치과임상전단계

C h a p t e r 01 치과 소개•1
I. 치과 진료인력•2
1. 치과의사···························2
2. 치과위생사·························2
3. 치과기공사·························2
4. 치과코디네이터· ···················2
5. 간호조무사·························3

II. 치과 진료과목•3
1. 구강내과···························3
2. 영상치의학과······················3
3. 예방치과···························3
4. 치주과·····························3
5. 치과보존과·························4
6. 치과보철과·························4
7. 구강악안면외과· ···················4
8. 치과교정과·························4
9. 소아치과···························4
10. 구강병리과·······················4
11. 통합치의학과· ····················4

III. 치과의 구성•5
1. 대기실·····························5
2. 접수실·····························5
3. 상담실·····························5
4. 진료실·····························5
5. 디지털 엑스선 촬영실··············5
6. 멸균·소독실······················6
7. 기계실·····························6
8. 치과기공실·························6

IV. 치과 진료장비•7
1. 치과 진료용 의자···················8
2. 치과 진료팀 의자··················11
3. 공기압축기························12
4. 치과 정수 시스템··················13
5. 중앙흡입기························14
6. 수납장····························14
7. 멸균장비··························16
8. 디지털 영상치의학 진단장비·······17
확인문제 • 19


C h a p t e r 02 치과진료의 기초•23
I. 치과 감염관리•24
1. 치과의료인 보호방책· ·············24
2. 기구관리··························32
3. 멸균법····························35
4. 표면 소독· ························38
5. 핸드피스의 멸균과 관리· ··········39
6. 의료용 폐기물의 관리·············42

II. 치과진료의 기본•44
1. 진료 영역· ························44
2. 환자의 자세·······················45
3. 술자와 협조자의 자세·············47
4. 기구 준비와 전달··················48

III. 방습법•50
1. 방습법의 종류·····················50

IV. 치과환자 관리•65
1. 초진환자 관리·····················65
2. 재진환자 관리·····················66
3. 진료 준비· ························66

V. 치과 진료용 의자의 관리•68
확인문제 • 70


C h a p t e r 03 구강내과 진료•75
I. 진단과정•76
1. 병력조사··························76
2. 신체검사··························77
3. 이화학적 검사·····················83

II. 구강상태의 기록•83
1. 치아표기법························83
2. 진료기록부 작성··················85

III. 턱관절장애•89
1. 원인· ·····························89
2. 증상· ·····························90
3. 진단법····························90
4. 치료법····························91
5. 주의사항··························93
6. 교합 안정장치 제작················93

IV. 코골이•95
1. 원인· ·····························95
2. 진단법····························96
3. 치료법····························96

V. 레이저 치료•98
1. 레이저의 임상적용················99
2. 레이저 치료의 장점················99
3. 레이저 치료의 위험성 및 주의사항·· 100

VI. 보톡스•100
1. 보톡스의 임상적용·············· 101
2. 부작용·························· 101
확인문제 • 102



C h a p t e r 04 영상치의학과 진료•105
I. 구내촬영법•106
1. 치근단촬영······················ 106
2. 교익촬영························ 107
3. 교합촬영························ 108

II. 구외촬영법•109
1. 파노라마 촬영··················· 109
2. 두부규격 촬영··················· 110

III. 디지털 촬영•110
확인문제 • 113


C h a p t e r 05 예방치과 진료•115
I. 불소이용법•116
1. 불소복용법······················ 116
2. 불소 국소도포법················ 116

II. 치면열구전색•119
1. 대상자 및 대상치아·············· 120
2. 광중합형 전색··················· 120

III. 구취조절•123
1. 구취의 원인····················· 123
2. 구취측정기의 종류·············· 124
3. 구취조절 방법··················· 124

IV. 지각과민증 관리•125
1. 지각과민의 원인················ 125
2. 지각과민의 증상················ 125
3. 지각과민 둔화법················ 125

V. 정량광형광검사법(Q - ray)•126
1. Q - ray의 원리·················· 126
2. Q - ray의 임상적 적용· ·········· 126
확인문제 • 128


C h a p t e r 06 소아치과 진료•131
I. 소아 환자의 행동조절•132
1. 의사소통법······················ 132
2. 단계적 둔감법··················· 132
3. 주의분산························ 132
4. 모방학습법······················ 133
5. 신체 속박· ······················ 133
6. 입 가리기· ······················ 134
7. 약물을 이용한 진정요법· ········ 134

II. 유치 치관수복•136
1. Stainless Steel crown· ······· 136
2. Celluloid crown form을 이용한 레진관 수복····················· 139
3. Resin veneered stainless steel crown··················· 140
4. Zirconia crown················ 140

III. 공간유지장치•141
1. 치아 공간상실의 원인··········· 141
2. 공간유지장치의 종류· ··········· 142
3. 고정성 공간유지장치의 제작과정··· 144
확인문제 • 145


C h a p t e r 07 치과보존과 진료 I•147
I. 치아우식증의 분류•148

II. 와동형성•149
1. 와동의 분류····················· 149

III. 치아삭제용 기구•150
1. 핸드피스························ 150
2. 회전 절삭기구··················· 151

IV. 치수보호•156
1. 바니시·························· 156
2. 와동 이장재····················· 156
3. 기저재·························· 156

