Eficacia en la remoción del biofilme dental con diferentes aditamentos durante la profilaxis dental en pacientes pediátricos / Effectiveness of dental biofilm removal with different accessories during dental prophylaxis in pediatric patients

Resumen En odontología pediátrica un procedimiento sencillo y que es eficaz para introducir al niño al ambiente del consultorio dental es la profilaxis dental, y a la vez es indispensable para la remoción del biofilme dental a escala profesional. Se analizaron tres de los aditamentos más utilizados, la copa de hule, el cepillo para profilaxis convencional y el microcepillo ICB, este último para reforzar superficies oclusales con el objetivo de conocer cuál presenta una mayor efectividad en la remoción, se utilizó el cepillo dental convencional como control. Como resultado se observó que el cepillo para profilaxis es el aditamento de mayor eficacia en la remoción del biofilm dental en todas las superficies, con un porcentaje de remoción total de 70,57% con diferencia estadísticamente significativa respecto a los demás aditamentos.

Abstract In pediatric dentistry, a simple procedure that is effective to introduce the child to the environment of the dental office is dental prophylaxis, at the same time it is indispensable for the removal of the dental biofilm at a professional level. Three of the most frequently used additives, the rubber cup, the conventional prophylaxis brush and the ICB microbrush were analyzed, the latter to reinforce occlusal surfaces in order to know which one has a greater effectiveness in the removal, the conventional toothbrush as control. As a result, the prophylaxis brush is the most effective additive in the removal of dental biofilm on all surfaces, with a total removal percentage of 70.57%, with a statistically significant difference with respect to the other accessories.

Resumo Em odontologia pediátrica é um procedimento simples que é eficaz para introduzir a criança para o ambiente de escritório dental é profilaxia dentária, embora seja essencial para a remoção do biofilme dental profissionalmente. Três dos adjuvantes mais vulgarmente utilizados foram analisados, a taça de borracha, o convencional profilaxia e ICB microbrush última escova de reforçar superfícies de oclusão, a fim de saber qual tem uma remoção mais eficaz, a escova de dentes convencional é utilizada como controlo. A profilaxia escova resultante é a remoção mais eficaz de biofilme em todas as superfícies, com uma percentagem de remoção total de 70,57%, com diferen estatisticamente significativa relativamente aos outros adjuntos.

The Impact of Grit on University Student's Core Competency in Dental Hygiene Students / 치위생과학회지

BACKGROUND: Recently, competency-based education has been reorganized in the dental hygiene curriculum. In education, non-cognitive factors are emphasized. Grit, the non-cognitive ability to persevere to achieve an individual’s long-term goals, is emerging. This study aims to identify the degree of grit and core competencies in students and to investigate the relationship between them and the factors that affect these core competencies. METHODS: This study was conducted using 350 dental hygiene students who were randomly assigned a structured questionnaire to complete. The final analysis included 321 students. The survey contents evaluated grit, core competencies, and general characteristics. The difference in the degree of grit and core competencies in conjunction with the general characteristics of the subjects was analyzed using the t-test/Mann Whitney U-test and the ANOVA/Kruskal-Wallis H test. Multiple regression analysis was then conducted to determine the factors affecting the core competencies of the subjects. RESULTS: The difference of ‘grit’ according to general characteristics was statistically significant in ‘major satisfaction’, ‘relationship’, ‘perceived academic achievement’, ‘grade point average (GPA)’. The difference in ‘core competency’ according to general characteristics was statistically significant in ‘grade’, ‘department selection’, ‘major satisfaction’, ‘relationship’, ‘perceived academic achievement’, ‘GPA’. Among the sub-areas of ‘grit’, ‘perseverance of effort’ showed a high correlation with ‘core competency’ and was statistically significant. As a result of regression analysis, ‘major satisfaction’, ‘perceived academic achievement’ and ‘grit’ of dental hygiene students had a statistically significant influence on ‘core competency’. Meanwhile, ‘GPA’ was not seen to be statistically significant in ‘core competency’. CONCLUSION: Grit, a non-cognitive factor, had a statistically significant effect on core competency, while the effects on GPA, a cognitive factor, were not statistically significant. Among the sub-factors of grit, ‘perseverance of effort’ had a statistically significant effect on ‘problem-solving competency’ and ‘academic competency’, which are ‘core competency’ sub factors.

