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The Effect of Digestive Medicine on Enamel Erosion.

Journal of Dental Hygiene Science.2017;17(4):352-357. doi:10.17135/jdhs.2017.17.4.352

Consumption of liquid digestive medicine has continually grown in recent years. This present study was designed to evaluate the capability of liquid digestive medicine to erode dental enamel, relating the pH and titratable acidity of liquid digestive medicine. Three commercially available liquid digestive medicines were chosen these were Gashwalmyeungsu, Saengrokchun and Wicheongsu. The liquid digestive medicines were evaluated in respect to pH, titratable acidity and concentrations of calcium and phosphate, respectively. This measure was carried out three times for each digestive medicine and was recorded the data as mean (standard deviation). Bovine enamel specimens measured microhardness at base line and then were randomly assigned to 4 groups of 10 each. The specimens were immersed into each liquid digestive medicine for 1, 3, 5, 10, 15, and 30 minutes and then evaluated each time by VHN. All digestive medicines had a pH of less than 3.7. Wicheongsu had the lowest pH 2.93 and Gashwalmyeungsu had highest pH 3.63. In pH 5.5, titratable acidity of Wicheongsu was 1.27 ml. Gashwalmyeungsu was 0.63 ml. Saengrokchun was 0.60 ml. All liquid digestive medicines showed low concentration of calcium and phosphate. The microhardness of specimens after immersion into liquid digestive medicines was continuously reduced in all digestive medicines. After 30-minute treatment in liquid digestive medicines, Wicheongsu containing low pH and high tiratable acidity was shown to be lowest microhardness value (207.80µ15.52). The three liquid digestive medicines caused surface softening of enamel erosion. We conclude that drinks, commonly consumed by functional dyspepsia patient can cause erosion of enamel.
Calcium ; Cytochrome P-450 CYP1A1 ; Dental Enamel* ; Dyspepsia ; Hardness ; Humans ; Hydrogen-Ion Concentration ; Immersion ; Tooth Erosion

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Effects of Periodontal Disease on Cardio-Cerebrovascular Disease: A Focus on Personal Income and Social Deprivation.

Min Young KIM ; Hosung SHIN

Journal of Dental Hygiene Science.2017;17(4):375-381. doi:10.17135/jdhs.2017.17.4.375

The study aimed to investigate the effects of differences between personal income and social deprivation on the association between cardio-cerebrovascular disease (hypertension, stroke) and periodontal disease. This study used 12 years of cohort data from the Korea National Health Insurance Service covering the years 2002 to 2013. Among the patients aged more than 40 years who had received treatment for periodontal disease 224,067 and 284,730 who had not received treatment for hypertension and stroke, respectively, were included in the analysis. The Kaplan-Meier analysis revealed differences in the rate of treatment for cardio-cerebrovascular disease (hypertension, stroke) according to regional differences, the rate of treatment increased as the composite deprivation index value increased. The difference in treatment rates for cardio- cerebrovascular disease (hypertension, stroke) according to income was found to be higher in the treatment group with low income. This study empirically proved that the association between systemic disease and periodontal disease varies depending on personal income and the regional socioeconomic deprivation level. This shows that the clinical influence of periodontal illness on systemic disease differs according to the personal socio-demographic characteristic and residential area and that an individual's characteristic (income and the regional) needs to be considered along with the patient's clinical intervention in the disease treatment process.
Cerebrovascular Disorders ; Cohort Studies ; Humans ; Hypertension ; Kaplan-Meier Estimate ; Korea ; National Health Programs ; Periodontal Diseases* ; Stroke

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Evaluation of Project-Based Learning on Community Dental Hygiene Practice Education.

Sang Hee YOO ; Soo Myoung BAE ; Bo Mi SHIN ; Sun Jung SHIN

Journal of Dental Hygiene Science.2017;17(4):368-374. doi:10.17135/jdhs.2017.17.4.368

