• 한국치위생학회지
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• 제17권3호
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• pp.539-551
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• 2017

Objectives: The purpose of this study was to investigate the changes in factors on unmet dental scaling rate before and after the national health insurance. Methods: This study used the $2^{nd}$ data from the Community Health Survey. The study participants numbered 209,341 in 2011 and 219,517 in 2013.The average age was $51{\pm}17$ in 2011 and $52{\pm}17$ in 2013. Data were analyzed by descriptive statistics, chi -squared test and logistic regression using SPSS 23.0. Results: The scaling experienced rate of Korean adults has fallen by 3.5% from 66% to 69.5%. Logistic regression analysis showed that 2.7 times more 'people who were educated at elementary school level or lower' did not use dental scaling compared to higher educated children. Agriculture, forestry and fisheries workers did not use scaling at 2.0 times. Local residents with an income of less than one million won did not use 1.7times scaling. Local residents of 'no private insurance' did not use scaling at 1.5 times. In the case of the predisposing factors, the 20s had less than 1.8 times scaling compared to 50s. In the case of needs factor, local residents who experienced 'bad oral health status' and 'dental calculus' were treated scaling 1.3 times less compared to people with good oral health status and normal periodontal symptoms. Conclusions: In Korea, local residents are less frequently treated scaling due to enabling factors such as accessibility. In addition, predisposing factors such as age and sex, and oral health status and periodontal symptoms were related to not using the dental scaling. Therefore, the universality of health care services should be considered so that people who need periodontal care can use scaling.

• 한국치위생학회지
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• 제17권3호
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• pp.355-368
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• 2017

Objectives: The purpose of this study was to examine the recognition about scaling after health insurance benefit business for scaling by national health insurance corporation for the general public. Methods: In order to examine the recognition about scaling after health insurance benefit business for scaling by national health insurance corporation for the general public, study subjects were selected from those who are over 20 years old, living in Seoul and Gyeonggi province since December 2016. Among 300 selected subjects, data of 279 subjects were used for the analysis which is 93% of selected data, except 21 data with insufficient responses. Results: Results of examined factors affecting the recognition about scaling after health insurance benefit business for scaling by national health insurance corporation for the general public show that the recognition about scaling after national health insurance benefit is affected by female (p<0.05), past smoker (p<0.01), exercise more than 3 times a week (p<0.05) and 1-2 times a month (p<0.001) in order. Conclusions: It is necessary to prepare a plan to properly inform the national health insurance benefit for dental scaling and to raise the recognition about the necessity of scaling.

• 한국치위생학회지
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• 제17권3호
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• pp.369-380
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• 2017

Objectives: The purpose of this study is to investigate the effect of preventive treatment experience on scaling fear level. Methods: A total of 259 adults who had visited the dental clinic were analyzed. The results were summarized as follows. Statistical analysis of the collected data was performed using the SPSS WIN 20.0 statistical program. The general characteristics, scaling experience, and the characteristics of the subjects were analyzed. Frequency of scaling according to general characteristics was analyzed by independent sample t-test, Scaling fears according to treatment experience were tested by t-test. Correlation analysis was performed for scaling fears according to the reliability of dental hygienist. Regression analysis was carried out to investigate factors affecting scaling fear. Results: Level of fear during scaling was higher in females (3.03) than in males (2.54) and that after scaling was scored higher in females (2.68) than in males (2.34) by general characteristics (p<0.001). The adults who were not healthy in oral health showed the highest levels of fear during (3.29) and after (3.00) scaling by oral health status (p<0.001). Adults who had brushing education experience showed lower fear level than those who did not after scaling (p<0.01) according to the experiences of preventive treatments. With respect to the correlation of trust level to the dental hygienists with the scaling fears, it showed higher in the trust level (-0.688) as lower level of scaling fear (-0.642) in the scaling (p<0.01). Confidence level of dental hygienist (-0.661), brushing education experience (-0.121), and oral health status (-0.121) were influenced upon the regression analysis. Conclusions: Oral health education and dental hygiene education are increasing. It is thought that active efforts are needed to promote and maintain oral health.

