• Journal of dental hygiene science
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• v.10 no.5
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• pp.349-356
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• 2010

The purpose of this study was to examine the awareness of dental hygienists, who played a significant role in dental sector, about health care management and their needs for education in an attempt to pave the way for the development of a Dental Hygienist Coordination System(DHCS). The subjects were 156 dental hygienists at 85 dental clinics, who were selected in Gwangju based on the data released as of August 2008 by the Dental Association and public health centers in sampling region. A Questionnaire was conducted in person to gather survey data and SPSS 12.0 program was utilized to make a statistical analysis. This results findings suggested that a systematic curriculum should be developed by focusing on coordination theory and practice, counseling and educational practice, health insurance affairs and health insurance fee claim management.

• Journal of dental hygiene science
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• v.9 no.1
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• pp.53-59
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• 2009

Infection control is now recognized as an important quality indicator in dental health service setting. The purpose of this study was to develop and validate Dental Hygienist's Infection Control Practice Scale for quality management of dental health service in Korea. The data of 254 dental hygienists was subjected to exploratory factor analysis using SPSS 16.0 and confirmatory factor analysis using AMOS 16.0. The total items of preliminary scale were 21 items and 5 subscale. Principal component analysis was completed with Varimax rotation. The results show a change in factor structure from 5 factor solution to 4 factor solution. The confirmatory factor analysis confirmed the four subscales(Immunization and periodic tests, Clinical procedure, Handwashing, Personal protection) which have a total of 12 items. After the item deleted because factor loading was low, measured model was tested. The results of the measurement model indicated fit indices: $x^2$= 79.593(df = 38, 0 = 0.000), RMR = 0.045, GFI = 0.940, CFI = 0.904, AGFI = 0.896, NFI = 0.837, TLI = 0.861, RMSEA = 0.67. The squared correlation between four constructs were less than the average variance extracted(AVE) of four constructs. Multiple regression analysis was completed. Dependent variable was the perceived infection control practice by dental hygienist. Independent variables were four summated subscales(R = 0.552, $R^2$= 0.304, Adjusted $R^2$= 0.431, F = 25.813, p = 0.000). Unstandardized coefficients of three independent variables were statistically significant.

• Journal of Dental Rehabilitation and Applied Science
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• v.22 no.1
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• pp.23-27
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• 2006

This case reports describe a new approach to the use of polymers in orthodontics, using a fiber reinforced composite(FRC). FRC was successfully used in a periodontal splints, fiber post for endodontic use, orthodontic retainer and space maintainers, implant prosthesis, large span bridge, management of cracked tooth, anchorage reinforcement in orthodontics. FRC has highly favorable mechanical properties, and its strength-to-weight ratios is superior to those of most alloys. FRC has potential for use in many applications in dentistry and is expected to gain increasing application and popularity in dentistry. These case reports show that FRC is a promising anchorage reinforcement material for use in orthodontic practice.

• Journal of Korean society of Dental Hygiene
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• v.17 no.4
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• pp.621-630
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• 2017

Objectives: The purpose of this study is to investigate awareness and performance of infection control by dental hygienist. Methods: A self-reported questionnaire was answered by 239 dental hygienists working in dental clinics from September 7 to 18, 2016 in Gwangju city & Jeonnam region after explaining the purpose of the study and receiving the informed consent. The questionnaire consisted of sociodemographic characteristics and awareness and performance of infection control using Likert 4 point scale. Results: Average of Infection control awareness was $3.33{\pm}0.38$, average of infection control Performance was $3.04{\pm}0.37$ (p<0.05). The awareness and practice of dental equipment management showed the largest difference. The awareness of infection control by general characteristics varied according to position, number of dental units, number of employees, Infection control needs, Received infection control training experience, infection experience, infection control guideline (p<0.05). The relationship between infection control awareness and Infection control performance was r = 0.624 (p<0.001), indicating positive correlation. Conclusions: To improve awareness and performance of dental hygienist's infection control, regular received infection control training experience is needed. It is considered that the dentist's active cooperation is needed in shortening the life span of the dental equipment due to the Infection control performance and securing the quantity.

• Journal of Korean society of Dental Hygiene
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• v.15 no.4
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• pp.687-694
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• 2015

Objectives: The purpose of the study is to investigate the subjective oral status perception and OHIP according to the oral health managementamong international and domestic university students. Methods: self-reported questionnaire was completed by 176 domestic and 175 international university students in Daegu and Gyeongbuk from August 25 to November 1, 2014. The informed consent was received after explanation of the purpose of the study by the researcher. The questionnaire consisted of general characteristics of the subjects, toothbrushing behavior, oral health management, subjective oral status perception. and oral health impact profile (OHIP). The subjective oral status perception and OHIP was measured by Likert 5 point scale. Results: The international students tended to have higher subjective oral status perception when they had longer stay with the roommate in Korea. The female international students tended to have higher OHIP than the male students. The domestic students with lower grades and roommates showed higher OHIP. The international students had a poorer practice of oral health management than domestic students. The overall mean of subjective oral status perception was 3.13 in domestic students, and 3.09 and 3.22 in international students. The overall mean of OHIP was 4.21 in domestic students and 4.25 and 4.16 in the international students, Conclusions: International students had a higher subjective oral status perception than domestic students, but their wrong oral health management lowered their quality of life. It is necessary to provide the oral health management for the international students continuously.