The purpose of this study was to evaluate community dental hygiene practice education, by verifying its effect after applying project-based learning in improving the practical and social skills of learners. A 15-week project-based community dental hygiene practice course was held for 27 senior students, who took community dental hygiene practice course in the Department of Dental Hygiene, Gangneung-Wonju National University. Twenty-seven students were composed of 4 teams. Each team selected a target group for four workplaces for adult workers to apply the oral health promotion project. The project was then planned and conducted based on a survey on the health problems confronting each group, and an evaluation was carried out after 4 weeks. From the results obtained in comparing confidence in problem solving ability, project value, teamwork competency, and community dental hygienist competence before and after course, the improvement in project value and teamwork competence scores was not statistically significant, but all four areas showed positive results. After analyzing the project actuality, learning outcomes, and project satisfaction after course results, the actuality of the project was 19.30 points, the learning achievement was 45.19 points, and the satisfaction was 19.19 points, demonstrating that the aim of achieving actual performance competence and a learning performance exceeding expectations was accomplished. After conducting an interview survey with 8 students, it was found that they had learned social skills involving problem-solving abilities and confidence, and teamwork competence such as cooperation, role responsibility, creative thinking ability, and communication skills. Community dental hygienists should be able to acquire learner-level practical skills and social skills in the community dental hygiene and practical courses, according to their competencies and job needs. It is necessary to develop a project-based systematic learning module to enable the community dental hygiene practice to operate as a subject closely related to fields in other dental hygiene departments.
Adult ; Dental Hygienists ; Education* ; Humans ; Learning* ; Mental Competency ; Oral Health ; Oral Hygiene* ; Problem Solving ; Social Skills ; Thinking

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Influence of Water Infiltration and Flexural Strength Change with Glazing Treatment of Dental Porcelain.

Ju Hee LEE ; Chae Hyun LEE ; Jeong Hwan SONG

Journal of Dental Hygiene Science.2017;17(4):358-367. doi:10.17135/jdhs.2017.17.4.358

The purpose of this study was to evaluate the influence of water infiltration and flexural strength changes in dental porcelain with glazing treatment. The block specimens were prepared as experimental materials, using feldspar type commercial dental porcelain; then, these were fired at 940oC for 1 minute. The fired specimens were polished with a dimension of 40×5.5×5 mm. The specimens were distributed to two experimental groups: with and without glazing treatment specimens (n=5), and they were immersed in a solution of pH 7 for 3, 7, and 20 days at 40℃ after fabrication. To evaluate the flexural strength changes with water infiltration treatment in specimens with and without glazing, the 3-point flexural test was performed, using a universal testing machine until failure occurred. Starting powder and fired specimens consisted of amorphous and leucite crystalline phase. The Vickers hardness of fired specimens was more than 1.6 times higher than that of the enamel of natural teeth. According to porosimeter results, the specimens without glazing treatment exhibited a porosity of about 14.7%, whereas the glazed specimens exhibited the lowest porosity at about 1.1%. The average flexural strength of glazed specimens was higher than the flexural strength of specimens without glazing treatment (p<0.05). The flexural strength of all specimens with and without glazing treatment deteriorated with accelerated aging in the solution. In addition, significant differences between these two treatment groups were observed in all of the specimens treated at various water infiltration periods (p<0.05). The exposure of internal pores and micro-cracks in the surface due to polishing of the fired specimens influenced mechanical behaviors. Especially, the flexural strength in specimens without glazing treatment has shown significant degradation with the infiltration of water. Therefore, this study suggests that glazing processes can improve mechanical properties of dental porcelain.
Aging ; Crystallins ; Dental Enamel ; Dental Porcelain* ; Fires ; Hardness ; Hydrogen-Ion Concentration ; Porosity ; Tooth ; Water*

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The Associated Factors with Scaling Experience among Some Workers in Small and Medium-Sized Companies.

Jae Ra LEE ; Mi Ah HAN ; Jong PARK ; So Yeon RYU ; Chul Gab LEE ; Sang Eun MOON

Journal of Dental Hygiene Science.2017;17(4):333-340. doi:10.17135/jdhs.2017.17.4.333

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.
Dental Scaling ; Education ; Employment ; Gwangju ; Logistic Models ; Mass Screening ; Methods ; National Health Programs ; Occupations ; Odds Ratio ; Oral Health ; Periodontal Diseases ; Prevalence ; Tooth

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Correlation between the Preventive Behaviors on Middle East Respiratory Syndrome and the Knowledge, Attitude, and Compliance of Medically Inclined College Students.

