• Journal of Periodontal and Implant Science
• /
• 제50권4호
• /
• pp.268-277
• /
• 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.

• 한국융합학회논문지
• /
• 제13권4호
• /
• pp.127-135
• /
• 2022

본 연구는 한국중년여성의 경제활동여부가 삶의 질과 구강건강에 미치는 융합적인 영향을 확인하기 위한 기초자료로 제공하고자 한다. 2019년 국민건강영양조사 자료를 사용하였고, 경제활동 여부가 구강건강관련 요인과 건강관련 삶의 질 (Korean Health-related Quality of Life Instrument with 8 Items; HINT-8)에 미치는 영향을 확인하기위해 복합표본 로지스틱 회귀분석과 선형회귀분석을 시행하였다. 그 결과, 인구학적 특성을 통제하고, 경제활동을 하는 경우 HINT-8의 하위항목 중 4개의 항목(기운, 일하기, 기억, 잠자기)에서 유의한 영향이 있었다. 구강건강 상태를 보정한 경우 HINT-8의 2개의 항목(일하기, 기억)에서만 유의한 영향이 있었다(p<.05). 따라서 한국 중년여성의 경제활동이 삶의 질에 긍정적인 영향을 미치지만 구강건강상태가 그 영향요인을 감소시킬 수 있다는 점에서 그 가치가 있다고 생각된다.

• 보건의료생명과학 논문지
• /
• 제11권2호
• /
• pp.431-439
• /
• 2023

본 연구는 제7기 국민건강영양조사 자료를 활용하여 암환자와 암생존자의 구강건강이 건강 관련 삶의 질에 미치는 영향을 조사하였다. 자료 분석은 SPSS/WIN 26.0을 이용하여 복합표본 분석을 하였다. 암환자와 암생존자의 삶의 질에 영향을 미치는 요인을 알아보기 위해 복합표본 로지스틱 회귀분석을 실시한 결과, 암환자의 삶의 질 평균은 1.18점이었으며, 암생존자의 삶의 질 평균은 1.16점이었다. 암환자는 씹기와 말하기에 불편감이 있을수록, 의치가 필요할수록 유의하게 삶의 질이 낮았으며, 암생존자는 말하기에 불편감이 있을수록 삶의 질이 낮았다. 따라서 암환자와 암생존자를 위한 구강관리 중요성을 인식하고, 구강건강관리 프로그램을 개발하여 활용할 수 있도록 지속적이고 전문적인 구강건강관리에 대한 접근이 필요하다.

• 한국치위생학회지
• /
• 제16권6호
• /
• pp.955-968
• /
• 2016

Objectives: The purpose of the study was to investigate the oral health behavior according to perceived oral symptoms in the elderly. Methods: The data were obtained from the 6th Korean National Health and Nutrition Examination Survey (2013). Data were analyzed by complex sample frequency t test, one-way ANOVA, ${\chi}^2$ test, and general analysis. The questionnaire consisted of general characteristics of the subjects and perceived oral symptoms. Results: Those who had higher education tended to brush teeth regularly. The use of oral hygiene product was also high in higher educated elderly and higher income. Those with good oral health perception showed regular toothbrushing habit. Those with good chewing and mastication used oral hygiene products. Male tended to have regular dental checkup. Those having spouse, higher income, younger age, regular dental checkup had good chewing ability. Poor oral health perception, toothache, and chewing difficulty were the main cause of dental visit (p<0.05). Conclusions: The elderly with poor perceived oral symptoms showed lower level of oral hygiene care. They tended to visit dental clinics only when they had oral symptoms.

• 한국치위생학회지
• /
• 제11권6호
• /
• pp.833-841
• /
• 2011

Objectives : The purpose of this study was investigation of quality and quantity of nutritional intake related oral health status among Korean elders. Methods : The nutrient intake and the dietary quality was evaluated on the basis of the Dietary Reference Intakes For Koreans(KDRIs). Chi-square test for Complex Samples was used to determine the relationship between oral health and inadequate nutrient intake in Korean elders. The complex samples general linear model was used to test difference of average value difference of nutrient intake percentage compared to dietary reference intake(DRI), energy intake rate from three major nutrients, average mean adequacy ratio(MAR) and index of nutritional quality(INQ) related oral health status. Age, sex and total energy intake was compensated for this analysis. PASW 18 was used for statistical analysis. Results : We could found the difference of the nutrient intake and the dietary quality related oral health status among Korean elders. Especially, Nutrient intake percentage and component ratio of protein among energy intake rate from three major nutrient was lower as oral health status became worse. The percentage of subjects with nutritional intakes under showed highest level in worst oral health status. As oral health status became worse, average mean adequacy ratio(MAR) was lower and the number of nutrient of which index of nutritional quality(INQ) was under 1 was more. Conclusions : From the result above, this study clearly shows the level of oral health affecting the inequalities of eating and the food for the people. And the various propose of oral health policies is needed for vulnerable groups who needs solution to solve the problem of inequality of food distribution where intensive distribution of nutrition problem occurred. Sufficient, safe, and a variety of healthy food intake is a fundamental right of our people. And also, to apply this policy in reality, institutional arrangements and organizations, and specific performing system will be needed.

