• Journal of Korean society of Dental Hygiene
• /
• v.4 no.1
• /
• pp.81-91
• /
• 2004

The ultimate purpose of this study is to provide the basic data for effective intervention of the patients complaining of their aspects and themselves and to help dental hygienists of keep them remaining healthy effectively. The data was collected by questions from 269 people including the outpatients requiring regular care from dental clinic from December 10, 2003 to January 10, 2004. Secord & Jourard's apparatus which measures the degree of self-satisfaction to the body image and Rosenberg's equipment measuring the degree of self-respect were used for this study. The data were analysed using a computerized program named statistical package for social science including t-test, ANOVA and Pearson-correlation coefficient. The result's of this study were summarized as follows: 1. The body image and the sense of self-respect were decided by the various characters of the inquired person. Comparing the inquired person's body image in terms of general background, they showed a big difference in sociability(p=0.004), age(p=0.003), sex(p=0.043). However the experience accident any and the frequency of visiting dental clinic had little effect on deciding their body image. Comparing the self-respect. in terms of the general background, they showed a significant. difference in sociability(p=0.002), age(p=0.041), experience of any accident(p=0.012), whereas age, sex, religion, the frequency of having treatment didn't show any difference with them. 2. The relationship between the score of their body image and the sense of self-respect was positively correlated(r=0.391, p=0.000).

• Korean Journal of Health Education and Promotion
• /
• v.20 no.2
• /
• pp.95-112
• /
• 2003

Objectives： Oral health care program for the elementary school children (ESOHCP) should be met the first priority because dental caries are highly sensitive and prevalent among them. This study was performed to enhance the efficiency of ESOHCP, and their oral health promotion. Methods： The Subjects were 346 students (3rd grade 163, 6th grade 185) of one elementary school in Busan. Dental IQ and actual oral health status； the decayed, mixing and filling teeth were checked through questionnaire and oral health examination from April to June 2002. Dental IQ was presented out of one hundred, and data analysis was done using SAS (ver 8.1) program. Results： The students' cognitive level about the causative and preventive factor of dental caries was relatively high. However, the practical aspects of preventive behavior - tooth brushing； three times per day (20％), three minutes per time (22％), oral health examination； one time per three months (10％) left much to be desired. And, only 27％ of the subjects had experienced in school oral health education. The mean level of dental IQ was 79 out of 100, and 51 ％ and 42％ of them had the decayed and teeth with filling, respectively, with the rate of DMFT 82％, DT 43％, FT 57％. The level of dental IQ was higher in case of having his (her) own tooth brush (p＝0.072), standard tooth brushing (p<0.001) three times per day, post meal, three minutes per time, present experience of oral health examination (p<0.001) and dental clinic visit (p<0.001). The grade of caries was more serious in case of 6th grade (p＝0.059), an absence of his (her) own tooth brush (p＝ 0.090), present experience of oral health examination (p＝0.021), and an absence of regular dental clinic visit (p＝0.003). The frequency of oral health examination (γ＝ 0.620), tooth brushing； times per day (γ＝0.445), post meal (γ＝0.355), expending times per brushing (γ＝0.352), right cognition to the treatment of caries (γ＝0.401), positive attitude to dental treatment (γ＝0.387), the frequency of dental clinic visit for the past one year (γ＝0.152) showed significant correlation with dental IQ. In the multivariate analysis, dental IQ was influenced by the frequency of oral health examination, right cognition to the cause of caries, times of teeth brushing per day, right cognition to the treatment of caries, etc., with adjusted R2＝0.857. Conclusion： Though the students' cognitive level about the causative and preventive factor of dental caries was high, the practical aspects of preventive behavior left much to be desired. Ant the current ESOHCP considered to be still inefficient. However, frequent dental visits had apparent correlation with hish level of dental IQ. The specialized and practical program should be needed for the efficient ESOHCP. Harmonized effort from educational, health and dental society is essential.

