DOI QR코드

DOI QR Code

한국성인의 고혈압, 당뇨 환자의 구강건강행태가 잔존치아 수에 미치는 영향

Effects of oral health behavior on remaining teeth in Korean adults older than 45 years with hypertension and diabetes

  • 이정화 (동의대학교 치위생학과.구강위생과학연구소)
  • Lee, Jung-Hwa (Department of Dental Hygiene.Oral Hygiene Science Research Institute, Dong-eui University)
  • 투고 : 2019.12.31
  • 심사 : 2020.01.29
  • 발행 : 2020.02.28

초록

Objectives: The purpose of this study was to investigate the effects of oral health behaviors of patients with hypertension and diabetic patients on the number of remaining teeth in Korean adults over 45 years of age, furthermore, we also aimed to develop oral health care programs and health promotion for patients with hypertension and diabetes. Methods: Altogether, 1,526 subjects with hypertension and diabetes from the 6th Korean National Health and Nutrition Survey (2013-2015) were analyzed. Results: A multiple logistic regression analysis was performed to determine the effects of oral health behavior and periodontal disease on residual teeth in patients with hypertension and diabetes after adjusting for age. We found 1.53 times the risk of having less than 20 remaining teeth in the group of brushing more than 3 times a day (95% CI: 1.00,2.35, p<0.001), 2.27 times (95% CI: 1.23-4.17, p<0.05) in the group not using the dental floss group 0.05), compared to the group undergoing regular dental check-up (95% CI: 0.93-1.85, p>0.05), compared to the non-smoking group 0.77 times (95% CI: 0.51-1.14, p>0.05), 1.33 times (95% CI: 0.98-1.80, p>0.05) in the drinking group compared to the non-drinking group, in the periodontal disease group, the risk of having less than 20 remaining teeth was 2.19 times higher (95% CI: 1.48-3.24, p>0.001) than in the normal group. Conclusions: As a super-aging society, develops in Korea, the prevalence of hypertension and diabetes will increase gradually. Therefore, an oral health policy should be implemented at the national level for the prevention and treatment of periodontal disease as well as the management of oral health the elderly.

