• 제목/요약/키워드: oral health professional

검색결과 155건 처리시간 0.025초

Efficacy of non-surgical treatment accompanied by professional toothbrushing in the treatment of chronic periodontitis in patients with type 2 diabetes mellitus: a randomized controlled clinical trial

  • Lee, Jae Young;Choi, Yoon Young;Choi, Youngnim;Jin, Bo Hyoung
    • Journal of Periodontal and Implant Science
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    • 제50권2호
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    • pp.83-96
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    • 2020
  • Purpose: The present study aimed to evaluate the clinical benefit of additional toothbrushing accompanying non-surgical periodontal treatment on oral and general health in patients with type 2 diabetes mellitus (T2DM). Methods: We conducted a doubled-blind randomized controlled trial in 60 T2DM patients between June 2013 and June 2014. The patients were randomly assigned to the scaling and root planing (SRP) group; the scaling and root planing with additional toothbrushing (SRPAT) group, in which additional toothbrushing was performed by toothpick methods; or the control group. Microbiological and oral examinations were performed for up to 12 weeks following treatment. Non-surgical treatment was conducted in the experimental groups. The SRP group received scaling and root planing and the SRPAT group received additional toothbrushing with the Watanabe method once a week from the first visit through the fifth visit. The primary outcomes were changes in haemoglobin A1c (or glycated haemoglobin; HbA1c) levels, serum endotoxin levels, and interleukin-1 beta levels. Periodontal health status was measured by periodontal pocket depth, the calculus index, and bleeding on probing (BOP). Results: Both the SRP and SRPAT groups showed improvements in periodontal health and HbA1c, but the SRPAT group showed significantly less BOP than the SRP group. Furthermore, only the SRPAT group showed a statistically significant decrease in serum endotoxin levels. Conclusions: Non-surgical periodontal treatment was effective in improving HbA1c and serum endotoxin levels in T2DM patients. Furthermore, non-surgical treatment with additional tooth brushing had a more favourable effect on gingival bleeding management. Trial RegistrationClinical Research Information Service Identifier: KCT000416.

미국 치과위생사의 전문직화 경향 (The trend toward professionalization of American dental hygienists)

  • 김형미;박정란;김창희;원영순;심선주;이선미
    • 한국치위생학회지
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    • 제21권6호
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    • pp.773-784
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    • 2021
  • Objectives: This study presents the basic data necessary to explore the methods used of Korean dental hygienists to resolve oral health inequalities in Korea via reviewing the professionalization trend of American dental hygienists. Methods: The supervision levels of American dental hygienists, and system of dental therapists were analyzed using the data published by the relevant associations. Results: In America, dental hygienists help address oral health inequalities. However, due to limitations in the supervision levels and scope of practice of dental hygienists, the autonomy of dental hygienists was expanded, and mid-level practitioner were employed. The autonomy for dental hygiene practice was higher in public than in private in America. Some states have introduced dental therapists as mid-level practitioners. Their practice settings have limitations such as serving low-income, uninsured, and underserved patients or serving in a dental health professional shortage area. Conclusions: It is necessary to expand the autonomy of dental hygienists based on their profession. In particular, it is suggested that they start with the low-risk level practices. Further, it is necessary to introduce a dental hygiene specialist system specialized for fields with high social demands.

카드뮴 독성으로 손상된 NIH 3T3 섬유모세포에 대한 어성초 추출물의 재생효과(VII) (Regenerative Effects of Houttuynia cordata Extracts against Cadmium-induced Cytotoxicity in NIH 3T3 fibroblasts Cultures (VII))

  • 이정호;오현주;정승일;천현자;한두석;이현옥;안종웅;이미희;백승화
    • 대한예방한의학회지
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    • 제5권2호
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    • pp.122-128
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    • 2001
  • This study was carried out to evaluate antitoxic effects of Houttuynia cordata extract on cadmium by colorimetric methods. The antitoxic activity ofc in NIH 3T3 fibroblasts was evaluated by MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide) and SRB (sulforhodamine B protein) assays. The light microscopic study was carried out to observe morphological changes of the treated cells. The concentration of 10-2 mg/ml of Houttuynia cordata extract was shown significant antitoxic activity. The number of NIH 3T3 fibroblasts were antitoxic and tend to regenerate. These results suggest that the ethyl acetate extract of Houttuynia cordata retains a potential antitoxic activity.

