Relationship between hand hygiene beliefs and nail hygiene behaviors among dental workers in South Korea

( Ju-hui Jeong ),( So-jung Mun ),( Ja-hae Yoo ),( Hie-jin Noh ) 한국치위생학회 2019 한국치위생학회지 Vol.19 No.3

Objectives: The purpose of this study was to investigate nail hygiene behaviors and to identify the relationship between hand hygiene beliefs and nail hygiene behaviors among dental hygienists, dental’s aide and dental coordinator in South Korea. Methods: The subjects were 291 dental workers including dental hygienists, dental assistant and dental coordinator working full-time at dental clinics, dental hospitals, general dental hospitals and dental university hospitals in Seoul, Incheon, and Gyeonggi-do. The questionnaire consisted of a total 35 items, including 4 items on general characteristics, 25 items on hand hygiene, 2 items on “nail art” experience, and 4 items on nail hygiene behaviors. The collected data were analyzed using an independent t-test, one-way ANOVA, chi-square test, correlation analysis, and multiple linear regression analysis, where α<0.05 was considered statistically significant. Results: The scores of behavioral beliefs, normative beliefs, control beliefs and nail hygiene behaviors were 5.15±0.58, 5.26±0.81, 3.69±0.96 and 5.03±0.98, respectively. Statistically significant relationships were detected in terms of participants’ clinical experiences with respect to behavioral and normative beliefs (p<0.05 for all three belief categories). Participants working in general dental hospitals and dental university hospitals demonstrated the highest scores for behavioral, normative and control beliefs (p<0.05). Participants working in dental clinics reported the highest “nail art” experience rates in the last two years (45.5%) and at the time of the survey (15.7%; p<0.05). Nail hygiene behaviors were more likely to be observed in individuals with stronger behavioral and stronger normative beliefs (p<0.05). Conclusions: More specific infection control guidelines for “nail art” among dental workers should be established and promoted, so that both patients and dental workers can interact in a safe environment.

Characteristics of patients who visit the dental emergency room in a dental college hospital

Kim, Chihun,Choi, Eunhye,Park, Kyeong-Mee,Kwak, Eun-Jung,Huh, Jisun,Park, Wonse The Korean Dental Society of Anesthsiology 2019 Journal of Dental Anesthesia and Pain Medicine Vol.19 No.1

Background: Emergencies in dentistry can be classified as medical and dental. Medical emergencies occur mainly during dental treatment in patients with a systemic disease. Dental emergency departments are largely divided into dental emergency rooms located in dental college hospitals and medical emergency rooms located in medical institutions. This study aimed to analyze the characteristics of and provide help to dental emergency patients in a dental hospital. Methods: Overall, 1806 patients admitted to a dental emergency room at Yonsei University Dental Hospital for 1 year were included. The data collection period was from October 1, 2014 to September 30, 2015. An investigator reviewed medical records from the electronic medical record (EMR) system and radiographs. Results: The patients were 1,070 men and 736 women. The sex ratio was 1.45:1. The commonest age group was of 0-9 years, including 451 (25.0%) patients, followed by 20-29 years, including 353 (19.5%) patients, and 30-39 years, including 277 (15.3%) patients. Of the 108 patients transferred to the Severance emergency department, 81 had trauma, 19 were in pain, 4 were bleeding, and 4 had other complaints. Among chief complaints, 1,079 patients (60.3%) had trauma, 564 (31.5%) had pain, and 75 (4.2%) had bleeding. Twenty-three cases (1.3%) were caused by temporomandibular disorder (TMD). Conclusion: Dentists should be able to adequately assess patients in a dental emergency room and treat trauma, pain, and bleeding.

