• 한국치위생학회지
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• 제10권5호
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• pp.851-860
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• 2010

Objectives : This study examined the oral health behavior and dental services utilization of adolescents in order to provide information on how to disseminate the correct oral health behavior to the youth and develop programs for the approach. Methods : The raw data of 'The Third 2007 Youth Health Behavior Online Survey' carried out by the Korea Center for Disease Control and Prevention were analyzed. All survey data collected was processed using SPSS ver 17.0 for data analysis as Frequency analysis, chi-square and Logistic regression analysis. Results : 1.The adolescents who have parents with college degree are 70% higher of dental services utilization than the adolescents counterpart(whose parents don't have degrees). And also the adolescents living in cities are 1.3 times higher use of dental services than others living in countries. 2. In case of drinking soda, students having soda 4 days per week on average are 1.2 times higher use of dental services than who don't. 3.The students brushing teeth after lunch are 0.9 times lower use of dental service than who don't. And the students who have tooth ache whenever they have a meal are 1.6 times higher use of dental service than the students who don't have tooth ache. The students who had a dental health education are 1.4 times higher utilization of dental service than who don't. The difference of using dental service between the students who have gum disease and halitosis and the students who don't is almost none. 4. The students who drink alcohol and smoke 10 days more or less a month are 0.8 ~ 0.9 times lower use of dental service than who don't. Conclusions : The rate of utilizing dental service is higher at students who live with parents having college degrees and the more have oral health behavior, the less use of dental service for treatment. We concluded that more educational program should be developed and vitalized so that students can have oral health.

• 치위생과학회지
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• 제15권1호
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• pp.60-66
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• 2015

본 연구는 제5기 국민건강영양조사 자료를 이용하여 65세 이상(4,521명) 노인을 대상으로 Andersen과 Davidson이 제안한 모델을 적용하여, 소인성 요인, 가능 요인, 필요 요인, 구강건강행태 요인과 치과의료이용의 관계를 파악한 후, 노인들의 치과의료이용에 영향을 미치는 요인을 분석하여 다음과 같은 결론을 얻었다. 소인성, 가능, 필요 요인과 틀니 필요여부에서는 소인성 요인에서 교육수준이 낮을수록, 가능 요인에서 소득수준이 낮을수록 틀니의 필요도가 높았으며, 통계적으로 유의미하고, 필요 요인에서 미충족 치과의료를 경험한 노인 중 39.89%, 저작 불편을 호소한 노인 중 67.79%가 틀니 장착을 필요로 하는 것으로 나타났으며, 통계적으로 유의미하였다. 노인의 치과의료이용 여부에 영향을 미치는 요인에서는 Model 1에서 여자가 남자에 비해 1.23배, 교육수준이 높을수록 치과의료이용이 높게 나타났으며, 성별과 결혼상태, 교육수준, 민간건강보험 가입여부에서 통계적으로 유의미하였다. Model 2는 Model 1에서 필요 요인을 보정한(adjusted) 결과 미충족 치과의료를 경험하지 않은 경우 1.35배, 저작 불편을 호소한 경우 1.34배 치과의료이용을 더하는 것으로 나타났으며, 성별, 연령, 결혼상태, 교육수준, 민간건강보험 가입여부, 미충족 치과의료, 저작 불편에서 통계적으로 유의미하였다. 구강건강상태를 포함한 Model 3은 연령, 미충족 치과의료경험, 저작 불편 호소여부에서 통계적으로 유의미하였다. 이상의 연구결과를 통해 소인성 요인과 가능요인, 필요 요인 등이 노인의 치과의료 이용에 영향을 주는 요인으로 드러났다. 노인에 치과의료 이용에 다양한 요인들이 함께 작용하기 때문에 노인의 치과의료 이용의 접근성을 개선함으로써 구강건강을 증진시키기 위해서는 다면적인 노력들이 필요할 것으로 생각된다.

