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ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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치과의료사고 및 분쟁에 대한 국내·외 문헌고찰
김명기(서울대학교) ; 조한아(원광대학교) ; 이진한(원광대학교) pp.82-95 https://doi.org/10.22974/jkda.2015.53.2.001
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Abstract

Background: Interest in medical malpractice claims and accidents is a day-to-day social issue to general public as well as medical personnel. Related laws and regulations already have been established, and institutions based on the laws and regulations also have been founded. However, in our dental community, interest and response to the issue seem insufficient. Methods: We searched four medical literature databases that are mainly cited in the medical community. Keywords including ‘dental malpractice claims’, ‘patient safety’ and ‘medical accident’ were used for the search. Among the selected literatures, we chose specific ones separately whose content is authentic and easily approachable. Results: Medical malpractice claims and accidents tend to increase around the world. As the cost or the difficulty level of surgery increases, the dispute rate also increases, which appears even more apparent in developed countries. Preventive measures to prevent the disputes and accidents are not significantly different. Three critical of them include relationship of doctor with patient, the informed consent and medical record. Conclusion: Tools for accident occurrence or communication improvement have been introduced. All of those cost time and money. However, education or professional request of liability insurance companies, self-education and provision of guidelines can be immediately implemented. To implement those, dentists’ promotion at the regional or national level is imperative. rhBMP- 2 is widely used at sinus augmentation, alveolar bone defect, and socket preservation.

2차 자료(한국소비자원, 현대해상화재배상보험)에 나타난 치과의료분쟁 현황
안용순(을지대학교) ; 안은숙(원광대학교) ; 궁화수(건양대학교) pp.96-102 https://doi.org/10.22974/jkda.2015.53.2.002
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There is a need to comprehend dental accidents accurately, and construct patient-safety-system in order to prevent consistently increasing dental accident or dispute. This study is aimed to provide basic data for an efficient counterplain by looking through and classifying already occurred dental accidents from an angle of patient safety. Recently, the number of dispute on dental implant was the highest according to rapid growth of dental implant. As a result of classifying dental accidents by International Classification for Patient Safety (ICPS), it is confirmed that cause of accident is different by each type of dental treatment. It is expected to help preventing and managing dental disputes properly by studying actual state of dental disputes in perspective of patient safety. Effort to reduce dental accidents and activity to pursue patient safety have thread in connection. I believe that financial profits of dental clinic and improvement of quality in dental treatment can be achieved through these efforts.

치과의사의 설문을 통해 본 치과의료사고 및 분쟁
박선규(s리더치과병원) ; 김선미(원광대학교) ; 신호성(원광대학교) pp.103-110 https://doi.org/10.22974/jkda.2015.53.2.003
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The dental accidents and disputes among Korean dentists have been on the increase with time. The main purpose of this study is to figure out the actual status of the dental accidents and malpractice disputes based on a questionnaire survey. The findings showed that 64.8% of respondents had been experienced the dental accidents, and 52.9% of respondents had been locked into the disputes. Within 5 years from the start of dental practice, the nearly half of the dentists responded the experience of the dental accidents and disputes. The amount of compensation for dental accidents and disputes wereindentalimplant,prosthodontics, and oral surgery treatments in descending order. The highest incident type was wrong process/treatment/procedure problem in clinical process/procedure.

의료사고 및 분쟁 줄이기: 효과적인 의사소통을 중심으로
신호성(원광대학교) ; 김민영(원광대학교) ; 이정우(서울대학교) pp.111-119 https://doi.org/10.22974/jkda.2015.53.2.004
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The importance of effective communication is increasingly stressed in the medical sector. This is crucial for the resolution of medical accidents and conflicts, and that can contribute to the prevention of the two as well. The careful attitude of the medical team toward patient safety and their communication with colleagues and other departments are mandatory for the successful decrease of dental accidents. The good communication within of the hospital organization is one of vital ways to ensure accurate diagnosis and successful treatment. In the field of health care, effective teamwork requires a shared goal, superb work skills, communication and cooperation, but this fact has been overlooked so far. Among those factors, communication is indispensable to the achievement of organizational goals, and how to boost communication by acquiring diverse skills and using appropriate tools in the dentistry should discreetly be considered. This study explared how to improve the teamwork and communication of organization in an effort to seek specific ways of reducing medical conflict in dental.

