• Journal of Korean society of Dental Hygiene
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• v.12 no.4
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• pp.801-815
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• 2012

Objectives : To obtain necessary fundamental data for the development of oral health improvement programs for senior citizens in the manner of investigating the Status of their oral health. Methods : Data were collected from 346 senior citizens aged 65 years or older who had lived in Seoul and Gyeonggido province, Republic of Korea. This study was conducted for 3 months from April 2011 to June 2011. Excluding those obtained from 34 respondents who gave inadequate responses to given questions, the data from 312 respondents were analyzed. Results : 1. The number of senior citizens who chose 'Sometimes' to as an answer to the question about the self-perception of their own oral conditions such as mastication, swallowing, gingiva hemorrhage, dry mouth, and/or oral malodor was the largest. As an answer to the question about the presence of interpersonal avoidance, 'No' accounted for the largest proportion. The number of respondents choosing gingiva treatment regarding the perception of the necessity for medical interventions was the largest. 2. In regard to the knowledge of oral health care, the percentage of correct answers was the highest for 'I brush my tooth before each meal' ($0.69{\pm}0.156$), while the lowest percentage of correct answers was seen for 'Gingival diseases can be improved by medications' ($0.33{\pm}0.472$). Conclusions : Based upon the above mentioned results, the author conclude that developing relevant national programs and support policies at a national level as well as implementing proactive and systematic home-visiting oral health programs at the levels of local autonomous entities or communities will lead to significant improvements in senior citizens' oral health and QoL (quality of life).

• Journal of Korean society of Dental Hygiene
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• v.12 no.5
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• pp.921-932
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• 2012

Objectives : The purpose of the this study was to obtain necessary source data for development of oral health improvement and promotion programs for the elderly by investigating the actual situations of oral health education related experience and needs that senior citizens had in Korea. Methods : In this study, convenience sampling was conducted in 430 senior citizens aged 65 years who lived in Seoul and Gyeonggi-do in Korea, for about six months from December 2011 to May 2012. For data collection, the structured questionnaire was used. Community-based senior citizens' welfare facilities and centres, as well as nearby churches were visited to inform them of the information on this study. Then, the senior citizens who agreed to participate in this study were given the questionnaire sheets. Excluding 33 copies of inadequately completed questionnaire sheets, 397 copies (92.3% of the entire collected data) were analyzed. Results : 1. In terms of the experience with oral health education, the number of elderly respondents who have not received oral health education was 202 (50.9%), whereas the number of those who have received oral health education was 195 (49.1%), which indicates that the latter shows a slightly higher proportion. 2. Examining the necessity for oral health education, the overall mean was 3.67 points based on 5 points as full marks, which suggests that senior citizens have high awareness of the necessity for oral health education. 3. Regarding the willingness to participate in oral health education, the number of those who answered that if any opportunity to receive oral health education is given, they would be willing to receive such the education was 211 (53.1%). Conclusions : Based upon the results mentioned above, we conclude that it is required to develop more systematic and sustained, life-long oral health education programs at the levels of senior citizen's welfare facilities and centres, in order to guide senior citizens to desirable oral health care practice.

• Journal of Korean society of Dental Hygiene
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• v.20 no.3
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• pp.313-324
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• 2020

Objectives: The aim of this study was to confirm the association among the health status, health behaviors, and periodontitis according to total, age and sex in cases of adult metabolic syndrome(MetS). Methods: This cross-sectional study used collected data from the 7^th Korea National Health and Nutrition Examination Survey (KNHANES) conducted from 2016 to 2018 with 3,394 adults with MetS aged 19-79 years. The complex samples logistic regression analysis confirmed the relevant factors for periodontitis. Results:Periodontitis was diagnosed in 43.6% of all MetS cases. Diabetes (Odds Ratio [OR]=1.554), abdominal obesity (OR=1.336), current smoking (OR=2.465), past smoking (OR=1.379), and not-using oral care products (OR=1.414) were associated with periodontitis in MetS. In the age of 19-39 years with MetS group, diabetes (OR=5.379), elevated blood pressure (OR=3.975), current smoking (OR=7.430), and not using oral care products (OR=3.356) were associated with periodontitis. In the 40-79 age group, diabetes (OR=1.398), abdominal obesity (OR=1.360), current smoking (OR=2.022), and not using oral care products (OR=1.416) were associated with periodontitis. In the male MetS group, current smoking (OR=3.119), past smoking (OR=1.625), and brushing teeth more than three times (OR=0.743) were associated with periodontitis. In the female MetS group, diabetes (OR=1.733), impaired fasting glucose (OR=1.434), abdominal obesity (OR=1.479), and not using oral care products (OR=1.992) were associated with periodontitis. Conclusions: Improvement in blood sugar control, obesity, smoking cessation, and oral health education, including how to use oral care products in all individuals with MetS may result in improved oral health. In addition, improvement in elevated blood pressure in the MetS group aged under 40 years, and brushing teeth more than three times a day in the male MetS group can reduce the risk of periodontitis. Therefore, public and oral health professionals should emphasize on the relationship between age and sex during the metabolic syndrome management program and share relevant information with patients.

