• Title/Summary/Keyword: 진료실

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A study on accuracy and application of the implant torque controller used in dental clinic (임상에서 사용하고 있는 임플란트 토크조절기의 정확도와 적용에 관한 사용실태)

  • Joo, Young-Hun;Lee, Jin-Han
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.3
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    • pp.197-205
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    • 2011
  • Purpose: This study was to evaluate the accuracy of the implant torque controller used in dental clinics and to investigate whether it was applied appropriately. Materials and methods: Fifty dentists who work in dental clinics were enrolled in this study. Dental (implant) practice career, experience frequency of implant screw loosening and fracture, education of implant torque controller application and infection control methods were included in the survey. 25 Ncm and 30 Ncm of the tightening torque applied to the implant screw were measured by 50 clinicians. After measuring the torque value by using the torque controller, the torque mean according to where education about the implant torque controller was received was analyzed with independent t-test at the significance level of 0.05. Results: The torque controller used in private dental clinics showed 4.78% error ratio. When 50 dentists applied 25 Ncm to the implant screw was $29.0{\pm}8.4$ Ncm, and that in 30 Ncm was $34.3{\pm}9.1$ Ncm. Statistical significance was found between the group that was educated about implant torque application and the group that was not educated. Conclusion: During the prosthodontic treatment with implant, there was difference between actual applied torsion force and the amount torque controller indicated. Clinicians have to not only be well-informed about the accurate usage method of the torque controller, but also keep and manage the torque controller so as to maintain continuous and accurate torque values. Through this, it is considered to achieve clinical results to minimize problems of screw loosening or fracture.

A Study on the Status for Oral Health Education of Dental Patients (치과에 내원하는 환자의 구강보건교육 실태에 관한 연구)

  • Ju, On-Ju;Park, Chung-Soon;Lee, Heung-Soo
    • Journal of dental hygiene science
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    • v.5 no.2
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    • pp.77-82
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    • 2005
  • The present study accentuate to investigate attitude and behavior about oral health education. The purpose is to provide awareness the importance of oral health education in dental clinics. A total of 350 surveys were over the age of 18 who visited oral health institutes in Chollabuk-Do, Korea. Survey was conducted with self-reported questionnaires from March 22 through April 10, 2004. The results were as follows: 1. The experience to receive oral health education, female, better educated and homemakers made a higher request. 2. Concerning practice they learned, the patients who were female, in there 30s, better educated and government works practiced was it the best. As for why didn't apply learned, they had not concerned about that (62.8%). 3. The greatest rate of respondents had been scaling in content of oral health Dental Patients education (35.3%) and 42.2% were informed flossing except tooth brushing in regarding auxiliary oral hygiene devices. 4. Respondents showed that tooth brushing was more frequently helpful (46.9%) and food control was 10.1% after oral health education. 5. To oral health care by oral health education, there was no significantly different in tooth brushing method and their teeth cleaned every two years (25.7%) and they used floss and the interproximal brush (30.6%).

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Application of Teeth Whitening LED for Prevention of Dental Caries : Antimicrobial Photodynamic Therapy Approach (치아우식 예방을 위한 치아미백기의 활용 : 광역동 치료로서의 접근)

  • Park, Choa;Park, Howon;Lee, Juhyun;Seo, Hyunwoo;Lee, Siyoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.1
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    • pp.70-77
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    • 2020
  • The present study is aimed to assess the effect of antimicrobial photodynamic therapy (aPDT) on Streptococcus mutans biofilm through teeth whitening light emitting diode (LED). Planktonic and dynamic biofilm state cultures of S. mutans were used. Erythrosine 20 μM/L was used as the photosensitizer. Irradiation was performed by exposing cultures to clinic and homecare whitening LEDs for 15 minutes. The viability was measured through Colony Forming Unit counts and confocal laser scanning microscopy. aPDT using whitening LEDs and erythrosine significantly decreased the CFU count of S. mutans compared to that in the control group. Dynamic biofilm group showed more resistant features to aPDT compared with planktonic state. Clinic and homecare whitening LED device showed similar antimicrobial effect. The whitening LED, which could irradiate the entire oral arch, showed a significant photodynamic effect on cariogenic S. mutans biofilm. aPDT mediated by erythrosine and LEDs used for teeth whitening exhibited promising antimicrobial activity.

