• Title/Summary/Keyword: Preventive dental management

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The Effect of Violent Experience on Burnout among Some Dental Hygienists

  • Jeon, Eun-Jeong;Han, Mi Ah;Park, Jong;Choi, Seong Woo
    • Journal of dental hygiene science
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    • v.17 no.5
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    • pp.413-422
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    • 2017
  • This study investigated the effect of violent experience on burnout among some dental hygienists. The study subjects were 242 dental hygienists working at dental clinics. Data were collected by self-administered questionnaire including information such as demographics, work-related characteristics, working environment, experience of violence, and burnout. The violence was classified as verbal violence, physical threat, or physical violence committed by dentists, patients, or caregivers. Descriptive analysis, t-test, ANOVA, correlation, and multiple linear regression analysis were performed to examine the factors associated with burnout. The levels of verbal violence, physical threat, and physical violence by dentists were $0.53{\pm}1.26$, $1.12{\pm}2.70$, and $0.04{\pm}0.42$, respectively. The levels of verbal violence, physical threat, and physical violence by patients and caregivers were $1.50{\pm}1.89$, $1.41{\pm}2.24$, and $0.24{\pm}1.38$, respectively. The score of burnout was $3.13{\pm}0.43$. Total violence, verbal violence, and physical violence by dentists were positively correlated with burnout. Total violence, verbal violence, and physical threat by patients and caregivers were positively correlated with burnout. In multiple linear regression analysis, the level of physical violence by dentists was positively associated with burnout of dental hygienists (${\beta}=0.95$, p=0.032). The levels of total physical violence (${\beta}=0.28$, p=0.002), verbal violence (${\beta}=0.15$, p<0.001), and physical threat (${\beta}=0.19$, p=0.009) by the patients or caregivers were positively associated with burnout of dental hygienists. This study examined the association between violence and burnout among dental hygienists. The level of violence showed positive correlation with burnout. Environment improvement to protect employees from violence and for management of employees who experienced workplace violence are needed to reduce the burnout.

Gingivitis reducing effect of calcium glycerophosphate, cetylpyridinium chloride and dipotassium glycyrrhizate containing dentifrice (글리세로인산칼슘과 염화세틸피리디늄 및 글리시리진산이칼륨 배합세치제의 치은염 감소효과)

  • Kim, Sang-Sun;Cho, Ja-Won;Lee, Cheon-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.6
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    • pp.983-992
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    • 2017
  • Objectives: This study is to compare measuring gingival and peridontal indices and changes in dental plaque per period using a three mix types of dentifrice and to investigate dental diseases preventive effects depending on gingivitis reducing effect of dentifrice through a clinical experiment. Methods: This study targeted adult females and males with mild to moderate gingivitis from age 20 to 60. The Calculus index, Papillary Marginal Attached Gingival (PMA) index, Gingival index, Patient Hygiene Performance (PHP) index, and Plaque index were measured at pre-experiment and at 1, 2, 4 weeks post experiment. Results: The PMA, Gingival index, PHP index, plaque index of experimentla group decreased after 4 weeks (p<0.05). Conclusions: A three mix types of dentifrice for relieving tooth sensitivity was verified to be effective in removing dental plaque and reducing gingivitis.

Factors affecting practice of infectious wastes management of dental professionals (치과 종사자의 감염성 폐기물관리 실천에 영향을 미치는 요인)

  • Lee, Eun-Bi;Jang, Jong-Hwa
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.175-180
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    • 2018
  • Objectives: This study aimed to evaluate the relationship between oral health professionals' knowledge, attitude, and practice with regard to infectious waste management and to identify related factors influencing it. Methods: The study comprised of 219 oral health professionals from select dental clinics and public health centers recruited between August 25, 2016 and September 5, 2016, who agreed to participate in the study with full understanding of the study objectives. A self-reported questionnaire was administered, which consisted of 22 items on knowledge of infectious waste management, 9 items on attitude, and 16 items on practice. Data were analyzed using Pearson's correlation coefficient and stepwise multiple regression analyses. Results: The age, knowledge, and clinical attitude of oral health professionals significantly correlated with waste management practice. Specifically, infectious waste management practice improved with increasing age, a greater level of knowledge, and a more positive clinical attitude. Additionally, the standardized regression coefficient demonstrated that, of these three factors, clinical attitude more strongly correlated with effective waste management practice, followed by age and level of knowledge. Conclusions: These results indicated that oral health professionals had a low level of knowledge regarding infectious waste management, and a more positive clinical attitude resulted in better practices. Therefore, the development of detailed and active education guidelines and strategies are needed to enhance the attitude, knowledge, and practice of oral health professionals with regard to infectious waste management.

