Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

A Convergence Study on the Oral Myofunction and Oral Bacteria in the Elderly with Systemic Disease

전신질환 노인의 구강근기능과 구강 세균에 관한 융복합 연구

  • Kim, Seol-Hee (Department of Dental Hygiene, Konyang University)
  • 김설희 (건양대학교 치위생학과)
  • Received : 2020.12.15
  • Accepted : 2021.02.20
  • Published : 2021.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine the correlations of oral myofunction and oral environment for the elderly with systemic diseases and to suggest need to improve oral health for the elderly. Data were collected from 64 elderly over the age of 65, from April to June 2019. Data were surveyed on general characteristics, oral myofunction, oral health-related quality of life, oral bacteria. Analysis was performed using PASW Statistics ver 18.0. The subjects were 43.8% systemic diseases, among them 40.6 percent of the people with more than two. The number of functional teeth was 18.6. Age was negatively correlated with functional teeth(r=-.384, p<.01) and tongue pressure (r=-).104, p<.001). Tongue pressure was a positive correlation with lip force(r=.279, p<.05). Age and total number of bacteria was negative correlation(r=-.336, p<.01). The functional teeth and total number of bacteria was positive correlation(r=.551, p<.001). The number of systemic diseases and total number of bacteria was positive correlation(r=.327, p<.01) the analysis of oral myofunction and oral bacteria in older patients with systemic diseases It was meaningful in suggesting a plan to improve oral health for the elderly. A practical policy plan was required to improve the quality of oral health life in a super-aged society.

본 연구는 전신질환 노인을 대상으로 구강근기능과 구강환경을 조사하고 노인 구강건강 증진안을 제언하고자 하였다. 2019년 4-6월 동안 65세 이상 전신질환 노인 64명을 대상으로 구강근력, 구강건강관련 삶의 질, 구강세균에 대해 조사하고, PASW Statistics ver 18.0을 이용하여 분석하였다. 전신질환 유병은 1개 43.8%, 2개 40.6%, 기능치아수는 18.6개였다. 나이는 기능치아수(r=-.384, p<.01), 혀근력(r=-.104, p<.001)과 부적 상관관계가 있었고, 혀근력과 구순근력은(r=.279, p<.05)과 정적 상관관계가 있었으며, 연령과 총세균수는(r=-.336, p<.01) 부적 상관관계, 기능치아수와 총세균수는(r=.551, p<.001) 정적 상관관계 그리고 전신질환 수와 총세균수는(r=.327, p<.01) 정적 상관관계로 나타났다. 노인 전신질환자의 구강근기능과 구강환경의 문제점을 토대로 노인 구강건강 증진안을 제언하는데 의미가 있었고 초고령 시대를 앞두고 있는 지금 구강건강 관련 삶의 질을 증진시키기 위한 실제적인 정책안이 요구되었다.