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장애인 구강건강관리인력에 따른 구강환경관리능력 지수 비교 (The comparison of Patient Hygiene Performance(PHP) Index according to the number of Oral Health Care worker with Disabled)

  • 김소연;김수지;김연선;김지홍;김효진;정승민;홍지희
    • 대한심미치과학회지
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    • 제28권2호
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    • pp.116-126
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    • 2019
  • Objectives: 현재 장애인의 구강건강은 구강건강전문인력인 치과위생사가 아닌 사회복지사가 책임지고 있는 실정이다. 장애인 복지시설에 상주하는 사회복지사에게 올바른 구강건강 관리방법을 제공함으로써 장애인 구강건강의 형평성 제고를 도모하고자 한다. Methods: 2019년 4월 13일부터 2019년 4월 20까지 서울시 송파구에 위치한 'o' 장애인 복지시설에 거주하는 1급 지적장애인을 대상으로 식후 치과위생사 4명과 사회복지사 4명이 잇솔질 시행 후 구강환경관리능력지수(PHP Index)를 측정하여 비교하였다. 사전에 사회복지사 4명에게 잇솔질(회전법)을 교육하였으며, 잇솔질 방법과 검사 측정 도구를 통일하였다. 대상자의 구강보건지식을 평가하기 위해 자기기입식 설문지를 사용하였고, 구강보건지식점수 및 구강환경관리능력지수(PHP index) 점수의 평균, 대상자의 일반적 특성에 대해 Microsoft Office Excel ver.2016 을 이용하여 빈도 및 백분율 산출하였다(N%). Results: 치과위생사와 사회복지사의 구강보건지식 조사에서 모든 문항에서 치과위생사가 높은 점수를 나타냈다. 치과위생사와 사회복지사가 지적장애인을 대상으로 잇솔질(회전법) 실시 후 구강환경관리능력지수(PHP Index)를 비교했을 때 연령별, 성별 모든 분류에서 치과위생사의 구강환경관리능력지수(PHP Index)가 낮게 나타났다. 2차에 걸쳐 치과위생사와 사회복지사가 지적장애인을 대상으로 잇솔질(회전법) 실시 후 구강환경관리능력지수(PHP Index)를 비교했을 때 1차, 2차 모두 치과위생사의 구강환경관리능력지수(PHP Index)가 낮게 나타났다. Conclusions: 이상의 결과를 종합해 볼 때, 장애인들의 구강건강관리를 위해 치과위생사가 사회복지사보다 구강건강관리능력이 더 효율적인 것으로 나타났다. 따라서 장애인들의 입소시설에 치과위생사가 구강건강관리전문 인력으로 배치되어 장애인 및 사회복지사의 교육을 담당할 수 있는 환경이 조성되어야하며, 치과위생사를 양성하는 대학의 교육과정에도 장애인의 특성을 이해하는 교과목이 개설되어 전문성이 제고되어야 한다.

예비치과위생사의 취업에 관한 의식 조사 (A Survey on Preliminary Dental Hygienists' Senses of Employment)

  • 한수진;이선미;임미희
    • 한국치위생학회지
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    • 제7권4호
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    • pp.583-594
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    • 2007
  • The purpose of this study was to conduct a survey on the senses that preliminary dental hygienists have on employment, who applied for the National Dental Hygienist Examination, so that it could provide a basic reference required for fostering good human resources specializing in oral health with a sense of mission and responsibility as professional. To meet these goals, a self-administered questionnaire survey was conducted for participants in a refresher education meeting for preliminary dental hygienists across three major regions(Seoul, Daejeon and Busan), which was held by the Korean Dental Hygienists Association(KDHA) on Jan. 15, 2006. Total 289 sheets of questionnaire were collected, and 262 sheets except invalid or incomplete ones were used for examination and analysis. As a result, this study came to the following conclusions: First, it was found that 40.4% respondents wanted to be employed in dental clinic or hospital. Most respondents(90.1%) answered that faithfulness is most valued as prerequisite qualification for employment in hospital, and highest percentage of respondents(39.3%) wanted to earn 16 to 17 million Korean won annually. For internship opportunities, 61.9% respondents replied that they could willingly accept the internship, provided that basic pay and switchover to regular employee are all assured. Second, as the results of survey on employment circumstances around respondents, it was found that most respondents(58.3%) were employed in dental clinic or hospital, and highest percentage of respondents(35.0%) earned 15 to 16 million Korean won. Third, it was found that interpersonal relationships among employees had most significant effects(4.81) on selection of employment, which was followed by in-house welfare benefits 1(monthly/annual vacation, resting room, etc; 4.56). For possible influential factors on the selection of employment depending on whether employed or not, it was found that there were Significant differences in pay, welfare benefit 2(seminar, orientation, refresher training opportunities, etc), post-wedding continued employment and merit system between employees and non-employees(pE0.05). Fourth, the survey on respondents' occupational senses of dental hygienist showed that major tasks of dental hygienists were represented by oral disease prevention(92.6%), case management(71.5%), oral health education(66.3%), hospital/clinic management and dental management support(10.4%) and public oral health activities(6.7%) respectively. For job satisfaction, it was found that almost half respondents(48.9%) showed satisfaction at their job and 32.6% felt satisfied at and proud of their job. That is, majority of respondents(81.5%) felt satisfied at their job as dental hygienist. For follow-up requirements to qualify for dental hygienists, it was found that 73.3% felt it necessary to give more investments to self-development, 62.2% respondents considered protection of membership's rights as one of future assignments that KDHA should be more committed to. For future social awareness about dental hygienists as occupation, 69.2% respondents expected that they would be better developed and treated as professional. And desired training courses as a part of qualification for professional dental hygienists were represented by case management(services, manners, etc; 33.3%), implant(28.9%), esthetics(correction, prosthesis, whitening; 18.9%) and so on. For an item on working years, it was noted that 75.9% respondents would keep working as dental hygienists as long as they could.

