• Maxillofacial Plastic and Reconstructive Surgery
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• 제39권
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• pp.13.1-13.8
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• 2017

Background: Oronasal/antral communication, loss of teeth and/or tooth-supporting bone, and facial contour deformity may occur as a consequence of maxillectomy for cancer. As a result, speaking, chewing, swallowing, and appearance are variably affected. The restoration is focused on rebuilding the oronasal wall, using either flaps (local or free) for primary closure, either prosthetic obturator. Postoperative radiotherapy surely postpones every dental procedure aimed to set fixed devices, often makes it difficult and risky, even unfeasible. Regular prosthesis, tooth-bearing obturator, and endosseous implants (in native and/or transplanted bone) are used in order to complete dental rehabilitation. Zygomatic implantology (ZI) is a valid, usually delayed, multi-staged procedure, either after having primarily closed the oronasal/antral communication or after left it untreated or amended with obturator. The present paper is an early report of a relatively new, one-stage approach for rehabilitation of patients after tumour resection, with palatal repair with loco-regional flaps and zygomatic implant insertion: supposed advantages are concentration of surgical procedures, reduced time of rehabilitation, and lowered patient discomfort. Cases presentation: We report three patients who underwent alveolo-maxillary resection for cancer and had the resulting oroantral communication directly closed with loco-regional flaps. Simultaneous zygomatic implant insertion was added, in view of granting the optimal dental rehabilitation. Conclusions: All surgical procedures were successful in terms of oroantral separation and implant survival. One patient had the fixed dental restoration just after 3 months, and the others had to receive postoperative radiotherapy; thus, rehabilitation timing was longer, as expected. We think this approach could improve the outcome in selected patients.

• 대한치과마취과학회지
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• 제12권4호
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• pp.223-227
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• 2012

Autism patients in general have bad oral hygiene. It is hard for autism patients to get dental treatment as poor communication. Therefore, they may have to be treated by deep sedation or general anesthesia in numerous cases. However, this process requires induction with mask, so it is not easy to do for disobliging autism patient. Midazolam is a water-soluble benzodiazepine, has been used in pediatric dentistry or dentistry for the handicapped because of rapid onset. Midazolam can be administered through oral, rectal, intramuscular,intravenous, and intranasal (IN) routes. IN route of midazolam may be considered as effective way to allay for uncooperative autism patients before general anesthesia. In this case report, two autism patients required dental treatment. Intranasal spray of midazolam before general anesthesia was safe and effective procedure of behavioral management.

• 보건교육건강증진학회지
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• 제23권4호
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• pp.47-65
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• 2006

Objectives: This research is to provide the basic data for the improvement on oral health by examining the relationship between the dental fear and the dental service utilization, and to discuss a strategy for dental health in order to lower the level of dental fear. Methods: Data were collected by conducting a structured survey of 1,607 people between the age of 13 and 70 who have experiences in visiting a dental institution. Both univariate and multivariate analyses were employed to analyze the relationship between the number of times dental service and dental fears. Results: The average level of dental fear the respondents reported was $52.16{\pm}15.71$ and 31.5% of the response was at the level of high dental fear. A strong physiologic response during the dental treatment was muscle tension and the stimulations that strongly arouse the dental fear were the anaesthetic needle and the sound of drill. A result of analysis on the relationship between the dental fear and the dental service utilization shows that as the level of dental fear became higher, the number of times for the dental service utilization for the last year had reduced. Also when a patient has an experience of putting off or canceling an appointment due to dental fear and as a physiologic response during the dental treatment became stronger, the result shows a tendency that the number of times for the dental service utilization for the last year had reduced. Conclusions: It has been observed that dental fear is one of the main barrier to use dental service. Therefore, a physio-psychological factor like the dental fear should be included in the task of promotion of dental health, and in analyzing the dental service utilization behavior. A discussion about how to lower dental fear was made with respect to oral health promotion. At individual level, improvement of communication skill by dental service providers should be made with rearrangement of clinic environment into more cozy one.

• 대한치과기공학회지
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• 제17권1호
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• pp.58-71
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• 1995

This study was carried out in order to examine demographic variables and personal and working conditions affecting to self-esteem, self-efficacy and work autonomy and mental health of the dental technicians. For this study, questionnaires composed of 50 items for the measurement of psychiatric symptom, work autonomy, self-esteem and self-efficacy index and 14 items related with demographic variables and personal and working conditions were distributed to 400 dental technicians and the 304 of them were statistically analyzed the results were as the following ; 1. Self-esteem and self- efficacy in dental technicians appeared to be interacted. 2. Score of self-efficacy index was higher in dental technicians of young age, or high or professional education than in otherwise dental technicians. 3. Score of self-efficacy index was higher in dental technicians of young age or professional education than in otherwise dental technicians. 4. All of self-esteem, self-efficacy and work autonomy in dental technicians affected directly their psychiatric symptom. 5. Promotion, and communication with fellows and senior workers of dental technicians affected directly their psychiatric symptom. 6. Each of anxiety, anger, depression and cognitive disturbance appeared to be interacted.

