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대한예방치과·구강보건학회> 대한구강보건학회지> 치과진료기관 근무 간호조무사의 업무에 관한 치과의사의 인식도 조사

KCI등재

치과진료기관 근무 간호조무사의 업무에 관한 치과의사의 인식도 조사

Dentist`s opinions for the roles of the dental assistant nurse in Korea치과진료기관 근무 간호조무사의 업무에 관한 치과의사의 인식도 조사

천대진 ( Dae Jin Cheon ) , 이규환 ( Kyu Hwan Lee ) , 조자원 ( Ja Won Cho )
  • : 대한예방치과·구강보건학회
  • : 대한구강보건학회지 34권1호
  • : 연속간행물
  • : 2010년 03월
  • : 98-106(9pages)
대한구강보건학회지

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Objectives. The authors have surveyed with the questionnaires by post-mail, about the dentist`s desire for the roles of the dental assistant nurse, in order to use the conference to establish the system and to expand the duties for them. Methods. 2,500 sheets of questions were distributed to dentists selected in randomized by the post-mail and 555 sheets proper replied were collected and analysed. Results. Most of the private dentists hoped dental assistant nurse perform such items of dental service as basic dental care preparations, consulting and guides for patients, fluoride topical application, Oral prophylaxis, tooth brushing instruction for individuals, intra-oral x-ray taking and routine chair-side dental assisting. Lots of the private dentists desired dental assistant nurse to receive the expert educations or re-educations for basic dental service, preventive dental cares and chair-side dental assisting, in order to perform their roles properly. Lots of the private dentists had opinion for dental assistant nurse not to be such items of service which seems difficult or be possible for recurrence of the dental disease or infection, otherwise general services for dental assisting except the items written in above were recommended to be managed by dental assistant nurse. Conclusions. The expert and professional dental hygienists education should be needed in order to perform the dental service properly and professional, and let dental hygienists to change their roles form dental assisting to the dental education or the preventive dentistry works.

UCI(KEPA)

I410-ECN-0102-2012-510-001063967

간행물정보

  • : 의약학분야  > 기초치의학
  • : KCI등재
  • :
  • : 계간
  • : 1225-388x
  • : 2093-7784
  • : 학술지
  • : 연속간행물
  • : 1967-2022
  • : 1714


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46권2호(2022년 06월) 수록논문
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1새 출발과 기대

저자 : 진보형 ( Bo-hyoung Jin )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 46권 2호 발행 연도 : 2022 페이지 : pp. 45-46 (2 pages)

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2우리나라 지역주민의 칫솔질 실천과 관련된 인구사회경제 요인: 2019년 지역사회건강조사 자료이용

저자 : 이유림 ( Yu-rim Lee ) , 김남희 ( Nam-hee Kim )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 46권 2호 발행 연도 : 2022 페이지 : pp. 47-55 (9 pages)

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Objectives: This study aimed to identify the socioeconomic factors related to tooth brushing behavior among adults in Korea.
Methods: This cross-sectional study used data from the Korea Community Health Survey (KCHS) in 2019. Respondents aged 19 years and older (n=299,099) comprised the study sample. The dependent variable was tooth brushing behavior, whereas the independent variables were demographic and socioeconomic factors. The data were processed using chi-squared test, independent t-test, ANOVA, and adjusted multiple logistic regression analysis were performed. Statistical analysis was performed using the STATA 17.0 program, with significance set at the 5% level.
Results: About half (55%) of the respondents brushed their teeth at least twice a day. The findings also revealed significant differences according to socioeconomic status (P<.01). Those who brushed their teeth less than twice a day had the following characteristics: men, aged 45 years or older, low income, working outside, less educated, without a spouse, and living in rural areas. Adjusted multiple logistic regression analysis showed that the area of residence contributed to tooth brushing behavior.
Conclusions: The area of residence, as well as socioeconomic status, should be considered in oral health education and intervention strategies.

