• Title/Summary/Keyword: 치주관리

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A comparative study of bite force associated with remaining bone level in anterior and premolar teeth at periodontal maintenance phase (유지관리기 치주환자의 전치 및 소구치에서 잔존 치조골량에 따른 교합력의 비교 연구)

  • Song, Gyu-Won;Yim, Sung-Bin;Chung, Chin-Hyung
    • Journal of Periodontal and Implant Science
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    • v.32 no.3
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    • pp.643-653
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    • 2002
  • Periodontal supporting tissue goes through destruction by chronic inflammatory periodontal disease as two aspect. One is qualitive aspect such as alteration of periodontium, the other is quantitative aspect such as alveolar bone loss. According to many authors, PDL is responsible for biting force, and there are two mean. for measuring PDL's function - mobility test and biting force test. This study was conducted to compare the biting force with remaining bone level, that is, quantitative aspect of periodontium, in anterior and premolar teeth at periodontal maintenance phase. 17 patients on periodontal maintenance phase during 6 months at minimum were selected for this study. For the same condition, 4 anterior, canine, premolar teeth were tested by MPM-3000 bite-force register at the same time(a.m.l0-12), the same position, the same posture, by the same examiner. Patients of TMI), ill-fitting pros thesis, general disease, malocclusion and the teeth of TFO, absence of opposing teeth, malposition were excluded. Remaining bone level was measured on the panorama X-ray film through 5 level from 1mm below CEJ to root apex. Teeth were examined twice, and bigger one was selected. If the values showed large difference. examinatin was re-done and the mean was selected. The results were as follows ; 1. In the 4 anterior group, as the remaining bone is decreased, the average of maximal biting force is decreased. Especially, at 3/5 bone level, maximal biting force is decreased significantly(p<0.01). 2. In the canine group, as the remaining bone is decreased, the average of maximal biting force is decreased. Especially, at 2/5 bone level, maximal biting force is decreased significantly(p<0.01). 3. In the premolar group, as the remaining bone is decreased, the average of maximal biting force is decreased. Especially, at 3/5 bone level, maximal biting force is decreased significantly(p<0.05). From the results of this study, clinicians could utilize these efficiently when they have to determine the proper restorative materials, time for tooth extraction, treatment plan, prognosis.

A study on the plaque removal efficiency of new and worn toothbrushes (새 칫솔과 마모된 칫솔의 치태제거효율에 관한 비교연구)

  • Nam, Se-Jin;Yang, Byung-Kun;Kim, Tae-Il;Seol, Yang-Jo;Lee, Yong-Moo;Ku, Young;Rhyu, In-Chul;Paik, Dai-Il;Chung, Chong-Pyoung;Han, Soo-Boo
    • Journal of Periodontal and Implant Science
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    • v.35 no.1
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    • pp.163-176
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    • 2005
  • 3개월 동안 사용한 마모된 칫솔의 마모 정도와 양상을 관찰하고, 새 칫솔과 마모된 칫솔의 잇솔질 전 ${\cdot}$ 후 치태제거효율을 single-use design으로 비교 ${\cdot}$ 평가하여 3개월 주기의 칫솔 교체 주기의 근거를 임상적으로 확인 해보고자 하였다. 치주적으로 건강한 치과 대학생 42명을 대상으로 설문지를 통해 잇솔질 습관을 조사하고, 3개월간 동일한 칫솔과 치약을 사용하게 하였다. 3개월 후 피시험자를 무작위로 두 군(I, II)으로 나누고, 치석제거술을 시행한 뒤 2주후에 내원하도록 하였으며 내원 전 48시간동안은 잇솔질을 하지 않도록 지시하였다. 2주후 I군은 새 칫솔을, II군은 마모된 칫솔을 사용하도록 하였으며 잇솔질 전 ${\cdot}$ 후에 각각 구강 내를 erythrosin으로 염색한 후 6개의 Ramfjord 치아의 plaque score를 Patient Hygiene Performance (PHP) index로 측정하였다. 2주간의 washout period 후에 다시 치석제거술을 시행한 뒤, I군이 마모된 칫솔을, II군은 새 칫솔을 사용하게 하여 동일한 방법으로 PHP index를 각각 측정하였다. 마모된 칫솔은 수거하여 brushing surface area의 면적으로 마모도를 평가하였다. 결과는 paired t-test와 Pearson's correlation analysis로 통계처리 하였다. 2명이 탈락하였고 잇솔질 전 ${\cdot}$ 후에 대한 전체 부위, 치간 부위, 변연치은 부위의 plaque score는 두 칫솔 모두 통계학적으로 유의성 있게 감소하였으며 (p<0.0001), 두 칫솔을 비교한 경우에는 새 칫솔이 마모된 칫솔보다 치태 감소량이 통계학적으로 유의성 있게 많았다 (p<0.0001). 칫솔의 마모도는 평균 50.6% 증가하였으며, 마모도 증가에 따른 치태 감소량에는 직선적인 상관관계가 있었으나 통계학적인 유의성은 없었다. (전체 부위 r=-0.58, p=0.72 / 변연치은 부위 r=-0.50, p=0.76). Single-use design에서 3개월 동안 마모된 칫솔은 치태제거 능력에 있어서 새 칫솔보다 덜 효율적이였다. 칫솔의 마모도는 구강 위생 관리에 영향을 미치는 중요한 요인이며, 마모된 칫솔은 정기적인 교체가 요구된다. 또한, 치간 부위를 포함한 변연치은 부위의 치태를 정확하게 평가할 수 있는 치태지수에 대한 연구가 필요하겠다.

