• 대한치과의료관리학회지
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• 제8권1호
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• pp.15-23
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• 2020

The aim of this study is to identify future-oriented tasks for Korean dental hygienists based on a literature review. A literature search is performed using 14 keywords related to tasks carried out by dental hygienists, and included articles published from 2000 to 2019 in the databases KISS, RISS, DBpia, NDSL, Papersearch, Pubmed, and Google Scholar. Six reviewers assessed the titles and abstracts of articles, and an article was selected if the study was considered to cover future-oriented tasks for Korean dental hygienists. Based on the results six local studies and two foreign studies were used for literature review and data extraction. In total, 38 tasks were classified as future-oriented tasks of dental hygienists according to the following criteria: 1) tasks that were specifically referred to as future-oriented tasks, and 2) tasks that could be classified as future-oriented tasks although no specific reference was made. Of these, the most frequently mentioned tasks were measuring periodontal pocket depth, dental hygiene assessment, providing dietary advice, infiltration anesthesia, and root planing. These were extracted from five of the eight studies, including both local and foreign studies. Dental hygiene planning, emergency, emergency management, and smoking cessation were the next most common tasks based on four studies. Even though some of these future-oriented tasks for Korean dental hygienists are included in the dentistry curriculum, and are currently performed as clinical practice for dental hygienists. Nonetheless, the reference to the legal scope is unclear. It is necessary to reconsider the scope of tasks of dental hygienists to reflect changes in domestic and foreign dental care delivery, thereby contributing to the oral health promotion of the public, where safety is guaranteed under legal protection.

• 한국학교ㆍ지역보건교육학회지
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• 제15권2호
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• pp.39-49
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• 2014

Objectives: University students's oral health care practice and oral health status are very important. Because its affect their systemic disease, so as to have confidence, and to be eager to study. However if they feel dental fear, they avoid dental treatment. It is miss opportunities of early treatment and prevention treatment and have little effect on dental treatment. The aim of this study was to investigate the factors influencing dental fear of university students to reduce their dental fear. Methods: A total of 366 self-administered questionnaires were collected from university student in Cheon-an. To investigate the factors influencing dental fear of university students, t-test, one-way ANOVA, correlation analysis, linear regression analysis were carried out by using SPSS ver. 18.0 Results: University students feel the most fear of specific dental stimuli. Especially, 'Feeling the needle injected'. University Students felt dental fear in order of 'fear of specific dental stimuli', 'physiologic arousal', 'avoidance fear'. 'Feeling the needle injected', they felt severe dental fear. 'My muscles become tense' of Symptoms they feel dental fear was the most frequent Sex affects avoidance fear, physiologic arousal, fear of specific dental stimuli and dental fear. Femal feel more its than male. The time since last dental clinic visit affects physiologic arousal, fear of specific dental stimuli and dental fear. Group do not visit the dental clinic within a year feel more its than others. Conclusions: To reduce dental fear in university students, it is necessary to make them visit dental clinics frequently and dental staffs consider their sex. Therefore, Department of dental hygiene and dentistry must be added the management of dental fear of the curriculum. In addition, it must be emphasized that to visit dental clinics frequently for university students.

• 대한치과의사협회지
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• 제48권8호
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• pp.587-593
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• 2010

The management of malignant tumors of the oral cavity requires that the resection should be performed with adequate negative margins. To this end, the surgeon is sometimes required to increase the access to the oral cavity to resect with clear margins although most of our resections can be carried via the transoral route. This article highlights some of the most common surgical accesses to the oral cavity: Peroral approach, mandibulotomy and mandibular swing approach, visor flap approach, upper & lower cheek flap approach, pull-through technique. Also, various modes of management are grossly described according to primary site, size, and stage of the tumors.

