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하현빈

하현빈 [구강악안면외과 전문의, 서울대병원 혜화본원 펠로우]

서울대학교치과병원(혜화본원) 구강악안면외과 펠로우
서울대학교치과병원(혜화본원) 구강악안면외과 전임강사/전속지도전문의
서울대학교치과병원(혜화본원) 구강악안면외과 레지던트/전문의

서울대학교치과병원(혜화본원) 인턴

서울대학교치과대학 치의학박사 수료
서울대학교치과대학 치의학석사
서울대학교치과대학 졸업

한국과학기술원(KAIST)생명과학과 최우등졸업

한성과학고등학교 조기수료

보건복지부 구강악안면외과 전문의

보건복지부 통합치의학과 전문의

대한악안면성형외과학회 인정의

대한치과이식임플란트학회(KAID)학술위원

​국제임플란트학회(ITI, international team for implantology) 정회원


서울대학교치과병원 부설 시립장애인치과병원 파견교수
미국심장학회 고급심폐소생술(ACLS)provider
전)목동홍익병원 치과과장​​​​​​​​​​​
​​

Hyunbin Ha [Oral &Maxillofacial Surgery Specialist]

의료진

 Dr. Hyunbin Ha is a board-certified Oral and Maxillofacial Surgeon and a board-certified specialist in Integrated Dental Care, accredited by the Korean Ministry of Health and Welfare.

 He completed an accelerated early graduation from Hansung Science High School in two years and, with approval from the National Gifted Education Selection Committee, was granted eligibility for university admission. He subsequently entered the Department of Biological Sciences at the Korea Advanced Institute of Science and Technology (KAIST), where he graduated summa cum laude. Dr. Ha later earned his Doctor of Dental Surgery (D.D.S.) degree and a Master’s degree in Dental Science from the School of Dentistry at Seoul National University, and has completed all requirements for the Ph.D. program in Dental Science.

 Following dental school graduation, Dr. Ha completed his internship, residency, and specialist training in Oral and Maxillofacial Surgery at Seoul National University Dental Hospital (Hyehwa Main Hospical Complex). He subsequently served as a full-time clinical instructor and attending faculty member, actively involved in both patient care and resident education. During his fellowship at the Department of Oral and Maxillofacial Surgery at Seoul National University Dental Hospital, he managed a wide range of complex cases, including high-risk intravenous sedation and general anesthesia, comprehensive facial and jaw surgeries, dental implant procedures, and maxillary sinus surgeries.

 Clinically, Dr. Ha provides comprehensive oral and maxillofacial surgical care based on extensive training and experience across the full scope of the specialty. He is a certified member of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons and serves as an academic committee member of the Korean Academy of Implant Dentistry (KAID). In addition, he provides expert consultation in medical malpractice litigation cases referred by professional academic societies. Dr. Ha is also an active member of the International Team for Implantology (ITI) and continues to deliver lectures both nationally and internationally.

 In the fields of education and public healthcare, Dr. Ha has served as an adjunct professor at the Seoul Metropolitan Dental Hospital for the Disabled, affiliated with Seoul National University Dental Hospital. He previously held the position of Head of the Department of Dentistry at Mokdong Hongik Hospital. Dr. Ha is certified as an Advanced Cardiovascular Life Support (ACLS) Provider by the American Heart Association and practices with a strong emphasis on patient safety, supported by advanced skills in emergency airway management and cardiopulmonary resuscitation.

앞니임플란트
흰 배경

Surgical treatments [Esthetic Gum Surgery, Sinus bone graft, Surgical extraction, cyst removal, etc.]

