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Essential services in children's family dentistry program and the role of dental hygienists

아동 치과주치의 프로그램의 필요도와 치과위생사의 역할

  • Seung-Hun Lee (Department of Dental Hygiene, Sahmyook Health University)
  • Received : 2023.11.03
  • Accepted : 2023.11.28
  • Published : 2023.12.30

Abstract

Objectives: The aim of this study was to investigate the essential services, importance, interval of examinations, and role of dental hygienists in children's family dentistry program. Methods: A total of 124 participants completed a self-administered questionnaire. The data were analyzed using independent t-test, and ANOVA, and Pearson correlation analysis. Results: All participants stated that oral examination and panoramic radiography are required; children should be educated about brushing, use of oral products, and regular check-ups; and preventive treatments such as molar sealants and prophylaxis should be offered. They stated that light-curing resins and glass ionomer fillings should be offered in treatment services. They stated that examination intervals should be shorter for education and prevention rather than treatment. Dental hygiene students were more likely than dentists and dental hygienists to say that the program was more important. There was a correlation between oral examinations and education and treatment, and between essential services and their importance. Conclusions: Services considered essential and important should be provided first, education and prevention should be provided more frequently than treatment, and their importance should be emphasized not only to dental hygiene students but also to dental hygienists and dentists who are the main providers of services.

연구목적: 연구자는 아동 치과 주치의 프로그램에서 필수 서비스와 중요도, 검진 주기, 치과위생사의 역할을 알아보고자 한다. 연구방법: 최종연구대상자는 치과위생사, 치과의사, 치위생과 학생으로 총 124명이고, 자기기입식 설문지를 작성했다. 수집된 자료는 독립 t-검정, ANOVA로 일반적인 특징에 따라 그 차이를 비교했고, 이들의 관계는 Pearson 상관관계분석으로 분석했다. 연구결과: 검진 대상자에게 구강 검사와 방사선사진 촬영 등은 꼭 필요한 검사항목이고, 칫솔질과 구강용품 사용, 정기 검진의 중요성을 교육해야 하며, 대구치 실런트와 치면세마와 같은 예방 처치를 제공해야 한다고 생각했다. 또한 치료 서비스에서는 광중합형 레진과 GI 충전이 필요하다고 응답했다. 검진 주기를 치료보다는 교육과 예방을 더 짧게 해야 한다고 생각했다. 치위생과 학생이 치과의사와 치과위생사보다 검진, 교육, 예방, 치료 서비스가 더 중요하다고 응답했다. 구강검진과 교육 및 치료 간의 상관관계가 높았고, 필수 서비스와 중요성도 정(+)의 상관관계를 가졌다. 결론: 필수적이고 중요하다고 생각하는 구강 검사, 교육, 예방, 치료 서비스를 치과주치의 프로그램으로 어린이에게 제공해야 한다. 구강보건 교육과 예방관리는 치료보다 더 자주 제공되어야 하고, 그 중요성을 치위생과 학생뿐만 아니라 서비스의 주체인 치과위생사와 치과의사에게도 강조할 필요가 있다.

Keywords

Acknowledgement

This study was supported by the Sahmyook Health University research grants in 2023. The funders had no role in the study design, data collection and analysis, or preparation of the manuscript.

