• 제목/요약/키워드: Clinical dental hygiene practice

검색결과 245건 처리시간 0.022초

치아우식증 유발 균주에 대한 패러다임의 변화: 생태학적 관점 (Change of Paradigms in Caries-Associated Bacteria in the Caries Process: Ecological Perspectives)

  • 김희은
    • 치위생과학회지
    • /
    • 제14권2호
    • /
    • pp.87-93
    • /
    • 2014
  • Dental plaque resides passively at a site and makes an active contribution to the maintenance of health. The bacterial composition of plaque remains relatively stable despite regular exposure to minor environmental stress. This stability, homeostasis is due to a dynamic balance of microbial interactions. However, the homeostasis can break down, leading to shifts in the balance of the microflora. This change can be a sign of initial dental caries. It is proposed that disease can be prevented or treated not only by targeting the putative pathogens but also by interfering with the processes that drive the breakdown in homeostasis. It is essential to understand the plaque as a mixed species biofilm. In this essay I reviewed an extension of the caries ecological hypothesis to explain the relation between dynamic changes in the phenotypic/genotypic properties of plaque bacteria and the demineralization and remineralization balance of the dental caries process. We will have the strategies to impact significantly on clinical practice as understanding dental biofilm.

치과 임상실습에서의 장갑의 미생물 오염 차단 효과 (Effectiveness of Glove for the Prevention of Microbial Contamination during the Dental Clinical Practice)

  • 정선주;김정인;김지연;반세희;엄지영;정문진;임도선;정순정
    • 치위생과학회지
    • /
    • 제14권4호
    • /
    • pp.537-545
    • /
    • 2014
  • 치과 임상실습에서의 손의 수세와 장갑착용의 미생물 차단효과에 대해 알아보기 위하여 수세하지 않고 장갑을 착용하는 경우, 비누와 데톨로 수세한 후 장갑을 착용한 경우로 구분하여 손과 장갑의 일반 세균 수를 측정하였고 그 결과는 다음과 같다. 수세하지 않고 장갑을 착용한 손과 장갑에서는 $9.938{\time}10^3CFU/ml$, 비누로 수세한 후 장갑을 착용한 손과 장갑에서는 $9.44{\time}10^3CFU/ml$, 데톨로 수세한 후 장갑을 착용한 손과 장갑에서는 $6.58{\time}10^2CFU/ml$의 일반 세균이 검출되었다. 비수세의 경우 가장 많은 수의 일반 세균이, 비누로 수세한 경우에는 비수세와 유사한 일반 세균 수가 검출되었으나 데톨로 수세한 경우의 일반 세균 수는 급격히 감소하여 비누로 수세하는 것은 병원성 미생물 차단에 효과적이지 않지만 데톨로 수세하는 것은 일반 세균 수 감소에 효과적임을 알 수 있었다. 또한 수세하지 않고 장갑을 착용한 경우와 수세한 후 장갑을 착용한 모든 경우에서 일반 세균 수가 감소하여 장갑의 미생물 차단 효과가 명확하게 보여졌다. 비누와 데톨로 수세 후 장갑을 착용한 경우 일반 세균 수는 장갑 착용 3시간이 경과하여도 변화가 적었지만 수세하지 않고 장갑 착용한 경우 처음 장갑을 착용한 3시간 이후부터 일반 세균의 수가 다시 증가하는 경향을 보여 적어도 장갑 착용 3시간 이후부터는 같은 환자의 시술 중이라도 새로운 장갑으로 교체를 하는 것이 미생물 감염 발생 가능성을 최소화하기 위해 효과적임을 알 수 있었다.

