• 치위생과학회지
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• 제16권5호
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• pp.355-360
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• 2016

본 연구는 우리나라 성인의 미충족 치과의료와 그에 관련요인을 파악하기 위해 진행되었다. 미충족 치과의료를 정의하는 데 있어 치과의료의 필요를 치통을 경험한 사람 중 적절한 치과 의료서비스에 접근하지 못한 사람으로 제한하여 의료 필요에 따른 충족을 보다 명확하기 측정하기 위해 노력하였다. 미충족 치과의료의 원인으로는 경제적 부담, 직업/학업적 이유, 다른 문제에 비해 덜 중요해서가 높은 비중을 차지하는 것으로 나타났다. 미충족 치과의료와 관련된 요인으로는 성별, 연령, 본인이 인지하는 구강건강 상태, 씹기 문제가 통계적으로 유의미한 것으로 나타났다. 이와 같은 결과를 바탕으로 건강보험 보장성 강화 정책과 관련하여 치과의료비의 본인부담금의 비중을 낮추는 방안을 제안할 수 있을 것이다. 또한 치과 의료서비스 접근에 있어 취약한 집단을 파악하고, 해당 집단에 대한 보건의료 정책 개발 및 서비스 제공이 이루어져야 할 것으로 생각된다.

• 대한치과기공학회지
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• 제34권2호
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• pp.157-164
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• 2012

Purpose: The purpose of this study was to survey periodontal status using oral health index in the elderly population and determine methods for improving oral health status. Methods: The date 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 determining statistical significance using logistic regression analysis, multiple regression analysis. Results: General characteristics showed differences in oral health behaviors associated with gender, age, residence, education. General characteristics showed differences in periodontal status associated with gender, family type, gender, residence, education. Oral health behaviors showed differences in periodontal status associated with using oral health care products, dental treatment. Conclusion: In conclusion, in order to improve oral health of the elderly, the importance and needs of periodontal status should be emphasized. periodontal status related education for the elderly should be operated.

• 대한치과교정학회지
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• 제51권1호
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• pp.3-14
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• 2021

Objective: This study aimed to identify the perceptions of orthodontic treatment among Korean adults and determine the factors that drive them to seek orthodontic treatment. Methods: A total of 2,321 adults aged 19-64 years were surveyed using an internet research system from a specialized research company. The participants were divided into the following groups based on their experience of and willingness to undergo orthodontic treatment: experience, acceptance, and non-acceptance groups. The characteristics of the participants were compared using analysis of variance with post-hoc analysis. Multinomial logistic regression analysis was performed in all three models with the non-acceptance group as a reference. Results: In terms of demographic characteristics, age, gender, marital status, and education had significant influences on orthodontic treatment decisions in adults in the experience and acceptance groups (p < 0.001). When all the factors were analyzed, age, marital status, past dental treatment experience, regular oral examinations, demand for orthodontic treatment, optimal treatment period, health insurance coverage, information on orthodontic treatments, perceptions regarding orthodontic treatment, and psychosocial impact of dental esthetics significantly influenced orthodontic treatment decisions in adults in the experience and acceptance groups (p < 0.001). Conclusions: These findings suggest that various factors influence orthodontic treatment decisions in adults. Individuals who seek orthodontic treatment were found to undergo more regular dental treatment and oral examination than those who did not. They also had a better perception of orthodontic treatment and more negative values for the psychosocial impact of dental esthetics.

• 치위생과학회지
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• 제17권3호
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• pp.218-225
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• 2017

The purpose of this study was to determine the association between drinking behaviors and the need for periodontal treatment. The data of 5,995 adults from the 2012 Korea National Health and Nutrition Examination Survey were categorized into young adulthood (19~39 years), middle age (40~64 years), and old age (${\geq}65$ years) and analyzed. Chi-square test was performed to determine those who needed periodontal treatment by the respondents' general characteristics and drinking behaviors, and logistic regression analysis was carried out to determine the impact of each drinking behavior on the need for periodontal treatment. The results of this study have confirmed that alcohol intake is a factor adversely affecting periodontal status; therefore, patients should know the fact that excessive alcohol intake and increased frequency of drinking may affect the prevalence rate of periodontal diseases. Moreover, moderate-drinking programs that can reinforce prevention of drinking so that dental hygienists can provide good oral health care should be developed. A systematic oral health promotion program should be introduced for constant prevention with the objective of activating oral health education that focused on middle-aged and young-adult people in pursuit of healthy aging society.

