• Title/Summary/Keyword: occupational dentistry

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Work-Related Musculoskeletal Disorders in Iranian Dentists: A Systematic Review and Meta-analysis

  • ZakerJafari, Hamid Reza;YektaKooshali, Mohammad Hossein
    • Safety and Health at Work
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    • v.9 no.1
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    • pp.1-9
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    • 2018
  • Background: Work-related musculoskeletal disorders are the most important problems among professions particularly, dentists. This study was conducted to determine the prevalence of musculoskeletal disorders in various parts of the body in Iranian dentists by using systematic review and meta-analysis. Methods: This systematic review and meta-analysis was based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines and searching in national databases such as SID, Magiran, Irandoc, IranMedex, and Medlib, and international databases such as MedLine, Web of Sciences, Scopus, PubMed, ScienceDirect, Cochrane, Embase, Springer, Wiley Online Library, Ebsco, CEBM, and Google Scholar search engine which were published by January 1, 2017. Researched keywords were in Persian and their standard English equivalents were in accordance with their MeSH. The obtained documents were analyzed using Comprehensive Meta-analysis version 2. Results: According to 23 studies through 2,531 Iranian dentists which took part in this study, prevalence of skeletal disorders in Iranian dentists has been 17.6% [confidence interval (CI) 95%:11.7-25.5] in knees, 33.2% (CI 95%:24.1-43.8) in shoulders, 33.4% (CI 95%: 26.8-40.8) in the thorax, 51.9% (CI 95%:46.7-57.2) in necks, 33.7% (CI 95%:28.2-39.6) in wrists/hands, 12.9% (CI 95%:7.7-20.6) in elbows, 37.3% (CI 95%: 31.5-43.5) in lower back, 11.9% (CI 95%:8.7-16.1) in thighs, 12.9% (CI 95%:3.8-36) in the foot, and 10.5% (CI 95%:7-15.4) in legs. Conclusion: Considering the high prevalence of musculoskeletal disorders in Iranian dentists, ergonomics should be included as a lesson in preclinic and also, reeducation courses for ergonomics basics should be executed for graduate dentists.

The exposure of lead and cadmium and the dental caries (납 및 카드뮴의 노출과 치아우식증 발생요인과의 관련성)

  • Won, Young-Soon;Kwon, Ho-Jang;Rho, Sang-Chul;Chae, Yoo-Mi;Kim, Young-Soo;Bae, Kwang-Hak
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.4
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    • pp.695-705
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    • 2012
  • Objectives : The purpose of this study is to evaluate the appearance of having relationship between the exposure to lead and cadmium and the dental caries targeting adults in the Republic of Korea. Methods : The study was designed as a cross-sectional study, using the data of the Fourth Korea National Health and Nutrition Examination Survey. The subjects as 1,966 people, who were confirmed the appearance of dental caries among 1,991 people of having been offered the heavy-metal concentration in blood. Statistical analysis was conducted using SPSS 19.0, according to complex sampling design. Results : As a result of multi-variate analysis on factors of dental caries, in Model I without correction, the gender, age, educational level, appearance of lifelong smoking, daily toothbrushing frequency, appearance of using dental floss, and subjective oral health status were recognized as important factors. In Model II with correction of gender and age, the educational level, daily toothbrushing frequency, and subjective oral health status were recognized as statistically significant factors. In Model III with correction of all factors, the gender, age, educational level, appearance of using dental floss, and subjective oral health status were functioning as statistically significant factors. As a result of statistically analyzing relationship between the exposure to lead and cadmium and the dental caries targeting adults, it was analyzed that there is no significant correlation. However, in case of lead, the tendency of being grown the cross ratio of dental caries could be examined in model I, which didn't correct disturbance factor, model II, which corrected gender and age, and model III, which corrected all variables of disturbance factor. Conclusions : The exposure to lead and cadmium was indicated to have no relationship with adults' dental caries. However, a continuous research of relationship was considered to be necessary by using Korea National Health and Nutrition Examination Survey, which is surveyed in the future.

