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Dental Hygienist-Led Dental Hygiene Process of Care for Self‐Support Program Participants in Gangneung
J Dent Hyg Sci 2018;18:327-39
Published online December 31, 2018;
© 2018 Korean Society of Dental Hygiene Science.

Sang-Hee Yoo1,2, Seon-Hui Kwak1, Sue-Hyang Lee1, Ga-In Song1, Soo-Myoung Bae1,2, Sun-Jung Shin1,2, and Bo-Mi Shin1,2,†

1Department of Dental Hygiene, Gangneung-Wonju National Universtity College of Dentistry, Gangneung 25457, 2Research Institute of Oral Science, Gangneung-Wonju National University, Gangneung 25457, Korea
Correspondence to: Bo-Mi Shin
Department of Dental Hygiene, Gangneung-Wonju National Universtity College of Dentistry, 7 Jukheon-gil, Gangneung 25457, Korea
Tel: +82-33-640-2860, Fax: +82-33-642-6410, E-mail:
Received July 11, 2018; Revised August 28, 2018; Accepted September 14, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords : Dental hygiene process of care, Dental hygienist, Dental prophylaxis, Independent dental hygiene practice

December 2018, 18 (6)
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