Background: The objective of the study was to determine the knowledge, attitude and behaviors of the practicing dentists regarding tobacco cessation counseling (TCC) in Chhattisgarh state and also the barriers that prevent them from doing so. Materials and Methods: The study was conducted among dental practitioners of Raipur district, Chhattisgarh state (India). The sampling frame was registration with the State Dental Council and practicing in Raipur district. A questionnaire was personally administered and the practitioners were given explanations regarding how to complete it. Only descriptive statistics were calculated (SPSS version 16 for Windows). Results: Based on the responding dentists' self reports, 76% were not confident in TCC, 48% did not assume TCC to be their responsibility, 17% considered that it might have a negative impact on their clinical practice, whereas 24% considered it might take away precious time from their practice, 25% considered TCC by dentists to be effective to a considerable extent and 80% considered TCC activities are not effective due to lack of formal training, 69% considered dental clinics as an appropriate place for TCC but 82% thought there must be separate TCC centre and 100% of the dentists wanted TCC training to be a part of practice and that it should be included in dental curriculum. Some 95% of them were of the view that tobacco products should be banned in India and 86% responded that health professionals must refrain from tobacco habits so to act as role models for society. Conclusions: Dental professionals must expand their armamentarium to include TCC strategies in their clinical practice. The dental institutions should include TCC in the curriculum and the dental professionals at the primary and the community health care level should also be trained in TCC to treat tobacco dependence.
Objectives: This study aimed to design a CRA questionnaire specifically for Korean children and adolescents based on the results of two Delphi survey completed by dental professionals. Methods: Based on the CAMBRA® CRA tool, updated in 2019, we constructed a questionnaire on the oral environment and behavior of children and adolescents. Then, the CVR and I-CVI were evaluated using the results of the first and second Delphi surveys involving 20 professionals. Results: After the first Delphi survey, six items were considered invalid because their CVR and I-CVI were below the recommended values of 0.42 and 0.78, respectively. After receiving feedback from the professional panels, nine items were removed. In the second Delphi survey, the questionnaire contained a total of 21 items, all of which showed good CVR and I-CVI. After modifications based on the opinions of professional panels, the questionnaire was finalized to have 21 questions. Conclusions: The finalized questionnaire with 21 items, based on the opinions of professional panels, showed excellent CVR and I-CVI for all the items. Structured programs with updated guidelines must be developed for Korean children and adolescents in further studies.
A study was designed to evaluate the level of moral development in 450 pre-dental professionals of 2 educational institution in Jeollabukdo, Ik san city. Data were collected through self-reported questionnaires from October 2010. The Korean version of the DIT(Defining Issues Test) was adopted to evaluate level of moral development with the score of P(%) and stage. The data were analyzed by descriptive statistics, t-test, one-way ANOVA and Pearson's correlation coefficient. The mean scores of P(%) was 43.10 in dental students and 41.21 in dental hygiene students(p=0.190). The score of stage 5A was highest which was followed by S3, S4, S6, S5B, S2. The score of stage 5B and 6 revealed sigificant difference by groups. The score of stage 6 revealed significant difference by sex in dental students(p=0.003). In dental hygiene students, it's significant difference by religion(S5B, p=0.044), birth order(S2, p=0.027) and growth area(S4, p=0.015). As for the correlations between moral development and the score of the stage, the score of P(%) was negatively correlated with the scores of stage 2, 3, 4 and 5B. On the other hand, the score of P(%) was positively correlated with the scores of stage 5A and 6. In conclusion, for enhancing dental students' moral development it is necessary a systemic ethics education and program development in curriculum.