Comparison of Quality of Life for Oral Health between Dental Hygiene Students and Non-Dental Hygiene Students in Some Areas by Using Oral Health Impact Profile-14 (구강건강영향지수-14를 이용한 일부 지역 치위생 계열과 비치위생 계열 대학생들의 구강건강 삶의 질 비교)

  • Cho, Minjeong
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.302-310
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    • 2014
  • The purpose of this study is to compare the quality of life for oral health between dental hygiene students and non-dental hygiene students in some areas and to analyze the factors affecting on it by using oral health impact profile-14 (OHIP-14). This study was carried out by surveys. Subjects for study were 248 undergraduate students, subjectively recognized oral health condition by subjects were periodontal disease and bad breath, and non-dental hygiene students recognized statistically significantly higher than dental hygiene students (p<0.001). Among the detail factors of OHIP-14, factor of decreased social ability was the lowest impact factor (p<0.01). The most influential factor on OHIP-14 was gender and age, grade of school and alcohol intake were influential in order (p<0.01).

The Relationship between Perceived Oral Health Status and Entrance Exam Stress Levels in High School Students (고등학생의 입시스트레스 수준과 주관적 구강건강상태의 관련성)

  • Kim, Se-Ra;Han, Su-Jin
    • Journal of dental hygiene science
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    • v.15 no.4
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    • pp.509-517
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    • 2015
  • This study attempted to identify the entrance exam stress levels in high school students and analyze the relationship this entrance exam stress and perceived oral health status. Self-administered survey was conducted in total 304 students attending in academic high schools in Bucheon. For analysis, SPSS was used to perform t-test and one-way ANOVA. As a result of the study, the entrance exam stress level of academic high school students was 2.71. The level of sub-factors were that tension for exam/poor result was highest by 3.08 and the next were future uncertainty (2.81), parents pressure (2.56), and insufficient free time (2.52). The group with high entrance exam stress showed significantly high perceived degrees of temporomandibular disorder, oral mucosal disease and xerostama. Among sub-factors of stress, the group with high tension for exam/poor result stress had significantly high perceived degrees of dental caries, teporomandibular disorder, oral mucosal disease and xerostama. Because perception on oral health issues increased with high entrance exam stress in high school students, it is necessary to seek some ways to decrease oral health problems even though entrance exam stress is intensified. To do so, it is inferred that it will be very important to promote oral health education to develop ability of high school students to practice correct oral management method.

Stress and Oral Health Care in Nonhealth-Related Majors (비보건계열 대학생의 스트레스와 구강건강관리)

  • Woo, Seung-Hee;Ju, On Ju
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.527-535
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    • 2015
  • The findings of the study illustrated that the college students felt more stress when they had to receive treatment for the sake of oral health, and that they experienced less stress when they took good care of their oral health for preventive purposes. A self-administered survey was conducted on 235 junior college students whose majors were unrelated to health in the region of Jeollanam-do from March 4 to 30, 2015. A total of 27.2% of the respondents had received dental caries treatment, and 48.1% had received periodontal treatment. When the stress of the college students about personality, appearance, families and interpersonal relationship was measured, they were most stressed out about their personality ($3.40{\pm}0.73$). Specifically, they scored highest in the item "It's such a hassle to do something" ($3.73{\pm}1.20$), and scored lowest in the item "I was concerned about someone else's problem" ($2.22{\pm}1.15$). The female students experienced more stress about their appearance, personality, families and interpersonal relationship than the male students. The male students felt more stress about their studies than the female students. The college students who had dental caries and periodontal diseases suffered stress that was above the average level, and the stress level of the group that had scaling experience and/or had received toothbrushing education, namely taking care of oral health for preventive purposes, was more below average than the other group that didn't. In a word, it's urgently required to take measures to prevent college students from having oral diseases, as the students who suffered from oral diseases and received treatment were more stressed out. The implementation and revitalization of systemized educational programs are required to help college students stay away from oral diseases to promote their oral health.

