Tai Wan Jiao Yu She Hui Xue Yan Jiu最新文献

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發展「情緒熱氣球桌遊」以提升幼兒社會情緒能力之研究 发展「情绪热气球桌游」以提升幼儿社会情绪能力之研究
Tai Wan Jiao Yu She Hui Xue Yan Jiu Pub Date : 2022-06-01 DOI: 10.53106/102711202022063301001
謝妃涵 謝妃涵, 何斯美 何斯美
{"title":"發展「情緒熱氣球桌遊」以提升幼兒社會情緒能力之研究","authors":"謝妃涵 謝妃涵, 何斯美 何斯美","doi":"10.53106/102711202022063301001","DOIUrl":"https://doi.org/10.53106/102711202022063301001","url":null,"abstract":"\u0000 本研究旨在探討實施情緒熱氣球桌遊對幼兒社會情緒能力提升的成效,研究目的有二:一為以ADDIE模式發展適合學齡前幼兒的桌遊-情緒熱氣球;二為分析情緒設氣球桌遊提升幼兒社會情緒能力的成效。研究對象為屏東市一所私立幼兒園23名大班幼兒,參與8次情緒熱氣球桌遊課程,在操作前、後施測「幼兒社會情緒發展問卷」,以比較幼兒的社會情緒能力是否有差異,依據研究結果分析得到以下結論:1. 運用ADDIE模式能發展一套「情緒熱氣球」桌遊。2. 透過情緒熱氣球課程,可增進幼兒的情緒覺察、情緒理解、情緒表達能力與合群性。文末提出為未來研究提出建議供參考。\u0000 The purpose of this study is to explore the effects of implementing the Hot air balloon board game on improving preschool children’s emotional competence, the research has two purposes: one is to develop the Hot air balloon board game with application of ADDIE model for preschool children; the other is to analyze the effectiveness of the board game to improve preschool children’s social emotional competence. It’s based on mixed method, the research object was 23 children, 5 to 6 years of age in a private kindergarten in Pingtung. They participated the board game courses 8 times. Before and after board game courses, instruction assessments used in the study included the Social Emotional Development Questionnaire for Children, which measures children’s social and emotional competence. According to the results of the analysis, the conclusions are as follows: (1) The researchers can use the ADDIE model to develop the “Emotional Hot Air Balloon\"\" board game. (2) Emotional board games can enhance preschool children’s emotional and social competence, including emotional awareness, emotional understanding, emotional express, sociability.  Finally, based on the results of this study, there are some suggestions to improve for future research.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89069652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
教育創新透過多元智慧理論對攝影量表之編製 教育创新透过多元智慧理论对摄影量表之编制
Tai Wan Jiao Yu She Hui Xue Yan Jiu Pub Date : 2022-06-01 DOI: 10.53106/102711202022063301002
黃金俊 黃金俊
