• 한국치위생학회지
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• 제18권3호
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• pp.371-384
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• 2018

Objectives: The purpose of this study was to investigate the factors related to gingival symptoms by mental health factors among the adolescents in Korea. Methods: The data were used which were collected from the web-based survey of the National 2016 Korean Youth Risk Behavior of Korean Center for Disease Control. The study sample comprised of 65,528 adolescents in middle- and high schools. Data were analyzed using SPSS Ver. 20.0 and multiple regression analysis was conducted to identify the factors related to gingival symptoms by mental health factors. Results: The relationship between mental health factors and gingival symptoms were examined. And, subject characteristics about gingival symptoms were identified to be significant factors such as gender, grade, economic level, smoking and drinking status in all poor mental health groups. The number of brushing per day was related to the gingival symptoms for both good mental health groups and poor mental health groups. Conclusions: Mental health, characteristics, health behaviors of the adolescents should be considered when establishing the policies and institutions to improve oral health targeted adolescents.

• 한국치위생학회지
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• 제19권4호
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• pp.515-524
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• 2019

Objectives: This study aimed to investigate the effects of the amount and duration of smoking on gingival symptoms in adolescents. Methods: We used the web-based survey data of youth health behaviors from 2016 conducted by the Korean Centers for Disease Control and Prevention. The subjects of the study were 67,983 middle and high school students. Data analysis was performed using the SPSS Ver 20.0 program, and complex sample multivariate logistic regression analysis was performed to analyze gingival symptoms according to short- or long-term smoking habits. Results: In subjects with short-term smoking habits, there was no significant difference in gingival symptoms according to the smoking amount. However, after adjusting for socioeconomic characteristics and oral health behaviors in subjects with long-term smoking habits, a heavy smoking amount (${\geq}0.52PY$) had a 1.25 times higher effect than a light smoking amount (<0.52 PY) on gingival symptoms. Long-term heavy smoking (${\geq}0.52PY$) and low daily tooth-brushing frequency in high school students were factors affecting gingival symptoms. Conclusions: When conducting a project on the oral health of adolescents, it is argued that specific investigations and measures should be set up regarding health behavior factors, such as the amount and duration of smoking among adolescents.

• 한국치위생학회지
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• 제17권5호
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• pp.865-874
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• 2017

Objectives: The purpose of this study was to evaluate the association of smoking and drinking status with gingival symptoms among the adolescents in Korea. Methods:We used the data from the web-based survey of the National Korean Youth Risk Behavior of Korean Center for Disease Control in 2016. The study subjects were 65,528 adolescents from middle- and high schools. Data were analyzed by SPSS Ver. 19.0. Multiple regression analysis was used to assess the factors related to gingival symptoms. Results: We observed 1.52 of odds ratio (OR) for gingival symptoms for those who smoked only without drinking in middle schools. In addition, we had ORs of 1.29 or 1.69 for those who drank only without smoking, or who smoked and drank in the middle schools, respectively, compared to nonsmoking nondrinkers. Risk of gingival symptoms for those who drank only or who smoked and drank in high schools were 1.18 or 1.17 times higher than nonsmoking nondrinkers. Conclusions: Smoking and drinking status among the adolescents are the risk factors to develop gingival symptoms. The problem of smoking and drinking in the adolescents should be considered when establishing the policies and institutions to improve oral health targeting the adolescents.

• Restorative Dentistry and Endodontics
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• 제39권3호
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• pp.210-214
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• 2014

