• 대한치과교정학회지
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• 제24권1호
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• pp.221-231
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• 1994

The short-term effects of plaque control instruction were studied in 42 adolescent orthodontic patients under active fixed treatment. At first visit, all the patients were received plaque control instruction using materials such as oral hygiene education slides, dentiform, disclosing agents, tooth brush and interdental brush. After that, Pateints were asked to perform the tooth brushing according to instructions. Such a procedure was repeated every week lot 3 weeks. Plaque index and bleeding index were scored once a week for 4 weeks and were compared according to ages, sex and duration with fixed appliance. The results were as follows: 1. Plaque control instruction was effective in reducing plaque accumulation and gingival inflammation of the orthodontic patients. 2. The effect of plaque control instruction was continued during 3 weeks among all groups of subjects, and it was prominent at the first week. 3. There was no statistically significant difference in the effects of the plaque control of instruction according to sex, ages, or duration with fixed appliances.

• 한국치위생학회지
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• 제11권2호
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• pp.293-301
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• 2011

Objectives : The aim of the trial was to study the effect of plaque control(tooth brushing instruction) for oral health improvement on periodontitis patients. Methods : 30 patients(35~65 years) with advanced periodontal disease were subjected to a baseline examination including assessment of oral hygiene status(O'leary index), gingival condition(bleeding). the assessment were repeated after 2, 4, 6 weeks. cognitive, behavioral and clinical outcomes were assessed in the primary care setting by questionnaire and clinical oral examination. Results : The oral hygiene status expressed as the individual mean percentage of tooth surfaces with plaque 59.3% at baseline and 21.2% after 6 weeks(p<0.001). The gingival bleeding status expressed as the individual mean point of interdental papilla 3.8 at baseline and 1.9 after 6 weeks(p<0.001). Also, the patients self-assessment about correct tooth brushing behavior was 3.9(5-point likert scales), satisfaction of plan practices 4.1(5-point likert scales), efficacy of tooth brushing instruction 8.7(10-point likert scales). Patients wanted to continuous participation. Conclusions : A verification of effect after individualized oral health instruction and repeated dental plaque control represented to significance on plaque control score, oral care practice and oral health recognition. The important oral care step against periodontal disease is to establish good oral health habits. Also, oral health behavior recognition is more important for the practice of oral health. Therefore professional plaque control and tooth brushing instruction absolutely need in improving oral health.

• 대한소아치과학회지
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• 제39권1호
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• pp.17-25
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• 2012

좋은 구강 위생 환경을 유지하기 위하여 치태 조절은 필수적이며, 가장 보편적이고 효과적인 방법은 올바른 칫솔질이다. 그러나 아동들은 올바른 칫솔질을 시행하기 어려워 칫솔질 교육의 중요성도 높아지고 있어, 경희대학교 치과대학 소아치과에 내원한 아동 40명을 대상으로 칫솔질 교육의 치태 조절의 효과를 조사하였다. 설문조사를 통해 기본 정보를 조사하고 치면 세균막 지수와 치아 및 혀 세정도, 구취 관리도를 측정하는 조사를 총 4회에 걸쳐 시행하여 칫솔질 교육 전과 후의 차이를 비교하였다. 치면 세균막 지수는 감소하였고(p<0.01), 치아 및 혀 세정도는 증가하였다(p<0.01). 구취관리도는 상관성을 보이지 않았다(p>0.01). 이러한 결과 칫솔질 교육은 구강 내 치면 세균막 제거에 뛰어난 효과를 보여, 아동들의 좋은 구강 위생 환경의 확립에 도움을 줄 것으로 기대된다.

• 보건교육건강증진학회지
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• 제26권2호
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• pp.25-33
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• 2009

Objectives: Smoking is related to periodontal disease and periodontal therapy. So the aim of this study was to investigate the effects of professional tooth cleaning and plaque control instruction (PT & PCI) for smoking behavior. Methods: A total of 151 adults were investigated using the O'Leary Plaque Index (PI), $L\ddot{o}e$ & Silness gingival index (GI) and the number of sextants possessing periodontal pocket (SPP). And adults were given a through dental scaling and Watanabe method for dental plaque control. Follow up examination were conducted after 3 months and compared the pre and post- status. The collected data were analyzed with t-test, paired t-test and one-way analysis of variance. Results: Regardless of smoking behavior, improving effects were identified after PT & PCI on PI, GI and SPP in the whole population. However, the effects of GI improvement were significant in the smoking group alone; those of PI improvement were most significant in the non-smoking group; and those of SPP improvement were more significant in non-smoking and pre-smoking groups than in the smoking group. The shorter period of smoking and the smaller amount of smoking, the greater effects of PT & PCI by smoking-related characteristics. Conclusion: Smoking cessation instruction should necessarily be included in oral health education in that smoking is an important factor to consider in prevention of periodontal diseases and periodontal therapies.

