• Title/Summary/Keyword: Oral health improvement

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The Distribution and Treatment of Outpatients with General Anesthesia in Chonbuk National University Dental Hospital for 9 Years (최근 9년간 전북대학교 치과 병원 외래 전신마취 환자 분포 및 치료)

  • Moon, Yujin;Lee, Daewoo;Kim, Jaegon;Baik, Byeongju;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.2
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    • pp.158-163
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    • 2015
  • General anesthesia (GA) for dental care in handicapped patients is necessary to facilitate the provision of safe, efficient, and effective quality treatment. The aims of this study were to determine the anesthetic characteristics of handicapped patients in need of dental treatment in these day care units, and to establish for plan to provide better services. 325 patients who had outpatient general anesthesia from January 2005 to March 2014 were assessed for this study. Patients' distribution and treatment patterns were examined. The proportion of male patients (202, 62.2%) was higher than female patients (123, 37.8%) and the largest group of patients were 5 to 10 years old (85, 26.2%). The reasons for general anesthesia included mental and physical disabilities (207, 63.7%), behavior management (84, 25.8%), parent needs (14, 4.3%), and so on. Restorative treatment was the most common procedure with the average of 4.2 teeth treated per one patient and 43 (13.2%) patients underwent general anesthesia for dental treatment more than once. To expand and improve access to the dental care of the disabled, improvement of the health care system, enhancement of their training for dental care by professionals, and enlarging caregivers'understanding of the importance of oral care in the early stages are required.

Development and evaluation of problem-based learning module in clinical dental hygiene (임상치위생학에서 문제중심학습(Problem-Based Learning)의 모듈 개발 및 평가)

  • Choi, Jin-Sun;Bae, Soo-Myoung;Shin, Sun-Jung;Shin, Bo-Mi;Lee, Hyo-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.2
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    • pp.81-92
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    • 2022
  • Objectives: The purpose of this study was to evaluate learners' satisfaction with operating Problem-Based Learning (PBL), competency level for dental hygiene, and learners' opinions through a reflection journal by developing a PBL class module and applying it to clinical dental hygiene classes. Methods: The subjects of the study were 31 students in the Clinical Dental Hygiene (oral health management for special patients) course in the second semester of the fourth grade. This study was conducted over the first semester from September to December 2020. The developed PBL learning module was applied for the 15 weeks class, and after all PBL classes were over, the overall satisfaction with the class and the change in student competency level was evaluated. Results: The overall satisfaction of learners with PBL was high, and the level of self-competence also increased compared to before class. In addition, the top three topics (Competencies learned through PBL, humanistic and sociological elements learned through PBL, and obstacles in the PBL) were derived through the reflection journal after PBL learning activities. Conclusions: It was confirmed that the PBL learning module developed in this study is a class that enables students to identify problems and solve them integrally and drives the improvement of humanities and sociological competencies.

The Influences of Swallowing Function on Swallowing-Quality of Life and Activity of Daily Living of Inpatients in Geriatric Hospital (노인요양병원 입원환자들의 삼킴기능이 삶의 질과 일상생활동작에 미치는 영향)

  • Baek, Ji-Young;Oh, Keun-Bae
    • The Korean Journal of Health Service Management
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    • v.7 no.1
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    • pp.167-177
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    • 2013
  • This study was to evaluate the influences of swallowing function on quality of life and activity of daily living of inpatients in geriatric hospital. The subjects were consisted of elderly patients over the age of 65, 50 people in geriatric hospital of gwangju and jeonnam area. The results are as follows: First, swallowing function score of the subjects is $29.90{\pm}5.27$, SWAL-QOL score is $158.12{\pm}33.36$, ADL score is $80.40{\pm}22.91$. Second, swallowing function, SWAL-QOL details and ADL details of each other showed a statistically significant correlation. Third, the items of swallowing function affecting on quality of life are 'oral cavity in residue', 'to eat solid food', and 'phlegm obstructs the throat'. In conclusion, this study showed that swallowing function of inpatients in geriatric hospital is closely associated with the quality of life and the activity of daily living. Therefore, future development of programs for the improvement of swallowing function is required in order to improve the quality of life of inpatients in geriatric hospital.