V. 임시충전•157
1. 목적· ··························· 157
2. 임시충전재의 종류·············· 157
3. 임시충전 후의 주의사항· ········ 159

VI. 격벽법•160
1. Retainer의 종류················ 160
2. 치간쐐기························ 164

VII. 영구충전•165
1. 복합레진 충전··················· 165
2. 글래스 아이오노머 시멘트 충전··· 168
3. 간접 수복물····················· 170
확인문제 • 174


C h a p t e r 08 치과보존과 진료 II•177
I. 치수보존요법•178
1. 간접 치수복조술················ 178
2. 직접 치수복조술················ 179

II. 치수제거요법•180
1. 치수절단술······················ 180
2. 치수절제술······················ 184

III. 치아미백•195
1. 치아변색의 원인················ 196
2. 미백제의 종류··················· 197
3. 치아미백술의 종류·············· 197
확인문제 • 203


C h a p t e r 09 치과보철과 진료•209
I. 고정성 보철물•210
1. 치료계획 수립··················· 213
2. 지대치 형성····················· 213
3. 치은압배························ 213
4. 인상채득························ 215
5. 교합채득························ 223
6. 석고모형 제작··················· 223
7. 임시치관의 제작················ 228
8. 고정성 보철물 접착·············· 232

II. 가철성 보철물•234
A. 국소의치•234
1. 국소의치의 구성················ 234
2. 국소의치의 제작················ 235
B. 총의치•240
1. 총의치의 구성··················· 240
2. 총의치 제작과정················ 241
C. 의치관리•242

III. 디지털 덴티스트리•242
1. 치과용 CAD/CAM 시스템······· 244
2. 인레이 제작····················· 245
확인문제 • 249


C h a p t e r 10 치과교정과 진료•253
I. 부정교합의 분류•254
1. Angle의 분류법················· 254

II. 교정장치•256
1. 가철식 교정장치················ 256
2. 고정식 교정장치················ 259

III. 교정치료의 과정•261
1. 처음 내원 시· ··················· 261
2. 두 번째 내원 시· ················ 262
3. 세 번째 내원 시· ················ 262
4. 장치의 장착 완료 후············· 263
5. 교정 완료 후· ··················· 263

IV. 교정기구•265
1. 와이어를 구부리는 겸자와 기구··· 265
2. 결찰과 와이어를 잡는 데 이용되는 겸자· ··························· 268
3. 와이어 절단용 기구·············· 270
4. Bracket 장착 및 제거에 필요한 기구· ··························· 271
5. Band의 장착과 제거에 이용되는 기구· ··························· 272

V. 교정재료•274
1. 금속재료························ 274
2. Elastics························ 281
3. 기타 재료· ······················ 282
4. 교정용 기구 및 재료관리········ 283

VI. 교정 임상실습•284
1. 치간이개························ 284
2. 교정용 밴드 장착················ 285
3. DBS를 이용한 브라켓 접착······ 286
4. 호선의 삽입····················· 289
5. 결찰하기························ 289
6. Band와 bracket의 제거········ 295
확인문제 • 296


C h a p t e r 11 치주과 진료•299
I. 치주치료•300
1. 비외과적 치주치료·············· 300
2. 외과적 치주치료················ 301

II. 치주수술 기구•308
1. 치주수술용 칼··················· 308
2. 치주낭 표시자··················· 309
3. 치주 큐렛· ······················ 309
4. 골막기자························ 309
5. 조직가위························ 309
6. 외과용 치즐····················· 309
7. 외과용 파일····················· 310
8. 골겸자·························· 311
9. 외과용 버· ······················ 311

III. 치주수술 후의 환자교육•311
확인문제 • 312


C h a p t e r 12 구강악안면외과 진료•315
I. 국소마취•316
1. 종류· ··························· 317
2. 기구 및 재료· ··················· 318
3. 국소마취용 주사기 준비방법····· 319

II. 구강악안면외과 기구•321
1. 조직 절개를 위한 기구··········· 321
2. 점막성 골막 거상을 위한 기구· ·· 322
3. 지혈을 위한 기구················ 322
4. 조직을 잡기 위한 기구··········· 323
5. 골제거를 위한 기구·············· 323
6. 점막의 봉합을 위한 기구········ 325
7. 결손부로부터 연조직을 제거하기 위한 기구· ··························· 327
8. 연조직 견인을 위한 기구········ 327
9. 개구를 위한 기구················ 328
10. 흡입을 위한 기구·············· 329
11. 소독된 기구를 옮기기 위한 기구· ·· 329
12. 수술포를 유지시키기 위한 기구··· 330
13. 세척을 위한 기구·············· 330
14. 발치기자······················ 331
15. 발치 겸자······················ 331
16. 유치용 겸자···················· 334
17. 기구 트레이 시스템· ··········· 334
III. 발치•334
1. 단순발치························ 334
2. 외과적 발치····················· 336
3. 매복치 발치····················· 336
4. 발치 후의 주의사항·············· 339
5. 냉·온찜질······················ 339

IV. 소수술•340
1. 치조골성형술··················· 340
2. 절개 및 배농· ··················· 341
3. 봉합사 제거····················· 342
확인문제 • 345


C h a p t e r 13 임플란트•349
1. 임플란트의 종류· ··················· 350
2. 임플란트의 구성· ··················· 351
3. 임플란트의 적응증과 금기증········ 353
4. 임플란트 수술의 준비··············· 354
5. 임플란트 수술· ····················· 356
6. 임플란트 보철· ····················· 360
7. 수술 후 관리························ 364

확인문제 • 369
■ 찾아보기•371