• Title/Summary/Keyword: dental care for aged

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A Study on the Oral Hygien Index Change according to Comprehensive Dental Hygiene Care Treatment (포괄 치위생처치에 따른 구강환경지수변화 연구)

  • Lee, Eun-Sook;Lee, Cheon-Hee
    • The Korean Journal of Health Service Management
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    • v.5 no.3
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    • pp.145-155
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    • 2011
  • This study is Dental Hygiene Department of G University for comprehensive dental hygiene control and treatment weekly for four weeks from September 16 to October 20, 2010, excluding those who visited for ambulatory treatment of systemic diseases. For the 90 subjects, we performed oral examination, measured Simplified Oral Hygiene Index (S-OHI), Modified Patient Hygiene Performance (PHP-M), and O' Leary Index, and applied comprehensive dental hygiene control. First, as to the change of OHI according to age, the index in the 1st measurement was 3.43 in those under 35 and 3.17 in those aged 35 or older, so it was higher in the younger group, but in the 2nd measurement it was 1.89 in those under 35 and 2.14 in those aged 35 or older, and in the 3rd measurement it was 1.22 in those aged 35 or older, so it was higher in the older group. Second, as to the change of PHP-M according to age, the index in the 1st measurement was 50.35 in those under 35 and 43.16 in those aged 35 or older, soit was higher in the younger group, but in the 2nd measurement it was 31.97 in those under 35 and 28.88 in those aged 35 or older, and in the 3rd measurement it was 21.31 in those aged 35 or older, so it was higher in the older group.

Factors influencing oral health according to life cycle characteristics of patients with diabetes (생애주기별 당뇨질환자의 구강건강영향요인)

  • Hye-Sook Choi
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.3
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    • pp.253-262
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    • 2024
  • Objectives: This study aimed to identify the factors influencing the relationship between diabetes and oral health in Korean adults. Methods: We analyzed 5,319 adults who were included in the 9th Korea National Health and Nutrition Examination Survey. The data were analyzed for demographic characteristics, daily health care, and oral health care according to diabetic conditions using a complex sample analysis. Multiple logistic regression analysis was performed to analyze the factors influencing the oral health of patients with diabetes. Results: The factors influencing the oral health of patients with diabetes varied according to life cycle. In late middle-aged adults, statistically significant differences were observed in sex (p<0.001), educational level (p=0.030), economic activity (p=0.018), aerobic exercise (p=0.034), smoking (p=0.004), periodontal therapy (p=0.011), and prosthesis production/repair (p=0.025). In younger elderly individuals, statistically significant differences were found in terms of whether they lived together (p=0.027) and educational level (p=0.032). Conversely, no statistically significant differences were observed in the older elderly group. Conclusions: The results of this study showed that the level of oral health of patients with diabetes is already determined in middle and old age; therefore, a system should be prepared to ensure that health care can be systematically performed in late middle-aged adults.

Trends of conscious sedation in the Department of Pediatric Dentistry at the Dankook University Dental Hospital for 11 Years

  • Sohyun Park;Jongbin Kim;Jongsoo Kim;Joonhaeng Lee;Miran Han;Jisun Shin
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.5
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    • pp.265-271
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    • 2023
  • Background: Anxiety and fear in children's dental care are major impediments to successful dental care. High-quality dental treatment can be achieved using various behavioral control methods; however, conscious sedation using drugs can be used if behavioral control is difficult, owing to excessive fear and anxiety. This study aimed to examine the trends in conscious sedation implemented in pediatric dentistry at the Dankook University Dental Hospital over the past 11 years. Methods: This study included 6,438 cases of dental treatment under conscious sedation conducted over 11 years between January 2011 and December 2021 in the Department of Pediatric Dentistry at Dankook University Dental Hospital. Results: Over the past 11 years, the number of dental treatments under sedation has increased. In the case of inhalation sedation using nitrous oxide, the rate of increase was approximately twice every year, and the use of midazolam gradually decreased. The average age of children who underwent sedation was 5.11 years, and the rate of sedation treatment in children aged <4 years tended to decrease, while that of children aged >5 years tended to increase. This is related to the trend of changes in drugs used. In a sex-based survey, sedation treatment rate was higher in males than that in females. Conclusion: Appropriate selection of sedatives can reduce the frequency of general anesthesia and minimize complications through efficient and safe dental treatments. Trend analysis of sedation by year will help provide guidelines for the appropriate selection of sedation for dental treatment of children and patients with disability.