치위생과 실습환경에서의 Staphylococcus aureus 출현 양상 (Isolation of Staphylococcus aureus Isolates in a Dental Hygiene Practice Laboratory)

  • 이혜진;김민영
    • 치위생과학회지
    • /
    • 제8권3호
    • /
    • pp.183-187
    • /
    • 2008
  • 본 연구는 치과 진료실에서 발생할 수 있는 S. aureus균의 분포를 일부 치위생과 임상실습실을 통해 알아보고 교차감염 가능성을 제시하기 위해 시행되었다. 대상은 사람과 환경을 기준으로 하였으며 사람은 실습학생과 실습환자, 환경은 임상실습실과 실습강의실, 소독실에서 시행되었으며 시간은 진료 전과 진료 중, 진료 후를 조사 평가 하였다. 1. 전체 균주 중 S. aureus는 환자의 구강에서 55%, 비강에서 35%, 구순에서 10%가 체취 되었으며 술자인 학생에게서는 구강이 50%, 비강이 40%, 구순이 15%가 체취 되어 사람에게서는 구강에서 가장 많은 S. aureus가 나타났으며 환자와 술자 간에 유의한 차이는 없었다. 2. 임상 실습실의 시간과 장소에 따른 S. aureus의 분포는 전체적으로 진료 도중에 가장 많이 발견 되었으며 특히 라이트 손잡이와 머리 받침대, 타구에서 큰 차이를 보였으며(p < 0.001), 유니트 체어의 버튼과 손잡이 부분과 3-way syringe, 트레이 테이블, 문 손잡이 부분에서도 유의하게 나타났다(p < 0.05). 3. 실습 강의실은 수업 중 책상에서만 S. aureus의 분포가 유의하게 나타났지만 전반적으로 마네킨과 의자, 창틀에서도 사람이 활동하는 시간에 S. aureus의 분포가 많은 것으로 나타났다. 4. 소독실의 경우 소독실로 들어가는 손잡이에서만 진료 도중 S. aureus의 분포가 유의하게 나타났고(p < 0.001) 소독기와 기구 트레이, 약제 트레이에서는 진료 도중에 S. aureus가 출현하지 않았다.

  • PDF

일부 치과위생사의 응급처치 지식, 수행자신감과 대처능력과의 관계 (The Relation between the Problem Solving Ability and Satisfaction on Clinical Practice of Dental Hygiene Students)

  • 임희정
    • 한국학교ㆍ지역보건교육학회지
    • /
    • 제18권2호
    • /
    • pp.97-105
    • /
    • 2017
  • Objectives: The purpose of this study is to investigate the knowledge, confidence and coping ability about emergency treatment, and the impact of right knowledge and confidence in practice on coping ability in part of dental hygienists. In addition, we suggest emergency treatment knowledge for develop substantive education program applicable to clinical as required data. Methods: This subjects were 259 dental hygienists working in dental setting Seoul, Gyeonggi-do from June 5 to July 20, 2016. We analyzed the data with frequency analysis, descriptive statistics, t-test, one-way ANOVA, pearson correlation coefficient, regression analysis by using SPSS. Results: Emergencies experienced by a dental hygienist in dental practice were fainting, local anesthetic allergies, and seizures. As a result of comparing the first aid knowledge, self-confidence, coping ability according to general characteristics of the study subjects, university graduation was higher than college and 3~5 years of working experience showed higher self confidence(F=3.837, p=0.023). The performance of self confidence and coping ability according to the characteristics of first aid showed high results in first aid training and dental hygienist having CPR license. Based on multiple regression analysis, confidence about emergency treatment is the biggest impact on coping ability(p<0.05). Conclusions: Dental hygienists need to develop and provide programs that can improve the ability of dental hygienists to respond appropriately and promptly in case of emergencies by recognizing the importance of first aid through conservative education.

  • PDF

치과위생사 이미지, 전공만족도 및 중도탈락의도의 구조적 관계 (Structural relationship of dental hygienist image, major satisfaction, and dropout intention)

  • 김창희;김정희;김형미
    • 한국치위생학회지
    • /
    • 제22권2호
    • /
    • pp.143-151
    • /
    • 2022
  • Objectives: This study investigates dropout intention and the structural relationship between the dental hygienist role and satisfaction with the study major perceived by dental hygiene students. Methods: A survey was conducted on 269 dental hygiene students. The survey items covered general characteristics, department choice motivation, the desirability of dental hygienist career, practice clinical experience, perception of dental hygienist role, satisfaction with study major, and dropout intention. Independent sample t-test, one-way ANOVA, Mann-Whitney U test, multiple linear regression analysis, and structural equation modeling were used for statistical analysis. Results: The dropout intention level of dental hygiene students was 2.4 out of 5.0. Satisfaction with study major partially mediates perception of dental hygienist role and dropout intention (direct effect=0.182, p=0.024, indirect effect=-0.437, p=0.010). Perception of dental hygienist role (β=-0.255, p=0.010) and satisfaction with study major (β=-0.661, p=0.010) showed a negative relationship with dropout intention. The factor most affecting dropout intention was satisfaction with study major. Dropout intention was high when selecting a major based on external motivations (β=-0.448, p<0.001). Conclusions: Perception of dental hygienist role and satisfaction with study major directly or indirectly affect dropout intention. Therefore, improving satisfaction with study major and improving the perception of dental hygienists will help reduce dropout intention.

