• 제목/요약/키워드: Dental screening

검색결과 180건 처리시간 0.03초

국가 구강검진이 어린이의 치아우식 경험, 치료 및 비용에 미치는 영향 (Effects of National Dental Screening on Dental Caries Experience, Treatment, and Cost in Children)

  • 이종형;이한길;손동현;김지훈
    • 대한소아치과학회지
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    • 제47권3호
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    • pp.248-256
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    • 2020
  • 이 연구의 목적은 영유아구강검진의 효과를 치아우식 예방, 우식 치료행위, 치과진료비용이라는 다각적 관점에서 분석, 평가하는 것이다. 국민건강보험공단에서 제공하는 영유아검진코호트 데이터베이스를 활용하였고, 2008 - 2015년에 시행된 구강검진 1차 32,937건, 2차 22,608건, 3차 13,708건 및 2008년생과 2009년생 27,944명의 치과 진료 241,043건을 분석하였다. 2차와 3차 구강검진 결과를 통해 산출한 우식경험유치지수와 유치우식경험자율은 각각의 선행 구강검진 수검 횟수가 증가함에 따라 감소하였다. 유치의 급여 수복치료 및 치수치료, 유견치와 유구치의 조기 발치 시행 횟수는 구강검진 수검 횟수가 증가함에 따라 감소하였고, 전체 급여 치과진료비용 또한 수검 횟수가 증가함에 따라 감소하였다. 영유아구강검진은 치아우식을 예방하여 치아우식 관련 치료의 가능성을 줄이고, 따라서 치과진료비를 절감하는 효율적이고 경제적인 구강 건강 관리 방법이다.

구강암의 간편 진단 기법 (Diagnostic aids for the detection of oral cancer)

  • 방강미;김성민;명훈;김명진;이종호
    • 대한치과의사협회지
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    • 제49권3호
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    • pp.146-152
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    • 2011
  • Historically, the screening of patients for signs of oral cancer and precancerous lesions has relied upon the conventional oral examination. A variety of commercial diagnostic aids and adjunctive techniques are developed to potentially assist in the screening of healthy patients for evidence of occult cancerous change. This paper is reviewing the literature associated with current oral cancer screening aids such as spectroscopy, chemoiluminescence, exfoliative cytopathology, vital staining and saliva as a diagnostic tool. Despite the increased public awareness of oral cancer, no technique or technology to date has provided definitive evidence to suggest that it improves the sensitivity or specificity of oral cancer screening beyond clinical oral examination alone.

국가 영유아 구강 검진의 수검률과 수검 결과에 대한 분석 (Analysis of the Screening Rates and Examination Results of the National Dental Screening for Infants and Children)

  • 이지현;이재희;전새로미;오소희
    • 대한소아치과학회지
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    • 제50권4호
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    • pp.385-395
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    • 2023
  • 이 연구의 목적은 영유아 구강 검진이 시행된 이래의 수검률과 수검 결과에 대해 분석하는 것이다. 국민건강보험공단에서 제공하는 건강검진 통계연보 자료를 활용하였으며, 2008년부터 2021년까지의 연도별, 연령별, 지역별 수검률, 그리고 연도별 수검 결과에 대해 분석하였다. 영유아 구강 검진의 수검률은 해가 지남에 따라 전반적으로 증가하였고, 연령군이 증가함에 따라 수검률은 감소하였다. 지역에 따른 수검률은 세종에서 가장 높게 나타났고 전북에서 가장 낮게 나타났다. 영유아 구강 검진의 수검 결과, 연령군이 증가함에 따라 치료 필요 비율이 높게 나타났다. 2008년부터 2013년까지의 수검 결과에서 18 - 24개월과 18 - 29개월의 치료 필요 비율은 15% 미만으로 나타났고, 이외 연령군에서는 치료 필요 비율이 30% 이상으로 나타났다. 2014년부터 2021년까지의 수검 결과에서 18 - 29개월의 치료 필요 비율은 15% 미만으로 나타났고, 이외 연령군에서는 치료 필요 비율이 40% 이상으로 나타났다. 구강 건강의 향상을 위해 영유아 구강 검진에 대한 적극적인 참여를 유도해야 할 것이다.

