Improvement of Oral Environment Indices of Oral Preventive Care Program, and Change in Oral Health-related Behaviors based on Dental Hygiene Process

Yu Rin Kim,Hyun Kyung Kang 보안공학연구지원센터 2016 International Journal of Bio-Science and Bio-Techn Vol.8 No.1

This study aims to ensure the autonomy of dental hygienists through an oral preventive care program based on the dental hygiene process, and to provide basic data to support systematic and professional oral care. It was intended to determine changes in patients’ oral-related knowledge, awareness, practice, OHB and other various oral hygiene care indices through the dental hygiene process. Data analysis was performed using IBM SPSS Statistics (version 21.0), and statistical significance level was set at p<0.05. Frequency analysis was performed for general characteristics and two-way repeated measures ANOVA was performed to compare changes in the oral health care indices of the dental hygiene process. In addition, paired t-test was performed to compare differences in oral health knowledge, awareness, practice and OHB, and bivariate correlation analysis was performed to determine correlations between them. In the results of this study, it was found that there were significant decreases in S-0HI, PSR Score and BOP, O’Leary through the dental hygiene process, showing that the oral preventive care program was effective (p<.001). Oral health knowledge, awareness, practice and OHB were also found to be significantly increased, revealing that there were positive changes (p<.001). It is expected that the clinical application of this dental hygiene program would be established as an effective manual to improve the oral environment.

표준화된 치위생학과 계속구강건강관리 프로그램의 효과

노희진 ( Hie Jin Noh ),김미나 ( Mi Na Kim ),안영순 ( Yong Soon Ahn ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.3

The aim of this study was to investigate the effect of standardized oral health care program by dental hygiene school students. Target population was 100 University students who attended standardized oral health care program by a dental hygiene school students. Present study was conducted during first and second semester in 2011 at E dental hygiene school. We analysed students`` oral health related knowledge, attitude, behavior, and self-oral hygiene care ability after the program. Univariate analysis, Chi-square test and paired t-test were conducted using SAS version 9.2. University students`` who attended standardized oral health care program by dental hygiene school students oral health related knowledge, attitude, behavior, and self oral-hygiene care ability were significantly improved whether they have attended oral health related lectures or not(p<.05). It is recommended provide standardized oral health care program to university students by dental hygiene school students to promote their oral health related knowledge, attitude, behavior, and self-oral hygiene care ability.