• 보건행정학회지
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• 제12권1호
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• pp.84-101
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• 2002

This study collected and analyzed the datum related to consultation fee in National Health Insurance Corporation and characteristics of dental clinics for 819 dental clinics in Daegu and Kyungpook districts to specify the distribution and concentration rate of health insurance consultation fee and the critical elements of insurance consultation fee income. The average health insurance consultation fee per one dental clinics is 77.2 million won and the case of women dentists is 78.7 million won. That is higher than 79.9 million won that the case of man dentist. According to age, under 39 is 85.5 million won that is highest, declining little by little above 60s the number decreased to merely 23.9 million won. And the dentists whose business years from 5 to 10 are the highest and declining gradually. The more of engaging members to dental clinics is the larger the income. The average insurance consultation fee of Daegu province is 69.3 million won, but that of Kyungpook is 89.6 million won. Decile distribution ratio of dental clinics consultation fee income is 0.526 and Gini coefficient is 0.303. Decile distribution ratio of Daegu district is 0.489, Gini coefficient is 0.320. This explain the larger inequality compared with Kyungpook(0.623, 0.273). With age, Gini coefficient of below 39 is 0.260, the higher age is, the larger the number is, up to abode 60 the coefficient is 0.504, the degree of inequality is most extremely. insurance consultation fee and the number of cases of consultation is related to the age of dentists, duration of practice, the number of dentists and staffs engaging and provinces. That is, the lesser the age is, the longer the years of engaging are, the more the number of dentists and staffs we, the larger insurance consultation fee income and the number of cases of consultations we. And the fee fur one case is closely related to age and provinces. The fee for one case is higher in lower age, and that of in Daegu dental clinics is higher than in Kyungpook.

• 대한치과의사협회지
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• 제43권1호통권428호
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• pp.41-52
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• 2005

Information Technology has extended its scope to the medical field as well as dental field. Like medical field, network ststem for dental field requires acquisition, storage, and display of images. However, unlike the medical field, the system to integrate several information including medical images has not been developed according to industrial standard for management of digital image for medical use, so called DICOM conformance. which makes the digital environment in dental field more and more difficult and expensive for this standardization and comfortable communication in LAN and WAN. To solve this problem, the DICOM encoder and server has to be developed because the DICOM file can be easily retrieved with patient's information from the DICOM server in the system as DICOM file has the standard specification to integrate the patient's information. The information including image and other discrete data can be easily integrated in DICOM file and can be used without any difficulty for precise diagnosis and for contribution to the decision making for each treatment protocol. Therefore, the system composed of DICOM encoder and server in dental practive for DICOM file must be developed with prudent consideration of the several strategic factors: I) Enhanced diagnostic capability through the integrated information of image and clinical data. ii) Clinician-friendly interface to simulate the systemic treatment procedure in clinical practice iii) Implementation of multidisciplinary treatment protocol The development of DICOM encoder and server based on these strategic considerations will provide paperless and filmless hospital environments by the seamless integration and management of patient's history, several clinical data and clinical images through image processing for quantitative analysis. The system also allows clinicians to provide more predictable dental care for the patients.

• 한국치위생학회지
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• 제19권1호
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• pp.141-149
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• 2019

Objectives: To investigate the real-world re-use of disposable dental supplies (DDS) in dental offices and assess the relationship between general characteristics of dental hygienists and reuse of DDS, with respect to infection control characteristics. Methods: A questionnaire was administered to 277 dental hygienists to assess their general characteristics, awareness of infection control/DDS management, and re-use of DDS. Nine DDS were categorized into the following categories based on their purpose: Critical, Semicritical, Noncritical, and Personal protective equipment (PPE). The association between general characteristics of dental hygienists and re-use of DDS, with respect to infection control characteristics, was assessed using the chi-squared test. Results: All 9 DDS were re-used to different extents. The highest reuse rate of supplies were for masks (64.6%), prophylaxis cups (61.0%) and plastic saliva ejectors (30.0%). Overall, 89.5% of the participants re-used DDS; subgroup analysis showed the following proportions of specific DDS re-use: PPE 66.4%; Semicritical DDS 63.9%; Noncritical DDS 19.5%; and Critical DDS 1.8%. Based on the type of clinic, the rate of re-use was higher in dental clinics than dental hospitals. Thus, the re-use of DDS may be caused by inappropriate or nonexistent guidelines or habitual practice, rather than the awareness or attitude of dental hygienists. Conclusions: In order to ensure a safe environment within the dental clinic, DDS classifications must be clearly outlined in the dental infection control guidelines; moreover, additional studies are needed regarding the regulations for DDS re-use and disposal.