Objectives : This study was to examine the state of customized visiting oral health programs in a bid to help facilitate the unified operation of the programs and the development of required guidelines. Methods : The subjects in this study were 49 dental hygienists who were professionals responsible for customized visiting health care programs across the nation. Results : 1. Regarding the form of employment of the dental hygienists were investigated many contract and daily workers. 2. As to the possession of equipment necessary for visiting oral health programs, denture cleaners(12.2%) were most widely possessed in some regions, followed by mobile scalers(10.2%) and mobile suctions(8.2%). In terms of expendable devices and materials, dental mirrors, pincettes and explorers were the most widely possessed dental checkup devices, and the most widely possessed oral hygiene supplies were toothbrushes, interdental brushes and denture cleaners. Those devices and materials were in more possession than the other types of devices and materials. The most widely possessed equipment for educational purpose was laptop computers, followed by beam projectors and screens. The most widely possessed teaching materials were dentiform, followed by CD-ROMs. 3. Those whom they visited the most for oral health care service were elderly people, followed by the disabled and patients with chronic diseases. The dental hygienists who went out to visit those people outnumbered the others who stayed at public health centers. Concerning the types of visiting oral health care service, the most prevalent service provided to the elderly included denture cleaning/management, oral massage and preventive treatment against dental caries. The most dominant service provided to the disabled involved education of the oral health care act, preventive treatment against dental caries and toothbrushing by professionals. The most common service offered to patients with chronic diseases was education of the oral health care act and oral health education. The dental hygienists paid a visit to a mean of 5.8 households a day. The average weekly number of households cared by the dental hygienists was 27.3. It took a mean of 37.1 minutes for them to take care of each household. 4. As for satisfaction level with the implementation of the visiting oral health programs, they expressed the greatest satisfaction at teamwork with professionals($3.56{\pm}0.94$), followed by the professionalism of their work($3.21{\pm}0.94$) and workload($3.08{\pm}0.94$). Their satisfaction level with the work conditions required for creative job performance($2.75{\pm}0.98$) and partnership with other institutions($2.64{\pm}1.03$) was below 3.0. In regard to the impact of their characteristics, marital status made a statistically significant difference to satisfaction level with workload. The unmarried dental hygienists were more pleased with their workload than the married ones(p<0.05). 5. As to needs for education for professionalism improvement, they asked for education about visiting oral health care skills the most, followed by education about oral health care for patients with chronic diseases, education of planning/evaluation and education of oral health care for the disabled. Conclusions : The top priority for the vitalization of the programs was the procurement of budget, followed by the procurement of equipment and educational media and the procurement of human resources.
This study investigated the safety management behavior of dental professionals to minimize exposure to harmful elements of amalgam and resin. As for the use of amalgam and resin, 85.8% of them used amalgam. 100% of used composite resin 100%. 97.8% used acryl resin, and 95.7% used tray resin. 95.2% and 36.5% of them were aware of the harm of amalgam and resin respectively. When using resin, their safety management behavior score was 1.99 on average, and the lowest score was 2.50 on average for 'ventilate the indoor air when handling resin'. Their average score of the safety management behavior was 1.83 when using amalgam. The lowest score was 2.89 on average for 'use the rubber dam for patients when handling amalgam'. As a result of the safety management behavior based on general characteristics, all characteristics were significant with regard to amalgam, and my position at work and work experience were significant with regard to resin (p<0.05). The correlation between the safety management behavior and general characteristics was analyzed when dental amalgam and resin are used. Amalgam was statistically correlated with academic background (p<0.05) and position at work (p<0.05), whereas resin was statistically significantly correlated with age (p<0.05) and position at work (p<0.05). Accordingly, education about the harm of dental materials must be continuously provided for dental professionals when they handle dental materials so that safety management behavior will be conducted correctly, and active efforts to protect the health of dental professionals from harmful chemicals must be made.
Introduction: To curb the ever growing menace of tobacco and its ill effects, it is essential to prevent its usage. Dental professionals' contributions can be invaluable in this venture. Objectives: To assess Indian dental graduates' knowledge, attitude and practices towards tobacco cessation; perceived effectiveness in pursuing tobacco cessation activities; perception of factors that interfere in tobacco cessation as barriers; and willingness to participate in tobacco cessation. Further, to determine associations among the aforementioned variables. Methodology: All house surgeons in Manipal College of Dental Sciences, Manipal University, Mangalore were included in the study. A structured, pre-tested and self-administered questionnaire was employed to assess participants' knowledge, attitude, behavior, perceived effectiveness, perceived barriers and willingness to participate in tobacco cessation. Information regarding respondents' age, gender and residence was collected. Results: A total of 100 out of 103 respondents participated in the study. Mean knowledge, attitude, behavior, perceived effectiveness, perceived barrier scores were $17.6{\pm}2.53$ (73.2%), $72.1{\pm}6.59$ (90.2%), $28.3{\pm}5.12$ (67.4%), $13.3{\pm}5.36$ (53.16%) and $35.0{\pm}3.79$ (89.8%) respectively. Overall, 97% respondents were willing to participate in tobacco cessation activities. Correlation analysis revealed that knowledge was associated with attitude (r=0.36, p=0.00) and perceived barriers (r=0.34, p=0.00) and behavior was associated with perceived barriers (r=0.22, p=0.03). Conclusions: Respondents reported high knowledge and attitude scores, along with high perceived barriers scores and willingness to participate in tobacco cessation activities. Present study highlights the need for a more meaningful involvement of dental professionals in tobacco cessation and has policy implications for curriculum changes regarding the same.