치과 코디네이터의 근무환경과 직무중요도에 관한 조사연구

원복연 ( Bok Yun Won ),이가연 ( Ka Yean Lee ) 한국치위생학회 2009 한국치위생학회지 Vol.9 No.2

This study researched into literature materials in order to utilize basic data on job importance in dental coordinator, and analyzed questionnaire on job importance in dental coordinator for about 2 months from August and September in 2008 targeting dental hygienists and other manpower for dental hospitals & clinics where are located in D region and neighboring region. The following are the results: 1. Dental hospital & clinics where dental coordinators work were surveyed to be totally 66.9%. Dental coordinators were indicated to be 71.1% as for dental hospital·clinic(women), and to be 28.4% as for a case with none. There was significant difference according to final academic degree and working place(P<.001). 2. License holders(women) for dental hygienist as dental coordinator accounted for 39.8%. The opposite case accounted for 60.2%. A case of doing duty of dental coordinator given not dental hygienist was indicated to be high. There was significant difference according to working place(p<.01). 3. The task importance on job that a dental coordinator directly performs was indicated to be averagely 3.24, thereby having been recognized to be important. 4 As for the recognition on job importance according to working-year number, it was indicated to have higher recognition on task importance in the more working-year number regarding customer management(p<.01), organization management(p<.05), and self-management(p<.01). 5. Given seeing difference in recognition on task importance according to medical institution, it was indicated to be 3.34 for dental clinic and 3.25 for dental hospital. Thus, the task importance was indicated to be slightly high in a person who works for dental clinic. There was no significant difference. In light of the above results, in order to educate dental coordinator who can successfully perform a role at dental hospital & clinic, a dental hygienist is required who is equipped with dental-clinic career rather than a person without a major. A professionally educational program for dental coordinator needs to be developed. Even in a dental coordinator`s task, there is necessity for the curricular development and the specialized education.

치과의료 영역에서 진료보조에 대한 고찰

정재연,강부월,강보람,김수화,황윤숙,한수진 한국치위생학회 2019 한국치위생학회지 Vol.19 No.6

Objectives: This study aims to establish the concept of “dental assistance” within the dental field and to identify the scope of dental assistance, which can be utilized in order to distinguish the scope of work between jobs. Methods: The literature on dental hygienist work and dental assistance was reviewed, and the laws and precedents related to dental assistance were examined. Results: The criteria for judging the legitimacy of dental assistance included the following: whether the performance was conducted under the guidance and supervision of a doctor; whether there was a possibility of an aftereffect or side effects of the procedure; whether education was conducted within the curriculum; and whether it was evaluated in the national licensing examination. In addition, the work of the assistant in dental surgery and treatment is judged comprehensively by considering the type of dental surgery and treatment, invasive degree, necessity of expertise, and work proficiency of the dental hygienist. Therefore, it is suggested that dental hygienists may be of assistance for dental treatment/surgery because they meet the requirements of dental professionals, such as dental hygiene curriculum, national licensing examination, duties in the field of dentistry, and work proficiency. Conclusions: Dental assistance (including assistance in dental surgery) for dental treatment, dental/medical history taking, taking vital signs, and blood glucose monitoring should be permitted within the realm of dental hygienist work. Therefore, the actual expertise of dental hygienists should be reflected legally and the work of dental hygienists should be realized.

치과위생사의 치과감염에 대한 인식도 조사

이가연 ( Ka Yean Lee ),이정애 ( Jung Ae Lee ) 한국치위생학회 2009 한국치위생학회지 Vol.9 No.1

The purpose of this study was to examine the recognition level related to the infection prevention in dental medical institute in dental hygienists and to offer basic data of enhancing the knowledge education in dental hygienists on the infection prevention according to it. As a result of collecting and analyzing data by using the self-administered questionnaire on April 27, 2008 targeting 230 dental hygienists who are working at hospitals and clinics in P,K region, the following conclusions were obtained. 1. Dental hygienists` recognition on hospital-virus treatment method was indicated to be averagely 1.20 out of 3-point perfection. 2. The recognition on infection was indicated to be averagely 2.64 out of 4-point perfection. The statistically significant difference was shown with the appearance of periodical health examination(t=-2.42, p<.05) and by infection-education experience(t=2.28, p<0.05). 3. The recognition on an infection disease was indicated to be averagely 4.38 out of 8-point perfection. The significant difference(t=3.52, p<0.05) was shown depending on task in charge. 4. The recognition on the infection prevention in dental treatment institute was indicated to be averagely 4.89 out of 7-point perfection. The recognition on the infection prevention of dental treatment institute in dental hygienists, who work for general hospital, was indicated to be the highest. Accordingly, it was considered to be required an effort for dental hygienists, other dental-medical practitioners, and patients to be able to treated safely by enhancing the recognition level on infection prevention in dental hygienists and by maximally reducing exposure to infection in dental medical institute.

