Objectives: This study aimed at helping oral health prevention of the blind and related management plan, which is defined as the influence factors between missing and filled permanent teeth index and general feature and oral health behavior of the blind in Korea (estimates 229,678 persons) using data of the 6th Korea National Health and Nutrition Examination Survey from 2014 Korea Centers For Disease Control and Prevention. Methods: The blind over the age of 30 were selected as study subjects who have conducted health survey and dental inspections in KNHANES VI-2. Estimates of the subjects were 229,67 persons. For analyzing data, general linear models: GLM and covariance analysis were conducted to identify the relation between general feature and oral health behavior and missing and filled permanent teeth index. SPSS 21 statistical program was used, which is possible to conduct complex sampling design, and the significance level was 0.05. Results: The missing and filled permanent teeth index was 8.58 points. Regarding the results of the analysis, R-squared of the missing and filled permanent teeth index depending on general features of the blind was 0.839 points, which shows gender, age, residence, education level, individual income, disability rating, kinds of health insurance, marital status and recipient of basic living had an effect on the missing and filled permanent teeth index. R2 of the missing and filled permanent teeth index depending on oral health form of the blind was 0.728 points, which shows oral examination, dental treatment, smoking and toothbrushing after lunch had an effect on the missing and filled permanent teeth index. Conclusions: With the result of this study, we found the oral health actual condition of the blind in Korea. Therefore, it is considered that the government needs to introduce the personalized oral health education program to maintain oral health of the blind and to develop a program that uses braille and voice device which enables to access and utilize to improve oral health behavior that the government could use it as a reference to establish the policy plan.

Objectives: The purpose of this study was to provide a satisfactory and reliable dental care service for the patients and to establish a plan to raise the perception about dental infection control. Methods: The perception of infection control in the dental clinic of the patients was examined who visited to dental clinics, over 20 years old and living in Seoul and Gyeonggi province since December 2016. The questionnaire was used as the survey tool, and 274 questions in the questionnaire were analyzed. Results: Results of examined factors affecting the perception of dental infection control in dental clinics show that the perception of infection control in dental clinics is affected by the degree of university graduates (p<0.05), full-time workers (p<0.01), housewives (p<0.001), and oral health concerns (p<0.05), the perception of infection control of dental medical personnel (p<0.001) in order. Conclusions: Dental medical personnels must thoroughly wash their hands, wear uniforms, wear personal protective equipment, and thoroughly clean and disinfect the interior of a dental clinic.

Objectives: The purpose of this study was to examine the recognition about scaling after health insurance benefit business for scaling by national health insurance corporation for the general public. Methods: In order to examine the recognition about scaling after health insurance benefit business for scaling by national health insurance corporation for the general public, study subjects were selected from those who are over 20 years old, living in Seoul and Gyeonggi province since December 2016. Among 300 selected subjects, data of 279 subjects were used for the analysis which is 93% of selected data, except 21 data with insufficient responses. Results: Results of examined factors affecting the recognition about scaling after health insurance benefit business for scaling by national health insurance corporation for the general public show that the recognition about scaling after national health insurance benefit is affected by female (p<0.05), past smoker (p<0.01), exercise more than 3 times a week (p<0.05) and 1-2 times a month (p<0.001) in order. Conclusions: It is necessary to prepare a plan to properly inform the national health insurance benefit for dental scaling and to raise the recognition about the necessity of scaling.

Objectives: The purpose of this study is to investigate the effect of preventive treatment experience on scaling fear level. Methods: A total of 259 adults who had visited the dental clinic were analyzed. The results were summarized as follows. Statistical analysis of the collected data was performed using the SPSS WIN 20.0 statistical program. The general characteristics, scaling experience, and the characteristics of the subjects were analyzed. Frequency of scaling according to general characteristics was analyzed by independent sample t-test, Scaling fears according to treatment experience were tested by t-test. Correlation analysis was performed for scaling fears according to the reliability of dental hygienist. Regression analysis was carried out to investigate factors affecting scaling fear. Results: Level of fear during scaling was higher in females (3.03) than in males (2.54) and that after scaling was scored higher in females (2.68) than in males (2.34) by general characteristics (p<0.001). The adults who were not healthy in oral health showed the highest levels of fear during (3.29) and after (3.00) scaling by oral health status (p<0.001). Adults who had brushing education experience showed lower fear level than those who did not after scaling (p<0.01) according to the experiences of preventive treatments. With respect to the correlation of trust level to the dental hygienists with the scaling fears, it showed higher in the trust level (-0.688) as lower level of scaling fear (-0.642) in the scaling (p<0.01). Confidence level of dental hygienist (-0.661), brushing education experience (-0.121), and oral health status (-0.121) were influenced upon the regression analysis. Conclusions: Oral health education and dental hygiene education are increasing. It is thought that active efforts are needed to promote and maintain oral health.

