1.Awareness of Fluoride Toothpaste among Parents of Children and Adolescents
Seungyong HWANG ; Jaeho LEE ; Jong-Hoon CHOI ; Koeun LEE ; Chung-Min KANG
Journal of Korean Academy of Pediatric Dentistry 2024;51(4):392-406
This study assessed parental knowledge and utilization patterns of fluoride containing dentifrices in the context of youth oral health promotion. A direct questionnaire was administered to 168 parents of young patients who attended the Pediatric Dental Clinic at Yonsei University Dental Hospital between March and May 2024. The findings indicated that while a significant majority (94.6%) of parents acknowledged the importance of fluoride in adult oral care products, their understanding of the potential adverse effects was limited. The study found that 84.5% of children used fluoride toothpaste and 96.4% of parents considered fluoride toothpaste essential for their children. However, a considerable proportion (40.5%) used low-fluoride formulations and many parents lacked awareness of the fluoride concentration (42.3%) and the appropriate dosage for their children (61.3%). Notably, paternal parents had a higher likelihood of being uninformed about fluoride content (24.7%, p = 0.003) and the correct quantity of toothpaste (26.2%, p < 0.05) that children should use. These observations underscore the need for targeted education for fluoride-containing oral care products for parents. Precise guidelines on suitable fluoride toothpaste types and quantities tailored to the developmental stages in children are important for enhancing oral health outcomes in youth.
2.Awareness of Fluoride Toothpaste among Parents of Children and Adolescents
Seungyong HWANG ; Jaeho LEE ; Jong-Hoon CHOI ; Koeun LEE ; Chung-Min KANG
Journal of Korean Academy of Pediatric Dentistry 2024;51(4):392-406
This study assessed parental knowledge and utilization patterns of fluoride containing dentifrices in the context of youth oral health promotion. A direct questionnaire was administered to 168 parents of young patients who attended the Pediatric Dental Clinic at Yonsei University Dental Hospital between March and May 2024. The findings indicated that while a significant majority (94.6%) of parents acknowledged the importance of fluoride in adult oral care products, their understanding of the potential adverse effects was limited. The study found that 84.5% of children used fluoride toothpaste and 96.4% of parents considered fluoride toothpaste essential for their children. However, a considerable proportion (40.5%) used low-fluoride formulations and many parents lacked awareness of the fluoride concentration (42.3%) and the appropriate dosage for their children (61.3%). Notably, paternal parents had a higher likelihood of being uninformed about fluoride content (24.7%, p = 0.003) and the correct quantity of toothpaste (26.2%, p < 0.05) that children should use. These observations underscore the need for targeted education for fluoride-containing oral care products for parents. Precise guidelines on suitable fluoride toothpaste types and quantities tailored to the developmental stages in children are important for enhancing oral health outcomes in youth.
3.Awareness of Fluoride Toothpaste among Parents of Children and Adolescents
Seungyong HWANG ; Jaeho LEE ; Jong-Hoon CHOI ; Koeun LEE ; Chung-Min KANG
Journal of Korean Academy of Pediatric Dentistry 2024;51(4):392-406
This study assessed parental knowledge and utilization patterns of fluoride containing dentifrices in the context of youth oral health promotion. A direct questionnaire was administered to 168 parents of young patients who attended the Pediatric Dental Clinic at Yonsei University Dental Hospital between March and May 2024. The findings indicated that while a significant majority (94.6%) of parents acknowledged the importance of fluoride in adult oral care products, their understanding of the potential adverse effects was limited. The study found that 84.5% of children used fluoride toothpaste and 96.4% of parents considered fluoride toothpaste essential for their children. However, a considerable proportion (40.5%) used low-fluoride formulations and many parents lacked awareness of the fluoride concentration (42.3%) and the appropriate dosage for their children (61.3%). Notably, paternal parents had a higher likelihood of being uninformed about fluoride content (24.7%, p = 0.003) and the correct quantity of toothpaste (26.2%, p < 0.05) that children should use. These observations underscore the need for targeted education for fluoride-containing oral care products for parents. Precise guidelines on suitable fluoride toothpaste types and quantities tailored to the developmental stages in children are important for enhancing oral health outcomes in youth.
