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pISSN : 2287-1705 / eISSN : 2288-2294

2020 KCI Impact Factor : 1.08
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2020, Vol.20, No.6

  • 1.

    Changes in oral health knowledge and self-efficacy of parents using an application of caries management in children

    YEO AN NA | Su-Young Lee | 2020, 20(6) | pp.775~786 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of this study was to evaluate the effects that appeared to parents after conducting a dental caries management program for 12 months using a mobile application for systematic caries management of children. Methods: Parents responded to a questionnaire on oral care self-efficacy and oral health knowledge at the baseline, and received feedback on a management program suitable for their child's caries risk group for 12 months through a mobile application. At the end of 12 months, the questionnaire was re-written. Results: The self-efficacy of oral care increased in the low risk group, and oral care knowledge and program satisfaction were highest in the parents of low risk children. Conclusions: Base on the results of the this study, It was confirmed that parents' self-efficacy, knowledge, performance and satisfaction were all positively evaluated through the oral care program using a mobile application.
  • 2.

    Influencing of compassion satisfaction and burnout on positive psychological capital of clinical dental hygienists

    Hee-Hong Min | 2020, 20(6) | pp.787~795 | number of Cited : 0
    Abstract PDF
    Objectives: This study seeks to identify the positive psychological capital, burnout, and compassion satisfaction levels of clinical dental hygienists to understand the factors affecting positive psychological capital and to establish measures to improve the positive psychological capital, and to utilize them. Methods: A self-reported questionnaire was filled out by 190 dental hygienists of the clinic from February 1 to April 30, 2020. Statistical analyses were conducted with the help of independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression analysis. Results: Dental hygienists scored 3.47 points in positive psychological capital. The variables that influenced positive psychological capital were burnout and compassion satisfaction. The variables influencing positive psychological capital were monthly income_dummy2 (200–249/≥250), burnout, and compassion satisfaction. Conclusions: The positive psychological capital of clinical dental hygienists was found to be related to burnout and compassion satisfaction; additionally, compassion satisfaction had the greatest influence. Therefore, it will reduce burnout, improve compassion satisfaction, positive psychological capital, and contribute to efficient human resource management.
  • 3.

    A qualitative research on emotional labor and stress in dental hygienists

    Han Ok-seong | 2020, 20(6) | pp.797~807 | number of Cited : 0
    Abstract PDF
    Objectives: This qualitative research was conducted to understand the experiences of dental hygienists with respect to emotional labor and stress through in-depth interviews, and analyze experiences that are difficult to grasp in quantitative studies. Methods: From October 7 to October 14 2020, a total of seven study participants were selected and underwent in-depth interviews. A phenomenological research methodology was applied for intensive analysis. Results: The results of the interviews were grouped into five central-categories: relationships in the workplace (trouble with the staff, discrimination against staff, relationship between subordinates and superiors), relationships with non-major (trouble with laboratory staff, inferiority complex and behavior of non-specialists), emotional labor for the patient (patient-centered, patient selfishness, exquisite guardian), conduction of business (passing the work, deterioration in health due to emotional labor), organizing emotions (patience and a sense of collapse, conversation with a coworker). Conclusions: Based on this study, we need to develop tools to measure dental hygienists’ emotional labor and stress as well as conduct follow-up research on ways to improve them.
  • 4.

    Socio-economic factors affecting unmet dental care in the elderly: a comparative study on the status of living alone

    Young-Sil Kim | Hye-Won Seo | 2020, 20(6) | pp.809~817 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to analyze the relationship between socioeconomic factors and the unmet dental care needs of the living alone and living with family elderly groups to confirm the differences in their influence. Methods: Data from the Korea Health Panel Study of 2016 were used to analyze a total of 4,987 individuals: 4008 in living with family group and 979 in living alone group . Chi�square test and multiple logistic regression analyses were performed using SPSS Version 22 (p<0.05). Results: We observed that 16.5% and 28.3% of the participants from the living with family and living alone groups had unmet dental care needs, respectively, indicating that the living alone group had more unmet dental care needs. Income level, residential area, and healthcare security were significant factors related to the living with family group. In contrast, medical aid for healthcare security was a significant factor related to the living alone group (p<0.05). Conclusions: The results confirmed that socioeconomic factors that affect unmet dental care vary according to the living situation. Therefore, the government should identify the number of elderly individuals living alone, which is increasing annually. These individuals are vulnerable in almost all aspects, and the government should establish and implement appropriate oral healthcare policies to support them.
  • 5.

