• 대한소아치과학회지
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• 제44권3호
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• pp.384-389
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• 2017

치과에 대한 거부감은 치과 치료의 역사만큼이나 오래되었다. 역사와 함께한 치과 치료 기술은 절개와 절삭을 포함하는 효과적인 치료와 함께 통증을 최소화하도록 지속적으로 발전하였으나 치과에 대한 부정적 인식은 기술의 발전만큼 감소하지는 못하였다. 특히 소아치과 환자들은 외부 자극에 대한 저항성, 정신적 발육, 인내심 등의 부족과 함께 부모의 영향을 포함하는 양육 방식의 변화로 인하여 DFA(dental fear and anxiety) 및 DBMP(dental behavior management problem)을 경험할 수 있다. 치과에 내원하는 환아가 경험하는 다양한 자극들 가운데 심리에 영향을 주는 요소들로는 치과의사, 치과 진료 기구들이 있으며 치과의사와 관계를 형성하는데 영향을 주는 사회적인 요인이 존재한다. 특히 최근에는 스마트폰과 관련한 중독이 사회문제로 대두되고 있으며 스마트폰의 사용이 구강에 미치는 영향과 치과에서 보이는 행동에 미치는 영향에 대해 알아본다.

• 한국치위생학회지
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• 제15권5호
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• pp.759-765
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• 2015

Objectives: The purpose of the study was to investigate the choice motivation of dental clinics by patients. Methods: A self-reported questionnaire was completed by 577 patients visiting the dental clinics from October 6 to 25, 2014 in G city after explaining the purpose of the study and receiving the informed consent. The questionnaire consisted of sociodemographic characteristics and choice motivation of dental clinics using Likert 5 point scale. Results: 1. The traffic convenience was the highest in those who were the 30s (3.37) and unmarried person (3.30). Those having moderate oral health condition showed 3.23. The regular checkup group had 3.33. The physical environment was the highest in the 20s (3.37) and the unmarried persons (3.33). Those having master's degree showed 3.86. The reputation of the dental clinic image was the highest in those having master's degree (3.63). Those having moderate oral health condition had 3.28. The main reason for dental clinic visit was tooth extraction (3.79, p<0.05). 2. The top priority choice for the dental clinic was the access to the dental clinic and the next reason was reputation for the dentist. The other choice factors included trust for the dentist, recommendation, and night treatment. Conclusions: The important choice for the dental clinic included the access to the dental clinic and reputation for the dentist.

• 한국치위생학회지
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• 제9권2호
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• pp.193-205
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• 2009

The purpose of this study was to use the result as basic resources for oral health project for elderly people. we found the needs of oral health project and perceived oral health status, oral health knowledge, attitude, behavior of elderly people. we conducted a study on 194 elderly more than 60 years living in several social welfare facility, asylum, or care centers in Jeolla province. Through self-filled questionnaires and direct interviews from December 2008 to January 2009. The obtained result were as follows. 1. In perceived oral health status, 57.7% of respondents said they have hypersensitivity and 42.8% of respondents needed denture. 2. In oral health promoting behavior, 67.0% of respondents said they didn't have any tooth brushing and 45.9% of respondents said they haven't visited to dentist for the last year. 3. In oral health knowledge, 94.8% of respondents gave correct answers on dental caries prevention but only 7.2% of respondents gave correct answers on dental caries cause. 4. In oral health attitude, 40.2% of respondents said they don't recognize the importance of oral hygiene devices. 46.9% of respondents the unnecessary to see a dentist even though they don't have toothache. 5. Needs of oral health project, 53.6% of respondents said they wanted to have a dentist come over their house. Therefore, oral health projects should have vehicles of dental treatment equipment. It is necessary to visit places where elderly people live and treat them in person. Also, it is vital to continue educate people about oral health knowledge in a systematic way to change their attitude toward oral health. Moreover, it is necessary to implement oral health promotion behavior more proactively.

• 한국치위생학회지
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• 제7권3호
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• pp.231-245
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• 2007

This study aims to discuss plans to improve the satisfaction level of dental services by understanding characters of beliefs about dental manpower and analyzing its related factors. Data were collected by structured questionnaire whose subjects consist of 1607 persons from 13 years old to 69 years old, who have ever experienced dental institution. Both univariate and biovariate analyses were employed to analyze level of dentist and dental hygienist's beliefs and its related factors and the results gained from the surveys and search are as follows. 1. Among the questions to measure dentist's beliefs, 'Respect for patients' was evaluated as the best, and the lowest items were 'not-hopeful explanation about prognosis of dental treatment', 'satisfactory explanation' and 'whether treatments are stopped by pains or not'. In addition, among questions to measure dental hygienist's beliefs, 'kindly welcome' and 'detailed explanations about medical directions' are the items evaluated as the best and 'notice of waiting time' marked the lowest evaluation. 2. The factors related to beliefs about dentists were age, ache experiences, dental fear, self-reported dental health status, frequence and primary purposes of the visits dental institutions, elapsed time from recently visited, present of favorite dental clinic to visit regularly. 3. The factors related to beliefs about dental hygienists were age, education, occupation, ache experiences, frequence and primary purposes of the visits dental institutions, periodic check of teeth, present of favorite dental clinic to visit regularly. 4. Direct painful, painful treatment experience under insufficient local anesthetic, indirect painful experience and dental fear were positively correlated. And the relationships were positive between ache experiences, dental fear and self-reported dental health status, but relationships were negative between ache experiences, dental fear and dentist! dental hygienist's beliefs.