Objectives: To investigate the prevalence of different primary reasons for endodontic referrals and the clinical symptoms of the referred cases. Materials and Methods: Clinical data of total endodontic treatment cases (1,014 teeth) including endodontic referral cases (224 teeth) between January 1, 2010 and December 31, 2012, at Kangdong Sacred Heart Hospital, were investigated retrospectively. The one major reason for referral, the clinical symptoms, and the resulting treatment procedures of referral cases were recorded. The percentages of clinical symptoms of the endodontic referral cases and the total endodontic treatment cases were compared by ${\chi}^2$ test for each symptom. Results: Persistent pain was the most frequent reason for endodontic referral (29.5%), followed by presence of gingival swelling and sinus tract (24.1%), and apical radiolucency (12.9%). Referrals in cases involving endodontic difficulties such as canal calcification, broken instruments, post, perforation, and resorption were less than 5.0%, respectively. The percentages of four major clinical symptoms of pain, apical radiolucency, previous endodontic treatment, and gingival swelling and sinus tract were significantly higher in the endodontic referral cases than those in the total endodontic cases (p = 0.001). Among the included referral cases, 72.8% were treated with nonsurgical endodontic treatment only. Teeth other than the referred teeth were diagnosed as the origin of the problem in 5.8% of the referrals. Conclusions: The high prevalence of pain, apical radiolucency, previous treatment, and gingival swelling and sinus tract in endodontic referral cases suggest that these symptoms may be what general practitioners consider to be difficult and refer to endodontists.

• 한국치위생학회지
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• 제20권1호
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• pp.19-27
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• 2020

Objectives: This study aimed to analyze the association between self-assessed periodontal symptoms and glycated hemoglobin levels in patients with type 2 diabetes. Methods: This cross-sectional study involved 156 patients with type 2 diabetes who were aged 50 years or older. Structured questionnaires were used to investigate the self-assessed periodontal symptoms of the patients. The glycated hemoglobin test was performed to evaluate their long-term blood glycemic control. Chi-square test and logistic multiple regression were performed to analyze the factors associated with glycated hemoglobin levels. Results: Compared with patients aged 65 years and above, more patients aged 64 years and below showed poor glycemic control (p=0.020). Further, compared with patients without self-perceived gingival bleeding and halitosis, more patients with these two conditions showed poor glycemic control (p<0.05). Compared with the group of patients without any periodontal symptoms, the group of patients that had at least one periodontal symptom had a higher proportion of patients with poor glycemic control (p<0.001). In the logistic regression model, gingival bleeding and halitosis were the factors most associated with hyperglycemia (p<0.05). Conclusions: The results of our study suggest that gingival bleeding and halitosis can predict hyperglycemia in patients with type 2 diabetes.

• Journal of Periodontal and Implant Science
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• 제44권6호
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• pp.293-299
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• 2014

Purpose: Systemic disease can manifest oral signs at an early phase, which may be crucial for the diagnosis and timing of treatment. This report describes two patients who presented with gingival enlargement as an early sign of acute leukemia. Methods: Two patients presented with oral symptoms including severe gingival enlargement. The progress of their symptoms was associated with underlying systemic disease. Results: The patients were transferred to the Department of Hematology and diagnosed with acute myelomonocytic leukemia. They received appropriate treatment and survived. Conclusions: Gingival enlargement can be caused by underlying systemic diseases. Accurate diagnosis and timely referral are important for preventing a fatal situation. It must be emphasized that some oral signs and symptoms may be closely correlated with systemic diseases.

• Journal of Periodontal and Implant Science
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• 제45권6호
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• pp.247-251
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• 2015

Purpose: This report describes a case of granulomatosis with polyangiitis (GPA) in which the gingival manifestation was crucial in both making an early diagnosis and possibly in deciding the approach to treatment. Methods: A 57-year-old sailor presented to the Department of Dentistry at Ulsan University Hospital complaining of gingival swelling since approximately 2 months. He had orofacial granulomatous lesions and the specific gingival manifestation of strawberry gingivitis. Results: The diagnosis of GPA was made on the basis of clinical symptoms and signs, and confirmed by the presence of the anti-neutrophil cytoplasmic antibody and a positive biopsy. The patient was admitted to the hospital and subsequently placed on a disease-modifying therapy regimen that included methotrexate and prednisone. Conclusions: Identification of the gingival manifestation of the disease permitted an early diagnosis and prompt therapy in a disease in which time is a crucial factor. Because of its rapid progression and potentially fatal outcome, an early diagnosis of GPA is important. Therefore, dentists should be aware of the oral signs and symptoms of such systemic diseases.