    The relationship between dental care needs and dental service use in Korean elderly

    Min-Sun Park | Bo Youl Choi | Yu-Mi Kim | 2020, 20(6) | pp.819~829 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to assess the relationship between dental care needs and dental service use in Korean elderly. Methods: Using the sixth Korea National Health and Nutrition Examination Survey, from 22,948 individuals, 1,572 (male 701, female 871) elderly individuals aged above 65 years were included in the study. All analyses were stratified by sex. Results: In males, the group with subjective needs was 3.74 (95% confidence interval [CI]: 2.58-5.41) times more likely to use dental services than the group without subjective needs. For females, the group with subjective needs was 2.17 (95% CI:1.57-2.98) times more likely to use dental services than the group without subjective needs. Conclusions: To conclude, the elderly with symptoms, used the dental services for pain relief and functional recovery. Fundamental efforts to improve oral health are needed, such as providing treatment, prevention and educational services, besides efforts to provide treatment-oriented dental services. Further research is needed for the middle and elderly individuals who are in the blind spot of the existing policy.
  • 6.

    Oral health status of the young-old and the old-old elderly in the vulnerable groups : data from the 7th (2016-2018) Korea National Health and Nutrition Examination Survey

    Jung Eun Ju | 2020, 20(6) | pp.831~841 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of this study was to investigate the oral health status and oral health behavior and identify the factors related to the oral health status by age-specific groups in vulnerable elderly individuals. Methods: We used data from the 7th Korea National Health and Nutrition Examination Survey. The differences in the oral health status and oral health behavior by age-specific groups were analyzed using complex sample chi-square tests and a generalized linear model. The relationship between the oral health status and oral health behavior by age-specific groups was analyzed using a complex samples general linear model. Results: The DMFT index of the young-old elderly was 10.65±0.60, and that of the old-old elderly was 12.78±0.72, which was higher. The condition of the mandibular prosthesis was more common in the old-old elderly, and there was a statistically significant difference (p<0.05). The DMFT index in the old-old elderly was found to be higher as the average number of brushings per day decreased, and no oral examination was performed. Conclusions: The vulnerable elderly themselves are interested in maintaining their own health, and the government needs to undertake efforts to reduce the medical blind spots by supporting institutional and environmental conditions so that health care services can be provided to the vulnerable elderly.
  • 7.

    Association between dentures use and prevalence of depression in elderly

    Jang, yun jung | 2020, 20(6) | pp.843~853 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to assess the association between the use of dentures by the elderly and the prevalence of depression by using the original data from the 2017 Community Health Survey as basic data for the promotion of oral health and oral health policy development in the elderly. Methods: The study subjects were 67,835 elderly over 65 years of age. The raw data were collected from 2017 Community Health Survey in Korea Center for Disease Control and Prevention. Results: Among the demographic and sociological characteristics, the higher the age, the lower the educational level, the worse the subjective health level, and the higher the denture use. The higher the age, the lower the education level, the lower the income level, the worse the subjective health level, the more stress they have, the more sleep time, and the higher the prevalence of depression. The association between the use of dentures and the prevalence of depression was 1.071 times higher than that of not using dentures, and it was found that the prevalence of depression was affected. Conclusions: As a result, it was confirmed that the use of dentures influenced the prevalence of depression. Institutional support will be needed to establish a national-level prevention policy that can maintain and promote healthy oral conditions and prevent the need dentures in the elderly.
  • 8.

