• The Journal of the Convergence on Culture Technology
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• v.4 no.4
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• pp.135-144
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• 2018

The purpose of this study is to investigate the relationship between oral health behavior and dietary habits and caries occurrence test and to provide basic data necessary for prevention of dental caries. The average salivary salivary fraction was 8.35ml and the non - amorphous salivary fraction was 2.41ml. The salivary buffering ability was 9.29 and the mean glucose retention time was 15.81 minutes. In the Streptococcus mutans colony count test, low risk group <105 was 80.5% and low risk group <105 was 84.4% in Lactobacillus colony count test. Correlation between caries test scores showed a positive correlation between salivary ratio and non - salivary ratio, saliva buffering ability, non - salivary fraction and glucose retention time, and Lactobacillus. Factors affecting the irritant saliva fraction were alcohol as a factor affecting the ratio of nuts, pork, and non - irritant saliva. In order to prevent dental caries, proper dietary control education should be combined with dental caries activity test and oral health education for proper eating habits.

• Journal of the korean academy of Pediatric Dentistry
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• v.45 no.3
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• pp.354-362
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• 2018

Periogen is a new caries activity test using real-time polymerase chain reaction. The aim of this study was to assess the validity of Periogen by evaluating the correlation with dmft, dmfts indices and comparing with Cariview and caries risk assessment tool (CAT). 83 children under 6 participated in this study. Dmft, dmfts indices and CAT were collected through an examination of oral health status. Plaque samples for Periogen and Cariview were collected and manipulated according to the manufactures' instructions. The correlation coefficient of Periogen, Cariview and CAT with the dmfts index were 0.38, 0.56 and 0.66 in each (p < 0.01). The sensitivity of Periogen, Cariview and CAT were 43%, 76% and 95% and specificity were 80%, 72% and 74% respectively. Area under curve under the receiver operating characteristic curves in each method indicated 0.69, 0.81 and 0.85. CAT and Cariview were more effective in evaluation the risk of dental caries than Periogen so far. To be used Periogen clinically, more improvements for higher validity were needed.

• Journal of Korean society of Dental Hygiene
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• v.14 no.4
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• pp.571-576
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• 2014

Objectives : The purpose of this study was to investigate the relationship between early childhood caries(ECC) and breastfeeding. Methods : Data of 670 children were derived from the Forth Korean National Health and Nutrition Examination Survey from 2007 to 2009. Demographic and socioeconomic data, oral health related behavior, and breastfeeding practice data were collected as independent variables. The ECC was used as a dependent variable. The chi-square test and logistic regression analysis were performed to identify the relationship between ECC and the other variables. Results : Multiple logistic regression analysis revealed that ECC was related with age, tooth brushing frequency, and breastfeeding practice. Conclusions : This study confirmed various risk indicators of ECC in Korean children, using Korean national survey data. Parents should begin an early and consistent mouth care regime to decrease the risk of ECC.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.1
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• pp.47-56
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• 2019

Purpose: The present study confirms the content validity and understanding level of the questions of the Korean version of caries management by risk assessment (CAMBRA). Methods: To develop the Korean version of CAMBRA for children aged 0-5 years, a series of steps were followed: first, translation and reverse-translation processes were conducted by an expert committee. To establish content validity, CAMBRA was modified to adapt to the conditions in Korea by 17 dental hygiene professionals with a master's or a higher degree. The responses were analyzed using analysis of frequency and descriptive statistics. Content validity was verified by calculating the content validity index (CVI). The survey was administered to 64 mothers and caregivers to assess the understanding level of questions of the Korean version of CAMBRA. Results: Content validity of each of the items showed an S-CVI/AVE value of 0.79, but the content validities varied from 0.63 to 1.0. The understanding level of each question was between 3.56 and 4.46, thus showing favorable results. Conclusion: It was concluded that the test items verified for content validity were suitable for assessing caries risk for children of ages 0-5 years. This study would contribute to improving children's oral health and disease prevention by providing timely intervention.

