• 치위생과학회지
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• 제11권1호
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• pp.31-35
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• 2011

본 연구는 치과 의료기관의 건강보험 청구실태를 파악하여 향후 효율적인 치과 건강보험 청구관리를 위한 기초자료를 제공하고자 2010년 4월 20일부터 6월 20일까지 서울, 인천 경기, 부산 울산 및 일부 지역에 소재한 치과 의료기관을 대상으로 설문조사를 실시한 결과 다음과 같은 결론을 얻었다. 1. 치과 건강보험 청구형태는 병원 내 인력을 활용하여 청구하는 단독청구가 45.4% 응답하였으며, 대행청구 54.6%이었다. 청구자의 직종은 치과위생사 78.2%, 일반사무원 7.2%, 간호조무사 6.5%, 치과의사 4.5%, 기타 3.5%로 조사되었다. 청구건수는 200건 이하가 23.9%, 201건-400건이 40.3%, 401건 이상이 35.8% 이었다. 2. 청구건수에 의한 분석에서 청구 건수가 적은 경우일수록 대행청구는 하는 의료기관이 76.3%로 많았고 청구건수가 많을수록 단독청구의 비율이 높아졌으며, 개원기간에 따른 분석에서는 단독청구를 하는 의료 기관은 개원기간이 5년 이하인 경우 82.7%, 개원기간이 16년 이상인 경우 31.3%로 개원기간이 짧을수록 단독청구를 하는 의료기관이 많았다(p<0.000). 3. 병원 인력 수에 따른 분석에서 4인 이하인 경우는 단독청구가 25.4%, 대행청구가 74.6%로 대행청구가 많았으나 9인 이상인 경우에는 단독청구가 71.1%, 대행청구가 32.6%이었다(p<0.000). 4. 치과위생사 수에 따라 청구방식의 차이를 분석한 결과 치과위생사가 없는 경우는 86.5%가 대행청구를하고 있었으며 치과위생사 수가 많아질수록 단독청구 방식을 선택하고 있었으며 통계적으로 유의한 차이가 있는 것으로 분석되었다(p<0.000). 5. 치과 의료기관에서 대행청구를 하는 이유를 분석한 결과 복잡한 청구절차가 28.0%로 가장 많았으며 다음으로 청구업무의 실력부족 22.6%, 청구업무인력의 인재부재가 20.8%이었다.

• 대한치과기공학회지
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• 제33권4호
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• pp.413-425
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• 2011

Purpose: This study conducted a survey on the elderly with physical debilities, who are in a medically vulnerable social class, to examine closely their demo-sociological characteristics, unmet needs, dental states, and living qualities and satisfaction levels relating to oral health and social supports to them, and also to prepare the basis for effective public medical policies and health improvement programs aimed at improving the quality of life for the elderly with physical debilities. Methods: Twenty-two elderly care facilities within Jeju Special Self-Government Province participated in the survey. Between 11 January and 5 March 2010, a total of 250 elderly persons(65 and over) with physical debilities were interviewed and their dental health was checked. Results: The results of the survey are as follows. The need for social support for dental care of the elderly with physical debilities was high in the medical institution-supported service (49.6%). The unmet needs for physical care were high in bathing (49.6%) and using public transportation (71.6%). More than half of these surveyed had ten or fewer teeth. The survey found that 31.6% of the participants experienced problems eating, due to poor dental health. Concerning quality of life, 30.5% of those surveyed experienced physical pain. Conclusion: In summary, the ages of the survey participants directly relates to the degree of behavioral debility experienced. The more debility a participant exhibits, the greater is the need for social support and dental care. The dental health of a participant directly relates to a higher quality of life. Good dental health of a participant translate to better quality of life. In light of the fact that the elderly with physical debilities suffer from a lack of accessibility to medical care and worse oral health than do other elderly persons, it is essential to increase accessibility to medical institutions that can provide such services as door to door dental care. Current insurance policies, funding for denture insurance, and free denture and denture-upgrade programs desperately need to be expanded. Therefore, to improve effectively the quality of life for the elderly with physical debilities civil dental medical resources should be encouraged to provide inclusive and prevention-focused medical care. In the public domain, door to door dental care services and cooperation with civil dental care resources need to be improved to increase impartial accessibility to dental medical institutions.

