• 감성과학
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• 제19권4호
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• pp.127-136
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• 2016

본 연구는 불쾌감을 유발하는 구취의 자가 인지도와 의치장착의 관계를 알아보고, 일반적 특성에 따른 구강보건지수와 의치관련 요소가 구취에 미치는 영향을 설문 및 구강검사를 통해 확인하였다. 경로당 및 노인복지관을 방문한 노인 103명을 분석한 결과 평균 연령은 75.06세 이며, 대상자들 중 의치장착 여부에서 '장착한 사람'이 55명(53.4%), '장착하지 않은 사람'이 48명(46.6%)으로 나타났다. 일반적 특성에 따른 구강보건지수를 살펴본 결과 성별에 따른 구강건강 상태의 차이는 없었지만 연령이 낮을수록 구강건강 상태가 양호한 것으로 나타났다. 또한 '배우자'와 함께 거주 할수록 구강상태는 좋은 것으로 나타났으며, 칫솔질 횟수가 적을수록 구강상태는 좋지 않았다. 의치 사용 유무에서 의치를 사용하는 그룹에서 유의미하게 구취발생률이 높았고, 의치에 대한 구강지식이 높을수록 자가인지 구취의 수준은 높았으나 구강검진을 통한 구취의 실제 발생량은 낮았다. 의치의 종류에 따른 구취발생 정도 또한 유의미하게 차이를 보였다. 즉, 구취의 발생요인을 단정하거나 단편적으로 해석하기는 어려우나, 노인을 대상으로 불쾌감을 유발하고 대인기피증과 같은 노인성 문제를 야기할 수 있는 구취의 조절과 의치관리를 위한 구강보건 교육프로그램의 개발이 필요할 것으로 사료된다.

• 한국치위생학회지
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• 제11권4호
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• pp.595-602
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• 2011

Objectives : This study purpose were the effect of toothbrushing for decreasing halitosis for gingivitis and periodontitis patients. Methods : The university staffs were examined oral condition and analysised a change of oral health state score after using 3 types of toothbrushing. Results : The results were as followed : OHI-S shows that the decreasing effect takes place in the M. bass method and Tooth pick method, but shows no differences by each method. GI for Self test method shows decreasing effect after 2nd week during education while the M. bass method and Tooth pick method shows after 1st week during education. The M. bass method shows much greater effect of halitosis amongst 3 kind of method. PI for Self test method and Tooth pick method show decreasing effect. Decreasing effect during education shows until 2nd week by 3 kind of method, but it shows no differences after 3rd week. VSC(ppb) for M. bass method and Tooth pick method show decreasing effect. Decreasing effect during education shows after 3rd week by 3 kind of method, but it shows no differences until 2nd week. PHP for Self test method, M. bass method and Tooth pick method show decreasing effect after 2nd week during education. But, there is no differences of decreasing effect by among 3 kind of method. Conclusions : This study reports that it is necessary to carry outt further studies on the improvement of oral health management of adults based on the development of oral health education.

• 치위생과학회지
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• 제15권3호
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• pp.325-332
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• 2015

