• Journal of The Korean Dental Society of Anesthesiology
• /
• v.10 no.2
• /
• pp.209-213
• /
• 2010

Anxiety and fear is two main factors that keep patients from going to dental clinic. Especially, patients may feel implants operations are more traumatic. Intravenous conscious sedation for dental treatment can make patient comfortable and relaxable. Midazolam is more popular for sedation for dental treatment, but target-controlled infusion (TCI) of propofol and remifentanil is gaining wide popularity. A 54-year-old female patient who had severe dental phobia was referred to our dental hospital. She had past history of 2 times of hyperventilation and syncope during dental treatment. The patient showed a lot of dental anxiety and fear to dental treatments and stress reduction protocol was needed. We administered intravenous conscious sedation using target controlled infusion system with remifentanil and propofol. During sedation, we monitored the status of consciousness with bispectral index and vital signs. Dental treatment could be finished successfully without any problems.

• Journal of Korean society of Dental Hygiene
• /
• v.21 no.6
• /
• pp.685-693
• /
• 2021

Objectives: The purpose of this study was to identify dentists' perception of work performance and scope of work of dental hygienists. Methods: A phenomenological research method was applied for the proper role performance on March 1st, 2021 and June 10th to investigation eight dentists running their own dental clinics located in Gwangju and Daejeon metropolitan city. Results: The legal scope of dental hygienists has not been properly recognized. Conflicts have been experienced due to problems between dental hygienists and staff and their differences in knowledge or proficiency in their work. The performance of dental hygienists has been evaluated based on the size of the dental clinic's profit. Reviews and improvements in dental hygienists' scope of work and new business regulations are required. Conclusions: Consequently, it is recommended that the dental business industry carry out directional discussions and negotiations to review dental hygienists' scope of practice and bring improvements so that their work can be, in the end, be stably performed within the legal system.

• Journal of Korean society of Dental Hygiene
• /
• v.23 no.6
• /
• pp.485-492
• /
• 2023

Objectives: The purpose of this study is to identify factors related to unmet dental care needs among Korean youth, enhance the utilization of dental services by adolescents, furnish basic data for youth-oriented dental projects, and improve access to medical care. Methods: The analysis utilized combined data from the basic and oral databases from the 6th (2013-2015), 7th (2016-2018), and 1st year of the 8th (2019) National Health and Nutrition Examination Survey. Results: The factors influencing unmet dental care needs were gender, age, household income level, and health insurance. Statistically significant results were observed in relation to the type of dental clinic, recent visits to a dental hospital, experiences of toothache within the past year, subjective oral health status, occurrences of permanent dental caries, and engagement in orthodontic treatment. Conclusions: When formulating future national policies and projects, it is imperative to consider the factors and underlying reasons for the unmet dental care needs of adolescents. It is also necessary to establish oral health policies and institutional measures tailored to the dental care of adolescents.

• Journal of Korean society of Dental Hygiene
• /
• v.18 no.2
• /
• pp.177-189
• /
• 2018

Objectives: To provide necessary information for stable establishment of the national dental scaling reimbursement system. Methods: This study was conducted in 380 adults in their twenties or older for about one month from July 2017. The questionnaires were composed of general characteristics, recognition (awareness) of dental scaling, knowledge of the dental scaling reimbursement program, changes in perception before versus after introduction of the dental scaling reimbursement program, and interest in oral health. To investigate into any factors affecting changes of interest in oral health care after introduction of the dental scaling reimbursement program, a multiple regression analysis was performed. Results: The investigation into any factors affecting changes of interest in oral health care after introduction of the dental scaling reimbursement program showed that higher usual interest in oral health (p<0.001) and the consideration that the dental scaling charges have been affordable after introduction of the scaling reimbursement program (p<0.01) led to more changes in interest in oral health care. Conclusions: The above-mentioned results suggest that the dental scaling reimbursement program has brought favorable changes in the perception of dental scaling. It is expected that the said program will contribute significantly to the improved national oral health, and the Government should make constant efforts to develop it as a long-term policy for oral health improvement.

• Journal of Technologic Dentistry
• /
• v.43 no.1
• /
• pp.29-33
• /
• 2021

Purpose: This study was conducted on dental technicians to examine the problems of the dental laboratory registration system and devise a plan to improve it. Methods: For data collection, an online survey was conducted on 14,015 dental technicians registered in the Korea Dental Technologist Association as of October 2020. Among the collected 405 questionnaires, 391 data were used for analysis. Results: We found that dental technicians felt that the dental laboratory opening registration system was unfair. There were problems including the problem of the verification method of job performance, not acknowledging the difference in the job field, and the lack of understanding of the structure of work cooperation between dentistry and dental laboratories. Furthermore, it was recognized that the system was improved by reflecting the change in job area according to the change of the times. Conclusion: There is an urgent need to reorganize the legal system so that the dental technicians can have their professionalism and autonomy recognized while remaining faithful to the public interest of protecting the national oral health by revising the related regulations, thereby ensuring smooth work activities.