치위생 과정(Dental hygiene process of care)에 대한 치과의사의 인식조사

김민지 ( Kim Minji ) 대한통합의학회 2018 대한통합의학회지 Vol.6 No.3

Purpose : The purpose of this study was to conduct an in-depth interview with dentists in order to provide fundamental data regarding their thoughts in relation to the dental hygiene process of care and its necessity in clinical practice, with the aim of ensuring that dental hygienists can perform their duties as experts. Method : Following explanation of the study, we administered the questionnaire to those who agreed to participate between September 26 and October 28, 2017. A Naver-form (mobile) questionnaire was distributed to the research subjects for data collection. Data were analyzed using SPSS (Statistical Package for the Social Sciences) 24.0. Analysis was performed by calculating the frequency and percentage of the general characteristics of the subjects, occupational expertise, and the dental hygiene process of care. Result : Among the 56 research subjects, 48 (85.7 %) were men and 8 (14.3 %) were women. Awareness on the part of respondents of the job responsibilities associated with the dental hygiene process of care ratio was as follows: 11 (19.6 %) categorized their level of knowledge regarding the dental hygienist’s job duties as “very much know”; 13 (23.2 %) as “somewhat know”; 18 (32.1 %) as “neither”; and 9 (16.1 %) as “somewhat don’t know”, while 5 (9.0 %) said “I have no idea”. The dental hygiene process of care was categorized as “very much necessary” by 50.0 % of respondents; as “somewhat necessary” by 35.7 %; and as “neither” by 14.3 %. Conclusion : The dental hygiene process of care is one of the methods used to continuously manage patients with dental- related concerns. Recently, the management of patients in the dental clinic has changed from a disease treatment model to a concept of active prevention for improving the quality of life related to oral health. The dental hygiene process of care is considered a very necessary dental health care service because it functions to continuously introduce oral health care or preventive care programs in clinical practice.

Systematic Literature Review on Coronavirus Infectious Disease-19 and Dental Masks

( Ji-hyun Kim ),( Min-young Kim ) 한국치위생과학회 2021 치위생과학회지 Vol.21 No.1

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is transmitted primarily through droplets, and dental practitioners are at risk of occupational exposure to SARS-CoV-2 infection owing to direct contact with the patient’s mouth, aerosols from dental procedures, and saliva. Wearing a mask is believed to be the best method of protection against infection, and a systematic literature review was conducted on whether the dental masks used in dentistry are effective in preventing Coronavirus Infectious Disease-19 (COVID-19). Methods: We used PubMed, Google Scholar, DBpia, NDSL, and KISS databases for this study. Of the 917 documents narrowed down by the search terms “Coronavirus, COVID-19, and dental,” 83 documents were collected and studied. Ultimately, 42 of these papers were selected for analysis after considering duplication from the flow chart of the literature selection process. Results: While dental masks are often used when treating patients with unknown COVID-19 status, the Ministry of Food and Drug Safety stated that the use of dental masks is insufficient in preventing cross-transmission of COVID-19; instead, it was recommended that N95 masks, which correspond to KF94 masks, should be worn daily. On the other hand, wearing a dental mask and following precautions such as hand hygiene may not pose a significantly higher risk of infection than wearing an N95 mask when treating COVID-19 patients. Conclusion: There is an ongoing discussion regarding the use of dental masks when treating dental patients, and many argue that different types of masks should be selected according to the degree of infection and the individual's respiratory condition. By considering the safety and efficacy of dental masks in preventing infection, improvements can be made in the management of COVID-19 and dental-related infections.

치과환자의 치과기피요인에 대한 분석

정수진 ( Su-jin Jung ),이다원 ( Da-won Lee ),박보미 ( Bo-mi Park ),박지선 ( Ji-sun Park ),손민아 ( Min-ah Son ),이유미 ( You-mi Lee ),이하은 ( Ha-eun Lee ) 한국치위생학회 2020 한국치위생학회지 Vol.20 No.6

Objectives: This study was conducted to investigate the factors that prevent dental patients from visiting the dental clinic. Methods: From June 22, 2020 to July 17, 2020, among patients 10 years or older who had visited the dental clinic, 314 individuals who agreed to the study were asked to fill out a self-administered questionnaire. The data were analyzed using the SPSS Statistics 22.0 program, and the significance level was set at 0.05. Results: The dental avoidance factors according to the general characteristics were high in women and housewives, and among the dental-related characteristics, the most common reason for visiting the dental clinic was experiencing pain. The factors influencing anxiety were fear, environment, stimulus, age, and exercise, and the factors influencing the fear were anxiety, stimulus, subjective oral health status, education, and exercise. The factors influencing the stimulus were environmental factors, fear, anxiety, and age, and the factors that influenced environmental factors were stimulus and anxiety. Conclusions: There is a need to develop measures and policies to overcome fear of dental procedures, such as developing a dental experience program and allowing patients to experience dental fear and anxiety in advance.

