• Title/Summary/Keyword: dental

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Propofol Target Controlled Infusion (TCI) Sedation for Dental Treatment in the Exaggerated Gag Reflex Patient (심한 구역반사를 가진 성인환자에서 프로포폴 목표농도 주입법으로 시행한 깊은 진정)

  • Shin, Soonyoung;Cha, Min-Joo;Seo, Kwang-Suk;Kim, Hyun-Jeong;Lee, Jung-Man;Chang, Juhea
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.2
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    • pp.105-109
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    • 2012
  • The gag reflex is a physiological reaction, but, an exaggerated gag reflex can be a severe limitation not only to treat dental caries but also to do oral exam. Procedures such as surface anesthesia of the palate and pharyngeral area, sedation, or general anesthesia can be options as behavioral management. But, there are no golden rule for the sever gag reflex patients. We present a case report of propofol intravenous sedation using TCI pump for simple dental treatment. A 44-year-old man, who had past history of general anesthesia for dental treatment because of severe gag reflex, was scheduled intravenous sedation for simple dental treatment. After 8 hour fasting he entered the clinic for persons with disabilities. We explained about intravenous deep sedation and got informed consent. First, we kept intravenous catheter (22G) in the arm and started monitoring ECG, non-invasive blood pressure, pulse oximetry and end-tidal $CO_2$ through nasal cannula. We started propofol infusion with TCI pump at the target concentration of 3 mcg/ml. The patient became sedated, but he showed involuntary movement during dental treatment, so we increased the target concentration to 4 mcg/ml. We finished the dental treatment without complications during 30 min. And after 40 min recovery room stay he was discharged without any complications.

A comparative analysis of competencies in American Dental Education Association and American Dental Hygiene Schools (미국치의학교육협의회(ADEA) 치과위생사 표준역량과 미국 치위생(학)과의 역량 비교분석)

  • Choi, Da-Som;Kim, Sook-Hyang;Kim, Jin-Soo
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.3
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    • pp.547-553
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    • 2015
  • Objectives: In this comparative analytic study the standard competency of American Dental Hygienists proposed by the America Dental Education Association was examined and compared with the competency of American school of entry-level to identify the competence required by domestic dental hygienists. Methods: Based on the standard competency presented by the America Dental Education Association the 109 schools which provide respective dental hygiene competency among 336 universities and colleges belonging to the entry-level were compared with each other, and the collected data were processed by SPSS 21.0. Results: The descriptive statistics upon overall competence were prepared and the results of survey revealed the highest average score of 7.53 for the Core competency. It was identified that there were statistically significant difference between two groups of the above(the top 25%) and below the average level(the 25% from the bottom) in all the competency. The competency of participation in local community and patients' care were appeared as significant variables affecting the core competency of dental hygienists with the 76.4% of explanatory power, and the model reveals the statistically significant results(p<0.001). Conclusions: Based on these results it was identified that the ethical, communication skill, self-development efforts, and capability of critical thinking and judgment were necessary competency for the dental hygienists. Further efforts to integrate and standardize the competency of domestic dental hygienists are thus needed and based on these integrated and standardized competencies the integrated curricula to cultivate domestic dental hygienists should be developed.

Research on the Job Image of the Students of the Department of Dental Technology for their Job as Dental Technician (Focused on Daegu) (치기공과 학생이 지각하는 치과기공사의 직업 이미지 조사 - 대구지역을 중심으로 -)