• Journal of The Korean Dental Society of Anesthesiology
• /
• v.9 no.1
• /
• pp.9-16
• /
• 2009

Background: This study aimed to evaluate the cooperative levels of dental patients requiring general anesthesia during dental treatments. Anesthetic induction methods for patients were also recorded and analyzed using descriptive statistics. Methods: Total 566 patients who visited Seoul National University Dental Hospital Clinic for Persons with Disabilities were reviewed on pre-anesthetic review and anesthesia records. The cooperative levels of patients were graded by 4 levels and induction methods used for the patients during general anesthesia application were analyzed. Results: More than half of patients(55.8%) were willing to receive the anesthetic induction(cooperative level 1), 18.6% were minimally cooperative(level 2), 20.8% needed physical restraint prior to induction(level 3), and 4.8% was poorly cooperative and induction procedure was performed under an unconscious condition after ketamine intramuscular injection(level 4). There was no gender difference in cooperative levels(P=0.11). Patients over 30 years revealed better cooperation levels compared to other age groups(P<0.05). For patients of level 1, 53.5% were anesthetized in a way of intravenous induction, while 77.1% out of patients of level 3 were anesthetically induced through inhalation method. Conclusion: Many dental patients with special needs were not cooperative to receive anesthetic induction. Additional behavioral support may be applied to poorly cooperative patients for the safe and successful clinical outcome.

• Journal of dental hygiene science
• /
• v.15 no.2
• /
• pp.106-112
• /
• 2015

This study was conducted to provide with baseline data with the purpose of increasing the values of medical services. Self-administered questionnaire survey was conducted on 236 patients at a dental clinic follow-up visit in dentist clinic Gyeongnam area from June 2013 to August 2013. All statistical analyses were performed using SPSS. The motivation visiting the dental clinic is that the first one is introduction from the family and friends, the second is accessibility, the third is conspicuity and the last one is awareness of the dentist. The main variables in the process of treatment are service system, kindness, satisfaction of service, efficient of re-call system. The relief of discomfort at revisit show the highest score in the process of implant treatment and intention of revisit hereafter do in the prostheses process. In the correlation between main variables, service system and relief of discomfort at revisit (r=0.440, p<0.001), kindness and satisfaction of medical service (r=0.675, p<0.001), revisit hereafter and satisfaction of service (r=0.387, p<0.001) and efficiency of re-call system and revisit showed the highest correlation. The influence on satisfaction of dental service show meaningful level in kindness (p<0.001) and efficiency of re-call system (p<0.05). The intention of revisit is affected meaningfully by relief of uncomfort (p<0.05), service system (p<0.05), kindness (p<0.01) and efficiency of re-call system (p<0.01). In summary, the personal network of patients is most important variable at intention for revisit of dental clinic. As satisfaction of kindness and efficiency of re-call system is higher, satisfaction of medical service and intention for revisit are shown higher. Therefore further research for improvement of satisfaction for medical service and of intention of revisit at the dental clinic should be carried out.

• Journal of Korean society of Dental Hygiene
• /
• v.19 no.1
• /
• pp.141-149
• /
• 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.

• Journal of Korean society of Dental Hygiene
• /
• v.15 no.4
• /
• pp.705-711
• /
• 2015

Objectives: The purpose of the study is to evaluate the effect of continuing dental care program by elementary school dental clinic in Gimcheon from 2008 to 2013. Methods: The subjects were experimental group of 152 students from three elementary schools having dental clinics and control group of 136 students from three elementary schools of no dental clinics. The six dentists in Gimcheon community health center carried out the regular dental checkups in the elementary schools and four dental hygienists recorded the dental examination results. After receiving WHO dental survey guideline education, the examiners used dental mirror and dental probe under the natural light. The contents of the survey included dental caries in the deciduous and permanent teeth, malocclusion, remaining ratio of sealant, treatment, and follow up. Results: DFT index by grade showed that 3.71 in experimental group and 4.56 in control group and it was remarkable in the 3rd grade. Thus. DFT index in the experimental group was lower than that of control group (p<0.05). DT index by grade was 0.63 in experimental group and 1.28 in control group marked in the 6th grade. DT index in the control group was higher than that of the experimental group (p<0,001). DFT index and DMFT Index by grade showed no significant difference between the control group and the experimental group. DFT and DMFT Index of the control group in the 3rd and 6th grade were lower score than those of experimental group. DFT and DMFT index in the third and 6th grade showed no significant difference between the control group and the experimental group. The remaining ratio of the sealant was 4.89 experimental group in the 6th grade. The remaining ratio of the sealant in the experimental group was higher than that in the control group. Conclusions: The continuing dental care program in the elementary school is very effective method in the treatment of oral disease in the elementary school children. The oral health care and prevention for the elementary school children should be implemented and carried out continuously.