A Study on the Status of Recognition and Practical Application of Oral Hygiene Devices : with outpatient as the central figure (치과병·의원 내원환자의 구강위생용품에 대한 인지도 및 사용실태에 관한 연구)

  • Kim, Soo-Kyung
    • Journal of dental hygiene science
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    • v.2 no.2
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    • pp.95-103
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    • 2002
  • This study was carried out to investigate recognition level and practical application status of oral hygiene devices through making a survey of Seoul inhabitants. And survey was implemented in order to propose oral hygiene device for household health care activities. The following results were obtained by analyzing personal interviews of 347 commuting patients at two university hospitals and seven dental clinics. 1) The average length of toothbrush head was estimated as 22.3 mm and average changing cycle was 2.3 months. The user ratio of flat-headed brush was estimated as 51.9% and 46.7% were using fluoridated toothpaste. 2) Generally the ratio of toothpick users was higher than other device users. But the user ratio of dental floss was higher than toothpick in case of patients under orthodontic treatment. 3) The patients under orthodontic treatment were not familiar with handling orthodontic toothbrush. Though 45.8% among orthodontic patients recognized this type of toothbrush, only 25.4% of them knew how exactly to use it. 4) It was shown very low user ratio of oral hygiene devices that the patients who had periodontal problem, hypersensitive trouble, halitosis, implant or denture 5) The patients who had halitosis showed the highest user ratio of toothpick. The patients who had separation of teeth showed the highest user ratio of dental floss. The patients who're under orthodontic treatment showed the highest user ratio of interproximal brush and motorized brush. 6) In response to the most interesting dental disease, it's surveyed as follows; 60.3% of dental caries, 24.0% of periodontal disease, 14.8% of false occlusion and 0.9% of oral cancer. 7) Regarding the motivation of using those oral hygiene devices, 45% responded that it was because of recommendation by dental clinics. Among the negative answers, 38.6% responded that it was because of no selection guidance. 31.3% answered that they didn't use hygiene device because it's inconvenient. 12.0% answered that it's difficult to buy and expensive. 7.8% responded that they didn't feel significant improvement. 4.8% answered that dental hospitals and clinics didn't even introduce those hygiene devices. Therefore efficient campaign for those hygiene devices over all Korea nation should be developed and education program must be prepared for each case of patients in every dental hospitals and clinics.

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Self-Perceived Oral Health Status according to Regulation of Blood Glucose in the Type 2 Diabetic Patients (제2형 당뇨병 환자에서 혈당조절에 따른 구강건강인식도)

  • Kang, Hui-Eun;Kim, Sun-Ju;Choi, Jun-Seon
    • Journal of dental hygiene science
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    • v.12 no.5
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    • pp.493-502
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    • 2012
  • The aim of this study was to investigate the oral health problems among type 2 diabetes patients and suggest basic data for the promotion of their body and oral health by emphasizing the correlation between hemoglobin A1c and subjective oral health status. For 174 patients with type 2 diabetes and who were older than 40 years old, the questionnaire and measurement of hemoglobin A1c were conducted from January 9, 2012 to March 9, 2012. The results of the study were as follows. 1. They tended to be most aware of the following; 'inflammation on the oral mucosa' and 'pain on the oral mucosa' among the symptoms of oral mucosa, 'gum bleeding when brushing teeth' among the symptoms of periodontal disease, and 'feels dry in general' among the symptoms of xerostomia. 2. The patients with longer duration of diabetes showed greater recognition with regards to the symptoms of oral mucosa disease, periodontal disease, and xerostomia (p<0.05). 3. The group with regular meal showed lower level of hemoglobin A1c (p<0.001). 4. The level of hemoglobin A1c was higher in the group that recognized 'burning sensation', 'gum bleeding', 'gum recession' and 'bad breath' (p<0.05) as well as in the group that responded 'get up at night to drink' among the symptoms of xerostomia (p<0.05). Especially the symptoms of periodontal disease were revealed to be a factor that showed the 3rd strongest correlation with hemoglobin A1c.