The Survey of Fear Associated with Dental Treatment in Some Middle School Students in Cheongju (청주시 일부 중학생들의 구강진료와 관련된 공포에 관한 조사)

  • Shim, Youn-Soo;An, So-Youn;Park, So-Young
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.165-173
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    • 2014
  • The objective of this study was to examine possible causes of fear of dental treatment in middle school students. The subjects were a total of 347 students who were selected by convenience sampling from among the students of the middle schools located in Cheongju, Korea. They were administered a self report survey. The results showed that overall dental fear was higher among female students than male students. With respect to associative dental fears, they felt fear the most when they waited sitting on the dental chair. In fears of specific dental stimuli, needles were the most fearful stimulus. In the areas of fears of specific dental stimuli and overall dental fear, the subjects with indirect pain experiences felt fear more. There exists a need to develop dental health care programs that will help to manage and decrease fear of dental treatment.

A Study of the Mask and Hand Contamination in Dental Clinic (치과에서의 마스크 및 손의 미생물 오염정도 비교)

  • Pyo, Eunji;Lee, Kyunghee
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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    • pp.85-94
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    • 2019
  • Purpose: The purpose of this study was to observe the degree of mask contamination in dental hygienist for general and oral bacteria and to identify areas of mask contamination after treatment. Methods: Masks were collected with every fifty dental hygienists who currently working in the department of preventive dentistry, prosthodontics, and orthodontics in Busan. The mask bacteria were collected in specific upper and side parts of the mask. Hand germs were collected using sterile cotton swabs, and then placed in a sterile conical tube. These were transferred to the laboratory. Hand germs and mask bacteria were incubated with nutrient broth (NB) and brain heart infusion broth (BHI) for 24 hrs and each cultured with NB and BHI plate at $37^{\circ}C$ for 48 hrs. Collected data were analyzed using the SPSS Window 20. Results: The number of bacteria was observed in the order of the department of preventive dentistry ($10.1{\times}10^5CFU/ml$), prosthodontics ($14.7{\times}10^5CFU/ml$), and orthodontics ($23.3{\times}10^5CFU/ml$) in the hand. In general bacteria, the difference of contamination was seen by the parts of the mask, but there was no significant difference. However, the oral bacteria were observed highly contaminated upper part of the mask in preventive dentistry. The mask contamination according to the medical departments was observed. Especially, the contamination of mask in preventive dentistry was significantly higher than other departments in oral bacteria. Conclusion: This study suggested that correct mask replacement and recognition of contamination areas can contribute to the prevention of infectious disease. and it would be necessary to increase hand hygiene performance to prevent cross-infection with masks. Also, this study may give an idea for making guidelines for mask management and supporting to establish clear criteria for the education program of personal protective equipment.

Changes in the number of P. gingivalis bacteria before and after professional periodontal prevention care in periodontal disease patients (전문가 치주 예방관리 전·후 치주질환자의 P. gingivalis 세균 수 변화)