본 연구는 충남 A시 보건소 방문보건팀에 등록된 방문건강사업 대상 노인 300명을 대상으로 구강건강 관련 삶의 질과 관련 요인을 조사하여 취약계층 노인들의 삶의 질 향상과 구강건강을 유지, 증진시키기 위한 지역사회 프로그램개발을 위한 기초자료로 제공하고자 연구되었으며 그 연구 결과를 요약하면 다음과 같다. 방문건강사업 대상 노인의 평균 연령은 77.1세였고, 평균 잔존 치아 수는 12.7개, 주관적 건강인지도 평균은 2.27, 일상생활점수 평균은 7.39로 나타났으며 대상자의 91.0%가 1개 이상의 만성질환을 가지고 있었다. GOHAI 점수의 평균은 37.36으로 나타났으며 점수가 낮았던 문항은 구강상태에 행복한 경험이 없음, 걱정이 있음, 단단한 음식을 씹을 때 문제가 있음의 순이었다. 구강보건행태에 따른 GOHAI의 관계는 점심식사 후 칫솔질, 구강위생용품 사용, 무자격자에 의한 진료경험, 구강검진, 스케일링 경험에서는 통계적으로 유의하지 않았으나, 미 충족 치과진료 여부는 유의한 차이가 있었다(p<0.001). GOHAI의 총점에서는 잔존 치아수(p<0.001)와 나이에서 유의미한 차이가 있었으며 하위요인에서는 남성이 통증과 불편요인에서 점수가 높았고(p<0.05), 74세 이하에서 기능제한요인의 점수가 높았다(p<0.01) 잔존 치아 수에서는 통증과 불편요인을 제외한 모든 요인에서 유의미한 차이가 있었다(p<0.001). GOHAI에 영향을 미치는 요인은 연령(p<0.05), 잔존 치아수(p<0.001), 주관적 건강 인지도(p<0.001)로 나타났다. 이상의 연구결과에 따르면 방문건강사업 대상 노인의 구강건강평가지수 점수는 낮은 편이며 연령, 치아수, 주관적 건강 인지도와 연관성이 부분적으로 확인되었기에, 방문건강대상 노인의 구강건강관련 삶의 질을 높이기 위해 치아기능 회복을 위한 보철물 제작 등 틀니 지원 확대를 위한 국가 재원 외에 지방자치단체 예산을 확보할 필요가 있으며, 장착된 의치 관리 및 구강건강증진과 관련된 프로그램이 지속적으로 개발될 필요성이 있다.

• 치위생과학회지
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• 제11권6호
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• pp.489-495
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• 2011

고정성 치열교정 환자의 구강건강행위 실천도와 치면세균막지수 및 치은염지수를 파악하고자 2009년 7월 6일부터 11월 14일까지 총 206명을 대상으로 설문조사와 구강검사를 병행하여 다음과 같은 결론을 얻었다. 1. 구강건강행위 실천도는 여자가 남자보다 칫솔질 부위(p<0.05) 및 횟수(p=0.001), 구강위생용품 이용(p<0.01)이 높았고, 연령에 따라 칫솔질 방법에서 차이를 나타냈으며(p=0.01), 교정기간 교육경험이 많을수록 구강위생용품 이용이 많았고(p<0.05), 치열교정 목적과 기간, 장치는 칫솔질 시간에서 유의한 차이를 나타냈다(p<0.05). 2. 치열교정장치는 자가결찰 교정장치가 일반결찰 교정 장치보다 협면 치면세균막지수(p<0.001)와 치은염지수(p<0.05)가 낮게 나타났다. 3. 단계적 다중회귀분석 결과 자가결찰 교정장치를 한 경우(p<0.001), 칫솔질 방법 실천도(p<0.001)와 연령이 높을수록(p=0.021) 협면 치면세균막지수가 낮게 나타났다. 이 결과 치열교정환자의 구강건강행위 실천 교육은 17세 미만 군과 일반결찰 교정장치 군과 남자에 대하여 보다 체계적으로 이루어져, 교정기간 동안 구강건강에 문제가 발생하지 않도록 하는 것이 필요하겠다.

• 한국치위생학회지
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• 제6권3호
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• pp.187-201
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• 2006

The purpose of this study is to examine the satisfaction for college life and oral prophylaxis subject and improve the satisfaction for this subject by satisfying students' desire through the results of correlation, and to inspire a professional sense by helping students enjoy healthy college life. In order to achieve these purposes, 127 senior students of the Dental Hygiene Department, Kwangju Health College took part in this study to examine the satisfaction for a study course, a lab, professors, a college, and subjects. The following results were obtained. 1. The overall satisfaction for the Dental Hygiene Department was 2.83 and the highest dissatisfaction factors included difficult subjects and non-aptitude. The overall satisfaction for professors was 3.33 and students wanted professors' human contact with students and a well-prepared lecture. The overall satisfaction for college life was 2.65, suggesting not very high satisfaction, and the highest dissatisfaction factors included similar life to high school and surrounding environment. 2. The overall satisfaction for theory was 3.83 and for practice was 3.91 in oral prophylaxis. While the highest satisfaction was found in 'the objective and direction of class' and 'class and a supplementary lesson in not giving a lecture', the lowest satisfaction was found in 'experience in reading textbook-related materials or books'. 3. The correlation of the satisfaction of theory and practice of oral prophylaxis was examined. The satisfaction of oral prophylaxis theory was positively correlated with a school course, professors, and college, while the satisfaction of oral prophylaxis practice was positively correlated with a school course, professors, college, satisfaction of oral prophylaxis theory, and present health condition(p<0.05). 4. Factors influencing the satisfaction for the theory of oral prophylaxis included professors, while factors influencing the satisfaction for the practice were statistically significant in professors and health condition(p<0.05). Based on these results, in order for professional dental hygienists to be developed as professionals serving society, it is recommended to enhance the satisfaction for an oral prophylaxis subject and that professors should provide warm-hearted support and become a role model as an educator.