4.Refractive Predictability between Standard and Total Keratometry during the Femtosecond Laser-Assisted Cataract Surgery with Monofocal Intraocular Lens with Enhanced Intermediate Function
Hyunah LIM ; Joon Hyuck JANG ; Sanghyu NAM ; Koeun LEE ; Jae Yong KIM ; Hungwon TCHAH ; Hun LEE
Korean Journal of Ophthalmology 2024;38(1):9-16
Purpose:
We aimed to compare the accuracy of the intraocular lens (IOL) calculation formula using the standard keratometry (K) and total K (TK) during the femtosecond laser-assisted cataract surgery (FLACS) with a monofocal IOL with enhanced intermediate function using currently used formulas.
Methods:
A retrospective review of 125 eyes from 125 patients who had undergone FLACS with implantation of monofocal IOL with enhanced intermediate function was conducted. The predicted refractive power was calculated using an optical biometer (IOLmaster 700) according to the K and TK in the Barrett Universal II, SRK/T, Haigis, and Holladay 2 formulas. Absolute prediction error (APE) obtained from the actual postoperative refractive outcomes and the refractive error predicted in each formula was compared one month after surgery.
Results:
Mean APE ranged between 0.29 and 0.39 diopters (D) regardless of the calculation formula and the method of measuring corneal curvature. Significant differences were observed in the APE from the four formulas and the two keratometric measurements (p = 0.014). In a total of 125 eyes from 125 patients, the mean APE was lowest with the Barrett Universal II formula. Across all formulas, both the mean APE and the median APE tended to be lower for K than for TK, although there was no significant difference. Approximately 70% to 80% of the patients were included within 0.5 D of the refractive error across all formulas. The percentage of eyes within 0.5 D of APE outcomes was not statistically different between the K and TK data when using each formula.
Conclusions
Keratometric measurements considering the poster corneal curvature did not show any additional advantages when implanting the monofocal IOL with enhanced intermediate function during the FLACS.
5.Analysis of the Characteristics of First Permanent Molars with Delayed Eruption
Hosun LEE ; Koeun LEE ; Misun KIM ; Okhyung NAM ; Hyo-Seol LEE ; Sungchul CHOI
Journal of Korean Academy of Pediatric Dentistry 2022;49(1):95-103
The first permanent molars play a key role in maxillofacial development and occlusion. The purpose of this study is to investigate the characteristics and development stages of first molars with delayed eruption, and to evaluate their associations with congenital missing teeth. Eight-year-old patients who had delayed eruption in their first molars were classified into 75 patients with physical barriers and 77 patients without physical barriers. The development stages of the first and second molars in the delayed area were analyzed using Nolla method from the panoramic radiographs. The relationship between congenital missing teeth and delayed area was also investigated. Delayed eruption of first molars were more common in the maxilla alone. With the presence of physical barriers, male patients showed higher frequency in unilateral cases, while female patients had higher bilateral cases when there was no physical barrier. Delayed development of first molars were observed in delayed eruption area. In the absence of physical barriers, adjacent second molars were also developed slowly and the incidence of congenital missing teeth was high in delayed area. If first molars with delayed eruption are observed, clinical and radiographical follow-ups are necessary for the evaluation of their developmental stages and congenital missing teeth.