Effects of Critical Thinking and Communication Skills on the Problem-Solving Ability of Dental Hygiene Students / 치위생과학회지

BACKGROUND: This study aimed to investigate the effects of critical thinking and good communication skills on the problem-solving abilities of dental hygiene students. METHODS: A total of 508 dental hygiene students were convenience-sampled from 3 universities. RESULTS: The results revealed that critical thinking had the highest intellectual fairness score of 3.60, and systematicity was the lowest at 3.19. The values for communication skills were high in reaction, social adequacy, and concentration, with an average of 3.65. Problem-solving abilities were in the following order: clarification of the problem, seeking solutions, and decision making. According to general characteristics, more extroverted personalities possessed higher levels of critical thinking, communication skills, and problem-solving abilities (p<0.01). Critical thinking scores were high (p=0.016) in students who responded that peer relationship was difficult; however, their communication skills were the lowest (p<0.001). Additionally, problem-solving abilities were highest among students who reported a difficult peer relationship (p=0.001). The higher the satisfaction with dental hygiene academics, the higher the critical thinking, communication skill, and problem-solving ability (p<0.001). Critical thinking showed a high positive correlation with variables in the following order: clarification of the problem, performing the solutions, seeking solutions, decision making, and evaluation and reflection. The communication skills were also related to these variables listed above (p<0.01). With critical thinking, confidence, watchfulness, intellectual passion/curiosity, sound skepticism, objectivity, and systematicity all influenced the problem-solving ability. CONCLUSION: Communication skills were influenced by noise control, putting on the other's shoe, social tensions, and efficiency, which affected the problem-solving ability. Dental clinics require dental hygienists to have critical thinking to make analytical judgments and effective communication skills to solve human relation problems with patients and care-givers. Therefore, these skills should be developed in dental hygiene students to improve their problem-solving abilities.

Development of dental hygiene gum for cats considering their anatomical features of dentition

The purpose of this study was to develop effective dental hygiene chews for cats based on the anatomical features of the dentition and patterns of chewing motion. All cats were volunteered for dental prophylaxis followed by dental impressions using yellow stone and alginate under general anesthesia. Twenty parameters related to dentition were defined in order to compare dental impressions using digital caliper. For the chewing motion study, patterns of chewing motion were identified based on recordings made with a digital camera. Ten cats (4 domestic shorthairs, 2 Russian blues, 1 American shorthair, 1 Persian, 1 Turkish Angora, and 1 Devon Rex) were recruited for the study. The parameters related to teeth and oral size were similar among the studied cats. Chewing motion can be described as more of a guillotine-like motion rather than a crushing motion, with cats chewing 3–7 times before swallowing. The chewing pattern of cats involves shearing for a short period of time followed by immediate swallowing. Therefore, the overall size of the dental hygiene chew could be determined based on the measurement of the oral size for inducing chewing. The surface details of the dental hygiene chew could be designed for prevention and removal of dental calculus and plaque in cats considering the anatomical teeth parameters. Dental hygiene chews customized for cats considering the different anatomical features of their teeth might be effective for oral care.

Educational effect of 3D applications as a teaching aid for anatomical practice for dental hygiene students / 대한해부학회지

Factors Affecting Clinical Competence in Dental Hygiene Students / 치위생과학회지

BACKGROUND: This study aimed to examine the factors that influence clinical performance of dental hygiene students to provide useful data for developing strategies to improve clinical competence.METHODS: The effects of variables on clinical competence by quantile level were analyzed using quantile regression analysis in 247 dental hygiene students. Quantile regression and multiple regression analyses were conducted using the Stata 11.0 program to analyze predictors of clinical competence.RESULTS: The clinical competence score of dental hygiene students was 42.69±5.90, the satisfaction of clinical practice was 49.90±7.44, the clinical practice stress was 50.62±7.37, and the professional self-concept was 31.68±4.41. Empathy was the highest at 50.87±4.93. Multiple regression analysis showed that school year, stress from clinical training, satisfaction with clinical training, professional self-concept, and empathy had significant impact on clinical competence. Quantile regression analysis showed that the effects varied depending on the clinical competence level. School year and professional self-concept had a significant positive effect, regardless of the clinical competence level, while empathy had a significant positive effect at the top 10% (Q90) of the clinical competence level. Satisfaction with clinical practice affected clinical competence at Q25, Q50, and Q90. Stress from clinical practice had significant effects at Q25, Q50, and Q90 (p<0.05).CONCLUSION: According to the study results, different factors affected clinical competence according to the quantile of clinical competence. This study provides valuable implications for designing clinical competence enhancement programs and strategies. In addition, objective indicators for considering factors that may affect the clinical competence, such as academic competence and satisfaction of practice hospitals, are expected to require detailed analysis and measures.

