• 제목/요약/키워드: dental hospital.clinic

검색결과 608건 처리시간 0.03초

치과위생사의 핵심역량이 직무성과에 미치는 영향 (Influence of Dental Hygienists' Core Competencies on Job Performance)

  • 박정현;이유희
    • 치위생과학회지
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    • 제17권2호
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    • pp.142-149
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    • 2017
  • 2016년 7월 23일부터 5개월간 부산광역시에 소재한 대학병원치과, 치과병 의원 및 보건소에 근무하는 치과위생사 123명을 대상으로 치과위생사의 핵심역량과 직무성과의 수준과 관련성을 파악하고, 직무성과에 영향을 미치는 핵심역량을 알아보고자 실시하였다. 본 연구대상자의 핵심역량 수준을 살펴보면 대인관계역량이 3.61점으로 가장 높았으며, 환자관리 및 교육역량이 3.59점, 조직관계역량이 3.57점, 기본치위생 관리역량이 3.56점 순으로 나타났다. 대상자의 직무성과에서는 상사가 요구한 일을 기일 내 마칠 수 있다가 3.93점으로 가장 높았으며, 다음으로 지각하지 않고 부주의로 타인에게 피해를 준 적이 없다가 3.76점으로 다음 순으로 나타났으며 상사가 책정해 놓은 목표치보다 초과달성 성과부분이 3.11점으로 상대적으로 낮게 나타났다. 치과병원에 근무하는 집단이 치과의원에 근무하는 집단보다 직무성과가 높은 것으로 나타났으며(p=0.009), 핵심역량과 직무성과 간에는 0.733으로 높은 상관관계를 가졌다. 그리고 핵심역량이 직무성과에 미치는 관련 변수들을 파악하기 위해 분석한 결과는 대인관계역량(p=0.25), 자기조절역량(p=0.32), 기본치위생 관리역량(p=0.15)이 유의하게 나타났다. 이상의 결과를 살펴보면 치과위생사들의 역량을 강화시키는 것이 직무성과를 달성하는 데 기여할 수 있으며, 이는 궁극적으로 환자들에게 양질의 의료서비스 제공하고 병원조직의 성과 달성에도 도움이 될 것이다. 따라서 치과위생사의 전공역량과 직업기초능력을 골고루 겸비할 수 있도록 치위생(학)과 교육과 더불어 현재 활동 중이 치과위생사들의 역량강화 교육 프로그램이 다양한 방법으로 행정적, 교육적 제도 지원이 필요할 것이다.

모델 스캐너와 구내 스캐너로 획득한 디지털 모형에서 시행한 공간 분석의 타당도, 신뢰도, 재현성 평가 (Validity, Reliability and Reproducibility of Space Analysis using Digital Model taken via Model Scanner and Intraoral Scanner: An In vivo Study)

  • 박서현;김종수;오소희
    • 대한소아치과학회지
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    • 제47권2호
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    • pp.176-187
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    • 2020
  • 이 연구는 모델 스캐너로 석고 모형을 스캔한 디지털 모형(Model scanned digital model, MSD)과 구내 스캐너로 구강을 스캔한 디지털 모형(Intraoral scanned digital model, ISD)에서 계측한 치아 근원심 폭경(Tooth width, TW)과 치열궁 길이(Arch length, AL)의 신뢰도와 재현성, 치열궁 길이 편차(Arch length discrepancy, ALD) 분석의 타당도를 평가하였다. 만 12 - 18세의 남, 여 30명에게 석고 모형, MSD, ISD를 획득하고, 2번 계측한 TW, AL의 신뢰도는 Pearson 상관 분석, 4명의 재현성은 군간 상관 분석 그리고 TW, AL 및 ALD의 타당도는 대응표본 t검정으로 평가하였다. 결과적으로 모든 군에서 계측한 TW, AL는 높은 신뢰도와 재현성을 보였고 MSD군의 ALD분석은 적절한 타당도를 보였다. ISD 군의 TW는 가장 높은 타당도를 보인 반면에, AL와 ALD분석은 유의미하게 짧게 측정되어 낮은 타당도를 보였으므로 임상가는 디지털 모델을 이용하여 공간 분석 시행 시 이를 고려해야 할 것이다.

