• 한국치위생학회지
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• 제13권5호
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• pp.739-747
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• 2013

Objectives : This study aimed to investigate relationship between the psychological factors, the prevalence, and perception of temporomandibular disorder in Korean adults. Methods : A total of 7203 data were derived from Korean national health and nutritional examination survey. All data were analyzed using R-COMMANDER(12.2 SDI) program. Results : The prevalence of temporomandibular disorder in Korean adults was 3.1% and 10.5% of adults with temporomandibular disorder (TMD) had more than one TMD related symptom. Women had higher prevalence rate of TMD related symptom than men. Prevalence rate in TMD was low in the younger age, the higher education level, higher income, and the professionals. Psychological factors including cognition of stress and depression was shown to be closely related with suicidal ideation and TMD prevalence. Conclusions : To prevent TMD, it is necessary to provide the systematic oral health education and to develop the combined psychological counseling with treatment program.

• 한국치위생학회지
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• 제16권6호
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• pp.893-907
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• 2016

Objectives: The purpose of this study was to identify the related factors of dental caries and periodontal disease in adolescents from Korean multicultural families, thereby helping to reduce the prevalence rate of oral disease. Methods: The subjects were 710 multicultural adolescents recruited using a web-based survey, National 2015 Korean Youth Risk Behavior, from the Korean Center for Disease Control. A multicultural family was defined in this study as one having an immigrant mother or father. Oral symptoms included dental caries and periodontal disease. Toothache was defined as a symptom of dental caries. Tender or bleeding gums were defined as symptom of periodontal disease. For statistical analysis, Statistical Package for Social Sciences (SPSS) Version 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to determine the factors associated with general characteristics, health behavior, and oral health behavior. Finally, to investigate the associations among oral disease symptoms, logistic regression analysis was performed. Results: Toothache was significantly higher in female 1.52 (95% CI; 1.45-1.60), high school 1.23 (95% CI; 1.18-1.28), women school 1.10 (95% CI; 1.05-1.16), individuals with poor economic status 1.45 (95% CI; 1.30-1.52), and participants who consumed alcohol 1.32 (95% CI; 1.27-1.37). Toothache related to perceived health status was significantly lower in the healthy group 0.69 (95% CI; 0.64-0.75), and was higher in usual stress group 1.65 (95% CI; 1.57-1.74). Gum bleeding was significantly higher in female 1.32 (95% CI; 1.27-1.37), high school 1.15 (95% CI; 1.10-1.19), and individuals with poor economic status 1.38 (95% CI; 1.27-1.50). Gum bleeding related to perceived health status was significantly lower in the healthy group 0.68 (95% CI; 0.63-0.74), and was higher in usual stress group 1.54 (95% CI; 1.46-1.62). Conclusions: Taking into account of social and economic levels, and dietary habits in the multicultural families adolescents, further education and support will be needed for oral disease prevention and early treatment.

• Journal of Oral Medicine and Pain
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• 제41권2호
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• pp.35-40
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• 2016

Purpose: This study aimed to investigate the characteristics of the symptoms of temporomandibular disorders (TMD) in Korean children and adolescents using representative samples and questionnaires. Methods: A survey involving the interview of 10-, 12-, and 15-year-old children and adolescents regarding the symptoms of TMD was conducted as a part of the 2010 National Oral Health Surveys. The study population included 18,112 subjects (male, 9,734; female, 8,378). The interview involved three questions related to the symptoms of TMD. The prevalence of symptoms of TMD, correlation of the symptoms with sex and age, and the difference in the number of symptoms according to sex and age were analyzed. Results: Among the symptoms of TMD in children and adolescents, the prevalence of temporomandibular joint (TMJ) sounds during mouth opening was 13.0%, while those of TMJ pain and limitation were 3.1% and 4.3%, respectively. While the prevalence of TMJ sounds during mouth opening did not show any statistically significant difference between the sexes, the rates of prevalence of TMJ pain and limitation of mouth opening in were higher in the female subjects than the male (p<0.05). It was also observed that the older the subjects, the higher the prevalence of TMJ sounds, TMJ pain, and limitation of mouth opening (p<0.05). The number of symptoms of TMD was found to be increased among female subjects as well as the older ones (p<0.05). Conclusions: There are variations in the prevalence of symptoms of TMD among Korean children and adolescents according to sex and age, which is consistent with the results of previous studies. It is necessary to conduct a national cohort study to evaluate the risk factors for TMD in children and adolescents.