  • Choi, Ju-Young;Kim, Han-Gon
    • Journal of Technologic Dentistry
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    • v.33 no.4
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    • pp.505-516
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    • 2011
  • Purpose: The purpose of this study is to supply basic data to establish new image for dental technicians by reflecting onto the education of dental technicians by grasping the image of dental technicians with the subjects of students in department of dental technology. Methods: It was studied with self-filling-in method through structured questionnaire from September 26, to October 21, 2011, with 421 subjects of the students in the department of dental technology in two colleges in Daegu. SPSS 18.0 for Windows was used to analyze the data, and frequency and percentage were used for statistic analysis, and correlation analysis and Multiple Linear Regression Analysis were used with mean and SD per each question. Results: It showed the highest recognition that the dental technicians is a 'specialist' as 4.66; the dental technicians has strong responsibility in his work as 4.42; the dental technicians takes an important role in improvement of public oral health as 4.39; and the dental technicians has professional intelligence and high technique as 4.33. So, it was found that they had image of professional and important role for oral health, and had their pride and selfconfidence as future dental technicians. Meanwhile, it showed that they had negative related-image as well as a job, that the dental technicians is too busy as 4.48; it requires improvement on image in the future as 4.27; it is a hard job with too much stress as 4.13. Conclusion: It is required for us and school to have continuous change and effort to make the students in the department of dental technology have positive mind for the dental technology to make them have pride for their job.

Departments of Dental Technology An improvement plan of Curriculum - Focus on students who being in college - (치기공과 교육과정의 개선 방안 - 재학생을 중심으로 -)

  • Bae, Bong-Jin;Lee, Hwa-Sik;Park, Myung-Ho
    • Journal of Technologic Dentistry
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    • v.29 no.2
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    • pp.49-64
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    • 2007
  • This research collected the curriculum for Dental Technology from a total of 20 schools -3-year colleges and 4-year colleges- all in Korea. And we analyzed the average credits of subjects from students. As a result of this analysis, we get the conclusion below: 1. In a distribution which students answered about each subjects; Seminar, Dental morphology I II, Dental morphology practice I II, and Dental devices & instruments don't have many credits and mostly have a converged tendency in high points, according to the arithmetic mean of the major basis subjects. 2. In an analysis of the correlation which is based on the distinction of sex: Complete denture prosthodontics I II III, Dental orthodontics I II, Dental orthodontics practice I II, and Dental orthodontics & practice III have a meaningful difference. ($\rho$< 0.05 ) 3. In an analysis of the correlation which is based on an age The major basis subjects -Introduction to dental technology, Dental esthetic, and Dental casting procedure-, and the major application subjects -Crown and bridge prosthodontics practice, Complete denture prosthodontics, Dental orthodontics, Dental orthodontics practice, and Operative dentistry laboratory technology- have meaningful difference. ($\rho$< 0.05 ) 4. In a correlation coefficient between subjects; The correlation coefficient of the major application subjects is higher than the major basis subjects. According to the student - t, we found that the level of significance is $\rho$< 0.001, which is meaningful. We feel the lack of a limitation which we didn't survey all students who are major in Department of Dental Technology. And we also feel that we'd better to consider not only students who being in college but also graduated students.

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A Study on the Computer Assisted Dental Identification in Mass Disaster (대형참사시 컴퓨터를 이용한 법의치과학적 개인식별)

  • Shin, Kyoung-Jin;Choi, Jong-Hoon;Yoon, Chang-Lyuk;Kim, Chong-Youl
    • Journal of Oral Medicine and Pain
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    • v.24 no.1
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    • pp.81-94
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    • 1999
  • This study intends to find usefulness of the computer assisted dental identification in mass disaster. The variety of dental characteristics was investigated through the research of dental records of 508 adults. And a computer assisted simulation program was used to evaluate the selectivity of dental identification. Findings were as follows : 1. Combinations of dental characteristics were found 155 types. The most various dental characteristic was showed on the mandibular first molar. 99.0% of subjects had dental characteristics for dental identification. 2. The posterior teeth, in comparison with anterior teeth, showed higher selectivity in dental identification which was enhanced by information on the material, type and cavity of the restoration. 3. The variety of dental characteristics was mainly found on the combinations of missing tooth with the material, type and cavity of the restoration. 4. The computer assisted dental identification program, with informa- tion about one's tooth state, made individual identification possible when there was only a part of the teeth in a corpse. 5. The computer assisted dental identification had considerably high selectivity based on the variety of dental characteristics. And it was also performed faster and preciser than the existing identification methods. Based on the results of this study, there are various combinations of the feature of the tooth itself with dental characteristics caused by a certain type of treatment on the teeth. And using the computer assisted dental identification program based on this, dental identification can be more efficient economically and more useful than any other forensic identification methods.

