• 치위생과학회지
• /
• 제20권1호
• /
• pp.25-33
• /
• 2020

Background: This study investigated the status of oral health promotion activities for adult workers in public health centers and industrial dental offices and provided basic data for the model development of oral health promotion program for adult workers in Korea. Methods: A questionnaire was developed separately according to the person who in charge of the oral health promotion activities in public health centers nationwide and dental hygienists working in 20 industrial dental offices. This survey was conducted through postal survey and consisted of 29 items and 35 items respectively, including 19 common items for general information, oral health promotion program status and opinion. Statistical analysis was performed using the IBM SPSS ver. 23.0. Results: We analyzed the data of 147 public health centers (57.9%) and 9 industrial dental offices (45.0%). A workforce with a lack of practice was the biggest barrier to oral health promotion activities for adult workers. However, both groups showed high intention for the practice of adult worker's oral health promotion activities. Also, they showed willingness to work together in an organic partnership to perform their roles (94.4% and 77.8%, respectively). Regarding the scope of cooperation in the implementation of the industrial oral health promotion activity linked to the public health center, dental hygienists of industrial dental offices responded that they could coordinate necessary matters and schedule management. Conclusion: The development of an oral health promotion program aided by the relationship between public health centers and industrial dental offices is essential for the oral health promotion of adult workers. The possibility of cooperation between the abovementioned centers was confirmed through this study. In a long-term perspective, it would be necessary to identify a method to institutionalize industrial dental hygienists for the provision of continuous oral health care in workplaces.

• 치위생과학회지
• /
• 제15권3호
• /
• pp.247-253
• /
• 2015

치과진료실은 주사바늘 찔림 사고가 빈번하게 일어나고 있으며 그로 인한 혈액매개성 질환에 노출 위험이 높은 곳이다. 이에 본 연구에서는 조사한 자료들을 토대로 주사바늘 찔림 사고 예방 감염관리지침(안)을 제안하였다. 치과진료실에서의 치과 보건 의료인들에게 실질적인 예방대책으로 사료되나 주사바늘 찔림 사고 예방 안전 기구와 장비의 도입 및 사용법 숙지가 필요하다.

• 한국치위생학회지
• /
• 제9권3호
• /
• pp.282-293
• /
• 2009

The purpose of this study was to examine the degree of infection control implemented at dental offices and factors affecting it in an attempt to help promote the health of dental health care workers. The subjects in this study were 180 medical personnels who worked at dental offices in the region of South Jeolla Province. A self-administered survey was conducted from April 1 to May 30, 2008, and the collected data were analyzed. The findings of the study were as follows: 1. As for the implementation of infection control at the dental offices, what the health care workers investigated did the most was post-treatment hand washing(95.0), a constant separation of infectious wastes(94.4), wearing rubber gloves all the time during medical instrument cleansing(92.8) and pre-treatment hand washing(91.7). 2. In regard to the implementation of infection control at the dental offices, what the dental personnels did the least was drying their hands with air(5.0), wearing goggles in times of treatment(23.3), receiving regular education on infection control(26.7) and putting sterilizers to a performance test on a regular basis(43.9). 3. The dental health care workers were significantly different according to age in the management of contagious diseases(p=0.005). Their career made a significant difference to the management of contagious diseases(p=0.000) and instrument cleansing/sterilization(p=0.043). The service area made a significant difference to wearing and managing personal protective clothes (p=0.040) and waste management(p=0.040). 4. Concerning the relationship between the acquisition of dental hygienist certificate and the practice of infection control, whether the dental health care workers were certified or not made no significant difference to that. 5. As to the correlation among the factors affecting the prevention and management of contagious diseases, there was a positive correlation among hand washing(r=0.379), wearing and managing personal protective clothes(r=0.349), instrument cleansing/sterilization(r=0.323) and waste management(r=0.388). All the factors made a statistically significant difference to the prevention and management of contagious diseases(p<0.01).

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제42권
• /
• pp.25.1-25.13
• /
• 2020

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes serious acute respiratory diseases including pneumonia and bronchitis with approximately 2.3% fatality occurrence. Main body: This study argues the main concepts that need to be considered for the gradual reopening of dental offices include treatment planning approaches, fundamental elements needed to prevent transmission of SARS-CoV-2 virus in dental healthcare settings, personal protection equipment (PPE) for dental health care providers, environmental measures, adjunctive measures, and rapid point of care tests in dental offices. Conclusion: This article seeks to provide an overview of existing scientific evidence to suggest a guideline for reopening dental offices.

