• Title/Summary/Keyword: Dental practice management

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Behavior management for dental patients with special needs (행동조절을 통한 장애인 환자 치료)

  • Hwang, Ji- Young
    • The Journal of the Korean dental association
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    • v.53 no.11
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    • pp.779-788
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    • 2015
  • Individuals with special needs include those with behavioral issues, developmental disorders, cognitive disorders, congenital or genetic disorders, or systemic disease. These conditions may place them at increased risk for oral diseases. Dental management of patients with special needs require in-depth understanding of the background of disability and available behavioral guidance theories. Therefore dental team members need more training in the theory and practice of behavior management principles, which might lead to a clinical experience that is more respectful of the dignity and independence of patients with special needs. The dental professional should be flexible to modify the behavior management approach according to the individual patients needs. Also a family/care-giver centered approach based on their preferences and concerns, the patient's challenging behaviors, and related medical problem can serve to improve the treatment planning and oral health management of dental patients with special needs. This article focuses on uncooperative behavior and behavior management, which help practicing dentists to understand their role in the care of patients with special needs.

Investigational study on Oral Health Behavior and Awareness of visitor oral prophylaxis practice units (치면세마실습실 방문자의 구강보건행동과 구강보건의식에 관한 조사연구)

  • Jang, Gye-Won;Seo, Eun-Ju;Kang, Yong-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.4
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    • pp.521-534
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    • 2007
  • The purpose of this study to provide base data of various dental hygiene management systems are necessary to improve the oral health of visitor oral prophylaxis practice units, investigating and analyzing the oral health behavior and awareness of 130 scaling patients who visited the oral prophylaxis practice units of J Health College from April to May of the year 2007. The following conclusions were obtained 1. 50% of them had more than 2 times of toothbrushing a day, and 45.5% had more than 3 times of toothbrushing a day. 2. Toothbrushing was done after having a breakfast in 75.4% and 71.5% brushed their teeth after having a dinner. As the time to brush teeth, 45.4% of the subjects spentless than 3 minutes and 39.2% of them spent less than 2 minutes, and 48.5% of them bushed their teeth in up and down directions and 43.8% used mixed approaches. 3. The usage period of a toothbrush lasted about 3 month in 33.1% and 26.2% used a toothbrush about 2 month, and 20% of the subjects had the experience of using dental floss or interdental brush. 4. 61.5% of the subjects had the experience of having scaling treatment. The frequency of scaling was found to be 38.5%. 5. As the cause of having caries of the teeth, 73.8% responded it as unfaithfully brushing and 50% the subjects considered smoking is very harmful to dental health. 6. The most important behavior for dental health was found to be not eating sugars that were pointed out by 75.4% of subjects. Based upon the above listed study results, various dental hygiene management systems are necessary to improve the oral health of patients who visit oral prophylaxis practice units, especially, the correct toothbrushing and periodic oral examination with preventive scaling were thought to be necessary.

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The association factors of infection control practice based on health belief model in the dental hygienists (건강신념모형을 적용한 치과의원급 치과위생사의 감염관리 수행도 관련요인)

  • Hong, Sun-Hwa;Han, Mi Ah;Park, Jong;Ryu, So Yeon;Kim, Dong-Min;Moon, Sang-Eun
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.463-470
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    • 2014
  • Objectives : The purpose of this study was to investigate the association factors of infection control practice based on health belief model in the dental hygienists in dental clinics. Methods : A self-reported questionnaire was filled out by 278 dental hygienists in 160 dental clinics in Gwangju by a proportional stratified sampling method from September 13 to October 7, 2013. Data were analyzed by t-test, ANOVA, correlation analysis, and multiple regression analysis using SPSS version 12.0. Results : In multiple regression analysis, practice scores were significantly higher in aged dental hygienists and those who took infectious disease history from the patients before treatment. With regard to health belief model, perceived barrier was negatively associated with the practice(${\beta}$=-.16, p<.001), importance of infection control in hand hygiene(${\beta}$=.14, p=.026), and use of personal protective equipment(${\beta}$=.17, p=.043). The intention of action was positively associated with the practice(${\beta}$=.13, p=.002). Conclusions : This study will provide the basic evidence for the quality improvement of infection control and prevention. So the dental hygienists will be able to put into practice in infection control management.

