• 한국치위생학회지
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• 제16권3호
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• pp.427-434
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• 2016

Objectives: This study aims to investigate the elements to affect the usage of individual oral hygiene devices in adults by the age group, to make the community inhabitants keep their healthy dental hygiene status, and to provide them with the educational materials for the dental hygiene and the basic data for the program development. The purpose of the study is to investigate the relation ot use of oral hygiene devices in the adults. Methods: The subjects were 9,073 adults from the sixth KNHANES from January, 2013 to December, 2014. The study consisted of questionnaire survey and direct physical examination. The questionnaire included genral characteristics of the subjects and oral health characteristics. The general characteristics consisted of subjective perception of health and chronic diseases. The oral health characteristics consisted of subjective oral health perception, dental caries, periodontal disease, annual oral examination, toothbrushing, prosthetics, implant surgery, and use of individual oral hygiene devices. Results: Those within 40 to 64 years old were the top users of oral hygiene devices. They perceived their dental hygiene was normal because they did not have periodontal disease but most of them had dental caries. They used oral hygiene devices three times a day and brushed teeth more than three times a day. They took annual dental checkup. Conclusions: It is necessary to promote the use of oral hygiene devices to prevent the dental caries and periodontal disease. The continuous training for the dental hygienists is very important because the dental hygienists is the first line of the prevention of dental caries and periodontal disease.

• 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.

• 한국치위생학회지
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• 제21권2호
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• pp.151-158
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• 2021

Objectives: The purpose of this study was to identify the effects of general and oral health status on dementia. Methods: Questionnaires were used for the KDSQ-C (Korean Dementia Screening Questionnaires-Cognition) and to investigate the oral health status of the participants. An independent t-test was conducted to analyze the differences between general health and oral health status depending on the normal and suspected dementia groups. Logistic regression analysis was performed to assess the effects of general and oral health status on dementia. Results: Regarding the health status of the subjects assessed by the KDSQ-C, the higher the current health status and the higher the exercise status, the lower was the dementia level (p<0.05). During the assessment of oral health conditions in KDSQ-C subjects, dementia was more suspected in subjects with dental decay and periodontal disease than in those without dental decay (p<0.05). Conclusions: Dementia has been confirmed to be closely related to general and oral health conditions. Therefore, oral health-related programs are essential for dementia prevention programs. Since dental hygienists are best suited for providing oral care to older adults with dementia, it is considered essential to reflect their occupation in future national policies.

• 대한치과의사협회지
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• 제58권1호
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• pp.45-49
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• 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
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• 제14권6호
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• pp.805-812
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• 2014

Objectives: The purpose of the study was to examine the association between diabetes mellitus and community periodontal index in Korean adults. Methods: The study populations were recruited by the Fifth Korea National Health and Nutrition Examination Survey. Study subjects were 10,411 who were examined oral examination, blood test, and aged over 19 years. Using multiple logistic regression analyses, the variables were adjusted for gender, age, household income, family history of diabetes, body mess index, smoking habit, and frequency of tooth brushing. Periodontal tissue examination of the subjects was performed and scored by Community periodontal index(CPI). Using probe, six teeth were examined for hemorrhage, plaque, and pocket depth and classified into $CPI_0$, $CPI_1$, $CPI_2$, $CPI_3$ and $CPI_4$. Healthy periodontal groups($CPI_{0-2}$) and periodontal disease groups($CPI_{3-4}$) were divided by the periodontal disease status. The definition of diabetes mellitus(DM) was decided by the diagnosis by the doctors and fasting blood sugar level. Those who were diagnosed as DM were included in DM group. The DM variables included normal blood sugar level, increased fasting blood sugar level, and DM blood sugar level. The DM variables were compared to periodontal disease blood sugar level and analyzed. Results: The periodontitis prevalence rate was 23.2%. Those who had diabetes mellitus accounted for 5.5% of the subjects. Those who had impaired fasting glucose accounted for 17.7% and 7.9% of subjects were diabetes mellitus by blood test. In the confirmed diabetes group by doctor, the periodontitis prevalence rate was significantly higher than the non-diabetic group. Diabetic group by blood test had the highest prevalence rate of periodontitis than those who had impaired fasting glucose group or normal group. After adjusting for gender, age, household income, family history of diabetes, body mass index, smoking habit, and frequency of tooth brushing, the risk of periodontitis in diagnosed diabetes mellitus was 1.57 times(95% CI; 1.27-1.94) higher than the normal group. In impaired fasting glucose group and diabetes mellitus group by blood test, the risk of periodontitis was 1.11 times(95% CI; 0.95-1.30) and 1.45 times(95% CI; 1.45-2.12) higher, respectively. Conclusions: There was a significant relationship between diabetes mellitus and periodontitis in Korean adults. These results suggest that diabetes mellitus is a risk factor for periodontitis.