구강보건교육과 치위생과 홍보에 관한 조사연구

송윤신,최은미 경복대학 2002 京福論叢 Vol.6 No.-

본 연구는 구강보건교육과 치위생과에 대한 인식을 알아보고, 구강보건교육을 통한 학과홍보의 방향을 모색하여 경쟁력 있는 학과를 운영하기 위한 기초자료를 제공하는데 그 목적이 있다. 서울과 경기북부 지역의 5개 여자고등학교의 3학년에 재학중인 482명의 학생을 대상으로 설문도구를 사용하여 2001년 11월20일부터 12월3일까지 14일간 자기기입식 방법으로 조사하였다. 자료의 분석을 위해 SPSS/PC+를 이용하여 실수와 백분율, Pearson X²검증을 실시하였으며 연구결과는 다음과 같다. 첫째, 치위생과에 대한 인식을 알아보면 1. 조사대상자의 62.3%가 치위생과에 대해 알고 있었으며, 37.7%가 금번 구강보건교육을 통해 알게 되었다. 2. 치위생과를 알게 된 경로는 '오늘 교육으로'(33.6%)와 '친구'(19.9%)가 가장 많았다. 3. 조사대상자의 43.7%가 치위생과에 지원의사를 나타냈으며, 지원이유는 ‘취업이 잘됨’(45.2%)과 ‘전문직업’(22.8%)이 가장 많았으며, ‘오늘 교육으로’도 20.8%를 나타냈다. 4. 치과위생사에 대한 사회적 인식은 간호사보다 좋거나 비슷하다가 91.2%이었으며, 회사원보다는 78%, 공무원보다는 63.3%, 교사보다는 56%가 좋거나 비슷하다로 나타났다. 둘째, 구강보건교육에 대한 인식을 알아보면 1. 교육자가 대학생인 것에 대해서 99.8%, 교육자료에 대해서는 98%, 교육시간에 대해서는 91%, 교육자의 태도에 대해서는 99%가 긍정적인 의사를 나타냈다. 2. 가장 기억에 남는 교육내용에 대해서는 스케일링(20.8%), 잇솔질법(20.6%), 치아미백(17.8%), 치위생과 소개(12.3%) 순으로 나타났다(P<.001). 3. 후배들에게도 구강보건교육을 하는 것에 대해서 79.4%가 찬성하였다. 이상의 결과를 정리해보면 치위생과와 구강보건교육에 대해 매우 긍정적으로 인식하고 있으며 구강보건교육이 치위생과 홍보에 많은 영향을 주는 것으로 나타났다. 따라서 지역을 넓혀가며 계속적으로 대학생들이 직접 구강보건교육을 실시하도록 하는 것이 필요하며, 치위생과 재학생들의 학과 선택 후 만족도에 관한 후속연구가 필요하다고 생각한다. The purpose of this investigation is to find out what ordinary people know about the department of Dental Hygiene and the education for the oral health. Based on the result of the investigation and through the oral health seminar, the school can also find a way to introduce the oral health department, and it will offer the basic information to run the department effectively with students who will become competitve suppliers. The research was made by four hundred and eighty two girls who are third graders in high school in northern portion of Seoul and Kyung-Ki. Five girls high schools joined the research for fourteen days from November 20th to December 3rd, 2001. The data was obtained using self-administering questionnaires. To analyze the result of the research, I found out the actual number, the percentage, and Pearson x by using SPSS/PC+. The following is the result of the research. First, how much do people know about the Dep. of Dental Hygiene. 1. 62.3% of the students knew about the study of Dental Hygiene, and 37.7% of the students got to know about it through the oral health seminar. 2. 33.6% of the students answered that they got to know about the study of Dental Hygiene through the oral health seminar. 3. 43.7% of the students wanted to pick the dep. of Dental Hygiene for their college major, and 68% of their reason was because they could get a job easily and become professional. 22.8% of 45.2% students answered that they would apply for it because of the knowledge they gained about the department through the seminar. 4. The students thought that being a oral hygienist is 91.2% better than or equal to being a nurse and 78% better than being a company employee. They also thought that it is 63.3% better than a public servant and 56% better than or equal to a teacher. Second, how much do people know about the oral health seminar? 1. 99.8% of the students thought that it is good to have the college students as their educators, and 98% of them had positive reaction toward the education materials. 91% of them thought that the length of seminar was appropriate, and 99% of them thought that the educators' attitude was passionate. 2. In the investigation on the most interesting contents of oral hygiene instruction, 20.8% of the subjects responded the instruction on scaling and 20.6% answered the toothbrushing method. The education the tooth whitening and the instruction of dep. of dental hygiene is 17.8% and 12.3% respectively. 3. 79.4% of the students approved that the younger students also have get the education about the oral health. As discussed above, the students considered the oral hygiene and the oral health seminar very positively. It also seems that the seminar was effective to introduce the department of oral hygiene. So it is essential for the college students to keep educating more and more high school students. Further on, it is also important to investigate how much the students satisfy after they choose to major the oral hygiene.

정신지체 장애인의 구강보건 교육에 따른 구강보건 행태 변화

서화정 ( Hwa Jeong Seo ),최주현 ( Ju Hyun Choi ),이명희 ( Myeong Hee Lee ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.4