IDIOS: An innovative index for evaluating dental imaging-based osteoporosis screening indices

  • Barngkgei, Imad;Halboub, Esam;Almashraqi, Abeer Abdulkareem;Khattab, Razan;Al Haffar, Iyad
    • Imaging Science in Dentistry
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    • 제46권3호
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    • pp.185-202
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    • 2016
  • Purpose: The goal of this study was to develop a new index as an objective reference for evaluating current and newly developed indices used for osteoporosis screening based on dental images. Its name; IDIOS, stands for Index of Dental-imaging Indices of Osteoporosis Screening. Materials and Methods: A comprehensive PubMed search was conducted to retrieve studies on dental imaging-based indices for osteoporosis screening. The results of the eligible studies, along with other relevant criteria, were used to develop IDIOS, which has scores ranging from 0 (0%) to 15 (100%). The indices presented in the studies we included were then evaluated using IDIOS. Results: The 104 studies that were included utilized 24, 4, and 9 indices derived from panoramic, periapical, and computed tomographic/cone-beam computed tomographic techniques, respectively. The IDIOS scores for these indices ranged from 0 (0%) to 11.75 (78.32%). Conclusion: IDIOS is a valuable reference index that facilitates the evaluation of other dental imaging-based osteoporosis screening indices. Furthermore, IDIOS can be utilized to evaluate the accuracy of newly developed indices.

지역사회 주민들의 구강검진 여부에 따른 구강건강관리행태 (2014년도 지역사회 건강조사 경남지역 자료이용) (Oral health care behavior according to dental screening of local community residents (Using community health survey data 2014))

  • 윤현서;채유정
    • 한국산학기술학회논문지
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    • 제18권8호
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    • pp.265-272
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    • 2017
  • 본 연구는 2014년도 질병관리본부에서 실시하는 지역사회건강조사 자료를 이용하여 경상남도 지역주민 17810명을 대상으로 구강검진 여부와 건강관리행태의 관련성을 분석하였다. 통계 프로그램은 SPSS ver. 23.0을 사용하였다. 일반적 특성에서 구강검진 경험은 남자, 30-49세, 시 지역 거주, 대졸 이상, 가구소득 월 600 이상, 경제활동을 하는 경우 높았다. 구강건강관리에서 구강검진 경험은 스켈링을 하고, 점심 식 후 칫솔질, 취침 전 칫솔질, 4회 이상 칫솔질을 하는 경우 높았다. 생활습관에서 구강검진 경험은 음주를 하는 경우, 만성질환 유무에서 고혈압, 당뇨병, 뇌졸중, 심근경색증 및 협심증의 만성질환에 노출되지 않은 경우 구강검진 경험이 높았다. 주관적 건강인식(3.28점)과 주관적 구강건강인식(2.87점)은 구강검진 경험이 있는 경우 높았다(p<0.001). 따라서 구강검진 여부가 주관적 건강인식수준과 생활습관이나 만성질환과 관련이 있어 현재 구강검진 수진율을 향상하기 위한 방안을 마련하여야 하며, 정기적인 구강검진에 대한 인식도를 증진하기 위한 교육프로그램의 개발 또한 필요할 것으로 사료된다.

일부 지역 치과위생사의 치과 건강보험에 관한 지식 및 심사조정률에 미치는 요인 (Analysis of the knowledge and insurance screening review rates of health insurance claims in the dental hygienist)

  • 박신영;문혜리
    • 한국치위생학회지
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    • 제15권3호
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    • pp.353-361
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    • 2015
  • Objectives: The purpose of the study is to investigate the level of knowledge and screening review rates of dental health insurance claims in dental hygienists. This analysis will provide the educational information to the dental hygienists. Methods: A self-reported questionnaire was completed by dental hygienists in Jeonbuk from December 17, 2012 to January 24, 2013. The questionnaire was distributed by ordinary mail or direct visit. Except incomplete answers, 350 data were collected and analyzed. The study instrument was adapted from the structured questionnaire by Hong and Yoo. The questionnaire consisted of education experience of health insurance management, subjective and objective knowledge, insurance screening review, and need for health insurance education. Data were analyzed by SPSS 12.0 program. Cronbach alpha in the objective knowledge on health insurance rate criteria was 0.836 and this was a reliable figure. Results: The subjective knowledge level of dental insurance was higher in the senior dental hygienists. Subgingival curettage was the lowest percentage of correct answers in the objective knowledge. In recent six months, higher review control rate was shown in the higher claim for health insurance and insurance screening review. Conclusions: The majority of the respondents had lower level of knowledge of health insurance claims. The continuous education of dental health insurance will be necessary in the dental hygienists.