• Journal of The Korean Dental Society of Anesthesiology
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• v.13 no.3
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• pp.103-110
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• 2013

Background: Recently the use of sedation by pediatric dentists in Korea is increased. This study describes training programs about sedation practices in Korean pediatric dentistry residency program. Methods: A questionnaire was filled in by participants of Korean Academy of Pediatric Dentistry on 17th-18th August, 2008. Also the data about sedation practices of the training institution is collected by phone call. Results: Seventy two percent of respondents used sedation. Most of them used sedation with agents under 25% of their patients. Distribution of ages in patients sedated with agents was 3 years, 4-5 years, under 2 years, 6-10 years, and more than 10 years. Determinative factors of using sedation were behavior management, number of visiting, amount of treatment and general condition, and oral route was the most favorable route. Sixty six percent of them have failed on sedation, and thity percent of them have rarely failed on sedation. Only fifty percent of dentists using sedation completed the cardiopulmonary resuscitation course. Conclusions: For safety, dentists using sedation need to be educated about emergency equipment and management. Especially medication dose, use frequency and the detail related to treatment procedure should be discussed carefully. Also putting a patient under general anesthesia and taking emergency measures should be discussed with Korean Dental Society of Anesthesiology.

• Journal of Korean society of Dental Hygiene
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• v.10 no.5
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• pp.897-904
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• 2010

Objectives : The aim is to examine what a selective factor of dental institution in the elderly is, which can be used as a strategy for vitalizing hospital management, and which difference there is in selection of dental institution according to health-promotion lifestyle. Methods : Questionnaire survey of individual interview was carried out targeting 177 old people in over 65 years old of Jeonju, Iksan, and Gunsan in Jeollabuk-do Province by convenience sampling from August 16, 2010 to August 27. The analysis was performed by using SPSS WIN 12.0 program. Results : 1. The average mark of health-promotion lifestyle in the elderly was 2.69 points. The health responsibility was the highest with 2.91 points. 2. The mark of health-promotion lifestyle was higher in the higher educational level of the elderly(p<0.01), when monthly income is more than 2 million won(p<0.01), and in the better subjective awareness of oral condition(p<0.01). 3. The group with high mark of health-promotion lifestyle regarded reliability(p<0.001), economic efficiency(p<0.01), and facilities & cleanliness(p<0.01) as important factors when selecting dental institution. Conclusions : The development and expansion in health-promotion program targeting the elderly are seen to be necessary that reflect difference by sphere in health-promotion lifestyle. There will be necessity for pursuing even a strategy for the elderly in the group who have relatively low characteristic in the practice level of health-promotion lifestyle. Also, given understanding characteristics on the elderly and focusing on management proper for the needs of medical consumers, the successful medical management is thought to be likely possible.

• Journal of Korean Dental Science
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• v.17 no.2
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• pp.75-83
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• 2024

Stevens-Johnson syndrome (SJS) is a severe adverse cutaneous drug reaction seen rarely in clinical practice. Although relatively rare, the condition can be fatal. Mainly, it is caused by side effects of certain medications. Previous reports have associated Stevens-Johnson syndrome with abnormal root development, but the other long-term dental complications have rarely been reported. In this case, the patient developed SJS at the age of 5, and abnormal root development of the maxillary and mandibular first molars and mandibular incisors was observed, as well as impaction of the mandibular canine and enamel hypomineralization of multiple teeth. Accordingly, appropriate restorative treatment and orthodontic treatment were performed, and the clinical characteristics of this symptoms and its treatment were discussed in more detail. We aim to highlight the need for dentists to be aware of the potential dental complications of SJS and to enable early diagnosis and management of the condition to avoid undesirable sequelae.

• Journal of The Korean Dental Society of Anesthesiology
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• v.2 no.2 s.3
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• pp.101-106
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• 2002

Background: The management of the behavior of handicapped children when providing required dental care is often a problem, whether in the dental office or in a hospital setting. Because of the high incidence of poor cooperation, many of these patients are scheduled for dental care under general anesthesia with preoperative medical assessment. The purpose of this study was to carry out a clinico-statistical survey on dental treatment for handicapped children under general anesthesia. Methods: After approval from the institutional review board, the medical records of 64 handicapped children between 1997 and 2002 were reviewed to determine the patient profiles, anesthesia management, and complications. The charts of these patients, who underwent dental examination, scaling and prophylaxis, and restoration and extraction of teeth under general anesthesia, were reviewed. Results: The mean age was 12.8 years old, and males (53%) predominated females (47%). Twenty-four patients had mental retardation, twelve had autism, six had cerebral palsy, 4 had behavior disorder, others had heart disease, convulsive disorder, etc. Sixty-two had intravenous thiopental with neuromuscular blocker, 2 had intravenous ketamine induction. Nasotracheal intubation was uneventful in 55 patients, nine had orotracheal intubation because of difficult visualization of the larynx. Twenty-one patients experienced postoperative complications in the recovery room, including epistaxis, nasal obstruction, vomiting, airway obstruction, respiratory depression. Conclusions: General anesthesia is a very effective way of completing the dental treatments for disabled children. We emphasize the need to train anesthesiologists in the care of disabled patients.

• The Korean Journal of Health Service Management
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• v.7 no.3
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• pp.193-202
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• 2013

This study aimed to investigate and compare the perception of personal protective equipments and instrument sterilization of students who are in attendance at colleges and universities and which have bedside training as a regular subject in their curriculum for third-year students. 'Completely True' is the highest response to the question about the importance of wearing gloves, mask and medical gown from all groups. 'Completely True' is the highest response to the question about the necessity for replacement of gloves from all groups. 'Moderate True' is the highest response to the question about the necessity for replacement of mask from the group without practical training and 'Completely True' is the highest response to the question about the importance of hair cleanliness from all groups regardless of practical training experience. For the question about the perception of instrument disinfection and sterilization, the group with inside and outside practical training showed the highest perception level. Consequently, the right education for prevention of infection by setting inclusive guidelines to enhance the level of perception and practice seems continuously necessary.