• 한국치위생학회지
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• 제23권1호
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• pp.83-89
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• 2023

Objectives: This study aimed to examine the relationship between COVID-19-related depressive symptoms and oral health among Korean adolescents. Methods: Data from the 17th Korea Youth Risk Behavior Web-based Survey were used and analyzed by the chi-squared test, and multiple logistic regression analysis was performed using SPSS 21.0. The final study population comprised 54,835 individuals. Results: The rates of toothache, gingival bleeding, tooth fracture, and tooth sensitivity were 21.2, 19.1, 8.7, and 30.6%, respectively. The rates of equal, increased, and decreased COVID-19-related depressive symptoms were 53.4, 36.9, and 9.7%, respectively. The rates of toothache, gingival bleeding, and tooth sensitivity were significantly higher (49.0, 48.3, and 46.3%, respectively) in the increased depressive symptom group than that in the decreased depressive symptom group (7.7, 8.1, and 7.7%, respectively). After adjusting for gender, school grade, school record, household economic status, tooth brushing frequency, smoking habit, and alcohol consumption, the risks of toothache, gingival bleeding, and tooth sensitivity in the increased depressive symptom group were symptom group were 1.64 (95% CI: 1.51-1.78), 1.55 (95% CI: 1.43-1.68), and 1.77 (95% CI: 1.65-1.89), respectively. Conclusions: There was a significant increase in oral symptoms in the group with increased depressive symptoms.

• 대한치과의사협회지
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• 제9권11호
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• pp.701-704
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• 1971

The authors have studied histopathologically, based with symptoms, on 51 aged woman who treated in infirmary hospital of dental college of Seoul National University. The results are as follows: 1. Symptoms of patient were swelling of lower left mandible, gingival enlargement, ulceration and severe bleeding. 2. We observed characteristic features on the blood test such as decreased leukocytes with severe decrease of granular leuckocytes and sudden increase of lymphocytes. 3. On the histopathological studies, we observed severe destruction of gingival tissue with few granular leukocytic infiltration, but displaced with massive lymphochtic infiltration.

• 한국치위생학회지
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• 제21권6호
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• pp.695-701
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• 2021

연구목적: 본 연구는 우리나라 청소년의 코로나바이러스감염증-19로 인한 가계경제 악화가 치은 통증 및 출혈에 미치는 영향을 알아보고자 하였다. 연구방법: 제16회 청소년건강행태조사 KYRBS(2020) 자료를 사용하였다. 이 연구는 단면 연구로서 총 57,925명의 청소년을 대상으로 하였다. 코로나바이러스감염증-19로 인한 가정경제악화와 치은 통증 및 출혈의 관련성을 파악하였다. 모든 설문조사는 비대면 온라인 설문조사방법으로 평가되었으며, 분석방법은 기술통계, 카이제곱 검정 및 로지스틱 회귀분석을 사용하여 분석하였다. 통계프로그램은 SPSS 26.0을 사용하였다. 연구결과: 우리나라 청소년의 치은 통증 및 출혈 증상의 전반적인 유병률은 19.2%이었다. 코로나바이러스감염증-19로 가정경제의 악화가 없는 경우보다 가정경제가 악화된 청소년에서 치은 통증과 치은 출혈을 겪을 가능성이 더 높았다. COVID-19로 인한 가정경제악화가 없는 경우를 기준으로 악화된 경우(aOR=1.048, 95% CI=1.034-1.227), 매우 악화된 경우(aOR=1.358, 95% CI=1.164-1.585)으로 갈수록 치은 출혈 및 통증이 나타날 확률이 높았다. 결론: 코로나바이러스감염증-19로 인한 가계경제악화가 없는 경우에 비해 COVID-19로 인해 가정경제가 악화 청소년에서 치주질환의 초기 증상인 치은 통증 출혈이 더 많았다.