중소 사업장 근로자의 치석제거 경험 관련요인

이재라 ( Jae Ra Lee ),한미아 ( Mi Ah Han ),박종 ( Jong Park ),류소연 ( So Yeon Ryu ),이철갑 ( Chul Gab Lee ),문상은 ( Sang Eun Moon ) 한국치위생과학회 2017 치위생과학회지 Vol.17 No.4

본 연구는 중소사업장에 종사하는 생산직 근로자를 대상으로 치석제거 경험 관련요인을 알아보기 위해 수행되었다. 조사대상은 광주광역시 188개 중소기업 중 편의추출법으로 5개 사업장을 선정하여 사업장에 근무하는 근로자 455명을 대상으로 자가 보고형 설문조사를 통해 일반적 특성과 근무 관련특성, 치석제거 경험 등을 조사하였다. 빈도분석, t-검정, 교차분석, 다중로지스틱 회귀분석을 이용하여 분석하였다. 대상자의 최근 1년 이내 치석제거 경험은 47.0%였으며, 근로자의 연령이 낮은 경우(aOR, 3.09; 95% CI, 1.60∼5.96), 직위가 높은 경우(aOR, 2.68; 95% CI, 1.55∼4.63), 구강건강에 대한 관심도가 높은 경우(aOR, 2.15; 95% CI, 1.02∼4.52), 최근 1년간 정기적인 구강 검진 경험이 있는 경우(aOR, 2.76; 95% CI, 1.50∼5.11), 치석제거 건강보험 급여화를 인지하고 있는 경우(aOR, 2.91; 95% CI, 1.80∼4.72)가 치석제거 경험의 가능성이 높았다. 결론적으로 치석제거 경험은 47.0%로 비교적 낮았으며, 치석제거 경험에 관련된 요인들은 연령, 직위, 사용 중인 구강관리보조용품, 정기적인 구강검진, 구강질환으로 인한 조퇴 경험, 치석제거 급여화 인지여부였다. 이러한 요인들을 고려하여 근로자의 근무환경 개선 및 치석제거의 인식도 향상을 통해 치석제거 경험률을 높인다면 향후 근로자들의 치주관리에 긍정적인 영향을 미칠 것으로 판단된다. The prevalence of periodontal disease was steadily increased. The best prevention methods for periodontal disease are teeth brushing and scaling. The purpose of this study was to investigate the status of scaling experience and related factors among some workers. Total 455 workers in 5 manufacturing companies in Gwangju were selected using convenience sampling method. General characteristics, work-related characteristics, oral health-related characteristics and scaling experience were collected by self-reported questionnaires. Chi-square tests, t-tests and multiple logistic regression analysis were performed to investigate the factors influencing the scaling experience using SPSS software. Statistical significance was defined as a p-value<0.05. The proportion of scaling experience during the past year was 47.0%. In simple analysis, age, current working position, number of oral disease, interest in oral health, use of secondary oral products, oral health screening use, oral health education experience and awareness of scaling inclusion in the National Health Insurance (NHI) coverage were associated with scaling experience. Finally, the odds ratios (ORs) for scaling experience were significantly higher in younger subjects (adjusted OR [aOR], 3.09; 95% confidence internal [CI], 1.60∼5.96), assistant manager (aOR, 2.68; 95% CI, 1.55∼4.63), subjects with high interest in oral health (aOR, 2.15; 95% CI, 1.02∼4.52), subjects with oral health screening use (aOR, 2.76; 95% CI, 1.50∼5.11) and awareness of scaling inclusion in the NHI coverage (aOR; 2.91, 95% CI, 1.80∼4.72) in multiple logistic regression analysis. Scaling experience was relatively low (47.0%). The related factors with scaling experience were age, working position, use of screening and awareness of scaling inclusion in the NHI coverage. Considering these factors will increase the utilization rate of scaling.

The Clinical Effect with the Use of Gel Anesthesia within Gingival Sulcus during Scaling

Seong-Ok Park,Ae-Jung Im,Yong-Soon Ahn,정임희,임도선 한국치위생과학회 2018 치위생과학회지 Vol.18 No.5

Although scaling is the primary method for improving oral health, it is also associated with dental fear. The objective of this study was to empirically verify whether the use of gel anesthetic within the gingival sulcus during scaling relieves pain and improves other factors. A total of 128 patients scheduled to undergo scaling at a dental clinic of a general hospital located in the Gyeonggi Province, between July 2014 and July 2015, were enrolled in the study. The participants underwent scaling following the application of 20% benzocaine gel or placebo gel anesthetic within the gingival sulcus, and the data was collected using a questionnaire. There was a significant difference in the severity of pain, participant satisfaction, perceived sensitivity, overall discomfort, and fear of scaling between the two groups. The two groups were compared in terms of perceived need for gel anesthesia, willingness to pay for anesthesia costs, and willingness to receive scaling in the future. There were significant differences in all the three parameters depending on whether gel anesthesia was used or not. There were significant differences between the two groups in perceived sensitivity immediately after scaling and one day after scaling, with no difference seen one week after scaling. With regards to overall discomfort over time, there were significant differences between the two groups immediately after scaling. Based on these findings, we expect that application of gel anesthetic within the gingival sulcus during scaling will reduce pain, perceived sensitivity, overall discomfort, and fear of scaling with increased satisfaction.