Pattern analysis of patients with temporomandibular disorders resulting from unilateral mastication due to chronic periodontitis

  • Jeon, Hye-Mi;Ahn, Yong-Woo;Jeong, Sung-Hee;Ok, Soo-Min;Choi, Jeomil;Lee, Ju-Youn;Joo, Ji-Young;Kwon, Eun-Young
    • Journal of Periodontal and Implant Science
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    • 제47권4호
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    • pp.211-218
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    • 2017
  • Purpose: The purpose of the present study was to perform a pattern analysis in patients with temporomandibular disorder (TMD) resulting from unilateral mastication due to chronic periodontitis. Methods: Thirty participants with signs or symptoms of TMD who engaged in unilateral mastication due to periodontitis-related discomfort (test group) were selected. Another 30 subjects exhibiting signs or symptoms of TMD resulting from unilateral mastication not due to chronic periodontitis (control group) were also recruited. An interview-based questionnaire was administered, and an examination of the temporomandibular joint (TMJ) with determination of periodontal status was performed. Results: The duration of unilateral mastication was significantly longer in the control group than in the test group. There was a significant negative correlation between the duration of unilateral mastication and the Community Periodontal Index score. Using the Research Diagnostic Criteria for TMD (RDC/TMD) axis I algorithms, all the subjects were assigned to 3 main groups. The test group exhibited significantly a higher diagnostic distribution of group III (arthralgia, osteoarthritis, or osteoarthrosis), and in both the test and control groups, the number of diagnoses was larger for the non-chewing side. The control group showed a significantly higher diagnostic distribution of group I (myofacial pain), and in both the test and control groups, the number of diagnoses was larger for the chewing side. Conclusions: The results of the present study indicate that unilateral mastication due to chronic periodontitis could induce not only pain but also structural TMJ changes if adequate treatment is not administered and supported within a short time from the onset of the condition. Therefore, immediate treatment of chronic periodontitis is recommended to prevent not only the primary progress of periodontal disease, but also secondary TMJ-related problems. Furthermore, subjects who have suffered chronic long-term periodontitis without treatment should be urged to undergo a TMJ examination.

교정용 브라켓 주위의 불소를 이용한 법랑질 탈회 예방 방법 비교 (Comparison of Prevention Methods against Enamel Demineralization adjacent to Orthodontic Bracket Using Fluoride)

  • 모혜림;김종수;오소희
    • 대한소아치과학회지
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    • 제46권3호
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    • pp.293-300
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    • 2019
  • 고정식 교정 장치 치료의 흔한 부작용으로 구강 위생이 불량한 환자에서 브라켓과 밴드에 인접한 법랑질의 탈회가 발생한다. 이 연구는 불소를 이용한 다양한 법랑질 탈회 예방 방법 중 고정식 교정장치 주위의 탈회 예방에 무엇이 가장 효과적인지 알아보고자 시행되었다. 건전한 표면을 가진 발치된 소의 절치 80개를 실험재료로 하여 4개 군으로 분류하였다 : (I군) 대조군, (II군) V $varnish^{TM}$, (III군) Tooth Mousse $Plus^{(R)}$, (IV군) $Vanish^{TM}$ XT. 각 군 별로 처리 후 인공우식용액에서 탈회시킨 다음 0일, 30일, 60일, 90일에 무기질 소실량과 비커스 표면미세경도를 측정하였다. 무기질 소실량은 IV군에서 가장 적었으며, 그 다음으로는 II군, III군 순으로 적었으며, 유의한 차이를 보였다. 표면미세경도는 IV군에서 가장 적었으며, 그 다음으로는 II군, III군 순으로 적었으며, 유의한 차이를 보였다. 이상의 연구결과, IV군이 브라켓 주위 법랑질 탈회 방지에 가장 우수한 효과를 보였다. III군은 대조군과 비교하여 유의한 법랑질 탈회 예방 효과를 보였지만, 다른 군보다는 그 효과가 적었다.

