• The Journal of the Korea Contents Association
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• v.16 no.5
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• pp.96-103
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• 2016

The aim of this study was to confirm the effectiveness of learner-centered teaching models to reduce the dental anxiety. 18 children with age of 10 at the case group and 22 children with age of 10 at the control group was completed. Children from case group were participated in learner-centered oral health education, while those from control group were participated in instructor-led oral health education. Dental Anxiety Scale (DAS) at each groups were measured before oral health education, after then, oral health education of two types at each groups were separately conducted during 1-hour, 2 times. Learner-centered oral health education adapted the systematic desensitization (Tell-Show-Do) was conducted for case groups. Instructor-led oral health education was performed by using the presentation file (PPT). The change of Dental Anxiety Scale (DAS) were compare between case and control groups to evaluate the effect of learner-centered teaching type. After oral health education, DAS of the case and control groups at the baseline were 9.61 and 11.14, respectively, and the average DAS decline of case and control groups after oral health education were 2.48 and 0.55, respectively. These findings show that a learner-centered teaching type is an effective oral health program to reduce of dental anxiety in childhood.

• Proceedings of the Korea Contents Association Conference
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• 2014.11a
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• pp.413-414
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• 2014

교육방식에 따른 치과공포지수 변화량 차이를 교육 전 후 설문지를 이용하여 통계 분석을 실시한 결과 참여식 교육군이 강의식 교육군보다 상당히 줄어들었다. 학생들의 치과공포수준을 낮추기 위해서는 어릴 때부터 직접 참여하여 불안의 유발을 피할 수 있는 참여식 교육을 제공받을 수 있어야 한다고 사료되었다. 반면, 연구대상자를 도계지역 1개 초등학교 학생들을 대상으로 하였기에 전체 초등학생을 대표하는 결과로서는 한계가 존재한다. 따라서 후속 연구에서는 우리나라 초등학생을 대표할 수 있는 자료를 수집하여 좀 더 체계적인 연구가 이뤄져야 할 것으로 사료되었다.

• Journal of dental hygiene science
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• v.11 no.4
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• pp.367-373
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• 2011

The purpose of this study is to analyze factors impacting on the middle & high school students' dental treatment fear and distrust of dentists with dental caries experience to provide empirical data for the development of students oral health. The subjects of this study consists of 720 middle & high school students in Daegu area. The data were collected from July 1, 2009 to September 30, 2009 by self-administrative questionnaires. Among sub-scales of Dental Fear Survey(DFS), stimulate-response factor was the highest ($3.42{\pm}0.98$), and patient distrust toward dintist factor was the highest score($3.07{\pm}0.912$) among sub-scales of Dentist Distrust Survey(DDS). Mean score of DFS were DDS were higher in female than male student. The students who have higher DFS and DDS score, the also have high DMFT index. The higher DDS, the higher DFS, and it was statistically significant(p<0.001). The results suggest that oral health status of adolescent can improve diminishing dental fear and dentist distrust if patient-specific medical service may be provided.

• Journal of dental hygiene science
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• v.17 no.1
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• pp.20-29
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• 2017

The purpose of this study was to investigate the validity and reliability of the Korean version of a tool used to measure dental anxiety and fear. The Index of Dental Anxiety and Fear ($IDAF-4C^+$) was translated into Korean, and modified and revised to adapt to Korean culture. A survey was conducted among 457 patients in a dental clinic. The validity and reliability were determined using PASW Statistics ver. 18.0 and IBM SPSS AMOS ver. 21.0. Factor analysis showed that Korean version of $IDAF-4C^+$ was composed of three elements: dental anxiety, dental phobia, feared stimulus. The validity of the model was examined by confirmatory factor analysis and satisfied relevant requirements. All elements had convergent validity and discriminant validity exceeding requirements to ensure validity. Cronbach's ${\alpha}$ showed good reliability. In conclusion, the findings of this study demonstrate that the Korean version of $IDAF-4C^+$ has high validity and reliability. Furthermore, it can be used in clinical practice and research to decrease dental anxiety and fear.