A study on improvement for national examination of dental hygienists in Korea (현행 치과위생사 국가시험 개선에 관한 조사)

  • Nam, Young-Ok;Jang, Sun-Hee;Kim, Seon-Yeong
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.2
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    • pp.425-440
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    • 2010
  • 목적 : 현재 우리 사회는 건강증진에 대한 욕구가 증가함에 따라 보건의료에서 질적 서비스향상이 요구되고 있고, 구강진료를 분담하는 치과위생사들도 보다 전문적인 역할을 수행하기 위해서는 지식과 기술의 수준향상이 필요하다. 이에 치과위생사의 질적 수준을 향상시키는 데 가장 빠르고 효과적인 방법이 국가시험제도이며 국가시험에서의 타당성과 신뢰성을 높이고 필요한 과목과 내용을 직무를 중심으로 조정한다면 가장 좋은 방법이라고 사료되어 현행 우리나라 치과위생사 국가시험제도에 따른 문제점을 파악하고 캐나다 국가시험 제도와의 비교를 통해 문제점을 분석하고 이에 따른 개선책을 알아보았다. 방법 : 전국 치과위생사 교육기관에 근무하는 교수와 의료기관에 종사하는 치과위생사 중에서 최근 국가시험 응시경험자를 대상으로 2008년 6월 9일부터 6월 23일까지 설문조사를 실시하였으며 E-mail 과 Fax를 이용하였다. 캐나다 국가시험제도는 National Dental Examinations American Dental Association. National Board Dental Hygiene Examination Candidate Guide자료를 사용하여 비교하였다. 자료의 분석은 SPSS통계프로그램(Version 11.0)을 이용, Chi-square 검정을 하였으며, Fisher's Exact Test에 의한 검정을 실시하였다. 결과 : 1. 국가시험과목구성은 현행 국가시험과목구성에 문제가 있는 것으로 사료되어 과목조정 필요성이 큰 것으로 나타났고, 특히 대학근무자가, 나이가 많을수록, 재직기간이 길수록 더 높았다. 2. 국가시험 문제의 유형은 암기해석 문제가 대부분이었고 난이도는 비교적 양호하였으며, 전문성도 있는 것으로 조사되었다. 3. 과목조정 필요성은 구강생물학개론, 치과임상학 순으로 상대적으로 높았다. 캐나다 국가시험과 비교해 보면 치과임상학과 구강위생학개론 분야의 조정이 더욱 필요한 것으로 나타났다. 4. 한국과 캐나다의 국가시험제도는 형식은 비슷하나 내용과 과목의 구성에서는 큰 차이가 있었다. 5. 캐나다의 국가시험과 비교 시 한국은 치과위생사의 포괄적인 치과위생관리능력을 평가하기 어려웠다. 결론 : 이상의 결과로 보면 현행 국가시험은 과목 구성이 부적절하므로 조정의 필요성이 시급한 것으로 조사되었으며, 캐나다 국가시험과는 과목구성에서 큰 차이가 있었고 치과위생사에게 요구되는 포괄적 치과위생관리능력을 평가할 수 없는 것으로 조사되어 현행 국가시험 개선이 요구되었다.

Long-term effects of maxillary skeletal expander treatment on functional breathing

  • Andrew Combs;Ney Paredes;Ramon Dominguez-Mompell;Martin Romero-Maroto;Boshi Zhang;Islam Elkenawy;Luca Sfogliano;Layla Fijany;Ozge Colak;Ben Wu;Won Moon
    • The korean journal of orthodontics
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    • v.54 no.1
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    • pp.59-68
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    • 2024
  • Objective: To investigate the long-term effects of maxillary skeletal expander (MSE) treatment on functional breathing. Methods: Objective measures of breathing, the peak nasal inspiratory flow (PNIF), and peak oral inspiratory flow (POIF), and subjective measures of breathing, the visual analog scale (VAS) and nasal obstruction symptom evaluation (NOSE) survey, were used to investigate the long-term effects of MSE in functional breathing. Seventeen patients, mean age 19.4 ± 3.9 years treated at the UCLA Orthodontics Clinic were assessed on their functional breathing at 3 timepoints: pre-expansion (T0), post-expansion (T1), and post-orthodontic treatment (T2). Results: Immediately after expansion (T1), all the objective functional breathing values were significantly increased in comparison to T0 (P < 0.05). The VAS total, VAS right and VAS left were significantly lower at T1 in comparison to T0 (P < 0.05). At 26.8 ± 3.9 months after MSE expansion (T2), PNIF total, PNIF right, PNIF left, and POIF were significantly higher when compared to T0 (P < 0.05). Also, VAS total, VAS right and VAS left were significantly lower at T2 when compared to T0 (P < 0.05). Additionally, there was a positive correlation between PNIF and the magnitude of expansion at anterior nasal spine and zygomaticomaxillary point (ZMA). There was a positive correlation between total VAS and the magnitude of expansion at the ZMA. There were no significant changes for the NOSE subjective breathing measurement at all time comparisons. Conclusions: Overall, MSE treatment produces an increased objective and subjective airway improvement that continues to remain stable in the long-term post expansion.