A Study on the Job Stress Factors of Dental Hygienists (울산 일부 치과위생사의 직무스트레스 요인에 대한 조사연구)

  • Kim, Ji-Hee
    • Journal of dental hygiene science
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    • v.8 no.4
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    • pp.337-345
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    • 2008
  • The purpose of this study was to investigate factors affecting dental hygienists's stress in order to provide dental hygienists's stress management methods. The results of this study were as follows. 1. A sample of 168 dental hygienists were selected to participate in this study. The participate of 66.1% was under 25 old years and 87.5% was unmarried. A majority of he dental hygienists's job place was clinical areas 86.9% and working experience was 1~4 years (47.6%). A average dental hygienists's salary was 1,000,000~1,500,000 won/month (63.7%). A average dental hygienists's working time was under 8 hours/day (57.1%). 5days/week (58.3%) was working and the participate of 78.0% was working on night-time. 2. Dental hygienists's stress under 25 years old was higher than over 26 years old (p < 0.05). It was found that dental hygienists was significantly related to stress from less income (p < 0.05), longer working time (p < 0.01). In job demand areas, Night-time workers (p < 0.05) and 5days/week (p < 0.05) worker was more stress than others participates. In job autonomy areas, longer working experience in present dental clinical(p < 0.01) and higher salary/ month (p < 0.01) were more stress. The job instability of unmarried dental hygienists were more stress than married subjects. In stress of organization system, longer working time/day (p < 0.05), under 25 years old (p < 0.01), high salary (p < 0.05), 5day/week (p < 0.05) dental hygienists's stress was higher than others.

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Knowledge and Practice of Dental Practitioners Regarding Patient's Personal Information (환자 개인정보보호에 관한 치과종사자의 인식 및 실천)

  • Lee, Su-Young;So, Ji-Hyoun
    • Journal of dental hygiene science
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    • v.17 no.2
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    • pp.99-107
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    • 2017
  • The purpose of this study was to identify knowledge awareness, and performance of dentist and dental staff regarding protection of patient's personal information. In addition, this research was conducted to highlight the importance of protection of patient's personal information and provide a guideline for establishing measures in this regard. A survey was conducted on 506 dentists or dental staff working in Seoul, Gyeonggi and Chungcheong provinces. The data was analyzed using t-test, one-way ANOVA, $x^2$, Pearson's correlation coefficient, and Scheffe test, using the PASW Statistics ver. 18.0 program. We found that the participants' knowledge and perception of the protection of patient's personal information were relatively low compared to those of other professionals. Such knowledge and perception were especially and significantly low in dental hygienists. In addition, a high level of knowledge and awareness showed a positive correlation with the extent of performance. Therefore, it is important that dentists and dental staff are aware of issues regarding the protection of patients' personal information. For this purpose, educational and training programs on such issues appear essential.

Analysis of the Characteristics of Children and Adolescent Patients Received Sealant after National Health Insurance Coverage using Big Data (빅데이터를 이용한 치면열구전색 급여화 이후의 소아청소년 치면열구전색 환자에 대한 분석)

  • Lee, Hangil;Son, Donghyun;Na, Chaehyun;Kim Jihun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.48 no.2
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    • pp.129-139
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    • 2021
  • The purpose of this study was to analyze the characteristics of pediatric and adolescent patients who received sealant after health insurance coverage based on demographic factors such as gender, age, insurance type, care institution and region. Patient Sample Data from the Health Insurance Review and Assessment Service were used for this study. A total of 8,454,636 patients' data were obtained from 2010 to 2017. Of these, 114,680 patients got sealant treatment. Females were more likely to receive sealant treatment than males. 5 - 9 year age group showed the highest number of patients and proportion of treatment. Patients with health insurance were more likely to receive pit and fissure sealant treatment compared to patients with medical aid program. The number of sealant patients and the proportion of sealant treatment were the highest in dental clinics, followed by dental hospitals and public health centers. The number of sealant patients were the highest in Gyeonggi and proportion of sealant patients were the highest in Jeonbuk.

A Survey on Clinical Practice Students' Perception of Clinical Performance Examination in a College of Korean Medicine Using the Actor Standardized Patient and Student Standardized Patient (연극인표준화환자와 학생표준화환자를 사용한 일개 한의과대학 진료수행시험(CPX)에 대한 임상실습 학생 인식 조사)

  • Jo, Hak-Jun;Jo, Na-Young;Roh, Jeong-Du;Park, Jeong-Su
    • Journal of Society of Preventive Korean Medicine
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    • v.25 no.3
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    • pp.101-115
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    • 2021
  • Objectives : This study compares clinical practice students' perception of Clinical Performance Examination (CPX) in a College of Korean Medicine using actors as Actor Standardized Patient (ASP) and enrolled students as Student Standardized Patient (SSP). Methods : Targeting the clinical practice students who completed the clinical practice education in the first semester of the fourth year in the Department of Korean Medicine, a survey was conducted on total six categories such as satisfaction with CPX using ASP and SSP, prior knowledge about clinical practice education, self-evaluation, difficulties in the process of performing the CPX, satisfaction with ASP/SSP, and familiarity with them. Results : In the results of the survey, the mean score of CPX program using SSP was higher than that of CPX program using ASP in every area. Among them, in the satisfaction with CPX itself and prior knowledge about various clinical practice education, the mean score of CPX program using SSP was statistically significantly higher than that of CPX program using ASP. Conclusions : Overall, the clinical practice students' satisfaction with CPX program using SSP was higher than that of CPX using ASP, and statistically significantly higher in some areas.