A qualitative research on the needs for oral care according to the subjective oral health status of the elderly (노인의 주관적인 구강건강상태에 따른 구강관리 요구도에 관한 질적연구)

  • Sang-Eun Moon;Sun-Hwa Hong;Bo-Ram Lee
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.4
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    • pp.311-321
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    • 2023
  • Objectives: The purpose of this study was conducted an in-depth analysis of the subjective oral status and oral care needs according and problems of the elderly. Methods: A phenomenological research method was from April 13 to 30, 2023, 15 elderly people aged 65 or older in Gwangju and Jeolla regions were surveyed. Results: He was experiencing oral changes such as difficulty chewing, dry mouth and indigestion, sensitive teeth, smell of fear and feeling sensitive when eating sweet or cold food. They were burdened by the financial difficulties of dental treatment costs, the inconvenience caused by frequent visits, and the pain experienced during treatment. Realized the need for necessity of oral care education, and their confidence was restored through dental treatment. It was necessary the image recovery of dentistry, and they wanted to maintain oral health through the expansion of treatment health insurance. Conclusions: Consequently, it is necessary to develop a practical oral health management program for the elderly based on social communication regarding of the elderly and to expand health insurance coverage.

The Effect of Discrimination on Reutilization Intention in Dental Care Service (치과서비스에 대한 차별감이 재이용의사에 미치는 영향)

  • Choi, Kyu-young;Lee, Tae-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.111-119
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    • 2017
  • The purpose of this study was to examine the effect of discrimination on thereutilization intentionfor dental services among patients who visited the dental clinic. The questionnaire was administered to 432 patients aged 20 years or older who visited Dental Clinic in J city, Chungcheongbuk-do. Day to March 31, 2015, and the following results were obtained. The important variables that affected the reutilization intention were quality of medics, kindness, hospital image, convenience, service value and discrimination of dental care service. These variables explained 78.2% of the aggregate. Thehigher the quality of service value, medics, environment facilities, convenience, kindness, and hospital image, the more significant was the relevance with reutilization intention. As well as high-educated respondents, ones with monthly household income amounted to 4 million won, group of white-collar job, people who visited for implant treatment and ones by introduction of acquaintances. Therefore the dental care service providers are required to take effortsto recognize the discrimination and to reduce it through good quality of dental care service.

Clients Satisfaction with Oral Hygiene Care Services System Provided by the Dental Hygiene Clinics in the Department of Dental Hygiene, Yonsei University (연세대학교 치위생학과 구강위생교육실을 방문한 대상자의 구강위생관리 서비스체계에 대한 만족도 조사)

  • Kim, Nam-Hee;Kwon, Hye-Ri;Kim, Da-Hye;Kim, Da-Hee;Kim, Min-Hee;Yoo, Seung-Hee;Choi, Jin-Ah;Chung, Won-Gyun
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.4
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    • pp.419-431
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    • 2007
  • The setting of dental hygiene clinics is very important to dental hygiene education, which is the place not only to educate students but also to care clients. The purpose of this study is to provide basic research material for improvement of dental hygiene care system in dental hygiene clinics by analyzing the client satisfaction. A questionnaire survey by means of self-entry method was conducted to find out satisfaction of the client, who was visited to the dental hygiene clinics in the department of dental hygiene, Yonsei University. An analysis of frequency, one way ANOVA and T-Test were performed through SPSS 12.0K program. 1. Most clients were mainly composed of students in Wonju College of Medicine. 2. The clients visited for scaling(85.8%) and oral examination(9.73%) were much than treatment(4.42%). 3. Clients aged 21 to 25 were relatively lower in satisfaction with the facilities, system, attitude than any other ages. 4. The dental hygiene students are the lowest group in satisfaction with the facility, system, attitude than medical and nursing students. 5. The clients satisfaction with dental hygiene clinics was decreased in reverse proportion to visiting frequency. 6. Most of the clients pointed out the problems of appointment system(54.0%) and fee(23.0%), which should be improved than any other operation conditions. 7. Most of the clients were not satisfied with chair time and pain during care. 8. Most clients recognized to receive the better care service than other dental offices(81.3%). Especially, they paid attention to oral health education using phase-contrast microscope. 9. Many clients were dissatisfied with facilities of the dental hygiene clinics(71.7%). The problems of appointment system(54.0%) and chair time of dental hygiene care services(63.6%) had also inconvenienced to clients. The dental hygiene clinics in school play a crucial role in dental hygiene education to foster the student to be competent as a professional dental hygienist in the future. Therefore, well-organized dental hygiene care program based on dental hygiene process is essential. It is also required to improve the environment of dental hygiene clinics including facilities, appointment system and fee etc.

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Correlation between dental caries experience, oral health promotion behaviors, and knowledge of oral health in children and adolescents (일부 소아·청소년의 영구치우식경험도 및 구강건강증진행위, 지식에 관한 연구)

  • Shin, Seon-Haeng
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.4
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    • pp.615-622
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    • 2013
  • Objectives : The aim of the study is to estimate the dental caries experience and the factors influencing the dental caries in children and adolescents and to provide the data for effective management of oral health in children and adolescents. Methods : Subjects were 446 students randomly recruited in primary, middle, high school students located in Seoul from April 1 to May 31 2011. The data were collected by a questionnaire survey and direct oral examination. The collected data were analyzed with the SPSS WIN 14.0 program. Results : DMF in male accounted for 88.8% and that in female accounted for 89.1%. The oral promotion behaviors in female was significantly higher than those in male (p<0.001). Aged (p<0.05) and well-educated parents(p<0.001) tended to have better oral promotion behaviors. The higher oral health knowledge, the better oral health promotion behaviors. Better oral health promotion behaviors tended to have lower DMFT and DT index (p<0.01). In regression analysis, age, oral health promotion behavior in children and adolescents were related to the dental caries experience (p<0.001). Poor oral health promotion behaviors increased the dental caries experience. Conclusions : The active oral health care can prevent dental caries in children and adolescents. The concern for oral health care is important to maintain healthy dental hygiene.