• 한국임상보건과학회지
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• 제5권3호
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• pp.907-914
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• 2017

Purpose : This study was conducted to provide basic data on the relationship between environmental factors causing stress in clinical practice institutions and stress levels of dental hygiene students. Methods : The research subjects totaled 207 and it was analyzed with structured questionnaires. The collected data were analyzed using an IBM SPSS ver. 20.0. Results : The environmental factors causing stress according to the status of clinical practice institutions was statistically and significantly different in the case of Busan practice areas (p<0.01), dental university hospitals (p<0.001), attendance times prior to 8am (p<0.001), quitting times that surpassed 8pm (p<0.01), and the number of dentists exceeding 4 (p<0.01). It was found to affect the stress level of students when individuals had to stand for a long period of time(p<0.001, ${\beta}=0.254$) and with the use of unfamiliar tools and equipment(p<0.05, ${\beta}=0.178$). Conclusions : As a result of the research conducted, it should be concluded that dental clinics should provide rest areas for individuals to focus on clinical practice. In addition, it is necessary to develop a systematic program that enables students to communicate with students at any time during the training period.

• 디지털융복합연구
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• 제15권11호
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• pp.307-315
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• 2017

본 연구는 임상실습을 경험한 치위생학과 학생들을 대상으로 임상실습지에서 치과감염관리에 대한 인식과 수행정도를 조사하여 병원내 감염을 최소화 시키고 교육과정개발과 교육프로그램을 마련할 때 감염관리 지침과 행동지침에 필요한 기초자료를 제공하기 위해 시행하였다. 경북에 소재하는 4년제 대학에서 임상실습을 실제 경험한 치위생학과 학생을 대상으로 설문조사하였으며 치과의원, 치과병원, 대학병원이나 종합병원에 실습한 학생을 구분하여 각 실습지에 따른 치과감염관리에 대한 인식과 수행정도를 비교하였다. 연구결과 학생들은 감염방지에 대한 교육 경험자가 많았으나 실습지에 따라 감염방지관리의 수행정도는 대학병원이나 종합병원에서 높았으며 실습지에 따라 차이가 나타났다. 따라서 학생들이 임상실습시 감염관리에 대한 인식과 수행정도를 높이기 위해서는 감염관리 지침서를 제작하여 임상실습기관에 배부하고 담당자를 통해 관리하며 학교 측에서는 임상실습과 연계성 있는 감염관리 교육프로그램을 운영하여 체계적인 제도를 마련해야 할 것으로 생각된다.

• Imaging Science in Dentistry
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• 제47권1호
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• pp.33-37
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• 2017

Purpose: This study aimed to evaluate the prevalence of Haller cells and accessory maxillary ostium (AMO) in cone-beam computed tomography (CBCT) images, and to analyze the relationships among Haller cells, AMO, and maxillary sinusitis. Materials and Methods: Volumetric CBCT scans from 201 patients were retrieved from our institution's Digital Imaging and Communications in Medicine archive folder. Two observers evaluated the presence of Haller cells, AMO, and maxillary sinusitis in the CBCT scans. Results: AMO was observed in 114 patients, of whom 27 (23.7%) had AMO exclusively on the right side, 26 (22.8%) only on the left side, and 61 (53.5%) bilaterally. Haller cells were identified in 73 (36.3%) patients. In 24 (32.9%) they were present exclusively on the right side, in 17 (23.3%) they were only present on the left side, and in 32 (43.8%) they were located bilaterally. Of the 73 (36.3%) patients with Haller cells, maxillary sinusitis was also present in 50 (68.5%). On using chi-square test, a significant association was observed between AMO and maxillary sinusitis in the presence of Haller cells. Conclusion: Our results showed AMO and Haller cells to be associated with maxillary sinusitis. This study provides evidence for the usefulness of CBCT in imaging the bony anatomy of the sinonasal complex with significantly higher precision and a smaller radiation dose.