키워드

참고문헌

  1. Lee JH, Chung HJ, Kim JH. Association between periodontal disease and coronary heart disease. J Periodontal & Implant Sci 2005;35(1):111-21. https://doi.org/10.5051/jkape.2005.35.1.111
  2. Kang HM. The association of periodontal disease tooth loss with hypertension and diabetes[Master's thesis]. Seoul: Univ. of Catholic Korea, 2012.
  3. World Health Organization. Global status report on noncommunicable diseases 2014. Geneva: World Health Organization; 2014: 42-88.
  4. Ezzati M, Lopez AD, Rodgers A, Vander Hoom S, Murray CJ. Selected major risk factors and global and regional burden of disease. Lancet 2002;360(9343):1347-60. https://doi.org/10.1016/S0140-6736(02)11403-6
  5. Korea Centers for Disease Control and Prevention (KCDC). Korea National Health and Nutrition Examination Survey(KNHANES VII-1) [Internet].Korea Health Statistics; 2016. [cited 2019 Mar 20]. Available from: http://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?class-Type=7
  6. Ju OJ. Impact of oral health behaviors on the presence or absence of periodontal diseases and missing tooth. J Korean Soc Dent Hyg 2011;11(4):511-22.
  7. Kim SH. The effect of plaque control(tooth brushing instruction) for oral health improvement on periodontitis patients. J Korean Soc Dent Hyg 2011;11(2):293-301.
  8. Korean Statistical Information Service. National Health Insurance Statistics[Internet]. Outpatient disease statistics; 2016. [cited 2019 Oct 10]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35001_A073111
  9. Jung SH. New Dental Public Health. 1st ed. Seoul: Komoonsa; 2012: 125-32.
  10. Woo DH, You HY, Kim MJ, Kim HN, Kim JB, Jeong SH. Risk indicators of periodontal disease in Korean adults. J Korean Acad Oral Health 2013;37(2):95-102. https://doi.org/10.11149/jkaoh.2013.37.2.95
  11. Han YJ, Hong SH, Yu MS. The relationship among the experiences of chronic diseases, dental health status, and the behaviors in the Korean elderly people. J Korean Soc Dent Hyg 2018;18(1):65-75. https://doi.org/10.13065/jksdh.2018.18.01.65
  12. Lim MH. Effects of oral health knowledge, attitude, and behavior on oral health impact profile of metabolic syndrome patients. J Korean Soc Dent Hyg 2018;18(6):1079-90.
  13. Kang HJ. A study on periodontal disease and tooth loss in metabolic syndrome patient. J Dent Hyg Sci 2015;15(4):445-56. https://doi.org/10.17135/jdhs.2015.15.4.445
  14. Kim SY, Jang HG. Influence of metabolic on periodontal disease in Korean adults. J Korean Soc Dent Hyg 2015;15(3):399-410. https://doi.org/10.13065/jksdh.2015.15.03.399
  15. Kim JS, Kim SY, Byon MJ, Lee JH, Jeong SH, Kim JB. Association between periodontitis and metabolic syndrome in a Korean nationally representative sample of adults aged 35-79 years. Int J Environ Res Public Health 2019;16:E2930. https://doi.org/10.3390/ijerph16162930
  16. Baek HJ, Choi YH, Lee SG, Song KB, Kwon HJ. The association of metabolic syndrome and periodontitis in Korean adult population. J Korean Acad Oral Health 2010;34(3):338-45.
  17. Yamanaka K, Nakagaki H, Morita I, Suzaki H, Hashimoto M, Sakai T. Comparison of the health condition between the 8020 achievers and the 8020 non-achievers. Int Dent J 2008;58:146-50. https://doi.org:10.1111/j.1875-595X.2008.tb00190.x
  18. Korea Health Promotion Foundation National health plan 2020 in Korea[Internet]. [cited 2018 Apr 17]. Available from: http://www.khealth.or.kr/hp2020/busi.do?pgNo=sub27
  19. Jung YH, Ko SJ, Kim EJ. A study on the effective chronic disease management. Seoul: Korea Institute for Health and Social Affairs; 2013: 3-8.
  20. Yoo TW. Current status and vision of e-care. J Korean Med Assoc 2002;45(1):41-50. https://doi.org/10.5124/jkma.2002.45.1.41
  21. Kaur G, Holtfreter B, Rathmann W, Schwahn C, Wallaschofski H, Schipf S, et al. Association between type 1 and type 2 diabetes with periodontal disease and tooth loss. 2009;36(9):765-74. https://doi.org/10.1111/j.1600-051X.2009.01445.x
  22. Han YJ, Han MA. Oral health and behavior by diabetic status: the fifth Korea national health and nutrition examination survey. J Korean Soc Dent Hyg 2016;16(2):233-40. https://doi.org/10.13065/jksdh.2016.16.02.233
  23. Brennan DS, Spencer AJ. Comparison of a generic and a specific measure of oral health related quality of life. Community Dent Health 2005;22(1):11-8.
  24. Do LG, Slade GD, Roberts-Thomson KF, Sanders AE. Smoking-attributable periodontal disease in the Australian adult population. J Clin Periodontol 2008;35(5):398-404. https://doi.org/10.1111/j.1600-051X.2008.01223.x.
  25. Han DH, Lim S, Kim JB. The association of smoking and diabetes with periodontitis in a Korean population. J Peridontol 2012;83(11):1397-406. https://doi.org/10.1902/jop.2012.110686
  26. Yang JY, Park KS. The effects of smoking on oral environment. J Dent Hyg Sci 2001;1(1):60-6.
  27. Yun JW, Lee JH. An assessment of smoking cessation counseling among dental hygienists. J Korean Acad Oral Health 2015;39(1):51-5. https://doi.org/10.11149/jkaoh.2015.39.1.51
  28. Park JH, Kim YN, Yoo JH, Kim MY, Kim BI, Kwon HK. Relationship between smoking and periodontal pocket formation in Korean adults. J Korean Acad Oral Health 2005;29(3):293-301.