Effects of health behaviors on the periodontal health status of Korea young man: The 6th Korean National Health and Nutrition Examination Survey (한국 청년의 치주건강에 대한 건강행태의 영향- 제6기 국민건강영양조사)

  • Han, Su-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.6
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    • pp.957-967
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    • 2018
  • Objectives: The aim of this study was to confirm health behaviors that affect periodontal health status. Based on these results, we also intended to provide information for the prevention of gingivitis prior to periodontitis and establish strategies for maintaining healthy periodontal tissues. Methods: Data for this descriptive study were extracted from the Korea National Health and Nutrition Examination Survey 2013-2015. A total of 2,710 adults, aged 19-39 years were included in this study. Complex logistic regression analyses were performed to confirm relationships between health behaviors and periodontal health, after adjusting for socio-demographics, oral and systemic health status. Results: Dental clinic visits (odd ratio [OR] = 1.761, 95% confidence interval [CI]; 1.391-2.229), use of floss (OR = 1.504, 95% CI; 1.213-1.865), and non-smoking (OR = 1.269, 95% CI; 1.040-1.549) were found to support periodontal health. Conclusions: Dental visits for continued professional oral health care, self-oral care including interdental flossing, and a non-smoking habit, are necessary for periodontal health maintenance. Additionally, the results suggest that physical activities such as regular walking can help. These methods should be considered as the primary preventative care strategies for minimizing the occurrence of gingival inflammation.

Analysis of current nursing homes in Korea and to assess the role and prospect of dentists in comparison to Japanese long term care insurance system (한국노인요양시설 구강 위생 현황과 일본 노인요양보험법 비교를 통한 치과의사의 역할과 전망)

  • Shin, Ri-Hye;Bae, Hanna Eun-Kyong;Choi, Sung-Ho;Park, In-Im; Ohyama, Takashi;Chung, Moon-Kyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.1
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    • pp.83-91
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    • 2008
  • Statement of problem: The introduction of "The Long-term Care Insurance System" (a public nursing care insurance scheme) is scheduled from July in 2008. Lately, the importance of oral health care had increased. Introduction and establishment of the methodology (nursing care procedure) based on professional dental knowledge is inevitable. Purpose: The purpose of this study was to rouse recognition of the importance of dental care in the long term elderly care in nursing homes, with implementation of the new insurance law. Material and methods: Visited two institutions for the elderly, Yudang Village and Sungjiwon located in Suwon city to investigate the present conditions in terms of (1) the detailsof the institution, (2) the activities concerning with dental care in the institution, and (3) the consciousness and recognition regarding dental care of the staffs. Results: In two institutions, under the present conditions, oral cleaning (including the cleaning of denture) for residents was operated with no professional advices and limited professional dental care. It was found that there was very little awareness of aspiration pneumonia. The members of staff however, did recognizethe necessity of professional maintenance and management of oral care in daily nursing care, and that many residents hold dental problems. They were very eager in introducing the methodology (nursing care procedure) in dental care in nursing homes.

CHANGES OF DENTAL OCCLUSION AFTER STROKE: CASE REPORT (뇌졸중 이후의 교합관계의 변화 증례)

  • Lee, Sung-Jong;Lee, Eun-Young;Kim, Hye-Jung;Hwang, Ji-Young;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.4 no.1
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    • pp.26-31
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    • 2008
  • Cerebrovascular Accident(stroke) is that a sudden, nonconvulsive loss of neurologic function due to an ischemic or hemorrhagic intracranial vascular event. If stroke happens at the portion of trigeminal motor nucleus or its control part of cerebral cortex, masticatory muscles will be atrophy or paralyzed. So it is possible that dental occlusion changes after stroke. A 74-aged woman recurred mild stroke 2 month ago, who had experienced severe stroke 2 years ago. After recurrence, suddenly her upper full denture was dropped when lower denture contacted upper one. According to the her occlusion exam, her lower jaw moved back slightly compared with the occlusion of old denture. And her face had asymmetry and lower jaw dislocated to paralyzed side. A 50-aged man was treated because many cervical caries, which would occur because of an aftereffect of stroke, long-herm hospitalization and limits of self oral-care. 6 years ago he had cerebral hemorrhage and he claimed that he cannot bite exactly. Just two pairs of teeth was contact on biting, his lower jaw was located back, too. This two case suggests that dental occlusion can change after stroke.

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