  • Jin, Mi-Young;Yu, Byeng-Chul;Kwon, Hyen Suk
    • Journal of Korean Dental Hygiene Science
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    • v.4 no.2
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    • pp.99-111
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    • 2021
  • Background: This study aimed to investigate the changes of the amount of P. gingivalis in saliva by professional preventive treatment of periodontal disease by dental hygienists. Methods: A total of 109 subjects participated in this study with informed consent. The control group (38 subjects) performed oral hygiene management individually. The periodontal treatment group (35 subjects) underwent root planning once every 3 weeks for a total of 4 times. The professional periodontal prevention group (36 subjects) underwent interdental cleaning and professional tooth brushing once every 3 weeks for a total of 4 times. Paired T test and analysis of variance were performed to compare the difference among the groups in the amount of P. gingivalis. Results: The copies of P. gingivalis in the professional periodontal prevention group decreased from 773.62±1,198.09 to 241.40±430.40 after treatment significantly. The control group decreased from 525.22±582.54 to 244.29±385.88 after treatment. The periodontal treatment group showed insignificant change of P. gingivalis. Conclusions: This study showed the professional periodontal prevention was more effective than periodontal treatment in decrease of P. gingivalis.

Identifying Medical Waste Management Status by Different Types of Dental Institutions (치과의료기관별 의료폐기물 관리 현황 파악)

  • Seong, Mi-Ae;Park, Ji-Hye;Sakong, Joon
    • Journal of Environmental Health Sciences
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    • v.44 no.5
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    • pp.452-459
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    • 2018
  • Objectives: We aimed to examine whether dental waste was being managed adequately at different types of dental institutions in City D in South Korea. Methods: The staff responsible for disinfection at 101 dental offices and clinics (six dentistry departments of general hospitals, 12 dental hospitals, and 83 dental clinics) was interviewed. Results: Solid suction pump waste was handled appropriately at four of the general hospital dentistry departments (66.7%), six dental hospitals (50.0%), and 15 dental clinics (18.1%). Solid spittoon waste was handled appropriately at four general hospital dentistry departments (66.7%), seven dental hospitals (58.3%), and 14 dental clinics (16.9%). Developer and fixer were handled appropriately by a subcontractor at two general hospital dentistry departments (100.0%), five dental hospitals (100.0%), and 24 dental clinics (75.0%). Impression materials were handled appropriately at four general hospital dentistry departments (66.7%), six dental hospitals (50.0%), and 11 dental clinics (13.3%). The plastic covers of intra-oral radiography films were handled appropriately at five general hospital dentistry departments (100.0%), eight dental hospitals (72.7%), and 22 dental clinics (30.1%). Conclusion: South Korea must implement detailed and specialized guidelines for the disposal of solid and general medical waste from dental institutions. Moreover, waste disposal training should be provided annually, and not only once every three years.

A Study on Curriculum of Dental Hygienists (치과위생사 교육과정 연구)

  • Park, II-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.2
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    • pp.193-207
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    • 2004
  • The aims of the study are as following : First, define and clarify the role and function of the dental hygienist. Second, based on thai definition, present an improved dental hygienist curriculum, improving their special competence. This study seeks to present a way for promoting role of dental hygienists as independent specialists, rather than as auxiliaries, contributing to better dental service in the process. The research was pursued by surveying by questionnaire those directly related to dental hygiene. They are 58 professors of dental hygiene, 164 dentists, 253 dental hygienists and 496 dental hygiene students, selected by the method of simple random sampling. Due to the small size of the sample, professors' group was analysed only through frequency and probabilities. For groups with larger samples(dentists, dental hygienists, dental hygiene students), methods of chi square(${\chi}^2$) tests, frequency analysis and one-way ANOVA were used in their analysis. Conclusions of the study are as following : First, role and function of the dental hygienist was defined and clarified. According to the analysis of the survey, main role of the dental hygienists as perceived by 62.9% of dentists was supporting treatments and managing patients and facility. This perception by dentists differs significantly to perception of other groups, which saw main role of dental hygienists as preventive dental treatment and dental hygiene education. Also, only 20.2% of dental hygienists perceived patients and facility management as their main role. This divergence of perception between groups weakens speciality competence of dental hygienists. To strengthen dental hygienists' speciality competence, preventive dental treatment and dental hygiene education must be defined as main role of dental hygienists. Furthermore, role of dental hygienists can be categorized into cooperative and auxiliary role. Second, in order to strengthen speciality competence of dental hygienists, their education must be augmented with curriculum emphasizing cooperative role. Specifically, courses on preventive dental treatment, dental hygiene education and dental X-ray photography must become compulsory, as well as becoming more comprehensive and organized. Also, training in schools and hospitals must be focused on those subjects. In addition, courses concerning auxiliary role must be incorporated into optional courses and more pedagogical courses are needed to widen students' career choices. Third, practical relevance of national dental hygienist certification examination must be heightened. In the survey, all groups gave negative response to questions concerning practical relevance of national dental hygienist certification test. Specifically, contents of the tests must be changed to test participants' competence in the cooperative area. Also, the test itself must be strengthened by adding practical examination to the certification scheme, as well as having more difficult examinations.