• 치위생과학회지
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• 제21권1호
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• pp.63-69
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• 2021

Background: This study aimed to identify the role of dental hygienists in exchanges between North and South Korea to lower gaps in the level of dental healthcare between the two countries by conducting a Delphi survey with specialists and identifying alternative policies regarding the utilization of dental hygienists in such exchanges. Methods: Two Delphi surveys were conducted with the participation of nine specialists, and descriptive statistical analyses including mean and standard deviation were performed on the collected data. Results: Among methods of exchange and cooperation regarding oral healthcare under the current North Korean medical system, the issue considered most urgent was the "establishment of oral healthcare infrastructure." The most important short-term strategy was identified as the "selection and formation of partnerships in the field of inter-Korean oral health exchange and cooperation." The mid-term strategy was identified as the "establishment of cooperation in the dental industry, centered on educational cooperation projects." The long-term strategy included "joint R&D projects, oral health surveys, and business development." In order to determine how best to use dental hygienists during inter-Korean exchanges and cooperation, the respondents placed urgency on the "establishment of joint cooperation projects for oral health promotion and early examination and the treatment of dental diseases and planning of community research projects" and "the role of oral health education and media development for residents." Conclusion: Cooperation is necessary regarding the preparation of oral healthcare exchanges that aim to encourage unity between North and South Korea and reduce the gaps between the North and South regarding oral health conditions. Therefore, continuous and reasonable discussions and research are needed regarding the utilization of dental hygienists in such exchanges.

• 치위생과학회지
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• 제10권5호
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• pp.357-363
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• 2010

치과불안과 관련된 사회인구학적 특성과 치과 의료이용 행태를 분석하기 위해 540명의 대학생을 대상으로 Modified Anxiety Dental Scale(MDAS)와 Dental Fear Survey(DFS)를 측정도구로 사용하여 평균과 표준 편차하여 독립표본 t-test로 분석과 일원분산분석을 하였으며 모든 분석은 SPSS 12.0으로 하였고 그 결과는 다음과 같다. 1. 조사대상자의 인구학적 특성은 치과불안수준과 관련된 성별에서 여성 MDAS 평균 $2.86{\pm}0.06$으로 남성 MDAS 평균 $2.49{\pm}0.06$보다 높았고 통계적으로 유의하였다(p=0.000). 또한 연령이 낮을수록 치과불안 수준이 높은 것으로 나타났다(p=0.023) 2. 치과의료이용 행태는 정기적으로 치과의료기관이용, 문제가 있을 때만 치과의료기관이용, 치과의료이용 기관을 한번도 경험해 보지 않은 집단 중에서 문제가 발생했을 때 치과방문시 치과불안의 정도가 높은 것으로 통계적 유의한 결과를 나타냈다(p=0.000). 또한 최근 치과방문 시기가 3년 이상 이었을 때 MDAS 평균 $2.80{\pm}1.00$이고, DFS평균 $2.43{\pm}0.79$로 최근치과방문 시기가 멀수록 치과불안수준이 높은 것으로 나타났다. 3. MDAS의 문항 중 실제 치료상황에서 치과불안과 DFS의 하위척도 중 치과진료시 자극유발요인으로 인한 치과불안수준이 높은 것으로 나타났다.

• Journal of Periodontal and Implant Science
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• 제46권6호
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• pp.405-414
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• 2016

Purpose: This study aimed to evaluate the effects of a policy change to expand Korean National Health Insurance (KNHI) benefit coverage to include scaling on access to dental care at the national level. Methods: A nationally representative sample of 12,794 adults aged 20 to 64 years from Korea National Health and Nutritional Examination Survey (2010-2014) was analyzed. To examine the effect of the policy on the outcomes of interest (unmet dental care needs and preventive dental care utilization in the past year), an estimates-based probit model was used, incorporating marginal effects with a complex sampling structure. The effect of the policy on individuals depending on their income and education level was also assessed. Results: Adjusting for potential covariates, the probability of having unmet needs for dental care decreased by 6.1% and preventative dental care utilization increased by 14% in the post-policy period compared to those in the pre-policy period (2010, 2012). High income and higher education levels were associated with fewer unmet dental care needs and more preventive dental visits. Conclusions: The expansion of coverage to include scaling demonstrated to have a significant association with decreasing unmet dental care needs and increasing preventive dental care utilization. However, the policy disproportionately benefited certain groups, in contrast with the objective of the policy to benefit all participants in the KNHI system.

• 한국치위생학회지
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• 제15권2호
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• pp.235-243
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• 2015

Objectives: The purpose of the study is to investigate the oral health and oral health beliefs in industrial workers and to analyze the influencing factors on dental health care utilization. Methods: The subjects were 280 adults from 16 to 64 years old in Seoul and Gyeonggi from June 20 to July 31, 2014, A self-reported questionnaire was completed after receiving informed consent. The independent variables consisted of predisposing, enabling, and need factors. The predisposing factors included gender, age, residence area, number of family. The enabling variables included monthly income, education, occupation, type of employment. The need factors included subjective oral health recognition and oral health belief model. These three variables had a direct and indirect influence on dental clinic use. The types of occupation were classified into desk duties, merchandizing and service duties technology and others by KSCO-6. Results: The relating factors to dental health care utilization were sex, oral health beliefs perceived benefits, perceived barriers, and self-efficacy. Female tended to have the higher oral health beliefs perceived benefits, perceived barriers(p<0.01), self-efficacy(p<0.05). Conclusions: Those who received frequent oral examination and health instruction tended to have a favorable impact on maintenance of oral health status and improvement in quality of life.