• 치위생과학회지
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• 제15권2호
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• pp.172-181
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• 2015

본 연구는 치과위생사의 방사선안전 관리 실태 및 방사선 위해 불안감에 대하여 조사하고 영향을 미치는 요인들을 분석하여 방사선 안전 관리 수준을 향상하고 나아가 방사선 취급에 대한 올바른 인식 전환과 불안감을 줄이는데 기여하고자 실시하였다. 구조화된 설문지를 이용하여 2014년 9월 1일부터 10월 31일까지 전라북도 일부 지역 치과의원에 근무하는 치과위생사를 대상으로 수집된 자료를 분석하여 다음과 같은 결론을 얻었다. 방사선안전 관리에 대한 교육은 교육받지 않았다는 응답자(63.0%)가 교육받은 응답자(37.0%)보다 높게 나타났고 방사선안전 관리 지식도는 총 5점 중 평균점수는 $3.74{\pm}0.83$으로 평균보다 높았으며, 방사선안전 관리 행위 실천은 평균점수가 $2.58{\pm}1.11$로 평균보다 낮았다. 방사선 위해 불안감은 평균점수는 $3.88{\pm}0.92$로 높았으며, 임신 중일 때 태아의 건강 문제가 염려된다는 $4.43{\pm}0.71$로 가장 높게 나타났다. 방사선안전 관리 지식에 영향을 미치는 것은 '하루 방사선 총 촬영 횟수'에서 유의한 차이가 있었고(p<0.05), 방사선안전 관리행위 실천에 영향을 미치는 것은 '연령대', '최종학력', '한 달 소득', '근속연수', '업무영역', '현재 직위', '현재 방사선 촬영 여부'에 따라 유의한 차이가 있었다(p<0.05). 또한, 방사선안전 관리 지식은 방사선안전 관리행위 실천과 음의 상관관계(r=-0.232), 방사선 위해 불안감과는 양의 상관관계를 보였다(r=0.262). 대상자의 방사선 위해 불안감 영향은 방사선안전 관리 지식이 높을수록(${\beta}=0.252$, p<0.001), 방사선 촬영 업무 기간이 짧을수록(${\beta}=-0.341$, p<0.05) 유의하게 영향을 미치는 요인으로 나타났다. 이상의 연구결과로 치과위생사는 방사선 안전 관리에 관한 지식은 있으나 행위 실천이 부진한 실태와 방사선 위해에 대한 높은 불안감을 개선하기 위한 대책이 필요할 것으로 생각된다. 또한, 향후 환자와 진료 종사자의 방사선 피폭에 대한 정신적, 신체적 위해를 예방하여 방사선에 대한 안전 관리 수준을 향상하게 시켜 진료환경을 개선하고 나아가 방사선 취급에 대한 올바른 인식 전환을 위한 방안이 마련되어야 할 것이다.