치위생(학)과 학생의 감성지능, 대인관계 유능성과 전공만족도간의 관련성 (Between Emotional Intelligence, Interpersonal Competence and Major Satisfaction of Dental Hygiene Students)

  • 윤미혜;지민경;신민우
    • 융합정보논문지
    • /
    • 제10권6호
    • /
    • pp.183-192
    • /
    • 2020
  • 본 연구의 목적은 치위생(학)과 학생들의 감성지능, 대인관계 유능성과 전공만족도와의 관련성을 파악하여 효과적인 치위생전공 대학생활과 높은 질적 수준의 치과의료서비스를 제공할 수 있는 예비 전문 치과위생사로써 증진방안을 모색하고자 시도되었다. 자료 수집은 2019년 4월 8일부터 2019년 4월 26일까지 대전·청주·군산지역의 치위생(학)과 학생들을 대상으로 편의표본추출법을 활용하여 자기기입식 설문법을 작성하였다. 감성지능과 대인관계 유능성은 양의 상관관계가 있는 것으로 나타났고, 전공만족도와도 양의 상관관계가 있는 것으로 나타났으며, 대인관계 유능성과 전공만족도는 양의 상관관계를 나타내었다. 전공만족도의 영향 요인은 감성지능, 대인관계 유능성, 임상실습 만족도로 나타났다. 이에 각 개별화된 맞춤 상담 및 교육적 접근이 요구되며, 감성지능과 대인관계능력 훈련프로그램을 접목시킨 다차원적인 향상 전략을 활용할 필요성이 있을 것으로 사료된다.

AIDS와 B형간염에 대한 지식 및 태도에 관한연구(일부 치위생과 학생을 중심으로) (A Study of the Knowledge and Attitude Toward AIDS and Hepatitis B (Focused on Students of Department of Dental Hygiene Students))

  • 최성숙;이계희;류혜겸
    • 한국임상보건과학회지
    • /
    • 제2권3호
    • /
    • pp.195-202
    • /
    • 2014
  • Purpose. The purpose of this study was conducted to provide the hospital infection control and personal protection, protection of the technician based on data by examining the relationship of hepatitis B knowledge of AIDS knowledge and attitudes of dental hygiene students and the purpose of the present study. Methods. The research subjects were 390 dental hygiene students in limited and data were collected through structured questionnaires. The collected data is analyzed by spss version 14.0 a statistical program for the frequency and one-way ANOVA, multiple linear regression analysis. Results. The received training students of AIDS knowledge and attitudes were higher, hepatitis B knowledge scores and attitudes about AIDS was a statistically significant difference (p <0.001), The experience clinical practice students was AIDS knowledge and attitudes were hepatitis B knowledge high score and difference was statistically significant(p <0.05), The knowledge AIDS and hepatitis B, higher score showed the attitudes significant increase was found to be a static relationship between two variables by both statistically (p <0.001). Conclusion. In order to provided with a thorough prevention program for infectious disease, strengthen school health education and clinical training to help achieve a mutually constructive relationship with the patient through proper education about infectious diseases.