• 대한치위생과학회지
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• 제1권1호
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• pp.37-46
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• 2018

This study conducted a 'specialist tooth brushing' method against the severely disabled once every other week. The purpose of this study is to analyze and validate the effectiveness of maintaining healthy periodontal management when consistent oral hygiene lasts with minimum stimuli for 24 - months. The conclusions were as follows. Table 2 compares the difference between group 1 and 2 from the 1^st to 11th management and verifies the actual difference in measurement of each index. Group 1 used a professional tooth brush while Group 2 used a general brush. There were found many significant differences in dental index. As for PHP, Oral Malodor index and gingival bleeding, it was found that one or two times of dental care can make substantial differences in dental health condition. These results show that as the number of toothbrush method has been increased, gingival bleeding and periodontal index are significantly improved, not to mention the improvement of gingivitis and periodontal disease. This is because periodontal tissue is affected by brushing method, brushing time and consistency of dental care. During the 6-month period, 20 minutes of active periodontal care was intensively conducted, and for 18-months the effect of consistent care was verified by 10-minute periodontal care once every other week. As a result of the test, it was found that there was no complete regression in the basic periodontal treatment and the periodontal health condition had been maintained for 24 months. Also this test shows that, despite of inconsistent dental hygienic care, regular plague control can prevent dental diseases and maintain the dental health. This study proved that periodontal condition can be maintained by periodontal care once every other week as the tooth brushing properly stimulates the gums with positive effect. Therefore, professional dental healthcareworkers should be designated for each facility for the disabled, and dental health of the disabled should be professionally cared on a regular basis, and consistent and repetitive management by the dental care specialist are required.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제50권3호
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• pp.166-169
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• 2024

Ankylosis of the temporomandibular joint (TMJ) is a condition in which the mandibular condyle fuses with the mandibular fossa through fibrous or bone tissue. It is a debilitating pathology that interferes with chewing, speaking, and oral hygiene. Currently, alloplastic reconstruction is considered the gold standard for treating severely compromised TMJs, such as in ankylosis. The article describes a patient with a history of facial trauma, with bilateral ankylosis of the TMJs, inability to open his mouth, and poor dental condition. Due to a long period of immobilization of approximately 40 years, the initial treatment plan was to remove the ankylosis bilaterally and install customized PMMA (polymethylmethacrylate) spacers. The patient gained mouth opening and improved chewing quality with one year of customized spacer use prior to definitive alloplastic replacement with stock-type TMJ prostheses. Customized joint spacers are a provisional treatment option when definitive alloplastic reconstruction is not indicated. Spacers provide the patient with progressive jaw function and mobility gains.

• 디지털융복합연구
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• 제11권12호
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• pp.569-576
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• 2013

