• Journal of Dental Anesthesia and Pain Medicine
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• v.16 no.2
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• pp.123-129
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• 2016

Background: The objective of the present study was to examine the status of patients who had received dental treatment under intravenous (IV) sedation at Chungnam Dental Clinic for the Disabled in Korea from its inception to the present time, and to review the analysis results. Methods: Retrospective analysis was performed on 305 cases of patients who had received dental treatments under IV sedation between January 2011 and May 2016. The analysis examined the patient's sex, age, primary reason for IV sedation, duration of anesthesia and dental treatment, type of dental treatment performed, number of clinical departments involved in the dental treatment and level of multidisciplinary cooperation, and annual trends. Results: Most dental treatments using intravenous sedation were performed on medically disabled patients or dentally disabled patients with an extreme gag reflex or dental phobia. The mean duration of IV sedation was 72.5 min, while the mean duration of treatment was 58.0 min. The types of dental treatments included surgical treatment (n = 209), periodontal treatment (n = 28), prosthodontic treatment (n = 28), restorative treatment (n = 23), implant surgery (n = 22), endodontic treatment (n = 9), reduction of temporomandibular joint dislocation (n = 1), and treatment of traumatic injuries (n = 1), with treatments mostly performed on adult patients. Conclusions: With increasing demand for minimally painful treatment, cases using IV sedation are on an upward trend and are expected to continue to increase.

• Journal of Korean society of Dental Hygiene
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• v.22 no.6
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• pp.551-561
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• 2022

Objectives: This study aimed to investigate the perceptions regarding oral muscle strength training for elder people among dental professionals. Methods: The study participants were selected using non-probability sampling methods, as dentists and dental hygienists with more than 3 years of work experience at dental institutions. A total of 15 participants were selected, including 6 dentists, 4 clinical dental hygienists, and 5 public dental hygienists. Interviews were conducted in June and July 2022, and two focus group interviews were conducted for each group. The first round was face-to-face and the second round was conducted through an online video conference. Results: Through focus group interviews, five factors were obtained; lack of awareness, value of training, factors necessary for implementation, performance status, and obstructive factors. It was found that most study participants had a negative perception regarding the application of oral muscle strength training for elder people due to the lack of information and education on the subject. However, the benefit of oral muscle strength training was positively recognized; adequate educational material, appropriate compensation, adequate time, and availability of patients will be necessary for proper training. Conclusions: It is necessary to improve the perceptions regarding the importance of strengthening oral muscles for the elder people among dentists and dental hygienists. In addition, high-quality educational material that can be easily comprehended and practiced should be developed for effective training.

• Journal of Korean society of Dental Hygiene
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• v.17 no.5
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• pp.899-910
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• 2017

Objectives: This study was conducted to identify the rates of perceived stress of elderly people over 65 years old and to confirm the influence of stress on general health and oral health status. Methods: Using data from the National Health and Nutrition Survey for 2014, 1,472 people over 65 years of age were selected as final subjects. Stress was used as an independent variable and dependent variables were included physical health (perceived health status), mental health (depression), and oral health (perceived oral health status). The following confounding variables were adjusted for the current study: demographic characteristics (gender, age, education level, house income) and health - related characteristics (drinking, smoking, exercise, frequency of tooth brushing, using oral care product, dental exam, comorbidity, restrict activity). Complex sampling analysis was applied and logistic regression was performed to determine the effects of stress on physical health, mental health and oral health status. Odds ratio (OR) and 95% confidence interval (95% Confidence Interval, 95% CI) were calculated. Results: Logistic regression indicated that stress was significantly associated with low physical health (OR=2.18, 95%CI: 1.49-3.20), low mental health (OR=8.68, 95%CI: 4.98-15.11), low oral health (OR=1.53, 95%CI: 1.06-2.21) after adjusting for confounding variables. Conclusions: The perceived stress of the elderly was found to be related to the general health and oral health status. Therefore, it is necessary to evaluate stress as a predictor of health risk for the health promotion of the elderly on multidisciplinary assessment and continuous evaluation. In addition, health support policies should be provided to achieve good health status for elderly.

