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pISSN : 2287-1705 / eISSN : 2288-2294

2020 KCI Impact Factor : 1.08
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2021, Vol.21, No.6

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  • 1.

    A qualitative research on the dentists’ perception of scope of practice of dental hygienists

    문상은 | 홍선화 | 이보람 and 1other persons | 2021, 21(6) | pp.685~693 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of this study was to identify dentists’ perception of work performance and scope of work of dental hygienists. Methods: A phenomenological research method was applied for the proper role performance on March 1st, 2021 and June 10th to investigation eight dentists running their own dental clinics located in Gwangju and Daejeon metropolitan city. Results: The legal scope of dental hygienists has not been properly recognized. Conflicts have been experienced due to problems between dental hygienists and staff and their differences in knowledge or proficiency in their work. The performance of dental hygienists has been evaluated based on the size of the dental clinic’s profit. Reviews and improvements in dental hygienists’ scope of work and new business regulations are required. Conclusions: Consequently, it is recommended that the dental business industry carry out directional discussions and negotiations to review dental hygienists’ scope of practice and bring improvements so that their work can be, in the end, be stably performed within the legal system.
  • 2.

    Effect of worsening family economy due to COVID-19 on gingival bleeding and pain in Korean adolescents

    So Yeong Kim | 2021, 21(6) | pp.695~701 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to determine the effect of COVID-19-induced household economic deterioration on gingival pain and bleeding. Methods: Data from the 16th Adolescent Health Behavior Survey 2020 were used. A total of 57,925 adolescents were included in this cross-sectional study. We evaluated the worsening of the COVID-19-induced household economic situation, gingival pain, and bleeding. All surveys were assessed in a subjective non-face-to-face online interview. Data were analyzed using descriptive statistics, chi-squared tests, and logistic regression. Results: The overall prevalence of gingival pain and bleeding symptoms in the study population was 19.2%. People with COVID-19 were more likely to suffer from gingival pain and gingival bleeding than those who did not have economic deterioration due to COVID-19. There was no economic deterioration due to COVID-19 (aOR=1.048, 95% CI=1.034-1.227) and worsened very much (aOR=1.358, 95% CI=1.164-1.585). Conclusions: There were more cases of gingival pain and gingival bleeding, which are early symptoms of periodontal disease, in patients with COVID-19 compared to cases without deterioration of the household economic situation due to COVID-19. It is necessary to measure and study gingival bleeding objectively rather than relying on self-reports.
  • 3.

    The influence of commercially available carbonated water on the surface of denture based resin

    김희경 | 김명은 | 2021, 21(6) | pp.703~710 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of this study was to confirm the influence of commercially available carbonated water on denture resin by confirming the changes in the denture surface and adhesion of bacteria. Methods: Carbonated water available in the domestic market was used on specimens made of prosthetic resins. The top four products with respect to sales performance was deposited for 30 min, 24 h, and 48 h over the study groups and over one control group. The surface roughness was measured. Candida albicans was inoculated and cultured over these dentures at 37°C on the study groups of 1 h, 24 h, and 48 h, and the number of colonies formed was measured. Results: As a result of comparing the surface roughness between groups by immersion time, the difference between groups was confirmed at 48 hours. The Trevi group showed a larger Rz than the Samdasoo group. As a result of comparing the surface roughness by time in each group, statistical significance was shown in the Ra value of the Seagram and the Rz value of the Chojung sparkling water (p<0.05). The Ra value of the Seagram was higher for 48 h than for 30 min, and the Rz value of the Chojung sparkling water was higher at 48 h than at 30 min (p<0.05). Candida albicans concentration increased over the course of immersion. Conclusions: It was confirmed that longer the specimen of the denture resin was immersed in carbonated water, more the surface roughness was affected and higher the number of attached bacteria.
  • 4.

    Relationship between suicide attempt and oral dysfunction and mental health in the elderly

    김민영 | 장윤정 | 2021, 21(6) | pp.711~720 | number of Cited : 0
    Abstract PDF
    Objectives: This study attempted to determine the influence of factors related to suicide attempts in the elderly. Data from a 2017 Community Health Survey were used to find 67,810 subjects aged 65 years or older. Methods: Cross-analysis and logistic regression analysis were conducted by dividing the suicide thought and suicide attempt experience groups. Results: In the group with subjective stress, suicidal thoughts were higher in women 2.748 times (p<0.01) and 1.917 times (p<0.001) in women. In terms of income level, the higher the income level, the lower the suicidal ideation experience. Suicide attempts were 0.708 times lower when mastication was not uncomfortable and 0.170 times lower when the patient was not experiencing depression (p<0.001). Conclusions: The correlation between oral dysfunction and suicidal thoughts and attempts in the elderly has been demonstrated, and it is expected to be used as baseline data for establishing an institutional study.
  • 5.

