• Title/Summary/Keyword: Oral conditions

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Association between Systemic Health Conditions and Self-Reported Oral Health in Korean Elderly (한국노인의 전신건강상태와 주관적 구강건강 관련성)

  • Choi, Eun Sil;Lyu, Jiyoung;Patton, Lauren L.;Kim, Hae-Young
    • Journal of dental hygiene science
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    • v.17 no.1
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    • pp.56-64
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    • 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.

Assessment on Quality of Life: Based on Oral Health Conditions (구강건강상태에 따른 삶의 질 평가)

  • Kim, Ji-Hwa;Kang, Sun-Hee;Jeong, Mi-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.12
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    • pp.4873-4880
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    • 2010
  • This study adopted two instruments, i.e. Oral Health Impact Profile-14 (OHIP-14: index of patient's subjective oral health impact) and Todai Health Index (THI: index of patient's subjective systemic health) The Purpose of this study was to determine potential effects of oral health upon systemic health and quality of life (QOL) and provide required basic reference data for developing oral diseases prevention program and public oral health improvement As a result, it may contribute to improving health and quality of life in local community. Analysis on OHIP for subjective oral health conditions revealed that there were significant differences among all categories of self-aware oral health conditions on statistic basis and good oral health group showed significantly higher total OHIP points (4.33) than any other group. Analysis on THI for subjective oral health conditions showed that there were significant differences among all categories of self-aware oral health conditions on statistical basis and very good oral health group got higher total THI points (3.83) than any other group. Analysis on QOL for subjective oral health conditions suggested that there were significant differences among all categories of self-aware oral health conditions but social category and good oral health group got highest total QOL points (3.39) of all groups.

Viscosity and Wettability of Hyaluronic Acid according to Antimicrobial Supplementation, Ionic Strength, and pH

  • Kho, Hong-Seop;Chang, Ji-Youn;Kim, Yoon-Young;Park, Moon-Soo
    • Journal of Oral Medicine and Pain
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    • v.39 no.3
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    • pp.90-95
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    • 2014
  • Purpose: To investigate viscosity and wettability of hyaluronic acid (HA) solutions according to supplementation of lysozyme and/or peroxidase, and different ionic strength and pH conditions. Methods: Solutions containing HA were prepared using distilled deionized water (DDW) and simulated salivary buffer (SSB) in different conditions. Different concentrations of hen egg-white lysozyme and bovine lactoperoxidase was added into HA solutions. HA solutions with antimicrobials in different ionic strength and pH conditions were prepared. Viscosity was measured using cone-and-plate digital viscometer at six different shear rates and wettability on acrylic resin and Co-Cr alloy was determined by contact angle. Results: The viscosity values of HA dissolved in DDW were decreased in order of HA, HA containing lysozyme, HA containing peroxidase, and HA containing lysozyme and peroxidase. The viscosity values for HA in DDW were decreased as the concentration of lysozyme and/or peroxidase increased. However, the viscosity values for HA in SSB showed no significant changes according to the concentration of lysozyme and/or peroxidase. The viscosity values of HA solutions were inversely proportional to ionic strength and pH. The contact angle of HA solutions showed no significant differences according to tested surface materials, addition of lysozyme and/or peroxidase, and different ionic strength and pH conditions. Contact angles on acrylic resin by HA solutions in all tested conditions were much higher than those by human saliva. Conclusions: The rheological properties of HA supplemented with lysozyme and/or peroxidase in different ionic strength and pH conditions were objectively confirmed, indicating the possibility of HA with lysozyme and/or peroxidase as main components in the development of effective saliva substitutes.