비스포스포네이트 연관 악골괴사의 치료 방식과투약 휴지기가 치료 예후에 미치는 영향
이승현(부산대학교) ; 박군효(부산대학교) ; 이재열(부산대학교) ; 김용덕(부산대학교) ; 신상훈(부산대학교) ; 정인교(부산대학교) ; 김규천(부산대학교) ; 김욱규(부산대학교) pp.120-131 https://doi.org/10.22974/jkda.2015.53.2.005
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Objective: The purpose of this study is to compare the surgical treatment with conservative treatment and to evaluate the effectiveness of drug-holiday in bisphosphonate related osteonecrosis of the jaw (BRONJ) patients who were diagnosed as stage 2. Patients and Method: From January 2012 to October 2014, seventy-two patients who visit to Pusan National University of Dental Hospital were diagnosed as stage 2 of BRONJ. All the patients had taken computed tomography(CT) and panoramic radiography. The surgical treatment including sequestrectomy of necrotic bone and curettage of soft tissue around the sequestrum were performed to fifty patients. Twenty-two patients underwent conservative treatment such as antibiotics medications, mouth rinsing and follow up checking for every two weeks. Prognosis of treatment was classified into 3 groups ? response, unresponse, and worsens - according to clinical, radiographic symptoms. P-value less than 0.05 were regarded as significant. Results: In surgery group, forty-five patients (90%) were healed without recurrence or any complication and five patients (10%) showed the wound dehiscence or infection. In conservative treatment group, fifteen patients (68.2%) were healed without any complication, four patients (18.2%) did not show improvement and three(4.2%) patients°Ø symptoms increased. P-value among groups was 0.014. Evaluation of preoperative drug-holiday in surgery group did not show the effectiveness(p=0.478). Conclusion: Statistically, the prognosis of patients with stage 2 BRONJ treated with surgery was significantly better than conservative treatment. There was no statistical difference for the preoperative drug-holiday.

치과용 임플란트의 안전성과 유효성에 대한 드릴 디자인의 효과
윤지훈(부산대학교) ; 전계록(부산대학교) ; 윤미정(부산대학교) ; 허중보(부산대학교) ; 정창모(부산대학교) pp.132-142 https://doi.org/10.22974/jkda.2015.53.2.006
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Purpose : The objective of this research was to investigate an optimization of drill design factors for implant stability and efficacy through comparative evaluation by the cutting time, heat generation and initial stability. Materials and Methods : Three design factors were considered for the purpose of drill design optimization; the number of flute(2 flute, 3 flute), helix angle(15°, 25°) and drill tip shape(straight, 2-phase). Design factors were selected through comparative evaluation by temperature change, cutting time and ISQ value. Results : Heat generation and cutting time are influenced by all design factors(p<0.05). Drill tip shape was the only factors which influenced to the largest initial stability(p<0.05). Conclusion : Drills with 2 flutes, 2-phase formed drill tip, and 25 degrees of helix angle exhibit a better performance than other design.

안면부 연조직 진단에서 외래기반 초음파의 사용 : 증례 보고(3례) 및 문헌 고찰
김재영(연세대학교) ; 김민규(연세대학교) ; 이성화(연세대학교) ; 김형준(연세대학교) ; 남웅(연세대학교) pp.143-152 https://doi.org/10.22974/jkda.2015.53.2.007
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Ultrasonography is relatively inexpensive, non-invasive imaging tool and provides real-time imaging. In addition, the images can be obtained repeatedly. But it is not widely used by dentists because it is hard to interpret and technique sensitive. Above all, ultrasonography cannot be used for hard tissue diagnosis. However, ultrasonography can be applied for diagnosis of infection, soft tissue tumor and inflammatory muscle diseases which are commonly found in dental outpatients. Generally, it shows well-defined border, hypoechoic and homogenous structure in case of benign tumor. Malignant tumor appears relatively irregular margin and heterogenous structure. Cyst represents relatively echo-free features compared with benign tumor. Although the general characteristics of abscess are similar with benign tumor, we can observe an increased vascularity and different clinical features. The purpose of this report is to present 3 cases of US images using office-based ultrasonography with their features and discuss the role of office-based ultrasound in dentistry for diagnosis of soft tissue lesions with literature review.

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