Keywords

References

  1. National Health and Nutrition Survey, National Health Statistics. (2018). DOI:https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7
  2. C. H. Kim, A. R. Lee, W. C Yoo. (2014). Common combinations of chronic diseases in multimorbidity and their effect on healthcare cost in Korea. The Korean Journal of Health Economics and Policy. 20(4), 81-102. DOI : G704-001714.2014.20.4.003
  3. M. K Lee, A. R Jo, S. O Lim. (2017). Community Health Convergence through Analysis of Chronic Disease Influencing Factors. Journal of the Korea Convergence Society, 8(5), 127-135. DOI : 10.15207/JKCS.2017.8.5.127
  4. Matthieu Minty, Thibault Canceil, Matteo Serino, Remy Burcelin, Francois Terce, Vincent Blasco-Baque (2019). Oral microbiota- induced periodontitis: a new risk factor of metabolic diseases. Rev Endocr Metab Disord, 20(4):449-459. DOI : 10.1007/s11154-019-09526-8
  5. Kei Arimatsu, et al. (2014). Oral pathobiont induces systemic inflammation and metabolic changes associated with alteration of gut microbiota. Sci Rep, 6(4), 4828. DOI : https://doi.org/10.1038/srep04828
  6. D T Graves, J D Corrêa, T A Silva. (2019). The Oral Microbiota Is Modified by Systemic Diseases. J Dent Res, 98(2), 148-156. DOI : 10.1177/0022034518805739.
  7. Y. R. Chae, et al. (2019). Relationship among Oral Hygiene Management, Halitosis, Interpersonal Relationships and Oral Health-Related Quality of Life in Community-Dwelling Elderly. Korean J Health Promot, 19(4), 229-236, DOI : http://dx.doi.org/10.15384/kjhp.2019.19.4.229
  8. B Thanga Raj, B Sreelekha, A Manjula (2020). Effectiveness of oral exercise on oral function among the elderly. J Family Med Prim Care, 9(4), 1896-1903. DOI : 10.4103/jfmpc.jfmpc_899_19
  9. Cassolato SF, Turnbull RS (2003). Xerostomia: clinical aspects and treatment. Gerodontology, 20(2), 64-77. DOI: https://doi.org/10.1111/j.1741-2358.2003.00064.x
  10. S. H Kim. (2019). Comparative Analysis of Orofacial Myofunctional in Adults and Eldery People. Journal of the Korea Academia-Industrial cooperation Society, 20(4), 303-310, DOI : https://doi.org/10.5762/KAIS.2019.20.4.303
  11. Wegner DA, Steidl EMDS, Pasqualoto AS, Mancopes R. (2018). Oropharyngeal deglutition, nutrition, and quality of life in individuals with chronic pulmonary disease. Codas. 30(3), e20170088. 2018. DOI: http://dx.doi.org/10.1590/2317-1782/20182017088
  12. Seo J, MacEntee M, Brondani M. (2015). The use of Subject Matter Experts in Validating an Oral Health-Related Quality of Life measure in Korean. Health Qual Life Outcomes. 13, 138. DOI : http://dx.doi.org/10.1186/s12955-015-0335-0
  13. M. J Cho, E. J Park, H. E Shin. (2016). Convergent effects of oral health behaviors on number of remaining teeth of the elderly welfare recipients. Journal of Digital Convergence, 14(12), 537-544. DOI : 10.14400/JDC.2016.14.12.537
  14. Korea Institute of Health and Social Affairs, the prevalence of polyp disease in the elderly, 2002.
  15. S. Y Lee. (2020). Oral Health and Systemic Diseases in the Elderly. Korean J Clin Geri, 21(2), 39-46. https://doi.org/10.15656/kjcg.2020.21.2.39
  16. Anna Satake, et al. (2019). Effects of oral environment on frailty: particular relevance of tongue pressure. Clin Interv Aging, 12(14), 1643-1648. DOI : https://doi.org/10.2147/cia.s212980
  17. Raquel Rodrigues Rosa, Mariana da Rocha Salles Bueno, Renata Resina Migliorucci, Alcione Ghedini Brasolotto, Katia Flores Genaro, Giedre Berretin-Felix. (2020). Tongue function and swallowing in individuals with temporomandibular disorders. J Appl Oral Sci, Apr 3;28:e20190355. DOI : https://doi.org/10.1590/1678-7757-2019-0355
  18. Vincent Blasco-Baque, et al. (2017). Periodontitis induced by Porphyromonas gingivalis drives periodontal microbiota dysbiosis and insulin resistance via an impaired adaptive immune response. Gut, 66(5), 872-885. DOI: https://doi.org/10.1136/gutjnl-2015-309897
  19. Albandar JM, Rams TE. (2002). Global epidemiology of periodontal diseases: an overview. Periodontol, 2002(29), 7-10. DOI:https://doi.org/10.1034/j.1600-0757.2002.290101.x
  20. Matthieu Minty Thibault Canceil, Matteo Serino, Remy Burcelin, Francois Terce Vincent Blasco-Baque. (2019). Oral microbiota-induced periodontitis: a new risk factor of metabolic diseases. Rev Endocr Metab Disord, Dec;20(4), 449-459. DOI: https://doi.org/10.1007/s11154-019-09526-8
  21. D.T. Graves J.D. Corrêa, and T.A. Silva. (2019). The Oral Microbiota Is Modified by Systemic Diseases. J Dent Res, 98(2), 148-156. DOI: https://doi.org/10.1177/0022034518805739
  22. M K Lee, S B Yu, H J Kim. (2018). Analysis of Oral Pathogenic Microorganisms by Elderly's Systemic and Oral Health Status of the Elderly Over 65 Years. Biomed Sci Letters, 24, 372-379. DOI: https://doi.org/10.15616/BSL.2018.24.4.372
  23. S. K Han, et al. (2004). A clinical study on the care of odontogenic infectionsin the admission patients with age related geriatric disease. J Korean Assoc Oral Maxillofac Surg, 30(5), 414-421. DOI: UCI :G704-000546.2004.30.5.011
  24. Locker, D, Matear D, Stephens M. Jokovie A. (2002). Oral health related quality of a population of medically compromised elderly people. Community Dental Health, 19(2). 90-97. DOI: https://pubmed.ncbi.nlm.nih.gov/12146588/
  25. Y. R. Chae, et al. (2019). Relationship among Oral Hygiene Management, Halitosis, Interpersonal Relationships and Oral Health-Related Quality of Life in Community-Dwelling Elderly. Korean J Health Promot, 19(4), 229-236. DOI: http://dx.doi.org/10.15384/kjhp.2019.19.4.229