• 치위생과학회지
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• 제17권3호
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• pp.209-217
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• 2017

This study investigated the relationships between experiencing verbal violence and the emotional responses and coping behaviors of dental hygienists who worked in Jeonju between February 24 and March 18, 2017 to prepare strategies for managing verbal violence and establish a healthy working environment for dental hygienists. The following findings were obtained in this study. The dental hygienists primarily experienced verbal violence from patients and guardians (1.67 points). The most common verbal violence type was, "Someone treated me impolitely." The most common emotional response to verbal violence was "anger" (3.52 points). The coping style of most dental hygienists was problem-focused coping (3.28 points), followed by emotion-focused coping (2.75 points). Most hygienists with the problem-focused coping style stated that they resolve the problem through dialogue (3.51 points), while most hygienists with the emotion-focused coping style responded that they just ignore the situation (3.78 points). The relationship between experiencing verbal violence and the emotional responses and coping behaviors of dental hygienists showed a statistically significant positive correlation (p<0.05) with emotional responses and problem- and emotion-focused coping associated with experiencing verbal violence from dentists, patients, and guardians. These findings confirm the need to reduce verbal violence, control emotional responses after exposure to verbal violence, and use more problem-focused coping measures. Dental hygienists must develop interpersonal skills and communication techniques and promote professionalism in their workplace to protect themselves from verbal violence at work.

• 치위생과학회지
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• 제16권1호
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• pp.37-44
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• 2016

이번 연구는 2014년 8월 1일부터 2014년 8월 20일까지 부산, 울산, 경남지역 소재 12개 치과병의원에 근무하는 치과위생사 191명을 대상으로 하였다. 이번 연구는 치과위생사들의 내부마케팅과 고객지향성의 관련성을 살펴보고, 이를 통해 치과마케팅의 고객만족을 위한 차별화된 경영전략 수립의 일환으로 내부마케팅을 제안하는 데 필요한 기초자료를 제공한다는 의의가 있다. 이번 연구에서 얻은 결론은 다음과 같다. 치과위생사의 내부마케팅 하부요인별 인식도는 교육훈련이 3.88로 가장 높았으며, 권한위임 3.35, 내부커뮤니케이션 3.10, 경영층 지원 3.05, 보상시스템 2.79의 순으로 조사되었다. 치과위생사의 고객지향성에 가장 높은 상관관계를 보인 내부마케팅 하부요인은 교육훈련(r=0.381), 권한위임(r=0.380), 내부커뮤니케이션(r=0.216), 보상시스템(r=0.201), 경영층 지원(r=0.189)의 순으로 나타났다. 또한, 내부마케팅의 하부요인 중 교육훈련(${\beta}=0.277$), 권한위임(${\beta}=0.276$)의 순으로 고객지향성에 유의한 영향력을 가지고 있는 것으로 나타났다. 치과의료 기관의 지속적인 경쟁우위를 위해 고객에 대한 긍정적 태도와 서비스 마인드를 높여 고객을 만족시키고자 하는 고객지향성 향상의 방안으로, 외부고객뿐만 아니라 내부고객인 직원을 대상으로 이루어지는 내부마케팅이 관련성이 있음을 보여준 이번 연구 결과가 향후 차별화된 치과 경영정책 수립에 필요한 기초자료로 도움이 되리라 생각한다.

• 한국치위생학회지
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• 제10권4호
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• pp.705-715
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• 2010