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The status of clinical practice for students in the department of dental hygiene (치위생과 학생의 임상실습 교육 실태에 관한 조사연구)

  • Kim, Jeong-Suk;Kang, Eun-Ju;Kim, Sun-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.3
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    • pp.439-455
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    • 2009
  • The number of dental hygiene students is increasing as dental hygiene departments are extended or newly installed continuously, and in other to keep up with the quantitative increase, we need to standardize dental hygiene curriculums. The present study conducted a questionnaire survey with dental hygiene students who had completed clinical practice. The obtained results as follows. 1. According to the contents of clinical practice at dental clinics, the frequency of dental hygiene students' observation practice was high in basic medical service, dental prosthesis, and orthodontics. 2. The frequency of performance practice was high in basic medical service, oral medicine, preventive dentistry, pediatric dentistry, periodontology, and oral surgery. According to the area of clinical practice. 3. According to the contents of clinical practice at university hospitals, the frequency of dental hygiene students' observation practice was high in basic medical service, dental prosthesis, and orthodontics. 4. The frequency of performance practice was high in basic medical service, oral medicine, preventive dentistry, pediatric dentistry, periodontology, and dental prosthesis. 5. The students' satisfaction was high in basic medical service, oral medicine, preventive dentistry, and periodontology. The period of clinical practice varies according to school curriculum and circumstance among dental clinics and university hospitals where clinical practices are performed, students' satisfaction with their observation practice and performance practice may be different. Thus, for dental hygiene students' clinical practice, it is considered desirable to prepare integrated education programs that standardize the period and contents of clinical practice.

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The implement status of dental hygiene curriculum in Korea and the comparison with the US ADA standard (국내 치위생학 교과목 운영실태 및 미국 치위생학교육 인정평가 기준과의 비교연구)

  • Kim, Sook-Hyang;Kim, Min-Kang;Oh, Sang-Hwan;Mann, Nancy K.
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.3
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    • pp.229-247
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    • 2009
  • The purpose of this study is to provide the improvement basis for Dental Hygiene education program by analyzing the current implement status of Dental Hygiene curriculum in Korea and comparing the status with the US ADA standard. The researcher analyzed the Dental Hygiene syllabus limiting "Dental prophxis", "Comprehensive dental hygiene" subjects only from 31 universities which offer 3 years program. The main interest was to figure the implementing status of the curriculum and to compare the actual teaching content with the CODA 2-17 standard. The results show that there are a number of problems in implementing the Dental Hygiene courses among different universities. First, there is a significant inconsistence among schools in terms of course title, total credit, hours, the ratio for theory and practice, etc. In addition, there is a big gap between the actual content of Dental Hygiene courses and the essential/required content of CODA 2-17 standard. For instance, most of the Dental Hygiene programs in Korea cover the overall assessment stage content and some of implementation stage content. However, very few programs deal with the planning and evaluation stage content. To improve these problematic circumstance a number of suggestions were made. Developing the standardized curriculum for the Dental Hygiene program might be one of the major solutions. Next, the regular accreditation and/or assessment system for the Dental Hygiene program should be developed. This research can provide the basis for the need to assess and improve the Dental Hygiene curriculum.

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Differences in view of dental hygienist and patient's scaling actual condition and disputes (치과위생사와 환자의 치석제거 실태와 분쟁에 대한 견해 차이)

