The purpose of the study was to investigate the content analysis of daily tooth cleaning service records by caregivers in a long-term care facility. Methods: The data were analyzed by qualitative research based on content analysis of the daily records of the processes and results of daily tooth cleaning service. Twenty caregivers provided tooth, gum and denture cleaning service after breakfast, lunch, and dinner to 48 elderly residents. The study lasted about two weeks(from August 4 to August 20, 2014). The researcher reconstructed the language by repeatedly reviewing the caregivers statements in the records. The content categories were derived from the records through a reiterative manual comparative analysis. Using constant comparison method, reconstructed meanings were incorporated into various meanings and reanalyzed by final categories called as analytic coding. In order to validate the reliability, 6 times of discussion made the common meanings through a master's degree student and a dental hygiene professor. Results:The caregivers identified lack of understanding and ability to recognize the functional physical and mental changes in the elderly. The elderly had difficulty in recognizing silent communication and daily tooth cleaning. The caregivers were so strenuous in taking care of the daily tooth cleaning service for the elderly. At last, they gave up the daily tooth cleaning service and took on it to the guardians. They found that there was no social supporting network for oral health of the elderly residents. Conclusions: Caregivers had insufficient understanding of the functional physical and mental changes in the elderly residents, and they had difficulty providing daily tooth cleaning service to the elderly due to poor skill and abilities.

Objectives: This study was conducted to confirm the changes in the dental hygienist's working environment and oral health education after insurance coverage for elderly implants. Methods: This study surveyed 215 dental hygienists with clinical experiences of more than 4 years of working in dental hospitals (SPSS ver. 23.0, p<0.05). Results: There was no significant change in the dental hygienist's work environment after the elderly implant insurance coverage, and most dental hygienists responded positively to the implant insurance coverage. Regardless of the benefits of elderly implant insurance, the contents of knowledge transfer related to implants did not change and were evenly covered. Conclusions: In the future, as the proportion of the elderly population is increasing, an effective oral health education system using various oral health education media should be prepared.