KCI등재

3한국 아동·청소년의 가구소득 수준에 따른 치아우식 격차 추이: 국민건강영양조사 자료를 이용한 구강건강 불평등 추이 분석(1)

저자 : 정세환 ( Se-hwan Jung )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 46권 2호 발행 연도 : 2022 페이지 : pp. 56-62 (7 pages)

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Objectives: The purpose of this study is to investigate the trend of dental caries inequalities according to the household income level of children and adolescents, using data from Wave 4 (2007-2009) to Wave 7 (2016-2018) of the Korea National Health and Nutrition Examination Survey (KNHANES).
Methods: The raw data were obtained from the website of KNHANES. The data by year within each wave were integrated and used for the analysis. In accordance with the guidebook for data users, the experience rate and prevalence rate of dental caries in primary and permanent teeth were estimated. Additionally, the absolute difference (AD) between the lowest and highest household income levels and the prevalence ratio (PR) by household income level were calculated.
Results: The AD in the experience rate of dental caries showed a tendency to marginally decrease in primary teeth and moderately increase in permanent teeth. The PR was not statistically significant (P >0.05) in all waves. The AD in the prevalence rate of dental caries decreased by 5.4% and 8.2% in primary and permanent teeth, respectively. The PR in Wave 7 showed that all statistical significance disappeared (P >0.05).
Conclusions: In Korean children and adolescents, dental caries inequalities by household income level showed a tendency to gradually decrease in primary or permanent teeth, and statistical significance was no longer confirmed.

KCI등재

41,450 ppm 불소 및 피로인산나트륨 1% 배합 세치제의 치은염 완화 효과

저자 : 박민지 ( Min-ji Park ) , 조자원 ( Ja-won Cho ) , 유현준 ( Hyun-jun Yoo ) , 윤미혜 ( Mi-hae Yun ) , 신경훈 ( Kyong-hoon Shin ) , 박영훈 ( Young-hoon Park )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 46권 2호 발행 연도 : 2022 페이지 : pp. 63-69 (7 pages)

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Objectives: This study aimed to evaluate the effects of a toothpaste containing sodium pyrophosphate and a high concentration (1,450 ppm) of fluoride on dental plaque, gingivitis index, and calculus index in a clinical trial.
Methods: This study used an eight-week, randomized, double-blinded, controlled, comparative, parallel design. The participants, who voluntarily signed a consent form, were screened through visit evaluation if they met the selection/exclusion criteria. After a one-week run-in period, the selected participants were randomly assigned to either an experimental or control group in the order of their enrollment. Subsequently, the participants were asked to brush their teeth with the study toothpaste using the rolling method for 3 min, thrice daily, for 8 weeks. Oral examinations were performed at baseline and after 3 weeks, 4 weeks, and 8 weeks. Evaluation of papillary marginal attachment index (PMA index), Talbott's gingival index, patient hygiene performance index (PHP index), Turesky plaque index, and calculus index were performed during the oral examination.
Results: After 8 weeks, the PMA indices were 7.12 for the control group and 5.00 for experimental groups. In addition, the PHP index was 2.06 for the control group and 1.66 for the experimental group. Significant differences were observed between the control and experimental groups in all indice (P<0.05).
Conclusions: This study shows that using a toothpaste containing sodium fluoride, sodium pyrophosphate, tocopherol acetate, and dental-type silica improves dental plaque removal, reduces gingivitis, and inhibits calculus formation.