Subhective Symptoms and Work-related Health Risk Factors in Korean Dental Laboratory Technicians (우리 나라 치과 기공사의 신체 자각 증상과 직업 관련 건강 위험 요인)

  • Kim, Woong-Chul;Lee, Se-Hoon
    • Journal of Technologic Dentistry
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    • v.22 no.1
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    • pp.89-112
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    • 2000
  • Although dental laboratory technicians are prone to be exposed to various work-related health hazardous materials such as dusts, chemicals, etc., the prevalence and nature of work-related health problems of them have not been a matter of great concern in the field of occupational health service in Korea. The purpose of the present investigation was to describe a collected profile of subjective health symptoms and their attributable factors in Korean dental laboratory technicians. A questionnaire listing five groups of health symptoms and five health symptom-related factors was mailed to randomly selected 1,900 dental laboratory technicians. Among them, 1,344 dental laboratory technicians filled out the questionnaires and returnde them. Five groups of health symptoms included musculoskeletal symptom, dermal symptoms, respiratory symptoms, eys symptoms, and ear symptoms. Five health symptom-related factors were occupational environment-related health risk factors, work history, health related habits and status, use of personal protective equipment and general characteristics. Detailed parameters of health risk factors were work posture, vibration, and chemical or physical hazards such as dust, fume, vapor, solvent, light, and noise for occupational environment-related factors; work place, area, number of employees, work hours, career, work part, and work load for work history; Broca's index, hours of sleep, eating, smoking, alcohol, exercise, health examination, and self assessed health status for health habits and status; face masks, goggles, and so on for use of personal protective equipment, and; age, sex, marital status, and education for general characteristics. Before the start of main survey, a pilot survey was carried out for validity and reliability tests of the questionnaire. All the data obtained were coded and analyzed with PC/SAS 6.12 program. The prevalence of health symptoms was the highest in musculoskelton (87.3%), and followde by eyes (78.9%), respiratory organs (64.3%), ears (57.8%), and skin (52.2%) in descending order. Statistically significant risk factors by multiple logistic regression analyses were sex, health examination, self assessed health status, and hand/finger posture in musculoskeletal symptoms; sex, self assessed health status, career, acid gas, and hand contact with resin mixture in deraml symptoms; Broka's smoking, exercise, self assessed health status, and face mask in respiratory symptoms; sex, hours of sleep, self assessed health status, work hours, work load, plaster dust, inadequate lighting, and goggle in eys symptoms, and eating, smoking, self assessed health status, and work load in ear symptoms. With the above considerations in mind, prevalence of subjective symptoms among Korean dental laboratory technicians was relatively high, and they were attributable to most of the occupational environment-related factors, work history, use of personal protective equipment, health habits and status, and general characteristics. Particularly, it is suggested that health promotion programs for promoting self- assessed health status and smoking cessation, preventive measures for protection of the female technicians’health, and reducing work load be necessary, since those factors were associated with more than one subjective symptom.

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Effect of the amount of battery charge on tube voltage in different hand-held dental x-ray systems

  • Kim, Eun-Kyung
    • Imaging Science in Dentistry
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    • v.42 no.1
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    • pp.1-4
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    • 2012
  • Purpose : Hand-held dental x-ray system is a self contained x-ray machine designed to perform intraoral radiography with one or two hands. The issue about its usage as general dental radiography is still in dispute. The aim of the present study was to assess the relationship between the amount of battery charge and the tube voltage in different handheld dental x-ray systems. Materials and Methods : Seven hand-held dental x-ray units were used for the study. Tube voltage was measured with Unfors ThinX RAD (Unfors Instruments AB, Billdal, Sweden) for 3 consecutive exposures at the different amount of battery charge of each unit. The average and the deviation percentage of measured kV from indicated kV of each unit were calculated. Results : Tube voltage of only 1 unit was 70 kV (indicated by manufacturer) and those of the others were 60 kV. Tube voltage deviation percentage from the indicated kV at the fully charged battery was from 2.5% to -5.5% and from -0.8% to -10.0% at the lowest charged battery. Conclusion : Tube voltages of all units decreased as the residual amount of the battery charge decreased. It is suggested that the performance test for hand-held x-ray system should be performed for the minimum residual charged battery as well as the full charged one. Persistent battery charging is suggested to maintain the proper tube voltage of the hand-held portable x-ray system.

THE SHORT-TERM REMOVABLE INTERMAXILLARY FIXATION CARE BY USE OF AN ADDITIVE INCISION & DRAINAGE ON THE ORAL LACERATION WOUNDS ADJACENT WITH MANDIBULAR COMPOUND FRACTURES: REPORT OF A CASE (하악골 복합 골절시 구내 열창부 상에 추가 절개 배농술을 이용한 단기간 가변적 악간고정 관리: 증례보고)