• Journal of the korean academy of Pediatric Dentistry
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• v.29 no.2
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• pp.189-195
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• 2002

In the area of pediatric dentistry, several behavior modification techniques have been attempted to relieve young patients' dental fear. The use of audio-visual(AV) aids is one of them and is increasing. In this study, several patients' reactions to dental treatment have been investigated after using AV aids, including patients' sleep, movement, crying and overall behavior. The effectiveness of AV aids have also been investigated through patients' age, previous dental experience and daily exposure to TV or video. Thirty healthy children with Frankl behavior rating (+) or (-) were included in this study. The average age of the children was $52.9{\pm}12.7$ months and no statistical difference was found between the two groups. Thirty patients were equally divided into two groups. Group I(control) received dental treatment with the conventional tell-show-do while group II(AV) with tell-show-do and AV aids. All patients received only restorative dental treatment and received no extraction. Houpt behavior rating scale was used to evaluate patients' behavior during the dental treatment. As a result, there was no significant difference between the two groups in movement and crying. However, more patients in the AV group fell asleep during the dental treatment compared to the control group. Within the AV group, patients with previous dental experience, older age and frequent exposure to AV materials showed better overall behavior during the dental treatment as audio-visual aids were used for behavior management.

• Journal of Oral Medicine and Pain
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• v.26 no.3
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• pp.225-241
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• 2001

구취에 대한 환자의 주관적 감각은 다양한 심리학적 요소들에 의하여 영향을 받을 가능성이 있다. 본 연구에서는 구취 환자의 심리학적 특징을 살펴보기 위하여, 구취를 주소로 내원한 환자 446명과 일반적인 치과 치료를 위하여 내원한 환자 63명을 대상으로 간이정신진단검사 (SCL-90-R), 구취 설문검사, 구취 측정 검사를 시행하여 분석한 결과 아래와 같은 결론을 얻었다. 1. 남성 구취 환자와 여성 구취 환자의 연령분포는 통계학적으로 유의한 차이를 보였다 (p<0.001). 남성에서는 20대, 30대, 40대에 고르게 분포한 반면, 여성에서는 20대와 30대에 집중되어 분포하였다. 2. 구취의 인식 유형은 남녀간에 통계학적으로 유의한 차이를 보였다 (p<0.01). 구취 인식 유형 중 타인에 의한 지적이나 타인의 행동으로 인한 추측 없이 스스로 구취를 인지하는 유형은 여성 구취 환자에서만 관찰되었다. 3. 구취 환자는 대조군에 비하여 강박증, 불안, 적대감, 전체심도지수에서 높은 수치를 보였다 (p<0.05). 4. 여성 구취 환자는 남성 구취 환자에 비하여 강박증(p<0.05), 불안 (p<0.05), 편집증 (p<0.001)에서 높은 수치를 보였다. 5. 남성 구취 환자에서는 표출증상합계를 (p<0.05) 제외한 모든 간이정신진단검사 항목에서 고농도 VSC군과 저농도 VSC군간에 유의한 차이를 보이지 않았다. 여성 구취 환자에서는 저농도 VSC군이 신체화를 제외한 모든 간이정신진단검사 항목에서 고농도 VSC군에 비하여 높은 수치를 보였다 (p<0.05). 6. 여성 구취 환자에서 주관적 구취심도는 강박증, 대인예민성, 불안, 적대감, 공포불안, 전체심도지수, 표출증상심도지수 들과 유의한 상관관계를 보였고 (p<0.05), 주관적 구취불편감은 모든 간이정신진단검사 항목들과 유의한 상관관계를 보였다 (p<0.05).

• Journal of the korean academy of Pediatric Dentistry
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• v.45 no.2
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• pp.170-178
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• 2018

Behavior management of the child constitutes an important part of pediatric dentistry. The majority of children can be treated with adequate behavior management. However, some children who have extensive dental problems or mental, physical disabilities cannot cooperate. So, the need for general anesthesia as a special method of behavior management has increased recently. This study analyzes the records of patients who received dental treatment under general anesthesia. The 1378 cases of 1322 patients under 18 years of age, who received dental treatment under general anesthesia in department of pediatric dentistry at the Seoul National University dental hospital, from October, 2011 to December, 2015 were included. In this study, male (60.9%) was more than female (39.1%). The mean age of patients was 5.9 years and age from 5 to 9 years was the most frequent (56.0%). The primary dental treatment which patients received was dental caries treatment (51.1%), followed by surgical treatment (42.2%). The dental treatment under general anesthesia has many advantages including of performing a lot of treatments at once, producing good quality of treatment, and reducing the number of visits. General anesthesia may be a useful method of behavior management.