• 농촌의학ㆍ지역보건
• /
• 제21권1호
• /
• pp.75-84
• /
• 1996

대학 신입생들의 구강위생상태와 구강보건 인식도와의 관련성을 알아보기 위해 대구시내 모대학 신입생 남자 216명, 여자 205명 총 421명을 대상으로 1993년 4월 1일부터 4월 30일까지 구강검사를 실시하여 구강위생상태를 평가하고, 설문조사를 통해 치주질환 인식도를 조사하여 분석한 결과 다음과 같은 결론을 얻었다. 조사대상자들의 구강위생 상태는 421명 중 34.7%가 양호, 59.1%가 보통, 6.2%가 불량한 것으로 평가되었다. 성별 분포에서 여자의 구강위생상태는 41.9%가 양호, 4.4%가 불량하였고 남자의 경우는 27.8%가 양호, 7.8%가 불량하여 여자의 구강위생상태가 유의하게 양호하였다(p=0.006). 프라그 인식도에서 구강위 생상태가 양호한 군에서 52.1%, 불량한 군에서 15.4%가 치과질환 원인 세균막이라고 응답했으며, 치주질환 예방 인식도에 있어서 구강위생상태가 양호한 군에서는 91.8%가, 불량한 군에서는 15.4%가 치주질환은 예방가능한 것이라고 응답해 구강위생상태가 양보할 수록 치주질환 인식도는 유의하게 높았다(p=0.001). 스케일링 경험도는 구강위생상태가 양호한 군에서는 30.1%, 불량한 에서는 7.7%가 스케일링을 경험한 것으로 나타나 구강위생상태가 양호할수록 스케일링 경험도는 유의하게 높았다(p=0.023). 또한 스케일링이 치주건강에 미치는 영향에 대해 구강위생상태가 양호한 군에서 68.5%, 불량한 군에서 23.1%가 스케일링은 치주 건강에 도움이 된다고 인식하고 있어서 구강위생상태가 양호할 수록 인식도는 유의하게 높았다(p=0.001). 잇솔질 교육을 받은 경험은 구강위생상태가 양호한 군에서 86.2%이었고 불량한 군에서는 7.6%이었다. 또한 구강위생상태가 양호한 군에서의 잇솔질 빈도는 3회 이상이 53.4%로 가장 많았고, 구강위생상태가 양호한 군에서의 매 식후 잇솔질 빈도는 41.8%로 잇솔질 빈도와 잇솔질 시기는 구강위생상태와 유의하게 관련성이 있는 것으로 나타냈다(p=0.001). 구강위생지수와 관련성이 있으리라고 예상되는 변수를 선정하여 중회귀분석을 한 결과 잇솔질 빈도, 치주질환 예방에 관한 인식, 잇솔질 교육을 받은 경험, 잇솔질 시기가 구강위생상태에 영향을 미치는 것으로 나타났다(p=0.001). 구강위생상태를 향상시키기 위해서 올바른 잇솔질과 주기적인 치석제거의 중요성에 대한 구강보건교육이 필요하다고 사료된다.

• 치위생과학회지
• /
• 제19권4호
• /
• pp.228-237
• /
• 2019

Background: This study aimed to investigate allergic rhinitis and the relationship between allergic diseases, such as asthma and allergic rhinitis, and dental caries and periodontal disease using the raw data from third year of the 6th Korean National Health and Nutrition Examination Survey. Methods: A total of 3,729 subjects aged over 30 years who underwent examination for allergic diseases and an oral health checkup were selected. The data were analyzed using SPSS IBM SPSS ver. 25.0 (IBM Corp., USA). Composite sample cross correlation and composite sample logistic regression analyses were performed using the composite sample general linear model. Results: On examining the socioeconomic characteristics of the subjects suffering from allergic disease and the relationship between allergic disease and oral health, allergic rhinitis was more frequently found in younger subjects with a higher level of education. Periodontal disease and dental caries were more frequent among female, older age groups, lower income earners, and subjects with a lower level of education (p<0.05). On examining the relationship between the oral health characteristics of the subject and allergic diseases and oral health, allergic rhinitis was more common in subjects with a good oral health status perception than those who answered "bad" to the oral health status question. The community periodontal index of treatment needs (CPITN) score was higher in subjects who answered "poor" to the oral health status question, lower frequency of brushing, and higher in subjects using secondary oral hygiene products; the decayed, missing and filled teeth (DMFT) index was higher in subjects with a perception of poor oral health status (p<0.05). The DMFT index was high in the asthma group, and the CPITN score was high in the group who answered "no" to allergic rhinitis. Conclusion: There is a relationship between asthma and allergic rhinitis and the DFMT index and CPITN score. Corresponding oral programs for allergic patients need to be developed.