Traditional uses and seed chemical composition of Jatropha spp. (Euphorbiaceae) in Tehuacán-Cuicatlán, México / Usos tradicionales y composición química de la semilla de Jatropha spp. (Euphorbiaceae) en Tehuacán-Cuicatlán, México

Abstract The Tehuacán-Cuicatlán Biosphere Reserve in México holds genetic richness and endemism for the genus Jatropha, but the specific use of the plants and the seed chemical profiles are still unknown. We recorded the traditional forms of use of Jatropha species, and analyzed the chemical composition of Jatropha spp. seeds. For this, a semi-structured survey was conducted in 15 towns, and 20 interviews were applied in each one between May and August 2012 to estimate the Significant Use Level and Relative Use Value per species. Besides, seeds from J. neopauciflora, J. rufescens, and J. rzedowskii were collected between August and October 2013, and to seed flour samples we determined total lipids by the Soxhlet method, crude protein by the Kjendahl method, and ashes according to AOAC methods; fatty acid profile and phorbol esters were determined by gas chromatography and by HPLC, respectively. The species J. neopauciflora, J. oaxacana, J. rufescens, J. ciliata, and J. rzedowskii, are used as traditional medicine, food, and ornaments, except for J. ciliata, for which none use was recorded. The Significant Use Level as food was found not significant, but for medicinal purposes, J. neopauciflora obtained the highest Relative Use Value (9.0 %). The latex is used to treat 13 disorders, including dental problems and oral diseases with a Significant Use Level of 32.9 %; it is also used as a hemostatic. The protein content among species varied from 23.37 to 26.06 %, and total lipids from 34.79 to 36.60 %. The principal unsaturated fatty acids were oleic (25.08 to 30.09 %) and linoleic (44.55 to 48.46 %), and the saturated fatty acids were palmitic (10.11 to 16.50 %) and stearic (9.47 to 11.15 %). Phorbol esters, the main cause of seed's toxicity, were absent in J. neopauciflora, J. rufescens, and J. rzedowskii. In conclusion, the Significant Use Level of Jatropha species studied was low, with little cultural acceptance and sporadic utilization. The Relative Use Value was important for medicinal purposes, especially for J. neopauciflora. The dehulled seeds of J. neopauciflora, J. rufescens, and J. rzedowskii are potentially useful as food, having high protein contents, and unsaturated oleic and linoleic fatty acids. With this study we report three non-toxic Jatropha species and recommend to scientifically validate the antimycotic use of J. neopauciflora latex. Rev. Biol. Trop. 66(1): 266-279. Epub 2018 March 01.

Resumen La Reserva de la Biosfera Tehuacán-Cuicatlán, México contiene riqueza genética y endemismo para el género Jatropha, pero se desconoce el uso específico de las plantas y la composición química de la semilla. Documentamos las formas tradicionales de uso de las especies de Jatropha y, analizamos la composición química de las semillas de las especies de Jatropha. En 15 comunidades se aplicaron 20 entrevistas semiestructuradas entre mayo y agosto de 2012 para estimar el Nivel de Uso Significativo y el Valor de Uso Relativo por especie. Se colectó semilla solo de J. neopauciflora, J. rufescens, y J. rzedowskii entre agosto y octubre de 2013 para determinar mediante los métodos de la AOAC, el contenido total de lípidos en una muestra de 3 g de harina mediante el método de Soxhlet, proteína cruda en una muestra de harina de 0.4 g por el método Kjendahl y ceniza en una muestra de 5 g de harina. El perfil de ácidos grasos se determinó por cromatografía de gases y el contenido de ésteres de forbol mediante HPLC. Las especies registradas fueron J. neopauciflora, J. oaxacana, J. rufescens, J. rzedowskii y J. ciliata, que se usan en medicina tradicional, alimento y como ornamental, excepto J. ciliata, para la cual no se reportó ningún uso. El Nivel de Uso Significativo como alimento no fue importante, pero para propósitos medicinales J. neopauciflora tuvo el mayor Valor de Uso Relativo (9.0 %). El látex es usado para tratar 13 trastornos, incluyendo problemas dentales y enfermedades bucales con un Nivel Significativo de Uso de 32.9 %; y también es usada como hemostático. El contenido de proteína entre especies varió de 23.37 a 26.06 % y los lípidos totales variaron de 34.79 a 36.60 %. Los principales ácidos grasos insaturados fueron oleico (25.08 a 30.09 %) y linoleico (44.55 a 48.46 %); los ácidos grasos saturados fueron palmítico (10.11 a 16.50 %) y esteárico (9.47 a 11.15 %). No se detectó la presencia de ésteres de forbol (la causa principal de la toxicidad de la semilla) en J. neopauciflora, J. rufescens, y J. rzedowskii. En conclusión, el Nivel de Uso Significativo de las especies de Jatropha fue bajo, con poca aceptación cultural y utilización esporádica. El Valor de Uso Relativo fue importante para propósitos medicinales, especialmente para J. neopauciflora. Las semillas sin testa de J. neopauciflora, J. rufescens, y J. rzedowskii son potencialmente útiles como alimento por su alto contenido de proteínas, ácidos grasos insaturados oleico y linoleico. Se identificaron tres especies no toxicas de Jatropha. Se recomienda validar científicamente el uso antimicótico del látex de J. neopauciflora.