The Impacts of Dental Technicians Work Ethic Level on the Organizational Effectiveness in Daegu Area (치과기공사의 직업윤리의식 수준이 조직유효성에 미치는 영향 - 대구 지역을 중심으로 -)

  • Cha, Sang-hwan;Kim, Han-Gon
    • Journal of Technologic Dentistry
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    • v.37 no.2
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    • pp.79-94
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    • 2015
  • Purpose: The main purposes of this study are to describe the organization effectiveness and to investigate the effects of dental technicians' work ethic on job satisfaction, organization citizen's action, and organizational commitment. Methods: A total of 300 dental technicians working at dental laboratories in the Daegu area were randomly selected and surveyed, 298 of them were used for the statistical analysis. Results: The work ethic sub-items, such as industry, work centrality, morality, time save, independence, and relation with co-worker are independent variables. The organization effectiveness subi-items, such as job satisfaction, organization citizen's action, and organizational commitment are dependent variables. Sociodemographic variables are used for control variables. Findings are as follows: First, in terms of dental technicians' work ethic, the level of relation with coworker was the highest, and work centrality was the lowest. Second, in terms of dental technicians' organization effectiveness, the level of citizen's organizational action was the highest followed by organizational commitment and job satisfaction in order. Third, the effects of industry, work centrality, time save, relation with coworker, and morality showed statistically significant relationships with organizational effectiveness. Fourth, the effects of industry, work centrality, time save, relation with co-worker, and morality statistically significant relationships with job satisfaction. Fifth, in terms of organization citizen's action, the effects of industry, work centrality, and time save were statistically significant. Sixth, work centrality, time save, relation with coworker, and independence were statistically significant with organizational commitment. Conclusion: Some policy implications for the improvement of organizational effectiveness are introduced and discussed. Dental technicians are required to have vocation and work ethic for themselves and the organization, and by doing so, they may contribute to the improvement of national oral health. Policies and educational programs, which can support them may be necessary.

The effect of subject awareness level of oral health on the quality of life for adult patients who visit hospitals and neighborhood clinics in Busan (부산지역 병의원을 내원하는 성인의 구강건강인식수준이 삶의 질에 미치는 영향)

  • Yoon, Hyun-Seo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.505-512
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    • 2017
  • The purpose of this study was to determine the quality of life according to the level of subjective perception as well as to analyze the influencing factors and improve the subjective perception to improve the quality of life. The results of the survey for adult patients in hospitals and neighborhood clinics in the region of Busan for nine months from December 2015 were as follows. Regarding the total symptoms, the women had a score of 1.41, and the younger respondents felt they suffered from no symptoms. An analysis of the quality of life by the general characteristics showed that the respondents who were better educated and had no systemic diseases had a higher score of 54.71 on the OHIP-14. The respondents who were better educated and had no systemic diseases had a higher score of 6.48 when a single item was used to determine their happiness index, and the respondents who were better educated and had no systemic diseases had a higher score of 3.82 when five items were used to rate their happiness index. The factor with the greatest influence on their scores on the OHIP-14 was the total symptoms, followed in order by the happiness index and self-rated oral health status. The variable that exerted the largest influence on the happiness index was the OHIP-14, followed by the self-rated health status, high-school or lower education, and the presence or absence of one or more chronic disease. Therefore, an improvement in the subjective awareness level is required to boost the quality of life, and a variety of health education programs should be prepared to raise the awareness level. In addition, there should be a chance to convey accurate information.

The Associated Factors with Whole Saliva Flow Rate and Xerostomia (전타액분비율과 구강건조증의 관련요인 분석)

  • Park, Eun-Seon;Choi, Jun-Seon
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.171-179
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    • 2012
  • The aim of this study was to analyze the factors related to whole saliva flow and the xerostomia for the ground use of the materials in developing oral health improvement program and life quality improvement program. So, this study performed a questionnaire survey, targeting at 160 adults, older than 40 years, living in Gyeonggi and Incheon provinces from January to February 2011 and measured unstimulated salivary flow rate and stimulated salivary flow rate. The results are as followings. The group of participants who took gums and candies to relieve oral dryness had low stimulated whole saliva flow. The group of participants who graduated from middle schools, who separated by death, who were not healthy with menopause, and who recognized periodontal disease symptoms and tongue burning sensation recognized more symptoms of dry mouth than others. In addition, the group of participants who were not satisfied with life so much, who couldn't feel the meaning of life, and who recognized negative feelings frequently recognized symptoms of dry mouth more. Women, the group of participants who graduated from middle schools, who suffered from depressive symptoms, and who recognized halitosis had low unstimulated whole saliva flow. The group of participants who graduated from middle schools, who were not satisfied with life so much, who couldn't feel the meaning of life, and who were not satisfied with themselves had low stimulated saliva flow.