본 연구는 우리나라 여성을 대상으로 경구피임약 복용과 치주질환의 관련성을 분석하여 피임약이 치주질환에 미치는 영향을 파악하고자 하였다. 연구자료는 제4기 국민건강영양조사 자료 중 2008년과 2009년 결과를 이용하였고, 19-50세 폐경 전 가임여성 1,101명을 대상자로 선정하였다. 인구사회경제적 요인과 구강보건행태, 피임약 복용기간 및 치주질환 상태를 파악하여 chi-square 검정과 logistic regression 분석을 통해 경구피임약 복용과 치주질환과의 관련성을 조사하였다. 그 결과, 인구사회경제적 요인 중 연령과 결혼여부, 흡연상태가 경구피임약 복용과 통계적인 유의성을 나타내었다. 현재 경구피임약 복용여부와 치은조직 상태는 연관성이 없는 것으로 확인되었다. 치주질환 유병율은 연령에 따라 증가하였지만, 피임약 복용기간과 흡연, 칫솔질과 치간관리를 포함한 구강보건형태와는 통계적으로 유의한 차이를 보이지 않았다. 마지막으로 logistic regression 분석 결과, 혼란변수 보정여부에 따라 큰 차이 없이 치주질환은 경구피임약 복용여부 및 복용기간과 관련성이 없는 것으로 확인되었다.

• 한국학교ㆍ지역보건교육학회지
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• 제1권1호
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• pp.1-9
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• 2000

The purpose of this study were to assess the effect on health promotion behavior of health instruction in elementary school and to provide a basis of school health education. Subjects of this study were random sampled 80 students for control group in elementary 6th grade students. the treatment group systematically studied five sphere instruction: individual hygiene, disease prevention, first-aid & safety, oral health, health & nutrition in two hours a week, from April 20, till July 10. Each group was pre-tested and post-tested by health behavior promotion questionnaire. The conclusions as follows; 1. Compare analysis of control group and treatment group in the pre-test according to health condition of children were no significant difference physical health condition, health anxiety, disease-absent(P>.05). 2. Health promotion behaviors in the post-test according to concern quotient significantly correlated with individual hygiene(r=.249, P<.05), disease prevention(r=.477, P<.01), oral health(r=.228, P<.05), health & nutrition(r=.323, P<.01) in the treatment group, on the contrary the disease prevention, first-aid & safety, oral health, health & nutrition(P>.05). 3. The difference of health promotion behavior within & between group were as follow; 1) The difference of individual health hygiene with in the treatment group was significant in pre-post test, the comparison of the two groups was significant difference in post-test(treatment group: $3.965{\pm}.568$, control group: $3.645{\pm}.573$). 2) The difference of disease prevention with in the treatment group was significant in pre-post test, the comparison of the two groups was significant difference in post-test(t group : $3.475{\pm}.619$, c group: $3.964{\pm}.600$). 3) The difference of first-aid & safety with in the treatment group was significant in pre-post test, the comparison of the two groups was significant difference in post-test(t group : $3.700{\pm}.466$, c group: $4.140{\pm}.545$). 4) The difference of oral health with in the treatment group was significant in pre-post test, the comparison of the two groups was significant difference in post-test(t group: $3.163{\pm}.665$, c group: $3.753{\pm}.544$). 5) The difference of health & nutrition with in the treatment group was significant in pre-post test, the comparison of the two groups was significant difference in post-test(t group : $3.255{\pm}.515$, c group: $3.698{\pm}.558$).

• 한국치위생학회지
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• 제16권2호
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• pp.185-193
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• 2016

Objectives: The purpose of the study was to examine the recognition and satisfaction of dental care customers after 1 year national health insurance coverage of dental scaling. Methods: A self-reported questionnaire was completed by 477 dental care customers in Gyeongbuk, Busan, Yangsan, and Gyeonggido from July 18 to September 30, 2014 after receiving informed consents. The questionnaire consisted of general characteristics of the subjects(5 items), subjective awareness of oral health(4 items), recognition of scaling(5 items), and recognition and satisfaction of scaling health insurance(5 items). Data were analyzed using SPSS version 20.0 program. Results: Those who recognized the national health insurance coverage of dental scaling accounted for 80.1 percent and 47.2 percent of them got the health insurance coverage via media advertisements. Those who received the scaling service by health insurance coverage accounted for 73.8% and 66.2% of them were very satisfied with the service. Among the customers, 91.8% were satisfied with scaling health allotment. There was a statistical significance between scaling health insurance and subjective oral condition recognition(p<0.01). Through the health insurance coverage scaling service, the oral health in Korea will improve much. Conclusions: The expansion of health insurance coverage of scaling service will provide the universal oral health care for all people. Owing to low cost service, people will actively try to come in contact with public health service in the future.