Moisture Insensitive Primer와 Self-Etching Primer를 사용한 교정용 브라켓 접착 시 타액오염이 전단결합강도에 미치는 영향 비교 (Effects of Saliva Contamination on Shear Bond Strength with Conventional, Moisture Insensitive, and Self-Etching Primers)

  • 오윤정;오소희
    • 대한소아치과학회지
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    • 제46권1호
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    • pp.21-28
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    • 2019
  • 이 연구의 목적은 브라켓 부착 시 Conventional primer (CP), Moisture insensitive primer (MIP), Self-etching primer (SEP)을 사용하였을 때의 전단결합강도를 비교하고, 타액 오염 여부와 타액 오염의 시기가 전단결합강도에 미치는 영향을 평가하는 것이다. 총 135개의 소의 하악 절치가 연구에 사용되었다. 시편은 I, II, III 3개의 군으로 나누어 CP, MIP, SEP를 사용하여 브라켓을 부착하였다. 각 군은 3개의 하위군으로 나누어져서 타액 오염이 없는 군, 타액 오염 후 프라이머를 도포한 군, 프라이머 도포 후 타액 오염이 있는 군으로 설정하고 전단결합강도를 측정하였다. 연구 결과, 건조한 환경에서 전단결합강도는 CP, MIP, SEP의 순서로 높게 나타났다. CP는 타액 오염이 있는 경우에는 유의한 전단결합강도의 저하를 보였다. MIP, SEP를 사용한 경우에는 프라이머 도포 전 후 타액 오염이 있는 경우에 약간의 전단결합강도의 저하를 보였지만, 건조한 환경에서와 비교하여 유의한 차이는 보이지 않았다. 따라서 브라켓 접착 시 타액의 격리가 힘든 상황에서는 MIP 또는 SEP의 사용이 브라켓 전단결합강도의 저하를 방지하기 위하여 유용할 것으로 보인다.

치과기공사의 업무스트레스에 대한 연구 (A Study on Job Stress of Dental Technician)

  • 이덕수;곽동주;남상용
    • 대한치과기공학회지
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    • 제24권1호
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    • pp.51-63
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    • 2002
  • The purpose of this study was to be of use for getting rid of job stress from dental technicians, by examining how much they were stressed out at work place as one of the professional medical personnels. The subjects in this study were 255 selected dental technicians who were working in the region of Taegu. The one-on-one interview was conducted from March 1 to 30, 2001, with structured questionnaire. The questionnaire sued in this study included 19 question items about the general characteristics and 29 items regarding job stress. The job stress was categorized into seven subareas based on earlier studies and considering the job situations of dental technicians: heavy workload, job conflicts, improper treatment, role and job knowledge, human relations, physical environment and personal matters. The job stress extent was measured on five-point Likert scale that is widely used in social science: one point for no stress, two for little stress, three for so-so, four for a little stress, and five for severe stress. Therefore, a higher point means a severer job stress. The reliability of the questionnaire turned out very good with Cronbach a = 0.9272. The findings of this study were as follows: 1. The general characteristics of the dental technicians investigated could be described as below: (1) By gender, 80.4% of the dental technicians were male, and 50.2%, the largest percentage, were in their 20s, followed by those in their 30s, those in their 40s, and those in their 50s in the order named. (2) The most common work place was dental technician shop(92.5%), followed by dental technology room in dental hospital or clinic and in general hospital in the order named. The primary duties were coating materials work(30.6%), followed by sculpture, grinding, partial and full denture and orthodontics in the order named. 2. The most larges (1) The most largest motivation to be a dental technician was its being a professional(33.7%), followed by the advice from others, their own aptitude, and good economic treatment in the order named. 3. Their job stress could be explained as below: (1) Their collective job stress average was 3.96$^{\circ}{\ae}$0.50 on the basis of 5 point, which showed that they were exposed to a fairly severe job stress. (2) By area, they were most stressed out from heavy workload (4.12), and they also were severely stressed from role and job knowledge(4.02) and personal matters(4.00). (3) By situation, they were most stressed when the disagreement of prosthesis that results from a specific error is unconditionally attributed to them(4.43). And they were also stressed a lot when their workload increases due to the rework(4.38), when a dentist asks something difficult for them to resolve(4.20), when heavy workload makes their working hours irregular and it's impossible to lead a personal life or have leisure time(4.16), and when they are o work for an excessively short time(4.16). This fact indicated that most of the dental technicians were exposed to a lot of stress in conjunction with job performance. 4. The main duties they took charge of didn't make any significant difference to their job stress, but yielded a significant difference to the extent of job stress in individual areas and the order of the most stressful one. Those who were engaged in grinding were most stressed from their own matters, whereas heavy workload was most stressful for those who were engaged in the other types of works. 5. As a result of seeing if their personal characteristics yielded any differences to job stress, the personal characteristics that made their job stress vary significantly were working hours, motivation of being a dental technician, job satisfaction and willingness to continue doing dental technology works. There was a tendency that longer working hours led to severer job stress, and those who chose to be a dental technician according to their own aptitude were less stressed than the others who became a dental technician because of economic reason or advices from others. And the people who were satisfied with their job were exposed to less job stress than the others who weren't, and those who had an intention to keep that job as much as possible were less stressed, compared to the others who hadn't.