    Effects related to periodontal disease in menopausal women : The 7th Korea National Health and Nutrition Examination Survey (7th KNHANES, 2016-2018)

    lee mi ra | 2020, 20(6) | pp.855~864 | number of Cited : 0
    Abstract PDF
    Objectives: The aim of this study was to investigate the effects of periodontal disease in menopausal women. Methods: We used data from the 7th (2016–2018) Korea National Health and Nutrition Examination Survey. The subjects of the study were 2,643 women aged 40 to 59 years who participated in the periodontal examination and answered a menses questionnaire. The data were analyzed using complex samples multivariate logistic regression to investigate the effects related to periodontal disease in menopausal women. Results: After adjusting for general characteristics, oral health behaviors, and health status, those aged 50–59 years had odds ratio (OR) for periodontal disease of 2.52 compared to those aged 40–49 years. Compared to those who brushed 3 or more times a day, those with less than 3 brushings a day had OR of 1.48. Those who smoked had a 3.00 higher risk of periodontal disease than those who were non-smokers. Further, those with glycosuria had a 2.26 higher risk of periodontal disease than those without glycosuria. Conclusions: In order to promote the oral health of menopausal women, it is suggested that comprehensive and systematic oral health education should be implemented considering various variables.
  • 9.

    Analysis of current status of curriculum for geriatric dental hygiene in Korea

    Yeo-Ju Kim | 장종화 | Cho, Ja-Won | 2020, 20(6) | pp.865~874 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to analyze the current status and educational contents of the geriatric-related curriculum in dental hygiene departments at colleges across the country. Methods: To analyze the current status of geriatric curriculum, it was investigated by searching the websites of colleges across the country where dental hygiene (curriculum) department was available. Furthermore, a literature review of domestic and foreign textbooks related to geriatric dental hygiene was conducted to analyze the contents of geriatric dental hygiene curriculum. Results: Among colleges that offer dental hygiene (curriculum) department, 8 four-year and 12 three-year colleges (24.4%) offered geriatric dental hygiene courses. A comparison of the contents of the textbooks titled “Geriatric dental hygiene” published by Goonja, Daehan Narae, and Komoonsa showed that basic contents such as the characteristics, health problems, and oral health problems of elderly -people were described in the same context. However, there was a difference in the volume and importance of the concerned contents also. Conclusions: Universities and related organizations which offer dental hygiene curriculum should continue to conduct studies for the development of geriatric hygiene curricula. Moreover, heightened efforts are needed to ensure that geriatric dental hygiene education is more systematically offered.
  • 10.

    Infection control by type of dental institution

    Ye-Rin Lee | Gyeong-Soon Han | 2020, 20(6) | pp.875~888 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of this study was to investigate the infection control system and actual conditions according to the type of dental medical institution. Methods: From April 1st to May 10th, 2020, dental institutions were recruited through stratified random sampling. Each item constituting the infection control system by dental institution type was analyzed using the chi-square test and fisher’s exact test. Results: The infection control system and operation level of each dental institution type was 89.0 points for university-general hospitals, 75.6 points for dental hospitals, and 34.4 points for dental clinics. The environment management levels were 76.1, 72.5, 73.0, and 74.0 points for university-general hospitals, similar to 77.2, 75.1, 71.0, and 73.8 points for dental hospitals, while dental clinics had 61.1, 40.0, 37.0, and 45.6 points. Prevention and management of staff infection exposure, wearing personal protective equipment, and hand hygiene levels were 90.7, 75.5, 88.5 points for university-general hospitals, 79.8, 79.5, 80.4 points for dental hospitals, and 50.2, 88.0, 61.5 points for dental clinics, respectively. Conclusions: Efforts are required to bring about improvement in the areas of insufficient infection control in order to raise the overall infection control levels, especially the management of dental clinics is urgently needed.
  • 11.