6.Analysis of the Characteristics of Maxillary Supernumerary Lateral Incisor
Jeungseon NAH ; Koeun LEE ; Misun KIM ; Okhyung NAM ; Sungchul CHOI ; Hyo-Seol LEE
Journal of Korean Academy of Pediatric Dentistry 2022;49(1):25-34
This study aimed to investigate a quantitative analysis of the anatomical characteristics of the maxillary supernumerary lateral incisor and its relationship with lateral incisors. Forty-four supernumerary lateral incisors from 43 patients were evaluated for analyzing the position, shape, direction, and relationship between the supernumerary lateral incisor and the normal lateral incisors, using cone-beam computed tomography (CBCT). To compare the size of crown, the mesiodistal width was measured and the Nolla stage was used for evaluating the degree of root development to compare tooth maturity. The supernumerary lateral incisors were in the normal direction at a rate of 90.9%, and in a supplemental shape at a rate of 84.1%. The supernumerary lateral incisor was smaller in size compared to the adjacent lateral incisor and opposite lateral incisor (p < .0001). There was no statistically significant difference in the development stage of root. Based on these results, the supernumerary lateral incisor is similar with the lateral incisor, but has a difference in the size of crown. It is necessary to distinguish the supernumerary lateral incisor from the lateral incisor precisely to reduce clinical complications.
7.Preliminary Study for Quantitative Assessment of Sacroiliitis Activity Using Bone SPECT/CT: Comparison of Diagnostic Performance of Quantitative Parameters
Koeun LEE ; Hyunji KIM ; Yong‑il KIM ; Bumwoo PARK ; Woo Hyun SHIM ; Jungsu S. OH ; Seokchan HONG ; Yong‑Gil KIM ; Jin‑Sook RYU
Nuclear Medicine and Molecular Imaging 2022;56(6):282-290
Purpose:
We compared the feasibility of quantitative analysis methods using bone SPECT/CT with those using planar bone scans to assess active sacroiliitis.
Methods:
We retrospectively reviewed whole-body bone scans and pelvic bone SPECT/CTs of 8 patients who had clinically confirmed sacroiliitis and enrolled 24 patients without sacroiliitis as references. The volume of interest of each sacroiliac joint, including both the ilium and sacrum, was drawn. Active arthritis zone (AAZ) was defined as the zone of voxels with higher SUV than sacral mean SUV within the VOI of SI joint. Then, the following SPECT/CT quantitative parameters, SUVmax (maximum SUV), SUV50% (mean SUV in highest 50% of SUV), and SUV-AAZ, and the ratio of those values to sacral mean SUV (SUVmax/S, SUV50%/S, SUV-AAZ/S) were calculated. For the planar bone scan, the mean count ratio of SI joint/sacrum (SI/S) was conventionally measured.
Results:
Most of the SPECT/CT parameters of the sacroiliitis group were significantly higher than the normal group, whereas SI/S of the planar bone scan was not significantly different between the two groups. In receiver operating characteristic curve analysis, SUV-AAZ/S showed the highest AUC of 0.992, followed by SUV50%/S and SUVmax/S. All ratio parameters of the SPECT/CT showed higher AUC values than the SUV parameters of SI joint or SI/S of the planar scan.
Conclusions
The quantitative analyses of bone SPECT/CT showed better performance in assessing active sacroiliitis than the planar bone scan. SPECT/CT parameters using the ratio of the SI joint to sacrum showed more favorable results than SUV parameters such as SUVmax, SUV50%, and SUV-AAZ.