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이염성 백질 이영양증 환아의 치아우식 치료 증례 보고 (DENTAL TREATMENT IN A PATIENT WITH METACHROMATIC LEUKODYSTROPHY UNDER GENERAL ANESTHESIA : A CASE REPORT)

  • 류지연;신터전;현홍근;김영재;김정욱;장기택;김종철;이상훈
    • 대한장애인치과학회지
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    • 제12권2호
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    • pp.96-100
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    • 2016
  • 저자는 후기 영아형 이염성 백질 이영양증으로 인해 신경학적인 퇴행이 관찰되고 섭식 장애로 인한 다발성 우식을 보이는 환아를 전신마취 하 치료하였기에 문헌 고찰과 함께 보고하는 바이다. 저작기능 장애로 인한 영양 결핍으로 환아는 신체 발육이 매우 저하되었으며 긴 식사 시간으로 다발성 치아 우식에 이환된 상태였다. 협조도 부족 및 치료 범위 등을 고려하여 전신마취 하에 치과 치료를 시행하였고 정기적인 검진을 시행 중이다. 진행성, 신경성 퇴행질환의 특징을 이해하고 환아의 상태를 고려한 구강 건강 관리 및 보호자 교육을 제공하는 것이 필요할 것으로 사료된다.

백출 추출물의 세포독성과 항균효과검색 (Screening of Cytotoxicity and Antimicrobial Effects of Extracts from Atractylodes macrocephala Koidz)

  • 최은영;오현주;박낭규;천현자;안종웅;전병훈;한두석;이현옥;백승화
    • 동의생리병리학회지
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    • 제16권2호
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    • pp.348-352
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    • 2002
  • This study was carried out to evaluate cytotoxic effects of Atractylodes macrocephala Koidz. (A. macrocephala Koidz.) extract on NIH 3T3 fibloblast. SK-MEL-3 (HBT 69) and KB (ATCC No, OCL 17) cell lines. Disruptions in cell organelles were determined by 3-(4,5-dimethylthiazol-2-y1)-2,5-diphenyl-2H-tetrazoliumbromide (MTT) assay. 10.2 mg/ml Concentration of A. macrocephala Koidz. extracts in SK-MEL-3 showed that their susceptibility (sensitivity) to these compounds decreased in the following order ; adriamycin > H₂O > ethyl acetate > ethyl alcohol > chloroform > n-hexane in SK-MEL-3 cell lines ; 5-FU > H₂O > n-hexane > ethyl acetate > ethyl alcohol > chloroform in KB cell lines. In order to develop an antimicrobial agent, A. macrocephala Koidz. was extracted with solvents. The minimal inhibitory concentrations (MICs) of each solvent extract of A. macrocephala Koidz. against microogranisms were also examined. Antimicrobial activities of ampicillin and ketoconazole as references were compared to those of each solvent extract of A. macrocephala Koidz. The antimicrobial activity of the ethyl acetate soluble extract of A. macrocephala Koidz. had growth inhibition activity against S. mutans and P. putida (MICs. 500 ㎍/ml). These results suggest that the ethyl acetate soluble extract of A. macrocephala Koidz. possessed antitumorous and antimicrobial agents

전문가치면세정술과 세균막관리교육의 임플란트 주위염 감소 효과 (The Effects of Professional Tooth Cleaning and Plaque Control Instruction on Reduction of Peri-implantitis)