The main object of this study is to render a better dental education to mental disabilities, teachers, and their parents. By providing a better dental education to them, mental disabilities would understand the importance of their oral hygiene. The study was held in Seoul at two different locations, named H and E mental welfare facilities. Ninety Three mental disabilities were studied by observing their oral behavior, simple oral hygiene index and plaque index prior and post to dental education. At the end of education, following result were gathered from two mental facilities. First, the level of oral behavior in Class 1,2, and 3 mental disabilities were observed prior and post to the dental education. Overall, there was no significant difference among Class 1 mental disabilities with the dental education. Second, in simple oral hygiene index, the severity of mental illness has affected on their oral behavior (F=6.322, p<.001). Third, in simple oral hygiene index, the frequency of dental education, regardless of severity of mental illness has affected on their oral hygiene (F=5.961, p<.01). Fourth, the plaque index also illustrated that the frequency of dental education, regardless of severity of dental illness has affected on their oral hygiene (F=5.126, p<.05). Finally, the general characteristics of mental disabilities according to changes in oral health awareness to gender, age, disability type, educational level do not statistically significant in all variables. Their simple oral hygiene index and plaque index advanced, although after a while they started to lose focus, which brought back their old habits. Nevertheless, in conclusion I believe that helping mental disabilities more frequently to constant reminder, will not only keep them entertained, but help them realize how important oral hygiene practice is, hopefully increasing and benefiting those with mental disabilities for future reference.

사회치위생학의 학습목표 제안: 구강보건행정 영역

박수경,이가영 역,장영은,유상희,김연주,이수향,김한나,조혜원,김명희,김희경,류다영,김민지,신선정,김남희,윤미숙 한국치위생과학회 2018 치위생과학회지 Vol.18 No.2

The purpose of this study is to propose learning objectives in social dental hygiene by analyzing and reviewing learning objectives in oral health administration area of the existing public oral health. This study is a cross-sectional study. The subjects of the study selected with convenience extraction were 15 members of the social dental hygiene subcommittee of the Korean Society of Dental Hygiene Science. Data collection was conducted by self-filling questionnaire. The research tool is from 48 items of A division in the book of learning objectives in the dental hygienist national examination, and this study classified each of them into ‘dental hygiene job relevance’, ‘dental hygiene competency relevance’, ‘timeliness’, and ‘value discrimination of educational goal setting’ to comprise 192 items. Also, to collect expert opinions, this study conducted Delphi survey on 7 academic experts. Statistical analysis was performed using the IBM SPSS Statistics ver. 23.0 program (IBM Co., Armonk, NY, USA). Recoding was performed according to the degree of relevance of each learning objective and frequency analysis was performed. This study removed 18 items from the whole learning objectives in the dental hygienist national examination in the oral health administration area of public oral health. Fifteen revisions were made and 15 existing learning objectives were maintained. Forty-five learning objectives were proposed as new social dental hygiene learning objectives. The topics of learning objectives are divided into social security and medical assistance, oral health care system, oral health administration, and oral health policy. As a result of this study, it was necessary to construct the learning objectives of social dental hygiene in response to changing situation at the time. The contents of education should be revised in order of revision of learning objectives, development of competency, development of learning materials, and national examination.

소아,청소년 당뇨환자에서 전문가 구강관리 프로그램의 치아별 효과평가

강남규 ( Nam Kyu Kang ),최연희 ( Youn Hee Choi ),백혜진 ( Hye Jin Baek ),정윤숙 ( Yun Sook Jung ),이영은 ( Young Eun Lee ),송근배 ( Keun Bae Song ) 대한예방치과·구강보건학회 2011 대한구강보건학회지 Vol.35 No.2

Objectives. Several reports have established the relationship between type I diabetes and periodontal disease in children. Because diabetes can increase the risk of periodontitis, diabetic youth need to take care of their oral condition continuously. The aim of this study was to estimate the effect of gingival index (GI) and plaque index (PI) through oral hygiene education in diabetic youth. Methods. The diabetic youth of two general hospitals in Daegu city were selected for this study. Oral examination, questionnaire, and program of professional oral hygiene care (scaling, fluoride application, and education for tooth care) were performed in 40 diabetic youth who consented to this study in their first visit (baseline). After one month, all participants visited for identification of oral hygiene. The teeth of participants #16, #11, #31, #36 were selected as having oral hygiene conditions. GI and PI were used as oral hygiene score. The data were analyzed using SPSS 17.0 software. Results. Both GI and PI significantly decreased by gender and selected teeth compared to baseline. In addition, greater decrement of mean GI and PI was observed in women compared to men. Conclusions. The program of professional oral hygiene care improved oral health care in diabetic youth. Therefore, this study showed that professional oral hygiene care can be an effective program for oral health in diabetic youth.