• 한국치위생학회지
• /
• 제11권4호
• /
• pp.499-509
• /
• 2011

Objectives : The purpose of this study was to provide some information on down-to-earth oral health policy to improve the systemic health involving oral health and the quality of life in Korean adults. Methods : The third-year data of the 4th National Health and Nutrition Survey in 2009 were analyzed, and $x^2$(Chi-square) test was carried out to see whether there would be any gaps in subjective oral health status according to demographic characteristics, systemic health state, frequency of eating between meals and oral health behavior. In terms of the DMFT index, one-way ANOVA was utilized, and then Scheffe post-hoc analysis was conducted. Besides, multiple regression analysis was made to grasp the relationship of oral health behavior to subjective oral health state and the DMFT index. Results : The demographic characteristics, systemic health status and oral health behavior had a significant relationship to both of subjective oral health status and the DMFT index. As a result of analyzing the relationship of oral health behavior to subjective oral health state and the DMFT index, the subfactors of oral health behavior exerted a significant independent influence on subjective oral health status and the DMFT index. Conclusions : The findings of the study suggest that in order to promote the oral health of adults, preventive measures should be taken, and systematic oral health education should be provided. As there is an increase in the elderly population in Korea, the successful implementation of senior oral health plans and the development of oral health programs geared toward adults are both required.

• 대한치과의사협회지
• /
• 제58권1호
• /
• pp.45-49
• /
• 2019

Korean society is experiencing a very rapid change in population aging. Oral diseases, including dental caries and periodontal disease, are usually cumulative and make oral health worse with age. Preventing tooth loss through the prevention and treatment of caries and periodontal diseases are essential for retaining oral function later in life. This study aimed to identify the trend in oral health status among elderlies over 65 years old, using major oral health indicators of Health Plan 2020. The fifth, sixth, and seventh Korea National Health and Nutrition Examination Survey (KNHANES V, VI, VII) were used in the present study to estimate the number of remaining natural teeth, the rate of 20 or more natural teeth, the rate of chewing difficulty, and the rate of oral health check-up of elderly. The number of remaining natural teeth increased from 15.6 in 2010 to 17.1 in 2015, and the rate of 20 or more natural teeth also increased from 45.8% in 2010 to 53.7% in 2015. The rate of chewing difficulty was similar but declined a little from 44.3% in 2010 to 42.9% in 2017. Finally, the rate of oral health check-ups of the elderly increased significantly from 12.2% in 2010 to 21.1% in 2017.

• 한국치위생학회지
• /
• 제19권5호
• /
• pp.731-742
• /
• 2019

Objectives: To analyze the association between sleep duration and the number of remaining teeth in people aged 65 years or older in order to provide basic data for improving sleep quality and developing oral health programs for teeth maintenance. Methods: The raw data for the analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (KNHANES) dataset, conducted between 2013 and 2015. The 4,340 subjects included in the study underwent oral examinations and then proceeded to answer related questions. The collected data were analyzed using SPSS (ver 23.0) program via composite samples, with the calculations for mean, standard deviation, chi-square test, and logistic return analysis being performed. Results: An analysis of the effect of sleep duration on the number of remaining teeth among people aged >65 years old showed that if the confounding variables were not corrected for, the risk of having less than 9 hours of sleep was 1.40 times higher (95% CI: 1.06-1.86). However, this was not statistically significant in models that corrected for gender, age, and other confounding variables (p>0.05). Conclusions: The association between sleep duration among the elderly with their number of remaining teeth was confirmed. Therefore, measures to improve sleep quality and oral care practices to maintain the remaining teeth in people over 65 years old should be developed.

• 대한치위생과학회지
• /
• 제2권2호
• /
• pp.41-51
• /
• 2019

Introduction: This study intended to identify the current oral health care status and demand of care workers for oral health education. Methods: A survey was distributed to care workers working in 11 nursing homes for older people located in the Chungcheongdo Province. Of those distributed, 217 questionnaires were collected and analyzed. To analyze the collected data, a frequency analysis, t-test, and one-way analysis of variance(ANOVA) were performed using SPSS version 18.0. Results: The demand for an educational course on the 'Management of Oral Health Care for the Aged People' had a score of 4.22 points(full marks were 5.0 points), whereas the score for the necessity for control of oral health was 4.29 points. The control of oral health for the aged people suffering dysphagia scored 4.27 points, whereas the control of oral health for older people who have dementia was 4.27 points. The score for a course on the nutritional control for aged people having difficulties in masticating foods was 4.27. Conclusion: It is clear that the development of educational courses and standardized manuals for care workers on aspects of oral health care is necessary. Therefore, it would be desirable to develop institutional infrastructure for dental hygienists to educate care workers on oral health.

• 치위생과학회지
• /
• 제17권1호
• /
• pp.56-64
• /
• 2017

Systemic health conditions increase with advancing age, and may be linked to poor self-reported oral health. The purpose of this study was to evaluate the association between systemic health conditions and poor self-reported oral health among Korean elderly. The study used a nationally representative sample of Koreans (2012 Korea National Health and Nutrition Examination Survey) aged 65~98 years (n=1,595). Systemic health conditions in this population were assessed by the presence of one or more of the following conditions: obesity, hypertension, diabetes, and hypercholesterolemia. The relative risk of poor self-reported oral health according to the occurrence of systemic health conditions was estimated by multivariate logistic regression after controlling for several potential confounders (i.e., socio-demographic factors, oral health behaviors, health behaviors, and psychological factors). After adjustment for these confounders, the relative risk of having poor self-reported oral health was greater among the elderly with one or more systemic health conditions than in those without a systemic health condition. The odds ratio of having poor self-reported oral health according to the occurrence of systemic health conditions was 1.51 (95% confidence interval, 1.08~2.12). Among the Korean elderly, perception of poor oral health was associated with the presence of one or more systemic health conditions. Future studies are needed to examine the detailed causal relation between systemic health conditions and poor oral health longitudinally.