{"title":"教育創新透過多元智慧理論對攝影量表之編製","authors":"黃金俊 黃金俊","doi":"10.53106/102711202022063301002","DOIUrl":"https://doi.org/10.53106/102711202022063301002","url":null,"abstract":"\u0000 攝影是拍攝過程將個人創意、經驗與美感透過照相機過程紀錄影像。攝影創作歷程,若能透過多元智慧,表現出不同智慧學習與運用,將可創造新價值影像。過去較少研究探討高職設計類科學生攝影學習,使用自陳式多元智慧攝影量表進行評量。本研究為了補足上述不足,探討教育創新透過多元智慧理論,了解多元智慧攝影組成成分,編製多元智慧攝影量表,評估學生多元智慧攝影能力。研究者分別以臺灣地區高職設計類科617位學生為研究樣本,進行量表預試和正式施測。預試部分經過項目分析及探索性因素分析後,顯示此量表具有自然智慧、內省智慧、人際智慧、空間智慧、音樂智慧、語文智慧、肢體智慧、數學智慧與新價值影像九個因子結構,且各項目分析皆是良好。正式施測的驗證性因素分析也顯示此量表九個因子結構具備良好的模式適配度。\u0000 Photography is the process of recording images of personal creativity, experience and beauty through the camera process. If the photographic creation process can demonstrate different wisdom learning and application through multiple intelligences, it will create new value images. Few studies on learning photography by vocational high school design department students use the Self-Reporting Scale of Multiple Intelligences Photography. To make up for that shortcoming, this study explores the studies of education innovation through the theory of multiple intelligences photography, compiles the Multiple Intelligences Photography Scale of vocational high school design department students, and then evaluates students’ perceptions of multiple intelligences photography. The researcher uses 617 vocational high school design department students in Taiwan as the research objects to conduct scale pretests and then the formal tests. After the item analysis and exploratory factor analysis (EFA) are conducted in the pre-test phase, the results showed that the scale contains a nine -factor structure: Natural Intelligence, Intrapersonal Intelligence, Interpersonal Intelligence, Spatial Intelligence, Musical Intelligence, language Intelligence, Mathematical Intelligence, and New Value Image, and the analysis results of each item are good. The confirmatory factor analysis (CFA) performed in the formal tests, also show that the nine-factor structure of this scale has a goodness-of-fit.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85759082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
運用Swanson關懷理論照顧一位不遵從血液透析病人之護理經驗 运用Swanson关怀理论照顾一位不遵从血液透析病人之护理经验
Tai Wan Jiao Yu She Hui Xue Yan Jiu Pub Date : 2022-06-01 DOI: 10.53106/172674042022062002006
陳綉惠 陳綉惠, 胡千逸 Shiow-Huey Chen
{"title":"運用Swanson關懷理論照顧一位不遵從血液透析病人之護理經驗","authors":"陳綉惠 陳綉惠, 胡千逸 Shiow-Huey Chen","doi":"10.53106/172674042022062002006","DOIUrl":"https://doi.org/10.53106/172674042022062002006","url":null,"abstract":"\u0000 本文旨在敘述一位不遵從血液透析治療療程病人之護理經驗。照護期間自2019年2月1日至6月3日,發現個案因飲食及水份自我控制差,導致透析過程中身體不適及影響透析品質,且由於個案無法接受增加透析次數,亦對未來感到無力、無助感,故以Gordon’s十一項功能性健康型態評估作為指引,歸納出主要健康問題為:體液容積過量、不遵從及無力感。筆者運用Swanson關懷理論中五個核心過程:「了解、在旁陪伴、為他做某些事、使他能夠、維持信念」,主動關懷個案需求,透過護理活動介入,協助個案獲得良好支持系統,以減輕個案內心之無力、無助感;加強對疾病深入認識了解,使其能以正向態度坦然並積極遵從血液透析治療,重建自我價值,提升對於未來的正向信念。建議對於處於疾病調適期的個案,醫護人員應該用正向角度看待個案,強調遵從的正向效果,誘發個案自我效能以重建信心。