Musculoskeletal pain and discomfort of dental hygiene students during scaling (일부 치위생학과 학생들의 스케일링 실습 과정에서의 근골격계 통증과 불편감)

  • Kang, Chae-Rim;Kang, Han-Sol;Kim, Ye-Bim;Kim, Ji-Hye;Ryu, Su-Bin;Park, Ji-Ho;Baek, Ye-Rim;Lee, Woo-Jeong;Lee, Jeong-Min;Choi, Eun-Jeong;Sim, Seon-Ju
    • Journal of Korean Academy of Dental Administration
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    • v.7 no.1
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    • pp.21-28
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    • 2019
  • The purpose of this study was to investigate the association between wrong postures and pain during scaling and encourage dental hygienists and students to exercise scaling in a good position. After obtaining informed consent, 107 students (3rd and 4th grade students) who had an experience with scaling practice were enrolled. The questionnaire included three general items, four items related to the posture during scaling, and nine items related to pain management (total 16 items), for which the five-point Likert scale was used. Through the questionnaire, we examined the preference of posture during scaling, posture education during scaling, pain in each part during scaling, pain management, and pain management method. In the scaling exercise, 86.3% of the subjects were instructed on the correct posture, and 87.9% of the subjects perceived the possibility of inducing musculoskeletal disorders based on the scaling posture. The percentage of subjects who responded that they performed scaling in the correct posture was 33.6% and that of subjects who answered that they bowed or turned their head by more than 15° was 64.4%. Further, 45.7% of the subjects answered that they bent their shoulders, and 29.9% of the subjects answered that their postures were not parallel to the floor. Pain during scaling was still higher when they bent their head, they bent their waist, and they bent their wrist (p<0.05). During scaling, pain was most frequent in the fingers and hands (15%), followed by the neck (14%), shoulders (11.2%), waist (9.3%), and feet and legs (2.8%). The percentage of subjects who performed regular exercise (or stretching) to prevent pain was 29.9% and that of subjects who managed pain after scaling was 12.1%. Further, exercise (24.6%) and self-massage (20.3%) were highly used as the pain management methods, and the school practice was preferred to education media for pain management (79.4%). In the scaling practice, there was a training on pain management, but the frequency of practicing in the wrong posture was high. Moreover, pain increased upon practicing in an incorrect posture. Therefore, more in-depth and systematic education on the necessity and method of musculoskeletal disease management during scaling is required.

Satisfaction practiceof the practice conditions characteristic for Dental Hygiene(department) major (치위생(학)과 전공에 대한 실습여건 특성에 따른 실습만족도 -대구, 경북지역을 중심으로-)

  • Yoon, Sung-Uk;Oh, Na-Rae
    • Journal of Digital Convergence
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    • v.14 no.2
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    • pp.305-314
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    • 2016
  • In order to examine the characteristics having influence on the satisfaction with clinical practice for the effective clinical practice, this study analyzed the satisfaction with clinical practice in accordance with the characteristics of major practice conditions, targeting 228 students of Dental Hygienics with experience in clinical practice in Daegu and Gyeongbuk region. In case of 4-year major practical conditions, high satisfaction with major, when students could choose the hospital for practice, and when there were lots of dental hygienists in the hospital for practice, the satisfaction with clinical practice was high(p<.05). In case of 4-year course, high satisfaction with major, and when there were lots of dental hygienists in the hospital for practice, the satisfaction with clinical practice evaluation was high(p<.05). In case of 4-year major practical conditions, high satisfaction with major, dental hospital, when students could choose the hospital for practice, and when there were lots of dental hygienists in the hospital for practice, the satisfaction with interpersonal relation was high(p<.05). In case of 4-year course, high satisfaction with major, and when students and school could choose the hospital for practice, the satisfaction after practice was high(p<.05).

Occupational health hazards in a prosthodontic practice: review of risk factors and management strategies

  • Sivakumar, Indumathi;Arunachalam, Kuthalingam Subbiah;Solomon, E.G.R.
    • The Journal of Advanced Prosthodontics
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    • v.4 no.4
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    • pp.259-265
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    • 2012
  • The intent of this article was to analyze the potential hazards and risks involved in persons exposed to prosthodontic practice. These risks include exposure to physical and chemical hazards, dental materials, infectious environment, inappropriate working pattern and psychosocial stress. The potential harm of these hazards and its prevention is highlighted. Prosthodontists, students, dental technicians, and others working in the prosthodontic clinics and laboratory should be aware of the specific risk factors and take measures to prevent and overcome these hazards.

The clinical application of dental caries management based on caries risk assessment and activation strategies (임상가를 위한 특집 3 - 우식위험도 평가에 근거한 치아우식증 관리의 임상적용 사례 및 활성화 방안)

  • Yoon, Hong-Cheol;Choi, Youn-Hee
    • The Journal of the Korean dental association
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    • v.52 no.8
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    • pp.472-477
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    • 2014
  • The new paradigm of dentistry require the detection of caries in their earlier stages. To achieve this, a high technology detection device and systematic and organized caries management system are needed. Caries management by risk assessment (CAMBRA) model is representative caries management system that satisfied new paradigm. Dental caries prevention and treatment according to CAMBRA model is patient-centered, risk-based, evidence-based practice. Therefore, individual caries management such as CAMBRA should be performed through accurate assessment of caries disease indicators and comprehensive assessment of caries risk factors and protective factors. Based on the CAMBRA better effectiveness of comprehensive dental caries management including non-surgical treatment will be accomplished.