  • 박경화;한경순
    • 치위생과학회지
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    • 제12권2호
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    • pp.163-170
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    • 2012
  • 전문가치면세정술과 세균막관리교육이 임플란트 주위염 감소에 미치는 효과를 분석하기 위하여 2009년 12월 9일부터 2011년 1월 31일까지 상 하악 대구치부위에 임플란트 식립 후 보철치료까지 완료한 80명의 부분 무치악 환자와 이들에게 식립된 193개의 임플란트를 대상으로 실험군과 대조군을 추출하였다. 실험군은 Watanabe method로 전문가치면세정술을 실시한 후 같은 방법으로 잇솔질교육을 하였고, 대조군에게는 엔진을 이용한 치면연마와 회전법으로 잇솔질 교육을 실시하였으며, 시작일 이후 3, 6, 9개월 재내원하여 반복시행하였고, 치면세균막 검사, 치은염 검사, 임플란트 변연골소실량 검사를 실시하여 다음과 같은 결론을 얻었다. 1. 전문가치면세정술과 세균막관리교육을 적용한 실험군은 대조군에 비해 6개월 후와 9개월 후에서 치면세균막지수와 치은염지수가 유의하게 낮았고(p<0.05), 변연골소실량에서는 실험군(0.15 mm)이 대조군(0.24 mm)보다 낮아(p=0.155) 차이가 있을 수 있었으며, 전문가치면세정술과 세균막관리교육은 치면세균막지수와 치은염지수에 영향력 있는 요인으로 분석되었다. 2. 임플란트 특성에서 치면세균막지수는 상악이 하악보다 3, 6, 9개월 후에서 유의한 수준으로 낮았고(p<0.05), 기능부하 12개월 이하 군이 13개월 이상 군보다 6개월 후에서 낮았으며(p<0.05), 변연골소실량은 시작일과 9개월 후에서 이회법 시술방식이 일회법 시술방식보다 낮았고, 기능부하 12개월 이하 군이 13개월 이상 군보다 낮게 나타났다(p<0.05). 이상의 결과를 종합해 볼 때 Watanabe method를 이용한 전문가치면세정술과 세균막관리교육은 임플란트 주위염을 예방하고 발생된 임플란트 주위염을 개선하는데 효과적인 방법이라고 할 수 있다. 따라서 임플란트 주위염으로 인한 실패를 감소시킬 수 있는 방법으로 전문가치면세정술을 주기적으로 실시하고, 환자 개인별 적합한 잇솔질 방법을 지속적으로 교육하는 임플란트 계속관리제도 도입에 대한 고려가 필요할 것으로 사료된다.

사회계층에 따른 영유아 맞춤형 방문건강관리사업 요구도 (A Study to Assess the Need of Customized Visiting Health Care Services for Children according to Socioeconomic Status in a Province)

  • 김희자;방경숙;유재순;김현숙;탁양주;허보윤
    • 지역사회간호학회지
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    • 제22권2호
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    • pp.212-222
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    • 2011
  • Purpose: This study was conducted to survey children's health status and need of customized visiting health care services in one province. Methods: The participants in this study were 237 caregivers of infants and preschoolers. Data were collected at the participant's home or public health center. Results: Many of the children did not receive developmental screening tests or dental examinations. In the beneficiary group, the prenatal checkup rate and children's vaccination rate were lower, and caregivers had more health problems than the other groups. On the assessment of home safety, unsafe conditions were more frequently found in the beneficiary group. The caregivers in the beneficiary group showed lower child rearing confidence than the other groups, and wanted customized visiting health care services most in the areas of developmental screening, regular health check-up and counseling, nutritional supplementation, and oral health care. Conclusion: These results indicate that it is necessary for children and parents in poverty to be provided with professional home visiting interventions for the promotion of child health and prevention of developmental problems and diseases. These findings can be used for developing future customized visiting health care service programs for infants and children in this community area.

치과위생사의 직업기대에 관한 연구 (A study on dental hygienists' job expectation)

  • 황미영;오혜영;원복연
    • 한국치위생학회지
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    • 제12권6호
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    • pp.1138-1147
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    • 2012
  • Objectives : The purpose of this study was to grasp association with dental hygienists' job expectation through correlation between curricular subjects for the department of dental hygiene and job. Methods : It carried out convenience sampling of dental hospitals where are located in Capital Area, and then conducted a self-administered questionnaire survey targeting 274 dental hygienists who are working here. The statistical program was analyzed by using PSAW 18.0. Results : Research subjects' 60.2% experienced turnover. Its reason accounted for 31.7% with the working condition. As a result of examining difference in experience of turnover according to dental hygienists' individual characteristic and working form, the significant difference was shown in age, marriage, annual salary, working institution, and career. In consequence of confirming association between curricular subjects and job, the majority showed high correlation. However, the correlation with oral physiology, clinical dental hygiene, and dental clinics showed low correlation as the insignificant variable. Conclusions : As a result of this study, the high correlation between curricular subjects and job can be considered to reflect dental hygienists' job expectation. On the other hand, the working condition, professional sense, and turnover experience, which are factors related to dental hygienists' job expectation, were indicated to fail to meet job expectation.