• Title/Summary/Keyword: 임상치위생

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Quantitative assessment of alveolar bone density change after initial periodontal therapy using digital imaging (디지털영상을 이용한 초기 치주처치후 치조골 밀도변화의 정량적 평가)

  • Ahn, Kyung-Hyun;Kim, Jae-Duk;Kim, Byung-Ock
    • Journal of Periodontal and Implant Science
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    • v.31 no.4
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    • pp.777-785
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    • 2001
  • 치주질환이 진행되는 동안이나 치주처치후 치유되는 과정에서 치조골의 변화가 야기되는데 방사선 사진은 치조골 변화를 감지하는 유일한 비외과적인 방법이다. 미묘한 치조골 변화의 진단은 치료시나 유지관리기 환자의 평가시 중요한 바, 최근에는 규격화시킨 디지털 영상을 이용하여 정량적인 골변화 측정이 가능하게 되었다. 본 연구의 목적은 중등도의 치주질환을 지닌 환자에서 국소마취하에 초기 치주처치를 시행한후 참조체와 함께 구내 방사선 사진을 촬영하고 디지털화 한 다음 참조체 당량치를 이용하여 치조골의 밀도변화를 평가하기 위한 것이다. 이 연구를 위하여 치주질환에 이환된 환자 5명(남자 3명, 여자 2명 : 평균 47.4세)에서 탐침깊이가 5㎜ 이상이고 골내낭이 있는 제 $1{\cdot}2$ 소구치, 제 $1{\cdot}2$ 대구치 40개(상악 24개, 하악 16개)를 대상으로 구강위생교육과 치석제거술, 치근면활택술을 시행하였다. 임상지수는 술전과 술후 8주째에 측정하였고, 방사선 사진은 술전, 술후 2주, 4주, 6주, 8주째에 촬영하였고, 구리 스텝웨지를 사용하여 규격화 하였다. 촬영된 영상은 NIH image program(U.S.A)에 의해 분석되어졌고 이들 자료를 통해 다음과 같은 결과를 얻었다. 1. 치조골의 밀도는 초기치료후 2주째 까지는 감소된 양상을 보이다가 4주 이후로는 점차적으로 증가하는 양상을 보였다. 2. 치조골의 밀도는 초기치료전과 비교시 초기치료수 6주째와 8주째에서 유의한 차이를 보였다.(p<0.01) 3. 상하악 간의 치조골 밀도는 유의한 차이를 보이지 않았다(p>0.05). 이상과 같은 결과를 통하여 볼때 초기 치주처치만으로도 치조골의 밀도가 증가됨을 확인할 수 있었다.

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The relationship between environmental factors causing stress in clinical practice institutions and the stress level of dental hygiene students (치위생과 학생들의 임상실습기관의 환경요인 스트레스와 스트레스 량의 관련성)

  • Ryu, Hae-Gyum;Wi, Hye-Jin;Jeong, Dong-Eun
    • Journal of Korean Clinical Health Science
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    • v.5 no.3
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    • pp.907-914
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    • 2017
  • Purpose : This study was conducted to provide basic data on the relationship between environmental factors causing stress in clinical practice institutions and stress levels of dental hygiene students. Methods : The research subjects totaled 207 and it was analyzed with structured questionnaires. The collected data were analyzed using an IBM SPSS ver. 20.0. Results : The environmental factors causing stress according to the status of clinical practice institutions was statistically and significantly different in the case of Busan practice areas (p<0.01), dental university hospitals (p<0.001), attendance times prior to 8am (p<0.001), quitting times that surpassed 8pm (p<0.01), and the number of dentists exceeding 4 (p<0.01). It was found to affect the stress level of students when individuals had to stand for a long period of time(p<0.001, ${\beta}=0.254$) and with the use of unfamiliar tools and equipment(p<0.05, ${\beta}=0.178$). Conclusions : As a result of the research conducted, it should be concluded that dental clinics should provide rest areas for individuals to focus on clinical practice. In addition, it is necessary to develop a systematic program that enables students to communicate with students at any time during the training period.