• 치위생과학회지
• /
• 제13권1호
• /
• pp.36-44
• /
• 2013

본 연구는 치주질환을 조기에 발견하고 예방하기 위해 20대의 구강보건지식과 구강위생관리능력이 치주건강상태평가에 미치는 영향을 비교 분석함으로써 국민의 구강보건관심도를 높일 뿐 아니라 치주건강증진활동에 지식과 정보를 제공하여 건강하고 효율적인 구강관리를 하는 데 기초자료를 제공할 목적으로 조사되었다. 포괄 치위생 관리 및 처치를 위하여 치위생과 실습실을 방문한 20대의 성인 130명을 대상으로 설문조사를 실시하고, 치주건강상태를 평가하였다. 일반적 특성, 구강보건지식, 구강위생관리능력과 치주건강상태평가의 연관성을 조사 분석하여 다음과 같은 결과를 얻었다. 1. 성별에 따른 잇솔질(p=0.030)과 구강위생용품(p=0.047)에 대한 구강보건지식은 통계적으로 유의하였고, 여성이 구강보건에 대한 지식이 높게 나타났다. 2. 성별에 따른 잇솔질(p=0.030)과 구강위생용품(p=0.047)에 대한 구강보건지식은 통계적으로 유의하였고 여성이 구강건강에 대한 지식이 높게 나타났다. 3. 성별에 따른 유두변연부착 치은염지수(p=0.047)와 지역사회치주지수(p=0.028)는 통계적으로 유의하였다. 남자의 유두변연부착 치은염지수, 지역사회치주지수는 여자보다 높았다. 학력에 따른 출혈지수(p=0.042)는 통계적으로 유의하였고, 고졸 이하가 가장 높았다. 4. 잇솔질(p=0.030), 치주질환(p=0.024)에 대한 구강보건지식이 치면세균막지수에 미치는 영향이 통계적으로 유의하게 나타났다. 잇솔질에 대한 구강보건지식($\beta$=-0.137)이 증가하면 치면세균막지수가 감소하고, 치주질환에 대한 구강보건지식($\beta$=-0.144)이 증가하면 치면세균막지수가 감소한다. 5. 잇솔질 총 횟수에 따른 유두변연부착 치은염지수는 2회가 가장 높았다. 잇솔질 방법에 따른 치면세균막지수는 묘원법이 가장 높았으며, 횡마법, 회전법 순으로 나타났다. 구강위생용품을 사용하지 않는 경우의 지역사회치주지수와 출혈지수가 구강위생용품을 사용하는 경우보다 높았다. 흡연의 경우 유두변연부착 치은염지수, 지역사회치주지수, 출혈지수가 흡연을 하지 않는 경우보다 높았다. 주 당 음주 횟수에 따른 지역사회치주지수와 출혈지수는 3회 이상이 가장 높았다. 구강보건교육을 경험하지 못한 경우의 유두변연부착 치은염지수가 구강보건교육을 경험한 경우보다 높았다.