Jin Hee PARK ; Soo Jung CHANG ; Kyung Seon KIM

Journal of Dental Hygiene Science.2017;17(4):341-351. doi:10.17135/jdhs.2017.17.4.341

This study aimed to investigate the medically inclined college students' knowledge, attitude, and compliance on the preventive behaviors of the Middle East respiratory syndrome (MERS). A cross-sectional study was conducted on 251 medically inclined college students in Jeonju Kijeon College from June 8 to 13, 2015, using a scale on the knowledge and attitude toward MERS and a structured questionnaire. The t-test, analysis of variance, and Pearson correlation coefficient were used to analyze the data. The participants consisted of 46.6% college students majoring in dental hygiene, 30.7% in clinical pathology, and 22.7% in emergency rescue, and 69.7% of them had been educated on MERS prevention. This study revealed that students who received MERS prevention training (t=3.457, p=0.001) and female students (t=−2.945, p=0.005) had more knowledge on MERS, while students from the dental hygiene department (F=8.048, p<0.001) and those in their third year (F=3.978, p=0.020) showed a more positive attitude toward MERS. Regarding the correlation between knowledge, attitude, fear of infection and compliance on the preventive behaviors, students were more knowledgeable (r=0.133, p=0.036), presented a more positive attitude (r=0.158, p=0.012) and had more fear of infection (r=0.312, p<0.001), were more likely to comply with the preventive measures. For an effective prevention of MERS, a newly found infectious disease, we suggest that medically inclined college students must improve their knowledge of and have a positive attitude toward MERS infection management at a medical institution in compliance with the MERS infection preventive behaviors. Furthermore, this study shows that an infection management education program should be developed, so that which students could learn about the causes, dissemination routes, and preventive methods of infectious diseases, including the newly discovered ones, prior to their clinical training at a medical institution.
Communicable Diseases ; Compliance* ; Coronavirus Infections* ; Cross-Sectional Studies ; Education ; Emergencies ; Female ; Humans ; Jeollabuk-do ; Middle East* ; Oral Hygiene ; Pathology, Clinical

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Factors Influencing the Regular Oral Check-Ups: Based on the Data of the 2014 Korea National Health and Nutrition Examination Survey.

Dong Hwi KIM ; Young Joon SEO

Journal of Dental Hygiene Science.2017;17(4):323-332. doi:10.17135/jdhs.2017.17.4.323

This study aimed to investigate the factors influencing the decision on whether to receive regular oral check-ups among the national health insurance beneficiaries with income and aged over 20 years in Korea. This was a cross-sectional study, using the data from the 2014 6th Korea National Health and Nutrition Examination Survey (KNHANES VI-2), conducted by the Korea Centers for Disease Control and Prevention. The final sample included 2,843 subjects who participated in the health examination survey and oral check-ups. The IBM SPSS Statistics ver. 20.0 was used for the statistical analysis, based on the complex sampling design. The Rao-Scott chi-square test was used to verify the difference in the distribution of independent variables with regard to oral check-ups. The binary logistic regression analysis was used to determine the influencing factors. The ratio of beneficiaries who received oral check-ups was less than half of those who received medical examinations. The Rao-Scott chi-square test, revealed significant differences in the age group (p<0.05) of the predisposing factors, toothache within a year (p<0.001), untreated dental caries (p<0.001) of the need factors, personal income level (p<0.001), educational level (p<0.001), type of medical insurance (p<0.001), and private health insurance (p<0.01) of the enabling factors. In the binary logistic regression analysis, factors influencing oral check-ups were age group, personal income level, educational level, toothache within a year, and untreated dental caries. These findings show a variety of factors influencing the utilization of regular oral check-ups.
Causality ; Centers for Disease Control and Prevention (U.S.) ; Cross-Sectional Studies ; Dental Care ; Dental Caries ; Health Surveys ; Humans ; Insurance ; Insurance, Health ; Korea* ; Logistic Models ; National Health Programs ; Nutrition Surveys* ; Odds Ratio ; Toothache

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A Study on Oral Health Knowledge, Recognition, Practice and Satisfaction of Patients by Applying a Targeted Program within a Dental Hygiene Process.