치주질환자 구강관리능력 향상을 위한 치면세균막관리(잇솔질교육)에 관한 연구 (The effect of plaque control (tooth brushing instruction) for oral health improvement on periodontitis patients)

  • 김설희
    • 한국치위생학회지
    • /
    • 제11권2호
    • /
    • pp.293-301
    • /
    • 2011
  • Objectives : The aim of the trial was to study the effect of plaque control(tooth brushing instruction) for oral health improvement on periodontitis patients. Methods : 30 patients(35~65 years) with advanced periodontal disease were subjected to a baseline examination including assessment of oral hygiene status(O'leary index), gingival condition(bleeding). the assessment were repeated after 2, 4, 6 weeks. cognitive, behavioral and clinical outcomes were assessed in the primary care setting by questionnaire and clinical oral examination. Results : The oral hygiene status expressed as the individual mean percentage of tooth surfaces with plaque 59.3% at baseline and 21.2% after 6 weeks(p<0.001). The gingival bleeding status expressed as the individual mean point of interdental papilla 3.8 at baseline and 1.9 after 6 weeks(p<0.001). Also, the patients self-assessment about correct tooth brushing behavior was 3.9(5-point likert scales), satisfaction of plan practices 4.1(5-point likert scales), efficacy of tooth brushing instruction 8.7(10-point likert scales). Patients wanted to continuous participation. Conclusions : A verification of effect after individualized oral health instruction and repeated dental plaque control represented to significance on plaque control score, oral care practice and oral health recognition. The important oral care step against periodontal disease is to establish good oral health habits. Also, oral health behavior recognition is more important for the practice of oral health. Therefore professional plaque control and tooth brushing instruction absolutely need in improving oral health.

일부 산업장 근로자의 구강보건교육프로그램 적용을 통한 구강보건행태 변화 조사 (Survey of Changes in Oral Health Behaviors through the Application of an Oral Health Education Program to Workers at Some Work Sites)

  • 구인영;박은영;문선정
    • 한국임상보건과학회지
    • /
    • 제4권4호
    • /
    • pp.699-708
    • /
    • 2016
  • Purpose. This study assessed the actual status of oral health behaviors, oral health consciousness and oral health belief with workers at work sites in some regions and would utilize the results of changes in the hygiene status in the oral cavity as basic materials for developing an education program for the oral health promotion of workers at work sites with the implementation of oral health education and oral health promotion program. Methods. The subjects of the study were 106 workers who expressed their intention to participate in a program in SMEs that agreed on the activities of an oral health education program through an education once per week, of the SMEs with less than 500 persons, located in G. City. General characteristics and the questionnaires of the items on the survey were investigated with a self-administered method, and the collected data were statistically analyzed, using SPSS 20.0. Results. As a result of research, it was noted that PHP-Index, the dental plaque index in the oral cavity became lower from 2.02 points to 1.00 point with continuous management and practice of oral promotion behaviors, and that the oral hygiene status improved. Conclusions. In order to promote the oral health of workers at work sites, substantially, it would be necessary to introduce an oral health promotion program they can practice themselves and through continuous education of oral health by assessing their consciousness and the actual status of their oral health behaviors, and it is expected that their oral health would be promoted ultimately by changing workers' oral health behaviors and consciousness.

치위생(학)과 학생들의 성격유형이 임상실습에 미치는 영향 (The Effects of Personality Types of Dental Hygienist Students on Clinical Practice)

  • 김창숙
    • 융합정보논문지
    • /
    • 제10권7호
    • /
    • pp.176-184
    • /
    • 2020
  • 본 연구는 부산광역시, 울산광역시 및 경상남도 일부 지역 대학교 433명의 학생을 대상으로 성격유형을 파악하고 임상실습 만족도에 미치는 영향을 조사하였다. 주요 변인들과의 관련성 결과, 외향성 및 저신경증적 경향의 대상자에서 임상실습 만족의 하위요인들에서 유의미한 결과를 보였다. 외향성 요인에 영향을 미치는 요인으로는 지도만족(p<0.001), 환경만족과 실습만족(p<0.05)이 유의한 수준으로 나타났고, 신경증적 경향성에 영향을 미치는 요인으로는 내용만족(p<0.05), 지도만족(p<0.001), 대인관계만족(p<0.05) 및 실습만족(p<0.05)이 유의한 수준으로 나타났다. 따라서, 치위생(학)과 학생들의 임상실습의 만족을 높이기 위해서는 재학 기간 중 성격유형 검사가 반드시 선행되어야 하며, 검사 결과를 토대로 맞춤형 상담프로그램의 강화와 대인관계 능력을 향상시킬 수 있는 다양한 프로그램이 개발되어야 할 것이다.