Peer Role-Play in a College of Korean Medicine to Improve Senior Students' Competencies in Patient Care and Communication: A Case Analysis and Proposal for a Model (한의학 전공학생의 진료 및 의사소통 역량 향상을 위한 동료 역할극 모델제안과 사례분석)

  • Eunbyul Cho;Hyun-Jong Jung;Jungtae Leem
    • The Journal of Korean Medicine
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    • v.43 no.3
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    • pp.49-64
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    • 2022
  • Objectives: Peer role-play (PRP) has been used in health care training simulations because standardized patient training requires considerable time and expense. This study described the implementation of clinical simulation using PRP and examined the effect. Methods: Final year students from a single college of Korean medicine engaged in PRP as part of clinical skills practice. Education tools from clinical practice guidelines were used to structure the PRP. Communication competency was assessed with the Korean Version of the Self-Efficacy Questionnaire (KSE-12). Whether this training helped to achieve graduate outcomes was evaluated on a five-point scale. Results: Fifty-nine students (53.2%) participated in the survey. Among 12 items on the KSE-12, the score for "How certain are you that you are able to successfully listen attentively to the patient?" was the highest. Further, PRP was found to be helpful for self-directed learning, establishment of one's professional identity, and the ability to communicate and manage patients. Three themes ("Benefits of role-play", "The importance of positive feedback", "Limitations and problems of role-play"), 15 categories, and 16 central meanings were derived by categorizing learners' subjective opinions about PRP. Conclusions: Study findings indicate that PRP may contribute to improving communication skills and establishing a professional identity for future Korean medicine doctors. We suggest using PRP in clinical education in colleges of Korean Medicine.

Dental Fear Level according to Oral Symptom Awareness in College Students (일부 대학생들의 구강 내 증후증상 인식과 치과공포수준)

  • Yoon, Hyun-Seo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.198-204
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    • 2016
  • This research studied the relevance of oral symptoms and fear to find solutions for prevention and treatment at the right time. The study was conducted over a three-month period from September to November 2015. College students who lived in the region of Busan were surveyed, and the data from 288 respondents were analyzed. The female students felt a higher level of fear in every item than the males. To be specific, there were statistically significant differences in postponing the appointment (p=0.014), tension during treatment (p=0.001), dread when making the appointment (p=0.001), dread upon arrival (p=0.001), dread in the waiting room (p=0.001), dread of dental smells (p=0.006), dread while undergoing anesthesia (p<0.001), dread when receiving an injection (p<0.001), dread when looking at a tool for tooth preparation (p<0.001), dread of the sound of a tool for tooth preparation (p<0.001), dread of the feelings of tooth preparation (p<0.001), dread during scaling(p<0.001), and apprehension about the entire treatment (p<0.001). Concerning the fear level according to oral symptom awareness, the respondents with dental caries experienced a higher level of fear in terms of treatment avoidance (p=0.001), physiological reactions (p=0.001) and overall Dental Fear Survey (DFS)(p=0.003), and the students whose teeth were broken had a higher level of fear in terms of treatment avoidance (p=0.010), stimulus factors (p=0.031) and overall DFS (P=0.019). The students who had a missing tooth felt a higher level of fear in terms of physiological reactions (p=0.019) and overall DFS (p=0.033), and the respondents with gingival pain felt a higher level of pain in terms of the stimulus factors (p=0.013) and overall DFS (p=0.034). Therefore, college students should be educated to visit a dental clinic when they are aware of any oral symptom, and methods to reduce the stimulus factors as much as possible should be considered carefully to relieve dental fear.

A study on the perception and needs about dental infection control of the dental patients (치과내원환자의 치과감염관리에 대한 인식 및 요구도에 관한 연구)

  • Lee, Kyeong-Hee;Yang, Ji-Eun;Mun, Seon-Ho;Kim, Ji-Eun
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.3
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    • pp.343-354
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    • 2017
  • Objectives: The purpose of this study was to provide a satisfactory and reliable dental care service for the patients and to establish a plan to raise the perception about dental infection control. Methods: The perception of infection control in the dental clinic of the patients was examined who visited to dental clinics, over 20 years old and living in Seoul and Gyeonggi province since December 2016. The questionnaire was used as the survey tool, and 274 questions in the questionnaire were analyzed. Results: Results of examined factors affecting the perception of dental infection control in dental clinics show that the perception of infection control in dental clinics is affected by the degree of university graduates (p<0.05), full-time workers (p<0.01), housewives (p<0.001), and oral health concerns (p<0.05), the perception of infection control of dental medical personnel (p<0.001) in order. Conclusions: Dental medical personnels must thoroughly wash their hands, wear uniforms, wear personal protective equipment, and thoroughly clean and disinfect the interior of a dental clinic.