• 농촌의학ㆍ지역보건
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• 제34권2호
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• pp.202-213
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• 2009

본 연구는 농촌지역 청소년들의 건강행태를 도시지역 청소년들과 비교하기 위해 2005년에 실시한 전국청소년건강행태 온라인 조사 자료를 이용하여 분석하였다. 그 결과 흡연경험률, 중학교 입학전 흡연경험률, 음주빈도, 음주후 위험행동 경험률, 점심 및 저녁 결식, 과일 및 우유 섭취, 칫솔질 횟수, 구강질환 증상 경험, 구강 진료 경험, 구강 에방진료. 안전 및 위생의식 등의 행태에서 도시지역 청소년에 비해 바람직하지 못 한 결과를 보였다. 이러한 결과가 지역규모에 따른 차이인지 혹은 도농간의 사회경제적 수준의 격차와 관련이 있는지에 대하여 향후 추가적인 연구가 필요하다. 본 조사 결과를 통해 청소년 건강행태 개선을 위한 건강증진사업은 농촌 청소년을 대상으로 우선적으로 수행하여야 할 당위성을 확인하였다고 할 수 있다.

• 치위생과학회지
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• 제14권2호
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• pp.158-166
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• 2014

본 연구는 남자 고등학생들의 스트레스와 구강건강의 중요성 및 주관적 구강건강상태 인식, 칫솔질 횟수에 따른 스트레스와 구강건강관련 삶의 질에 대한 연관성을 파악하여 고등학생들에 대한 실질적인 구강보건교육 필요성을 강조하며 청소년기의 구강위생관리가 올바르게 이루어져 성인 및 노인기까지 구강건강이 유지 증진되어 전반적인 삶의 질이 향상될 수 있는 기초자료를 제공하고자 한다. 2013년 5월부터 7월까지 충남에 위치한 2개 고등학교 1, 2학년을 대상으로 편의표본추출법에 의한 자기기입식으로 설문조사를 실시하였다. PASW Statistics 18.0과 AMOS 5.0 프로그램을 이용하여 다음과 같은 결과를 얻었다. 잠재변수 스트레스가 하위 5가지 영역의 스트레스와 구강건강관련 삶의 질과의 관련성을 분석결과 모두 유의한 것으로(p<0.001)로 나타났으며, 스트레스가 구강건강관련 삶의 질에 주는 영향력은 구강건강의 중요성 인식에 따라 구강건강이 중요하지 않다고 인식할 때보다(-0.38, p<0.001), 중요하다고 인식할 때(-0.32, p<0.001) 구강건강관련 삶의 질이 높은 것으로 나타나 스트레스의 영향이 낮은 것을 알 수 있으며, 주관적 구강건강 인식에서 또한 스스로 구강건강이 좋다고 인식할 때 스트레스의 영향력이-0.14 (p<0.05)로 낮게 나타나 구강건강관련 삶의 질이 높은 것으로 나타났다. 구강건강관리 행태와의 관련성에서는 하루 칫솔질 횟수가 1회로 낮을 때 스트레스가 구강건강의 삶의 질에 주는 영향력이 -0.69 (p<0.001)로 매우 높아 구강건강관련 삶의 질에도 매우 부정적인 영향을 주었다. 이상의 결과를 바탕으로 모델의 적합도 검정결과 GFI, AGFI, CFI, NFI에서 모두 0.9 이상을 보였으며, RMR과 RMSEA 값이 모두 0.1보다 작은 값이 추정되어 양호한 모형이다. 본 연구결과 스트레스와 구강건강관련 삶의 질은 연관성이 있다고 볼 수 있다. 또한 학생들의 구강건강 중요성 인식과 주관적 구강건강 인식도는 구강건강관련 삶의 질과 연관성이 있음을 확인되었고, 구강위생 관리 행태 중 칫솔질 횟수와도 연관성이 나타났다. 그러므로 본인의 구강건강을 스스로 책임져야 할 시기인 고등학생들이 구강건강을 위하여 바람직한 인식과 습관 형성을 위한 실질적이고 체계적인 구강보건교육이 시행되야 할 것이다.

