• 치위생과학회지
• /
• 제15권5호
• /
• pp.620-627
• /
• 2015

본 연구에서는 건강보험의 치석제거 급여범위 확대에 대한 인식 및 만족도에 대해 알아보고자 2014년 4월 1일부터 30일까지 한 달간 일부지역 만 20세 이상 성인 608명을 설문조사하여, 분석하였으며 다음과 같은 결과를 얻었다. 연구대상자는 건강보험 급여범위 확대 후 치석제거 인지여부 비교에서는 '알고 있다'라는 집단이 76.9%로 높게 나타났으며, 학력과 월수입에서 유의한 차이를 보였다. 조사대상자의 일반적 특성에 따라 치석제거 시술에 대한 만족도, 재 이용, 권유의사에서는 학력에서 유의한 영향을 미치는 것으로 나타났다. 치석제거 만족도에 영향을 미치는 요인으로는 대졸 미만과 치과위생사에서 유의한 영향을 미치는 것으로 나타났으며, 재방문에 영향을 미치는 요인으로 타인에게 권유나 검색으로 내원하였을 때 유의한 영향을 미치는 것으로 나타났다. 권유의사에 영향을 미치는 요인으로 대졸 미만과 타인에게 권유를 받았거나 검색으로 내원하였을 때, 그리고 치과위생사가 치석제거를 시행하였을 때와 치석제거 전 구강보건교육을 시행하였을 때 영향을 미치는 것으로 나타났다. 이상의 결과를 종합해보면 치과위생사가 치석제거 전에 구강보건교육을 실시함으로써 환자의 만족도와 권유의사가 높았던 것으로 보아 치과위생사는 술식 전에 미리 환자와의 유대관계 형성을 통해 심리적 안정감을 줄 수 있도록 해야할 것이며, 또한 치과위생사의 고유 업무인 치석제거의 질적 향상을 위한 지속적인 노력이 필요하고, 추후 치석제거 만족도 향상을 위한 요구도를 파악하고 관련 요인을 검증하는 연구가 이루어져야 할 필요가 있다.

• 한국치위생학회지
• /
• 제13권6호
• /
• pp.995-1004
• /
• 2013

Objectives : The purpose of the study is to provide basic data for oral health promotion in national basic livelihood security. Methods : The data were extracted from the 4th National Health and Nutrition Survey (2007-2009) in Korea. The data were analyzed using SPSS 18.0. to $x^2$-test and CSGLM. Results : 1. The subjects were not able to receive dental treatment because of the financial difficulty. 2. The infuencing factors of DMFT include gender (p<0.05), type of health insurance (p<0.05), membership for private health insurance (p<0.05), frequency of toothbrushing (p<0.05), use of oral hygiene products (p<0.01), smoking (p<0.05), drinking (p<0.05). The influencing factors of CPI include gender (p<0.01) and smoking (p<0.05). The influencing factors of fixed bridge include age (p<0.05), income (p<0.05) and use of accessory oral hygiene products (p<0.05). The influencing factors of fixed bridge include age (p<0.001), income (p<0.01), education (p<0.001), type of health insurance (p<0.001), membership for private health insurance (p<0.001), frequency of toothbrushing (p<0.01), use of oral hygiene products (p<0.01), and drinking (p<0.05). Conclusions : It is necessary to provide oral health care and health promotion to the recipients of National basic livelihood security. The government must give them better quality of dental health care in the near future.

• Journal of Korean Academy of Oral Health
• /
• 제41권1호
• /
• pp.43-49
• /
• 2017

Objectives: In this study, we strived to determine the possibility of socioeconomic welfare in oral healthcare by analyzing the National Health Insurance (NHI) coverage rate. To date, efforts to realize the "social economy" of healthcare are active. While oral disease is common and chronic among Koreans, the rate of NHI coverage of dental clinics is substantially lower than that of the medical clinics. Methods: We defined the NHI coverage of dental clinics as a proxy for "social skills" to improve oral health problems. The data were collected through a comparative analysis of the NHI coverage of dental clinics and that of non-dental clinics, in health welfare social cooperatives. Results: The NHI coverage rate of the dental clinics in health welfare social cooperatives ranged from 0.97 to 2.62 times that of the non-dental clinics in health welfare social cooperatives. Conclusions: In conclusion, responsible management is recommended for making health welfare social cooperatives meaningful as a social economy.