고정식 교정 환자에서 전동치솔 효과에 관한 연구

박창헌,황현식,이기헌,홍석진 대한치과교정학회 2004 대한치과교정학회지 Vol.34 No.4

고정식 교정장치를 부착한 경우 장치주위의 치태 축적 가능성이 증가되고 이로 인해 치은염, 법랑질 탈회 등의 부작용이 초래 될 수 있는 바 치태 제거를 위한 효과적인 치솔질이 필요하다. 본 연구는 교정환자에서 일반적으로 사용되고 있는 치솔에 비하여 전동치솔이 구강위생에 도움이 되는지 알아보기 위하여 시행되었다. 고정식 장치에 의한 교정치료 예정인 환자 34명을 본 연구의 대상으로 하여 고정식 교정장치 부착 전에 치태지수, 치은염지수, 치은출혈지수를 측정하였다. 장치 부착 4주 후에 각 지수를 측정한 다음, 연구대상을 치솔의 종류에 따라 전동치솔군과 수동치솔군으로 임의 구분하여 수동치솔 또는 전동치솔을 사용하도록 구강위생교육을 각각 시행하였다. 이때 전동치솔의 경우 본체는 Braun Oral-B D9511을 브러쉬 헤드는 Braun Oral-B Ortho OD 15-1을 사용하게 하였으며, 수동치솔의 경우는 Butler G.U.M 124를 사용하게 하였다. 구강위생교육 4주 및 8주 후에 각 지수를 측정한 다음 시간 경과에 따른 전동치솔군과 수동치솔군의 구강위생 상태를 비교 분석하여 다음과 같은 결과를 얻었다. 1. 고정식 교정장치 부착 4주 후 치태지수, 치은염지수, 치은출혈지수 모두 증가 양상을 나타내었다. 2. 구강위생교육 후 치태지수, 치은염지수, 치은출혈지수 모두 감소 양상을 나타내었다. 3. 치은염지수, 치은출혈지수의 경우 감소양상이 수동치솔과 전동치솔군 간의 유의한 차이를 보이지 않았다. 4. 치태지수의 경우 수동치솔에 비해 전동치솔군에서 감소효과가 유의하게 크게 나타났다. 이상의 연구 결과는 고정식 교정장치로 치료받는 환자에서 전동치솔이 구강위생에 도움이 됨을 시사하였다. Patients with fixed orthodontic appliances frequently have increased levels of plaque accumulation leading to the possibility of gingivitis or enamel decalcification. Although many methods may be helpful in reducing dental plaque formation, the optimal mechanical removal of plaque is the most important factor during orthodontic treatment. The purpose of this study was to evaluate the efficacy of an electric toothbrush (with a specially designed orthodontic brush head) compared to a manual toothbrush in controlling plaque and gingivitis for patients with fixed orthodontic appliances. Oral hygiene status was measured in thirty-four patients using a plaque index, a gingival index and a bleeding index, before and four weeks after the attachment of fixed orthodontic appliances. Patients were randomly divided into two groups: electric and manual toothbrush groups. Oral hygiene instruction was given according to the type of toothbrush used. The Braun Oral-B D9511 with Braun Oral-B Ortho OD 15-1 brush head was used as the electric toothbrush while the Butler G.U.M. 124 was given as the manual toothbrush. After four and eight weeks, oral hygiene status was measured again. Through a comparison between the electric and the manual toothbrush groups, the following results were obtained. 1. All oral hygiene indices showed an increasing tendency after four weeks of fixed orthodontic appliance. 2. All indices presented a decreasing tendency four and eight weeks after oral hygiene instruction. 3. In case of the gingival index and bleeding index, the decreasing tendency did not show a statistically significant difference between the electric and the manual toothbrush groups. 4. The decreasing tendency of plaque index presented a statistically significant difference between the two groups, showing that the electric toothbrush was more effective in terms of oral hygiene. These findings suggest that an electric toothbrush is useful to orthodontic patients with fixed appliances.

