• Restorative Dentistry and Endodontics
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• 제47권4호
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• pp.36.1-36.17
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• 2022

Objectives: This study aimed to evaluate the effect of aging on the marginal quality of glass hybrid (GH) material used to elevate dentin gingival margins, and to analyze the consistency of the results obtained by 3 in vitro methods. Materials and Methods: Ten teeth received compound class II cavities with subgingival margins. The dentin gingival margins were elevated with GH, followed by resin composite. The GH/gingival dentin interfaces were examined through digital microscopy, scanning electron microscopy (SEM) using resin replicas, and according to the World Dental Federation (FDI) criteria. After initial evaluations, all teeth were subjected to 10,000 thermal cycles, followed by repeating the same marginal evaluations and energy dispersive spectroscopy (EDS) analysis for the interfacial zone of 2 specimens. Marginal quality was expressed as the percentage of continuous margin at ×200 for microscopic techniques and as the frequency of each score for FDI ranking. Data were analyzed using the paired sample t-test, Wilcoxon signed-rank test, and Pearson and Spearmen correlation coefficients. Results: None of the testing techniques proved the significance of the aging factor. Moderate and strong significant correlations were found between the testing techniques. The EDS results suggested the presence of an ion-exchange layer along the GH/gingival dentin interface of aged specimens. Conclusions: The marginal quality of the GH/dentin gingival interface defied aging by thermocycling. The replica SEM and FDI ranking results had stronger correlations with each other than either showed with the digital microscopy results.

• 보건교육건강증진학회지
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• 제11권1호
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• pp.85-94
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• 1994

The purpose of this study is to provide a guide for selection of oral hygiene devices for nations and establishing valid indication of recently popularized water jet. The author has divided 36 persons into general, orthodontic, periodontal patients according to their oral hygiene state, and then evaluated the degree or decrease in plaque indices and gingival bleeding indices. The obtained results were as follows. 1. When both manual toothbrush and water jet were used together by three kind of patients, significant decreases in plaque index were observed in all patients, after 4 weeks compared with ordinary toothbrushing only(p<0.05). 2. When both oral hygiene devices were used together by three kind of patients, significant decreases in gingival bleeding index were observed in all patients after 4 weeks compared with ordinary toothbrushing only(p<0.05). 3. Singificant differences of the average gingival bleeding index & plaque index among three kind of patients were observed(p<0.05). 4. Therefore, it is concluded that for effective oral hygiene care. water jet can be recommendable to general patients, especially to orthodontic or periodontal patients.

• 한국치위생학회지
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• 제15권4호
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• pp.555-563
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• 2015

Objectives: The purpose of the study is to investigate the effect of oral health education for the elderly using $Qscan^{TM}$. Methods: This study was a quasi-experiment design of nonequivalent control group pretest-posttest design carried out by oral health education from January 17 to March 7, 2015. The subjects were 64 elderly people over 65 years old who had more than one remaining teeth in the anterior teeth and canines living in Hongseong-gun and assigned to 33 control group and 31 intervention group. The intervention group was measured only by $Qscan^{TM}$. The educational effect between two groups were evaluated using oral health behavior, gingivitis index, and plaque index. After Institutional Review Board from Namseoul N University, the elderly people participated in the study. Results: The intervention group showed lower plaque index of percent reduction than the control group. The two groups showed a significant difference in gingival index after the oral health education(p<0.05), but did not show a significant difference in oral health behavior after the oral health education(p<0.05). Conclusions: The effect of oral health education through the motivation of $Qscan^{TM}$ was very effective in the comparison of oral health behavior, gingival index and plaque index.

• 한국치위생학회지
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• 제16권2호
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• pp.225-231
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• 2016

Objectives: The purpose of this study was to investigate the influential factors of stress and fatigue on peridontal indicators in patients with periodontal disease. Methods: A self-administrated questionnaire study was conducted during November 2012 to January 2013 with 140 periodontal patients. The Fatigue and Stress were evaluated with Multidimensional Fatigue Scale(MFS) and Psychosocial Well-bing Index(PWI). Periodontal health indicators were consisted with gingival index and pocket depth. Data were analyzed by descriptive analysis, t-test, ANOVA, and multiple regression analysis. Results: Overall stress and fatigue level of subjects were $22.61{\pm}5.62$ and $64.67{\pm}9.45$. Gingival index and periodontal pocket depth as periodontal health indicators were $1.26{\pm}0.3$ and $4.29{\pm}0.52$. The influential factors of gingival index and periodontal pocket depth were social function(subcategory of pwi) and depression(subcategory of pwi), respectively. Conclusions: Some subcategories of PWI were related with periodontal health indicators. So, consideration of stress related with depression and social function are needed to manage and prevent periodontal disease.