Dental Hygienist-Led Dental Hygiene Process of Care for Self-Support Program Participants in Gangneung / 치위생과학회지

This study aimed to provide basic data for establishing the clinical basis for dental hygienist-led dental hygiene process of care by identifying multiple risk factors for self-support program participants in Gangneung city; we also compared oral health status and behavioral changes through customized oral health care. Four dental hygienists who were evaluated for degree of conformity provided dental hygiene process of care to eight self-support program participants who were selected as having an oral health risk among people in the self-support center. The clinical indicators measured during dental hygiene assessment and evaluation and behavioral changes due to dental hygiene intervention were compared and analyzed. With respect to clinical indicators, at the time of probe, the retention rate of patients with gingival bleeding decreased from 61.4% to 14.7% after intervention (p=0.004). Furthermore, the retention rate of patients with a periodontal pocket >4 mm decreased from 15.6% to 5.8% (p=0.001). The average modified O'Leary index of the patients improved from 23 to 40 (p=0.002). Previously, all eight subjects used the vertical or horizontal method of brushing; after dental hygiene care interventions regarding method and frequency of toothbrushing, use of oral care products, and individual interventions, they started using the rolling or Bass method of toothbrushing. Four of eight subjects reported using interdental toothbrushes after intervention. As a result of applying the change model to the transtheoretical behavior change of the subject, the result of strengthening the health behavior was confirmed. For promotion of oral health by the prevention-centered incremental oral health care system, dental hygienist-led dental hygiene management and maintenance is essential. It is thought that continuous research, such as for feasibility evaluation, cost benefit analysis, and preparation of legal systems, is needed to establish and activate dental hygiene management.

Analysis of Journal of Dental Hygiene Science Research Trends Using Keyword Network Analysis / 치위생과학회지

This research team extracted keywords from 953 papers published in the Journal of Dental Hygiene Science from 2001 to 2018 for keyword and centrality analyses using the Keyword Network Analysis method. Data were analyzed using Excel 2016 and NetMiner Version 4.4.1. By conducting a deeper analysis between keywords by overall keyword and time frame, we arrived at the following conclusions. For the 17 years considered for this study, the most frequently used words in a dental science paper were “Health,”“Oral,”“Hygiene,” and “Hygienist.” The words that form the center by connecting major words in the Journal of Dental Hygiene through the upper-degree centrality words were “Health,”“Dental,”“Oral,”“Hygiene,” and “Hygienist.” The upper betweenness centrality words were “Dental,”“Health,”“Oral,”“Hygiene,” and “Student.” Analysis results of the degree centrality words per period revealed “Health” (0.227), “Dental” (0.136), and “Hygiene” (0.136) for period 1; “Health” (0.242), “Dental” (0.177), and “Hygiene” (0.113) for period 2; “Health” (0.200), “Dental” (0.176), and “Oral” (0.082) for period 3; and “Dental” (0.235), “Health” (0.206), and “Oral” (0.147) for period 4. Analysis results of the betweenness centrality words per period revealed “Oral” (0.281) and “Health” (0.199) for period 1; “Dental” (0.205) and “Health” (0.169) for period 2, with the weight then dispersing to “Hygiene” (0.112), “Hygienist” (0.054), and “Oral” (0.053); “Health” (0.258) and “Dental” (0.246) for period 3; and “Oral” (0.364), “Health” (0.353), and “Dental” (0.333) for period 4. Based on the above results, we hope that further studies will be conducted in the future with diverse study subjects.