• 한국치위생학회지
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• 제6권1호
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• pp.79-91
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• 2006

Through the investigation and analysis for awareness about Tooth Bleaching treatment for general adults, to rethink the real ideas of Tooth Bleaching which adults has already had and to find the method for generalized Tooth Bleaching, this study made a survey about General Awareness and Common sense for Tooth Bleaching and Oral Health Knowledge and Generalization Methods for 570adult citizen in Busan from 1th August to 10th September. The obtained results were as follows 1. Tooth Shade self contentment was found low, self-discontent respondents were 73.5% and self-content respondents were 26.5%. 2. Tooth Bleaching recognition was found high, as for the recognition period, between 2 and 5 years is 65.5% and as for the recognition route, 33.9% were through broadcast medium. 3. General knowledge for Tooth Bleaching was found low as 2.34(1.12) of 5 score and it is similar to ages and occupations(pE0.001, pE0.05). 4. Tooth Bleaching treatment method appears Home Bleaching and In-Office bleaching was 73.5% and 26.5% respectively. The other side medical institution chosen for Tooth Bleaching treatment appears dental hospital or dental clinic and Home bleaching was 75.6% and 12.1% respectively. 5. To generalize the Tooth Bleaching Care, recommendations of oral health care team and oral health education and development of information data also need to be performed.

• 융합정보논문지
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• 제10권7호
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• pp.207-214
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• 2020

본 연구는 치과위생사의 직업 정체성이 직업유지에 미치는 영향을 파악하고자 경남 부산 지역 내 치과위생사 155명을 대상으로 연구 윤리 심의위원회에서 심의를 받고 설문 조사를 시행하였다(1041449-201912-HR-003). 자료 분석은 직업 정체성의 3가지 세부항목이 직업유지에 미치는 영향을 단계별로 확인하기 위해 위계적 회귀분석을 시행하였으며 그 결과, 직업 정체성 세부항목 중 직업에 대한 감정이입(β=.358, p<.001), 직업과 개인의 연관(β=.562, p<.001), 직업과 일체감(β=.734, p<.001)의 순으로 직업유지에 영향력이 있었다. 따라서 치위생(학)과의 교육기관에서 조금 더 포괄적인 의미의 직업 정체성에 대한 수업을 시행한다면 직업유지에 도움이 될 것으로 판단한다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1633-1637
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• 2012

Introduction: The incidence of oral premalignant and malignant lesions is on the rise due to an increased number of people taking in tobacco and alcohol related habits. Material and Methods: 1028 patients with tobacco, alcohol and areca nut habits attending our Department of Oral Medicine and Radiology formed the study sample. An interviewer based questionnaire was used to record the habit details. All the patients were then examined clinically for the presence of lesions. Chi square and Fisher exact tests were used to assess the statistical significance of the study parameters. Results: Males had a higher prevalence and comprised 87.9% of the sample. The commonest habit in this study sample was smoking (39.2%) followed by smokeless tobacco use (28.1%). Out of the 1028 patients with habits 40% had no clinically detectable changes in their mucosa. Of the mucosal changes leukoplakia (14%) was the commonest. Conclusions: This study provided information about the habit trends in the patients visiting this institution. The study may serve as a useful tool in educating the patients about the deleterious effects of oral tobacco, alcohol and betel exposure.