Survey on organizational structures of clinical dental hygienists (임상 치과위생사의 직제실태 조사)

  • Noh, Hie-Jin;Bae, Sung-Suk;Kim, Seon-Kyeong;Mun, So-Jung;Han, Sun-Young;Cho, Hyo-Soon;Nam, Jeong-Ran;Kim, Seong-Ok;Kim, Bo-Kyoung;Chung, Kyung-Yi
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.1
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    • pp.169-179
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    • 2017
  • Objectives: The present study is aimed at comprehending the organizational setup of clinical dental hygienists and to establish an organizational setup that fits their roles. Methods: The survey data of 776 clinical dental hygienists who understood the purpose of the study and agreed to write the questionnaire was utilized. Statistical analysis was performed using SPSS Ver. 20.0 program and the significance level was 0.05. Results: The presence of an organizational setup in dental hygienists was surveyed as being higher, with university dental hospital (89.86%) showing the highest. However, the presence of position terms was highest in dental hospitals with 76 subjects (38.78%). Standards for positions most commonly followed hospital regulations in the case of general hospitals (48.42%), whereas they were often based on service period in the case of dental hospitals (48.90%). Salary standards were most commonly determined by service period in all institutions. The job satisfaction of dental hygienists was significantly different according to social status and financial satisfaction depended on having organizational hierarchy for those who work in university dental hospitals. Conclusions: The results of the present study show that dental hygienists who work in organizational setups mostly enjoy high satisfaction in terms of job satisfaction. In other words, the study shows that systemizing the organizational setup of dental hygienists within dental institutions is required, and additional research to achieve efficient human resource management within the organization is necessary as well as institutional utilization of the results of the present study.

Burnout among Clinical Dental Hygienists and Its Coping Behaviors (임상치과위생사들의 직무소진과 대처행동)

  • Kim, Young-Sun;Yoon, Hee-Suk
    • Journal of dental hygiene science
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    • v.7 no.4
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    • pp.225-233
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    • 2007
  • This study, to investigate the job burnout and coping behaviors that clinical dental hygienists feel in the work process, has collected 322 clinical dental hygienists working in Daegu, Kyungbuk province, and Ulsan and had a conclusion as follows. 1. The average of area job burnout and coping behaviors were as follows; emotional burnout, 3.26, cynical manners, 2.63, the declination of job efficiency, 2.58, the total average, 2.82. 2. The average of area were as follows; active coping, 3.36, passive coping, 2.95, and the total average, 3.19. 3. The difference of job burnout relating to general characteristics was shown that the lower education level and age they were in, the significantly higher the declination of job efficiency and burnout area were. The unmarried had significantly higher points at cynical manners, the declination of job efficiency and burnout. Besides, the introspective had significantly higher points at emotional exhaustion, cynical manners, and burnout area. 4. The difference of job burnout related to working circumstance was shown that those with short working experience and those in charge of the general treatment showed significantly high points at the declination of job efficiency. And the less annual salary, the significantly higher points at cynical manners, the declination of job efficiency and burnout area. 5. In the correlation between job burnout and coping method, burnout area has a significantly normal correlation with active coping and coping area, whereas, it has significantly abnormal correlation with passive coping. 6. As for the difference of area burnout relating to coping behaviors, in coping area A group(under average) had significantly higher points than B group(over average) at the declination of job efficiency and burnout area. From the above results, it was proved that the clinical dental hygienists in younger age, with shorter work experience and less annual salary, no marital spouse had higher points at burnout and passive coping.