Objectives: This study aims to evaluate carbonated drinks induced dental caries with qualitative analysis and to compare with oral organic acids including lactate, acetate, propionate, formate, butyrate, pyruvate and valerate which cause caries when taking either 10% sucrose drinks or carbonated drinks. Methods: Saliva was collected from six study subjects before and after (start, 5, 10, 30 minutes) taking water intake upon (A) 10% sucrose intake, (B) 10% sucrose intake, and (C) carbonated drink intake, then they were centrifuged at 1,200 rpm followed by removing bacteria and enzymes with syringe filtering, performing a qualitative analysis with HPLC conductivity detection (GP50 gradient pump, ED 50 detector) after saliva pre-treatment under isocratic 100 mM NaOH mobile phase. Results: Higher risk of dental caries was evaluated in order of C>B>A, with the results of total oral organic acids' concentration, lactates of organic acids and organic acids produced after 5 minutes from the 3 types of drinks intake. Conclusions: Carbonated beverages were estimated to develop higher dental caries induction than beverages containing 10% sucrose because of the high organic acid concentration in the mouth after its intake.

Objectives: The purpose of this study was to identify the effects of music intervention on the patient's fear and anxiety during scaling. Methods: 360 patients who had visited W University dental hygiene laboratory were selected as study subjects and divided into experiment group and control group. Results: Study results showed that the control group (71.9%) and the experimental group (75.1%) had experiences avoiding dental treatment due to fear. In the control group (37.6%) and experimental group (40.6%), the highest influencing factor was the sound of machine and followed by pain. The experimental group preferred classical music, followed by pop songs, trot music and instrumental music. In the experimental group (83.3%), fear and anxiety were alleviated by music, and 77.9% of the patients mentioned they would recommend music for scaling to other patients. There was an interaction effect (p=0.014) between the groups before and after the measurement of the lowest blood pressure. There was a significant difference in pulse before and after pulse measurement (p=0.000). There was a significant difference in respiration between groups (p=0.042) and before and after respiration (p=0.030). Conclusions: Study results showed that music intervention that utilizes music during scaling showed significant effects on the alleviation of fear and anxiety, affecting Pulse number among vital signs. Therefore, more systematic program is to be required to alleviate dental fear and anxiety with music therapy not only for scaling, but also for dental clinic in the future.

Objectives:This study aimed to identify the influences of leader-member exchange (LMX) and psychological empowerment of the dental hygienists on their job satisfaction. Methods: A self-administrated questionnaire survey was conducted from July 7 to August 2014 targeting 196 dental hygienists in Busan and Gyeongsangnamdo. Leader-member relationship, psychological empowerment and job satisfaction were evaluated by LMX scale, psychological empowerment scale and job descriptive index (JDI), respectively. Data were analyzed by descriptive analysis, t-test, one-way ANOVA, and multiple Linear regression analysis. Results: Overall LMX, psychological empowerment on job satisfaction level of subjects were $3.43{\pm}0.61$, $3.38{\pm}0.66$ and $3.20{\pm}0.42$, respectively. The influential factors of LMX, psychological empowerment and job satisfaction were professional respect (subcategory of LMX), affect (subcategory of LMX), meaning (subcategory of psychological empowerment) and impact (subcategory of psychological empowerment). Conclusions: Job satisfaction of dental hygienist is closely related to professional respect, affect, meaning and impact.

Objectives: The purpose of this study was to examine dental hygienists' recognition and experiences about sexual harassment in the workplace and to provide the basic data for their perception improvement, prevention and coping plan about sexual harassment. Methods: A self-reported questionnaire was completed by 307 dental hygienists who work at dental hospitals and clinics in Jeollabuk-do area, a questionnaire survey was conducted from December 1 to 31, 2016. Results: The 40.7% of study subjects had the experience of sexual harassment. They were identified to have the experiences of verbal sexual harassment (29.6%), physical sexual harassment (27.0%) and visual sexual harassment (22.5%) in order. The factors affecting the experiences of sexual harassment were experience of sexual-harassment education and concept of sexual harassment. Conclusions: A customized sexual prevention education program for dental hygienists will need to be produced, not the universalized sexual prevention education. In addition, it is considered to be necessary to prepare for a program available for being sympathized and understood by all members in the workplace.