• 한국치위생학회지
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• 제7권3호
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• pp.231-245
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• 2007

This study aims to discuss plans to improve the satisfaction level of dental services by understanding characters of beliefs about dental manpower and analyzing its related factors. Data were collected by structured questionnaire whose subjects consist of 1607 persons from 13 years old to 69 years old, who have ever experienced dental institution. Both univariate and biovariate analyses were employed to analyze level of dentist and dental hygienist's beliefs and its related factors and the results gained from the surveys and search are as follows. 1. Among the questions to measure dentist's beliefs, 'Respect for patients' was evaluated as the best, and the lowest items were 'not-hopeful explanation about prognosis of dental treatment', 'satisfactory explanation' and 'whether treatments are stopped by pains or not'. In addition, among questions to measure dental hygienist's beliefs, 'kindly welcome' and 'detailed explanations about medical directions' are the items evaluated as the best and 'notice of waiting time' marked the lowest evaluation. 2. The factors related to beliefs about dentists were age, ache experiences, dental fear, self-reported dental health status, frequence and primary purposes of the visits dental institutions, elapsed time from recently visited, present of favorite dental clinic to visit regularly. 3. The factors related to beliefs about dental hygienists were age, education, occupation, ache experiences, frequence and primary purposes of the visits dental institutions, periodic check of teeth, present of favorite dental clinic to visit regularly. 4. Direct painful, painful treatment experience under insufficient local anesthetic, indirect painful experience and dental fear were positively correlated. And the relationships were positive between ache experiences, dental fear and self-reported dental health status, but relationships were negative between ache experiences, dental fear and dentist! dental hygienist's beliefs.

• 한국치위생학회지
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• 제18권5호
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• pp.631-641
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• 2018

Objectives: The purpose of this study was to confirm the relationship between socioeconomic characteristics and the prevalence of periodontal disease, with a focus on employment status, in a representative sample of Korean adults aged 19-39 years. Methods: Data were obtained from 3,178 adults who completed the Korean National Health and Nutrition Examination Survey, health-related questionnaires, and an oral examination. Socioeconomic, demographic, and oral health-related behavior data were adopted as independent variables. The chi-square test was used to assess differences in the distribution of socioeconomic status, oral health behavior, and nutrition factors according to employment status. Logistic regression analysis was performed to confirm the relationships between the prevalence of periodontitis and the related variables. Results: Significant differences in sex, educational level, income, marital status, smoking status, prevalence of periodontitis, number of dental check-ups in a year, and unmet dental care were confirmed according to employment status. The prevalence of periodontal disease was not significantly related to employment status. Conclusions: These results suggest a significant difference in periodontal disease according to socioeconomic factors in Korean adults. However, the prevalence of periodontal disease was not related to employment status. To prevent the progression of periodontal disease, attention should be paid to oral health, time available for dental treatment, smoking cessation, and use of floss.

• 보건의료산업학회지
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• 제7권2호
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• pp.81-91
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• 2013

This study was conducted on industrial workers to develop an integrated health promotion program on chronic disease and oral health, and to provide basic data for an effective management plan by conducting comparison analysis of periodontal health status based on the findings of hypertension and diabetes disease, and by understanding of influencing factors on periodontal health status. And the study was conducted on 4,600 workers in certain areas from March 22, 2010 to June 18, 2010. The results of the study indicates significant difference by having high plaque and gingivitis ratio in the people who had the findings of hypertension and having high plaque ratio in the people who had the findings of diabetes disease. Regarding the influences on periodontal health status, gender, age, whether the subject visited a dental hospital, whether the subject had scaling treatment, smoking, and hypertension had influenced gingivitis. And gender, age, whether the subject visited a dental hospital, whether the subject had scaling treatment, smoking, and hypertension had influenced plaque. And the aforementioned 2 groups had statistically significant difference, and the conclusion is established that metabolic syndrome which is measured during the health exam of workers is an important disease potentially threatening the health of workers and also highly related to oral health.