A Study on Oral Behavior and Missing Teeth of Some Workers (일부 근로자들의 구강건강관리행태와 결손치에 관한 연구)

  • Bae, Ji Young;Jung, Gi-Ok
    • Journal of dental hygiene science
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    • v.13 no.3
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    • pp.339-346
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    • 2013
  • This study conducted questionnaire survey with 268 workers in Ulsan city to examine influencing factors about Oral behavior and Missing teeth of some workers. The collected data were analyzed using SPSS 12.0 program. The analysis results are as follows. 1. Oral health awareness was highest in thirties (p<0.01). For oral health sensitivity, female was higher than male (p<0.01). The lower the age was (p<0.05) and the higher the academic background was, there was statistically significant difference (p<0.01). 2. The lower the age was (p<0.001) and the higher the academic background was, the number of daily tooth brushing was more (p<0.001) and there was statistically significant difference. 3. The more the number of daily tooth brushing was, portion of Missing teeth was low (p<0.01). When oral hygiene devices such as interdental brush, dental floss etc. were used, portion of Missing teeth was low (p<0.01). When dental visit for prevention was made, portion of Missing teeth was low (p<0.05). In case of periodontal disease, portion of Missing teeth was high so that there was statistically significant difference (p<0.01). 4. There was positive relationship according to oral health awareness and oral health sensitivity, oral health status. The oral health status and Missing teeth had a negative effect relationship. Relationship between number of Tooth brushing and Missing teeth showed negative one. In summary, oral health education is needed to increase the motivation of industrial workers to control their basic dental disease.

A Cognitive Degree on the Operative Dentistry, Prosdontis (치과보존 보철에 대한 인식도)

  • Kim, Jung-Sook
    • Journal of Technologic Dentistry
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    • v.18 no.1
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    • pp.27-37
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    • 1996
  • This study was carried out to investigate and analyze the congnitive degree of dental subjects and general pubic who have an experience to be treated for their teeth on the dental knowledge, operative dentistry, and dental prothesis in the oral health care through the questionnaires. The results are as follows: 1. In the knowledge on the care of dental prothetic stuff, there isn't any significant difference, but the degree of therapeutic knowledge was significantly high as showing 71.6% in I can prevent a gingivits;(P<0.01) Therefore, they have well known an importance of prevention. 2. In the knowledge on the orthodontics, it was appeared to cure their teeth due to an esthetic reason(47.9%). There is not any significance in the Statisics, but it appeared the relatively high knowledge in the time and period of orthodontics(P<0.01) 3. In the congnition on the necessity of dental prothesis, it appeared relatively high, but 'Be necessary' didn't show the significance as 77.2%. The proferance to dental prothesis material showed the similar difference of porcelain(45.6%) and gold(43.7%), and the moderns tend to ptefer porcelain teeth similar to the color of matural teeth in the modern, getting out of the existing cognition of preferring the gold. Accordingly it is considered to be preferentialy necessary the motivae the general public for the oral thealth education on the dental knowledge, operative dentistry, and dental prothesis the knowledge and practice of general public have an important effect upon the oral health as the abovementioned results.

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Reviews of Literature on Dental Plaque Control and Oral Hygiene Education in Korea (치면세균막관리와 구강보건교육에 관한 국내문헌고찰)

  • Choi, Moon-Sil;Kim, Dong-Kie
    • Journal of dental hygiene science
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    • v.17 no.2
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    • pp.87-98
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    • 2017
  • The purpose of this study was to understand the effectiveness of oral health education (OHE) or oral hygiene instruction (OHI) involving professional plaque control/removal, as compared to conventional plaque control/removal. By means of a systematic review of the literature, in the review of literature by using systematic method, Korean articles of plaque control including OHE or OHI, were studied in order to analyze and conclude the literature to enhance oral health. We found that self and professional plaque control/removal, in addition to tooth brushing instructions, decreased incidence and prevalence of loss of teeth. Taken together, professional mechanical plaque removals were most effective 4~5 visits every 1~2 weeks. Use of disclosing agent was more effective than oral education or model education. In line with oral hygiene education, professional brushing, oral prophylaxis, scaling and root planing, it was advisable to repeat the training according to the characteristics of the patient. Routine OHE or OHI would be help to increase to oral health. For a quality of life related oral health, reliability and validity of data are needed to develop and its data should be applied to dental health insurance policy.