Objectives: The study was conducted to evaluate the effects of the students majoring in dental hygiene on their oral health beliefs and oral health behavior. Methods: The survey was conducted using selfadministered questionnaires targeting 619 female students majoring in dental hygiene at three Universities in k and J province. The stronger health oral belief means higher score in susceptibility, severity, benefit and salience, but the higher score in barrier means stronger recognition in obstacle. Results: There was significant correlation between susceptibility and experience of not-treated oral disease (OR [odds ratio] 2.40; 95% CI [confidence interval] 1.73-3.34)' and 'dental caries (OR 2.36; 95% CI 1.25-4.45)'. Benefit had significant correlation with 'visiting dental clinic (OR 1.58; 95% CI 1.14-2.19)'. Salience had significant correlation with 'experience of not-treated oral disease (OR 0.70; 95% CI 0.52-0.94)'. Barrier had significant correlation with 'visiting dental clinic (OR 0.73; 95% CI 0.56-0.95)' and 'removing oral plaque (OR 0.71; 95% CI 0.52-0.95)'. There was no significant correlation between oral health belief and 'using of oral hygiene device' or 'regular tooth brushing'. Conclusions: Diverse oral health behaviors were affected by susceptibility, benefit, salience and barrier in oral health belief. The programs for oral health education and preventing oral disease should be prepared to change oral health belief to promote the oral health systematically based on the results of this study.

Objectives: The purpose of this study was to examine the cell proliferation and expression of alkaline phosphatase (ALP) during the differentiation of murine odontoblast-like cells (MDPC-23) by Cimicifuga rhizoma extract. Cimicifuga rhizoma extract was prepared using 70% ethanol. Then, the cells were treated with 25, 50, 100, 150, and $200{\mu}g$ of Cimicifuga rhizoma extract. Methods: We determined the Cimicifuga rhizoma effects of MDPC-23 using WST-1 (water soluble tetrazolium salt-1) assay, ALP activity assay and histochemical staining. Results: $25-200{\mu}g$ of Cimicifuga rhizoma extract did not inhibit the growth of MDPC-23 cells; $100{\pm}0$, $100{\pm}3.29$, $99{\pm}4.86$, $98{\pm}3.80$, $98{\pm}1.73$, $99{\pm}5.05%$ (p<0.794). $50{\mu}g$ of Cimicifuga rhizoma extract stimulated ALP activity on MDPC-23; $5.1{\pm}0.20units/{\mu}{\ell}$ (p<0.001). Conclusions: It was proven that Cimicifuga rhizoma promoted differentiation of MDPC- 23 cells.

Objectives: The objective of this study was to identify the relationship between emotional labor and occupational stress of the dental hygienists, and the effects of emotional labor on their occupational stress and health problems including depression, anxiety and sleep. Methods: The survey was conducted using the questionnaires about dental hygienists' working in medical institutions in Busan, Gyeongsangnam-do from August 19th and October 7th, 2016. Total of 225 participants were selected for data analyses. Frequency analysis, t-test, ANOVA, Pearson's correlation coefficient analysis, and regression analysis were conducted using SPSS Windows ver. 21.0 program(SPSS Inc., Chicago, IL. USA). Results: The analysis of the factors affecting emotional labor, occupational stress, anxiety, and sleep by participants' characteristics showed that those with higher education level, work position and annual salary had higher emotional labor. In addition, participants who worked 5 days every other week and were responsible for patient consultation had higher emotional labor. The analysis of correlations among emotional labor occupational stress, anxiety, and sleep showed positive correlations between emotional experience and emotional expression, occupational stress and emotional expression, and anxiety and emotional expression. On the other hand, negative correlation was found between anxiety and emotional experience. Regression analysis was conducted to examine the effect of emotional labor on job stress. Emotional labor was a factor affecting job stress and anxiety. Conclusions: In order to improve emotional control and vulnerability to stress among dental hygienists, intra-organizational training opportunities and mental health care strategies are needed. Additional broad-based studies are required to identify the factors affecting the occupational stress and emotional labor and to develop relevant intervention measures.