• Journal of Korean Academy of Dental Administration
• /
• v.7 no.1
• /
• pp.1-9
• /
• 2019

This study examined the opinions of dentists on dental hygienists' practice and attempted to use it as the basis for the revision and modification of the legal system associated with dental hygienists. The subjects of this study were a total 15 dentists, including two from Gyeonggi, two from Gangwon, two from Gyeongsang, two from Jeolla, two from Chungcheong, and two from Seoul, who were surveyed face-to-face. This study revealed that from the perspective of dentists, the most important job of dental hygienists was scaling, and the most difficult job was patient counseling and response. From the perspective of dentists, there is a difference between what the dental hygienists actually perform and what is legal, and there is a high need for change. The inclusion of dental hygienists in the category of medical personnel should be accomplished to cover the practice of dental care support, and dentists opinionated that it is appropriate for dental hygienists to be included in the category of medical personnel because they directly perform oral health-related procedures. A careful review of the dental hygienists' scope of work should be performed to ensure that revisions to the law are made in accordance with the dental hygienists' actual practice. Further, it is necessary to revise the Medical Law and include dental hygienists among the medical personnel and simultaneously revise the scope of work of dental hygienists to reflect the actual dental practice.

• Journal of Dental Anesthesia and Pain Medicine
• /
• v.18 no.4
• /
• pp.245-254
• /
• 2018

Background: When performing dental treatment under general anesthesia in adult patients who have difficulty cooperating due to intellectual disabilities, anesthesia induction may be difficult as well. In particular, patients who refuse to come into the dental office or sit in the dental chair may have to be forced to do so. However, for adult patients with a large physique, physical restraint may be difficult, while oral sedatives as premedication may be helpful. Here, a retrospective analysis was performed to investigate the effect of oral sedatives. Methods: A hospital-based medical information database was searched for patients who were prescribed oral midazolam or triazolam between January 2009 and December 2017. Pre-anesthesia evaluation, anesthesia, and anesthesia recovery records of all patients were analyzed, and information on disability type, reason for prescribing oral sedatives, prescribed medication and dose, cooperation level during anesthesia induction, anesthesia duration, length of recovery room stay, and complications was retrieved. Results: A total of 97 patients were identified, of whom 50 and 47 received midazolam and triazolam, respectively. The major types of disability were intellectual disabilities, autism, Down syndrome, blindness, cerebral palsy, and epilepsy. Analyses of changes in cooperation levels after drug administration showed that anesthesia induction without physical restraint was possible in 56.0% of patients in the midazolam group and in 46.8% of patients in the triazolam group (P = 0.312). Conclusions: With administration of oral midazolam or triazolam, general anesthesia induction without any physical restraint was possible in approximately 50% of patients, with no difference between the drugs.

• Journal of Korean Academy of Dental Administration
• /
• v.11 no.1
• /
• pp.70-77
• /
• 2023

This study surveyed and analyzed attitudes toward people with disabilities, awareness of considerations in dental treatment for individuals with disabilities, the need for education on dental treatment for people with disabilities, and the educational requirements for dental hygienists working in dental medical institutions. The study was conducted to highlight the importance of dental treatment education for people with disabilities and to provide foundational data for future dental treatment education programs targeting dental hygienists. A total of 221 dental hygienists working in dental care institutions nationwide participated in a self-administered online questionnaire from November 2 to 15, 2022. This study concludes that there is a significant correlation between the attitudes of dental hygienists toward the disabled, their recognition of considerations in dental treatment for the disabled, the need for education on dental treatment for the disabled, and their educational experience in providing dental treatment for the disabled. In order to improve these factors, it is important to implement and expand systematic dental care education for people with disabilities in the school curriculum, as well as in supplementary education and seminars.

• Journal of Periodontal and Implant Science
• /
• v.54 no.1
• /
• pp.53-62
• /
• 2024

Purpose: This study aimed to evaluate the long-term cumulative survival rate (CSR) of dental implants with micro-threads in the neck over a 10-year follow-up period and to examine the factors influencing the survival rate of dental implants. Methods: This retrospective study was based on radiographic and dental records. In total, 151 patients received 490 Oneplant^® dental implants with an implant neck micro-thread design during 2006-2010 in the Department of Periodontology of Seoul National University Dental Hospital. Implant survival was evaluated using Kaplan-Meier analysis. Cox proportional hazard regression analysis was used to identify the factors influencing implant failure. Results: Ten out of 490 implants (2.04%) failed due to fixture fracture. The CSR of the implants was 97.9%, and no significant difference was observed in the CSR between external-and internal-implant types (98.2% and 97.6%, respectively, P=0.670). In Cox regression analysis, 2-stage surgery significantly increased the risk of implant failure (hazard ratio: 4.769, P=0.039). There were no significant differences in influencing factors, including sex, age, implant diameter, length, fixture type, location, surgical procedure, bone grafting, and restoration type. Conclusions: Within the limitations of this retrospective study, the micro-thread design of the implant neck was found to be favorable for implant survival, with stable clinical outcomes.

• Journal of dental hygiene science
• /
• v.6 no.3
• /
• pp.193-199
• /
• 2006

The purpose of this study was to compare the ideas of dental hygiene education programs between Korea and America. The America dental hygiene education program aimed at development capacity such as comprehensive dental hygiene care, critical thinking and problem solving, self-assessment skill to prepare for and engage in life-long learning, effective interpersonal and communication skill which evidence-based approach to dental hygiene process.