• Journal of Technologic Dentistry
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• v.30 no.2
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• pp.121-133
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• 2008

The purpose of this study was to evaluate the role of socioeconomic factors and health behaviors on the prevalence of oral diseases(dental caries and periodontal disease) among Korean adults. Data from the 2005 National Health and Nutrition Examination Survey was analyzed for adults aged over 19 years (n=25,215). Oral disease was defined as disease diagnosed by a dentist for the previous 12 months. Chi-square test and logistic regression analysis were used to conduct statistical analysis. The population without dental caries and periodontal diseases were used as the reference category for all analysis. The overall prevalence of annual dentist-diagnosed dental caries and periodontal diseases were 23.5% and 10.6% respectively. The relative risk of developing dental caries for graduates of middle school and lower were 1.53 times (95% CI: 1.24-1.89) more likely to develop dental caries comparing to college graduates. Low income earners were 1.23 times(95% CI: 1.01-1.49) more likely to develop dental caries than high income earners. Persons covered by national medical insurance were 1.45 times(95% CI: 1.08-1.95) more likely to develop dental caries comparing to persons covered by employee medical insurance. Compared with persons not eating snacks, the risk of developing caries in persons eating snacks once a day was 1.16(95% CI: 1.01-1.32), while those who snacked twice or more a day were 1.19(95% CI: 1.01-1.41). The relative risk of developing periodontal disease was 3.71(95% CI: 2.38-5.80) higher in older individuals than younger. In terms of education level, middle school graduates and lower were 1.54 times more likely to develop periodontal disease than college graduates. Low income earners were 1.47 times more likely to develop periodontal diseases than high income earners. Using data from a large, nationally representative sample of Korean populations, we support the hypothesis that the prevalence of oral diseases is related with socioeconomic factors and health behaviors. More intensive intervention efforts to reduce the prevalence of dental diseases are warranted in Korea.

• Journal of dental hygiene science
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• v.21 no.2
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• pp.127-132
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• 2021

Background: Obesity and dental caries have common risk factors such as food intake, eating habits, and lifestyle. Nevertheless, there has been no consensus on the significant association between obesity and dental caries, and additional studies are needed. We investigated the relationship between obesity and dental caries in some college students in this pilot study. Methods: Forty-two obese college students (body mass index [BMI]≥25) registered at a University Obesity Clinic and 19 normal students (18.5≤BMI<25) were recruited. Oral examinations were conducted, and anthropometric data and blood samples were collected. The blood concentrations of low-density lipoprotein (LDL), high-density lipoprotein, and triglyceride were also measured. After controlling for dental plaque index, a univariate analysis of dental caries indicators related to obesity was performed; partial correlation analysis was also conducted. A nonparametric test was used for the analysis of gender-related trends due to the limited number of participants. Results: The obese group had significantly fewer missing teeth (p=0.014), missing surfaces (p=0.035), filled surfaces (p=0.038), and decayed-missing-filled surfaces (p=0.020) than the normal group. There was no difference between the males in the normal and obese groups. The females in the obese group had significantly fewer missing teeth (p=0.003), missing surfaces (p=0.003), and decayed-missing-filled surfaces (p=0.046). Partial correlation analysis showed a weak negative correlation (r=-0.256) between the blood LDL concentration and decayed-missing-filled teeth. The other obesity and dental caries indicators were not correlated. Conclusion:The blood cholesterol concentration had a negative relationship with dental caries, and there were fewer cases of dental caries in the obese group in this study. However, it is important to clarify the relationship between obesity and dental caries through a dietary survey or additional investigations considering other confounding factors.

• Journal of the korean academy of Pediatric Dentistry
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• v.45 no.2
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• pp.162-169
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• 2018

The purpose of this study was to compare the validity of $Cariview^{(R)}$, a new colorimetric caries activity test, with $CRT^{(R)}$ bacteria, a conventional bacterial culture method. In addition, this study assesses the correlation between the dental caries experience and activity between mothers and their children. 34 pairs of mothers and their children under the age of 6 years participated in this study with informed consent. After filling out a questionnaire and oral examination, the two caries activity tests above were performed on each subject. In the results, $Cariview^{(R)}$ scores were statistically significant with children's caries experience (r = 0.598, p < 0.01) and showed higher correlation than $CRT^{(R)}$ bacteria scores. $Cariview^{(R)}$ scores showed statistically significant correlation with the number of decayed teeth in both mothers and children (p < 0.05). In both $Cariview^{(R)}$ and $CRT^{(R)}$ bacteria tests, there was no statistically significant correlation between caries experience and caries activity (p > 0.05). $Cariview^{(R)}$ colorimetric test will be clinically useful for predicting future caries risk and establishing a preventative strategy in pediatric dentistry.