The Relationship Between Chewing Ability and Health Status in the Long-lived Elderly of Kyungpook Area (경북지역 장수노인의 저작능력과 건강상태)

  • Lee, Hee-Kyung;Lee, Young-Kwon
    • Journal of Yeungnam Medical Science
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    • v.16 no.2
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    • pp.200-207
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    • 1999
  • Background: The objective of this study is to evaluate the effect of the dental and general health in relation to the state of dentition and chewing ability by surveying oral condition and anthropometric measure in order to provide primary statistics for the development of a program which may lead to an improvement in the long-lived elderly health status in a rural community. Materials and Methods: The subjects of this study were 97 rural long-lived elderly(27 males and 70 females) who were over 85 years-old (average age of subjects are $88.14{\pm}3.20$ year old) in Sungju-Gun, Kyungpook Province. Data were collected by using questionnaires and direct measurement of anthropometrics, and oral examination from all 97 subjects on July, 1999. Results: The following results were obtained: 1. 53.6% of all subjects believe that they are healthy. The average values of height, weight, BMI, body fat, lean body fat and total water were $148.8{\pm}11.2cm$, $46.9{\pm}10.5kg$, $21.2{\pm}3.5kg/m^2$, $26.7{\pm}6.9%$, $73.0{\pm}7.1%$, and $53.4{\pm}5.2%$, respectively. 2. The average number of teeth remaining in the subjects were $3.50{\pm}5.71$; the number of maxillary teeth remaining were $1.08{\pm}2.88$; and the number of mandibular teeth remaining were $2.41{\pm}3.76$. The maximum number of teeth remaining among subjects were 22 teeth, and the fully edentulous(no natural teeth) people were 76.3%. The oral conditions of the subjects were 52.6% using denture, 23.7% using natural teeth, and 23.7% masticating edentulous ridge without denture. 3. In terms of oral condition in self-assessment of health, digestive ability, and chewing ability ; On self-assessment of health, 47.1% of those wearing denture group responded as feeling good, 56.5% of those in the group of edentulous without denture, and 65.2% in group of natural teeth only. On self-assessment of digestive ability, 82.4% of those in group of denture responded as feeling good, 65.2% of those in group of no teeth and no denture, and 73.9% of those in group of natural teeth only. On self-assessment of chewing ability, 90.2% of those in the group wearing a denture, 60. 9% of those in the group of no teeth and no denture, and 65.2% of those in the group of natural teeth only. 4. In terms of oral condition in anthropometric measurements; The height, weight, body fat, lean body mass, and total water according to oral conditions were $150.0{\pm}10.7cm$, $49.0{\pm}10.9kg$, $26.9{\pm}6.6%$, $72.7{\pm}7.0%$, $53.2{\pm}5.1%$, respectively, in group wearing a denture, $142.7{\pm}6.0cm$, $43.2{\pm}5.5kg$, $29.5{\pm}7.2%$, $70.8{\pm}6.9%$, $51.8{\pm}5.0%$, respectively, in the group of no teeth and no denture, and $152.3{\pm}14.1cm$, $45.9{\pm}12.6kg$, $23.4{\pm}6.0%$, $75.9{\pm}6.9%$, $55.6{\pm}5.1%$, respectively, in the group of natural teeth only. Conclusion: The subjective measurements of good health were higher denture user, and natural teeth.

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Effect of Case Management Program on Self-Efficacy, Self-Care Behaviors and Glycometabolic Control in Patient with Diabetes (당뇨병 환자의 자기효능감, 자가간호행위 및 혈당조절에 미치는 사례관리 프로그램의 효과)

  • Kim, Soon-Young;Cho, Bok-Hee;Nam, Hae-Sung
    • Journal of agricultural medicine and community health
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    • v.33 no.2
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    • pp.232-242
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    • 2008
  • - Abstract - Objectives: We examined the effects of diabetes mellitus (DM) case management program developed by National Health Insurance Corporation in Korea. Methods: One trained nurse performed the case management for 30 DM patients recruited through the reimbursement information of National Health Insurance in a rural community. The case manager had four home visits and two telephone calls for 12 weeks. We evaluated the effectiveness of the program in terms of self-efficacy, self-care behaviors and glyco-metabolic control. Results: The self-efficacy score was significantly increased from 70.0 of pre-intervention to 80.5 of post-intervention (p<0.001). The self-care score was also significantly increased from 2.86 to 3.60 (p<0.001). The scores of its components such as nutritional care, self-test of sugar level, foot care, oral care, and aerobic exercise were significantly improved (p<0.001). However, the improvement of score in medication management was statistically marginal (p=0.071). The fasting blood sugar level and HbA1c level was significantly decreased from 128.6 mg/dl to 114.5 mg/dl (p<0.001) and from 6.78 % to 6.54 % (p<0.001) respectively. Conclusions: The case management program was effective to improve the self-efficacy and self-care behaviors, and to control blood sugar level in DM patients.