• 한국치위생학회지
• /
• 제16권3호
• /
• pp.417-426
• /
• 2016

Objectives: The objective of the study was to investigate the related factors of preventive behavior experience toward dental caries and periodontal disease in Korean adolescents. Methods: The study subjects were 72,060 adolescents in 800 schools who completed 2014 Korean Youth Risk Behavior Web-based survey. Dependent variables included general characteristics of the subjects, oral health behavior, and oral disease experience. The experience rate of sealant and scaling showed the prevention behavior of dental caries and periodontal disease. Data were analyzed by IBM SPSS statistics 20.0. Results: The experience rate of sealant accounted for 26.9%. The experience of sealant was related with gender, school, maternal education level, economic status, vigorous physical activity, smoking, usual stress, fruit consumption, milk consumption, soda consumption, snack consumption, tooth brushing, oral health education experience, periodontal bleeding and pain, mucosal disorders, and bad breath. The experience rate of scaling was 22.6%. The experience of scaling was related with gender, school, city division, learning achievement, maternal education level, economic status, residential type, vigorous physical activity, usual stress, fruit consumption, milk consumption, tooth brushing, oral health education experience, periodontal bleeding and pain, mucosal disorders, and bad breath. Conclusions: To expand preventive oral health behavior in the adolescents, it is necessary to support the systematic policy making and monetary establishment in the future.

• 한국치위생학회지
• /
• 제21권5호
• /
• pp.555-565
• /
• 2021

Objectives: This study was conducted to analyze peri-implantitis bacteria and identify their associations with health status and health activities. Methods: Gingival sulcus fluid at the implant's periodontal pockets sampled from the participants were analyzed by multiplex real time PCR. Results: Participants had strains in the order of 100% F. nucleatum, 98.0% E. corrodens, and 96.0% P. micra, and the correlation between C. rectus and E. nodatum was high (p<0.01). Diabetic group (P. gingivalis, P. nigrescens) hypertension (P. nigrescens), group with four or more periodontal pockets (P. gingivalis, T. dentica, P. intermedia, E. nodatum, and C. rectum), smoking (P. micra, E. corrodens), drinking (T. dentola), and scaling groups (C. rectus) were found to have more strains (p<0.05). Conclusions: Representative pathogenic microorganisms detected in periodontal pockets of implants were similar to dental periodontal pockets; however there were differences in the amount and distribution of microorganisms, and they were affected by health status and health behavior.

• 치위생과학회지
• /
• 제17권5호
• /
• pp.447-453
• /
• 2017

The purpose of this study was to analyze the relationship between objective oral health status determined by dentists, self-perceived subjective oral health status, and oral health related quality of life (OHRQoL) in the elderly. The related factors affecting OHRQoL in the elderly were also surveyed. Four hundred and thirty elderly individuals who visited the three public health centers and four dental clinics in Busan were selected by convenience sampling. Twelve dental hygienists investigated the subjective oral health status and OHRQoL using the 14-item Oral Health Impact Profile (OHIP-14) and twentyone dentists examined the objective oral health status, including healthy remaining teeth, treated remaining teeth, functional remaining teeth, missing teeth, and non-treated missing teeth. Data were analyzed using SPSS ver. 12.0. OHRQoL was higher when oral and periodontal status was perceived as healthy, when there was no toothache, no interference in mastication, and when study subjects had the ability of food softening. It was also higher when study subjects had ${\geq}20$ remaining teeth and <9 missing teeth, and were wearing denture. The related factors affecting OHRQoL of the elderly were the type of medical insurance, toothache, ability of food softening, perception of periodontal status, and the number of healthy remaining teeth. There was a significant relationship between the subjective-objective oral health status and OHRQoL in the elderly. A continuous oral health care system aimed at retaining ${\geq}20$ healthy remaining teeth is needed to improve oral health and OHRQoL for the elderly, especially for the elderly receiving medical aid.

• Journal of Oral Medicine and Pain
• /
• 제40권4호
• /
• pp.135-139
• /
• 2015

Desquamative gingivitis (DG) is a gingival manifestation of systemic mucocutaneous disorders such as mucous membrane pemphigoid, oral lichen planus, and pemphigus vulgaris. The lesion is very painful, so affects the patient's ability to do proper oral hygiene practices. This may be a potential risk factor for long-term periodontal health. However, there is some controversy about the relationship between the existence of DG and periodontal status. Although the correlation between DG-associated diseases and periodontal status is not to be certain, early diagnosis and appropriate treatment including adequate plaque control and removal of local factors is very important for preventing the progression of diseases and destruction of periodontal tissues.