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5리소짐염산염 0.01%, 플루오르화나트륨 0.02%, 세틸피리디늄염화물 0.05% 구중 청량제의 항균 및 살균효능

저자 : 박혜원 ( Hye-won Park ) , 조자원 ( Ja-won Cho ) , 유현준 ( Hyun-jun Yoo ) , 전열매 ( Yeol-mae Jeon ) , 신경훈 ( Kyong-hoon Shin ) , 하성민 ( Seong-min Ha )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 46권 2호 발행 연도 : 2022 페이지 : pp. 70-77 (8 pages)

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Objectives: This study aimed to assess the antibacterial, bactericidal, and mouth freshener effects of lysozyme hydrochloride 0.01%, sodium fluoride 0.02%, and cetylpyridinium chloride 0.05%.
Methods: Eight oral disease-related bacteria were cultivated anaerobically. Four samples were prepared with or without 0.5% cetylpyridinium chloride, 0.2% sodium fluoride, and 0.1% lysozyme hydrochloride. Antimicrobial activity was tested in 96-well microplates. After assessing the bacterial count, the bacterial suspension was mixed with samples and spread on agar. The bactericidal rate was calculated by counting and comparing treated and untreated colonies.
Results: Lysozyme hydrochloride 0.01%, sodium fluoride 0.02%, and cetylpyridinium chloride 0.05% mouth fresheners sterilized 99.99% of 8 oral bacteria, including Streprococcus mutans . Lysozyme hydrochloride 0.01%, sodium fluoride 0.02%, and cetylpyridinium chloride 0.05% mouth fresheners showed 99.97% bactericidal activity against Lactobacillus acidophilus.
Conclusions: Lysozyme hydrochloride 0.01%, sodium fluoride 0.02%, and cetylpyridinium chloride 0.05% mouth fresheners confirmed the sterilization and antibacterial effects on oral disease-causing bacteria.

KCI등재

6청주시 장애인 무료 치과 진료소에 내원한 장애인의 진료기록 분석

저자 : 류재인 ( Jae-in Ryu ) , 정혜리 ( Hye-ri Jeong )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 46권 2호 발행 연도 : 2022 페이지 : pp. 78-84 (7 pages)

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Objectives: Disabled people experience difficulties in accessing dental services. Some of them tend to rely on charity dental services due to financial reasons. The purpose of this study is to identify some of the treatment statuses of disabled people to aid in planning oral health policies.
Methods: This study analyzed the dental records of 141 patients from 2014 to 2019 in a charity dental clinic in Cheongju City. The demographic characteristics such as gender, age, area, social security, and type of disability of the patients were analyzed. Chi-square test and logistic regression analyses were performed to investigate the sociodemographic factors related to dental treatments.
Results: Within the study population, 63.1% were men and 66.0% were older, over 40 years old. The type of disabilities showed significant differences in the possibilities of having periodontal treatments. The older people showed almost four times a higher risk of experiencing dental extractions than those who were younger, even after adjustments with sociodemographic factors.
Conclusions: Among disabled people, an older age corresponds to a much higher probability of extraction, making chewing difficult and leading to the deterioration of general health. It is therefore necessary to conduct a detailed and extended national oral health survey on people with disabilities to allow for the provision of systematic support.

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Objectives: The purpose of this study is to analyze the trend of inequality in dental caries, deep periodontal pockets, and severe tooth loss according to the income level of adults using data from the Korea National Health and Nutrition Examination Survey (KNHANES).
Methods: The raw data from the 4th wave (2007-2009) to the 7th wave (2016-2018) were downloaded from the KNHANES website. The analytical subjects were 19 years of age or older who completed oral examinations and were classified differently according to the prevalence characteristics of each clinical indicator. The prevalence of permanent tooth caries (19 years +), deep periodontal pockets (30 years +), total tooth loss (50 years +), and 20 teeth and over (70 years +) were estimated according to the guidebook for data users. The absolute difference (AD) between the lowest and highest income levels and the prevalence ratio (PR) were calculated. All statistical analyses were performed with STATA version 13.
Results: The prevalence of permanent tooth caries decreased by 6.7%, but the AD increased by 3.4% and the PR was statistically significant. The prevalence of deep periodontal pockets was 6-10%, but the AD increased by 1.7%, and the PR of 7th wave rapidly increased. The prevalence of total tooth loss decreased by 1.5%, but in the 7th wave, the AD and the PR rapidly increased. The prevalence of 20 teeth and over increased by 10.9%, but the AD increased by ―4.3%, and the PR was statistically significant in the first and second quantiles of all waves.
Conclusions: In Korean adults, overall oral health status has improved over the past decade, but oral health inequality according to income level has generally worsened. Therefore, policy development including intervention in social determinants is needed to reduce the oral health inequality identified in this study.