Analysis of Factors Affecting Dental Hygiene Students' Attitudes toward Patient Safety and Performing Confidence / 치위생과학회지

The purpose of this study was to investigate the attitudes and performing confidence, and factors influencing patient safety of dental hygiene students. The questionnaire contained items on the subjects' general characteristics, attitudes, and performing confidence in relation to patient safety. The self-reported questionnaire was administered to 287 dental hygiene students in Gwangju and Jeonnam, Korea from September to November 2017. We performed an independent t-test, one-way ANOVA analysis, Pearson's correlation coefficient, and multiple regression analysis using IBM SPSS ver. 21.0 software. As a result of differences in attitude, and performing confidence according to the general characteristics, attitude toward patient safety scored 3.48 out of 5 points, and was more positive in students from 4-year colleges, with high major satisfaction, and in students who answered that they needed patient safety education. Performing confidence for patient safety scored 3.57 out of 5 points, and was statistically significantly higher in 4-year college students, with higher major satisfaction, amongst those with experience in patient safety education, and when patient safety education was needed before clinical practice or employment. There were positive correlations between attitude and performing confidence for patient safety. As a result of analyzing the factors influencing attitude and performing confidence for patient safety, attitudes were higher with higher performing confidence and performing confidence had the highest satisfaction rate of the major and patient safety education experience. Therefore, it is necessary to provide systematic education at universities reflecting the characteristics of dental medical institutions, as well as developing various education contents and education methods.

Self Efficacy, Fatigue, Communication Competence and Satisfaction of Clinical Practice and its Related Factors among Some Dental Hygiene Students / 의료커뮤니케이션

PURPOSE: This study was performed to provide basic educational data for improvement of satisfaction in clinical practice by investigating the relationship of clinical practice satisfaction with self-efficacy, fatigue and communication skill in dental hygiene students.METHODS: A survey using a self-administered questionnaire was conducted among 205 second- and third-year students enrolled in an dental hygiene program at three colleges located in A and B province from March 10 to April 10, 2018.RESULTS: Satisfaction level of clinical practice was significantly higher in the group more satisfied with their majors, with more healthy subjective health status, more satisfied with their interpersonal relationships, with a higher self-efficacy, with a lower fatigue, and with better communication skill. Clinical practice satisfaction had a significantly positive correlation with self-efficacy and communication skill and a significantly negative correlation with fatigue. Factors affecting clinical practice satisfaction in the subjects were communication skill, self-efficacy and fatigue. The total variance explained by all three variables was 20%.CONCLUSION: Further studies and development of education programs including a broad range of strategies for clinical training are warranted by reflecting those related variables to improve clinical practice satisfaction in dental hygiene students.

Suggestion of Learning Objectives in Social Dental Hygiene: Oral Health Administration Area / 치위생과학회지

The purpose of this study is to propose learning objectives in social dental hygiene by analyzing and reviewing learning objectives in oral health administration area of the existing public oral health. This study is a cross-sectional study. The subjects of the study selected with convenience extraction were 15 members of the social dental hygiene subcommittee of the Korean Society of Dental Hygiene Science. Data collection was conducted by self-filling questionnaire. The research tool is from 48 items of A division in the book of learning objectives in the dental hygienist national examination, and this study classified each of them into ‘dental hygiene job relevance’, ‘dental hygiene competency relevance’, ‘timeliness’, and ‘value discrimination of educational goal setting’ to comprise 192 items. Also, to collect expert opinions, this study conducted Delphi survey on 7 academic experts. Statistical analysis was performed using the IBM SPSS Statistics ver. 23.0 program (IBM Co., Armonk, NY, USA). Recoding was performed according to the degree of relevance of each learning objective and frequency analysis was performed. This study removed 18 items from the whole learning objectives in the dental hygienist national examination in the oral health administration area of public oral health. Fifteen revisions were made and 15 existing learning objectives were maintained. Forty-five learning objectives were proposed as new social dental hygiene learning objectives. The topics of learning objectives are divided into social security and medical assistance, oral health care system, oral health administration, and oral health policy. As a result of this study, it was necessary to construct the learning objectives of social dental hygiene in response to changing situation at the time. The contents of education should be revised in order of revision of learning objectives, development of competency, development of learning materials, and national examination.