• 치위생과학회지
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• 제17권1호
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• pp.73-80
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• 2017

본 연구에서는 심리적 요인에 대한 감수성이 높은 여성의 불안 및 우울증상과 치주질환의 관련성을 알아보고자 한다. 본 연구는 우리나라를 대표하는 국민건강영양조사 제 5기 1차년도(2010년) 8,958명 중 만 19세 이상 여자 3,551명의 자료를 분석하였다. 인구사회학적 특성 중 연령, 결혼상태, 소득수준, 교육수준, 경제활동 유무에 따라 불안 및 우울증상과 유의한 차이가 나타났다. 구강건강관련 특성 중 당뇨병 유무, 현재 흡연, 고위험 음주에 따라 불안 및 우울증상과 유의한 차이가 나타났다. 일일 칫솔질 횟수에 따라 불안 및 우울증상과 유의한 차이가 나타났으며, 치실 및 치간칫솔 사용 여부에 따른 유의한 차이는 없었다. 치실 및 치간칫솔을 사용하지 않는 행태가 치주질환 위험도를 증가시키는 것으로 나타났다(OR, 1.49; 95% CI, 1.14~1.95). 연령, 결혼 상태, 소득수준, 교육수준, 경제활동 유무, 당뇨 유무, 현재 흡연, 고위험 음주, 칫솔질 횟수, 치실 및 치간칫솔 사용 여부를 보정한 결과 불안 및 우울증상이 치주질환을 유의하게 증가시키는 것으로 나타났다(OR, 1.47; 95% CI, 1.04~2.09). 따라서 불안 및 우울증상이 있는 사람이 불안 및 우울증상이 없는 사람에 비해서 치주질환 유병률이 더 높게 나타나 그 위험성이 더 크므로, 치주질환을 더 효율적으로 관리하도록 정기적 치주관리 및 효율적 자가구강건강관리교육의 필요성이 요구된다.

• 치위생과학회지
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• 제9권2호
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• pp.203-210
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• 2009

치과의원 내원환자의 치주건강에 대한 인식도를 알아보기 위해 거재지역 4개 치과의원에서 213명을 대상으로 설문조사한 결과는 다음과 같다. 1. 치주건강 인식도 문항에서는 치주질환의 인지여부에 대해서는 알고 있는 환자가 62.9%로 나타났고, 여자가 남자보다 잘 알고 있었으며, 성별에 따라 유의미한 차이가 나타났다(p < .01). 치주질환에 관한 정보의 습득경로는 텔레비전과 인터넷에서 얻는 경우가 31.6%로 조사되었고, 치석제거 빈도데 대한 인식은 1년에 한번 해야 한다고 인식하는 경우가 43.7%로 나타났으며, 직업과 학력에 따라 유의한 차이를 보였다(p < .001). 치주질환 원인으로는 세균과 음식물 찌꺼기라고 인식하는 환자가 50.7%로 나타났으며, 직업(p < .05)과 학력(p < .01)에 따라 유의한 차이를 보였다. 치석제거가 구강건강에 미치는 영향에 대해서는 도움이 된다고 인식하는 환자는 55.9%로 나타났으며, 연령(p < .05)과 학력(p < .001)에 따라 유의미한 차이를 보였다. 2. 치주건강 상태에 대해서는 잇몸상태가 대체로 건강하다고 인식하는 환자가 75.1%로 나타났으며, 전문적 집단에서 높게 조사되었고, 직업에 따라 유의미한 차이를 보였다(p < .001). 치과방문 이유로는 입안에서 냄새가 나서 방문하는 경우가 18.1%로 나타났으며, 치과치료의 종류는 치과에 내원하여 치석제거를 받은 환자가 46.5%로 나타났으며, 직업(p < .01)과 학력(p < .05) 및 월수입(p < .001)에 따라 유의한 차이를 보였다. 따라서 치주질환에 대한 인식은 높지만 치석제거는 치과의사의 진단에 의해서 치료시기와 기간이 결정되어지므로 환자 개인의 주관적 판단에 의한 인식에는 한계가 있으며, 치주건강을 유지 증진하기 위해서는 치주전문치과위생사의 개별적인 상담과 교육이 중요하며 예방적 치석제거의 인식이 필요하다고 사료된다.