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A Study on Factors Affecting Emotional Labor of Clinical Dental Hygienists (임상치과위생사들의 감정노동에 영향을 미치는 요인)

  • Lee, Myeong-Ju;Kim, Young Nam;Lee, So-Young
    • Journal of dental hygiene science
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    • v.15 no.2
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    • pp.113-118
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    • 2015
  • This study was conducted to develop a plan for emotional labor of clinical dental hygienists by understanding the factors affecting their emotional labor. Self-administered questionnaires were distributed to 293 dental hygienists who worked in dental hospitals and clinics located in Busan and Gyeongsangnam-do from June to September in 2013. The questionnaire items used in this study consisted of 5 items of general characteristics, 2 items of characteristics related to turnover, and 9 items of emotional labor. t-test, ANOVA, and multiple regression analysis were performed using the SPSS Statistics ver. 17.0 for Windows program for data analysis. The average level of the study subjects was $69.85{\pm}12.82$. With regard to the emotional labor according to the general characteristics, the frequency of emotional expressions (p<0.037) showed significant differences in the marital status. The workplace showed significant differences in the frequency of emotional expressions (p<0.001), attentiveness of emotional expressions (p<0.002), emotional dissonance (p<0.032), and total (p<0.001). The turnover intentions showed significant differences in the frequency of emotional expressions (p<0.001), attentiveness of emotional expressions (p<0.001), emotional dissonance (p<0.001), and total (p<0.001). As a factor affecting emotional labor, turnover intention (p<0.001) and workplace (p<0.001) had an effect on emotional labor. The results showed that turnover intention and workplace were associated with the emotional labor of dental hygienists. There is a need to develop an emotional education program to make it possible to effectively manage emotional labor of dental hygienists for providing high-quality medical services of dental institutions.

Effects of the Short-Term Weight Control Program on Periodontal Health in the University Students: A Pilot Study (일개 대학생의 단기 체중조절 프로그램이 치주건강에 미치는 영향: 사전연구)

  • Koong, Hwa-Soo;Son, Soo-Jung;Park, Hoo-Seob;Seo, Hyung-Seok;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.15 no.4
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    • pp.413-418
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    • 2015
  • Recent cross-sectional studies indicate that obesity is a risk factor for periodontal disease. This study was aimed to investigate whether the four-week weight control program including caloric restriction and exercise training could have an effect on periodontal health. Forty-one obese (body mass index [BMI] ${\geq}25.0$) and five overweight ($23.0{\leq}BMI<25.0$) students participated in the weight control program. Anthropometric data and oral examination data were collected at the baseline and at the 27th day. BMI, waist hip ratio (WHR), and percent of body fat (PBF) of the subjects decreased significantly, but gingival index, sites with bleeding on probing (BOP), and sites with shallow pocket depth didn't show the significant changes in paired t-test. There was no difference in the outcomes according to smoking, drinking alcohol, and sex. Nevertheless, PBF and sites with BOP (r=0.777) and WHR and sites with shallow pocket depth (r=0.444) showed positive correlations. PBF accounted for 58.9% of the variance in sites of BOP in regression analysis. We suggested that obesity might relate with periodontal health, although it was not clear whether weight control could influence on periodontal health directly.

Influence of Clinical Characteristics and Restriction Factors on Cooperation for Orthodontic Treatment in Adolescent Orthodontic Patients (청소년 교정환자의 임상적 특성과 통제소재가 교정치료 협조도에 미치는 영향)

  • Seong, Hye-Jin;Jeong, Ji-Hye;Lee, So-Young;Cho, Mi-Suk;Ryu, Hae-Gyum;Kwun, Hyeon-Sook;Yu, Byeng-chul
    • Journal of dental hygiene science
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    • v.16 no.1
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    • pp.84-92
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    • 2016
  • Cooperation of the patients in orthodontic treatment is an essential element. This study examines the internal and external restriction factors and level of cooperation for orthodontic treatment of adolescent orthodontic treatment patients, and the factors that impart influence on the level of cooperation for orthodontic treatment. 'Form for students' among the indices of internal and external restrictions for orthodontics, which is an adaption of 'Orthodontic Locus of Control Scale' was used as survey tool, and 'Reliability and Stability of the Orthodontic Patient Cooperation Scale' was used as survey tool for the level of cooperation of orthodontic patients. As the result of examination of the effect of internal and external restriction factors on level of cooperation for orthodontic treatment by compensating the general characteristics in the multiple regression analysis, it was found that the level of cooperation for orthodontic treatment is higher for the patients who believe there is strong influence of external restrictions-patents-on the events that determines orthodontic treatment. In order to enhance the level of cooperation for orthodontic treatment of adolescent orthodontic patients, there is a need to assess the relationship between the patient and parents as well as the attitude or psychological state of the patients on orthodontic treatment.