    The use of interdental care products in Korean young adults aged 19–39 years and factors affecting their use : Korean National Health and Nutrition Examination Survey Ⅳ-Ⅶ

    한수진 | 2021, 21(6) | pp.721~729 | number of Cited : 0
    Abstract PDF
    Objectives: This study aimed to examine the actual use of interdental care products (ICPs), such as dental floss (DF) and interdental brushes (IDB), among Korean youth, confirm their relevance to periodontal health, and determine the factors that influence the use of each product. Methods: This study included 15,912 young adults aged 19–39 years and data from the Korea National Health and Nutrition Examination Survey (KNHANES) (2007–2018). The usage rate of ICPs according to the characteristics of the subjects for each cycle of KNHANES was presented. Multivariable logistic regression analysis was performed to identify factors affecting the use of ICP. Results: The use rates of DF and IDB gradually increased until the 7th period, reaching 34.8% and 26.8%, respectively. The rate of using more than one ICP also showed a tendency to gradually increase from 25.2% in the 4th period to 50.0% in the 7th period. The use of interdental care products is related to gingivitis and periodontitis. Factors related to the use of ICP were gender, age, education level, frequency of brushing, and dental examination experience. Conclusions: The use of dental floss or interdental toothbrushes was related to periodontal health, but only half of the adults aged 19-39 years used ICP. Therefore, oral health experts should actively encourage the use of DF and IDB in young adults.
  • 6.

    Effects of temporomandibular joint disorder symptoms on oral and mental health status and quality of life : using the 2012 data from Korea National Health and Nutrition Examination Survey

    강현경 | 이지영 | 김유린 | 2021, 21(6) | pp.731~740 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of this study was to examine the effects of oral and mental health status on temporomandibular joint disorders (TMDs) and the effects of TMD symptoms on quality of life using data from the 5th 2012 National Health and Nutrition Examination Survey. Methods: A total of 1,154 people were selected as subjects for the study. Temporomandibular joint (TMJ) sounds (672 persons), TMJ pain (227 persons), and TMJ dislocation (255 persons) were the factors studied. The complex sample chi-square test was performed to compare demographic characteristics according to the three groups of TMD symptoms. Complex sample logistic regression analysis was performed to confirm the effect of oral and mental health status on TMDs, and complex sample linear regression analysis was performed to check the effect of TMDs on the quality of life (EQ-5D). Results: After adjusting for demographic characteristics, those without TMJ sound symptoms had lower pain/discomfort (OR: 0.055, CI: -0.095 to -0.016) and anxiety/depression (OR: 0.053, CI: -0.092 to -0.014). Those without TMJ pain had lower pain/discomfort (OR: 0.119, CI: -0.192 to -0.046) and anxiety/depression (OR: 0.071, CI: -0.137 to -0.004). Pain/discomfort (OR: 0.063, CI: -0.125 to -0.001) was lower in those without TMJ dislocation symptoms. After adjusting for mental health status, pain/discomfort (OR: 0.088, CI: -0.161 to -0.014) was found to be lower in those without TMJ pain symptoms (p<0.05). Conclusions: Based on the results of this study, the treatment of TMDs, oral health, and also mental health, is needed to improve the quality of life.
  • 7.

    A study on the relationship between the oral health behaviors and conditions of middle-aged people in their 40s and 50s in Korea and their health-related quality of life

    박지영 | 정기옥 | 2021, 21(6) | pp.741~750 | number of Cited : 0
    Abstract PDF
    Objectives: To provide basic data for oral health policy by identifying the differences in oral health behaviors and conditions among middle-aged people in their 40s and 50s and relating these to their health-related quality of life, and to identify factors affecting health-related quality of life. Methods: In this study, secondary data from the National Health and Nutrition Examination Survey were used. Data were gathered from 8,127 participants, of which 2,353 were middle-aged (40-59 years old). Covariance analysis was performed using a complex sample general linear model to investigate the changes in the subjects’ health-related quality of life (EQ-5D) according to their general characteristics, oral health behaviors, and oral health status. Results: Oral health behavior was not significantly related to health-related quality of life. In contrast, a higher oral health status (chewing function) was associated with better health-related quality of life. Conclusions: In conclusion, this study suggested a close relationship between oral health status (chewing function) and health-related quality of life. Therefore, it is necessary to recognize the importance of oral health in improving the health-related quality of life of middle-aged people in their 40s and 50s, as well as in informing oral health policies and preventive measures for individuals and communities.
  • 8.