Objectives : This study is aimed to seek how to promote oral health care by leading the clients with dental fears to change their behaviors in oral hygiene care based on the analysis of the relationships between the dental fears and oral health care behaviors of the clients who visit the Dental Hygiene Education Room. Methods : This study analyzed the 361 dental hygiene records of the subjects with finished treatment and accurate records among a total of 370 clients who had received dental hygiene care at the Dental Hygiene clinic in Y University from March 2007 till June 2009. According to their general features, the study analyzed whether they had any dental fears and why such fears occurred and conducted Chi-square test to compare their oral hygiene care experiences and behaviors with dental fears. Data analysis was made using the SPSS 12.0K for Window, with level of significance set at 0.05. Results : 1. In terms of dental fear or non-fear, the comparison by gender showed that women had a higher level than men, with 76 women(47.2%) answering yes; the comparison by age showed that the age group of 30 years old or older had a higher level than other groups. 2. In terms of dental fear reasons, "the past pain experiences" recorded 34.2%, showing the highest rate. 3. In addition, dental fears had influences on regular dental examination, scaling and dental hygiene education and the subjects without dental fear showed higher levels in terms of tooth-brushing frequency and time. Conclusions : To control "the past pain experiences", future dental treatment should place priority on preventive treatment and get clients to cope with pains through the preliminary education with pains. Besides, to make an effective oral health care of the clients with dental fears, dental hygienists should control the fears of the clients and perform an appropriate oral health care for them using the communication techniques to make friendly and trustworthy impressions.

• 한국치위생학회지
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• 제18권6호
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• pp.891-902
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• 2018

Objectives: The purpose of this study was to propose contents of a curriculum and training program for dental hygienists as medical professionals by surveying the opinions of clinical dental hygienists and dental hygiene professors. Methods: The subjects were 192 clinical dental hygienists and 193 dental hygiene professors. They answered questionnaires that consisted of grading each task based on its importance: a) for dental hygiene students to learn, b) to perform autonomously in clinical practice, and c) the expectancy of the task to change when dental hygienists become medical professionals. Data analysis was performed using an independent sample T test to capture differences between clinical dental hygienists and dental hygiene professors. The terms in the answers of open-ended questionnaires were extracted. We used R 3.5.0, R Recommender, and Wordcloud software packages. Results: Calculus removal had the highest scores for dental hygiene students to learn and expectancy to change when dental hygienists become medical professionals. Physiotherapy of temporomandibular disorders (TMD), planning, performing, and assessment of community oral health programs had the lowest scores in autonomy in clinical practice. The dental hygiene professors gave higher scores in most of the tasks for dental hygiene students to learn, autonomy in clinical practice, and expectancy to change, than did clinical dental hygienists. Cardiopulmonary resuscitation (CPR), job ethics, and communication were the most frequently mentioned terms in the training as medical professionals program contents. Conclusions: In the future, it will be necessary to study the curriculum to improve the proficiency of dental hygienists as medical professionals.

• 한국융합학회논문지
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• 제9권12호
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• pp.75-80
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• 2018

본 연구는 치과위생사를 대상으로 행복지수에 영향을 미치는 요인을 파악하고자 하였다. 연구 자료는 구조화된 설문지를 이용하였으며, 2017년 10월 1일부터 2017년 11월 1일까지 전북지역(전주, 익산, 군산)에 소재한 치과위생사를 대상으로 설문조사를 실시하였다. 자료분석은 t-test, ANOVA, 다중회귀분석을 사용하였다. 연구결과 근무경력이 많을수록, 급여가 많을수록, 인간관계가 좋을수록 사회경제적수준의 행복지수가 증가하였으며, 연령이 낮을수록, 급여가 많을수록, 인간 관계가 좋을수록 심리적 안녕감의 행복지수가 증가하는 것으로 나타났다. 따라서 인센티브 등과 같은 경제적 보상과 인간관계에서 의사소통 상황 중 가장 어려움이 확인 된 사례의 의사소통 방법에 대한 교육이 선행된다면 행복한 직장생활로 인해 환자에게 제공하는 의료 서비스의 질도 향상될 것이다.

• 한국치위생학회지
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• 제23권4호
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• pp.277-286
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• 2023

Objectives: In this study, we aimed to develop a systematic tool that can evaluate the effects of interprofessional education (IPE) by applying four core competencies (values/ethics for interprofessional practice, roles/responsibilities, interprofessional communication, and teams and teamwork) and an educational evaluation model to evaluate the learning, behavior of learners, and results step by step. Methods: Previous studies on IPE evaluation tools were analyzed, and an evaluation tool (draft) was developed by modifying questions suitable for evaluation according to the Kirkpatrick model's stages and core competencies. The evaluation tool was completed by conducting a Delphi survey twice with 4-6 experts. To analyze the Delphi survey, the content validity index (CVI) was calculated, and the reliability coefficient (Cronbach's alpha coefficient) was used to measure reliability. Results: 29 questions on pre-education, consisting of learning and behavior stages, and 54 questions on post-education, consisting of reaction, learning, behavior, and results stages, were developed. The CVI and Cronbach's alpha coefficient values were >0.8 and >0.6, respectively. Conclusions: The IPE evaluation tool developed in this study is expected to contribute to the evaluation of the educational level of IPE and the identification of points for improvement when applied to various educational settings.