A study on the knowledge and attitude of dental hygienists for infection control in dental clinic (치과진료실 감염 예방에 관한 치과위생사의 지식 및 태도 연구)

  • Jeong, Mi-Kyoung;Lee, Ji-Young;Kang, Yong-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.5
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    • pp.935-945
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    • 2010
  • Objectives : The purpose of this study was to examine the knowledge of dental hygienists on infection control in dental office and their attitude toward that in a bid to provide some information on ways of enhancing the level of infection control in dental office. Methods : The subjects in this study were 220 dental hygienists who worked in dental hospitals and clinics in Busan and South Gyeongsang Province. A survey was conducted from May 17 to June 17, 2010, and the answer sheets from 183 respondents were analyzed with a SPSS WIN 12.0 program. Statistical data on frequency, percentage and mean were obtained, and t-test, Pearson correlation coefficient and one-way ANOVA were utilized. Results : They got a mean of $4.59{\pm}.68$ in six categories of infection control knowledge. They had the best knowledge on dental waste disposal, followed by hand washing, post-sterilization management, instrument disinfection and sterilization, surface management of dental equipment and wearing personal protective equipment. They got a mean of $3.99{\pm}.54$ in attitude, and they scored lowest in practice of surface management of dental equipment. Overall, they scored higher in every aspect of knowledge than in attitude(t=11.410, p=.0.000). There was the greatest gap between their knowledge and practice in surface management of dental equipment (t=13.885, p=0.000), and there was the smallest gap between their knowledge and practice in hand washing(t=5.460, p=0.000). And a positive correlation was found between knowledge and attitude, as better knowledge of infection control led to better attitude toward that(p<.001). Finally, concerning infection control knowledge and attitude by general characteristics, the presence or absence of infection control guidelines made differences to infection control knowledge, and infection control attitude was statistically significantly different according to infection control education experiences(t=6.501, p=.012) and the presence or absence of infection control guidelines(t=22.836, p=.000). Conclusions : In order to bolster infection control in dental office, the related system should be improved to legally require dental personnels to implement infection control. Every dental office must be furnished with infection control guidelines, and sustained education should be provided for dental hygienists to carry out infection control.

Influences on Radiation Safety Management Practice of General Characteristics and Radiation Safety Management Practice for Dental Hygienists in Busan and Gyeongnam Province (부산.경남 일부지역 치과위생사들의 일반적 특성과 방사선 안전관리 특성이 방사선 안전관리 실천에 미치는 영향)

  • Seong, Mi-Kyung;Jang, Kyeung-Ae
    • Journal of dental hygiene science
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    • v.13 no.3
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    • pp.264-270
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    • 2013
  • This research, which was conducted for dental hygienists, intended to check out what factors have an influence on their practices by knowledge and attitude on radiation safety management (RSM). This study performed a survey on such an issue from July 2 to August 30, 2012 for 220 dental hygienists who worked in Busan, Gyeongnam areas. The data was analysed using the IBM SPSS Statistics 21.0 program. The results were as follows: As a result of the knowledge according to the general characteristics and RSM, a statistically meaningful difference was found according to the education on radiation and wearing apron. As for the attitude according to the general characteristics and RSM, a statistically meaningful difference was found according to the education on radiation and wearing apron. As to the practice according to the general characteristics and RSM, a statistically meaningful difference was found according to the education on radiation, wearing thermo luminescent dosimeter and wearing apron. When the analysis of safety management practice for radiation was conducted with the independent variables such as knowledge, altitude and health concerns about radiography, it turned out that the factors having an effect on the practice were altitude and health concerns by that order.

Knowledge, practice, and awareness toward oral health in the special school teachers (일부 특수학교 교사의 구강보건지식, 실천 및 인식도 조사)

  • Kim, Jung-Hee;Yoo, JA-Hea
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.5
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    • pp.731-738
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    • 2014
  • Objectives : The purpose of this study is to investigate the knowledge, practice, and awareness toward oral health in the special school teachers. Methods : A self-reported questionnaire was filled out by 133 teachers in special education schools in Seoul, Gyeonggi-do, Chungbuk, and Jeonbuk. Data were analyzed using the statistical package SPSS WIN 12.0 for frequency, t-test, one-way ANOVA, Scheffe test(post hoc test), and Pearson's correlation coefficient. Results : In oral health knowledge, the average score of female teachers was 8.31 in comparison to 7.75 in male teachers(p<.05). In oral health practice, the average score of female teachers was 3.71 and that of male teachers was 3.69. In oral health awareness, the average score of female teachers was 4.12 and male teachers had 3.93. The teachers in special schools had a close positive correlation between oral health awareness and practice(r=.448, p<.05). Conclusions : The teachers tended to have better knowledge of oral health but they did not practice the oral health behavior. The teachers have the important role in oral health management for the disabled children by providing the right toothbrushing method.