KCI등재

8신개념 구강세정기 4주 병용 사용 후 구취, 치은염, 치면세균막 감소 효과

저자 : 김희주 ( Hee-ju Kim ) , 김종빈 ( Jong-bin Kim )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 46권 2호 발행 연도 : 2022 페이지 : pp. 92-98 (7 pages)

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Objectives: This study aimed to evaluate the changes in clinical indexes related to periodontitis, such as malodor, gingival and plaque indexes, during the adjuvant use of a high pressure oral irrigator (COMORAL®, SMDsolutions, Seoul, Korea) in volunteers.
Methods: We recruited 17 volunteers from an advertisement posted on Dankook University's bulletin board. The oral malodor, gingival index, and plaque index of each volunteer were during the adjuvant use of a high pressure oral irrigator within a 4-week period.
Results: Routine tooth brushing was done together with the adjuvant use of a new high pressure oral irrigator in the 4-week period. The oral malodor, gingival index, and plaque index measured after 2 and 4 weeks of use significantly decreased (P <0.05) compared with the baseline values obtained before the start of the study.
Conclusions: The adjuvant use of a new high pressure oral irrigator with routine tooth brushing in volunteers may more effectively manage daily oral hygiene.

KCI등재

9치과위생사의 디지털 리터러시 수준이 직무효능감과 조직몰입도에 미치는 영향

저자 : 양지은 ( Ji-eun Yang ) , 우재만 ( Jaeman Woo ) , 김성준 ( Sung-joon Kim )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 46권 2호 발행 연도 : 2022 페이지 : pp. 99-105 (7 pages)

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Objectives: This study aims to assess dental hygienists' level of digital literacy and its effect on occupational self-efficacy and organizational commitment.
Methods: The online survey results, obtained from 307 respondents, were statistically analyzed using frequency analysis, t-test, one-way ANOVA, and multiple regression analysis with the IBM SPSS 20.0 software.
Results: The factors affecting the technology portion of digital literacy included age (P <0.001), years in career (P <0.001), number of personnel in workplace (P =0.009), level of education (P =0.001), region of workplace (P =0.002), and form of workplace (P =0.021). The factors affecting the application portion of digital literacy included age (P <0.001), years in career (P =0.009), and number of personnel in the workplace (P =0.008). The level of occupational self-efficacy positively affected the technology portion of digital literacy, while organizational commitment positively affected the technology portion and negatively affected the application portion of digital literacy.
Conclusions: Although this study has limitations, it carries significance as a survey of dental hygienists' digital literacy standing. To adapt to and function in the current society of digital informatics, ongoing education and research on digital literacy are warranted.

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1Streptococcus mutans의 탄수화물 분해에 미치는 자일리톨의 효과

저자 : 김지혜 ( Ji Hye Kim ) , 이영은 ( Young Eun Lee ) , 정선영 ( Sun Young Chung ) , 안상헌 ( Sang Hun Ahn ) , 최연희 ( Youn Hee Choi ) , 송근배 ( Keun Bae Song )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 34권 1호 발행 연도 : 2010 페이지 : pp. 1-8 (8 pages)