​진료분야

01 Esthetic Dental Surgery 앞니 심미수술

앞니에 있어서 튼튼한 임플란트는 너무 당연하고, 더 나아가 예뻐야 합니다. 앞니 치료를 심미술식으로 인정하고 추가의 노력을 더 하는 것. 이것은 항암환자가 가발을 하는것, 흑인골프선수가 자외선차단제를 바르는 것과 마찬가지로 럭셔리가 아닌 필수입니다. 하시온치과는 앞니 임플란트에 있어서 어금니 임플란트와는 다른 접근을 합니다. 이것이 사치가 아님을 알기 때문입니다.  ​ ​When it comes to the anterior teeth, mechanical durability and robustness(stability) of an implant are merely the baseline. Esthetics are not optional—they are essential. Recognizing anterior dental treatment as an esthetic surgical procedure and investing additional effort is not an indulgence. It is no different from a cancer patient wearing a wig, or a Black professional golfer applying sunscreen. These are not luxuries—they are medical necessities that preserve dignity, function, and quality of life. At Hasion Dental Clinic, we approach anterior implant surgery fundamentally differently from posterior (molar) implant treatment. This distinction exists because the demands are different, and because we understand that excellence in the esthetic zone is not an added luxury—it is a clinical responsibility. Our philosophy is simple: what is essential should never be mistaken for excess.

50대여성

02 Compromised PAtient Dental Surgery 고령/병동환자 치과수술

전신질환의 예는 - 간, 신장등의 장기이식 병력, 항암치료 병력, 심혈관/뇌혈관계질환력 (스텐트삽입, 인공판막 수술력, 페이스메이커 이식), 자가면역질환 병력 (루푸스, 류마티스, 쇠그렌증후군 등), 신경정신과질환 (공황, 우울, 불안장애), 조절되지 않는 당뇨 (당화혈색소 수치가 높고 정기적인 내과 방문을 하지 않는 분들 포함), 장기입원 병력, 고령 등 다양합니다.  이렇게 전신질환을 가진분들은 치과수술시 출혈이나 감염의 위험이 일반인에 비해 높고, 수면마취시 호흡저하나 급작스런 심정지, 기도폐쇄 등 생명을 위협하는 합병증의 고위험군입니다. 치과는 이미 너무 많습니다. 하시온치과는 주변치과와 경쟁하지 않습니다. 지역사회에 꼭 필요한 대학병원교원 출신 전문의급의 치과로서 서울대학교치과병원 구강악안면외과와 동일한 수준의 안전한 진료를 시행합니다. Patients with the following underlying medical conditions can be classified as medically compromised (systemically ill) patients: History of solid organ transplantation (e.g., liver, kidney) History of chemotherapy or immunosuppressive therapy Cardiovascular and cerebrovascular diseases, including prior coronary stent placement, prosthetic heart valve surgery, or pacemaker implantation Autoimmune diseases such as systemic lupus erythematosus, rheumatoid arthritis, and Sjögren’s syndrome Neuropsychiatric disorders, including panic disorder, depression, and anxiety disorders Poorly controlled diabetes mellitus, including patients with elevated HbA1c levels and those who do not receive regular medical follow-up Elderly patients with prolonged hospitalization or frailty Dental surgical treatment for patients with systemic diseases requires a fundamentally different approach compared to healthy individuals. These patients have a significantly higher risk of excessive bleeding, postoperative infection, and delayed wound healing. Furthermore, when sedation or general anesthesia is involved, there is an increased risk of respiratory depression, sudden cardiac events, and airway obstruction, all of which may be life-threatening if not managed appropriately. There is no shortage of dental clinics. Hasion Dental Clinic does not compete with surrounding practices. Instead, we exist to fulfill a critical need within the community—as a specialty-driven dental center led by former university hospital faculty-level specialists. Our patients receive care that meets the same standards of safety and clinical rigor as those provided by the Department of Oral and Maxillofacial Surgery at Seoul National University Dental Hospital. Our priority is not volume, but patient safety, medical precision, and responsibility, especially for those whose systemic conditions demand the highest level of expertise and preparedness.

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간암,신부전_40대여성_edited.jpg

03 sinus surgery (sinus bone augmentation, CLOP+FESS, oraoantral fistula closure, foreignbody removal, etc.) 상악동수술 (상악동거상술, 상악동근치술, 구강상악누공폐쇄술, 상악동내사랑니발치술, 상악동내이물제거술 등.)

