치열교정치료시 교정환자의 만족도에 영향을 미치는 요인

이가연 ( Ka Yean Lee ),고은정 ( Eun Jeong Go ) 한국치위생과학회 2010 치위생과학회지 Vol.10 No.2

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.

교정환자의 치과의료서비스 만족도에 영향을 미치는 요인

이가연 ( Ka Yean Lee ) 한국치위생과학회 2009 치위생과학회지 Vol.9 No.1

치열교정 치료 환자의 특성과 기초 진단 후 단기간 내 치료 이행에 영향을 미치는 요인

이가연 ( Ka Yean Lee ),전진호 ( Jin Ho Chun ) 대한예방치과·구강보건학회 2009 大韓口腔保健學會誌 Vol.33 No.3

Objectives: The orthodontics of malocclusion has a lot of impact on the prevention of multiple oral diseases, the patients` psychological stability and friendly interpersonal relationships. Patients should undergo orthodontic treatment as soon as possible if they meet all the required treatment conditions, and earlier treatment leads to greater treatment effects. The purpose of this study was to examine the characteristics of the patients and the factors affecting whether or not to go through short-interval treatment within a week after the diagnostic assessment of malocclusion. Method: The subjects in this study were patients who were undergoing orthodontic treatment and their guardians at S, B and Y dental clinics, which are located in Gyeonggi Province, Daegu and Busan, respectively, and the all specialize in orthodontic treatment. They were interviewed from January 20 to February 28, 2009, by utilizing structured questioruaires, and the answer sheets from 382 respondents were analyzed, except for 18 that had inappropriate or no answers. The SPSSWIN 14.0K program was employed to analyze the collected data, and frequency analysis, descriptive statistics, crosstabs, ANOVA and multiple logistic regression analysis were utilized. In the regression analysis, whether they underwent treatment within the six months after being diagnosed was selected as a dependent variable, and the selected independent variables included the characteristics of the subjects, what put pressure on them in association with treatment, the treatment-related decision-making process, and the patients` expectations. Results: The major subject group was students (71.7%), and among them about half (45.8%) were middle and high school students. In regard to what usually put a strain on them in conjunction with their oral health, the girls were under more aesthetic pressure (p<0.05), and there was no gender gap for the other sorts of burdens. As for the post-treatment expectations, the largest group (49.3%) expected themselves to have a good set of teeth. Concerning the major reason for the delay of treatment, cost and time constraints were cited as the reasons. In the regression analysis, women (OR=2.87, 95% CI=1.27-6.50) in their, 20s (OR=8.67, 95% CI=2.07-36.26) and 30s (OR=10.88, 95% CI=1.38-85.98), as compared to the teenagers underwent more within the six months interval orthodontic treatment. In contrast, for the case of patients having multiple visits to other orthodontic dental clinics, those patients who; visited to an orthodontic dental clinic two times (OR=0.126, 95% CI=0.05-0.31), more than three times (OR=0.098, 95% CI=0.01-0.78), a higher education (college) level (OR=0.063, 95% CI=0.01-0.77), and more burdened with mastication difficulties (OR=0.301, 95% CI=0.12-0.76) underwent less short-interval treatment. Conclusion: This study attempted to determine what factors had an impact on whether to undergo short-interval treatment, and it largely hinged on the individual needs and characteristics in addition to the above-mentioned factors. Nonetheless, the findings of this study are expected to lay the groundwork for the successful application of orthodontic treatment and for boosting its effects. In the future, more sustained research efforts should be made to produce more accurate and extensive results about this field.

일부지역 임산부의 구강건강관리에 대한 조사연구

이가연 ( Ka Yean Lee ) 한국치위생학회 2009 한국치위생학회지 Vol.9 No.1

The purpose of this study was to examine the oral health care awareness of pregnant women and their actual oral health care in an effort to provide information on how to assist pregnant women to have the right knowledge on oral health and improve their oral health care. The subjects in this study were pregnant women who used obstetrics and gynecology hospitals or participated in pregnancy/child-rearing programs in the region of P. After a self-administered survey was conducted in July and August 2008, the following findings were given: 1. As for the best case of oral health care, the largest number(77.2%) of the pregnant women investigated brushed all the teeth, gums and tongue when they did toothbrushing. The smallest number of the women(6.8%) spent three minutes or more brushing their teeth. 2. As to dental treatment experience during pregnancy by age, 27.0 percent of the age 26-30 group had ever received dental treatment during pregnancy, which was higher than the rates of the other age groups with the same experience. 3. Regarding the necessity of oral health education geared toward pregnant women, 94.1 percent of the age 26-30 group and 96.3 percent of the group of age 31 and up felt the need for that, which were significantly higher than 72.7 percent of the age 20-25 group who agreed to the necessity of that education. 4. As to connections between oral health status and oral health care, the women who were in good oral health got 6.60 on oral health care. They scored significantly higher than those who were in a moderate state of oral health and who were in bad oral health, as the latter two groups respectively got 5. There was a significant correlation between oral health state and oral health care and between oral health knowledge and oral health care. The better oral health status led to better oral health knowledge, and the better oral health knowledge was followed by better oral health care. 6. As for factors affecting oral health care, oral health knowledge had the largest impact on that, followed by age, oral health status, experience of receiving oral health education for pregnant woman, dental treatment experience during pregnancy, monthly income and stress caused by oral diseases. Given the findings of the study, oral health education should be provided in light of the special physical and mental state of pregnant women. They should be encouraged to receive possible dental treatment during pregnancy if necessary, and they should learn about how to cope with a dental disease in case of develop it.