Ulcerative Conditions of Oral Mucosa (임상가를 위한 특집 2 - 구강점막의 궤양성 병소)

  • Kim, Hyun Sil
    • The Journal of the Korean dental association
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    • v.50 no.12
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    • pp.727-731
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    • 2012
  • An ulcer is defined as loss of epithelium. Although many oral ulcers have similar clinical appearances, their etiologies encompass many disorders, including trauma, infection, immunologic disease, and malignant oral cancer. Oral squamous cell carcinoma(SCC) occupying about 90% of oral cancer, usually manifests as unhealed ulcer over 2 weeks. Oral SCC can metastasize to the cervical neck lymph node, and therefore the surgical therapeutic modality for oral SCC could encompass the neck node dissection as well as wide excision for primary lesions, which should leave the post-operative complication of functional damage like dysphagia and facial deformity. Therefore, it is important to discriminate oral SCC from other ulcerative conditions to make a prompt management. The knowledge for the pathogenesis of the ulcerative lesions could help the clinicians to understand the differences of clinical features and to practice an appropriate therapeutics.

The oral health care research according to the rank of soldiers and officers (군인들의 계급에 따른 구강건강관리 실태조사)

  • Yoo, Ja-Hea;Kim, Jung-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.1
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    • pp.105-113
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    • 2013
  • Objectives : The purpose of this study was to perform researches and analysis on the use of dental institutions, oral health behavior, the actual conditions of oral health care, and the oral health knowledge according to the rank of soldiers and officers and then to provide the basic data for the contents development of an oral health education to the military. Methods : The subjects in this study were 380 soldiers serving in Gyeonggi, Gangwon and Chungchong provinces. Results : In terms of the use of dental institutions, the soldiers visit the dental clinics most(56.5%), and the officers visit the military dental clinics most(52.7%)(p<0.05). In the oral health behavior, the most of the soldiers(46.7%) and the officers(58.1%) answer that they thought to be in good oral health. Regarding the actual conditions of oral health care, it is investigated that the most of the soldiers brush their teeth twice a day(46.7%) and the officers three times a day(58.1%). With the oral health knowledge, the officers get a point of $2.89{\pm}1.36$, which is higher than the soldiers'($2.47{\pm}1.27$), and the person who have an experience to take an oral health education, getting a point of $2.83{\pm}1.22$, have higher level of the knowledge than the unexperienced with $2.48{\pm}1.31$(p<0.5). Conclusions : It is thought to be necessary to provide the military camps with an oral health education and to develop the contents of an oral health education customized to them.

Considerations for the Dental Management of Older Adults (임상가를 위한 특집3 - 노인 환자의 치과 치료시 고려 사항)

  • Kho, Hong-Seop
    • The Journal of the Korean dental association
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    • v.49 no.10
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    • pp.609-617
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    • 2011
  • The geriatric population is the most rapidly growing part of the general population, which leads to an increase of chronic conditions and illnesses that will influence both oral and systemic health. The most common chronic diseases in elderly population are arthritis, hypertension, heart diseases, diabetes, and cognitive impairment. Chronic impairments such as visual, hearing, orthopedic, and speech disorders are also prevalent among older adults. All these chronic conditions have potential oral complications and the treatments of systemic diseases also has implications for the maintenance of oral health. Therefore, oral health care professionals should catch up with increasing knowledge in this field and can modify the treatment strategy for older adults. In addition, oral health care professionals should understand the changing need of oral health problems in this age and prepare the future demand.

Relationship Between Presence of Dental Clinics in Public Health Facilities and Oral Health Conditions of Local Elderly People (농촌지역 보건기관 치과진료실 유무와 인근 노인의 구강보건실태 관련성)

  • Jeong, Kyung-Shin;Na, Baeg-Ju;Kim, Eun-Sim
    • Journal of agricultural medicine and community health
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    • v.40 no.4
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    • pp.193-205
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    • 2015
  • Objectives: This study was conducted to find the relationship between oral health conditions of elderly people and closures of public dental health clinics in rural areas. Methods: Oral examinations and surveys were conducted in 2011 from May 11 through November 4 on 383 seniors over 65-years and under 74 years old. Results: The results of this study were as follows: 1. The results of comparative analysis of the usage behaviors of health clinics of subjects in relation to the closures of public dental clinics within the area showed that the usage level and frequency of public health agencies in areas with public dental clinics were high, and that the trend of influence on personal oral health conditions and improvement in prevention was high. When compared to 3 years ago, there was an 11.6 percentage point reduction in areas without public dental clinics (24.4%) compared to areas with public dental clinics (12.8%). 2. The results of comparative analysis of the oral health conditions and behaviors of subjects in relation to the closures of public dental clinics showed that the level of dental caries was high in areas with no public dental clinics, and the number of toothbrush usage and oral health supplemental product usage were shown to be high in areas with public dental clinics. Conclusion: The closures of public dental clinics were found to affect oral health behavior and conditions of elderly people in rural areas.