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Objectives. Xylitol prevents caries by inhibiting the growth and virulence of Streptococcus mutans. However, most reports only examined the presence of specific carbohydrate such as glucose or sucrose. We therefore tested the effect of xylitol on S. mutans in several sugars. Methods. Basal culture medium for S. mutans KCTC3065 was TYE medium containing 0.5% glucose (G-TYE). The strain was cultured in 10 mL basal culture medium adding 0.5% carbohydrates (sucrose, fructose, maltose) with or without 1% xylitol at 37˚C under 10% CO2 for 24 h. Cells were collected for analysis growth, acid production, synthesis of extracellular polysaccharides, and gene expression. Results. Xylitol reduced the growth rate of S. mutans in the presence of G-TYE and maltose (p<0.05), as well as the final growth of S. mutans in the presence of G-TYE, sucrose, and maltose (p<0.05). Xylitol inhibited acid production in the presence of G-TYE and maltose (p<0.05), but not in sucrose and fructose (p>0.05). Xylitol reduced the synthesis of extracellular polysaccharides and the expression of gtfB and gtfD in all carbohydrates. Conclusions. Xylitol inhibited growth and acid production of S. mutans in the presence of G-TYE and maltose, and decreased extracellular polysarccharides synthesis in all carbohydrates.

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2새로운 색지표를 이용한 우식활성검사법 개발

저자 : 강시묵 ( Si Mook Kang ) , 정회인 ( Hoi In Jung ) , 정승화 ( Seung Hwa Jeong ) , 권호근 ( Ho Keun Kwon ) , 김백일 ( Baek Il Kim )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 34권 1호 발행 연도 : 2010 페이지 : pp. 9-17 (9 pages)

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Objectives. The aim of this study was to develop a new caries activity test based on colorimetric changes that could better reflect the amount of acid produced by oral bacteria as a broad spectrum of color than the previous test. The optimal candidates were combinations of pH indicators, and these were evaluated in pH buffering solutions and using dental plaque. Methods. Six pH indicators, Bromocresol-purple (BCP), Bromocresol-green (BCG), Methyl-red (MR), Methyl-orange (MO), Resazurin (R), and Naphthyl-red (NR), were selected to show different colors at various pH environments (range pH 3.0~7.0). BCP and BCG are pH indicators that are already used in the Cariostat(R), and they can show color changes from blue to yellow. This study tried to broaden the color change spectrum from blue to red to give a more distinct differentiation at various pHs. Four pH indicators (MR, MO, R and NR) were blended with BCP and BCG. Each combination of the three indicators was assessed in different pH buffer systems: pH 7.0, 6.0, 5.0, 4.0, and 3.0. The selected combinations of pH indicators were applied to human dental plaque from 11 subjects (mean age: 27) to confirm the reproducibility of the in vitro results. Results. According to the in vitro buffer system, the mixture of BCP, BCG and MR did not show any differences between pH 4.0 and pH 3.0. On the other hand, the mixtures of BCP-BCG-MO (ratio 2:1:1.5), BCP-BCG-R (1.5:1:0.5) and BCP-BCG-NR (2:1:1.5) showed distinguishable color changes from pH 7.0 to pH 3.0. Among the three candidates, the BCP-BCG-NR mixture showed the best color differences in the buffer solution and the human dental plaque cultivated solutions at various pHs. Conclusions. This study evaluated a new colorimetric caries activity test that used a combination of several pH indicators. The new system can easily detect various pH environments from organic acid fermentation by using a wider range of colors (blue-dark green-green-orange-red).

KCI등재

3민간의치세정제재들의 항균력, 정균력 및 의치상 마모력에 대한 평가

저자 : 이재영 ( Jae Young Lee ) , 김영권 ( Young Kwon Kim ) , 정윤숙 ( Yun Sook Jeong ) , 강경희 ( Kyung Hee Kang ) , 황수정 ( Soo Jeong Hwang )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 34권 1호 발행 연도 : 2010 페이지 : pp. 18-27 (10 pages)