• Journal of Periodontal and Implant Science
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• 제48권1호
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• pp.22-33
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• 2018

Purpose: The purpose of this study was to evaluate the efficacy of the modified plaque score (MPS) for assessing the oral hygiene status of periodontitis patients. Methods: A total of 116 patients were included in this study. After evaluation of the $L{\ddot{o}}e$ and Silness gingival index (GI), Silness and $L{\ddot{o}}e$ plaque index (PlI), O'Leary plaque control record (PCR), and MPS, patients were randomly assigned to either a conventional tooth brushing instruction (C-TBI) group (n=56) or a professional intraoral tooth brushing instruction (P-TBI) group (n=60). The MPS and clinical parameters were re-evaluated after scaling and a series of root planing. The convergent validity of MPS with the PlI and PCR was assessed. The measurement time for MPS and PCR was compared according to the proficiency of the examiner. Results: After root planing, the GI, PlI, PCR, and MPS improved from their respective baseline values in both groups. Three different plaque indices including the MPS, showed significant differences between the C-TBI group and the P-TBI group after root planing. The MPS showed significant concurrence with the PCR and PlI. The mean time for PCR measurement was $2.76{\pm}0.71$ times longer than that for MPS measurement after 2 weeks of training. Conclusions: MPS seems to be a practical plaque scoring system compared with the PlI and PCR. These findings suggest that repetitive plaque control combined with an easily applicable plaque index (MPS) may facilitate more effective oral hygiene education and improved periodontal health.

• Journal of Periodontal and Implant Science
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• 제33권3호
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• pp.475-484
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• 2003

Many tooth cleansing instruments and agents have been developed for removal of plaque, inhibition of plaque formation and reduction of gingival inflammation. The aim of this study was to evaluate the plaque control effect and the therapeutic effect of newly developed tooth cleansing instrument(Belloblanco(R)). 40 healthy subjects with gingivitis or early periodontitis were divided into two groups. Subjects in control group only used manual tooth brushing and in experimental group used manual tooth brush and additive tooth cleansing instrument(Belloblanco(R)). Additive tooth cleansing instrument was used once a week. At baseline scaling and tooth brushing instruction was performed. Probing depth, bleeding on probing, plaque index, gingival index were scored at baseline, 2weeks, 4weeks. Probing depth of control and experimental group were significantly reduced at 2 weeks, 4weeks, hut there were no differences between two groups(P<(0.05). Bleeding on probing, plaque index and gingival index of control and experimental group were significantly reduced at 2weeks and 4weeks and there was significantly more reduction in the experimental group than the experimental group than the control group(p<(0.05). From these finding. it can be conclude that newly developed tooth cleansing instrument(Belloblanco(R)) are effective on the removal of plaque and the reduction of gingival inflammation

• 치위생과학회지
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• 제17권2호
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• pp.87-98
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• 2017

본 연구는 1990년부터 2015년까지의 기간 동안 국내에서 PMPR과 구강위생교습을 시행한 문헌 22편을 대상으로 아동과 성인의 구강위생관리 효과를 체계적으로 고찰함으로써 연구의 효과를 파악하기 위하여 실시되었다. 자료의 결과를 종합해 보면 PMPR을 하는 데 있어서 1~2주 간격으로 4~5번의 방문이 가장 효과적이고, 구두교육이나 모형교육보다는 치면착색제를 사용하고 OHE와 전문가 칫솔질, 치면세마, SRP 등을 병행하여 환자의 특성에 맞춰 반복적인 교육을 하는 것이 효과적임을 보여주었다. 실제 임상적으로 치주와 부착수준의 개선됨을 확인함으로써 환자 구강의 특성에 맞는 규칙적인 프로그램과 정기적인 일정으로 반복적 PMPR이 필요하다. 분석에 포함된 PMPR, 칫솔질 교습의 중재효과에 대하여 구강위생관리 효과가 큰 것으로 밝혀짐에 따라, 구강건강을 증진하고 유지하는 데 가장 필수적인 요소로 OHE와 함께 시행되면 구강건강 증진과 향상에 도움이 된다. 최근 시행되는 성인대상 치석제거술의 건강보험 급여제도와 더불어 교육수행에 관련해서도 급여범위에 포함이 된다면 구강병 발생이 감소되고 건강보험 재정에도 도움이 되어 국민구강증진에 더욱 시너지 역할을 할 것으로 생각된다. 지속적으로 복지정책에 필요한 근거중심의 체계적인 연구가 시행될 수 있도록 기초적인 자료를 마련해야 할 것이다.