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Considerations for dental treatment of Williams syndrome patients (윌리엄스 신드롬 환자의 치과치료를 위한 고려사항)

  • Shin, Jisun;Lee, Joonhaeng
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.238-241
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    • 2018
  • Williams syndrome is a rare congenital disorder with various physical abnormalities and characterized by facial, oral, and dental features. Individuals with Williams syndrome typically have eating disorders in the early childhood, which lead to prolonged night feeding. Prolonged night feeding is a risk factor for rampant dental caries. Williams syndrome is caused by the microdeletion of chromosome 7, resulting in elastin deficiency. Elastin is integral to cardiovascular health. Many patients with Williams syndrome have complex cardiovascular abnormalities that must be considered a part of dental management. Complications related to cardiovascular diseases may induce adverse effects such as dangerously elevated blood pressure. This may occur in patients during stressful dental treatment. In addition, characteristics of auditory hyperalgesia and anxiety disorders among patients with William syndrome, complicate receiving routine dental management. Therefore, dental treatment under sedation or general anesthesia may be preferable for patients with Williams syndrome; in particular, patients who are very uncooperative and/or needs extensive dental treatment. A thorough evaluation of each patient's physical condition is required before making decisions regarding dental treatment. Careful monitoring and preparation for emergencies are very important during and shortly after dental treatment under general anesthesia or sedation. Monitoring is critical until vital signs have stabilized and return to normal. A 28-month-old man diagnosed as having Williams syndrome, visited the Dental Hospital of ${\bigcirc}{\bigcirc}$ University for the management of rampant dental caries. We reported on the management of this patient who had peripheral pulmonic stenosis, and received dental treatment under general anesthesia. We also reviewed the characteristics of Williams syndrome and discussed considerations for dental treatment under general anesthesia.

Dental Waste Management Practices at Dental Offices in Gyeongsangnam-do (경남지역 치과의원 의료폐기물 관리실태)

  • Kim, Hae-Jin;SaKong, Joon
    • Journal of Environmental Health Sciences
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    • v.38 no.4
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    • pp.332-339
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    • 2012
  • Objectives: The purpose of this study was to prevent health problems and environmental contamination resulting from inappropriate management of dental wastes and to provide reference data for revision and supplementation of dental clinic waste management guidelines. Methods: From 640 total of dental clinics registered in 16 cities and counties in Gyeongsangnam-do, 100 (60 in Changwon (Masan, Changwon), 29 in Gimhae, and 11 in Jinju) were included in this study. From July 2010 to September 2010, investigators visited the 100 dental clinics and conducted survey interviews using a structured survey questionnaire regarding disposal methods for liquid wastes (suction pump, spittoon container waste, used liquid disinfectants, and X-ray developer), and disposal methods for solid waste (suction pump, spittoon container waste, and general medical waste). Results: All the 100 dental clinics were found to treat liquid waste from suction pumps and spittoon containers in the same manner as general waste water. Nineteen percent of the clinics treated solid waste that was not filtered through the filter of a suction pump as general waste. Fifty or more percent of the clinics treated solid waste in spittoon containers as general waste. Seventy percent of the clinics used disinfectant solution, although most of them treated used disinfectants in the same manner as general waste water. Some clinics treated used X-ray developer and X-ray fixer in the same manner as general waste water. In most of the clinics, used drapes were washed within the clinic. Conclusions: It was found that waste water and dental wastes at some dental clinics were treated in inappropriately. Thus, in conclusion, the development of guidelines regarding proper management of liquid and solid dental waste at dental clinics is required, and hygiene and environmental training for workers at dental clinics is necessary.