• The Journal of Korea Assosiation for Disability and Oral Health
• /
• v.5 no.1
• /
• pp.12-17
• /
• 2009

Background : To do dental treatments successfully for dentally disabled patients who are unable to cooperate to procedures needs deep sedation (DS) or general anesthesia (GA). But there are some difficulties in selecting DS because of some disadvantages such as airway problem etc. But, if we select appropriate cases, DS would be better than GA. Methods : We reviewed total 238 cases of patients who had received dental treatments under GA or DS at the clinic for the disabled in Seoul National University Dental Hospital from November 2007 to February 2009. To compare anesthesia condition between DS and GA, we reviewed preanesthesia evaluation sheet, anesthesia or sedation records and PACU sheets retrospectively. Results : The number of DS cases was 25 (11%) and that of GA was 218 (89%). To maintain DS, intravenous propofol was infused with syringe pump (100%), and sevoflurane (134 cases) or propofol (13 cases) were used for sedation induction. Mean total treatment time for DS was 36 min and 2 hour 25 min for GA. The recovery time at PACU was 44 min for DS and 80 min for GA. There were no severe complications in DS, but 18 cases showed nausea and vomiting in GA. Conclusion : Deep sedation for disabled dental patients should be selected for effective behavioral control in conjunction with general anesthesia, considering duration and pain-evoking potentials of dental treatment and type and severity of patients' disabilities altogether.

• The Journal of the Korean dental association
• /
• v.41 no.12 s.415
• /
• pp.818-824
• /
• 2003

Visually guided irrigation and lysis(VGIL) using temporomandibular joint(TMJ) arthroscope is useful for decreasing pain and increasing the functional mobility of TMJ. Also it demonstrated similar effectiveness comparing with arthrocentesis. Arthroscopy permits intracapsular inspection that is imperative not only for identification of morphological characteristics of joint space, but also for adequate irrigation and lysis of specific joint space. Conventional 2.3mm diameter arthroscope with 2.7mm catheter was too wide. So it was traumatic and uncomfortable to manipulate on temporomandibular joint space, especially on TMJ internal derangement patient with reduced space. We report our clinical experience on 6 TMJ closed lock patients who were treated with new 1.2mm fiberscope at Chung Hoon Dental Clinic between March 2003 and August 2003. Also we present clinical advantage & disadvantage of new system with literature review.

• Journal of The Korean Dental Society of Anesthesiology
• /
• v.12 no.2
• /
• pp.105-109
• /
• 2012

The gag reflex is a physiological reaction, but, an exaggerated gag reflex can be a severe limitation not only to treat dental caries but also to do oral exam. Procedures such as surface anesthesia of the palate and pharyngeral area, sedation, or general anesthesia can be options as behavioral management. But, there are no golden rule for the sever gag reflex patients. We present a case report of propofol intravenous sedation using TCI pump for simple dental treatment. A 44-year-old man, who had past history of general anesthesia for dental treatment because of severe gag reflex, was scheduled intravenous sedation for simple dental treatment. After 8 hour fasting he entered the clinic for persons with disabilities. We explained about intravenous deep sedation and got informed consent. First, we kept intravenous catheter (22G) in the arm and started monitoring ECG, non-invasive blood pressure, pulse oximetry and end-tidal $CO_2$ through nasal cannula. We started propofol infusion with TCI pump at the target concentration of 3 mcg/ml. The patient became sedated, but he showed involuntary movement during dental treatment, so we increased the target concentration to 4 mcg/ml. We finished the dental treatment without complications during 30 min. And after 40 min recovery room stay he was discharged without any complications.

• Safety and Health at Work
• /
• v.2 no.4
• /
• pp.348-354
• /
• 2011

Objectives: This cross-sectional study was performed in the Dental School of Prince of Songkla University to ascertain noise exposure of dentists, dental assistants, and laboratory technicians. A noise spectral analysis was taken to illustrate the spectra of dental devices. Methods: A noise evaluation was performed to measure the noise level at dental clinics and one dental laboratory from May to December 2010. Noise spectral data of dental devices were taken during dental practices at the dental services clinic and at the dental laboratory. A noise dosimeter was set following the Occupational Safety and Health Administration criteria and then attached to the subjects' collar to record personal noise dose exposure during working periods. Results: The peaks of the noise spectrum of dental instruments were at 1,000, 4,000, and 8,000 Hz which depended on the type of instrument. The differences in working areas and job positions had an influence on the level of noise exposure (p < 0.01). Noise measurement in the personal hearing zone found that the laboratory technicians were exposed to the highest impulsive noise levels (137.1 dBC). The dentists and dental assistants who worked at a pedodontic clinic had the highest percent noise dose (4.60 ${\pm}$ 3.59%). In the working areas, the 8-hour time-weighted average of noise levels ranged between 49.7-58.1 dBA while the noisiest working area was the dental laboratory. Conclusion: Dental personnel are exposed to noise intensities lower than occupational exposure limits. Therefore, these dental personnel may not experience a noise-induced hearing loss.