The purpose of this study was to examine the periodontal care of dental clinic patients. The subjects in this study were 213 patients who visited four different dental clinics in the region of Geoje. After a survey was conducted, the following findings were given: 1. In regard to the prevention of periodontal diseases, 52.1 percent of the patients investigated received treatment at a dental clinic when their gums were swollen or bleeding, and the way they responded to their swollen or bleeding gums was significantly different according to age, occupation(p<.01) and academic credential(p<.001). 31.0 percent got their teeth scaled to take care of their gums, and how to take care of the gums differed significantly with age, occupation, academic background(p<.001) and monthly income(p<.01). As to yearly preventive treatment frequency for periodontal diseases, 22.5 percent received treatment to prevent any possible periodontal diseases once a year, and age, educational background(p<.01) and occupation(p<.05) made a significant difference to that. By occupation, the company employees received more preventive treatment. As many as 66.7 percent intended to receive education on the prevention of periodontal diseases if there would be any chance, and gender and age(p<.001) made a significant differences to that. 2. As for oral health care habits, 52.1 percent brushed their teeth in a mixed way, up and down and right and left, and the women did that up and down more than the men. Those who were in their 30s did toothbrushing in the mixed way the most, and gender(p<.05), age(p<.05) and academic credential(p<.001) made a significant difference to that. Concerning daily mean toothbrushing frequency, 43.7 percent did that three times a day, and the women who did that three times outnumbered the men who did. The daily mean toothbrushing frequency varied significantly with gender(p<.01). By occupation and education, the professionals and better educated patients were significantly different from the others in that regard(p<.01). As to the use of an interdental brush, 57.3 percent had ever used it, and those who were better educated, who had a larger monthly income(p<01) and who were professionals(p<.001) were significantly different from their counterparts in that aspect. As to scaling experience, as many as 68.5 percent had ever had their teeth scaled, and those who were in their 30s had done that the most. Age made a significant difference to that(p<.01), and the professionals, larger income earners and better educated patients were significantly different from their counterparts in that regard(p<.001). The findings of the study justified the necessity and importance of periodontal care, and the prevention of periodontal diseases, regular dental checkup and the development of oral health education programs were required.
To investigate the correlation between the perceived symptom of musculoskeletal diseases and psychosocial factors in dental professionals in Chungcheong province, a self-administered survey was conducted on 206 dental professionals in Chungcheong province from March 9th, 2009 to March 28th, 2009. SPSS WIN 12.0 software was used to analyze the data and the following results were obtained. 1. As for the perceived symptom degree of musculoskeletal diseases based on measured body parts, the frequency of 'high' was the highest in all the parts of the body. 2. As for gender, females showed higher interest in musculoskeletal diseases than males (p=.000). As for age, subjects ranged 26~30 years showed the highest interest in musculoskeletal diseases, which was statistically significant (p=.000). 3. Work satisfaction showed a positive correlation with the perceived symptom of musculoskeletal diseases in lumbar group and lower extremity group. Work stress showed a weak negative correlation with the perceived symptom of musculoskeletal diseases in lumbar group and lower extremity group. Coworker satisfaction showed a positive correlations with the perceived symptom in upper extremity group and lower extremity group. Hospital satisfaction showed a positive correlations with the perceived symptom in upper extremity group, lumbar group and lower extremity group. Working environment satisfaction showed a positive correlations with the perceived symptom in neck group, shoulder group, upper extremity group and lower extremity group. This study showed a correlation between psychosocial factors and the perceived symptom of musculoskeletal diseases based on body parts. Therefore, psychosocial factors should be considered when the prevention and management program of musculoskeletal diseases are developed.
The aim of this article is to provide major announcements within the last decade or so about possible medical emergencies in dentistry. This would be helpful to improve the knowledge on first aid suitable for dental environment. Syncope was the most common medical emergencies in dentistry. Medical emergency situations can be divided into urgency and true emergency. Urgency situations can be solved well if proper treatment is taken. However, even in an urgency, if the correct treatment is not performed, it may soon turn into an emergency. With the joint efforts of the Korean Dental Anesthesiology Society and the Korean Cardiopulmonary Resuscitation Association, dental advanced life support (DALS) has been prepared since 2015. Through 17 training experiences until January 2020, scenarios and textbooks were developed. Dentists and dental care teams need to be prepared to strengthen their competence as professionals and to increase their team-level response capabilities..
Artificial intelligence (AI) refers to the use of machines to mimic intelligent human behavior. It involves interactions with humans in clinical settings, and augmented intelligence is considered as a cognitive extension of AI. The importance of AI in healthcare and medicine has been emphasized in recent studies. Machine learning models, such as genetic algorithms, artificial neural networks (ANNs), and fuzzy logic, can learn and examine data to execute various functions. Among them, ANN is the most popular model for diagnosis based on image data. AI is rapidly becoming an adjunct to healthcare professionals and is expected to be human-independent in the near future. The introduction of AI to the diagnosis and treatment of oral diseases worldwide remains in the preliminary stage. AI-based or assisted diagnosis and decision-making will increase the accuracy of the diagnosis and render treatment more precise and personalized. Therefore, dental professionals must actively initiate and lead the development of AI, even if they are unfamiliar with it.
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