    A study on the relationship between Geriatric Oral Health Assessment Index (GOHAI) and Subjective Memory Compaints (SMCQ) of the elderly in the community

    Song, Ae-Hee | Jung Eun Ju | 2020, 20(6) | pp.889~897 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to investigate whether there was a connection between oral health and memory loss in elderly individuals with no abnormalities in their daily lives and to identify factors affecting memory loss. Methods: This study aimed to identify an association between the Geriatric Oral Health Assessment Index and Subjective Memory Complaints for the elderly individuals living in the community. Results: The results of analyzing the oral health assessment according to the general characteristics of the study participants revealed that with increase in age, income (p=0.05) and oral health of the elderly living alone decreased compared to those living together in the family (p=0.05). Moreover, the lower the income (p=0.05), the higher was the memory loss for the elderly living alone than for the elderly living together with their family (p=0.05). Conclusions: The study identified a link between oral health of the elderly and subjective memory loss and observed that oral health, cohabitation, and income level were related to subjective memory loss. Therefore, oral health should be considered as a predictor of memory loss for the elderly.
  • 12.

    Analysis of educational needs for improving the geriatric dental hygiene curriculum

    Yeo-Ju Kim | 장종화 | Cho, Ja-Won | 2020, 20(6) | pp.899~911 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to analyze the educational needs for geriatric dental hygiene and provide basic data for developing standard curricula for geriatric hygiene. Methods: To investigate the educational needs for geriatric dental hygiene, 212 students from dental hygiene departments and 205 dental hygienists engaged in clinical practice were enrolled. Results: Among the educational needs for geriatric dental hygiene, Geriatric oral health issues category was the highest with 4.06 points for students and 4.05 points for dental hygienists. Students who completed a geriatric dental hygiene course had higher scores for the following sub-domains compared to those who did not: need for geriatric dental hygiene-related theoretical education (p=0.002), needs for practice education with elderly people (p=0.001), and confidence in performing oral healthcare for elderly people after graduation (p<0.001). Meanwhile, clinical dental hygienists who not completed geriatric-related courses had higher scores for, need for geriatric dental hygiene-related theoretical education, need for practice education with elderly people, and confidence in performing oral healthcare for elderly people. but, there was no significant difference (p>0.05). Conclusions: The results of this study showed that students and dental hygienists had high educational needs for geriatric dental hygiene. In particular, there was a high demand for education related to Geriatric oral health issues as well as Geriatric dental hygiene care and skills
  • 13.

    Development of job satisfaction scale for dental hygienist

    Ji-Hyeon Park | Lim Soon Ryun | 2020, 20(6) | pp.913~924 | number of Cited : 0
    Abstract PDF
    Objectives: This study was conducted to develop a dental hygienist's job satisfaction scale and to evaluate its validity and reliability. Methods: A total of 34 preliminary questions were composed based on the components commonly defined in previous studies and in-depth interviews. Results: The results of the study were practice activity, professional satisfaction, income, working conditions, patient relations, and co-worker relations using the exploratory factor analysis. Goodness of fit of the model assessed using confirmatory factor analysis generally met the criteria. On verification of the internal consistency, the Cronbach's alpha for the factors were as follows: 0.821 for practice activity, 0.822 for professional satisfaction, 0.847 for income, 0.765 for working condition, 0.743 for patient relations, and 0.747 for co-worker relations, which implied that the measurement tool was reliable. Through exploratory and confirmatory factor analyses, a total of 24 items for six factors: six items for practice activity factors, four items for professional satisfaction, three items for income, four items for working conditions, three items for patient relationships, and three items for co-worker relations. Conclusions: Based on the aforementioned results, the validity and reliability of the dental hygienist's job satisfaction measurement tool were satisfactory. Thus, it may be used for assessing the job satisfaction of the dental hygienists in future.
  • 14.

    Model analysis among variables related to turnover intention of dental hygienists working in dental clinics

    Na-Na Yoon | Lee Jung Hwa | 2020, 20(6) | pp.925~936 | number of Cited : 0
    Abstract PDF
    Objectives: This study proposes a hypothetical model for job stress, job satisfaction, organizational commitment, and turnover intention through social exchange relations (LMX, TMX) and political skills (LPS) for dental hygienists working in dental clinics hygienists. Methods: A self-administrated questionnaire was administered from April 1 to May 12, 2020, with 171 dental clinic hygienists participating in Seoul, Busan and Gyeongnam. The data were analyzed using SPSS and AMOS statistical analysis programs. Results: First, in the hypotheses testing, a total of 7 of 18 hypotheses were supported. Second, the relatonship between leader-member exchange (LMX) or team-member exchange (TMX) and turnover intention, a full mediating effect of job stress or job satisfaction or organizational commitment on that exchange was found. However, the leader’s political skills on the path to turnover intention were not statistically significant. Conclusions: It is considered that education to enhance job skills, support for leisure activities, and time to communicate opinions with each other should be provided to create an organizational culture that satisfies all members, thereby lowering the intention to turnover.
  • 15.