• The Journal of the Korean dental association
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• v.49 no.10
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• pp.584-598
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• 2011

The age structure has been experiencing substantial change due to the decreased birth rate as well as the increased life expectancy. Gorge Magnus, an English economist, casts warnings of population ageing which has the potential of huge socioeconomic impact human society has never experienced before. The prediction that proportion of elderly people in need of oral health care will increase substantially is a new challenge to dentists in the future. The old paradigm that the aged person is just the person who was born earlier and needs the same conventional oral health care should be shifted to the new one. Elderly people tend to express their political interest related with health care system by actively participating in the national elections. The need to sustain economic status for the extended life span makes them seek eagerly esthetic health care to maintain sound social function. Most of them are under multiple chronic diseases and take related medicines. In addition, many studies report about mental change as well as physical change among the aged people. Since the prevalence of dental diseases among the aged is higher than other chronic devastating diseases, the aged seeking oral health care will increase. The aged who has different physical and psychological status as well as chronic disease and related medicine will show unexpected response to the conventional oral health care. In addition, the impact of tooth loss is substantial physically, mentally and emotionally. Dentist should prepare different approaches for the elderly dental patient.

• Journal of dental hygiene science
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• v.14 no.4
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• pp.461-467
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• 2014

The objective of this study was to evaluate the impact of the Q-ray view, a novel optical device on reliability of assessing a tooth status by dental hygiene students in the training for dental hygiene process. Twenty patients were enrolled in this study. Oral examinations were conducted by both seventeen third-year dental hygiene students and a trained faculty member. Traditional visual inspection was performed in phase I and then re-examined with Q-ray view in phase II. Restoration codes and lesion codes for each tooth were recorded separately according to the predefined criteria. As a measure of reliability, percent agreement and Cohen's kappa were determined. Agreements for each intraoral regions and types of lesion and restoration were calculated. Paired t-test and Pearson chi-square test for two proportions were used to compare mean Cohen's kappa and percent agreement at each phase. For the lesion code, mean kappa values of phase II for intraoral regions were significantly greater than that of phase I (p=0.017). For the both of the lesion code and restoration code, percent agreements of phase II for each types of lesion and restoration were significantly greater than that of phase II (p<0.001 and p<0.001, respectively). Especially difference of percent agreements between phase I and II for incipient caries, caries and fracture were significant for the lesion code (p=0.046, p<0.001, and p=0.029, respectively) and for not restored or sealed, tooth-colored restoration were significant for the restoration code (p<0.001 and p=0.011, respectively). The reliability of assessing a tooth status was improved when the Q-ray view used in dental hygiene student with beginner level of expertise. Q-ray view can be a promising device for conducting and educating the dental hygiene process better.

• Journal of Korean society of Dental Hygiene
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• v.12 no.4
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• pp.695-705
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• 2012

Objectives : The purpose of this study is to evaluate the appearance of having relationship between the exposure to lead and cadmium and the dental caries targeting adults in the Republic of Korea. Methods : The study was designed as a cross-sectional study, using the data of the Fourth Korea National Health and Nutrition Examination Survey. The subjects as 1,966 people, who were confirmed the appearance of dental caries among 1,991 people of having been offered the heavy-metal concentration in blood. Statistical analysis was conducted using SPSS 19.0, according to complex sampling design. Results : As a result of multi-variate analysis on factors of dental caries, in Model I without correction, the gender, age, educational level, appearance of lifelong smoking, daily toothbrushing frequency, appearance of using dental floss, and subjective oral health status were recognized as important factors. In Model II with correction of gender and age, the educational level, daily toothbrushing frequency, and subjective oral health status were recognized as statistically significant factors. In Model III with correction of all factors, the gender, age, educational level, appearance of using dental floss, and subjective oral health status were functioning as statistically significant factors. As a result of statistically analyzing relationship between the exposure to lead and cadmium and the dental caries targeting adults, it was analyzed that there is no significant correlation. However, in case of lead, the tendency of being grown the cross ratio of dental caries could be examined in model I, which didn't correct disturbance factor, model II, which corrected gender and age, and model III, which corrected all variables of disturbance factor. Conclusions : The exposure to lead and cadmium was indicated to have no relationship with adults' dental caries. However, a continuous research of relationship was considered to be necessary by using Korea National Health and Nutrition Examination Survey, which is surveyed in the future.