• 한국치위생학회지
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• 제11권5호
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• pp.773-782
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• 2011

Objectives : The purpose of the study was to investigate self-reported oral health attitudes and behaviors among patients receiving scaling services and provide guidelines for developing preventive programs for dental disease. Methods : The survey was administered to a sample of 462 receiving voluntary scaling service in the practice lab in the department of dental hygiene at J health college. Results : 1. Of all participants, 261(56.5%) reported that they received scaling services in the past. 134 of the women (62.6%) and 127 of the men (51.2%) received scaling services 2. Analysis of the regular scaling attendance rates showed that only 16.2% of all participants received routine scaling. 13.7% of the male participants and 19.2% of the female participants received scaling on a regular basis. 3. Participants commonly reported "self-motivation" and "suggestion by others" (37.9% and 34.1%, respectively) as the main reasons for obtaining scaling services. 4. The main reasons for not obtaining scaling services were "I did not know about scaling" (39.3%), "I don't feel it is necessary" (27.4%) and "because I am scared" (20.9%). More men (42.1%) than women (35%) reported that they did not know about scaling. 5. Of the total participants, 41.6% reported that they were concerned about oral health at a moderate level, and 30.3% reported that they were concerned about oral health at a high level. 6. Of the participants who responded "very concerned about oral health" and "extremely concerned about oral health", the majority obtained scaling service (70.2% and 84.2%, respectively). Conclusions : The study suggested that researchers and national health authorities should develop routine scaling, preventive dental care, and oral health programs for oral health promotion and disease prevention.

• 한국치위생학회지
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• 제17권6호
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• pp.1207-1214
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• 2017

Objectives: This study aims to investigate degree of scaling fear (Fear when scaling: FWS, Fear from dental hygienist unbelief: FFDHU, and Fear after scaling: FAS) in college students. Methods: 113 students were recruited for the study in Daegu Health College between March and June of 2017. Frequency table of general characteristics was generated, and then the t-test and ANOVA (scheffes's post hoct) were used to analyze the differences between scaling fear and two or three groups of variables. Results: Mean scores of scaling fear in 113 students were 2.24 (FWS), 1.76 (FFDHU), and 1.76 (FAS). Score 2.48 of female's scaling fear (FWS) was significantly higher than men's 2.02 (p<0.05). Smokers who have smoked less than 3 years (2.56) (FWS) were lower than those who have smoked over 3 years (1.55) (p<0.01). Score of students want the explanation of scaling when scaling (1.94) (FWS) were significantly higher than those who does not (1.59) (p<0.05). Conclusions: The findings of this study showed that there were gender and smoking periods when scaling to effect a score of scaling fear.

• 한국치위생학회지
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• 제16권2호
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• pp.185-193
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• 2016

Objectives: The purpose of the study was to examine the recognition and satisfaction of dental care customers after 1 year national health insurance coverage of dental scaling. Methods: A self-reported questionnaire was completed by 477 dental care customers in Gyeongbuk, Busan, Yangsan, and Gyeonggido from July 18 to September 30, 2014 after receiving informed consents. The questionnaire consisted of general characteristics of the subjects(5 items), subjective awareness of oral health(4 items), recognition of scaling(5 items), and recognition and satisfaction of scaling health insurance(5 items). Data were analyzed using SPSS version 20.0 program. Results: Those who recognized the national health insurance coverage of dental scaling accounted for 80.1 percent and 47.2 percent of them got the health insurance coverage via media advertisements. Those who received the scaling service by health insurance coverage accounted for 73.8% and 66.2% of them were very satisfied with the service. Among the customers, 91.8% were satisfied with scaling health allotment. There was a statistical significance between scaling health insurance and subjective oral condition recognition(p<0.01). Through the health insurance coverage scaling service, the oral health in Korea will improve much. Conclusions: The expansion of health insurance coverage of scaling service will provide the universal oral health care for all people. Owing to low cost service, people will actively try to come in contact with public health service in the future.