References

  1. MEDI: gate news. Poor management of non-payments-low coverage rates accelerate health care costs... provider control policies should be inplaceInternet. medigatenews. [cited 2023 Apr 16]. Available from:https://medigatenews.com/news/542078457.
  2. National Health Insurance Service. Survey on medical expenses for health insurance patients: statistical information report. Daejeon: National Health Insurance Service;2021:69-80.
  3. Shon CW, Kim JA. Policy evaluation of family dentist system for students and children of low-income households and its suggestions. Seoul: Seoul Institute;2016:1-140.
  4. Macintyre S. The Black report and beyond what are the issues?. Soc Sci Med 1997;44(6):723-45. https://doi.org/10.1016/S0277-9536(96)00183-9
  5. Shin SC. Correlation between social, economical and dental environmental factors and oral health in different countries. J Korean Acad Oral Health 2011;35(2):216-26.
  6. Kim MJ, HanDH, Kim JB. Effect of the family dentist system on oral health status of children and adolescents in Busan, Korea. J Korean Soc Dent Hyg 2013;13(3):501-7. https://doi.org/10.13065/jksdh.2013.13.3.501
  7. Lee KH, Kim JY, Song JH, Kim YH, Im RU, Jeong SY. Present state and prospect of public dental health service for children and adolescents in Korea. J Korean Acad Pediatr Dent 2008;35(3):578-88.
  8. Min KH, Kim YJ, Nam DW, Song JS, Song JS, Lee JY, et al. Family dentists for the children: development of service manual and education program. Seoul : Ministry of Health and Welfare, Korean Dental Association;2019:1-66.
  9. American Academy of Pediatric Dentistry (2004). Policy on the dental home. Councilon Clinical Affairs. Retrieved August 20 2007 from http://www.aapd.org/media//Policies_Guidelines/P_DentalHome.pdf.
  10. GOV.UK. Dental contract reform: a report on learnings from the dental contract prototype test between April 2016 and March 2019 [Internet]. Department of Health & Social Care; 2023. [cited 2023 Jan 26]. Available from: https://www.gov.uk/government/publications/dentalcontract-reform-evaluating-the-results-of-the-prototype-scheme/dental-contract-reform-a-report-on-learnings-from-the-dental-contractprototype-test-between-april-2016-and-march-2019.
  11. Shon CW, Kim JA, Yi SJ. Governance evaluation and implications of the family dentist system for the students: focusing on the case of the Seoul metropolitan government. J Korean Soc Oral Health Sci 2023;11(3):24-35. https://doi.org/10.33615/jkohs.2023.11.3.24
  12. Faul F, Erdfelder E, Lang AG, Buchner A. G*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical science. Behav Res Methods 2007;39(2):175-91. https://doi.org/10.3758/bf03193146
  13. Cohen J. Statistical power analysis for behavioral sciences. 2nded. Hillsdale: Elsevier;1988:553-8.
  14. Bong SW, Kim TH, Kim SS, Kim YS. An interview survey on opinions concerning the necessity for family doctor registration program and its major services. J Korean Acad Fam Med 2006;27(5):370-5.
  15. Choi JS. The development of the pilot project model to introduce the family dentists program for children into national health insurance. Health Insurance Review & Assessment Service 2020;14(3):30-40.
  16. American Dental Association. Dental-Related Services Program Billing Guide [Internet]. Washington Health Care Authority. [cited 2023 Nov 17]. Available from: https://www.hca.wa.gov/assets/billers-and-providers/Dental-Related-Serv-bg-20220701.pdf.
  17. Ontario. Services covered by Healthy Smiles Ontario [Internet]. Ministry of Health in Ontario.[cited 2023 Nov 17]. Available from: https://www.ontario.ca/page/services-covered-by-healthy-smiles-ontario.
  18. Centre de sant? Haussmann. Examens et soins bucco-dentaires gratuits pour les jeunes (M'T Dents) [Internet]. Assurance Maladie.[cited 2023Nov17]. Available from:https://www.centrehaussmann.com/depistage-et-prevention/bilan-bucco-dentaire/.
  19. American Dental Association. Provider billing guides and fee schedules [Internet]. Washington Health Care Authority.[cited 2023 Nov 17]. Available from: https://www.google.com/search?q=Washington+2019++Dental+Program+Fee+Schedule.
  20. Ministry of government legislation, Korean law information center [Internet]. Enforcement decree of the act on medical service technologists, etc. article 2(2):Table 1.[cited 2023 Oct 24]. Available from: https://www.law.go.kr/LSW/eng/engLsSc.do?menuId=2&query=medical%20enforcement%20ordinance#liBgcolor0.
  21. Seo HY, Choi YR, Kang MK. The awareness about medical service technologists, etc. act and job demands of dental hygiene students. J Korea Converg Soc 2020;11(7):25-33.https://doi.org/10.15207/JKCS.2020.11.7.025
  22. Hwang SJ, Koong HS, Lee SH. Difference of perception of the duties of dental hygienist between dentists and dental hygiene students in an area. J Kor Acad Dent Admin 2017;5(1):1-15.
  23. Shin GS, Choi SE. The impact of preventive dental check-up on the oral health: based on the 7th (2016-2018) Korean National Health and Nutrition Examination Survey. Health & Welfare 2020;22(4):53-78. https://doi.org/10.23948/kshw.2020.12.22.4.53
  24. Ahn ES, Shin HS. Effectiveness of oral examination for infants and toddlers: effects on subsequent utilization and costs. J Korean Acad Oral Health 2017;41(2):73-9. https://doi.org/10.11149/jkaoh.2017.41.2.73