Mi Kyung SEONG ; Moon Mi JO ; Yu Rin KIM

Journal of Dental Hygiene Science.2017;17(2):183-191. doi:10.17135/jdhs.2017.17.2.183

The purpose of this study was to evaluate a clinical preventative care program, based on a dental hygiene process (accessment, diagnosis, planning, implementation, evaluation; ADPIE) in a dental clinic, by analyzing patient recognition, knowledge, practice, and satisfaction with respect to oral health. The collected data (in percentages) were analyzed Fisher's exact test and paired t-test using IBM SPSS ver. 21.0 (IBM Co., USA). This study demonstrated a significant difference in oral health knowledge, recognition, and practice before and after the clinical preventive care program (p<0.05). The results were significant in the individual preventive plan within the planning stage, and in the professional teeth cleaning implementation stage (p<0.05). This result can be attributed to the sympathy of the dental hygienist (p<0.05). There was a positive correlation between recommending dental checkups and regular checking of the (r=0.552, p<0.05), undergoing radiography (r=0.434, p<0.01), following an individual preventive plan (r=0.568, p<0.01), undergoing proximal machine teeth cleaning (r=0.437, p<0.05), following tooth brushing instructions (r=0.552, p<0.05), and the evaluation results (r=1.000, p<0.05). Our results demonstrate, that the clinical preventive care program, based on dental hygiene, is an effective program. Given the positive effect of dental revisits and patient recommendations promoting dental hygienists, it is hoped that this preventative program will be widely used.
Dental Clinics ; Dental Hygienists ; Diagnosis ; Hope ; Humans ; Oral Health* ; Oral Hygiene* ; Radiography ; Tooth

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Subjective Symptoms of Peri-Implantitis and Satisfaction according to Prosthesis Methods.

Ji Ae CHA ; Gyeong Soon HAN

Journal of Dental Hygiene Science.2017;17(2):175-182. doi:10.17135/jdhs.2017.17.2.175

From March 1, 2016 to August 31, 2016, 375 dental implant patients between the ages of 30 and 70 years to evaluate their subjective symptoms and satisfaction according to prosthesis methods. The collected data were analyzed using the chi-square distribution test, t-test, one-way analysis of variance, and multiple logistic regression. Of the patients with subjective symptoms of peri-implantitis, 40.5% reported food impaction, 49.1% reported bleeding, 61.1% reported pain, 61.9% reported halitosis, and the overall satisfaction level with the implants was 3.95 points. In the prosthesis methods, implant-teeth connective group showed the lowest level of the food impaction (21.3%), the pain (35.5%), and the halitosis (36.6%) (p<0.001), and the lowest bleeding was the implant single (33.8%) (p<0.05). Patient satisfaction was higher in the implant-teeth connective group (4.06 points) and the group without bone grafting (4.03 points) (p<0.01). Factor analysis showed that implant satisfaction was 0.43 times lower in the single implant group and 0.44 times lower in the implant-implant connective group than in the implant-teeth connective group. As a result of the study, it is expected that the method of extending the life of adjacent teeth and restoring the function of the tooth defect region is an implant-teeth connection method, so that it can be utilized positively through various clinical studies.
Bone Transplantation ; Dental Implants ; Halitosis ; Hemorrhage ; Humans ; Logistic Models ; Methods* ; Patient Satisfaction ; Peri-Implantitis* ; Prostheses and Implants* ; Tooth

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Relationship between Happiness and Job Satisfaction of Dental Hygienists.

Hae Gyum RYU

Journal of Dental Hygiene Science.2017;17(2):168-174. doi:10.17135/jdhs.2017.17.2.168

This study was conducted to provide basic data on the relationship between the happiness and job satisfaction of dental hygienists. The research subjects were 264 dental hygienists in Busan and Gyeongsangnam-do. The study was conducted using structured questionnaires and the collected data were analyzed using IBM SPSS software, ver. 20.0. The happiness index, which was based on general characteristics, showed the greatest significant differences in life satisfaction (p<0.05) among adults over 36 years of job experience, negative emotions (p<0.01) among adults under 25 years of job experience, and negative emotions (p<0.05) among adults with 4~10 years of job experience. The factors that improved the job satisfaction of dental hygienists were life satisfaction, prime duty at the work place, and a positive effect. On the contrary, negative emotions lowered the job satisfaction. The happiness of the dental hygienist is an important factor not only for the improvement of the hygienist's personal quality of life, but also the patient's health. It is necessary for dental hygienists to maintain good relationships with coworkers during in the workplace, as well as employers, to have an administrative system that offers proper compensation, improvement of the work environment, and opportunities to improve professionalism at the workplace.
Adult ; Busan ; Compensation and Redress ; Dental Hygienists* ; Gyeongsangnam-do ; Happiness* ; Humans ; Job Satisfaction* ; Professionalism ; Quality of Life ; Research Subjects ; Workplace

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