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Objectives. Proper cleansing of dentures is important for oral mucosal health in the elderly. We evaluated denture cleansers using in vitro antimicrobial tests with Candida albicans and Streptococcus mutans, as well as a denture base abrasion test. Methods. 1) We administered a questionnaire about denture cleansers to 632 elderly people in Daejeon. 2) The dentifrices, kitchen detergents were selected as artificial denture cleansers, and baking soda and vinegar as natural denture cleansers. Antimicrobial tests were performed by spectrophotometry using a McFarland nephelometer and total plate counts after incubation with each material. 3) Denture base resin discs (13×1 mm) were prepared for abrasion tests using a V8 Crossbrushing machine. Results. 1) Most elderly people used the dentifrices as denture cleansers was 65.8%. 2) After Vinegar treatment was less than 10% effective in bacteriostatic and bacteriocidal tests of S. mutans and antifungal effects of C. albicans. The antimicrobial effect of baking soda and dentifrices depended on the dilution ratio. Kitchen detergents showed an inverse relationship between dilution ratio and antimicrobial effect. 3) The dentifrices caused the most abrasion, but the effect was not significant. Conclusions. Vinegar and baking soda could be useful denture cleansers, but must be tested on other denture materials.

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4손바닥 선인장 열매 추출물의 Streptococcus mutans에 대한 성장 억제 효과

저자 : 정은주 ( Eun Ju Jung ) , 홍석진 ( Suk Jin Hong ) , 최정이 ( Jeoung Iee Choi ) , 정성숙 ( Seong Soog Jeong ) , 오한나 ( Han Na Oh ) , 이혜진 ( Hye Jin Lee ) , 최충호 ( Choong Ho Choi )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 34권 1호 발행 연도 : 2010 페이지 : pp. 28-35 (8 pages)

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Objectives. Antimicrobial activity of extract of prickly pear (Opuntia ficus-indica var. saboten Makino; OFI) has been reported. This study examined effects of OFI extract on the growth of Streptococcus mutans. Methods. OFI was extracted by 85% methanol using an ultrasonic extraction method. The agar plate dilution method was used to count the CFU of viability of S. mutans KCTC 3065 that was determined by enumeration (colony forming units) in an agar dilution assay using no OFI (control), or 5, 20, and 50 mg/mL OFI following incubation for 0, 6, 12, and 24 h. The cytotoxicity of OFI extract (0, 5, 10, 20, 40, 50 mg/mL) was evaluated for human gingival fibroblasts by a formazan-based viability. Results. S. mutans growth was reduced by the OFI extract. The number of viable S. mutans was reduced significantly with increasing OFI concentration and incubation time (both p<0.001). The viable counts of S. mutans cultured with 20 and 50 mg/mL OFI decreased gradually but appreciably (>88.7%) by 6 h and no S. mutans remained when cultured with 50 mg/mL at 24 h. OFI concentrations of 40 and 50 mg/mL were cytotoxic to fibroblasts. Conclusions. OFI displays S. mutans inhibitory activity, and may be potential exploited as an oral hygiene agent for the prevention of dental caries.

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5일부 치위생과 학생에서 분리된 MRSA에 의한 교차감염

저자 : 강현경 ( Hyun Kyung Kang )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 34권 1호 발행 연도 : 2010 페이지 : pp. 36-40 (5 pages)

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Objectives. I tested S. aureus and MRSA isolates from the nasal cavity to determine cross infection rates using the mecA gene. Methods. I recruited 44 students from the Department of Dental Hygiene in Pusan. I measured the presence of the mecA gene from MRSA using polymerase chain reaction (PCR) according to Clinical and Laboratory Standards Institute (CLSI) standards with the disk diffusion method. Results. S. aureus was isolated from 10 people (23%), with methicillin-resistant Staphylococcus aureus in 2 people. These isolates also showed resistance to oxacillin and cefoxitin according to CLSI guidelines and contained the mecA gene. Conclusions. Cross infection in the hospital is important for students working at dental clinics in the future, and further information is needed about the risks of cross infection in this population.