• 치위생과학회지
• /
• 제15권1호
• /
• pp.46-53
• /
• 2015

본 연구는 향후 건강보험 급여화 방안 마련을 위한 기초자료로 활용하고자 시행되었으며, 구강보건인력의 전문가불소도포 건강보험 급여화에 대한 인식 및 요구를 조사 분석하여 다음과 같은 결론을 얻었다. 전문가불소도포 건강보험 급여화를 찬성(적극찬성 포함)하는 치과의사, 치과위생사는 각각 92.5%, 90.8%로 나타났고, 반대(강력히 반대 포함)하는 경우는 7.5%, 9.2%로 나타났다. 구강보건인력의 전문가불소도포 건강보험 급여화에 대한 찬성 이유는 치아우식증 예방이라는 응답이 치과의사는 72.5%, 치과위생사는 72.8%로 가장 많았다. 전문가불소도포 건강보험 급여화에 대한 반대 이유는 치과의사는 수입감소(38.5%)가, 치과위생사는 치과위생사 부족으로 업무과중화(46.2%)라는 응답이 가장 많았다. 전문가불소도포 건강보험 급여화시 적절한 연령은 초 중 고등학생(8~19세)이라는 응답이 치과의사에서 43.2%, 치과위생사에서 45.7%로 가장 많았다. 전문가불소도포 건강보험 급여화시 적절하다고 생각하는 본인부담금(평균값)은 APF겔, NaF, $SnF_2$용액 도포의 경우 치과의사가 25,782원, 치과위생사는 14,282원이었고 불소바니쉬도포는 치과의사가 31,705원, 치과위생사는 17,979원이었으며, 불소이온도입법은 치과의사는 40,156원, 치과위생사는 21,210원인 것으로 나타났다. 전문가불소도포 건강보험 급여화시 급여인정 횟수에 대해 치과의사에서는 무제한 급여(37.5%)가, 치과위생사에서는 2회(31.3%)라는 응답이 가장 많았다. 전문가불소도포는 우식예방효과가 매우 크고 이로 인한 건강보험 재정 절감효과가 있을 뿐만 아니라 장기적으로 전 국민의 구강건강증진 및 삶의 질 향상에 크게 기여할 것이라 생각되므로 건강보험 요양급여에 예방치과진료 항목으로 전문가불소도포가 포함되어야 하며, 전문가불소도포 건강보험 급여화시 대상 및 본인부담금은 구강보건인력의 의견을 적극적으로 반영하여 설정되어야 할 것이다.

• 대한치과의사협회지
• /
• 제17권11호통권126호
• /
• pp.845-847
• /
• 1979

• Journal of Periodontal and Implant Science
• /
• 제47권5호
• /
• pp.264-272
• /
• 2017

Purpose: This study evaluated trends in tooth extraction due to acute and chronic periodontal disease (PD) using data from the National Health Insurance Service-National Sample Cohort for 2002-2013. Methods: A random sample of 1,025,340 individuals was selected as a representative sample of the population, and a database (DB) of diagnostic and prescription codes was followed up for 12 years. We used multivariate logistic regression analysis to assess the incidence of total extraction (TE), extraction due to periodontal disease (EPD), and immediate extraction due to periodontal disease (IEPD) according to sociodemographic factors (sex, age, household income, health status, and area of residence). Results: The incidence of tooth extraction was found to be increasing, and at a higher rate for TE in PD patients. In 2002, 50.6% of cases of TE were caused by PD, and this increased to 70.8% in 2013, while the number of cases of IEPD increased from 42.8% to 54.9% over the same period. The incidence rates of extraction due to acute and chronic PD increased monotonically. We found that the incidence rates of TE, EPD, and IEPD were all 2-fold higher among patients with high income levels and those who were not beneficiaries of health insurance. Conclusions: The rates of TE, EPD, and IEPD have been steadily increasing despite dental healthcare policies to expand public health insurance coverage, increasing the accessibility of dental clinics. Moreover, the effects of these policies were found to vary with both income and education levels. Consistent patient follow-up is required to observe changes in trends regarding tooth extraction according to changes in dental healthcare policies, and meticulous studies of such changes will ensure optimal policy reviews and revisions.