• 융합정보논문지
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• 제10권5호
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• pp.168-176
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• 2020

본 연구는 성인의 주관적 구강 건강상태와 건강 실천행위가 구강 건강 관련 자기효능감에 미치는 영향을 파악하고자 부산광역시에 거주하는 성인을 대상으로 설문 조사를 시행한 후, SPSS 21.0 프로그램을 사용하여 분석하였다. 주관적 구강 건강 상태가 좋을수록 칫솔질 관련 자기효능감(p<.001)과 구강 건강관리 자기효능감(p<.01)이 유의하게 높게 나타났고, 건강 실천 행위를 이행할수록 칫솔질 관련 자기효능감(p<.001)과 구강 건강관리 자기효능감(p<.001)이 유의하게 높게 나타났다. 주관적 구강 건강상태가 좋을수록 구강 건강 관련 자기효능감에 긍정적 영향을 미치며(p<.001), 운동, 건강 책임이행, 흡연 순으로 건강 실천 행위를 이행할수록 구강 건강 관련 자기효능감에 긍정적 영향을 미치는 것으로 나타났다(p<.05). 따라서 전신건강과 구강건강의 상호 융합적 계속 구강 보건 프로그램 개발의 기초 자료로 활용되어 성인의 포괄적 건강 및 구강건강 증진에 기여하고자한다.

• 치위생과학회지
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• 제15권4호
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• pp.399-406
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• 2015

치과의료기관의 감염관리 수행 조사를 위해 2014년 6~7월 기간 동안 일부 지역사회 치과위생사 158명을 대상으로 기관, 감염관리자, 환자의 감염관리 수행을 자기기입식 설문조사하였다. 치과병원은 감염관리지침서 구비, 감염관리 담당자 지정, 정기감염관리 교육지원, 1인 멸균핸드피스 사용 비율은 57~74%였으나 치과의원은 13~20% 수준이었다(p<0.05). 감염관리자의 감염관리지침 인지는 치과병원 17.4%, 치과의원 5.9%였고 정기예방접종 시행은 치과병원 60.9%, 치과의원 34.1%였다(p<0.05). 환자의 손 위생 수행, 진료 전 칫솔질, 교차 감염 교육경험은 20% 미만이었고, 병력조사 협조는 90% 이상이었다(p<0.05). 감염관리 실천 상관분석 결과 기관 지원은 치과위생사 감염관리자실천, 환자감염관리협조, 개인방호실천, 진료실감염관리실천, 폐기물관리실천과 양의 상관관계를 나타내었으며 통계적으로 유의하게 분석되었다(p<0.05). 감염관리 실천을 위해 의료진, 환자, 기관의 지원과 협조가 요구되며 감염관리 관리자는 지속적인 교육을 통해 감염관리지침을 인지하고 실천할 것이 요구된다.

• 치위생과학회지
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• 제13권4호
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• pp.410-417
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• 2013

본 연구는 치위생과 학생들의 감염관리 인식 및 실천도를 분석하고자 2013년 3월 25일부터 6월 14일까지 광주 및 전남지역의 치위생과에 재학중인 학생 324명을 대상으로 설문조사 실시하였으며 다음과 같은 결론을 얻었다. 1. 학년별에 따른 감염성 질환에 대한 인식도를 조사한 결과 2학년이 가장 높게 나타났으며, 환자대상 스켈링 경험이 있는 경우가 감염성 질환에 대한 인식도가 높게 나타났다(p<0.05). 2. 예방접종여부와 감염방지 교육경험에 따른 감염성 질환 인식도를 조사한 결과 예방접종 여부 및 감염방지 교육 경험 따른 감염성 질환 발생위험 수위의 경우 'B형 간염'이 가장 높은 비율을 보였고, '결핵', 'AIDS'가 가장 낮게 나타났다(p<0.05). 3. 연구 대상자의 특성에 따른 손씻기 실천도는 학년이 올라갈수록 중요시 생각하고 실천하는 것으로 나타났다(p<0.05). 4. 예방접종여부에 따른 손씻기 실천도는 예방접종, 감염 방지 교육경험, 환자대상 스켈링 경험이 있는 군이 높게 나타났다(p<0.05). 이상의 결과로 볼 때 감염관리교육을 경험한 학생들의 감염관리 인식 및 실천도가 높게 나타났으므로 정기적인 감염 관리 교육을 통하여 중요성을 인식시키고 실천도를 높일 수 있는 효과적인 감염관리에 크게 기여할 것으로 생각된다.