    Association between cardiovascular disease and limited oral function

    김선미 | 김인자 | 2021, 21(6) | pp.751~761 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of this study was to examine the relationship between limited oral function and cardiovascular disease in adults over 40 years of age. Methods: Data from the Seventh Korean National Health and Nutrition Examination Survey (2016-2018) was used. In this study, 8,766 adults over the age of 40 years were included as study subjects. They completed a health survey which included current prevalence of hypertension, stroke, myocardial infarction, and angina pectoris, as well as information about blood tests, physical measurements, and oral examinations. Statistical analyses were carried out using complex sample cross-tabulation analysis, general linear model, and logistic regression analysis. Results: The study showed that limited oral function was experienced by patients with stroke (61.3%), myocardial infarction (49.1%), cardiovascular disease (38.5%), hypertension (38.1%), and angina (36.4%) (p<0.05). In patients with stroke, the risk of limited oral function was 2.393 times higher than in patients without stroke. Patients with hypertension were 1.233 times more at risk of speaking difficulty than those without hypertension. Conclusions: Limited oral function is associated with cardiovascular disease. To improve oral health, it is necessary to provide integrated, health-based oral care.
  • 9.

    Association between periodontitis and health behavior in women over 40 years of age - comparison based on the cardiovascular disease

    정재연 | 한수진 | 2021, 21(6) | pp.763~771 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of this study was to examine the association between periodontitis and health behavior in women aged ≥40 years. In addition, related factors were compared according to the presence or absence of cardiovascular disease. Methods: Data from the 7th Korean National Health and Nutrition Examination Survey (2016–2018) were used. The study included 3,801 women aged 40-79 years, who participated in a questionnaire health survey related to hypertension, stroke, myocardial infarction, and angina pectoris, as well as completed blood tests, anthropometry, and oral examination. Statistical analyses were performed using complex sample general linear, complex sample crosstabs, and complex sample logistic regression analyses. Results: In all subjects, smoking and drinking, use of interdental care products, and dental checkups were confirmed to be significantly related to periodontitis. In the group with cardiovascular disease, the use of interdental care products, experience in dental checkups, and toothbrushing more than three times a day were confirmed as significant factors for lowering the prevalence of periodontitis. In the group without cardiovascular disease, smoking and drinking, use of interdental care products, and experience in dental checkups were confirmed as the significant factors. Conclusions: To improve the periodontal health of women over 40 years of age with cardiovascular disease, a health education program including self-care methods for proper dental plaque management and regular dental checkups are critical. Additionally, awareness of the risks of smoking and drinking would be helpful even for women without cardiovascular diseases.
  • 10.

    The trend toward professionalization of American dental hygienists

    김형미 | 박정란 | 김창희 and 3other persons | 2021, 21(6) | pp.773~784 | number of Cited : 0
    Abstract PDF
    Objectives: This study presents the basic data necessary to explore the methods used of Korean dental hygienists to resolve oral health inequalities in Korea via reviewing the professionalization trend of American dental hygienists. Methods: The supervision levels of American dental hygienists, and system of dental therapists were analyzed using the data published by the relevant associations. Results: In America, dental hygienists help address oral health inequalities. However, due to limitations in the supervision levels and scope of practice of dental hygienists, the autonomy of dental hygienists was expanded, and mid-level practitioner were employed. The autonomy for dental hygiene practice was higher in public than in private in America. Some states have introduced dental therapists as mid-level practitioners. Their practice settings have limitations such as serving low-income, uninsured, and underserved patients or serving in a dental health professional shortage area. Conclusions: It is necessary to expand the autonomy of dental hygienists based on their profession. In particular, it is suggested that they start with the low-risk level practices. Further, it is necessary to introduce a dental hygiene specialist system specialized for fields with high social demands.
  • 11.

    Current status of dental hygiene educational institutions and dental hygienists’ employment in Korea

    양송이 | 유수민 | 이희연 and 4other persons | 2021, 21(6) | pp.785~792 | number of Cited : 0
    Abstract PDF
    Objectives: Dental hygienists are an essential human resource in dental service organizations. However, there are several important persisting problems faced by them, that need to be solved. The purpose of this study was to explore the current situation in dental hygiene education institutions, number of active dental hygienists, and employment distribution across South Korea. Methods: The study gathered statistics of dental hygiene educational institutions, the ratio of active dental hygienists and the number of dental hygienists working across South Korea from officially reviewed websites. Results: Daegu and Gyeongbuk regions house the most number of colleges with dental hygiene programs. The Daejeon and Chungnam regions had the most universities with dental hygiene programs. The activity ratio of dental hygienists decreased every year. Dental hygienists’ employment was highly focused in the Seoul and Gyeonggi provinces. Conclusions: The survey data can be used as basic data for future dental hygienist education to cope with the shortage of active dental hygienists and regional imbalances. This could prove useful to consider the employment of dental hygienists appropriately.
  • 12.