Antiplaque and antigingivitic activity of an oral rinse containing cetylpyridinium chloride - A randomized clinical trial

Jayson Antonio,Md. Habibur Rahman,Cheol-Su Kim,Kyu-Jae Lee 한국물학회 2021 한국물학회지 Vol.9 No.1

Poor oral hygiene has been linked to microbiome-related systemic infections such as cardiovascular disease, type 2 diabetes, cancer, and dementia, so maintaining good oral hygiene becomes an essential part of overall health. The objective of this study was to examine the efficacy of OR containing 0.045% cetylpyridinium chloride (CPC) on oral-health related parameters through a 6-wk double-blinded and randomized clinical trial. At baseline, 80 subjects were assigned into 2 groups: Control (Con) group treated with oral rinse without active ingredient (n=40), and Experimental (Exp) group treated with oral rinse containing CPC (n=40), and received teeth scaling before clinical treatment. The subjects gargled using 20 mL of oral rinse for 30 s after brushing their teeth twice a day for 4 wk. The results demonstrated a substantial decrease in odor causing volatile sulfur compounds (hydrogen sulfide and methyl mercaptan) in the Exp compared to Con. Furthermore, the Exp group dramatically reduced oral bacteria (p < 0.05), lessened tongue coating index (TCI) (p < 0.05), and improved periodontal and gingival health faster than Con group. Collectively, application of CPC-containing oral rinse showed positive effect for oral health condition by improving mouth odor, TCI and oral bacteria, and might be recommended as an adjunctive to the standard home care routine for people with gingivitis.

잇솔질 교육방법이 구강위생관리능력에 미치는 영향

안현희 ( Hyun Hee An ),이명희 ( Myung Hee Lee ),서화정 ( Hwa Jeong Seo ) 한국보건정보통계학회 2012 보건정보통계학회지 Vol.37 No.1

Objectives: The purpose of this study is to find out the difference of oral hygiene performance ability according to toothbrushing instruction methods. Methods: We conducted survey and patient hygiene performance index teston 150 patients, who visited one of 3 dental clinics in the national capital region and did not have any oral disease. Results: This study conducted logistic regression analysis to find out major factors affecting oral hygiene performance ability. The subjects in B group, trained by direct instruction of toothbrushing practice, showed a statistically significant difference as they were 3.08 times more likely to have oral hygiene performance ability above the average, compared to A group, who were trained by dentiform model. Moreover, the subjects in C group, trained by toothbrushing instruction with disclosing solution, also showed statistically significant difference by being 4.13 times more likely to have oral hygiene performance ability above the average compared to A group. Conclusions: According to the aforementioned results, C group was enhanced the most, so it was proved that toothbrushing instruction with disclosing solution was the most effective method to improve oral hygiene performance ability, which guarantees voluntary management of one`s oral hygiene.

치과위생인식 확산을 위한 위상차 현미경의 사용

김명진,Martha E. Nunn,최정유,류은하,이효정 대한구강악안면병리학회 2013 대한구강악안면병리학회지 Vol.37 No.3

Poor oral hygiene can cause severe periodontal disease. Therefore, it is necessary to educate individuals regarding the importance of maintaining good oral hygiene. To this end, in this study, we evaluated the efficacy of using a phase contrast microscope as an instructional tool for oral hygiene. Forty patients, randomly divided into test and control groups, were recruited 6 months after receiving oral prophylaxis. A phase control microscope was used as a demonstration tool for the test group, and a dentiform model was used to demonstrate the ideal tooth-brushing method for the control group. In the test group, awareness regarding the importance of proper oral hygiene was found to increase by 30%, and in the control group, awareness was increased by 20%. The overall satisfaction with the instructional program was 80% in the test and 70% in the control group. The level of understanding was 99% in the test and 80% in the control group. Instructions were easily followed by 80% of the test and 60% of the control group. Understanding of the program was significantly higher in the test group than in the control group (p < 0.05). The overall satisfaction and understanding of proper oral hygiene was over 70% for both the groups. The phase contrast microscope-based instructional program yielded higher actual practice rates. The phase contrast microscope is desirable tool for motivating patients and spreading awareness regarding the importance of maintaining good oral hygiene.