• Journal of Technologic Dentistry
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• v.34 no.4
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• pp.381-390
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• 2012

Purpose: The goal of this study is to investigate the correlation of orthodontic treatment with self-esteem and how orthodontic treatment has an effect on university student's self-esteems by investigating and analyzing the difference in self-esteem of each general characteristic and the difference in self-esteem according to the existence or nonexistence of malocclusion and orthodontic treatment for adult university students. Methods: This study conduced a survey for 420 university students including dental related department, department of health and department of non-dental health in two universities located in Taegu, Gyeongbuk-do province from May 15, 2012 to May 30, 2012, and in 420 questionnaires of the investigated 420 target students, total 400(95.2%) questionnaires except for the questionnaires with falsely or erroneous responses were used for study analysis. Results: In the relations of general characteristic with self-esteem, for self-esteem by each gender, male student showed higher, for self-esteem by residential area, the university student residing at metropolitan area showed higher, for self-esteem by financial status, high class and middle class students in home financial status showed higher, for self-esteem by face shape, the student with triangular face shape showed higher, and in the relation of self-esteem with orthodontic treatment, the university student who is getting orthodontic treatment showed higher self-esteem statistically significantly. Conclusion: For gender, male university student, for residential area, the university student residing at metropolitan area, the high class university student in financial status, the university student with triangular face shape, and the university student who is getting orthodontic treatment showed statistically significantly higher self-esteem.

• Journal of Korean society of Dental Hygiene
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• v.11 no.5
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• pp.695-706
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• 2011

Objectives : The purpose of this study is to assess oral health perception, oral health behavioral and family smoking status according to smoking experience in a part of high school students. Methods : A survey is conducted with a total of 648 first grader at high school in Dae-Gu city from 1st to 30th September, 2009. The results are as follows. Results : 1. 95.5% of respondents are 'smoking is very harmful for health' and the majority of smoking-related disease are lung cancer, oral disease, and oral cancer. 2. 127 respondents have experience in smoking and 62 respondents are smoking at that time. 59.7% respondents have 1 year smoking history and the majority of respondent are 5 cigarettes/day. 67.8% respondents are under 5 cigarettes/day. 3. In oral health behavioral by smoking, the majority of smokers' teeth brushing are 3 times, 47.2% and 2 times, 27.6%. The majority of nonsmoker's teeth brushing are 3 times, 47.0% and 2 times 26.5%. The results of teeth brushing time are significantly different between smokers and non-smokers(p<.001). The majority of smokers and non-smokers have not experienced about scaling. It is significantly different between 2 groups(p<.05). 4. The smoking rate of father and grandfather in smokers is higher than non-smokers. It is significantly different between 2 groups(p<.005). 5. The need for oral management in oral health education is gum treatment and dental caries treatment. 22.8% smokers and 25.7% non-smokers require to get gum treatment. 18.1% smokers and 20.2% non-smokers required to get dental caries treatment. Conclusions : Also Future longitudinal research is required to develop oral health promotion program contents according smoking-oral health.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.5 no.1
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• pp.5-11
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• 2009

The objective of this study was to assess oral health status such as prevalence of dental caries, gingivitis and other combined disorder, orofacial dysfunction in patients with cerebral palsy(CP), as well as the state of tooth brushing, possibility of dental treatment. Sixty-six subjects with CP aged 9 to 37 years were included in the study. Clinical caries status(DMFT index) and other data were evaluated and statistically analyzed using SPSS program (SPSS 17.0). The results were as follows: The DMFT index and prevalence of gingivitis of study subjects were 2.82(male), 3.33(female) and 89%, respectively. DMFT index classified into four groups according to age as follows: DMFT index were 1.14(ages 6-11), 1.40(ages 12-14), 2.16(ages 15-24), 4.15(ages 25-37). In addition to the physical disorder, speech difficulty(86%), epilepsy(35%) and visual impairment(14%) were associated and the epilepsy medication was the most common medication. And orofacial dysfunction such as the eating difficulties(79%), drooling(36%), swallowing disorder(30%), breathing difficulty(15%), bruxism(30%) and snoring(33%) was shown. Most people with cerebral palsy can't brush alone and didn't use oral care adjunctive supplies. Moreover, Fifty-nine percent of them were noncooperative to dental treatment.

• 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.