• Journal of the korean academy of Pediatric Dentistry
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• v.30 no.2
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• pp.254-262
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• 2003

Dental caries has a multifactorial aetiology in which there is an interplay of three principal factors: the host(saliva and teeth), the microflora(dental plaque) and the substrate(diet), and a fourth factor time. There is no single test that takes into consideration all these factors and can accurately predict an individual's susceptibility to dental caries. The risk of dental caries can be evaluated by analysing and integrating several causative factors. The objective of the study was to clarify the relationship between caries activity and the status of caries of primary teeth and the relationship between the quantity of S. mutans in the dental plaque and the status of dental caries. Forty nine children ages 5 were examined with caries indices, Dentocult-SM and quantity of S. mutans. The results were as follows: All the survey results were similar with national means of 5-6 years Korean preschool children. The deft index of subjects was 5.46 and defs index was 9.81. There was 8.6% of negative, 10.9% of mild, 28.1% of moderate and 52.3% of active results at screening strip test. 8.6% was negative, 17.2% was mild, 33.6% was moderate and 40.6% was active in site strip test. The Spearman correlation coefficient was 0.775, and overall kappa index was 0.496 between screening strip test and site strip test. There also was a high correlation between caries incidence, Dentocult-SM test, and quantity of S. mutans. Dentocult-SM test as a caries activity test is a reliable method for measuring the status of dental caries in primary teeth.

• Journal of dental hygiene science
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• v.6 no.3
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• pp.159-162
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• 2006

This study examined the relationship between the quantity of Streptococcus mutans and Lactobacillus spp. related to dental caries and the degree of acidity in saliva. A total of 240 saliva samples were taken from 80 subjects at the faculty of dentistry in Skopje, Macedonia. The saliva samples were taken by stimulating saliva production stimulation with paraffin chewing. However, no stimulation was applied when obtaining the samples used for measuring the pH. The data showed that in the caries group, S. mutans in 1 ml of saliva formed colonies with confluent growth (CFU > $10^6$ and $10^4-10^5$) in 100% of samples, whereas the Lactobacillus spp. formed colonies with confluent growth in 78.3%. In contrast, no colonies with confluent growth (CFU > $10^6$ and $10^5$) were found in the control group (with healthy intact teeth). In the caries group, the pH of the saliva was slightly acidic (pH = 5.90 - 6.50) and the buffering capacity was very low (below 0.7 ml of saliva per min). On the other hand, the pH of the saliva in the control group was neutral (pH 7.01 - 7.7) and the buffering capacity was high (over 1 ml of saliva per min). The increased number of S. mutans and Lactobacillus spp. in 1 ml of saliva (above $10^5$ CFU or more) from the CRT (Caries Risk Test, Vivadent, Liechtenstein) bacteria test can indicate an increased caries risk as well as slightly higher acidity of the saliva. Overall, these results reveal that the caries risk can be predicted by simply measuring the pH and buffering capacity of saliva, and can be used to monitor the effect of dental hygiene practices with the aim of preventing dental caries.

• Journal of the korean academy of Pediatric Dentistry
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• v.44 no.3
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• pp.298-305
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• 2017

This study aimed to compare chair-side test results for caries risk assessment and evaluate how well the tests reflect caries experience. The study was conducted on children aged < 6 years in primary dentition. Dental examination of children was conducted to determine the dmft index and subjects were divided into two groups : group I (dmft < 6), group II (dmft > 6). This study used four kinds of test kits (Plaque-check PH kit, Saliva-check buffer kit, Saliva-check mutans kit, Cytoperio analysis system). Saliva buffer capacity was significantly low in the high caries experience group (dmft > 6) and correlated with dmft index. Saliva pH level correlated significantly with saliva buffer capacity. The results showed that plaque pH and saliva pH levels had no correlation with dmft index. The Streptococcus mutans level measured by using the Saliva-check mutans and Cytoperio analysis system did not correlate with dmft index.