상악동거상술이란 임플란트를 식립해야 하는 상악어금니부위에 골량이 부족할 때 치아가 심기울 뼈 공간을 확보하고자 상악동바닥을 높여주는 구강외과적 술식입니다. 상악동거상술의 술기적 완성도가 높을수록 충분한 두께, 충분한길이의 임플란트를 부비동 침범 없이 식립할 수 있게 됩니다. A maxillary sinus floor elevation (sinus lift) is an oral and maxillofacial surgical procedure performed when there is insufficient alveolar bone volume in the posterior maxilla to support dental implant placement. The procedure creates adequate bone height by carefully elevating the maxillary sinus floor, thereby securing the space necessary for stable implant installation. The higher the technical precision and surgical refinement of the sinus lift, the greater the ability to place implants of adequate length and diameter without violating the maxillary sinus. Meticulous execution not only optimizes primary stability but also minimizes sinus-related complications, ultimately translating into more predictable and durable implant outcomes.

상악동천공으로 인하여 누공이 뚫리면 입안의 세균이 부비동으로 이동하는 통로가 되고 심한 경우 입으로 음식을 섭취했을 때 코로 새는 심각한 부작용이 발생합니다. 이를 막기 위해 때로는 사진에서처럼 입천장의 결합조직(혹은 볼쪽의 지방조직)을 끌어와 구멍을 막아주는 수술을 합니다. 누공폐쇄술은 제가 근무하던 서울대병원의 경우 입원을 동반하여 진행하는 경우도 많았는데 이는 수술 직후 주의사항이 많고 매일매일의 경과관찰이 중요하여 입원전담주치의의 관리가 필요했기 때문입니다. When an oroantral perforation results in the formation of a fistula, it creates a direct pathway through which oral bacteria can migrate into the maxillary sinus. In severe cases, patients may even experience the regurgitation of food or liquids from the oral cavity into the nasal passage—an especially distressing and clinically significant complication. To prevent these outcomes, surgical closure is often required. As illustrated in the image, this may involve mobilizing palatal connective tissue or buccal fat pad tissue to effectively seal the defect. At Seoul National University Hospital, where I previously practiced, fistula closure procedures were frequently performed with inpatient admission. This approach reflects the complexity of postoperative management: strict precautions are required, close day-to-day monitoring is essential, and coordinated care under a dedicated inpatient attending physician is often necessary to ensure optimal healing and prevent recurrence.

정주진정마취를 했는데 원하는 만큼 진정이 유도가 되지 않았거나 반대로 과거 내시경 시술시 너무 깊은 진정으로 호흡이 저하되어 위험천만한 일을 겪으셨던 분들이 있습니다. 안전하다고 알려진 의식하정주진정마취는 외과적 환경에서 트레이닝된 구강악안면외과전문의가 유사시 고급심폐소생술에 준하는 대처 및 응급 기도관리를 할 수 있을 때 비로소 안전하다고 할 수 있습니다. 안전이라는 단어는, 100중 99가 괜찮다고 해서 쓸 수있는 말이 아니기 때문입니다. 하시온치과에는 미국 심장학회 고급심폐소생술(ACLS provider)자격을 갖추고 대학병원에서 각종 응급상황에 트레이닝을 받은 구강악안면외과 전문의가 상주하고 있습니다. 안전하면서도 깊은 진정을 위해 최선을 다하겠습니다. Some patients have experienced inadequate sedation during dental intravenous (IV) sedation, while others may have had dangerously deep sedation in the past—such as during endoscopic procedures—resulting in respiratory depression and serious complications. Although IV sedation is generally regarded as safe in dentistry, true safety can only be assured when it is administered under the care of an oral and maxillofacial surgeon trained in surgical settings, who is also capable of managing emergencies, including advanced airway management and responses equivalent to Advanced Cardiovascular Life Support (ACLS). The word "safe" cannot be used simply because 99 out of 100 cases go well. It requires preparedness for the 1 in 100 when things do not go as planned. At Hasion Dental Clinic, we have a board-certified oral and maxillofacial surgeon on-site who holds ACLS provider certification from the American Heart Association and has undergone extensive emergency response training in university hospital settings. We are committed to providing deep and comfortable dental IV sedation with the highest possible standards of safety.