근로자의 치아 치면세마 경험에 영향을 미치는 요인

윤영주 ( Young Ju Yoon ),김경원 ( Kyeong Won Kim ),황태윤 ( Tae Yoon Hwang ),이경수 ( Kyeong Soo Lee ) 대한예방치과·구강보건학회 2009 大韓口腔保健學會誌 Vol.33 No.3

Objectives: This study was performed to enhance a rate of tooth scaling and to develop the scalingrelated education material, by analyzing the knowledge attitudes toward and the rates and related factors of tooth scaling. Methods: From September to October 2008, self-administered questionnaires on the knowledge of, attitudes toward and behaviors for tooth scaling were performed, targeting 479 workers(251 men and 228 women) who worked at eight workplace sampled at random of Gyeongsan and Yeongcheon areas in Gyeongsangbuk-do province. Results: Tooth scaling experiences were responded by 328 subjects(68.6 %). One hundred seventy seven subjects(54%) received tooth scaling by self-decision, which shows the highest rate of treatment motives. Non-experience in scaling was responded by 151 subjects(31.4%), 71(47.3%) of whom answered they had no necessity for such treatment. Age and monthly income had significant associations with scaling experiences. The knowledge of scaling showed significant differences in point, depending on age and monthly income, depending on general characteristics. Susceptibility, benefit and cue of action toward their oral health showed significant differences in point between scaling experience and non-experience groups. According to the multiple logistic regression analysis whose dependent variables was tooth scaling experience, significant independent variables were age, education level(reference: junior high schools and lower), income(reference: 3 million won or more), susceptibility, benefit. Conclusions: According to the findings, it is necessary to publicize the necessity of tooth scaling and to encourage people to receive regular scaling treatment by distributing the knowledge indispensible for scaling using the mass media and by causing the changes in the perception of scaling. In addition, the policy is needed to prevent economic constraints from worsening oral health by supporting the poor.

일부지역 치과의료소비자의 스케일링 급여화 사업 시행 전,후 인식도 및 만족도 조사

이보근 ( Bo Geun Lee ),이정화 ( Jung Hwa Lee ) 대한예방치과·구강보건학회 2016 大韓口腔保健學會誌 Vol.40 No.1

Objectives: The purpose of this study was to compare awareness on scaling and satisfaction regarding national health insurance scaling to several general characteristics, to awareness of oral health, and to pre- and post-operative experience of the national health insurance dental scaling program. Methods: The study was conducted over a 1 month period from August 1, 2014, to September 1, 2014. All subjects were asked to complete a self-administered questionnaire. A total of 261 questionnaires were used in the final analysis (incorrectly completed questionnaires were excluded). The data was subsequently analyzed (including t-test, one way ANOVA, and Pearson’s correlation coefficient) using SPSS version 20.0. Results: In total, 91.6% of respondents were aware of the national health insurance scaling program. Furthermore, 81.8% said that they were satisfied with national health insurance scaling. The majority of the respondents (69.0%) were also satisfied with the national health insurance scaling fee. Although 71.6% were satisfied with national health insurance scaling age, only 60.5% were satisfied with the frequency of national health insurance scaling. The disparity in the reported awareness on scaling and on national health insurance scaling was showed to be statistically significant (p<0.05). Moreover, the reported difference between satisfaction on national health insurance scaling and satisfaction with the scaling experience was also significant (p<0.05). Finally, there was a significant difference between reported awareness on scaling, awareness on national health insurance scaling, and satisfaction with national health insurance scaling (p<0.01). Conclusions: The results presented in this study reveal that awareness of scaling, awareness on national health insurance scaling and satisfaction with national health insurance scaling are important influencing factors. These results should be carefully considered in any plans to expand preventive dental healthcare clinics. In conclusion, a more systematic oral-health policy (especially regarding scaling) needs to be established to improve national oral health and quality of life.