• 한국치위생학회지
• /
• 제22권6호
• /
• pp.521-529
• /
• 2022

Objectives: The purpose of this study was to determine the factors affecting periodontal disease-related symptoms in adolescents using raw data from the 16th (2020) online survey on adolescent health. Methods: Data were collected from the survey entries, and analyzed using IBM SPSS Statistics 21.0. A multi-sample chi-square test was performed to determine periodontal disease-related symptoms according to demographic characteristics, lifestyles, exercise habits, and psychological factors. Logistic regression analysis was performed to determine factors affecting periodontal disease-related symptoms. Results: Periodontal disease-related symptoms were higher in female, high school-age adolescents, and those with lower economic status. Increased alcohol intake, having breakfast 3 days or less a week, ingesting sweet drinks and fast food three or more times a week, and zero water intake were found to have a greater effect on periodontal disease-related symptoms. Higher levels of stress, fewer hours of sleep, and feeling less healthy were also factors leading to increased periodontal disease-related symptoms. Conclusions: Adolescents have various factors that are associated with periodontal disease. A method to reduce rates of periodontal disease in adolescents should be developed, along with a school oral health education program.

• 한국치위생학회지
• /
• 제12권6호
• /
• pp.1173-1182
• /
• 2012

Objectives : The purpose of this study was to examine the factors related to the dental caries and periodontal diseases of Korean elderly people in terms of demographic characteristics, oral health promotion behavior and systemic diseases in an effort to provide information on national policy setting and policy evaluation about the prevention of tooth loss resulting from severe oral diseases and the promotion of elderly people's oral health. Methods : The first-, second- and third-year raw data of the 4th National Health and Nutrition Survey were utilized, and the data of 3,882 elderly people who got a dental checkup were analyzed. The statistical package SPSS WIN 19.0 was employed to make a logistic regression analysis. Results : The senior citizens who did toothbrushing less frequently were more likely to have dental caries. As for periodontal diseases, the men were 1.34-fold more likely to have periodontal diseases than the women, and the respondents whose self-rated health state was worse were 1.40-fold more likely to have periodontal diseases than the others whose self-rated health state was better. The senior citizens who ever received treatment from unqualified people were 1.30-fold more likely to have peridontal diseases, and those who took neither vitamin compound nor minerals were 1.30-fold more likely to have periodontal diseases. Those who suffered from low High-density Lipoprotein cholesterol(HDL) were 1.35-fold more likely to have periodontal diseases than the others who didn't. Conclusions : Those whose self-rated health status is worse should especially be concerned about periodontal diseases. Specifically, it's needed to pay attention to the low-income classes, and the government should take measures to provide quality welfare services for elderly people not to receive treatment from unqualified people. Besides, research efforts should be made to determine the relationship between periodontal diseases and low HDL-cholesterolemia.

• Journal of Periodontal and Implant Science
• /
• 제31권4호
• /
• pp.803-810
• /
• 2001

The purposes of this study were to investigate the relationship between cigarette smoking levels and periodontal status. 199 subjects, consisting of male 127 and female 72, classified by smoking levels and duration were selected: Patients who had smoked for more than 20 cigarettes/day were considered heavy smokers, 10 to 19, moderate smokers; 1-9, light smokers:0, non-smoker. And smokers were divided into ones who had smoked for more than 20 years, 10-19 years, less than 10 years and non-smokers. Heavy smokers and moderate smokers showed significantly greater pocket depths, less clinical attachment levels, more molar furcation involvements, greater alveolar bone loss and higher scores of plaque index than light smokers and non-smokers,(p < 0.05). When the duration of smoking was considered as a factor, scores of clinical parameters were worse and alveolar bone loss were significantly greater in long-term smokers, who had smoked for more than 20 years. In conclusion, cigarette smoking is associated with periodontal status.