期望藉由此照護經驗,能提供護理人員對於血液透析病人照護之參考及運用。\u0000 This article aims to share our nursing experience of caring a noncompliant patient receiving maintenance hemodialysis. The patient had large interdialytic weight gain secondary to poor adherence to sodium and fluid restriction during February 1, 2019 to June 3, 2019. The frequent poor self-control of dietary water and inadequate dialysis made him extremely tired, uneasy, edematous, and despond. He was then in a depressive mood, feeling powerless and hopeless for the future.\u0000Gordon’s11 functional assessment tool was applied; we evaluated and categorized the patient’s health problems as fluid overload, noncompliance, and powerlessness. Based on Swanson’s Theory of Caring, the five key principles of care were knowing, being with, doing for, enabling, and maintaining belief. Through the patient-centered nursing process, we looked after his needs, utilized resources to get him a good support system, tried to regain his confidence in the fight against the illnesses, and alleviated his helplessness and powerlessness. By collaborating with the dialysis staff and handling the difficulties in a positive manner, the patient rebuilt his self-worth and optimistic attitude toward life.\u0000It is recommended that for patients with an adjustment disorder, the medical staff should treat them properly in a positive perspective, utilize available resources to develop a supportive system, reassure the importance of dietary and fluid compliance, and increase the patients’ self-confidence. We think that the nursing experience is a good example for professionals taking care of patients on hemodialysis.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86131337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
一位罹患肺腺癌的末期腎病變病人首次接受血液透析之護理經驗 一位罹患肺腺癌的末期腎病變病人首次接受血液透析之護理經驗
Tai Wan Jiao Yu She Hui Xue Yan Jiu Pub Date : 2022-06-01 DOI: 10.53106/172674042022062002002
王宥勻 王宥勻, 楊美英 Yu-Yun Wang, 曾芃廩 Mei-Yin Yang
{"title":"一位罹患肺腺癌的末期腎病變病人首次接受血液透析之護理經驗","authors":"王宥勻 王宥勻, 楊美英 Yu-Yun Wang, 曾芃廩 Mei-Yin Yang","doi":"10.53106/172674042022062002002","DOIUrl":"https://doi.org/10.53106/172674042022062002002","url":null,"abstract":"\u0000 本文為一位罹患肺腺癌的末期腎病變病人,面臨雙重重大疾病治療的壓力下,接受初次化學及血液透析治療的護理經驗。護理期間於2018年7月31日至9月30日,運用Gordon十一項健康功能型態為評估工具,透過直接照護及觀察等方式蒐集資料,確認病人有體液容積過量、營養失衡及無望感等健康問題,透過回覆示教及教導病人水分控制技巧,改善因體液容積過量所致呼吸喘的症狀;經偕同營養師制定飲食治療計劃,改善因化學治療副作用導致的營養失衡;藉由跨團隊照護、家人及病友支持,成功地使病人適時表達因雙重重大疾病所產生的經濟壓力困境與對未來生活價值的無望感。冀望將此照護經驗分享,讓同性質病人能坦然面對生命逆境,順利進入化學及血液透析治療,早日回歸職場。