The relationship between objective oral health conditions and subjective oral health perception of the elderly in Gimcheon (김천지역 노인의 객관적 구강건강상태와 주관적 구강건강인식간의 관련성)

  • Lee, Jong-Hwa;Kim, Jung-Sook;Jun, Mae-Sook;Yun, Hyun-Kyung
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.3
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    • pp.417-424
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    • 2015
  • Objectives: The purpose of the study is to investigate the relationship between oral health conditions and their subjective oral health perception in the elderly in Gimcheon. Methods: The study subjects were 214 elderly aged over 65 years old in Gimcheon. The study was carried out by direct interview method of from February 20 to 24, 2014. The oral examination was performed by the dentist base on the World Health Organization criteria including direct examination and observation. The questionnaire consisted of sex, type of family, use of medical services, and oral health behavior, The independent variable included three questions of the general characteristics of the subjects, two questions of use of medical services, and two questions of oral health behavior. The subjective oral health perception was composed of heathy and unhealthy. The objective oral health condition was evaluated by number of residual teeth, FT index, MT index, and DMFT index. Results: In the elderly, the number of residual tooth was $8.89{\pm}9.72$ and the number of decayed teeth was $0.03{\pm}0.20$. The numbers of missing teeth and filled teeth were $19.26{\pm}9.65$ and $0.28{\pm}1.01$, respectively. The DMFT index was $19.57{\pm}9.28$. In relation to the subjective oral health perception, 76.6% answered 'good' and 23.4% answered 'bad'. The subjective oral health perception showed a weak quantitative linear relationship of r=0.235 with the number of residual tooth. the subjective oral health perception showed a weak negative linear relationship(p<0.01) of r=-0.225 with the number of missing teeth and r=-0.217 with DMFT(number of decayed missing and filled teeth) index.

A Study on Disability and Impairment of Dental Disorders in Korea

  • Ahn, Yong-Woo;Jang, Seok-Min;Jeong, Sung-Hee;Jeon, Hye-Mi;Kim, Kyung-Hee;Ok, Soo-Min
    • Journal of Oral Medicine and Pain
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    • v.43 no.3
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    • pp.70-76
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    • 2018
  • The definition and application of disability are becoming more important as society becomes more complex. The precise criteria for the assessment and classification of disabilities are primarily focused on certain medical conditions with a lack of guidelines for dental conditions. This study provides an evaluation and comparison of the current tables available for the assessment of disabilities in the dental field with the aim of identifying areas to be improved.

RADIOLOGIC EVALUATION OF THE MAXILLARY ANTRAL PATHOLOGIC CONDITIONS IN CHILDREN (소아 상악동 병변의 방사선학적 평가)

  • Park Tae-Won;Choi Soon-Chul
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.22 no.2
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    • pp.195-201
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    • 1992
  • The authors evaluated the distribution of the antral pathologic conditions and their radiographic features on the Waters' radiolgraphs of 151 children patients who had been radiographed at the department of Oral Radiology, Seoul National University Hospitals. The obtained results were as follows: 1. The most common pathologic condition was inflammatory change(58%). Percentage of cases showing cystic lesion and fibro-osseous lesion were 25% and 11% respectively. 2. In cases of inflammatory change, odontogenic origins were 12 cases(13%) and bilateral occurrences were 37 cases(39%). 3. The most common radiographic feature of the inflammatory conditions was various types of mucosal thickenkng(78%).Percentage of cases showing totally increased radiopacity was 18%. 4. Intrinsic cystic lesions were 26 cases(65%) and dentigerous cyst was the most common extrinsic cyst. 5. Most of the fibro-osseous lesions(15 from 17 cases) were fibrous dysplasia. 6. Maxillary sinus hypoplasia(5 cases) and Burkitt's lyphoma(4 cases) were also observed.

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