• Journal of Korean society of Dental Hygiene
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• v.16 no.4
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• pp.617-623
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• 2016

Objectives: The purpose of this study is to investigate the effect of health behavior on oral health of Korean adolescents. Methods: The study subjects were 1,071 adolescents of 13-18 years old from Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012. Male students were 54.5% and female students were 45.5%. The study consisted of two groups: 13-15 years old and 16-18 years old groups. Data were analyzed by SAS 9.13 version. Results: Those who ingested alcohol had gingival bleeding in 41.0% and 31.0% in those who did not. Those who did not have regular oral examinations had 38.5% of gingival bleeding while those with regular oral examination had 29.7% of gingival bleeding (p<0.01). Students between 16 to 18 years old without oral care products tended to have more gingival bleeding than those who use auxiliary oral hygiene devices (OR=2.658, 95% CI=1.327-5.324). Conclusions: The oral health management of adolescents is closely related to health behavior. Cessation of alcohol ingestion and smoking is very important to improve the adolescent oral health.

• The Korean Journal of Health Service Management
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• v.6 no.4
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• pp.1-12
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• 2012

The objective of this study was to identify the current status of use and respective work scopes of dental hygienists and nursing assistants as perceived by dentists, thereby obtaining a model for how to efficiently use oral health assistance personnel. This study was based on a self-reported survey administered to a total of 126 dentists. The following findings were observed. Where competition among neighborhood clinics was relatively high, nursing assistants tended to be used as a resource to assist dental hygienists, whereas where it was relatively low, they were more likely to be considered to work as full substitutes for regular dental hygienists. Looking at the scopes of practice, dental hygienists were allowed to deal with matters of preventive care, oral health education, and health insurance claims. On the other hand, nursing assistants were allowed to be in charge of taking X-ray pictures from the outside and inside of mouth and keeping medical devices clean and safe. This study is expected to contribute to establishing more reasonable oral heath personnel structure design decisions.

• Journal of Periodontal and Implant Science
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• v.50 no.4
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• pp.268-277
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• 2020

Purpose: Many home care treatments can be used to promote the health and longevity of dental implants; however, few studies are available to support the concept that self-performed oral hygiene behaviors are an essential tool for improving and maintaining oral health. We investigated age-stratified associations between dental health behaviors related to tooth brushing (TB) and oral hygiene product use in Korean adults with implants. Methods: A total of 1,911 subjects over 19 years of age who had 1 or more implants and who participated in the 2013 to 2015 Korea National Health and Nutrition Examination Survey were reviewed. Periodontal status was assessed using Community Periodontal Index (CPI) scores, and periodontitis was defined as a CPI greater than or equal to 3. The complex sampling design of the survey was utilized to obtain the variance and individual weight of each analyzed factor. A high CPI was the outcome variable, and the main explanatory variables were oral hygiene behaviors, such as TB, dental floss (DF), interproximal brushing, and mouth rinsing. Results: Almost all individuals with a lower CPI brushed their teeth twice or more per day, in contrast to those with a higher CPI, and were likely to use DF. The adjusted odds ratio of not using DF for a higher CPI was 1.83 (95% confidence interval, 1.35-2.49). Conclusions: TB was implemented more than twice a day by patients with good oral health, and the combination of TB and DF significantly reduced the prevalence of a higher CPI. Self-performed oral hygiene practices combining TB and DF were significantly related to a low prevalence of periodontitis in implant patients.

• Journal of the Korean Society of School Health
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• v.27 no.1
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• pp.1-6
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• 2014

Purpose: The purpose of this study was to investigate the effect of oral health education on adolescents. Methods: The subjects were middle school students in a health promoting school in Gunpo, Gyeonggi Province. Before giving the students oral health instruction, their modified Patient Hygiene Performance index (PHP index) was measured using disclosing solution. Then, the students were taught the right way to brush teeth (Rolling method) and use oral hygiene devices such as dental floss, tongue cleaner and interdental brush. Their modified PHP index was re-measured three days after and seven days after the education to evaluate the effect and persistency of oral health education. of the total 116 students, 48 students who completely filled out the questionnaire and participated in the whole process, photo shooting and three times of PHP index measurement, were included in the final analysis. Results: The students' modified PHP index significantly decreased three days after the education. However, the index slightly went back up seven days after the oral health education. Conclusion: Oral health education was effective in reducing dental plaque which remained after brushing. Continuous education about and constant motivation for oral hygiene turned out to be critical to maintain the impact of oral health education. Therefore, it is necessary to develop educational contents which can constantly motivate teenagers.