​​​근거 중심의 치료(Evidence based protocol about TMD)란 경험과 느낌에 의존하여 치료하는 것이 아니라 학계에서 동의된 내용을 바탕으로 누구에게나 떳떳하게 공개할 수 있는 치료를 하는 것입니다. 턱관절장애에 관련한 현재의 학문적인 근거 내지 학계의 동의사항은 다음과 같습니다.​​​​​​​​​​​​​​​​​ (1) '턱관절 질환'이라는 카테고리 안에 무수히 많은 서로 다른 질병이 섞여 있다. 앞서 말한 서로 다른 질병에는 치과 뿐 아니라 재활의학과, 마취통증의학과, 류마티스내과, 신경정신과 등 많은 과들이 다각적인 연구를 이어가고 있어, 다학제간의 협력이 필요하다.​ (2) 턱관절의 불편감을 호소하는 많은 경우에 관절 자체가 아닌 섬유근통, 근막동통증후군 등 전신적 근육질환을 동반한 만성 통증의 양상이 관찰되므로 이에 대한 치료도 필요할 수 있다. ​(3) 만성통증으로서 턱, 얼굴 영역의 통증이 오래된 경우 수면장애, 우울감 등 신경정신과적인 요소에의 검토가 필요하고 이러한 요인을 조절 할 때 호소하는 턱의 불편감이 유의하게 감소하기도 한다.    ​(4) 외상(부딪힘 등)에 의한 턱관절 내 손상이 일어난 경우 보다 적극적인 조기의 의학적 개입이 필요할 수 있으며 이를 놓칠 시 성장하며 턱의 비대칭이나 개구제한 등 심각한 문제를 일으킬 수도 있다. ​(5) 형태적, 기능적으로 동일한 수준의 문제점을 가진 관절에 대하여도 개인의 통증역치 등에 따라 불편감을 다르게 느끼기도 한다.  Evidence-Based Protocol about TMD (Temporomandibular Disorders) Evidence-based treatment refers to providing care that is not based on personal experience or subjective feelings, but rather on academically accepted and peer-reviewed knowledge, allowing treatments to be transparently and confidently presented to anyone. The current academic consensus and scientific basis regarding temporomandibular disorders (TMD) are as follows: (1) The category of "temporomandibular disorders" includes a vast array of different conditions. These various disorders involve not only the field of dentistry but also require interdisciplinary collaboration across specialties such as rehabilitation medicine, anesthesiology and pain medicine, rheumatology, and psychiatry, as ongoing multifaceted research is being conducted in these areas. (2) In many cases where discomfort in the temporomandibular joint is reported, the pain is not due to the joint itself but rather presents as a chronic pain condition associated with systemic muscular disorders such as fibromyalgia or myofascial pain syndrome. Treatment for these systemic conditions may therefore also be necessary. (3) In cases of chronic pain in the jaw and facial areas, psychiatric factors such as sleep disturbances and depressive symptoms often need to be evaluated. Addressing these factors has been shown to significantly reduce the reported discomfort in the jaw. (4) In cases where trauma (e.g., impact injury) causes internal damage to the temporomandibular joint, more proactive and timely medical intervention may be required. Failure to intervene early can result in serious consequences during growth, such as jaw asymmetry or limited mouth opening. (5) Even when the temporomandibular joint shows the same morphological and functional issues, the level of discomfort experienced can vary depending on the individual’s pain threshold.

급성으로 입이 안벌어지는 환자에서 관절강 세정술을 시행하고 개구량 확보

compromised Pt
IV sedation
sinus
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