  • Seong, Mi-Gyung;Kang, Hyun-Kyung;Kim, Yu-Rin
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.5
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    • pp.623-633
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    • 2020
  • Objectives: Since scaling has been covered by insurance, the number of patients undergoing scaling has increased. Simultaneously, legal disputes around scaling have increased. Therefore, this study was aimed at comparing the differences between the perceptions of dental hygienists and patients regarding the scaling procedure and providing dental hygienists with basic data to find ways to reduce disputes arising from these differences. Methods: A survey was conducted on 119 dental hygienists working in Busan and the South Gyeongsang Province and 110 patients who visited hospitals for scaling. Frequency analyses were performed for dental hygienists' scaling behavior and patient discomfort during scaling. The independent t-test and chi-square test were performed to compare the perceptions of dental hygienists and patients regarding the scaling procedure. Results: Polishing after scaling was performed according to 70.1% of dental hygienists but only 29.9% of patients. Oral health education was provided according to 20.4% of dental hygienists, while 79.6% of patients said that they received oral health education at the Dentiform. The scaling time was reported to be shorter by patients than by dental hygienists. Both dental hygienists and patients said that legal action was required if problems occurred during scaling, and the refund standard was that patients needed it more than dental hygienists. Conclusions: There are differences between the perceptions of dental hygienists and patients regarding scaling. Dental hygienists should identify these differences and try to prevent conflicts or disputes with patients around scaling.

A Study on Dental State of Health and Dental Health Behaviors of Students in Elementary School and their Mothers (초등학생과 어머니의 구강건강 상태와 행동에 관한 연구)

  • Mun, Dug-Nam;Park, Hyoung-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.229-244
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    • 2001
  • The purposes of this study are to do surveys of the state of health and dental health behaviors of higher grade students in elementary school and their mothers, to investigate the relationship of students' dental health, and to apply those results to the systematic and efficient dental health care. The subjects were totally 618 people, including 309 elementary school students in 4th, 5th, or 6th grades and their mothers in Pusan. The questionnaires were used as instruments, which were made by the researcher and related with other preceeding studies. The content validity of the instruments was tested by two professors of nursing. Dental checking were conducted by an expert of dental sanitation, according to the standard of the World Health Organization. The period of collecting data was 20 months from October 20th to December 20th in 2000 and the collected data were analyzed by SAS program and classified as the real number, the percentage, the mean, the standard deviation, t-test, and F-test. In conclusion, there is no significant correlation between grades and treated or treatment-needed permanent teeth. There is the highest significant correlation between treated or treatment-needed permanent teeth and students' dental health behaviors. There is high significant correlation between mothers' dental health behaviors and students' dental health behaviors. Also, There is significant correlation between mothers' state of dental health and students' state of dental health. From the results of this study, the students' dental health behaviors are the most important variables in the students' state of dental health. But both boys(9.48) and girls(9.97) get the low marks on the total mark 15 about brushing, which can be self-controlled. Therefore, the developments of dental health guidance in education about dental health by mothers or the educational courses in schools, such as brushing educations by the experts, dental health education, brushing after lunch, or the various equipments in brushing, should be accomplished. Above all, behavior-centered education should be conducted instead of knowledge-centered education.

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The Opinions of Some Dental Hygienists about Improvement of Korean Dental Hygiene Education

  • Han, Yang-Keum;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.18 no.3
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    • pp.155-163
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    • 2018
  • This study's aim was to investigate their opinions to improve the educational system for dental hygienists on the basis of their duties as dental hygienists. The qualitative study was conducted among 19 dental hygienists at Daejeon, Korea from July to August 2016. Two researchers followed each subject for working hours in a day and recorded all the tasks and time to take for each task. After one day, the researchers met each subject and conducted face-to-face interviews to investigate the opinions about the dental hygiene curriculum and national board examination. The main duties recognized by more than half of the subjects were oral disease prevention including scaling and dental treatment assistance. The subjects' minority opinion about the main duties included radiography, impression taking, dental implant surgery assistance, orthodontic treatment, patient counseling, dental management and staff management, and oral health education. The most important tasks perceived by the subjects were prosthetic and implant impressions, scaling and implant surgery assistance. The subjects' minority opinion about the most important duties included patient counseling and making temporary crowns. The most difficult tasks answered by the subjects were prosthetic and implant impressions and dental implant surgery assistance. The subjects' minority opinion about it included patient counseling, scaling, and making temporary crowns. They mentioned that their curriculum in college was different from the actual work and the national board examination was not reflective of their real duties. We found out Korean dental hygienists had a lot of roles as dental assistants, dental business managers, and so on. We suggest that the law, curriculum and national board examination for dental hygienists should be revised to be able to reflect the reality of the clinical field.