\u0000 This article was about a patient with end-stage renal disease and lung adenocarcinoma and then she received nursing experience of initial chemical and hemodialysis . The author cared for such a patient from July 31, 2018 to september 30, 2018, Using Gordon’s 11 functional appraisals and both observation and discussion, the following patient’s care issues were identified ,including fluid overload , malnutrition, hopelessness .With these,we can teach the patient skills to control water,and improve the symptoms of asthma caused by fluid overload.Also,we can formulate a diet therapy plan with a dietitian to improve the nutritional imbalance caused by the side effects of chemotherapy. With cross-team care, family and patient support,we can successfully make the patient talk about their difficulties cause by double major diseases in a timely manner,and hopeless economical pressure . I hope to share this care experience and recommend it to the case care seminars of related units.With this, patients of the same nature can face life’s adversity calmly and smoothly.Then,patients will be willing to choose the chemical and hemodialysis treatments, and return to the workplace as soon as possible.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84561405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
立即植牙合併補骨後立即負重對於邊緣骨喪失的影響文獻回顧 立即植牙合并补骨后立即负重对于边缘骨丧失的影响文献回顾
Tai Wan Jiao Yu She Hui Xue Yan Jiu Pub Date : 2022-05-01 DOI: 10.53106/102799622022052701004
謝比赫 謝比赫, 吳郁苓 吳郁苓, 黃健瑜 黃健瑜, 林靖萍 林靖萍, 吳友仁 吳友仁
{"title":"立即植牙合併補骨後立即負重對於邊緣骨喪失的影響文獻回顧","authors":"謝比赫 謝比赫, 吳郁苓 吳郁苓, 黃健瑜 黃健瑜, 林靖萍 林靖萍, 吳友仁 吳友仁","doi":"10.53106/102799622022052701004","DOIUrl":"https://doi.org/10.53106/102799622022052701004","url":null,"abstract":"\u0000 The use of dental implants is now a widely accepted and common dental treatment. In the past, dental implant treatment was a time-consuming procedure, but advancements in the surface and morphology of the implants gradually shortened the treatment process. The protocol of immediate loading after immediate placement not only can be used to maintain better aesthetics in the anterior teeth, but also providing quicker occlusal support to the posterior teeth. Thus, the preservation of the marginal bone is of utmost importance. The factors that affect marginal bone resorption include implant position, implant length, implant diameter, implant design, the bony defect around the implant, the presence of autoimmune diseases, smoking habit, and the use of bisphosphonates. The effect of immediate loading has also been extensively discussed. This review article focuses on the effect of immediate loading after the immediate placement of the implant with grafting on marginal bone loss.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90174742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