Study on Current Curriculum Analysis of Clinical Dental Hygiene for Dental Hygiene Students in Korea / 치위생과학회지

The purpose of this study was to provide basic data to standardize the clinical dental hygiene curriculum, based on analysis of current clinical dental hygiene curricula in Korea. We emailed questionnaires to 12 schools to investigate clinical dental hygiene curricula, from February to March, 2017. We analyzed the clinical dental hygiene curricula in 5 schools with a 3-year program and in 7 schools with a 4-year program. The questionnaire comprised nine items on topics relating to clinical dental hygiene, and four items relating to the dental hygiene process and oral prophylaxis. The questionnaire included details regarding the subject name, the grade/semester/credit system, course content and class hours, the number of senior professors, and the number of patients available for dental hygiene clinical training purposes. In total, there were 96 topics listed in the curricula relating to clinical dental hygiene training, and topics varied between the schools. There was an average of 20.4 topic credits, and more credits and hours were allocated to the 4-year program than to the 3-year program. On average, the ratio of students to professors was 21.4:1. Course content included infection control, concepts for dental hygiene processes, dental hygiene assessment, intervention and evaluation, case studies, and periodontal instrumentation. An average of 2 hours per patient was spent on dental hygiene practice, with an average of 1.9 visits. On average, student clinical training involved 19 patients and 26.6 patients in the 3-year and 4-year programs, respectively. The average participation time per student per topic was 38.0 hours and 53.1 hours, in the 3-year and 4-year programs, respectively. Standardizing the clinical dental hygiene curricula in Korea will require consensus guidelines on topics, the number of classes required to achieve core competencies as a dental hygienist, and theory and practice time.

A Case Study on the Validity of Dental Communication Curriculum of a Dental Hygiene Department / 치위생과학회지

The purpose of this study was to examine the validity of the content of an educational curriculum by understanding the opinions of experts in the development of weekly educational content for dental communication or communication-related subjects. It was composed of educational content on how to communicate with patients by cultivating a professional attitude through basic contents and a self-understanding of communication. Three experts were asked to evaluate the feasibility of educational contents and their appropriateness in order to evaluate the criteria for certification as a dental hygienist. The validity of the weekly educational contents and the period of education were awarded 4 points out of a maximum of 5 points; overall, the curriculum was evaluated to be valid and to be acceptable for use as criteria for certification evaluation. On the other hand, it was confirmed that not only should the contents be made appropriate for the grade level, but it should be complemented so that theoretical and practical learning can be achieved in a gradual and interrelated manner rather than as a one-time curriculum. Therefore, the result of this study can be considered for use as background data for curriculum development, and for standardization of the communication course in the dental hygiene department.

Study of Clinical Practice Standardization in Dental Hygiene / 치위생과학회지

There are 82 dental hygiene departments and clinical training institutes across the country with a very wide range of clinical practice content and evaluation methods, making standardization difficult. Therefore, there is a need to establish a standard protocol outlining clinical practice content and evaluation methods for systematic and efficient operation of clinical practice. Thus, this study attempted to propose such a protocol for standardization of dental hygiene clinical practice in dental clinics and hospitals to examine the contents of clinical practice by reviewing relevant literature, and relating it to professional practice within the dental hygienic curriculum to facilitate enhancement of expertise. Clinical practice content was extracted from 74 cases, and was consisted of classifying mandatory and optional clinical practice, training time, and activity methods for each component. To standardize effective clinical practice, it is necessary to organize the components acquired in the course of clinical dentistry training in line with their arrangement on each university's curriculum, in order to learn all components step by step. To do this, it is necessary to present a standardized clinical practice protocol and a organic cooperation between educational institutions and clinical training institutions.

A Comparison of Oral Health Behavior and Oral Health Outcomes between Cooperative and Non-Cooperative Groups following Implementation of an Oral Health Care Program / 치위생과학회지

The purpose of this study was to reveal analyze the relationship between status of participation in an oral health care program and oral health outcomes among patients in Korea, and to evaluate the results to provide evidence regarding the feasibility of widespread implementation of the program. Patients were designated as either cooperative or non-cooperative with the oral health care program and were assigned to each group accordingly. Modified dental hygiene process (M-DHP) of the oral healthcare program was modified to form the dental hygiene process. The study included 48 patients at a dental clinic in Busan, Korea. Questionnaires were used to collect information on oral health behavior (OHB), clinical examination was used to record bleeding on probing (BOP) and O'Leary index, and phase microscopy was used to identify microorganisms. Differences between groups were evaluated using repeated measures ANOVA. Our results showed that the group cooperative with the oral health care program showed greater improvement in OHB, BOP, and O'Leary index than the non-cooperative group. Second, patient satisfaction with the M-DHP was very high, particularly for content and the friendly nature of the staff. The cooperative group showed greater improvement in oral health than the non-cooperative group for all metrics. Our results suggest that this low-coste program, if implemented, would be actively accepted and utilized in dental clinics.