• 치위생과학회지
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• 제12권2호
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• pp.103-108
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• 2012

본 연구는 예비치과 전문인력의 도덕성 발달수준을 파악하고 윤리교육을 위한 기초자료를 제공하고자 2010년 10월 전라북도 익산시에 위치한 2개 교육기관에 재학 중인 450명을 대상으로 간편형 도덕 판단력 검사지(DIT)를 사용하여 자료를 수집하였고, 수집된 자료는 SPSS/PC를 사용하여 기술통계, t-test, one-way ANOVA, Pearson's correlation coefficient로 분석되었고, 연구결과는 다음과 같다. 1. 치과대학생의 P(%)점수는 43.10이었고, 치위생과학생의 P(%)점수는 41.21로 나타났으나 통계적으로 유의한 차이를 보이지는 않았다(p=0.190). 2. 예비치과 전문인력의 도덕성 발달 단계별 점수는 5A단계가 가장 높았으며 다음은 3, 4, 6, 5B, 2단계의 순으로 나타났다. 5B단계(p=0.014)와 6단계(p=0.010)에서는 집단간에 통계적으로 유의한 차이를 보였다. 3. 예비치과 전문인력의 인구학적 특성에 따른 도덕성 발달 단계별 점수는 치과대학생의 경우 인구학적 특성 중 성별에서 통계적으로 유의한 차이를 나타내었다(6단계, p=0.003). 치위생과학생의 경우 종교(5B단계, p=0.044), 출생 순위(2단계, p=0.027), 성장지역(4단계, p=0.015)에서 통계적으로 유의한 차이를 보였다. 4. P(%)점수와 각 도덕성 발달 단계간의 상관관계는 2, 3, 4, 5B단계와는 역상관관계가 있었고, 5A, 6단계와는 순상관관계가 있었다. 결론적으로 일반 대학생에 비해 낮은 예비치과 전문인력의 도덕성 발달수준을 사회에서 요구하고 있는 치과 전문인력의 도덕성 발달수준으로 향상시키기 위해서는 치과계 현실에 맞는 윤리교육과정이 마련되어 체계적인 윤리교육이 이루어져야 한다고 사료된다.

• 한국치위생학회지
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• 제1권2호
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• pp.201-211
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• 2001

Dental caries causes the majority of tooth loss among Koreans. Korea is experiencing an increase in dental caries. And it shows a high prevalence of caries in preschool children, which contrasted with the much-improved situation in developed countries. So, it is important to control caries from preschool periods in Korea. Recently, inspections of the teeth of preschool children for evidence of dental disease became a legislative duty in Korea following Oral Health Act(2000). But, standardized oral health programs in preschool children is not yet proposed. Therefore, it is necessary to develop an community based oral health program in preschool children. The purpose of this study was to obtain basic data for the development of community based oral health program in preschool children of Sungnam city. Oral health status in primary dentition were surveyed in 862 2-6 year-old preschool children of Sungnam city by WHO criteria. From the data, df rate, percentage of preschool child ren with active caries, dft index, dt rate, percentage of preschool children with pit and fissure sealant of each age were calculated, and discussed. The obtained results were as follows : 1. The experience of dental caries in primary dentition showed a tendency to increase quickly between 2 and 3 year old children. So, the oral health program in preschool children should be developed to prevent dental caries and control their oral health under three years of age. 2. In 5 year-old children, the percentage with active caries was 60.8% and dft index was 5.06. The dt rate showed a tendency to decrease as proportion to age, but even though 6 year-old children, the dt rate was 47.7%. Therefore, the annual screening dental examination and oral health education programs at the institution for preschool children should be developed to detect and treat dental caries in primary dentition at early stage. 3. The percentage of preschool children with pit and fissure sealant at six years of age was 10.2%. So, pit and fissure sealant and professional fluoride application programs in Public Health Center should be developed to prevent dental caries. 4. Also, it is necessary to establish oral health goals in preschool children and develop water fluoridation program 10 improve and preserve oral health of preschool children in Seongnam city, effectively.