• 대한치과의사협회지
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• 제16권8호통권111호
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• pp.599-615
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• 1978

• 한국치위생학회지
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• 제13권6호
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• pp.909-916
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• 2013

Objectives : The purpose of this study was to investigate the perceptions of dental hygienists toward digital dentistry. Methods : The subjects were 393 dental hygienists in Daegu Gyeongbuk. A total of 380 data were analyzed except the incomplete questionnaires. Data were analyzed by descriptive statistics, chi-square test, t-test, one-way ANOVA using SPSS version 18.0. Results : 1. Difference of perception by general characteristics was affected by age, academic background, working career, and married. 2. Difference of perception by utilization of digital facilities was affected by digital camera, CAD/CAM system, oral scanner, and computer system. 3. Difference of perception by digital education experience and intention of participation was affected by stronger intention to participate in digital education and practical exercise. Digital X-ray system and CAD/CAM system were the must-be equipment in education. Conclusions : Utilization of digital dentistry is the motive for education experience in dental hygienists.

• 치위생과학회지
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• 제12권1호
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• pp.55-62
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• 2012

근로자의 구강검진사업을 향상시키기 위한 기초자료를 수집하고자 2008년 5월 7일부터 5월 23일까지 대구 인근지역에 소재한 산업장 근로자 1,016명을 대상으로 설문조사와 구강검진을 실시하였고, 그 결과 다음과 같은 결론을 얻었다. 1. 구강질환 유소견율은 전체 1016명 중 58.2%이며, 치주질환이 가장 높았으며, 중복질환, 치아우식증, 결손치, 발치, 치아파절 및 마모 순으로 나타났다. 2. 지난 6개월간 치과의료기관 방문율은 40%이며, 일반적 특성 중 연령이 높을수록, 미혼보다는 기혼이, 주관적 구강건강상태는 불건강할수록, 근무년수가 높을수록 유의하게 높게 나타났다. 3. 하루 칫솔질 횟수 3회 이상인 경우는 성별에서 여자가 더 높았으며, 연령은 40대가 가장 높았으며, 경제상태는 보통이 가장 높았으며, 근무년 수는 10년이 가장 유의하게 높았다. 4. 구강위생보조용품 사용율은 41.8%이었으며, 연령이 높을수록, 미혼보다는 기혼이, 경제상태가 여유있을수록, 근무년수가 높을수록 유의하게 높았다. 5. 구강질환과 구강보건행동의 관련성은 치주질환이 없는 사람이 치주질환이 있는 사람보다 하루 칫솔질 횟수가 3회 이상 더 유의하게 높았으며, 발치를 하지 않아도 될 사람이, 치아파절 및 마모가 있는 사람이, 중복질환이 없는 사람이 구강위생보조용품을 더 많이 사용하였다. 이상의 결과로 볼 때, 많은 근로자들이 구강질환을 앓고 있으며, 구강질환과 구강보건행동간에는 서로 관련성이 있는 것으로 나타나 현행 1년 주기의 구강검진사업이보다 많은 산업장에서 확대되어 실시되어야 하며, 구강검진과 더불어 구강보건교육이 함께 병행되어 근로자들의 올바른 구강보건행동이 건강한 구강건강을 유지 및 향상시킬 수 있도록 유도하여야 하겠다.

• 대한치과의사협회지
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• 제52권6호
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• pp.354-362
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• 2014

With the development of digital dentistry, various intra-oral scanners which acquire intraoral image without conventional impression taking and stone pouring steps have been introduced. Fixed dental prostheses such as inlay, onlay, crown, and bridge fabricated by CAD/CAM technique combined with digital impressions is getting popular due to the recent rapid progress of digital impression taking system. In comparison with traditional prosthetic procedure, the advantages of intraoral image acquiring and CAD/CAM technique are as follows; the omission of conventional impression materials, reduced workflow step, and increased efficiency by online communication with clinic and laboratory. This review article covers some opinions about the suitable scanning procedures for the various prosthodontic treatments and the utilization of digital intraoral scanner and CAD/CAM system.