• 한국치위생학회지
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• 제10권5호
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• pp.819-829
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• 2010

Objectives : The purpose of this study was to examine factors affecting the effective demand of workers for dental treatment in a bid to provide some information on the improvement of oral health. Methods : The subjects in this study were 255 workers who were engaged in the pharmaceutical industry. A self-administered survey was conducted, and the collected data were analyzed by a spss(statistical package for the social science) win 12.0 program to find out their demographic characteristics, oral health awareness, oral health behavior and factors for the choice of a dental institution. Results : 1. Concerning the level of oral health awareness, 47.0 percent were at a low level(0 to three scores), and 35.2 percent were at an intermediate level(four to six scores). 2. As to oral health behavior involving a daily mean toothbrushing frequency, they brushed their teeth 2.65 times per day on the average. The most widely utilized oral hygiene supply was mouth rinse. Regarding oral health status, 53.7 percent weren't in good dental health, and just 23.0 percent got a dental checkup on a regular basis. 45.8 percent of those who didn't get a dental checkup cited time constraints as the reason. 26.0 percent received oral health education, and 91.4 percent were aware of the necessity of a corporate incremental dental care system. 3. Marital status, age and the reliability of dental institutions made differences to their choice of a dental institution. 4. As for the relationship between oral health awareness and the factors for the choice of a dental institution, oral health awareness had a statistically significant positive correlation to the reliability of dental institutions. Conclusions : The above-mentioned findings suggest that oral health education enables workers to have a correct knowledge on oral health, to change their own oral health behavior and to make the right choice of a dental institution in consideration of their oral characteristics. They should be urged to get a regular dental checkup not to develop chronic oral diseases so that they couldn't have to receive first-aid dental treatment. To promote the oral health of workers, oral health care personnels available should be utilized, and the incremental dental care system should be more vitalized to cut down on their effective demand for dental treatment.

• 한국치위생학회지
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• 제23권4호
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• pp.245-250
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• 2023

Objectives: This study was conducted to analyze the factors related to unmet dental care needs in Korean adults who needed dental treatment. Methods: This study analyzed data from the 7th Korea National Health and Nutrition Examination Survey (2016-2018). Among the adults who participated in the National Health and Nutrition Examination Survey, 2,723 dental treatment who performed oral examinations were the final subjects. General characteristics and oral health characteristics were analyzed with complex sample chi-square test using the IBM SPSS program. Factors related to unmet dental care were analyzed by multiple logistic regression analysis. Results: As for unmet dental care needs related factors, bad oral health was 3.383 times higher, and usually was 1.736 times higher. In the use of dental clinic unmet dental care needs was 0.121 times lower. Unmet dental care needs was high, 1.366 times for those with the experience of tooth pain and 2.736 times for those with chewing difficulty. Conclusions: Based on the above results, it can be seen that oral health status or oral discomfort is related to unmet dental care needs. It is necessary to set goals to improve unmet dental care, recognize that one's oral health condition is very important, and continuously educate about oral health for each life cycle.

• 대한치과보철학회지
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• 제46권5호
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• pp.455-469
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• 2008

문제제기: 노인요양시설은 치과진료영역 가운데 가장 취약한 상태에 놓여 있고 신체적, 정신적 장애로 인해 주관적 치료요구도를 파악할 수 없는 상태지만 이에 대한 기초적인 실태조사가 전무한 상태이다. 목적: 본 연구는 노인요양시설에서 노인환자들의 치아우식증에 의한 구강실태를 조사하고, 기능치아와 보철물로 이루어진 교합단위를 분석하여 그에 따른 치과치료수요도를 분석하는데 목적이 있으며 향후 적절한 진료방향을 수립하는데 기여하고자 한다. 연구재료 및 방법: 노인요양시설에서 758명의 노인환자와 D치과의원에 내원한 212명의 65세 이상인 노인을 대상으로 2000년 국민구강건강실태조사에서 작성된 치아우식검진지침에 입각하여 구강실태조사를 시행하였다. 결과: 노인요양시설의 노인에게서 고령으로 갈수록 대조군에 비해 악화되고 있는 구강상태를 알 수 있었고 매우 높은 치료수요를 파악할 수 있었다. 고찰: 노인환자의 구강건강관리를 위해서는 무엇보다도 이들을 보살피는 간병인과 간호 인력들이 가지고 있는 구강건강의 중요성에 대한 인식을 바꾸기 위한 노력이 절실히 필요한 상황이다. 이제는 무치악 환자에게 시행되고 있는 일회성 의치사업 일변도의 복지정책방향을 보건복지부와 일선 지방자치단체에서 사후관리를 원칙으로 한 전문가에 의한 무치악 환자의 의치사업으로 강화해야 하며 유치악의 노인환자들에 대한 정기적인 치과검진을 시행하고 이동진료 및 왕진시스템이 보완된 구강건강관리 및 보존, 수복진료 형태로의 전환을 고려할 시점이라 생각된다.