• Journal of Korean society of Dental Hygiene
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• v.10 no.2
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• pp.269-282
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• 2010

Objectives : The purpose of this study was to investigate attitudes toward and practice of oral health management among adults in the Gumi area. Health behavior especially drinking and smoking have been proven to affect the tissues around the teeth and increasing in importance. Thus the study set out to examine oral management according to drinking and smoking to suggest a need for education about oral health and provide basic data for oral health education. Methods : Total 226 subjects, who consist of 141 male adults and 85 female adults, in Gumi were asked to fill out a self-administered questionnaire on October 24, 2009. Their answers to the items about general characteristics, health behavior, and oral health behavior were analyzed with the SPSS WIN 12.0 program. Results : 1. As for the frequency of visiting a dental clinic(hospital) for the last year, the non-movement group recorded higher frequency than the movement group, and the drinking group also did than the non-drinking group(p<0.05). 2. As for the experience and frequency of scaling, the female subjects were higher in the experience and frequency of scaling than their male counterparts. The older they got, the more they tended to have scaling. The married respondents had more experiences of scaling than the singles, and the non-drinking group was high in the experience of scaling(p<0.05). 3. As for the number, time, and method of toothbrushing a day, more women answered they brushed teeth three times or more per day than men; those who were in their forties were the highest in terms of the roll method, and those who were in their twenties were the highest in terms of toothbrushing time. The married group and the non-smoking group answered they brushed teeth in the roll method three times or more per day in higher percentage. And the non-drinking group was high in the roll method, which was statistically significant(p<0.05). 4. As for use and kinds of auxiliary oral hygiene devices, the female respondents used them more than their male counterparts. The older they became, the more they used them. The married group, the non-smoking group, and the non-drinking group used such devices a lot. The smoking group used dental floss most, and the non-smoking group used more kinds of such devices than the smoking group, which was statistically significant(p<0.05). Conclusion : Oral diseases can be prevented by adopting healthy and right oral management behavior. Using the findings of the study, more diverse programs about actual oral health education should be activated so that people can change their bad oral management and behavior and develop a habit of the right oral management attitude.

• Journal of dental hygiene science
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• v.15 no.6
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• pp.775-785
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• 2015

The purpose of this study is to verify factors affecting the use of dental hygiene care products in adults. The study used a nationally representative sample of Koreans (2013 Korea National Health and Nutrition Examination Survey) aged 19 years over (n=4,839). Dependent variable was frequency of tooth brushing per day, use of dental floss, use of interdental brush and use of mouth rinse. Independent variable was sociodemographic factors, health behaviors, perceived health and oral health conditions. The chi-square test and logistic regression analysis were performed to identify the factors affecting the use of dental hygiene care products. All analyses were performed using PASW Statistics version 18.0. Resulting of chi-square test, the use of oral hygiene care products was statistically significant with gender, age, education level, household income, marital status, dental utilization, dental examination. Resulting of logistic regression, in female, the higher the education level was identified as common factors for variables in use of dental hygiene care products. Dental hygienist among dental professionals should play an important role as contributor to the national oral health promotion that recognizes the impact of each factor by refining dental hygiene care products and reflect personal characteristics and preferences through the oral health educational media and program development.

• Journal of Korean society of Dental Hygiene
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• v.15 no.1
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• pp.111-118
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• 2015

Objectives: The aim of the study is to investigate the health belief model affecting the oral health behavior in middle and high school students. Methods: The subjects were 296 middle and high school students in Seoul, Gyeonggi and Incheon from February 15 to March 21, 2014. The students filled out the self-reported questionnaires after receiving informed consents. The instrument was adopted and revised from those of Kim & Hwang, and Choi & Joo. The questionnaire consisted of 4 questions of general characteristics, 9 questions of oral health status including subjective oral health status, frequency of tooth brushing, duration of tooth brushing, method of tooth brushing, use of oral health devices, dental clinic visit, scaling services, snack intake, and smoking. The oral health belief consisted of 25 questions including susceptibility, seriousness, barriers, benefit, and self-efficacy using Likert 5 scale. The reliability of Cronbach's alpha in the study was 0.725. Data were analyzed using SPSS ver 18.0 for frequency analysis, t-test, ANOVA, ${\chi}^2$-test, and Pearson's correlation coefficient, simple regression, and binary logistic regression. Results: Oral health beliefs of middle and high school students affected the oral health behaviors. Susceptibility, barriers and self-efficacy also influenced on the oral health behaviors. In order to provide the best oral health education, susceptibility and self-efficacy are the primary factors to increase motivation because the motivation endows the students with correction of oral health behaviors that improve the knowledge, attitudes, and decrease barriers in oral hygiene. Conclusions: It is important to correct oral health behaviors in the middle and high school students by providing the continuing and systematic oral health education.