• Journal of Periodontal and Implant Science
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• 제28권2호
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• pp.309-320
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• 1998

The periodontal health has been evaluated clinically by various epidemiological indices, and in researches by measurement of gingival crevicular fluid. Laser Doppler flowmetry is a reliable and objective method that allows immediate measurement of erythrocyte flux in approximately one cubic mm of the capillary bed without disturbing the tissues. The purpose of the present study was to determine whether human gingival blood flow was different according to measuring area, measuring time, and sex or not. Forty volunteers with good general and periodontal health, aged early twenties and unmarried, were selected. Laser Doppler flowmetry($floLAB^{(R)}$, Moor Instruments Ltd., England) was applied to measure the gingival blood flow of marginal gingiva, interdental papilla, attached gingiva and alveolar mucosa. The blood flow of interdental papilla was measured at 9-10 AM, 1-2 PM, and 5-6 PM. The difference of blood flow according to measuring area and measuring time was statistically analyzed by one way AOVA and Dunkan test, and the difference of blood flow between men and women was statistically analyzed by t-test. (1) Mean blood flow was significantly higher in alveolar mucosa than in the gingiva(p<0.05), and there was no significant difference in blood flow between marginal gingiva and interdental papilla(p>0.1). (2) Mean blood flow was significantly higher at 5-6 PM than at 9-10 AM and 1-2 PM(p<0.05). But there was no significant difference in gingival blood flow between 9-10 AM and 1-2 PM(p>0.1). (3) There was no significant difference in gingival blood flow between men and women(p>0.1). The above results suggest that the measurment of gingival blood flow using laser Doppler flowmetry may be clinically applicable to early determination of gingival inflammation and evaluation of healing status, but further studies are necessary to standardize and simplify the measuring procedure.

• 한국학교ㆍ지역보건교육학회지
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• 제13권1호
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• pp.55-64
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• 2012

Objectives: The purpose of this study was related factors of oral health of scaling patients in dental hygiene department. Methods: The sample consisted of 218 at the scaling practice room of dental hygiene department in D College from March to November 2011. Chi-square test was used to analyze the relation the oral health behavior or oral hygiene and oral health, and losistic regression analysis was performed to analyze the factors asociated with oral health. Results: Scaling patients was 43.6% of the male and 56.4% of the women. Their age group was 79.8% of the twenty. Lately they was smoking status 69.7%. Brushing three times a day, 55.8% in male and female were 74.0% with significant differences(p=0.019). Kind of toothbrush "normal" the response was the highest, 45.3% male, 62.6% women were significantly higher in women(p=0.012). Toothbrushing educational experienced 33.7% men, women's educational experience rate of 52.8% was significantly higher(p=0.006), use of oral hygiene products education experienced 15.8% of the men and women 27.6% had significant difference(p=0.049). Scaling experience is not in the Dental plaque index the number of "bad" was significantly higher(p=0.035), toothbrushing educational experience is not in the Dental plaque index the number of "bad" and significantly higher(p=0.008) and Gingival bleeding index was significantly higher(p=0.033). Use of oral hygiene products educational experience if you do not have the number of the Dental plaque index "bad" were higher(p=0.011). Gingival bleeding index, affecting demographic variables were smoking(p=0.024). Dental plaque index the influence of experience with oral hygiene products factors(p=0.044) and gingival bleeding index was influenced Toothbrushing of educational experience(p=0.029). Conclusion: The results reported here confirm the factors associated with the oral health were education of oral hygiene products factors and Toothbrushing experience.

• 대한치과의사협회지
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• 제55권3호
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• pp.240-248
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• 2017

A keratinized gingiva is important to the natural teeth and it is more essential to the health of the peri-implant mucosa of the implants. There are various surgical methods to restore a keratinized gingiva. First, a clinician could utilize apically positioned flap operation. This flap operation technique could be used as a full or partial thickness. If there is little keratinized gingival tissue available for the apically positioned flap operation, free gingival grafting should be used. Its technique sensitivity is relatively high, but using various surgical techniques and disciplines makes it simple and have the good predictability. There have been many considerations for those surgical techniques. Clinicians who treat for periodontitis or operate implant surgeries have to know the considerations and surgical methods.

• 한국치위생학회지
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• 제21권5호
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• pp.499-506
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• 2021

Objectives: This case - study was conducted to assess the oral health status change of the elderly through visiting oral care interventions based on a community health care project. Methods: Professional dental hygiene treatment and oral health education, including brushing using interdental toothbrushes and sponge brushes, were performed on three senior citizens who received home visiting oral health care benefit. Results: The subject's periodontal conditions improved including gingival inflammation and bleeding. The gingival color tured pink by controlling the dental plaque. Conclusions: Visiting oral health care contributed to the improvement of oral health of the elderly. Therefore, based on the characteristics of the elderly with various systemic diseases, it is necessary to discover various cases that can perform professional and customized visiting oral health care programs.

• 대한장애인치과학회지
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• 제9권1호
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• pp.36-38
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• 2013

Takayasu's arteritis 환자의 치과 치료 시 침습적인 치과 술식 전 심내막염 가능성을 고려하여 예방적 항생제를 투여한다. 복용 약물에 의해 치은증식이 발생할 수 있으므로 약물의 적용에 관한 의과적 자문이 필요하다.

• Journal of Periodontal and Implant Science
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• 제41권6호
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• pp.302-308
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• 2011

Purpose: The emergence profile concept of an implant restoration is one of the most important factors for the esthetics and health of peri-implant soft tissue. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. Methods: After the second surgery, a preliminary impression was taken to make a soft tissue working cast. A provisional crown was fabricated on the model. The soft tissue around the implant fixture on the model was trimmed with a laboratory scalpel to produce the scalloped gingival form. Light curing composite resin was added to fill the space between the provisional crown base and trimmed gingiva. After 4 to 6 weeks, the final impression was taken to make a definitive implant restoration, where the soft tissue and tooth form were in harmony with the adjacent tooth. Results: At the first insertion of the provisional restoration, gum bleaching revealed gingival pressure. Four to six weeks after placing the provisional restoration, the gum reformed with harmony between the peri-implant gingiva and adjacent dentition. Conclusions: Gingival recontouring with a provisional implant restoration is a non-surgical and non-procedure-sensitive method. The implant restoration with the optimal emergence profile is expected to provide superior esthetic and functional results.