    Analysis of dental avoidance factors of dental patients

    Su-Jin Jung | Da-Won Lee | Bo-Mi Park and 4other persons | 2020, 20(6) | pp.937~947 | number of Cited : 0
    Abstract PDF
    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.
  • 16.

    Study on the relevance of dietary behavior and oral management by periodontal assessment and survey

    moonsangeun | hong sun hwa | kimhuijeong and 8other persons | 2020, 20(6) | pp.949~961 | number of Cited : 0
    Abstract PDF
    Objectives: This study investigated the relevance of dietary behavior and oral management for oral heath in adults to extend the recognition of the importance of food intake in oral health and to provide basic information for oral health management. Methods: A survey and clinical assessment were conducted for 119 adults over 20 years of age. The chi-square test and logistic regression analysis were carried out using SPSS Statistics 20.0. Results: Gingivitis was influenced less when ham and sausage in the sub-area of meat, fish, egg, and bean were consumed once a week rather than the cases when consumed rarely (3.47 times) or when consumed two times or more a week (7.87 times) (p<0.05). Periodontitis was influenced more in the groups of 30s and 40s age than in that of over 50 years of age (14.97 times, 7.73 times) and in the group without drinking experience than in group with that (4.17 times) (p<0.05). Conclusions: The results verified the close relationship between food intake frequency and oral health in patients with periodontitis and gingivitis. Thus, it would be necessary to study the relationship between dietary behavior and oral health continuously.
  • 17.

    The effect of preschool visiting oral health education program

    Lim Mi Hee | AHN SE YOUN | Eun-Sun Lee and 4other persons | 2020, 20(6) | pp.963~972 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to check the effect of preschool visiting oral health education programs and provide baseline data for an oral health education program that suggests the necessity of oral health education in children’s living places. Methods: The preschool visiting oral health education was conducted with the parents of 3-year-old and 4-year-old children at a preschool in the jurisdiction of the Seoul Metropolitan Office of Education, with teachers observing the education, and oral health educators to examine the effect of the oral health education, the effectiveness of the education, the status of oral health care, and the degree of cooperation for the education. Results: Regarding oral health behaviors after the education program, the attitude toward brushing teeth after food intake increased from 2.86 to 3.17 and thinking of the relationship with dental caries and eating food increased from 2.57 to 2.90. The satisfaction with the children’s health education was very high at over 4.9 points in most items. The teachers’ interest in children’s oral care was 4.26 points, and the degree of their cooperation for education was 4.41 points; 96.4% responded that they were willing to conduct reeducation. Conclusions: Children’s oral health education should be conducted steadily and repeatedly.
  • 18.

    Comparative evaluation of the effects of oil pulling on periodontal indices - Using generalized estimating equation model

    Kim Yun Jeong | Jin-Ju Yang | Mi-Ra Lee and 3other persons | 2020, 20(6) | pp.973~980 | number of Cited : 0
    Abstract PDF
    Objectives: This study was to analyz the effects of comparative evaluation of the effects of oil pulling on periodontal indices. Methods: A total subjects were 38; control group (19 subjects) and experimental group (19 subjects). In the experimental group, coconut oil was provided and rinsed the mouth for about 10 minutes once a day. We evaluated possession rate of pocket depth (≥4 mm), possession rate of bleeding on exploring and possession rate of gingival recession (≥1 mm). Results: The possession rate of pocket depth (≥4 mm), bleeding on exploring and gingival recession (≥1 mm) significant difference in interaction between the group and measurement time. Conclusions: The findings of this study indicate that dental hygiene process and oil pulling specialists in care of periodontal diseases were effective mediation.