• 치위생과학회지
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• 제12권6호
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• pp.545-557
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• 2012

Dental caries is biofilm induced disease throughout life and is recognized significant oral health problem. This article reviewed new trends in dental caries management by risk assessment, including history, protocol/guideline, and collaborated model. Dental caries prevention and treatment according to caries management by risk assessment (CAMBRA) model is patient-centered, risk-based, evidence-based practice. Team approach is necessary and clinician need to integrate science, practice and product. Dental hygienist take a important role in implementing CAMBRA. CAMBRA model could be incorporated into clinical dental hygiene education based on dental hygiene process of care as standard of dental hygiene practice and education. Dentist and dental hygienist able to provide scientific and ethical care managing dental caries by risk assessment.

• 한국융합학회논문지
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• 제12권12호
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• pp.139-144
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• 2021

본 연구는 치과위생사의 치위생사정의 수행 실태를 조사하고, 치과의료기관 유형에 따른 수행 비율을 파악하기 위하여 수행하였다. 수도권 임상치과위생사 195명을 대상으로 설문조사를 시행하였고, 수행실태를 조사한 치위생사정 항목은 치과병력 채득, 의과병력 채득, 생징후 측정, 구외 검사, 구내 검사, 치주조직 검사로 총 6가지였다. 연구 결과 수행 비율이 가장 높은 항목은 치과병력 채득 92.8%였고, 가장 낮은 항목은 구외 검사 57.9% 였다. 치과 유형에 따른 치위생사정 수행률을 비교하면, 모든 항목에서 치과의원이 치과병원과 대학병원에 비해 높았으며 특히 구내검사와 구외검사 수행률이 치과의원에서 높게 나타났다. 본 연구를 통해 전반적으로 높은 치위생사정 수행률을 볼 때, 임상 실태를 반영하지 못하는 치과위생사의 법적업무에 대한 논의와 일부 치위생사정 항목에 대한 보험수가 반영이 필요할 것이다.

• 치위생과학회지
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• 제5권1호
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• pp.25-32
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• 2005

The dental hygiene process of care is a model for providing integrated dental hygiene care. It was developed by Mueller-Joseph and Petersen in 1995. The purpose of the dental hygiene process is to provide a framework within which the individualized needs of the client can be met. This model enables the dental hygienist to focus on patient need. The process is composed of five components: assessment, diagnosis, planning, implementation and evaluation. The process of dental hygiene has to move from simple clinical procedure to comprehensive and systemic dental hygiene care. The dental hygiene diagnostic model broadens the biomedical dental model to the behavioral model to include health behavior and health function of individuals. The dental hygiene process will provide a mechanism to develop dental hygienist's role and scope of practice in Korea.

• 한국치위생학회지
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• 제10권5호
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• pp.797-805
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• 2010

Objectives : This study was application problem-based learning(PBL) of performance oral health manage in dental hygiene education. and evaluate on learning effect - learning attitude, student assessment(good or bed). Methods : For this study, we sampled 31 dental hygiene students composed of PBL group, Dept of Dental Hygiene, A college. The period of this study was 1 semester(from september, 2008 to December, 2008). To identify the effect of PBL on learning attitudes, student assessment, we used a t-test and compared pre & post effects of PBL using a paired t-test and General Linear Model(GLM), McNemar test. Results : The results of this study that problem based learning(PBL) for dental hygiene students education was more effective in learning process and effect of PBL rather than direct instruction. students assessment results that problem based learning improves their medicine knowledge and communication. Conclusions : This study suggest that PBL contribute to enhancing learning attitudes, learning effect and solve the real problems through self-directed learning.

• 치위생과학회지
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• 제11권3호
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• pp.135-154
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• 2011

Dental hygiene was originated from dentistry and dental hygiene knowledge was a component of dental knowledge body. Since the late 1980s dental hygiene theory was began to develop. Nursing theories such as metaparadigm, nursing process and human need theory affected theory development as dental hygiene process. Dental hygiene process provides a framework for high quality dental hygiene care. Dental hygiene process include five phases; assessment, dental hygiene diagnosis, dental hygiene planning, implementation, evaluation. Dental hygiene process of care is recognized as standard for dental hygiene education and clinical dental hygiene practice. Dental hygiene practice has moved from auxiliary model to professional model. Critical thinking skill and disposition are necessary to provide evidence-based dental hygiene care using dental hygiene process as clinical process and critical thinking process. Critical thinking, problem solving and evidence-based practice must be integrated into dental hygiene process for quality dental hygiene care.

• 한국치위생학회지
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• 제21권4호
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• pp.321-336
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• 2021

The aim of this study was to investigate the caries management by risk assessment (CAMBRA) development process and the latest updated caries risk assessment for the domestic settlement of the CAMBRA program and the activation of dental clinics. A system for CAMBRA was published in California Dental Association (CDA) in 2007. To investigate whether CAMBRA can be successfully implemented outside a university setting, a practice-based research network (PBRN) was created in the San Francisco Bay Area. Based on the CAMBRA-PRAN clinical studies, the caries risk assessment (CRA) tool was updated for patients aged 6 through adults in 2019. The CAMBRA system is expected to be widely and actively used in the dental field in Korea to contribute to oral health care.