치과위생사 이미지에 대한 치과의사와 치과직원의 견해 분석

류혜겸 ( Hae Gyum Ryu ),최성숙 ( Sung Suk Choi ) 한국치위생학회 2009 한국치위생학회지 Vol.9 No.1

This study was undertaken evaluate the general image for dental hygienist. A questionnaire was given to each Dentist, the staff of dental. 65 Dentist, 145 the staff of dental were included in the subjects between Jul. 1 and Oct. 30, 2008. The collected data was analysed by the SPSS Win 12.0/PC using frequency, percentage, mean, standard deviation, chi-square, t-test, ANOVA. The image for the dental hygienist was analyzed by 28 items. As a result of analysis on image of dental hygienist, The Dentist`s group and staff`s group, both appreciated positive image that explain process of treatment to patient very well, having professional knowledge and experienced skill, carries on an effective and valuable work. give a confidenced to patient. These group also gave negative image in the aspect that the dental hygienist is stressful job, handmaid of Dentist, participate of decided something for dental clinic, having association activities. It is necessary for dental hygienist by oneself development ability through science congress variety major and acquirement new technology, exchange imformation, interchange activities, and association of dental hygienist should efforts for growing up image through mass media.

3D Dental-CT를 이용한 상악 매복 과잉치의 진단 : 증례보고

김재곤,김수경,양연미,백병주,김성희 大韓小兒齒科學會 2006 大韓小兒齒科學會誌 Vol.33 No.1

과잉치는 법랑기(enamel organ)가 치배형성을 지속하거나 과도한 세포증식을 함으로써 발생한다. 과잉치는 상악 전방부에서 종종 발견되며, 유치열기와 혼합치열기에서 다양한 문제를 야기한다. 과잉치는 형태에 따라서 보충치(supplemental tooth)와 흔적치(rudimental tooth)로 나눌 수 있다. 보충치는 정상 절치와 크기 및 형태가 유사하나, 흔적치는 비정삭적인 형태와 작은 크기를 갖고 있다. 보충치는 영구 측절치 부위에서 호발하며 정상 전치와 유사한 형태와 크기를 갖고 있으므로, 발치시 주의를 기울여야 한다. 본 3증례는 상악 전방부에 정상 전치 형태의 과잉치를 갖는 증례들이다. 모든 증례에서, 치근단, 교합, 파노라마 방사선 사진 등의 기존 방사선 사진 촬영 외에 3Dimensional Dental-Computed Tomography(3D Dental-CT)를 촬영하여 진단하였다. 기존 일반 방사선 사진들(conventional radiographs)과 3D Dental-CT를 비교시, 일반 방사선 사진들은 2차원적인 영상만을 제공하여 상의 해석에 있어서 술자의 주관이 개입되는 한계가 있다. 반면 3D Dental-CT는 과잉치의 정확한 위치와 형태에 대한 객관적인 정보를 제공하며, 좀 더 보존적인 수술을 시행하고, 수술 시간과 스트레스를 줄이는데 유용하다. 그러므로 일반 방사선 사진 촬영 후 과잉치의 위치가 불분명하고 인접 영구치의 손상이 의심되는 경우 3D Dental-CT를 이용한 진단이 고려된다. Supernumerary teeth are teeth which result from the continued budding of the enamel organ of the preceding tooth or from excessive proliferation of cells. They are most often found in the maxillary anterior region. And they can be responsible for a variey of irregularities in the primary and transitional dentition. There are two morphological types of supernumerary teeth: supplemental and rudimentary. Supplemental teeth have normal shape and size. In contrast, rudimental teeth have abnormal shape and smaller size. Supplemental supernumerary teeth are most common in permanent lateral incisor area. Its extration must be decided more carefully with differential diagnosis between normal teeth, because it has nomal shape and size. We reports 3 cases of the normal incisor shaped teeth in the maxillary anterior region. In all cases, we used the 3D Dental-CT as well as the conventionl plain film such as periapical, occlusal, and panoramic ridiograph. Consequently, 3D Dental-CT was valualble to figure out the exact position and morphology of supernumerary teeth, to do more conservative surgery, and to reduce surgery stress and time.