Objectives: The purpose of this study was to investigate the relationship between the level of subjective stress recognition and oral symptom experiences including toothache, gum diseases, and oral soft tissue diseases in the Korean adolescents. Methods: The subjects were 68,043 adolescents recruited using a web-based survey, National Korean Youth Risk Behavior in 2015 by the Korean Center for Disease Control. For statistical analysis, SPSS 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to determine the factors associated with general characteristics, health behaviors, oral health behaviors, and level of subjective stress recognition. Finally, to investigate the relationship between the level of subjective stress recognition and oral symptom experiences, logistic regression analysis was performed. Results: Toothache related subjective stress recognition level was significantly higher in the moderate group with the score of 1.59 (95% CI; 1.49-1.68), and was greater in the high group with 2.38 (95% CI; 2.24-2.53) compared to the low group. Gum disease related subjective stress recognition level was significantly higher in the moderate group with 1.41 (95% CI; 1.32-1.51), and was greater in the high group with 1.99 (95% CI; 1.86-2.13). Oral soft tissue disease related subjective stress recognition level was significantly higher in the moderate group with 1.59 (95% CI; 1.45-1.74), and was greater in the high group with 2.55 (95% CI; 2.33-2.79). Bad breath related subjective stress recognition level was significantly higher in the moderate group with 1.48 (95% CI; 1.39-1.57), and was greater in the high group with 2.10 (95% CI; 1.97-2.25). Conclusions: Higher subjective stress recognition level was found to affect the oral symptoms experienced. Therefore, the stress management plan should be prepared through the cause identification of the main stress in the adolescents. Practical and systematic education is needed for oral health management in the schools.

Objectives: The purpose of this study is to understand the practices of the dental implant maintenance care according to knowledge and attitude toward dental implant in the dental service consumers. Methods: T-test, ANOVA, and cross tabulation were carried out to understand the knowledge and attitude toward the dental implant, the experiences of the treatments, and the practices of their maintenance care depending on the general characteristics and the oral-health education experience. The collected data were analyzed using by SPSS Windows Program 23.0. Results: The actual state of the implant maintenance care was revealed to be high in the use of oral care products with 83.9% and in the professional maintenance care with 86.0%. In terms of the implant-related experiences, the participation and the participation frequency in the professional maintenance care were resulted to be higher especially in those with more cases of surgical procedures and in those with more failure experiences. Examining the practices of management according to knowledge and attitude toward dental implant, the higher in knowledge and attitude led to the higher uses of oral care products. The periodically professional maintenance care was indicated to be received even if being taken high management cost. Conclusions: Effective education methods and programs are necessary to be developed and executed so that information and knowledge can lead the correct practices in the dental service consumers.

Objectives: This study aimed to find out the antimicrobial activities of Ramaria botrytis (Fr.) extracts against oral pathogens. Methods: The antimicrobial activities of Ramaria botrytis (Fr.) extracts were evaluated against oral pathogens by the disc diffusion assay, and the minimum inhibitory concentrations (MICs) of ethyl acetate extracts were determined by broth dilution method. The strains used in this study were Staphylococcus aureus, Streptococcus mutans, Streptococcus sanguinis, Streptococcus sobrinus, Streptococcus anginosus, Streptococcus ratti, Streptococcus criceti, Actinomyces israelii, Actinomyces viscosus and Aggregatibacter actinomycetemcomitans. Results: The ethyl acetate extract of Ramaria botrytis (Fr.) effectively inhibited the growth of oral bacteria compared with acetone or ethanol extract. The ethyl acetate extract exhibited MIC values ranging from 3.75 to 15.00 mg/ml, and it showed antimicrobial activity against both Gram-positive and negative oral bacteria. Conclusions: The ethyl acetate extracts from Ramaria botrytis (Fr.) showed the antimicrobial activities against ten oral bacteria. Thus, the extract of Ramaria botrytis (Fr.) may be considered as an effective natural antimicrobial agent for the prevention of oral pathogens.

Objectives: The purpose of this study was to identify the needs of independent dental hygiene practices in the Korean public dental hygienists. Methods: This research was a cross-sectional survey study. 159 Korean public dental hygienists were selected by simple random sampling on March 10, 2017. 133 public dental hygienists were participated, after excluding 26 hygienists who showed insufficient responses. The respondents were asked to select one of the following options to reflect their needs: direct supervision, indirect supervision, and independent dental hygiene practice. Results: The results showed that the public dental hygienists wanted both public oral health practices (62.5%) and assistance in preventive dental treatments (63.4%) to be performed independently. Conclusions: The public dental hygienists were required to independently perform oral health education and fluoride mouth rinsing projects. Dental hygienists should improve their capability of independently practicing dental hygiene first, and then indicators. It should be established and measured to evaluate their competency in this respect. Legal protection should be considered for independent dental hygiene practices.