    Current status of dental hygiene curriculum related to clinical practice for dental hygienists in some universities

    이효진 | 신보미 | 신선정 and 1other persons | 2021, 21(6) | pp.793~803 | number of Cited : 0
    Abstract PDF
    Objectives: The purpose of this study was to investigate the current status of dental hygiene curricula related to clinical practice in Korea. Methods: Clinical work included the categories ‘history taking, infection control, oral prophylaxis, preventive treatment, education/counseling, radiography/reading, assisting/cooperation, impression/bite registration, anesthesia, etc.’, and 66 works were finally selected based on the frequent tasks of dental hygienists. The subjects were made to answer nine questionnaires. Results: It was found that the theory and practice of the main works operated quite differently in lectures and practice in each school. All types of practice were applied to all schools in the case of ‘scaling’. The evaluation of clinical practice was also found to be very different from school to school. Conclusions: For dental hygienists to establish expertise in clinical practice and promote quality improvement, it is necessary to develop a core curriculum focusing on clinical practice. The standardized curriculum should be improved to an efficient and competency-centered one defining clearly the role of dental hygienists considering the needs and importance of clinical practice.
  • 13.

    Factors related to satisfaction with non-face-to-face classes of health science students due to COVID-19 pandemic

    윤해수 | 이현정 | 문수진 and 3other persons | 2021, 21(6) | pp.805~812 | number of Cited : 0
    Abstract PDF
    Objectives: To investigate the perceived quality of classes, academic emotions, and learning achievement levels associated with the non-face-to-face classes of health science students, and to analyze the factors related to class satisfaction. Methods: Using a questionnaire, 238 health science students were surveyed regarding the quality of classes, academic emotions, and learning achievement levels. Factors related to calss satisfaction were analyzed using stepwise multiple regression. Results: Lecture types that the students were most satisfied with were ‘video lectures using PPT’ and ‘recorded lectures provided by LMS’, while ‘real-time video lectures’ were scored the lowest (p=0.005). Factors affecting non-face-to-face class satisfaction were perceived achievement (β=0.425, p<0.001), learning content (β=0.265, p<0.001), learning emotion (β=0.171, p<0.001), and learning environment (β=0.137, p=0.012). The adjusted explanatory power for this model was 63.9%. Conclusions: To increase the satisfaction of health science students with non-face-to-face classes, it is necessary to prepare an institutional foundation and to develop an educational program that can increase perceived achievement.
  • 14.

    Attitude and satisfaction of head and neck anatomy class using virtual reality (VR) in dental hygiene students

    조혜은 | 2021, 21(6) | pp.813~820 | number of Cited : 0
    Abstract PDF
    Objectives: This study was conducted to verify the effectiveness of the VR-applied head and neck anatomy class and to be used as basic data for the development of a teaching method using VR in the basic dental hygiene field. Methods: A convenience sample was extracted from 128 students and graduates who completed the head and neck anatomy class at the department of dental hygiene at a university in Gwangju. From June 1 to July 31, 2021, an online survey was conducted on class attitude and satisfaction, and statistical analysis was performed using frequency analysis and independent sample t-test. Results: Class attitude (3.79), interest (3.64), attention (3.88), learning motivation (3.80), and achievement motivation (3.84) were all high in the head and neck anatomy VR application group (p<0.01). Satisfaction (3.99), relevance of class content (4.06) and class achievement (3.96) were high in the head and neck anatomy VR application group (p<0.01). The suitability of class attitude (3.65) and class content (sub-item of class satisfaction) (4.13) was high in the group with the 4th industrial revolution education experience (p<0.05). Conclusions: The effect of VR application in the head and neck anatomy class was confirmed to increase students’ class attitude and satisfaction. In the basic dental hygiene curriculum, it will be necessary to develop and utilize teaching methods related to the 4th industrial revolution and VR application classes.
  • 15.

    Erratum : Z세대 치위생과 학생의 노인에 대한 태도에 영향을 미치는 요인

    류혜겸 | 2021, 21(6) | pp.821~821 | number of Cited : 0
    Abstract PDF
    정보누락Acknowledgements This research was supported by the Masan University research grants in 2020.