• 대한소아치과학회지
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• 제32권4호
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• pp.589-594
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• 2005

혈우병은 성염색체 열성 유전양식에 따라 유전되는 출혈성 질환으로서 응고인자의 결핍이나 결손에 의해 혈액응고 시간이 지연되게 된다. 과거에는 혈우병 환자의 치과치료시 과다출혈의 위험성 때문에 치과시술을 위해서는 입원하여 내과 전문의나 혈액 전문의가 출혈을 조절하도록 하여 치료하는 것이 바람직한 것으로 여겨졌으나, 최근의 혈액응고기전에 대한 이해와 의료기술 발전에 의해 출혈을 좀더 효과적으로 조절할 수 있게 되었다. 본과에 내원한 혈우병 B, 중증과 혈우병 A, 중증에 해당하는 환아에서의 관혈적인 치과치료를 시행하여 각각의 과정 및 치료원칙에 관하여 다음과 같이 보고하는 바이다. 1 혈우병 환자의 치료시에는 반드시 환자의 내과 소아과 또는 혈액 전문의와 상의하여 긴밀한 협조하에 치과 치료를 시행하도록 한다. 2. 환자의 치료방법은 환자의 전신상태와 협조도 및, 필요한 시술의 위험성 정도에 따라 결정하도록 한다. 3. 치과치료의 전과 후에 혈액응고인자의 투여 등으로 발생하는 불편과 합병증의 기회를 최소로 하기 위해 치료를 위한 내원 횟수를 가능한 한 줄여주는 것이 바람직하며, 치료 시에는 감염을 예방하고 지혈을 도울 수 있는 치료를 시행해야 한다.

• 대한치과의사협회지
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• 제57권8호
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• pp.428-436
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• 2019

In cases of a patient referral, the general dentist should communicate the patient's dental information as clearly as possible to the specialist to whom he/she is referring his/her patient. For this reason, it is necessary to write a referral letter in an accurate and complete manner. The purpose of this study is to analyze the referral letters of patients who are referred to the department of conservative dentistry in a dental university hospital. From January, 2017 to December, 2018, we gathered the information of the patients who were referred to the department of conservative dentistry in a dental university hospital with referral letter. We evaluated the fidelity of a total of 750 referral letters and recorded the information of the referral dentist and the dental clinic. The relationship between each item and fidelity was analyzed using SPSS 18.0 program. The analysis of the contents of the referral letters yielded the following results: The fidelity of the referral letter was higher when the patient was referred during the root canal treatment, or when there was a root canal filling or when there was pain during chewing. The fidelity of referral letter was low in cases where the referring clinic is close to and has cooperative relationship with dental university hospital. Among the factors affecting the fidelity, the year of graduation of the referral dentist was the most influential. This study confirmed the fact that the clinical practice of writing patient referral letters still leaves much to be desired. In order to solve this problem, it is necessary to create more clear and standardized guidelines for writing referral letters.

• 한국치위생학회지
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• 제11권3호
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• pp.325-341
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• 2011

Objectives : This research has investigated the reality of the education of the claim and the degree of the education for the claimed of the dentistry recuperation organization in the Daejeon and Chuncheong are for the improvement of the problem in the medical expenses. Methods : It use as a basic data for the vitalizations of the education and performed the survey in the dentistry recuperation organization in the Daejeon and ChungCheong Nam BukDo which are registered in the evaluating organization for judging the health insurance in the present May 2010, and concluded just like the below. Results : 1. The education of the claim in the requirer in the dentistry recuperation organization, and the education of the claim was especially lacking when the dentist was studying in the university, and the dental hygienist had the similar educational experience in the school and the clinic (p<0.05) 2. Most of the requirer in the dental recuperation organization was hoping to get the education related to the claim work, but the dentist and the nurse's aid was relatively low (p<0.05) 3. For fixing the error of the claim, the participation and the extension of the judging standard of the insurance was the highest among the university subordinate dental hospital/dental hospital, but the health center was relatively low (p<0.05). 4. The dentist feels the economic burden in employing the special employee because the raising of the special judging people, compared to others, but the staffs such as the dental hygienist preferred it as one of ways to fix the error of the claim of the dental insurance (p<0.05) 5. Both dentists and the dental hygienist said proper time to teach the insurance was all needed in the school, and the clinic, but other workers relatively believed it should be held in the clinic (p<0.05). 6. The important factors to decide the participation of the lecture was in order of the contents of the lecture, the place of the lecture, the amount for the lecture, the superintendent of the lecture, whether it has gone through the educational score, and whether it has passed the conserving educational score was relatively less important in the university subordinate dentist/dentist, but the medical center was very effective as 4.50 (p<0.05) 7. Health Insurance Review and assessment service was very high as the managing department for supplying the lecture and the information, 70.5%, and the next was the Korean Dental Association/ Korean dental hygiene association, but dentists were preferring the association to manage in than the Health Insurance Review and assessment service to manage (p<0.05) 8. In preferring lecture for the inquiring the insurance, periodontal surgery was the highest as 4.51, the diagnosis standard for injection was high in the university subordinate hospital/dentists, and the more the year of the insurance inquiry, the less the doctor who was hoping for the lecture about the basic treatment. Conclusions : Taken together, it is decided that the inquiry education about the medical expense in the dentist, so the consistent and systematic education should be held to the related people, and from this, it is thought to reduce the problem of the inquiry of the medical expenses by fostering the knowledge and supplying the information which are related to the inquiry of the dentists.