  • Mo, Dong-Yub;Yoo, Jae-Ha;Choi, Byung-Ho;Kim, Ha-Rang;Lee, Chun-Ui;Ryu, Mi-Heon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.3
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    • pp.260-264
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    • 2010
  • Treatment of the mandibular fracture consists of reduction and fixation. The apparatus that is used to keep the jaws together during healing will often reduce the fracture as well. When the jaws are brought together and intermaxillary elastic rubber traction is placed, the occlusion of the teeth will help to orient the fractured parts into good position. Intermaxillary fixation, that is, fixation obtained by elastic bands between the upper & lower jaws to which suitable anchoring devices have been attached, will successfully treat most fractures of the mandible. Arch bars are perhaps the ideal method for intermaxillary fixation. Several types of ready-made arch bars are used. But, daily occupational life and oral hygiene is difficult to maintain during the period of longterm immobilized intermaxillary fixation (commonly 6-8 weeks), owing to malnutrition and emotional disorders in a position of the patient with mandibular fractures. Most mandibular fractures heal well enough to allow removal of fixation in about 6 weeks. Though there are many complications of mandibular fracture, such as infection, hemorrhage, trismus, paresthesia and nonunion, it is favorable to attain the short-term removable intermaxillary fixation care by use of an additive incision & drainage establishment on the oral lacerated wounds of adjacent mandibular compound fractures. The purpose of an additive incision & drainge establishment is the prevention of wound infection & nonunion by removing the hematoma & seroma in the fracture sites.

Gender-specific cephalometric features related to obesity in sleep apnea patients: trilogy of soft palate-mandible-hyoid bone

  • Cho, Seok Hyun;Jeon, Jae-Yun;Jang, Kun-Soo;Kim, Sang Yoon;Kim, Kyung Rae;Ryu, Seungho;Hwang, Kyung-Gyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.58.1-58.8
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    • 2019
  • Background: The aim of this study is to investigate the relationship between gender-specific and obesity-related airway anatomy in patients with obstructive sleep apnea (OSA) by using cephalometric analyses. Methods: We retrospectively evaluated 206 patients with suspected OSA undergoing polysomnography and anthropometric measurements such as body mass index, neck circumference, and waist-hip ratio. We checked lateral cephalometry to measure tissue landmarks including angle from A point to nasion to B point (ANB), soft palate length (SPL), soft palate thickness (SPT), retropalatal space (RPS), retrolingual space (RLS), and mandibular plane to hyoid (MPH). Results: Male with OSA showed significantly increased SPL (P = .006) compared with controls. SPL and MPH had significant correlation with apnea-hypopnea index (AHI) and central obesity. Female with OSA showed significantly increased ANB (P = .013) and SPT (P = .004) compared with controls. The receiver operating characteristic curves revealed that SPT in male and ANB and SPT in female were significant in model 1 (AHI ≥ 5) and model 2 (AHI ≥ 15). MPH was also significant for male in model 2. Conclusion: Male and female with OSA had distinct anatomic features of the upper airway and different interactions among soft palate, mandible, and hyoid bone.

Operational Situation lf Dental Saboratories in Korea (한국의 치과기공소 운영실태)

  • Lee, Byoung-Ki
    • Journal of Technologic Dentistry
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    • v.10 no.1
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    • pp.25-41
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    • 1988
  • In order to provide the National Dental Health Program with dasic data, and to implove the laborartory managent style, the author studied the operational situations of dental lads through questionaire. The results are as follows, 1. Unlicensured personnel should be replaced by the licensured(from present rate lf 49.2% licensured to more than80%) 2. Minimum wage guarantee system as well as well as oage raise should be established. 3. Monthly balancing accounts system and bepreciation reserve accounts system should be established for the reasonable management. 4. Manufacturing period should be elongated from presnt 2.8 days to 5-7 days for quality betterment of the processes. 5. Medical insurance system should be applied to the dental processes. 6. Manufacturing cost should be increased by 35%. 7. Retirement grants lr retirement annuity system, improvement of occupational environ-ment, and holidays incentives, and participation in medical insurance system should be adopted for the wellfare of the dental technicians. 8. Laboratory managers should operate the lads with pride and valuation. 9. Business Management course should be included in the curriculum of the dental labo-ratory school. 10. Good relationship between Korean Association of Dental Laboratory Technicians and local laboratories shorld be improved.

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Research on the Images and Preference of Work Values of the Dental Laboratory Technician (치과기공사의 이미지와 선호도 조사)

  • Choi, Esther;Kwon, Eun-Ja;Song, Kwui-Sook
    • The Journal of the Korea Contents Association
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    • v.9 no.1
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    • pp.339-347
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    • 2009
  • The study surveyed 350 people who are over 18 and not related to dentistry with questionnaires in order to examine image and preference of dental technicians. The data analysis was done using the SPSS 21.0 for Windows. As for the analysis methods, the study used the frequency analysis, percentage, t-test, f-test. Through these analyses, the following conclusions were made. The score on the image of dental technicians declined in the order of occupational image(3.62), work image(3.46). The necessity of professional knowledge and techniques in the occupational image had the highest score with 4.17. Also, the image showing that it is professional had a score of 4.14 and the image that shows hardworking and stressful occupation showed the lowest score with 2.43. The study on the preference of dental technicians showed a low score of 2.67. The respondents who are in the 20s(3.53), and who are students(3.29) showed a high score. Also, people who have monthly income of less than 1.5 million won showed a high score of 2.91.With the help of information technology.