牙科雷射於軟組織處理上之應用:文獻回顧 牙科雷射于软组织处理上之应用:文献回顾
Tai Wan Jiao Yu She Hui Xue Yan Jiu Pub Date : 2022-05-01 DOI: 10.53106/102799622022052701006
郭家銘 郭家銘, 李豐任 李豐任, 翁煜棱 翁煜棱, 張盈盈 張盈盈, 陳怡鈞 陳怡鈞, 袁國 袁國, 丁羣展 丁羣展
{"title":"牙科雷射於軟組織處理上之應用:文獻回顧","authors":"郭家銘 郭家銘, 李豐任 李豐任, 翁煜棱 翁煜棱, 張盈盈 張盈盈, 陳怡鈞 陳怡鈞, 袁國 袁國, 丁羣展 丁羣展","doi":"10.53106/102799622022052701006","DOIUrl":"https://doi.org/10.53106/102799622022052701006","url":null,"abstract":"\u0000 雷射目前越來越廣泛使用在牙科領域上,像是牙周病治療或是各種軟硬組織手術,在軟組織手術方面,越來越多醫師會使用雷射來取代傳統刀片或是電刀,使用雷射在軟組織手術上可能有多項優點,如殺菌、止血、降低術後疼痛、促進傷口癒合,或是在某些情況下可以不需要使用牙科局部麻醉來進行治療,進而降低病患接受牙科治療的恐懼感;根據不同的波長及介質,目前市面上有許多不同種類的雷射可供牙科醫師使用,此篇文獻回顧將會回顧目前在牙科常見的各種雷射,探討不同雷射對軟組織的效應及臨床運用,並比較雷射與傳統作法進行軟組織手術之間的差異及其優缺點。\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89559810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
利用3D 列印技術直接或間接製作引導骨再生術之鈦網:病例系列 利用3D 列印技术直接或间接制作引导骨再生术之钛网:病例系列
Tai Wan Jiao Yu She Hui Xue Yan Jiu Pub Date : 2022-05-01 DOI: 10.53106/102799622022052701007
江晟嘉 江晟嘉, 林書緯 林書緯, 林孟瑤 林孟瑤, 王少君 王少君, 張盈盈 張盈盈, 袁國 袁國
{"title":"利用3D 列印技術直接或間接製作引導骨再生術之鈦網:病例系列","authors":"江晟嘉 江晟嘉, 林書緯 林書緯, 林孟瑤 林孟瑤, 王少君 王少君, 張盈盈 張盈盈, 袁國 袁國","doi":"10.53106/102799622022052701007","DOIUrl":"https://doi.org/10.53106/102799622022052701007","url":null,"abstract":"\u0000 研究目的:鈦網擁有良好的生物相容性和優異的機械強度,已廣泛地用於重建齒槽骨缺損的治療,臨床上可達到優異且穩定的骨增加成果。但傳統鈦網仍有一些缺點,包括術中彎折耗時、術後較易因暴露而造成後續併發症等問題。近年來數位化設計與製造逐漸發展成熟,藉由數位化技術製造客製化鈦網可能改善傳統鈦網的某些缺點,以達到更穩定的臨床結果。 本篇病例系列報告的目標在於討論數位化客製鈦網的設計考量和製作流程,並對於進行引導骨再生的臨床治療結果做初步的探討評估。 材料與方法:本篇案例包含兩位病患,皆因齒槽骨缺損問題,需要在植牙當下同時進行骨擴增治療 (bone augmentation)。兩位患者分別接受不同3D 列印輔助製作的客製化鈦網,一例在3D 列印模型上預先彎折鈦網,另一例為直接3D 列印客製化鈦網。 結果:3D 列印輔助客製化鈦網的使用,有效縮短手術的時間;於術後6 至7 個月觀察到穩定的骨再生效果,追蹤植體受力後半年至一年,齒槽骨水平皆穩定。 結論:3D 列印輔助客製化鈦網可提供多項優勢,仔細觀察臨床情況作為設計依據且熟悉數位系統的操作流程,做出良好的設計和選用適當製造技術是達成穩定臨床治療結果的關鍵。未來值得進行較大樣本數、具有對照組的臨床試驗,進一步釐清其優缺點。\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72652021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
天然萃取物對於實驗型牙周炎中RANKL/OPG系統之影響 天然萃取物对于实验型牙周炎中RANKL/OPG系统之影响
Tai Wan Jiao Yu She Hui Xue Yan Jiu Pub Date : 2022-05-01 DOI: 10.53106/102799622022052701001
張華秧 張華秧, 黃仁勇 黃仁勇, 江正陽 江正陽, 宋承恩 宋承恩, 鄭家典 鄭家典, 陳美筑 陳美筑, 鄭琬蒨 鄭琬蒨