• 치위생과학회지
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• 제8권4호
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• pp.361-365
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• 2008

본 연구는 환자 스스로 구강관리를 적절히 할 수 있는 기술을 익히도록 개개인을 상대로 4차례의 맞춤형 구강교육을 실시하여 성별, 나이별, 직업별, 가정의 월 평균 소득별, 학력별로 1차에서 4차까지의 치면세균막 관리점수를 산출하고, 이를 분석하여 환자의 구강관리 정도를 평가함으로서 국민 구강건강 증진을 위해 환자별 맞춤형 구강교육에 대한 기초 자료를 마련하고자 실시하였다. 1. 환자별 맞춤형 구강교육의 진행에 따라 치면세균막관리점수가 높아졌다. 2. 성별 치면세균막 관리 평균점수는 남자보다 여자의 점수가 조금 더 높았으나 큰 점수차이는 나타나지 않았다. 3. 나이별 치면세균막 관리 평균점수는 50~59세, 30~39세가 전체 치면세균막 평균점수보다 1차~4차 모두 높게 나타났으며, 20~29세, 40~49세, 60세 이상은 1~4차 모두 낮게 나타났다. 4. 직업별 치면세균막 관리 평균점수는 무직과 전문직에서 높은 점수가 나타났다. 5. 가정의 월 평균 소득별 치면세균막 관리 평균점수는 250만원 미만이 가장 높은 점수를 보였고, 250~500만원 미만이 가장 낮은 점수를 나타냈다. 6. 학력별 치면세균막 관리점수는 1차와 2차에서는 대졸이상이 가장 높은 점수를 나타냈고, 3차와 4차에서는 전문대졸 또는 대학중퇴가 높은 점수를 나타냈다.

• Journal of Periodontal and Implant Science
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• 제34권3호
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• pp.659-669
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• 2004

The aim of this study was to evaluate the clinical efficacy of mouthrinses prepared by sterilized water-generating $device(Purister^{(R)})$ on the control of gingivitis and incipient periodontitis when it was used as a adjunctives to the mechanical plaque control. 40 healthy patients with gingivitis or incipient periodontitis were divided into two groups. Patients in the experimental group use mouthrinses prepared by sterilized water-generating $device(Purister^{(R)})$ after tooth brushing while patients in the control group do only tooth brushing for plaque control. All patients received scaling and tooth brushing instruction. 1 week after scaling was set as baseline. Probing pocket depth, clinical attachment level, and bleeding on probing were scored at baseline, 4 weeks. Gingival index and plaque index were scored at baseline, 2 weeks, and 4 weeks. The results were as follows: 1. In the experimental group, gingival index, plaque index, probing pocket depth, and clinical attachment level showed statistically significant decrease, but in the control group, significant increase(p<0.05). 2. There was no significant difference between the experimental and the control group in bleeding on probing, but significant decrease in the experimental group and Significant increase in the control group In a time-dependent manner(p <0.05). From these results, it can be concluded that regular use of mouthrinses prepared by sterilized water-generating $device(Purister^{(R)})$ as adjunctives of mechanical plaque control, may be effective to prevent and treat gingivitis and incipient periodontitis.

• 한국치위생학회지
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• 제14권3호
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• pp.417-424
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• 2014

Objectives : The purpose of the study is to develop and to evaluate the oral health education program using computer assisted instruction(CAI) for the elementary school students. This study was carried out from November, 2012 to February, 2013. Methods : The subjects were 188 elementary school students of the first, second, and third grades in Buk-gu, Busan. The education was provided as computer assisted instruction and conventional classroom education. Three trained dental hygienists recorded three times of knowledge of oral health, oral health attitude, oral health behaviors and the plaque control index(O'Leary index). Results : CAI group showed high score of oral health knowledge of 6.74 points, 8.62 points and 8.38 points(p<0.01). In oral health attitude, the scores were 7.40 points, 8.01 points, and 7.99 points(p<0.05). In oral health behavior, the scores were 5.47 points, 6.14 points, and 5.61 points(p<0.05). The plaque control index was 22.59 points, 19.69 points, and 21.44 points(p<0.01). Conclusions : CAI education program of this study showed the effective education for the elementary school students. So the CAI education program can be useful and disseminated to the community project.