A Study on the Recognition and Requirement of Dental Hygienists for Academic Credit Bank System (치과위생사들의 학점은행제에 대한 인식 및 요구)

  • Jang, Young-Ho;Choi, Mi-Sook;Kim, Eun-Hee;Yang, Seung-Kyeong
    • Journal of dental hygiene science
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    • v.7 no.4
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    • pp.287-293
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    • 2007
  • As a result of having surveyed and analyzed recognition and requirement of dental hygienists for Academic Credit Bank System, the recognition on Academic Credit Bank System accounted for 70.8%, and in terms of information media recognized, surrounding people were the highest with 52.4%. And, in case of the response as saying of being willing to participate, an opportunity of acquiring a bachelor's degree accounted for 24.0%, and in case of the response as saying of being unwilling to participate, the lack of time that will take part in education activity accounted for 13.7%, thereby having been surveyed to be the most preferential choice, respectively. The importance by sphere in course programs was indicated to be the sphere of preventive dental treatment with 3.61, the sphere of dental management with 3.38, the sphere of oral health education with 3.09, the sphere of medical-treatment coordination with 2.82, and the sphere of community dental health with 2.11 in order. The importance by field of sphere in course programs was indicated to be high in the field of oral health education by subject with 2.30 for the field of sphere in oral health education, in the field of plaque control and oral prophylaxis with 3.53 for the field of sphere in preventive dental treatment, in the field of management of the fluoride mouth-rinsing programme with 2.86 for the field of sphere in community dental health, in the field of counselling with 3.24 for the field of sphere in dental management, and in the field of medical-treatment assistance with 1.53 for the field of sphere in medical-treatment coordination.

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Clinical effect of smoking on the healing response following scaling and root planing (흡연이 비외과적 치주치료 후 치유반응에 미치는 임상적 영향)