• 대한치과의사협회지
• /
• 제23권2호통권189호
• /
• pp.165-170
• /
• 1985

• 한국환경보건학회지
• /
• 제40권6호
• /
• pp.469-476
• /
• 2014

Objectives: The purpose of this study was to identify the stains causing infections in dental clinics by analyzing bacterial contamination, as well as to suggest improvements for infection control in dental clinics. Methods: In this study, a questionnaire survey of 47 dental hospitals and clinics located in Gyeonggi-do and Incheon, South Korea was administered from June 2013 to September 2013 and used to investigate the practice rates of infection control by dental hygienists and to analyze the bacterial contamination levels in dental offices. Results: In the studied institutions, the bacterial contamination levels of water lines were $20.9{\times}10^3$ colony forming units (CFU)/mL for three-way syringes, $12.7{\times}10^3CFU/mL$ for high-speed handpieces and $9.8{\times}10^3CFU/mL$ for gargling water. The bacterial contamination levels of surfaces were $44.9{\times}10^3CFU/mL$ in cuspidors, higher than in unit chairs ($2.9{\times}10^3CFU/mL$) and light handles ($6.7{\times}10^3CFU/mL$). The mean bacterial cell count of water lines and surfaces was relatively high in all establishments founded 11 years ago or more, and the mean bacterial cell count of waterline handpieces was $6.27{\times}10^3CFU/mL$ in establishments founded between one and five years ago, $11.16{\times}10^3CFU/mL$ six to ten years ago and $20.04{\times}10^3CFU/mL$ 11 years ago or more, which suggests that earlier foundation is associated with higher bacterial contamination levels with a statistical difference (p<0.01). Similarly, the mean bacterial cell count of cuspidors using water from water lines was also $70.16{\times}10^3CFU/mL$ in at least 11-year-old establishments, statistically significantly higher among in one- to five-year-old ($4.61{\times}10^3CFU/mL$) and six- to ten-year-old clinics ($47.89{\times}10^3CFU/mL$) (p<0.05). Conclusion: This study may be utilized to improve the bacterial contamination levels in dental offices by controlling the characteristics and environmental factors of dental offices that affect the microbial contamination of waterlines and surfaces in such institutions.

• Environmental Analysis Health and Toxicology
• /
• 제22권3호
• /
• pp.247-254
• /
• 2007

This study was performed with the questionnaire survey on mercury knowledge and mercury exposure avoidance behavior, which was conducted among 1076 dental personnel in September, 2004. As for the factors effecting the mercury knowledge, it seems that they are closely related with the personnel's educational backgrounds, and their understandings of causing environmental hazardousness in the dental offices. And also, the factors effecting the behavior of mercury exposure avoidance are strongly connected with the knowledge points on mercury, the knowledge of air states in the dental clinic offices, the use of pincettes and gloves in squeezing, and rubber dam and gloves in mulling, the experience of environmental education on mercury, etc. In the survey, the higher points in mercury knowledge is closely related with the higher points in the behavior of mercury exposure avoidance. Nevertheless, the very fact that the lower points in the behavior among personnel takes on the aspect of the relatively higher points in knowledge on mercury may be understood that the generally acquired knowledge on mercury cannot be the critical factor of the behavior of mercury exposure avoidance.

• 치위생과학회지
• /
• 제11권3호
• /
• pp.235-241
• /
• 2011

본 연구는 치과의료기관을 대상으로 장애인 편의시설의 설치 실태를 파악하여 향후 장애인의 치과의료기관 이용 편의성 개선을 위한 기초자료로 삼고자 2011년 3월부터 4월까지 충청북도 청주시에 개설신고 된 치과의료기관을 대상으로 조사를 실시하였다. 장애인 편의시설 기준항목을 선정하여 항목별 시설물의 설치 실태를 조사한 결과 다음과 같은 결론을 얻었다. 조사대상 의료기관은 치과의원이 대부분을 차지하였고 의료기관 개설 시기는 1990년 이전부터 2011년까지 전체적으로 폭넓게 분포하고 있었으며 건물 내 치과진료실의 위치는 대부분 2-3층에 위치하는 것으로 조사되었다. 치과의원의 장애인 편의시설은 주출입구 접근로 및 승강기의 설치율이 가장 높았고 장애인 주차구역과 장애인용 화장실의 경우 편의시설 중 설치율은 매우 낮게 나타났으나 병원 및 보건소는 조사대상 편의시설이 모두 설치되어 있는 것으로 조사되었다. 또한, 2006년 이후에 개설된 의료기관이 1990년 이전에 개설한 의료기관과 비교하여 편의시설 항목 전체에서 높은 설치율을 보였고, 1-2층에 위치한 경우보다 3층 이상에 위치한 치과의원의 설치율이 모두 높게 나타났다. 장애인 편의시설 설치율은 병원 및 보건소가 높았고 치과의원의 경우 대체로 낮게 조사되어 향후 편의시설의 의무사항을 일차 의료기관까지 확대하는 법적 개선이 필요한 것으로 나타났다. 이러한 결과는 장애인들의 치과의료기관 접근 편의성 확보를 위한 기초자료로 활용하는 데 도움이 될 것으로 사료된다.

• 한국치위생학회지
• /
• 제19권1호
• /
• 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.

• 한국치위생학회지
• /
• 제10권3호
• /
• pp.459-464
• /
• 2010

Objectives : The purpose of this study was to minimize cross infection that can take place within dental office, to make dental workers recognize importance of infection management, and to improve dental-care environment that is exposed to infection. Methods : It conducted the self-reported questionnaire survey on the practice of wearing PPE(personal protective equipment) from April 1, 2008 to May 30 targeting 180 dental workers who are working for dental offices where are located in Jeonnam region. Results : 1. As for research subjects' general characteristics, age was the largest in under 29 years old with 75.0%. It was surveyed to be large in over 5 years(56.1%) for working career, in a city(83.3%) for working region, and in having licence of dental hygienist(75.0%). 2. As a result of surveying the practice of wearing PPE, wearing mask given dental care was surveyed to have the highest practice level with 75.6%. Wearing protective glasses showed the lowest practice ratio with 23.3%. 3. As a result of surveying the difference in the practice of wearing PPE according to general characteristics, the difference according to the working region was surveyed to be the greatest. Conclusions : As the above result, the education of infection management for dental workers needs to be performed continuously even after curriculum of school. Even the in-service education on infection management needs to be vitalized. Also, the necessity was examined for always recognizing and practicing importance of infection by using a method of publishing newsletter via post to dental clinics where are located in rural area, with considering regional deviation.