• 한국컴퓨터정보학회논문지
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• 제27권6호
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• pp.131-137
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• 2022

연령이 증가함에 따라 구강 즉, 치아와 치주도 노화가 시작되어 그에 따른 준비 과정이 필요하다. 그 준비과정은 20대부터 지식, 태도, 행동으로 이루어지는 구강보건교육이 이루어져 구강건강관리가 계속적으로 시작되어야 하는 중요한 시기이다. 이에 경기도에는 있는 한 치과의원에 내원하여 치료 후 구강건강관리실에서 계속관리를 받고 있는 환자들을 연구대상으로 임상치위생과정을 설계하기 위하여 치위생사정의 데이터 분석을 하고자 하였다. 치위생사정 도구로는 인적사항 및 전신병력을 기본으로 하여 치과방문경험, 치주검사(bleeding on probing; BOP), 구취검사, 위상차현미경으로 구강 세균 관찰, 치면세균막 검사(O'Leary index)를 시행하였다. 대상자의 치과방문 경험이 있는 대상자는 75.4%이고, 경험이 없는 경우는 24.6%로 나타났고, 치주검사 결과는 전반적으로 출혈이 있는 경우가 76.3%로 나타났다. 예방적 구강관리에서 20대의 치위생사정 단계는 중요한 첫 단추이다. 이 때 부터 본인의 구강상태를 스스로 책임질 수 있도록 체계적으로 습관화되어야 하는 중요한 연령이다. 따라서 본 연구에서는 20대 대상자의 구강검사를 통해 치위생사정 결과를 도출해 보고 그에 따른 구강보건교육 및 구강건강 관리에 있어서 임상치위생과정 중 치과위생사의 치위생수행 능력 역량 개발에 대한 기초자료로 제시하고자 한다.

• 대한치위생과학회지
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• 제4권1호
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• pp.53-64
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• 2021

Background: The elderly in long-term care facilities tend to have a diminished oral health status, with a high prevalence of dental caries and periodontal disease, as reduced cognitive function, joint mobility, and gait ability hinder the performance of oral hygiene. To improve the oral health of the elderly at long-term care facilities, it is necessary to have precise guidelines for oral health care and assessment; however, such guidelines are not readily available. Therefore, the present study aimed to develop an oral care assessment tool with verified reliability and validity. Methods: The participants in this study were 100 elderly patients at a care facilities and 10 clinical dental hygienists. Collected data were analyzed using the descriptive statistics, content validity index, and inter-rater reliability, as well as the analyses of intra-class correlation coefficient. Results: After a review of relevant literature, a preliminary questionnaire comprised of seven questions related to the evaluation of oral health was formed. After revising and supplementing the questions through a content validity test, a total of nine questions were selected. Conclusion: The novel assessment tool developed for the present study is anticipated to allow analyses of the level of problems related to oral health care before routine and professional care. Moreover, regular oral health status check-ups will enable the early diagnosis and treatment of diseases.

• 한국치위생학회지
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• 제9권3호
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• pp.229-247
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• 2009

The purpose of this study is to provide the improvement basis for Dental Hygiene education program by analyzing the current implement status of Dental Hygiene curriculum in Korea and comparing the status with the US ADA standard. The researcher analyzed the Dental Hygiene syllabus limiting "Dental prophxis", "Comprehensive dental hygiene" subjects only from 31 universities which offer 3 years program. The main interest was to figure the implementing status of the curriculum and to compare the actual teaching content with the CODA 2-17 standard. The results show that there are a number of problems in implementing the Dental Hygiene courses among different universities. First, there is a significant inconsistence among schools in terms of course title, total credit, hours, the ratio for theory and practice, etc. In addition, there is a big gap between the actual content of Dental Hygiene courses and the essential/required content of CODA 2-17 standard. For instance, most of the Dental Hygiene programs in Korea cover the overall assessment stage content and some of implementation stage content. However, very few programs deal with the planning and evaluation stage content. To improve these problematic circumstance a number of suggestions were made. Developing the standardized curriculum for the Dental Hygiene program might be one of the major solutions. Next, the regular accreditation and/or assessment system for the Dental Hygiene program should be developed. This research can provide the basis for the need to assess and improve the Dental Hygiene curriculum.

• 한국치위생학회지
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• 제11권5호
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• pp.749-758
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• 2011

Objectives : The purpose of this study was to analyse case reports performed through a dental hygiene process and provide basic data on clinical education of dental hygiene. Methods : 154 case reports which collected for six years were analysed. This study applied dental hygiene process model in dental hygiene diagnosis. Dental hygiene diagnosis was more cleared by dental a hygiene process model. Data analysis was performed by the Frequency statistics using SPSS 12.0 for Windows. Results : 1. The clients are mainly comprised 20's university student(91.9%). 2. In assessment phase, clients finished 100% test of subjective data. 3. When applied a dental hygiene process model in dental hygiene diagnosis, students have identified 23 type of dental hygiene problem and analysed dental hygiene problem frequently used as bleeding of gingiva, calculus and deposit of dental plaque. 4. In case of plan of dental hygiene intervention, Fluoride application showed the most high level(98.1%) in clinical intervention. 5. Results of intervention showed that performance rate(98.7%) of scaling is the most high level. Conclusions : Dental hygiene process model is more useful than other diagnostic models in clinical practice based on dental hygiene process.