치면세마실습실 방문자의 스켈링 행태에 관한 분석

강용주 ( Yong Ju Kang ),장계원 ( Gye Won Jang ),정미경 ( Mi Kyoung Jeong ) 한국치위생학회(구 한국치위생교육학회) 2011 한국치위생학회지 Vol.11 No.5

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. (J Korean Soc Dent Hygiene 2011;11(5):773-782)

SCALING ANALYSIS IN BEPU LICENSING OF LWR

D'auria, Francesco,Lanfredini, Marco,Muellner, Nikolaus Korean Nuclear Society 2012 Nuclear Engineering and Technology Vol.44 No.6

"Scaling" plays an important role for safety analyses in the licensing of water cooled nuclear power reactors. Accident analyses, a sub set of safety analyses, is mostly based on nuclear reactor system thermal hydraulics, and therefore based on an adequate experimental data base, and in recent licensing applications, on best estimate computer code calculations. In the field of nuclear reactor technology, only a small set of the needed experiments can be executed at a nuclear power plant; the major part of experiments, either because of economics or because of safety concerns, has to be executed at reduced scale facilities. How to address the scaling issue has been the subject of numerous investigations in the past few decades (a lot of work has been performed in the 80thies and 90thies of the last century), and is still the focus of many scientific studies. The present paper proposes a "roadmap" to scaling. Key elements are the "scaling-pyramid", related "scaling bridges" and a logical path across scaling achievements (which constitute the "scaling puzzle"). The objective is addressing the scaling issue when demonstrating the applicability of the system codes, the "key-to-scaling", in the licensing process of a nuclear power plant. The proposed "road map to scaling" aims at solving the "scaling puzzle", by introducing a unified approach to the problem.

SCALING ANALYSIS IN BEPU LICENSING OF LWR

FRANCESCO D’AURIA,MARCO LANFREDINI,NIKOLAUS MUELLNER 한국원자력학회 2012 Nuclear Engineering and Technology Vol.44 No.6

“Scaling” plays an important role for safety analyses in the licensing of water cooled nuclear power reactors. Accident analyses, a sub set of safety analyses, is mostly based on nuclear reactor system thermal hydraulics, and therefore based on an adequate experimental data base, and in recent licensing applications, on best estimate computer code calculations. In the field of nuclear reactor technology, only a small set of the needed experiments can be executed at a nuclear power plant; the major part of experiments, either because of economics or because of safety concerns, has to be executed at reduced scale facilities. How to address the scaling issue has been the subject of numerous investigations in the past few decades (a lot of work has been performed in the 80thies and 90thies of the last century), and is still the focus of many scientific studies. The present paper proposes a “roadmap” to scaling. Key elements are the “scaling-pyramid”, related “scaling bridges” and a logical path across scaling achievements (which constitute the “scaling puzzle”). The objective is addressing the scaling issue when demonstrating the applicability of the system codes, the “key-to-scaling”, in the licensing process of a nuclear power plant. The proposed “road map to scaling” aims at solving the “scaling puzzle”, by introducing a unified approach to the problem.

The Influence of Oral Health Conviction to Scaling for Young Adults

Yunhui Lee 대한예방치과학회 2015 International Journal of Clinical Preventive Denti Vol.11 No.2

Objective: In order to examine the oral health conviction to influence the oral health behavior for scaling on young adults in the period of the including the scaling in the national health insurance. Methods: Three-hundreds eight of volunteers who visit the scaling center for receiving the scaling at university scaling center during the period on April to October, in 2014 were participated to this study for questionnaire method. The results were collected and analysed. Results: The more toothbrushing frequency, the more scaling experience. And toothbrushing before bed and use the auxiliary oral hygiene devices group was more experience for the scaling (p<0.01). Oral health conviction was the high score in female as 7.6 for sensitivity, and in more old group and in no-religion group. The conviction for oral health with the behavior for toothbrushing was revealed as high in toothbrushing one time and before go to bed group (p<0.05). Disadvantage and the benefit item also in high and the valid rate of the conviction for the influencing for the scaling was estimated as b=0.023 (p<0.05). Conclusion: It was the most important for the behavioral motivation to increase the conviction for scaling and the empasizing the behavioral motivation. They can be realize to let individual receive the scaling.

The Influence of Oral Health Conviction to Scaling for Young Adults

이윤희 대한예방치과학회 2015 International Journal of Clinical Preventive Denti Vol.11 No.2

Objective: In order to examine the oral health conviction to influence the oral health behavior for scaling on young adults in the period of the including the scaling in the national health insurance. Methods: Three-hundreds eight of volunteers who visit the scaling center for receiving the scaling at university scaling center during the period on April to October, in 2014 were participated to this study for questionnaire method. The results were collected and analysed. Results: The more toothbrushing frequency, the more scaling experience. And toothbrushing before bed and use the auxiliary oral hygiene devices group was more experience for the scaling (p<0.01). Oral health conviction was the high score in female as 7.6 for sensitivity, and in more old group and in no-religion group. The conviction for oral health with the behavior for toothbrushing was revealed as high in toothbrushing one time and before go to bed group (p<0.05). Disadvantage and the benefit item also in high and the valid rate of the conviction for the influencing for the scaling was estimated as b=0.023 (p<0.05). Conclusion: It was the most important for the behavioral motivation to increase the conviction for scaling and the empasizing the behavioral motivation. They can be realize to let individual receive the scaling.

일부 대학생들의 스케일링두려움의 정도

조명숙 한국치위생학회 2017 한국치위생학회지 Vol.17 No.6

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.