Job consistency and occupational satisfaction of dental hygienists by educational period of college (일부 치과위생사의 대학졸업연한 차이에 따른 희망진로와 현 근무처와의 일치도 및 직업 만족도 조사)

  • Choi, Yong-Keum;Kim, Kyeong-Mi;Kim, Sun-Il;Shin, Bo-Mi;Ryu, Da-Young;Jung, Se-Hwan;Lee, Min-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.5
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    • pp.685-693
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    • 2011
  • Objectives : Five years have passed since the departments of dental hygiene with four-year term released their graduates. It is necessary to investigate concordance between desired career and current job and job satisfaction in dental hygienists according to graduation term. Accordingly, a survey on concordance between desired career and current job and job satisfaction in dental hygienists according to graduation term was conducted to obtain a basis necessary for providing right job consciousness to students of departments of dental hygiene. Methods : Of departments of dental hygiene nationwide, a total of four departments consisting of two departments with 3-year term and two departments with 4-year term were randomly selected. Of 683 graduates for 2006-10 of the selected departments, 163 graduates who agreed to participate in this study through telephone and e-mail were chosen as subjects. The data of 159 graduates were analyzed except for 4 graduates who did not respond to job satisfaction. The questionnaire consisted of a total of 17 questions: 5 general questions such as graduation term, and current job and salary, 2 questions for desired career at the time of entrance and graduation, and 10 questions for the satisfaction of current job and working environments. Concordance between the desired career at the time of entrance and graduation and current job was calculated using Kappa-value. A cross analysis was conducted to investigate job satisfaction according to general features and graduation term. A statistical significance was examined using $X^2$-test (p<0.05). Results : The Kappa-value for concordance between the desired career at the time of graduation and the current job was 0.288, showing slightly low concordance. In particular, the Kappa-value was 0.089 in the graduates of departments of dental hygiene with 3-year term, which showed significantly low concordance. The job satisfaction of the graduates was 49.1%, which was higher in the graduates with 4-year term than in the graduates with 3-year term, but was statistically insignificant (p>0.05). The detailed job satisfaction was all higher in the graduates with 4-year term than in the graduates with 3-year term except for distance to a working place, but a statistical significance was only found in working place recognition and regional status (p<0.05 ). Conclusions : This study showed differences in concordance between desired career and current job and job satisfaction between the graduates of departments of dental hygiene with 3-year term and the graduates of departments of dental hygiene with 4-year term. Therefore, the curriculum of department of dental hygiene is required to be more specifically applied in accordance with graduation term. In addition, a further study is required to develop specialized curriculums in accordance with graduation term.

Comparison between division of health science and dental hygiene in Korea (국내 의료보건계열 신설동향과 치위생(학)과 추이에 관한 연구)

  • Yang, Song-Yi;Kim, Sook-Hyang;Oh, Sang-Hwan
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.2
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    • pp.419-430
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    • 2012
  • Objectives : This review suggests prospect of educational institutions through research on the establishment trend of Korean dental hygiene programs by comparison with health science programs, analysis based on location and year. Methods : For the research, 78 dental hygiene programs, 11 dental colleges, 144 nursing programs, 41 medicine programs, 38 radiology programs, 49 optometry programs, 39 biomedical laboratory science programs, 65 physical therapy programs, 48 occupational therapy programs were analyzed using SPSS 12.0v. The result is as follows. Results : Establishment trend of dentistry-related programs and dental hygiene programs is twice as high as nursing programs and medicine-related programs. Number of 3-years dental hygiene programs is twice as high as 4-years dental hygiene programs. Entrance quota of 3-years dental hygiene programs is four time higher than 4-years programs. On regional basis, number of dental hygiene programs is the highest in Gyeonggi-do by 9 while it is the lowest in Incheon-si and Jeju-do by 1. Number of students in dental hygiene programs is the highest in Gyeonggi-do by 2,514. Establishment of dental hygiene programs showed the biggest increasing trend in Gyeonggi-do and Jeju-do from 1995 to 1999; and in Gangwon-do, Chungcheongbuk-do, Chungcheongnam-do, Gyeongsangbuk-do, Gyeongsangnam-do, Jeollabuk-do, Jeollanam-do from 2005 to 2010. Conclusions : Assurance of legal rights in the workplace and improvement of educational environment should take prudence over establishment of dental hygiene programs in order to develop professionalism among students in dental hygiene.