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안면부 연조직 진단에서 외래기반 초음파의 사용 : 증례 보고(3례) 및 문헌 고찰 (Use of office-based ultrasonography for soft tissue lesions : A report of 3 cases with literature review)

  • 김재영;김민규;이성화;김형준;남웅
    • 대한치과의사협회지
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    • 제53권2호
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    • pp.143-152
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    • 2015
  • Ultrasonography is relatively inexpensive, non-invasive imaging tool and provides real-time imaging. In addition, the images can be obtained repeatedly. But it is not widely used by dentists because it is hard to interpret and technique sensitive. Above all, ultrasonography cannot be used for hard tissue diagnosis. However, ultrasonography can be applied for diagnosis of infection, soft tissue tumor and inflammatory muscle diseases which are commonly found in dental outpatients. Generally, it shows well-defined border, hypoechoic and homogenous structure in case of benign tumor. Malignant tumor appears relatively irregular margin and heterogenous structure. Cyst represents relatively echo-free features compared with benign tumor. Although the general characteristics of abscess are similar with benign tumor, we can observe an increased vascularity and different clinical features. The purpose of this report is to present 3 cases of US images using office-based ultrasonography with their features and discuss the role of office-based ultrasound in dentistry for diagnosis of soft tissue lesions with literature review.

측두하악장애와 교합요인의 관계 (The Relationship between Temporomandibular Disorders(TMD) and Occlusion)

  • 김성택;이유식
    • 구강회복응용과학지
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    • 제21권1호
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    • pp.43-57
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    • 2005
  • Temporomandibular disorders have been defined as a collective term embracing a number of clinical problems that involve the temporomandibular joint, the masticatory nuscles, and associated structures. There have been many different contributing factors of TMDs which were traumatic, occlusal, pathophysiological and psychosocial. Among there factors, the effect of occlusion on TMDs have been a controversy for a long time. The purpose of this study was to investigate the effect of occlusal factors and oral habits on TMDs. In this study, 140 subjects with signs and symptoms of TMDs and diagnosed of TMD in the Orofacial Pain clinic of Yonsei University Dental Hospital though March to July 2004 were selected for the TMDs group and 50 subjects without any signs and symptoms of TMDs as the control group. The subjects were evaluated clinically in TMDs' Occlusal and Prosthodontic Restoration examinations. TMDs' examination was composed of the TMJ pain, sound, locking, temporal or masseter muscle palpation, mandibular movement, oral habits and headache. Occlusal examination was made of overjet, overbite, lost teeth number, nonfunctional interference, midline shift, then pattern of lateral movement and attrition. prosthodontic restoration examination had the existence of restoration, placement, then number of crown or bridge and Satisfiable index which estimated the quality of occlusal state of prosthodontic restorations. Following results were obtained : 1. The prevalence of TMDs was higher in their 20s & 30s, female of the TMD patients group. 2. The clenching frequency in the TMDs group(40.71%) was higher than those in the control group(18.00%), and there was a significant statistical difference(p<0.05). 3. The frequency of Nonfunctional interference in the TMDs group(10.00%) was higher than those in then Control group(2.00%), and there was a significant statistical difference(p<0.05). The result of this study indicated TMDs prevalence was higher in their 20s, 30s, female group of TMDs patients similar to the previous studies. Clenching and nonfunctional interference were estimated as the contributing factors of TMDs.