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6구강보건교육학 교과를 위한 문제중심학습 패키지 개발 및 적용

저자 : 정영란 ( Young Ran Jung ) , 조덕주 ( Duk Joo Cho ) , 황윤숙 ( Yoon Sook Hwang ) , 장기완 ( Kee Wan Chang )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 34권 1호 발행 연도 : 2010 페이지 : pp. 41-49 (9 pages)

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Objectives. We developed PBL packages for oral health education and explored the course`s meaning of the packages for applying PBL to dental hygiene education. Methods. After PBL packages were developed and used, the components of the packages were compared to those of expository and practice centered instruction. Those are subject, main concept, an issue situation, degree of difficulty, achievement evaluation etc. Results. The PBL packages developed in this study provide problem situations that students might face in the clinic after graduation, and the packages stimulate independent problem-solving instead of relying on existing expository and practice-centered teaching practices that merely convey content. We assessed the application of problem-based learning, the preparation of educational plans, small grouping, tutor posting, and a variety of learning methods, and selected learners were interviewed to describe their PBL experiences. The significance of applying problem-based learning was also analyzed. The learners initially had difficulties with the PBL process, but became accustomed to it with experience, and this process learning did not disrupt the educational value. Conclusions. This study suggests ways to implement PBL in dental hygiene education.

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7수도권지역 성인에서 구취와 치주상태의 관련성

저자 : 한경순 ( Gyeong Soon Han ) , 김영남 ( Young Nam Kim ) , 양승경 ( Seung Kyeong Yang ) , 배광학 ( Kwang Hak Bae )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 34권 1호 발행 연도 : 2010 페이지 : pp. 50-57 (8 pages)

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Objectives. Oral malodor originates from VSC from amino acid metabolism by bacteria. Many patients with periodontitis have oral malodor and we therefore tested the relationship between oral malodor and periodontal status. Methods. A total of 138 adults were investigated using the O`Leary index, Loe & Silness index, formation of periodontal pocket depth, amount of loss for interproximal bone and missing tooth. And measuring the malodor by use of Oral Chroma volatile sulfur compounds. Data were analyzed with a t-test, one-way of variance and multiple regression using SPSS 12.0. Results. A higher O`Leary plaque index produced higher levels of dimethyl sulfide (p<0.01). Gingivitis, also tended to increase the concentration of hydrogen sulfide (p=0.095). Deeper periodontal pocket depth (<4 mm, 4~5 mm, ≥6 mm), also increased the concentration of hydrogen sulfide (p<0.05). Methyl mercaptan levels also tended to increase hydrogen sulfide levels (p=0.188). Higher interproximal bone loss (<50 mm, 50-80 mm, ≥80 mm) increase levels of methyl mercaptan (p=0.05), which was also higher in the missing tooth group than the non-missing tooth group (p<0.01). For total VSC concentration, a higher loss of interproximal bone increased the risk of halitosis (p<0.05). Conclusions. Blocking VSC generation in the periodontal pocket by periodontal therapy could vicious circle of periodontal disease and oral malodor.

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8노인장기요양보험제도에 대한 수도권지역 치과의료공급자의 객관적 및 주관적 인식

저자 : 김창욱 ( Chang Woog Kim ) , 황지민 ( Ji Min Hwang ) , 박용덕 ( Yong Duk Park )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 34권 1호 발행 연도 : 2010 페이지 : pp. 58-64 (7 pages)