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

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.

Study on Clinical Dental Hygiene in Korea Based on Analysis of Clinical Dental Hygiene Curriculum of Fones School in the United States / 치위생과학회지

The aim of this study was to analyze in depth the standardized Clinical dental hygiene curriculum of the Fones School in the United States. We investigated the clinical dental hygiene curriculum in 2015~2016 including title, credit, hours, contents, goals, competencies, and evaluation. We obtained the course syllabus and data related to each subject, for each grade, from the professors and students at the university. The goals and competencies, of the clinical dental hygiene program, which were based on the goals of the Fones School and the mission of the University of Bridgeport, were developed in accordance with the dental hygienist practice standards proposed by the American Dental Hygienists Association. The curriculum consisted of theory to teach proper dental hygiene care procedures and incorporated practical exercises that modeled an actual clinical setting. The students had to document the procedures performed for each client/patient and improve their clinical competency through discussion with the professors. Dental hygiene care should be provided for children, adolescents, adults, elderly, and patients, which includes patients with moderate or severe periodontal status. Students were evaluated by a paper test or case study presentation and their clinical evaluation was based on their clinical competency. In particular, professors evaluated students on a rotational basis, so they could evaluate the level of achievement of clinical competency of all students and find ways to improve any weaknesses. Therefore, the current study suggested that clinical dental hygiene program in Korea could be improved if based on the curriculum of Fones School in the United States.

Competencies for Entry into the Profession of Dental Hygiene / 치위생과학회지

This study was conducted to derive core and detailed competencies of dental hygienists to be utilized as educational targets to be reached by graduation as well as basic data that can be reflected in the development and improvement of dental hygiene curricula. This study analyzed publication reports from the Korean Dental Hygienists Association, the International Federation of Dental Hygienists, the Commission on Dental Accreditation, and the American Dental Education Association. Based on the academic classification system for dental hygiene studies, the components of core and detailed competencies of dental hygiene school at the time of graduation were extracted and developed through expert panel discussions. This study defined competencies at the graduation level of dental hygiene school and derived eight core competencies and their 52 detailed competencies to serve as educational objectives from four areas: professionalism, communication, clinical practice, and community and health promotion. In the future, it will be necessary to conduct self-assessments of competencies based on those developed in this study, at time of the graduation from dental hygiene school, as well as to continuously develop competency-based curricula according to entry level, knowledge level, and graduation level. Thus, it is urgently necessary to develop a system that can evaluate the competencies of dental hygienists after graduation and put this system into practical use.

Cultural Competence and Influencing Factors of Dental Hygiene Students / 치위생과학회지

The purpose of this study was to investigate the level of cultural competence and its influencing factors among 530 dental hygiene students. The analysis was performed using PASW Statistics ver. 18.0, and the following conclusions were drawn. Cultural knowledge levels showed a significant difference according to general characteristics in four components of cultural competence levels. Cultural competence and its four components were higher in subjects who have a religion (p<0.05). The differences in cultural competence levels according to culture-related characteristics are as follows. In individuals with experience of taking foreign culture-related classes, intention to work overseas, or fluency in a foreign language, cultural competence levels and its four components such as cultural comfort, knowledge, awareness, and behavior intent were higher (p<0.05). Intention of overseas employment was the factor most strongly influencing the level of cultural competence of the subjects. The more intention the subjects have to work overseas, the more they have experienced foreign culture-related lessons, the more fluently they speak a foreign language, and the higher level of cultural competency they reached (p<0.05). As the research results show, it is necessary to establish a continuing plan to understand and communicate with individuals of other cultures through foreign language and foreign culture classes in schools in order to improve the level of cultural competence. This education would reduce the fear and stress that subjects might make a mistake in meeting with people from other cultures, and it could be a preparatory process to actively carry out dental hygiene practice with foreigners.