Salivary biomarkers in oral squamous cell carcinoma

  • Nguyen, Truc Thi Hoang;Sodnom-Ish, Buyanbileg;Choi, Sung Weon;Jung, Hyo-Il;Cho, Jaewook;Hwang, Inseong;Kim, Soung Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제46권5호
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    • pp.301-312
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    • 2020
  • In disease diagnostics and health surveillance, the use of saliva has potential because its collection is convenient and noninvasive. Over the past two decades, the development of salivary utilization for the early detection of cancer, especially oral cavity and oropharynx cancer has gained the interest of the researcher and clinician. Until recently, the oral cavity and oropharynx cancers are still having a five-year survival rate of 62%, one of the lowest in all major human cancers. More than 90% of oral cancers are oral squamous cell carcinoma (OSCC). Despite the ease of accessing the oral cavity in clinical examination, most OSCC lesions are not diagnosed in the early stage, which is suggested to be the main cause of the low survival rate. Many studies have been performed and reported more than 100 potential saliva biomarkers for OSCC. However, there are still obstacles in figuring out the reliable OSCC salivary biomarkers and the clinical application of the early diagnosis protocol. The current review article discusses the emerging issues and is hoped to raise awareness of this topic in both researchers and clinicians. We also suggested the potential salivary biomarkers that are reliable, specific, and sensitive for the early detection of OSCC.

측두하악관절장애 환자의 자기공명영상에서 관찰되는 악관절 삼출 (Magnetic resonance evidence of joint effusion in patients with temporomandibular joint disorders)

  • 고지영;김기덕;박창서
    • Imaging Science in Dentistry
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    • 제31권2호
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    • pp.73-84
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    • 2001
  • Purpose: The purpose of this study was to find the relationship among the joint status, pain and effusion in patients with temporomandibular joint disorders. Materials and Methods: Materials included 406 patients (812 joints) with clinical records and bilateral TMJ MRIs in TMJ clinic, Yongdong Severance Hospital. All joints were classified in 4 groups in MR images according to the disc status of joint; normal disc position, disc displacement with reduction (DDcR), early and late stage of disc displacement without reduction (DDsR), and also 2 groups according to the bony status of joint; normal bony structure and osteoarthrosis. MR evidence of joint effusion was categorized in 4 groups according to its amount. To determine the relationship between joint pain and joint effusion, 289 patients with unilateral TMJ symptoms were selected from total materials. Result: Joint effusion was found 8.0% in normal disc position, 32.6% in DDcR, and 59.2% in DDsR (83.1 % in early state and 23.1 % in late stage). Joint effusion was found 39.7% in osteoarthrosis and 35.0% in normal bony structure. Joint effusion was more found in the painful joints (49.8%) than in the painless joints (22.4% )(p<0.001). Joint effusion in the early stage of DDsR only was more found significantly in painful joints (91.9%) than in painless joints (62.1 %) (p<0.001). Conclusion : MR evidence of joint effusion might be related to disc displacement regardless of the presence of osteoarthrosis, and the early stage of DDsR was found more frequently combined with joint effusion and joint pain.

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