  • Shim, Ji-Yeon;Kim, Tae-Il;Seol, Yang-Jo;Lee, Yong-Moo;Ku, Young;Rhyu, In-Chul;Chung, Chong-Pyoung;Han, Soo-Boo
    • Journal of Periodontal and Implant Science
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    • v.36 no.1
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    • pp.125-137
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    • 2006
  • 1. 목적 흡연은 치주질환의 주요한 위험 인자 중의 하나이다. 일반적으로 흡연자는 비흡연자보다 비외과적 및 외과적 치주치료에 대한 반응이 덜 효과적인 것으로 알려져 있다. 이 연구에서는 중등도의 만성 치주염이 존재하는 한국인 흡연자와 비흡연자를 대상으로 하여, 비외과적 치주치료인 치석 제거술과 치근 활택술을 시행한 후 6개윌 동안의 임상적 치유 반응을 비교해 보고자 하였다. 2. 방법 20명의 중등도 만성 치주염 환자(흡연자 10명, 비흡연자 10명)를 대상으로 치주낭 깊이(Probing Pocket Depth, PPD), 치은퇴축(GR), 치주탐침시 출혈유무(BOP), #16, 12, 24, 32, 36, 44의 치태지수(Plaque Index, Silness & $L{\"{o}}e$ 1964)를 임상변수로 측정하였다. 치주낭 깊이 (PD)와 치은퇴축(GR)은 전자 탐침(Florida $Probe^{(R)}$ Co. Gainesville, FL)을 이용하여 각 치아당 6군데를 측정하였다. 임상적 부착 수준(CAL)은 치주낭 깊이(PD)와 치은퇴축(GR)의 합으로 계산하였다. 초진시에 전악 임상 검사를 시행하였고, 초진시의 치주낭 깊이에 따라 조사 대상이 되는 치아 부위를 선정하였다. 치주적으로 건강한 부위 $(PD{\leq}3mm)$를 대조군인 1군으로 하고 치주낭 깊이가 4 mm를 초과하고 5 mm 미만인 부위를 2군, 5 mm 이상의 치주낭 깊이를 가지는 부위를 3군으로 설정하였다. 비외과적 치주치료인 치석 제거술, 치근 활택술과 구강위생 교육을 시행하였고 2개월(T1), 4개윌(T2), 6개윌(T3)에 선정된 해당 치아 부위에 대해 임상 재검사를 시행하였다. 3. 결과 BOP와 Plaque Index는 초진, 2, 4, 6개월에 흡연자와 비흡연자 간에 유의할 만한 차이가 없었으나 전반적으로 감소하는 경향이 나타났다. 대조군인 l군에 서는 흡연자와 비흡연자 간에 모든 시기에서 PD, GR, CAL에 유의할 만한 차이가 없었다. 치주낭 깊이가 4 mm를 초과하고 5 mm 미만인 2군에서는 비흡연자에서 6개월에 유의할 만한 치주낭 깊이 감소가 나타났으며, 4개월과 6개윌에 유의할 만한 부착수준의 증가가 관찰되었다(p<0.05). 치주낭 깊이가 5 mm이상인 3군에서는 비흡연자에서 치주낭 깊이 감소가 일관되게 더 많이 나타났으나 통계학적으로 유의할 만한 차이는 6개월째에서만 관찰되었다. 2군과 유사하게 치주낭 갚이 감소는 흡연자보다 비흡연자에서 0.6 mm 더 크게 나타났다. 부착수준의 획득은 2군에서는 4, 6개월째에, 3군에서는 6개월째에 비흡연자에서 유의하게 더 많이 일어났다. 초진시의 치주낭 깊이와 각 시기별 ${\Delta}PD$ 간의 상관관계에서는 치주낭 갚이가 5mm 이상인 3군에서 비흡연자의 경우 6개월째에 가장 강한 상관성이 나타났다($r_s=0.43$, p<0.05). 흡연자에서는 3군에서 어떠한 유의한 상관관계도 나타나지 않았다. 결론적으로 중등도 만성 치주염 환자를 대상으로 한 6개윌의 단기간 연구에서 비외과적 치주치료 후 흡연자에서 비흡연자보다 치주낭 깊이 감소의 개선과 부착수준의 획득이 더 적게 나타나 임상적 치유반응이 좋지 않음을 확인하였다. 이는 흡연이 숙주의 치유반응 부정적인 영향을 주기 때문으로 생각된다.

A study on Empowerment of the Clinical Dental Hygienists (임상치과위생사의 임파워먼트에 관한 연구)

  • Shin, Seon-haeng
    • Journal of dental hygiene science
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    • v.10 no.3
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    • pp.185-190
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    • 2010
  • This study was conducted to collect the basic data to provide for the purpose of the development of dental field. This research is to find the relationship between the level of recognized empowerment of hygienists working in dental clinics and the factors influencing on work achievement in the system of dental clinics. The population of the research is some randomely chosen dental clinics located in Seoul City during the period from March 22 to April 30, 2010, and the sample of 256 female dental hygienists working in the field were recruited as the analysis object group. The data on general characteristics and empowerment were collected by a questionnaire survey. The collected data were analyzed with the SPSS WIN 12.0 program. The following shows the results of this study. 1. The empowerment level of the analysis subject group was 3.63. It is significant statistically that the longer working career or higher annual salary, the higher empowerment level (p<0.05). 2. It shows the high level of empowerment in the group of hygienists who are in education counsel (p<0.01), and who have a permanent job (p<0.05) than others. 3. There is a significant correlation among capability, age, career, annual salary (p<0.01). 4. There is a significant correlation among self determination, age(p<0.05), career (p<0.01), annual salary (p<0.05). 5. In regression analysis, career is proved as one of the significant factors that is related to the empowerment in dental hygienists (p<0.05). This finding shows high level of empowerment in dental hygienists who hold high level of career, annual salary, education counsel jobs, or permanent jobs. Therefore, I suggest with the result of the study that the organization of dental clinic needs to improve its capability and efficiency with the efficient manpower management. Particularly, there need to be various kinds of leadership-trainning and education-program development to enhance empowerment in hygienists as professionals through independent self-decision making experiences and role do experiences.