보다 감각신경성 장해로 인한 증상을 많이 호소하였다. 결론: 전국적으로 조선업종의 그라인더 사용자를 중심으로 많은 수의 수지진동증후군의 환자가 있을 것으로 추정되며, 이들에 대한 예방대책을 마련하기 위하여 전국규모의 정확한 유병률 조사 및 실태파악이 필요한 것으로 판단된다. Objects: The objectives of this study were to estimate the epidemiologic characteristics of hand-arm vibration syndrome (HAVS) due to occupational exposure of hand transmitted vibration and to identify the occupations and industries where such exposures arises, and the main sources of exposure. Methods: In April 2001 the Busan, Ulsan, and Kyung-Nam Province occupational disease surveillance system was established to measure the incidence and prevalence of work-relatd HAVS and other occipational diseases in these Korean provinces. Occupational physicians of nine hospitals in Busan, Ulsan, and Kyung-nam Province were involved in this project between April 2001 and November 2002. Physicians collected information through questionnaires and interviews. Information gathered included age, occupation, types of vibration tools used and presence of subkective symptoms such as vibration-induced white finger (VWF), numbness and tingling. Results: A total 192 cases were reported with 188 males and 4 females. The shipbuilding industry was the most common type of industry and grinders were the most common source of exposire. Symptoms of neurological disorder were more common than those of vascular disprder. Conclusions: The authors concluded that exposure to hand transmitted vibration is common and that HAVS is one of the most common occupational diseases in Korea. However, the range and extent of hand transmitted vibration and the overall prevalence of HAVS in Korea is still unknown. More extensive research on this syndrome in order to priorite necessary preventive measures is required.