• Journal of Periodontal and Implant Science
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• 제39권4호
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• pp.407-412
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• 2009

Purpose: This study was performed to evaluate the effect of powered toothbrush with a wireless remote display on the subjective and objective oral hygiene improvement. Methods: One hundred and fifteen subjects in healthy or mild gingivitis status between the ages of 20 and 90 were recruited and reviewed for study inclusion criteria. At first visit, 115 pre-screened subjects filled in the questionnaire form which consisted of demographic factors, behavioral factors (smoking, alcohol consumption), toothbrushing habits (brushing time and frequency), self-reported oral health status, and self-satisfaction. Baseline clinical indices (Plaque index, Gingival index) were also recorded by a periodontist. Subjects were instructed how to use powered toothbrush with a wireless remote display, and were provided with it. Thirty days after first visit, 90 subjects returned for the second assessment by self-reported questionnaire form and professional clinical checkup. Statistical analysis was performed using paired t-test for the difference between baseline and second visit data. The relationship among variables was examined with chi-square test and Fisher' s exact test. Results: Significant differences were not found on self-reported satisfaction related with sex, smoking, alcohol consumption (P<0.05). Self-reported tooth brushing habit was improved in the aspect of brushing time and frequency. Significant differences were found on the self-reported oral health status, self-satisfaction, and clinical indices between the baseline and second visit data (P<0.01). Clinical indices were significantly reduced after using powered toothbrush with a wireless remote display (P<0.01). No adverse reactions were reported during the study period. Conclusions: Powered toothbrush with a wireless remote display successfully promoted oral hygiene from the subjective and objective viewpoint after 30 days of home usage.

• 보건교육건강증진학회지
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• 제21권4호
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• pp.121-135
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• 2004

This study aims to analyze the oral health status of the elderly. Study subjects were 9,340 elderly aged over 65 who took the health examination (the first) for the local insured when the National Health Insurance Corporation carried out its survey from January to December, 2002. The subjects took an oral examination and filled in the questionnaire. Major results from the analysis are as follows: 1. Analysis of Oral Health Behavior For oral health behavior, 38.2％ of total subjects had visited a dental hospital (or clinic) in the last one year in the order of the elderly of big cities (48.3％), the elderly of medium cities (43.9％), and the elderly of rural areas (29.0％)(P<0.001). Elderly men had a higher rate than elderly women, and the younger age had a higher rate(P<0.01). For experience of oral prophylaxis, 12.3％ of the total elderly had experienced it in the order of the elderly of big cities (18.8％), the elderly of medium cities (16.0％), and the elderly of rural areas (6.4％) (P<0.001). For elderly men, the younger age had a higher rate of oral prophylaxis. The number of toothbrushing in order was twice(47.5％), once (26.7％), three times (25.0％), and none (0.7％). The younger age brushed their teeth more often (P<0.001). 2. Analysis of Oral Health Status The rate of caries was 10.6％ of the elderly surveyed. By area, the elderly of rural areas had a higher rate of caries than the elderly of cities (p<0.001) and elderly men were higher than elderly women (p<0.001). By age, many elderly aged over 80 had more than two caries. For missing teeth, the elderly of rural areas had a higher rate than the elderly of cities (p<0.001) and the older age had a higher rate(p<0.001). The rate of periodontal disease was 43.2％ of the total elderly. By area, the elderly of big cities (46.2％) had a higher rate of periodontal disease than the elderly of medium cities (39.4％) and rural areas (43.6％)(p<0.001), and elderly men (46.4％) were higher than elderly women (40.2％)(p<0.001). By age, the lower age had a higher rate of peridontal disease (p<0.001). Dental abrasion was observed in 16.9％ of the total elderly. The elderly of cities (21.0％) had a higher rate than the elderly of rural areas (12.0％)(p<0.001) and elderly men (21.3％) were higher than elderly women (12.8％)(p<0.001). Also the lower age had more dental abrasion symptoms (p<0.001). For needing a denture, the rate among the elderly was 48.5％ and was higher for the elderly of rural areas(20.9％), than the elderly of big cities(7.0％) and medium cities (10.5％)(p<0.001). For the rate of denture wearing, the elderly of rural areas(41.8％) were higher than the elderly of big cities (27.7％) and medium cities (28.2％ )(p<0.001). For the relation of drinking and smoking to oral health, the elderly who had a higher frequency of drinking, had a higher rate of caries (p<0.001)periodontal disease(p<0.001) and missing teeth(p<0.001) Smokers had a higher rate of caries (p<0.001), periodontal disease (p<0.05), and missing teeth (p<0.001) than nonsmokers.