• Journal of Dental Anesthesia and Pain Medicine
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• 제19권6호
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• pp.369-378
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• 2019

Background: Behavior guidance is a technique used to subdue inappropriate behavior by establishing communication that meets the needs of a child. This study aimed to measure the effectiveness of a mobile app (Little Lovely Dentist) compared to the tell-show-do (TSD) technique in managing anxious children during their first dental visit. Methods: Fifty children (30 boys and 20 girls) without any past dental experience, aged from 7 to 11 years, were randomly allocated into either the dental app group or the TSD group. The pre- and post-operative anxiety of children who underwent prophylactic cleaning was assessed both physiologically and subjectively using a heart rate measurement and the RMS pictorial scale, respectively. Results: The intragroup comparison of heart rate and RMS scores for children allocated to the dental app group was statistically significant (P value ≤ 0.001). However, a significant reduction only occurred in the RMS scores, but not the heart rate measurements, in the TSD group. Conversely, there was an increase in heart rates in the TSD group. Conclusion: Educating the child prior to a dental procedure using a smartphone application such as Little Lovely Dentist can significantly alleviate the anticipatory anxiety and engage children in dental treatment during their first visit.

• 보건행정학회지
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• 제25권3호
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• pp.240-251
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• 2015

Background: Dentist's income is quite variable. We investigate the factors underlying the distribution of dental revenue and dentist income. Methods: Financial and structural variables of private dental practices(N=13,967) were examined with 2010 Economic Census microdata which include non-insurance revenue. We conducted quantile regression method(QRM) and ordinary least square(OLS) in treating skewness and heteroskedasticity of distributions. The effective estimation for the upper and lower range of distribution becomes possible by QRM. Results: Mid-career dentists are shown to have higher revenue and income. Male dentists achieve the higher revenue and income than female dentists in all quantiles. Group practices show lower income per owner than solo practices significantly. The revenue and income are increased with increasing size of clinics. The high cost in renting the clinic office is found to have a big positive effect on the revenue but a little positive effect on the income. Interestingly the density of dentists shows negative effect on the lowest quantile of the revenue but positive effect on the highest quantile. The lowest quantile of the revenue in the capital areas have the relatively high revenue. The lowest quantile of the income in metropolitan city show higher income than those in other areas significantly. Conclusion: The suggested QRM is shown to have more effective and efficient tool in finding out determinants of dentists' revenue and income of our concern. The results of this study are expected to be employed for dentists preparing for the opening practices in their organizational settings and locational selections. The distributional efficiency of dental human resources could be accomplished if policy makers guide dentists with this knowledge.

• 치위생과학회지
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• 제21권4호
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• pp.260-266
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• 2021

Background: The purpose of the study was to evaluate the relationship and route of dental Social Media marketing by age group and support effective dental marketingy by age group. Methods: A study was conducted on 265 people, aged 20 to 64 years, who lived in Seoul, Gyeonggi area and regularly used one or more of the social media platforms, Naver Band, Facebook, Instagram, KakaoStory, Twitter, or YouTube more than once a day. A 27-question questionnaire survey of approximately 10 minutes was conducted, and the collected data was statistically analyzed using the PASW program, with the significane level set to 0.05. Results: "Introduction of acquaintances" was the most common route to visit the dentist. Regarding the use of social media platforms based on age group, 'Instagram' had the highest frequency among people belonging to the age groups of 20 to 29 years and 30 to 39 years; 'YouTube' had the highest frequency among those aged 40 to 49 years; and 'Naver Band' had the highest frequency among those aged 50 to 65 years. Conclusion: The most frequently used social media by consumers according to age included Facebook, YouTube, and Instagram. However, social media was found to have no significant impact on the choice of dental institutions, as the number of people who visited the dentist through "Introduction of acquaintances" was the highest, and "Introduction of acquaintances" did not have experience accessing the dentist site after dental marketing. If this study could provide customized marketing information for each age group through social media, it is expected that the marketing effect of dental institutions through social media would be maximized in the future.