• 한국치위생학회지
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• 제16권5호
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• pp.661-667
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• 2016

Objectives: The objective of the study was to investigate oral health index between adequate and inadequate dental care following preventive scaling in regular dental check-up and management. Methods: The subjects in Busan were assigned to two groups including inadequate dental care (140 patients) and adequate dental care (88 patients) after preventive scaling from January 2014 to June 2015. The study instruments included oral health knowledge, awareness, practice, and community periodontal index of treatment needs (CPITN). Results: CPITN was significantly different between the two groups (p<0.05). Positive correlations were found in oral heath knowledge and awareness (r=0.462, p<0.05) before application of preventive scaling. There was a close correlation in oral health awareness and practice (r=0.205, p<0.05) before application of preventive scaling. After application of preventive scaling, oral health knowledge and awareness showed positive correlation (r=0.643, p<0.05). After application of preventive scaling, there was also a close correlation between oral health knowledge and practice (r=0.453, p<0.05). Oral health awareness and practice (r=0.512, p<0.05) showed positive correlation after the application of preventive scaling. However, oral health practice and CPITN (r=-0.189, p<0.05) showed a negative correlation. Conclusions: Practice made periodontal condition improve. To promote oral health practice in the group without adequate dental care, it is necessary to pay attention to adequate dental care and preventive scaling through education by dental hygienists.

• 한국치위생학회지
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• 제12권3호
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• pp.495-501
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• 2012

Objectives : Today, one of the most basically used procedures to dental patients is scaling for removing tartar. The purpose of this study is the effect of Happycaine during scaling for pain relief. Methods : This study was used self-questionnaire from 202 patients. SPSS 18.0 vision program was used for data analysis. Group A was used Happycaine, but group B wasn't used Happycaine. The degree of pain relief depending on use of Happycaine, was analyzed by Independent-two-sample t-test. Emotion and reaction during scaling was analyzed by mean and standard deviation. The results were as follows. Results : 1. 52.5% participants answered 'require scaling' and 12.9% answered 'required scaling very much'. so 65.4% participants recognized the need of scaling. 2. According to the experience of Happycaine during scaling, differences in pain was by Likert 5 pints scale, Group B's pain was higher than Group A's(p=0.000). 3. According to the experience of Happycaine during scaling, the mean of panic from Group B was a little higher than Group A(p=0.036). In case of cold symptom during scaling, Group B was significantly different(p=0.011). In Group B, pain from dental hygienists was significantly different (p=0.000). Group A was interested in Happycaine use in future scaling(p=0.004). Conclusions : As a result of this study, we recommend Happycaine during scaling in order to decrease mental burden and pain for patients.

• 대한치위생과학회지
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• 제3권2호
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• pp.39-49
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• 2020

The purpose of this study was to provide the basic data needed to plan the effective teaching design of scaling education and to measure the changes in students' confidence in performing scaling according to the number of scaling practices. Scaling education is presented as a core basic hygiene competency of dental hygienists and evaluated as the practical competency of dental hygienists. This study selected 48 third-year students from the department of dental hygiene at S University in Asan, and analyzed data from completed participant surveys. The degree of "confidence in facing the subject in clinical practice," "confidence in applying hand instrument to the subject," and "confidence in applying ultrasonic instruments to the subject" was assessed on a five-point Likert scale. The difference in confidence was analyzed during five practice sessions. Each response was compared using frequency analysis, chi-square test, and repeated measurement ANOVA. Students who complained of a lack of confidence in the 14.6%, 25.0%, and 12.5%, respectively, in face-to-face practice, hand instruments, and ultrasonic instrument application responses. The more the practice was repeated, the more confident students were in all three categories, and the more statistically significant (p<0.001). As the number of scaling practice sessions increased, students' confidence in performing scaling also improved. In particular, the level of self-confidence was higher after the third practice session when compared to the first session. Therefore, it is necessary to design effective courses for teaching scaling practices so that at least three repetitive practice periods can be provided in clinical dental hygiene practices.

• 한국치위생학회지
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• 제14권3호
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• pp.439-446
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• 2014

Objectives : The purpose of the study is to investigate the correlation between the pain, depression, dental anxiety in the patients visiting to dental clinic for the ultrasonic scaling treatment. Methods : The study is a cross-sectional correlation study. A self-reported questionnaire was filled out by 254 patients having no history of mental illness in Seoul and Gyeonggido from December 12 to 20, 2013. The study instruments included modified Beck's Depression Inventory (BDI), STAI items by Spilberger, Humphis' Modified Dental Anxiety Survey(MDAS), and Visual Analogue Scale. Results : There existed correlation between the ultrasonic scaling pain, depression, dental anxiety, trait anxiety, and state anxiety. Dental anxiety was the most influencing factors on the pain. Conclusions : It is very important to reduce the anxiety in the patients more actively.