Objectives: This study was carried out for the purpose of examining the levels of vocational awareness and the professional ethics recognition in the clinical dental hygienists. Methods: A survey was conducted targeting 500 members who participated in the supplementary education program for dental hygienists in the first half of 2017. Total 328 subjects' materials were analyzed. Results: A reason for working in terms of the occupational identity was very high with 81.4% in 'aiming to earn money'. A goal of working was the highest with 41.5% in 'financial independence'. The professional ethics approach level was indicated to be the highest with 3.33 points in the domain of human relation. It was shown to be in order of the job satisfaction level with 3.21 points, followed by the lifelong working with 3.17 points, the vocational ethics observance with 2.95 points, the workplace satisfaction level with 2.82 points, and the job anxiety level with 2.65 points. The domain in the job anxiety level according to general characteristics was indicated to be significantly high in the higher age and work career in case of the married and in case of Seoul as a workplace. The domain in the professional ethics observance was shown to be significantly high in the higher work career in case of the married and in case of Gyeonggi Province as a workplace. The domain in the lifelong working was indicated to be significantly high in case of the married. Conclusions: For the establishment of the right professional ethics as a dental hygienist and for the securement of its practice starting from the education for the dental hygiene department, the development of educational program will be needed aiming at the approach to the professional ethics and the reinforcement in the vocational ethics recognition.

Objectives: The purpose of this study was to examine the practice of oral hygiene behaviors and oral health status of long-term care facility residents and to analyze the factors related to salivary hemoglobin level which can predict active periodontal disease. Methods: From 30th October 2015 to 7th January 2016, a questionnaire was provided to 63 participants and their dental plaque and saliva samples were collected to assess the levels of salivary hemoglobin and dental plaque acidogenicity. In order to analyze the factors related to salivary hemoglobin level, multiple linear regression analysis was performed. Results: Toothbrushing was most frequently performed by the participants themselves (98.4%) and toothbrushing was performed after eating breakfast (81.3%). 68.8% of participants reported brushing their tongue. 35.9% of participants perceived having bad teeth, and 87.5% had high dental caries activity. The percentages of participants with hyposalivation and ${\geq}0.20{\mu}g/ml$ salivary hemoglobin level were 45.3% and 59.4%, respectively. The salivary hemoglobin level was significantly higher in the group in which stimulated salivary flow rate was ${\leq}0.70ml/min$, dental plaque acidogenicity was superior, and perceived having bad teeth (p<0.05). There was also a tendency for the salivary hemoglobin level to increase with age (p<0.05). Conclusions: Oral health status of the long-term care facility residents was still not improved, and the characteristics of salivary volume and dental plaque were important factors affecting salivary hemoglobin level. Therefore, it is necessary to operate an oral hygiene intervention program by oral health professionals in such facilities in order to provide residents with effective oral care aligned with their respective needs. Furthermore, it is necessary for caregivers to complete mandatory oral health education to improve the oral hygiene status of the long-term care facility residents.

Objectives: The purpose of this study was to investigate the changes in factors on unmet dental scaling rate before and after the national health insurance. Methods: This study used the $2^{nd}$ data from the Community Health Survey. The study participants numbered 209,341 in 2011 and 219,517 in 2013.The average age was $51{\pm}17$ in 2011 and $52{\pm}17$ in 2013. Data were analyzed by descriptive statistics, chi -squared test and logistic regression using SPSS 23.0. Results: The scaling experienced rate of Korean adults has fallen by 3.5% from 66% to 69.5%. Logistic regression analysis showed that 2.7 times more 'people who were educated at elementary school level or lower' did not use dental scaling compared to higher educated children. Agriculture, forestry and fisheries workers did not use scaling at 2.0 times. Local residents with an income of less than one million won did not use 1.7times scaling. Local residents of 'no private insurance' did not use scaling at 1.5 times. In the case of the predisposing factors, the 20s had less than 1.8 times scaling compared to 50s. In the case of needs factor, local residents who experienced 'bad oral health status' and 'dental calculus' were treated scaling 1.3 times less compared to people with good oral health status and normal periodontal symptoms. Conclusions: In Korea, local residents are less frequently treated scaling due to enabling factors such as accessibility. In addition, predisposing factors such as age and sex, and oral health status and periodontal symptoms were related to not using the dental scaling. Therefore, the universality of health care services should be considered so that people who need periodontal care can use scaling.