• 한국치위생학회지
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• 제14권5호
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• pp.723-730
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• 2014

Objectives : This research was conducted to investigate geriatric care workers' oral care, and the oral care conditions of residents of elder care facilities in relation to workers' knowledge of oral care. Methods : A survey was conducted from November 2011 to February 2012 with geriatric-care workers in elder care facilities located in Busan and other areas of Gyeongsangnam-do. Results : With regard to their oral self-care practices, 52.5% of the geriatric workers "brushed their teeth from top to bottom" and 58.1% brushed their teeth 3 times a day. Further, 52.0% did not use any oral care products, while 36.5% used Mouthrinese. The workers who brushed their teeth in their own ways or from top to bottom had significantly higher oral care knowledge scores than those who brushed from left to right (p<.05). Concerning oral hygiene care for residents, 72.6% of the geriatric workers recommended that elders visit dentists for oral care, 96.6% helped elders oral wash their teeth every day, and 54.7% used oral care products for the elders. The workers who did not recommend visits to dental clinics scored slightly higher than those who did (p<.05). Additionally, those who did not help elders oral wash their teeth scored significantly higher than those who did (p<.05). Except for oral wash to recuperated old man and recommendation of visiting the dentist, relation between oral care and knowledge about oral health and oral hygiene care is plus mutual relation. Conclusions : To manage the accuracy and quality of oral care work performed by geriatric care workers in elder care facilities, enhancing standard training and education on oral care is necessary. Providing systematic, regular education on such knowledge and practices would also be essential.

• Journal of Oral Medicine and Pain
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• 제31권2호
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• pp.127-139
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• 2006

측두하악관절 장애를 가진 환자를 저작근 동통을 가진 환자와 관절강 내 동통을 가진 환자 그룹으로 구분하여, 두 그룹사이의 동통의 정도나 기간의 차이, 그리고 수면질의 차이에 따른 삶의 질의 차이를 비교하였다. 총 61명의 환자는 관절강 내 통증을 가진 환자 24명과 저작근 동통을 가진 환자 37명으로 구성되었다. 상기 환자들은 첫 내원 시 맥길 통증설문지(McGill Pain Questionnaire), 피츠버그 수면 질 평가 (Pittsburgh Sleep Quality Index), SF-36 (Medical Outcome Study 36 Item Short Form Health Survey)을 작성하고 치과적 병력과 의과적 병력을 기록한 후, 전반적인 측두하악관절에 대한 검사를 시행하였다. 두 그룹 사이에는 동통의 강도나 기간에 유의한 차이는 보이지 않았으나, 6개월 이상 측두하악관절장애를 가지는 환자 중에서는 저작근 동통을 가진 환자가 관절강 내 동통을 가지는 환자보다 SF-36의 평균과 정신적인 부분에서의 점수에서 낮은 수치를 보인다(p<0.05). 피츠버그 수면 질 평가에서는 평사시의 수면 효율면에서 저작근 동통을 가진 환자 ($1.9459{\pm}0.8481$)가 관절강내 동통을 가지는 환자 ($1.375{\pm}0.9237$)에 비해 낮은 효율을 보인다. 또한 저작근 동통을 가진 환자군에서 피츠버그 수면 질 평가의 총점이 5이상인 나쁜 수면질을 가지는 군은 맥길 통증 설문지, SF-36에서 높은 동통 정도와 낮은 삶의 질을 가지는 것으로 결과가 도출되었다. 또한 저작근 동통을 가진 환자는 전체적인 삶의 질을 나타내는 SF-36에서는 감정적인 문제로 인한 역할의 제한, 생활력, 신체적 동통에서 관절강 내 동통을 가진 환자에 비해 낮은 수치를 나타내어, 삶의 질이 특히 정신적인 면에서 손상되었다는 것을 나타낸다.

• 여성건강간호학회지
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• 제28권3호
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• pp.222-234
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• 2022

Purpose: This study investigated the changes in the health-related behaviors of adult women in Korea during the coronavirus disease 2019 (COVID-19) pandemic. Methods: Data from the eighth Korea National Health and Nutrition Examination Survey (2019-2020) were analyzed. The participants were 4,848 women aged 19 to 64 years in 2019 and 2020. Data analysis using the complex sampling design was performed using SPSS 20.1. Results: Positive changes during the pandemic compared to before the pandemic in Korean adult women were found for improved subjective oral health perceptions (odds ratio [OR], 1.77; p<.001), increased moderate-intensity exercise in work and leisure activities (OR, 1.75; p<.001 and OR; 1.29, p=.004), and a decrease in secondhand smoke exposure at the workplace and in public places (OR, 0.64; p=.004 and OR, 0.60; p<.001). However, the following negative health behavior changes were found: decreased frequency of walking 5 days a week (OR, 0.81; p=.011) and an increase in unhealthy daytime sleep durations (OR, 1.40; p=006). Conclusion: Compared to before the COVID-19 pandemic, Korean adult women perceived their subjective dental health more positively during the COVID-19 pandemic, decreased their exposure to secondhand smoke at work and in public places, decreased walking, and increased sleep duration during the week. Since this study only compared data between 1 year before and after the start of the pandemic, it is necessary to investigate a longer period of time in the future. A future study should attempt to identify the factors related to changes in health behaviors caused by the pandemic.