• 보건교육건강증진학회지
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• 제7권1호
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• pp.39-46
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• 1990

Nursing teachers at elementary schools in Seoul were surveyed to determine their sources of information about oral health and their knowledge and attitudes about dental diseases and disease prevention. Questionaires were completed by 305 school nursing teachers. The questionaire included 8 items: demographic characteristics of the study population, sources of oral health information, reasons for maintaining good oral hygiene, ranking of methods of caries prevention in children, knowledge about fluorides, percieved effectiveness of fluorides for children, knowledge about periodontal disease, and the role of school nursing teachers in promoting oral health. Major findings are as follows: 1. The most frequently cited sources of information about dental health were continuing education courses(69.8％). 2. Most respondents had old concepts about the reasons for maintaining good oral hygiene. 3. Elementary school nursing teachers' knowledge about fluorides and preventive methods of caries and periodontal disease was found to be incomplete and sometimes inaccurate. 4. Respondents were likely to agree to accept roles that promote oral health except the supervising of fluoride mouthrinsing. Thus, it was considered that cooperation of all school members is necessary for improving oral health status by following fluoride mouthrinsing

• 대한치과기공학회지
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• 제34권3호
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• pp.315-324
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• 2012

Purpose: The purpose of this study was to survey dental prosthesis and dental prosthesis needs of elderly for improving oral health status. Methods: The data collected from 'The fifth Korean national health and nutrition examination survey 2010' was analyzed in this study. Statistical analysis was done using the Statistical Package for Social Sciences version 19.0 for Windows. We determined frequencies and percentage, calculating means, and standard deviations, and determined statistical significance using cross-tabulation analysis, logistic regression analysis. Results: General characteristics showed differences in mandible fixed crown bridge needs associated with periodontal disease. General characteristics showed differences in maxillar partial and full denture with gender, age, education, perceived oral health. General characteristics showed differences in mandible partial and full denture with age, residence, education, perceived oral health. Conclusion: In order to improve oral health of the elderly, Dental prosthesis support policy and oral health policy are necessary.

• 한국치위생학회지
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• 제11권2호
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• pp.149-158
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• 2011

Objectives : The objective of this study was to analyze cognition and status of oral health education of dental hygienists who manage the patients visiting dental clinics and to utilize the findings as continuous study data required for development of systematic oral health education program for management of peridontal disease of adults. Methods : Survey was carried out for 261 dental hygienists working in dental clinics who are performing oral health education of patients with peridontal disease living. Results : 1. In the socio-dynamic diagnosis, it was analyzed that, the younger the age is and the lower the career is, the more the work is centered around assisting medical treatment job and, the older the age is and the higher the career is, the work is centered around oral health education job. 2. In the behavioral diagnosis, it was analyzed that, as to source of knowledge acquisition, guide of dentists and senior dental hygienists was the highest and, as to education media, visual education and demonstration education were mainly used. 3. In educational diagnosis, as to the degree of knowledge about oral health education and the degree of practice, it showed that the degree of knowledge was lower than the degree of practice in peridontal disease process and oral prophylaxis as well as scaling part. 4. In both the cases of independent practice and group practice, it showed that the most frequent obstacle was insufficient educational materials and tools and it was analyzed that acquisition of new knowledge and technology is required as a matter to be improved. Conclusions : It seems to be required for the dental hygienists to develop detailed knowledge and professional technology in order to induce actions and motive of patients during oral health education of peridontal patients and to develop and produce data for efficient education of peridontal patients.