일부지역의 치과병,의원 선택요인의 중요도와 영향

천종애 ( Jong Ae Chun ),이가연 ( Ka Yean Lee ) 한국치위생과학회 2010 치위생과학회지 Vol.10 No.1

치과의원에 근무하는 일부 치과위생사의 우울수준에 관한 연구

한세영 ( Se Young Han ),이가연 ( Ka Yean Lee ) 한국치위생학회 2009 한국치위생학회지 Vol.9 No.4

The degree of depression in dental hygienist was analyzed to reveal the various factors related to them. The self-administered questionnaires were filled out from 202 dental hygienist in Daejeon City. The survey items included subjects` socio-demographic and job-related characteristics, health-related behaviors, depression. Chi-Square analysis and Pearson`s correlation coefficient was put into survey results, in which a degree of depression was dependent variable and others were independent variable. 1. The distribution for depression degree has shown the rate as 80.2% in normal range group and 19.8% in depression group. 2. As for depression, long working hours(p=0.042), poor sense satisfaction in work(p=0.000), not fit to the job(p=0.003), low personal relation with peer works or supervisors(p=0.039), without alcohol drinking(p=0.048), poor subjective condition of health(p=0.000) than their respective counterparts. 3. Concerning correlation between depression and various factors, poor sense satisfaction in work(r=-0.332, p=0.000), not fit to the job(r=-0.353, p=0.000), low personal relation with peer works or supervisors(r=-0.215, p=0.002), without alcohol drinking(r=-0183, p=0.009), poor subjective condition of health(r=-0.333, p=0.000). These results showed that depression state could be influenced by various factors, which include socio-demographic, job-related characteristics and health-related behaviors. Therefore, in order to reduce depression state of dental hygienists, development and application of programs to manage and research for them are required to be revitalized as well as socio-demographic and job-related characteristics and health-related behaviors.

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.

치과의원 내원환자의 치주 관리실태에 관한 조사

고은정 ( Eun Jeong Go ),이가연 ( Ka Yean Lee ) 한국치위생학회 2009 한국치위생학회지 Vol.9 No.2

The purpose of this study was to examine the periodontal care of dental clinic patients. The subjects in this study were 213 patients who visited four different dental clinics in the region of Geje. After a survey was conducted, the following findings were given: 1. In regard to the prevention of periodontal diseases, 52.1 percent of the patients investigated received treatment at a dental clinic when their gums were swollen or bleeding, and the way they responded to their swollen or bleeding gums was significantly different according to age, occupation(P<.01) and academic credential(P<.001). 31.0 percent got their teeth scaled to take care of their gums, and how to take care of the gums differed significantly with age, occupation, academic background (P<.001) and monthly income(P<.01). As to yearly preventive treatment frequency for periodontal diseases, 22.5 percent received treatment to prevent any possible periodontal diseases once a year, and age, educational background(P<.01) and occupation(P<.05) made a significant difference to that. By occupation, the company employees received more preventive treatment. As many as 66.7 percent intended to receive education on the prevention of periodontal diseases if there would be any chance, and gender and age(P<.001) made a significant differences to that. 2. As for oral health care habits, 52.1 percent brushed their teeth in a mixed way, up and down and right and left, and the women did that up and down more than the men. Those who were in their 30s did toothbrushing in the mixed way the most, and gender(P<.05), age(P<.05) and academic credential(P<.001) made a significant difference to that. Concerning daily mean toothbrushing frequency, 43.7 percent did that three times a day, and the women who did that three times outnumbered the men who did. The daily mean toothbrushing frequency varied significantly with gender(P<.01). By occupation and education, the professionals and better educated patients were significantly different from the others in that regard(P<.01). As to the use of an interdental brush, 57.3 percent had ever used it, and those who were better educated, who had a larger monthly income(p<01) and who were professionals(P<.001) were significantly different from their counterparts in that aspect. As to scaling experience, as many as 68.5 percent had ever had their teeth scaled, and those who were in their 30s had done that the most. Age made a significant difference to that(P<.01), and the professionals, larger income earners and better educated patients were significantly different from their counterparts in that regard(P<.001). The findings of the study justified the necessity and importance of periodontal care, and the prevention of periodontal diseases, regular dental checkup and the development of oral health education programs were required.

수종의 치과용 불소화합물의 물리적 조건에 따른 치질강화에 미치는 영향

김주원 ( Joo Won Kim ),이정애 ( Jung Ae Lee ),이가연 ( Ka Yean Lee ) 한국치위생학회 2010 한국치위생학회지 Vol.10 No.4

Objectives: The fluoride coating for caries prevention and strengthen enamel use NaF(sodium fluoride, Junsei Chemical Co., Ltd, Japan) 2% gel, SnF2(stannous fluoride, SIGMA-ALDRICH Gmbh, USA)8% gel and APF(acidulated phosphate fluoride, Sultan health care, USA) 1.23% gel. Methods: After put the enamel piece in these fluoride compound gel, we observed density level. And after measuring the vickers hardness, Got the following conclusions. Results: 1. After settling in the APF 1.23% during 6 days, we observed high density level of enamel surface using 250 magnification scanning microscope. The vacuum of surface packed (in) like sardines. 2. After settling in the APF 1.23% during 6 days, we observed reducing the space between the cluster of enamel surface using 50,000 magnification scanning microscope. 3. The vickers hardness change was very much on the all kinds of fluoride compound gel[2% NaF(sodium fluoride)gel, 8% SnF2(stannous fluoride) gel, 1.23% APF(acidulated phosphate fluoride)gel]. It`s all because of reducing the space between the cluster of enamel surface(p<0.001). Conclusions: The vickers hardness change was very much on the all kinds of fluoride compound. It`s all because of reducing the space between the cluster of enamel surface. (J Korean Soc Dent Hygiene 2010;10(4):757-764)