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Objectives. The purpose of this study was to examine the awareness of dental hygienists, who were certified suppliers of visiting nursing service and long-term care, and of dentists, who were their supervisors, about the long-term care insurance system for senior citizens in an attempt to provide information on the role enlargement of the dental service suppliers involving dentists and dental hygienists and the improvement of the system, as the insurance was launched to keep up with the trend of the times. Methods. The subjects in this study were dentists and dental hygienists in the capital area (Seoul, Incheon and Gyeonggi Province), on whom a self-administered survey was conducted from January to April, 2009. The answer sheets from 207 dentists and 266 dental hygienists were gathered, and the collected data were analyzed with a SPSS 14.0 program. A frequency analysis, independent t-test and cross-tabs were carried out, and Pearson correlation coefficient was utilized to look for the correlation among the selected variables. Results. 41.5% of the dentists and 50.4% of the dental hygienists just heard about the long-term care insurance for senior citizens without having any further knowledge. Only 3.4% of the dentists and 4.5% of the dental hygienists know about it in detail. Among three items presented, the dentists (3.64) and dental hygienists (3.90) agreed the most to the necessity of the insurance, while they agreed the least to the additional payment of premium. Regarding the correlation between their subjective awareness of the insurance and relevant variables, the subjective awareness of the dentists had a statistically significant relationship to all the variables, and there was a statistically significant relationship between the awareness of the dental hygienists about the necessity of the insurance and their participation in it. Conclusions. The dental service suppliers weren`t well aware of the long-term care insurance system for senior citizens, but those whose family members were in need of long-term care were well cognizant of it in general. To improve their awareness and support for the system, more intensive P.R. efforts are required, and systematic educational programs should be prepared.

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9일부 스케일링 대상 근로자에서 잇솔질교육이 구강위생관리능력향상에 미치는 효과

저자 : 우희선 ( Hee Sun Woo ) , 김동기 ( Dong Kie Kim )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 34권 1호 발행 연도 : 2010 페이지 : pp. 65-71 (7 pages)

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Objectives. Self-analysis of oral health and the ability to manage oral hygiene in scaling patients is important for planning and managing oral hygiene. The PHP index allows the communication of self-controlled methods of oral hygiene. We evaluated the effect of scaling and tooth brushing instruction after an oral examination. Methods. This study was conducted on 100 patients who visited the C dental clinic in Seoul for a worker`s oral examination from January 2 to June 30, 2009. They were 25~29 years old and needed scaling treatment. An oral check-up and PHP index survey were taken 3 times; before tooth brushing instruction, 1 week after instruction, and 1 month after instruction. Results. It showed that gender and toothbrushing method had relevance to gingival bleeding and gingivitis. The PHP index decreased 1 week after instrucion but increased at 1 month. For the usage of oral hygiene aid goods, dental floss is the most used goods, the second is a mouth wash, and the third is a electric toothbrush. Conclusions. Tooth brushing instruction is important for oral hygiene. However, instruction needs to be performed repeatedly and systematically over time.

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10치과의료종사자의 진료기관 운영제도에 따른 직무만족도 -치과위생사, 간호조무사, 상담 및 코디네이터, 행정관리직 종사자 중심으로-

저자 : 천혜원 ( Hye Won Cheon ) , 이흥수 ( Heung Soo Lee )

발행기관 : 대한예방치과·구강보건학회 간행물 : 대한구강보건학회지 34권 1호 발행 연도 : 2010 페이지 : pp. 72-82 (11 pages)

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Objectives. We measured the factors affecting job satisfaction of dental auxiliaries to understand how to improve their working conditions. Methods. We evaluated satisfaction levels of dental auxiliaries in dental service institutes in Jeonju and Iksan, Jeollabuk-do, Korea. Results. Job satisfaction varied depending on socio-demographic features. Auxiliaries that were older, more educated, married, and high income earners showed higher satisfaction. Management components of the job also increased job satisfaction. The communication and compensation system showed the highest correlation, a 0.637 Pearson correlation coefficient. Operations improved when employees had manuals for the job; when they were given responsibilities; when they had more social gatherings on a regular basis; when they had incentive programs; and when they had opportunities for education or professional development. Satisfaction with management communication improved when complaints were resolved smoothly; when the opinions of dental auxiliaries were trusted by dentists; and with better communication between dentists and their auxiliaries. Conclusions. The compensation system was least satisfactory of the 6 constituent factors, indicating that increased wages and incentives are needed to promote job satisfaction. Improving other management factors such as communications can also increase the job satisfaction.

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