• Journal of Korean society of Dental Hygiene
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• v.22 no.1
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• pp.63-72
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• 2022

Objectives: This study was conducted to prepare basic data to propose the necessity and utilization of oral welfare products in the welfare services of the long-term care insurance system, focusing on facility workers working in elderly facilities. Methods: The analysis was conducted on 144 workers working at some local elderly facilities. The questionnaire was constructed by classifying the use of oral welfare tools into 6 questions and the necessity and demand for oral welfare devices into 13 questions. Frequency analysis and technical analysis were performed for data analysis, and one-way ANOVA was performed for differences in the necessity and demand for oral welfare equipment. The statistical significance level was p<0.05. Results: As a result of examining the awareness of the necessity and demand for oral welfare equipment among workers in elderly facilities, the awareness of the necessity of including oral welfare equipment in the items of welfare equipment in the current long-term care insurance system was high at 4.15 points. As a result of analyzing the correlation between awareness of care products and the need and demand for oral welfare equipment, it was confirmed that there was a statistically significant positive correlation (p<0.01). Conclusions: In the long-term care insurance system for the elderly, oral welfare products need to be considered for welfare equipment services. The provision of oral welfare products within the long-term care insurance system for the elderly can provide opportunities and services to select various self-care tools. In addition, it is expected that it will be possible to promote changes in the long-term care insurance system for the elderly and to improve the system in a variety of positive ways.

• Journal of Korean society of Dental Hygiene
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• v.13 no.6
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• pp.1023-1030
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• 2013

Objectives : The purpose of the study is to investigate the relationship between variables associated with oral health status in psychiatric patients and to provide basic information on oral health education program development for the psychiatric patients. Methods : Subjects were 151 psychiatric patients who filled out the structured questionnaire. The data were analyzed for independent t-test, one-way ANOVA and hierarchical multiple regression by using SPSS Win Program 18.0 version. Results : Higher DMFT index was shown in the older age(p<0.001) and low perceived oral health group(p<0.001). Higher DMFT index included no tooth brushing after breakfast(p=0.045), wrong tooth brushing method(p<0.001). Chewing discomfort(p=0.027) and denture(p=0.027) were closely related to higher DMFT index. Bread(p=0.033) and snack(p<0.001) increased DMFT index. Factors affecting oral health status were age, denture, snack and bread. The explanation power of the final model was 29.4%. Conclusions : Dietary control for the psychiatric patients is very important to prevent dental caries. Tooth brushing and use of oral hygiene devices can improve good oral health care. Furthermore, this result can improve the oral health care for the disabled people.

• Journal of Korean society of Dental Hygiene
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• v.19 no.2
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• pp.277-286
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• 2019

Objectives: The purpose of this study was to evaluate the association between Internet use and oral health behaviors in Korean adolescents. Methods: This study used the 13th Korea Youth Risk Behavior Web-based Survey (2017) to find an association between Internet use and oral health behaviors. The total number of study subjects was 54,603. A chi-square test and multiple logistic regression analyses were used to estimate the association between Internet use and oral health behaviors. Results: Internet use was significantly increased among female, higher school grade, lower school records, and lower economic status participants (p<0.001). The rate of frequency of toothbrushing more than three times daily and use of oral hygiene devices was increased among female, higher school record, and higher economic status participants significantly (p<0.001). Oral symptoms experienced were significantly increased among female, higher school grade, lower school records, and lower economic status participants (p<0.001). The rate of the toothbrushing more than three times daily and toothbrushing after lunch groups was the highest in the group with less than one hour of Internet use, but the rate of oral symptoms experienced was the highest in the group with over five hours of Internet use. The risk of toothbrushing less than twice daily was 1.61 times higher in the group with over five hours of Internet use, and the risk of not brushing after lunch was significantly higher (1.52 times) in the over five hours group. The risk of not using oral hygiene devices was the highest (1.22 times) in the less than five hours group, and the risk of oral symptoms experiences was 1.40 times higher in the more than five hours group. Conclusions: Internet use was related to oral health behaviors in adolescents. Appropriate Internet use and awareness of oral health care are needed among adolescents.