• Journal of the Korean Society of School Health
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• v.12 no.2
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• pp.281-293
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• 1999

The purpose of this study was to develop a program of oral health education for children and to furnish basic data contributing to the improvement of children's oral health. In this study, we tried to analyze and discover the types of recognition in parents of children's oral care. With the use of Q-methodology that could systematically and scientifically estimate the subjectivity of humans, 28 parents were collected as a P-sample. 3 general types were discovered. The characteristics of each type were the following: Type 1. "Serious consideration of prevention care type" took a positive attitude to their children's oral care, were knowledgable, and maintained high concern about oral care. They regularly visited dentists for prevention and believed in caries prevention through brushing teeth. They also put high trust in dentists. Type 2. "Disposition by the existing state type" believed that caries could develop even with brushing teeth and could be inherited from parents, Practically, they had a passive attitude to their children's oral care depending on stages and were more concerned with the appearance of dentition than with their children's oral health. Type 3. "Home care-centered type" had less knowledge about children's oral care than the other two types and was careless for teeth prevention. Therefore, they had not intended to participate in the oral health education program.

• Journal of the Korean Society of School Health
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• v.12 no.2
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• pp.295-303
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• 1999

The purpose of this study was to evaluate the effect of systemic oral health education on the improvement of knowledge levels and patient hygiene performance(PHP) for elementary school students. The randomly selected 1st and 5th grade students in a public elementary school of Taegu city were divided by education group(118 students) and non-education group(122 students). The oral health education lesson was systematically held on the education group once a month for 4 months. The questionnaire queried all the subjects about their knowledge and attitudes before and after oral health education, and PHP was also tested at the same time. Corresponding p-values were significantly considered at values less than 0.05. The obtained results were as follows: Due to the oral health education lesson, the education group of both 1st and 5th grade students came to have a higher knowledge level than the non-education group. There was high improvement of items such as toothbrushing time, toothbrushing method, cause of dental caries, treatment after tooth damage, and tongue-brushing. Therefore, these items should be educated to all the elementary school students. By increaseing the knowledge level of oral health after education, the PHP index in the education group was significantly decreased in comparison to the non-education group and hence the capability of oral health management improved. From the above results, a systematically and periodically oral health education system for elementary school students can improve the knowledge level and capability of oral health management. Further study will be required to develop an easy and acceptable systemic oral health education program for elementary schools.

• Journal of Technologic Dentistry
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• v.43 no.1
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• pp.19-28
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• 2021

Purpose: This study aimed to obtain basic data on oral health improvement by investigating the EQ-5D index according to the oral prosthesis status of elderly persons aged 65 years or older in Korea using the Seventh Korea National Health and Nutrition Examination Survey. Methods: In this study, 3,426 elderly persons aged 65 years or older were included to analyze the relationship between the dental prostheses status and EQ-5D index in the collected data. Results: Compared to the "complete denture" in oral prosthesis, EQ in case of no dental prostheses or fixed dental prostheses is comparable to removable prosthetics such as "no dental prostheses," "one fixed bridge," and "two or more fixed bridges." Removable partial denture and complete denture required for the maxillary and mandibular EQ-5D index were significantly higher in "not necessary" than in "complete denture necessary" in all the elderly persons. Conclusion: The condition of the dental prosthesis and the need for a removable partial denture and complete denture for the elderly's EQ-5D index were confirmed, and it was found that the fixed dental prostheses were more effective than the removable dental prostheses. Therefore, oral health education programs for the elderly should be developed to promote dental function and oral health maintenance.

• Journal of Korean Academy of Dental Administration
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• v.7 no.1
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• pp.29-38
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• 2019

The goals of this study were to investigate depression and oral health-related quality of life in the military and public and to identify the factors affecting depression. The respondents were 278 soldiers and 228 general people of similar ages. An independent t-test was used to examine the differences between the two groups in the oral health impact profile and Self-rating Depression Scale. A multivariate logistic regression analysis was performed to examine the factors associated with depression in soldiers and the public. The depression level was significantly higher in the general population than in the military personnel (p<0.001). In contrast, the oral health-related quality of life was better in the general population than in the military, but without a statistical significance (p=0.056). Among soldiers, the military rank was the only factor associated with depression, showing a gradient based on the rank. In the general population, the type of work displayed significant associations with depression. As there are some limitations to investigating the factors affecting depression, comparative analyses of the general population groups with similar soldier groups are rare. This study encourages future investigations of the advancements in mental health and improvement programs for oral health in each group.