{"title":"天然萃取物對於實驗型牙周炎中RANKL/OPG系統之影響","authors":"張華秧 張華秧, 黃仁勇 黃仁勇, 江正陽 江正陽, 宋承恩 宋承恩, 鄭家典 鄭家典, 陳美筑 陳美筑, 鄭琬蒨 鄭琬蒨","doi":"10.53106/102799622022052701001","DOIUrl":"https://doi.org/10.53106/102799622022052701001","url":null,"abstract":"\u0000 目標:此系統性文獻回顧旨在利用文獻搜尋找出可以藉由影響RANKL/OPG 系統來減緩實驗型牙周炎齒槽骨破壞的天然產物或其萃取物。 材料方法: _於Pubmed、EMBASE 及Web of Science 電子資料庫中, _以牙周病/ 牙周炎及RANKL/OPG 系統為主要關鍵字搭配天然萃取物等衍生的字眼做搜尋,擷取過往至2021 年1 月以前以英文撰寫的相關文獻。分析不同天然產物或其萃取物對於RANKL/OPG 系統的影響及減少骨頭破壞的效果。 結果:搜尋到的317 篇相關文獻中,有13 篇其內容符合搜尋結果。分析這13 篇文獻發現,大多數報導的天然萃取物都有減緩動物實驗型牙周炎牙周破壞及降低牙齦組織中RANKL 產生的效果。當中只有四篇探討RANKL/OPG 的比值,其中德國洋甘菊、鉤藤及鹽膚木三者的實驗同樣用免疫組織染色(IHC) 計算RANKL/OPG 蛋白質表現比值,經統計分析後發現這三者都可以降低牙齦組織中RANKL/OPG 比值,且與減緩骨頭破壞程度呈正相關但未達顯著差異( 相關係數: _0.8842)。 結論:在本系統性文獻回顧中發現數種天然產物或其萃取物確實可以影響牙齦組織中RANKL/ OPG 蛋白質表現的比值,且RANKL/OPG 比值與齒槽骨破壞呈正相關性。未來還需要更多的研究去探討不同天然萃取物對於RANKL/OPG 系統的影響力及減少牙周病中骨頭的破壞的效用和機轉。\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91290322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
異位性牙釉質(牙釉珠及齒頸部牙釉質突起)與牙周破壞:病例系列 异位性牙釉质(牙釉珠及齿颈部牙釉质突起)与牙周破坏:病例系列
Tai Wan Jiao Yu She Hui Xue Yan Jiu Pub Date : 2022-05-01 DOI: 10.53106/102799622022052701009
陳盈蓉 陳盈蓉, 唐正 唐正, 黃良吉 黃良吉
{"title":"異位性牙釉質(牙釉珠及齒頸部牙釉質突起)與牙周破壞:病例系列","authors":"陳盈蓉 陳盈蓉, 唐正 唐正, 黃良吉 黃良吉","doi":"10.53106/102799622022052701009","DOIUrl":"https://doi.org/10.53106/102799622022052701009","url":null,"abstract":"\u0000 牙周病治療最主要目標即是去除牙齦下牙菌斑及牙結石,然而治療的同時須留意一些牙齒發育上的變異或缺陷,可能會成為牙菌斑蓄積的溫床進而造成或加劇牙周病的破壞,甚至影響治療的成效及牙齒預後。本文為兩個異位性牙釉質,分別為牙釉珠(enamel pearls) 及齒頸部牙釉質突起(cervical enamel projections, CEPs) 造成的局部嚴重牙周破壞的病例系列,經由非手術牙周治療後,進行牙周再生手術並移除異位性牙釉質,一年後追蹤整體牙周狀況改善且手術結果維持穩定。同時亦針對兩者的盛行率回顧相關文獻,其中發現CEPs 的盛行率在東西方人種之間有相當大的落差,東方人遠高於西方人。期望在臨床治療時能謹慎處理這些會影響牙齒預後的局部因子。\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86549226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
牙齦色素沉著之治療:文獻回顧 牙龈色素沉著之治疗:文献回顾
Tai Wan Jiao Yu She Hui Xue Yan Jiu Pub Date : 2022-05-01 DOI: 10.53106/102799622022052701003
林芸安 林芸安, 林承斌 林承斌, 陳容慈 陳容慈, 郭彥彬 郭彥彬, 王振穎 王振穎
{"title":"牙齦色素沉著之治療:文獻回顧","authors":"林芸安 林芸安, 林承斌 林承斌, 陳容慈 陳容慈, 郭彥彬 郭彥彬, 王振穎 王振穎","doi":"10.53106/102799622022052701003","DOIUrl":"https://doi.org/10.53106/102799622022052701003","url":null,"abstract":"\u0000 擁有美麗笑容的要素包含了牙齒的美觀以及牙齦的顏色,除了先天基因使黑色素活躍程度不同因此於膚色較深之人種較常有牙齦黑色素沉著現象外,牙齦的顏色表現也和基因缺陷、系統性疾病、不良習慣有關,牙齦黑色素沉著之治療分為非手術及手術治療。本文針對牙齦黑色素沉著之原因、治療方式以及長期追蹤進行相關的文獻回顧。文獻回顧結果顯示在術式的選擇上,去上皮方式中,雷射的效果較優,冷凍及電燒治療效果優於刀片去除和鑽針修磨,刀片去除和鑽針修磨主要受限於病人本身之牙齦表現型,若無法去除足夠厚度之牙齦組織,色素再沉著率會較高。而使用軟組織移植手術治療來覆蓋黑色素,長期觀察黑色素再沉著率較去上皮方式低,但病人術後較常有不適感,且目前文獻較少也缺乏較長期的追蹤。近期之文獻所探討的使用維生素C 達到去除黑色素之方式,除了在市面上容易取得,也大幅減少病人術後不適感,但缺乏較多之文獻資料和長期觀察。因此,臨床上須根據病人的美觀需求、牙齦表現型以及經濟程度來選擇最適合的術式。\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75291992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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