치과 진료실에서의 신록 구강 점막 도말 HIV 항체 검사에 한 태도 및 지식에 관한 연구 (Attitudes about rapid Oral HIV screening test in dental clinics)

  • 박정철;김용태;정임희;엄유정;정의원;김창성;조규성;채중규;김종관;최성호
    • 대한치과의사협회지
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    • 제47권5호
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    • pp.291-296
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    • 2009
  • Purpose : The aim of this studγ was to evaluate the patient's and dentist's perspective and knowledge on rapid human immunodeficiency virus screening test in dental setting. Material and Methods: In March 2009, 100 patients and 100 dentists at College of Dentistry, Yonsei University were provided an attitude assessment survey. Results : Results were analyzed for acceptance of testing and potential barriers. 94% of patients agreed to take a rapid HIV screening test and 77% of dentists were willing to provide the test to their patients. Also the current knowledge state of patients and dentists on HIV infection was not accurate as expected. Conclusion : Overall, dental clinic patients widely accepted the offer of rapid oral HIV screening. Rapid HIV screening test in the dental setting ran be an important option to increase the number of individuals who know their HIV status.

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신속 구강 점막 도말 HIV 항체 검사에 대한 일반인/의료진의 사용 후 반응도 연구 (Response of ordinary person/medical team after using of rapid oral HIV screening test)

  • 황지완;박정철;최성호;김선종;강희정;이종호;신승철;차영주
    • 대한치과의사협회지
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    • 제49권1호
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    • pp.38-44
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    • 2011
  • The aim of this study is to evaluate the patient's and clinician's response to rapid oral HIV screening test. Attitude assessment survey was carried out on patients test with rapid oral HIV screening test and clinicians who conducted the test. The patients and clinicians were present at the dental hospital and clinics which were participating in the research project, between March and May 2010. Rapid oral HIV screening test is safe and efficient to the patients. It also demonstrated reliability to accuracy and confidentiality, and high recommendation to rapid oral HIV screening test. The clinician survey revealed high test convenience and high appraisal to patient satisfaction. In conclusion, if rapid oral HIV screening test becomes more common, patients will receive safe and convenient and high reliable HIV infection test, while clinicians will be able to create safe dental care environment.

Antibody-based Screening of Porphyromonas gingivalis Proteins Specifically Produced in Patients with Chronic Periodontitis

  • Kim, Hye-Jung;Lee, Seok-Woo
    • International Journal of Oral Biology
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    • 제43권4호
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    • pp.201-207
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    • 2018
  • Porphyromonas gingivalis is among the major etiological pathogens of chronic periodontitis. The virulence mechanisms of P. gingivalis is yet to be identified as its activity is largely unknown in actual disease process. The purpose of this study is to identify antigens of P. gingivalis expressed only in patients with chronic periodontitis using a unique immunoscreening technique. Change Mediated Antigen Technology (CMAT), an antibody-based screening technique, was used to identify virulence-associated proteins of P. gingivalis that are expressed only during infection stage in patients having chronic periodontitis. Out of 13,000 recombinant clones screened, 22 tested positive for reproducible reactivity with rabbit hyperimmune anti-sera prepared against dental plaque samples acquired from periodontitis patients. The DNA sequences of these 18 genes were determined. CMAT-identified protein antigens of P. gingivalis included proteins involved in energy metabolism and biosynthesis, heme and iron binding, drug resistance, specific enzyme activities, and unknown functions. Further analysis of these genes could result in a novel insight into the virulence mechanisms of P. gingivalis.

Evaluation of Head and Neck Cancer Awareness and Screening Status in Jeddah, Saudi Arabia

  • Alhazzazi, Turki Y
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1135-1139
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    • 2016
  • Background: Head and neck cancer (HNC) is one of the deadliest cancers worldwide. Early detection is a key determinant of HNC prognosis. Hence, raising awareness of this disease may improve survival rates. The present study evaluated the level of awareness and screening status for HNC in the general population of Jeddah, Saudi Arabia. Materials and Methods: An e-questionnaire was distributed during our HNC awareness campaign at the Red Sea Mall in Jeddah. The questions assessed HNC knowledge and screening status among participants. Results: Of the 112 respondents, 68% indicated that they had no knowledge of HNC. Social media was the major source of information (39%) for respondents. The majority (40%) believed that it was the joint responsibility of dentists, dental hygienists, and general physicians to screen for HNC; 82% had never been screened. Conclusions: Knowledge and awareness of HNC must be increased in the general population and among dental health professionals.