• Journal of Korean Dental Hygiene Science
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• v.3 no.2
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• pp.51-58
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• 2020

Oral examination ensures early detection and treatment of oral diseases and improvement of quality of health-related life. This is imperative as it reduces individuals' dental medical expenses and social costs caused by diseases. However, as the low oral examination acceptance rate continues to be a problem, this study was conducted to identify the factors that influence the oral examination of an economically active population. In this study, 4,836 economically active individuals between the ages of 20 and 65 years were studied using data from the 7th National Health and Nutrition Survey in 2018. Logistic regression analysis was performed to determine the factors influencing demographic and sociological characteristics on oral examination after adjusting for complaints of mastication and speech discomfort. As a result of confirming the factors influencing the oral examination, increase in age tended to be inversely proportional to the oral examination. Income level, type of job, and job position were identified as factors that influenced oral examinations. Compared to the group with a high socioeconomic status, which is represented by a group with a high income level or a stable job type or job position, the group with low economic status was found to have a negative effect on oral examination. Oral management of vulnerable groups, who might not be considered while devising oral health management policies, should be promoted through the development and provision of oral health management policies that consider employment status and environment.

• Journal of Korean society of Dental Hygiene
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• v.10 no.6
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• pp.1107-1119
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• 2010

Objectivs : The purpose of this study is to provide basic data for the use of oral hygiene devices and to improve oral health care continuously by encouraging the use of oral hygiene devices. Methods : The survey was carried out by questionnaire research targeting 395 respondents in metropolitan area in June-August 2009. The collected data is analyzed by statistics program SPSS version 12.0. 1. General characteristics of subjects are analyzed by percentage and descriptive statistics. 2. Recognition about how to use oral hygiene devices, usage of oral hygiene devices, recognition of dental brush usage, Effect after using oral hygiene devices are analyzed by mean difference test(t, F verification). 3. Effect after using oral hygiene devices, relation of oral hygiene devices usage with subjective oral health status, oral hygiene devices usage and participation in education are analyzed by Correlation, Regression analysis. Results : 1. Investigation shows that most oral health devices are rarely used except toothbrush(4.57) in case of the use of oral hygiene devices. 2. In the case of awareness of oral hygiene devices usage, almost everyone knows how to use dental brushes(MEAN 4.16) the most. And the next ones are like these-tooth picks(MEAN 3.38), dental floss(MEAN 3.28), mouth rinse(MEAN 3.24). And they don't know how to use the other oral hygiene devices usage. 3. respondents who use dental floss(${\beta}$=.238, p<.001), interdental brush(${\beta}$=.242, p<.001) and water pik(${\beta}$ =.180, p<.05) recognize that the result and effect after using them are more positive than the others in different case. 4. Respondents who use toothbrush(${\beta}$=.119), dental floss(${\beta}$=.120) and interdental brush(${\beta}$=.136). frequently evaluate their subjective oral health status positively in case of frequency of using oral hygiene devices and subjective oral health status(p<.05). 5. Respondents who use toothbrush and interdental brush properly and frequently, who are older than the others show more concern about participating in education of "How to use oral hygiene devices" than the others(p<.05). Conclusions : In conclusion, to prevent oral disease, the opportunity of participating in education about correct knowledge and proper way should be expanded. And we should contribute to oral health improvement through developing, executing and informing systematic, popular oral health education with active one.

• Journal of dental hygiene science
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• v.20 no.1
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• pp.16-24
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• 2020

Background: Dental treatment has shifted to the center of the community, and the public policy of the country has expanded to support the vulnerable classes such as the disabled. The dental profession needs education regarding oral health services for persons with disabilities, and it is necessary to derive the competencies for this. Therefore, we conducted this study to derive the normative ability to understand the role of a dental hygienist in the oral health service for persons with disabilities and improvement plans for education. Methods: We conducted a qualitative analysis for deriving competencies by analyzing the data collected through in-depth interviews with experts in order to obtain abilities through practical experience. Based on the competency criterion, relevant competency in the interview response was derived using the priori method, and it was confirmed whether the derived ability matched the ability determined by the respondent. Results: The professional conduct competencies of dental hygienists, devised by the Korean Association of Dental Hygiene, consists of professional behavior, ethical decision-making, self-assessment skills, lifelong learning, and accumulated evidence. Also, core competencies of the American Dental Education Association competencies for dental hygienist classification such as ethics, responsibility for professional actions, and critical thinking skills were used as the criterion. The dental hygienist's abilities needed for oral health care for people with disabilities, especially in the detailed abilities to fulfill these social needs, were clarified. Conclusion: To activate oral health care for people with disabilities, it is necessary for dental hygienists to fulfill their appropriate roles, and for this purpose, competency-based curriculum restructuring is indispensable. A social safety net for improving the oral health of people with disabilities can be secured by improving the required skills-based education system of dental hygienists and strengthening the related infrastructure.