8.Effects of Ginsenoside Rb1 Loaded Films on Oral Wound Healing
Jeong Hyun LEE ; Seung Hwan PARK ; Asiri Naif MOHAMMED ; Myoung-Han LEE ; Dong-Keon KWEON ; Yongkwon CHAE ; Koeun LEE ; Misun KIM ; Hyoseol LEE ; Sungchul CHOI ; Ok Hyung NAM
Journal of Korean Academy of Pediatric Dentistry 2022;49(3):300-309
This study aimed to evaluate the effects of two ginsenoside Rb1 (G-Rb1) loaded films on oral wound healing. Two types of G-Rb1 films, G-Rb1 loaded carboxymethyl cellulose (GCMC) film and G-Rb1 loaded hyaluronic acid (GHA) film, were developed. A total of 36 Sprague-Dawley rats were divided into 3 groups: control, GCMC, and GHA. After wound formation on midpalate, the control group was left without treatment, whereas the experimental groups had films attached. The specimen was analyzed clinically and histologically after 7 and 21 days. For clinical analysis, the area of incompletely re-epithelialized wound was measured. For histological analysis, the distance between the margins of the wound (soft tissue gap) was measured and the percentage of the collagen-stained area on the specimen was calculated. In clinical and soft tissue gap analysis, the GCMC group presented improved healing compared to the GHA group and the control at day 7 (p < 0.05). And, both GCMC (9.74 ± 10.12%) and GHA groups (19.50 ± 14.47%) presented greater collagen-positive pixels compared to control (0.89 ± 1.60%) at day 7 (p < 0.05). However, there were no differences in these parameters among the groups on day 21. Therefore, G-Rb1 loaded films improved oral wound healing.
9.The Demands and Awareness of Pediatric Dentists on the Korean National Health Insurance System
Yunhyeong KIM ; Yongkwon CHAE ; Koeun LEE ; Misun KIM ; Ok Hyung NAM ; Sungchul CHOI ; Hyoseol LEE
Journal of Korean Academy of Pediatric Dentistry 2022;49(3):285-299
The aim of this study is to investigate the awareness and perception of pediatric dentists regarding dental health insurance (DHI) system in Korea. Online surveys were sent to the members of the Korean Academy of Pediatric Dentistry (KAPD), and the responses were collected. The survey, consisting of 41 questions, was subdivided into ‘general background of the respondents’, ‘the awareness on national health insurance (NHI) and DHI’, ‘the awareness on DHI pertaining to pediatric dentistry’, ‘issues that need improvement on DHI pertaining to pediatric dentistry’, ‘DHI claims’, and ‘the roles of KAPD in DHI’. In total, 302 responded, with a response rate of 28.9%. Excluding 2 questionnaires with insufficient answers, a total of 300 survey results were analyzed. According to the analysis, pediatric dentists thought that the coverage of DHI was not as sufficient compared to that of NHI, but were expecting its scope to broaden in the future. The satisfaction rate was higher in pit and fissure sealant and composite resin filling than in caries-detecting quantitative light-induced fluorescence. Pediatric dentists considered permanent tooth composite resin filling (65.7%) needed an increase in insurance copayment, while topical fluoride application (74.7%) to require insurance coverage. DHI claims were generally handled by dental hygienists and/or nursing assistants. Approximately half of the respondents answered that they have had experiences on appealing for insurance denials. Lastly, pediatric dentists generally had a positive attitude towards providing information for the DHI. This study is expected to be used as a sound dataset for the DHI policy development concerning pediatric dentistry.
10.Comprehensive Updates in the Role of Imaging for Multiple Myeloma Management Based on Recent International Guidelines
Koeun LEE ; Kyung Won KIM ; Yousun KO ; Ho Young PARK ; Eun Jin CHAE ; Jeong Hyun LEE ; Jin-Sook RYU ; Hye Won CHUNG
Korean Journal of Radiology 2021;22(9):1497-1513
The diagnostic and treatment methods of multiple myeloma (MM) have been rapidly evolving owing to advances in imaging techniques and new therapeutic agents. Imaging has begun to play an important role in the management of MM, and international guidelines are frequently updated. Since the publication of 2015 International Myeloma Working Group (IMWG) criteria for the diagnosis of MM, whole-body magnetic resonance imaging (MRI) or low-dose whole-body computed tomography (CT) and 18F-fluorodeoxyglucose positron emission tomography/CT have entered the mainstream as diagnostic and treatment response assessment tools. The 2019 IMWG guidelines also provide imaging recommendations for various clinical settings. Accordingly, radiologists have become a key component of MM management. In this review, we provide an overview of updates in the MM field with an emphasis on imaging modalities.

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