• 한국치위생학회지
• /
• 제17권5호
• /
• pp.889-898
• /
• 2017

Objectives: This study was conducted in order to identify the various influencing factors of dental caries according to the socio-economic characteristics and oral health behaviors across the life cycle among Koreans. Methods: The data were extracted from the 6th Korea National Health and Nutrition Examination Survey (2013-2015) and a total of 4,871 subjects with ages of 7 and over were selected. The data were analyzed using SPSS 21.0 for ${\chi}^2$-test and multi-logistic regression. Results: Significant differences were observed in the socio-economic characteristics, health behaviors and in the dental caries across the life cycle. The influencing factors of DT includes the type of health insurance (p<0.05) in school aged & adolescence, Oral health examination/year (p<0.01), Residence (p<0.05) in early adults, type of health insurance (p<0.001), Oral health examination/year (p<0.001), use of oral hygiene products (p<0.01) in late Adults, Oral health examination/year (p<0.05) and Gender (p<0.05) in old age. Conclusions: This study suggests that dental health promotion can be enhanced by regular checkup. The government must provide the people with better quality of oral health care and promotion across the life cycle in the near future.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제16권1호
• /
• pp.61-65
• /
• 2016

Intubation may lead to several dental complications. Furthermore, a tooth damaged during intubation may be subsequently dislocated. In the present case, the upper primary incisor was avulsed during intubation and, unbeknownst to the anesthesiologist, displaced to the larynx. We report here on the findings and indicate appropriate treatment. Intubation for general anesthesia in children can result in tooth damage and/or dislocation of primary teeth with subsequent root resorption. Prevention is key, and thus it is critical to evaluate the patient's dental status before and after intubation. Furthermore, anesthesiologists and dentists should pay close attention to this risk to prevent any avulsed, dislocated, or otherwise displaced teeth from remaining undetected and subsequently causing serious complications.

• 한국치위생학회지
• /
• 제23권4호
• /
• pp.311-321
• /
• 2023

Objectives: The purpose of this study was conducted an in-depth analysis of the subjective oral status and oral care needs according and problems of the elderly. Methods: A phenomenological research method was from April 13 to 30, 2023, 15 elderly people aged 65 or older in Gwangju and Jeolla regions were surveyed. Results: He was experiencing oral changes such as difficulty chewing, dry mouth and indigestion, sensitive teeth, smell of fear and feeling sensitive when eating sweet or cold food. They were burdened by the financial difficulties of dental treatment costs, the inconvenience caused by frequent visits, and the pain experienced during treatment. Realized the need for necessity of oral care education, and their confidence was restored through dental treatment. It was necessary the image recovery of dentistry, and they wanted to maintain oral health through the expansion of treatment health insurance. Conclusions: Consequently, it is necessary to develop a practical oral health management program for the elderly based on social communication regarding of the elderly and to expand health insurance coverage.

• 한국치위생학회지
• /
• 제18권2호
• /
• pp.177-189
• /
• 2018

Objectives: To provide necessary information for stable establishment of the national dental scaling reimbursement system. Methods: This study was conducted in 380 adults in their twenties or older for about one month from July 2017. The questionnaires were composed of general characteristics, recognition (awareness) of dental scaling, knowledge of the dental scaling reimbursement program, changes in perception before versus after introduction of the dental scaling reimbursement program, and interest in oral health. To investigate into any factors affecting changes of interest in oral health care after introduction of the dental scaling reimbursement program, a multiple regression analysis was performed. Results: The investigation into any factors affecting changes of interest in oral health care after introduction of the dental scaling reimbursement program showed that higher usual interest in oral health (p<0.001) and the consideration that the dental scaling charges have been affordable after introduction of the scaling reimbursement program (p<0.01) led to more changes in interest in oral health care. Conclusions: The above-mentioned results suggest that the dental scaling reimbursement program has brought favorable changes in the perception of dental scaling. It is expected that the said program will contribute significantly to the improved national oral health, and the Government should make constant efforts to develop it as a long-term policy for oral health improvement.