• Title/Summary/Keyword: oral health prevention

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THE HEALING OF MANDIBULAR FRACTURE WITHOUT INTERMAXILLARY FIXATION IN A LONG-TERM DISABLED BED PATIENT: REPORT OF A CASE (장기간 침대요양 장애환자에서 악간고정술 없이 치유된 하악 골절: 증례보고)

  • Yoo, Jae-Ha;Choi, Byung-Ho;Lee, Chun-Ui;Kim, Jong-Bae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.7 no.1
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    • pp.38-43
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    • 2011
  • Treatment of the mandibular fracture consists of reduction and fixation. Primary wire & Arch bar are perhaps the ideal method for intermaxillary fixation. But, daily feeding, swallowing, speech, and in some instances, respiration is difficult to maintain during the period of intermaxillary fixation, owing to muscle weakness, emotional disorder and poor oral hygiene in a position of the long-term bed disabled patient with multiple injuries. Therefore, Intermaxillary fixation is not applied in the disabled bed patient, the alternative methods must be obtained. In the case of the mandibular fracture, because of the absence of weight bearing, osseous union may eventually occur even without immobilization if the patient is maintained without wound infection on a controlled soft diet. For the purpose of the prevention of the wound infection, the establishment of an drainage on the oral lacerated wound is necessary for the removal of the hematoma & seroma in the fracture site. This is the report of a case that was managed conservatively without the intermaxillary fixation in the long-term disabled bed patient with a mandibular compound fracture.

Association between Vitamin D Level in Blood and Periodontitis in Korean Elderly

  • Yoon, Na-Na;Lee, Ji-Young;Yu, Byeng-Chul
    • Journal of dental hygiene science
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    • v.17 no.3
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    • pp.233-241
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    • 2017
  • This study identified an effective control method for periodontitis by investigating the association between blood levels of vitamin D and periodontitis in Korean elderly based on raw data from the fifth Korea National Health & Nutrition Examination Survey of 2010 (KNHANES). In this study, 1,021 adults over 65 years of age were evaluated based on data from the KNHANES. Periodontal disease was assessed using community periodontal index (CPI), with CPI codes ${\geq}3$ defined as periodontitis. Blood levels of vitamin D were measured from blood samples and divided into four groups (first quartile: ${\leq}13.23ng/ml$, second quartile: 13.24~16.95 ng/ml, third quartile: 16.96~21.58 ng/ml), and fourth quartile >21.59 ng/ml). Using multiple logistic regression analyses, the variables were adjusted for general characteristics, oral health-related characteristics, health-related characteristics, and bone mineral density. The statistical analysis was performed using the SAS (ver. 9.2). The results of this study are as follows: the prevalence of periodontitis was 42.6% in Korean elderly. After adjusting for general, oral health-related, and health-related, the risk of periodontitis in the first quartile group was 1.74 times (95% confidence interval [CI], 1.02~2.98) higher than that of the fourth quartile group (p=0.041). After adjusting for general, oral health-related, and health-related characteristics as well as bone mineral density, the risk of periodontitis in the first quartile group was 1.73 times (95% CI, 1.02~2.96) higher than that of the four quartile group (p=0.042). There was a significant relationship between blood vitamin D level and periodontitis in Korean elderly. For the prevention of periodontitis, factors related to vitamin D should be considered along with other risk factors.

Effects of Health Practices and Oral Health Behaviors on Obesity in University Students (일부 대학생의 건강 실천행위 및 구강건강행위가 비만에 미치는 영향)

  • Park, Hee-Jung;Lee, Mun-Jae;Kim, Seo-Khwan;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.11 no.9
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    • pp.395-406
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    • 2011
  • This study was to identify the obesity(BMI), health practices and oral health behaviors of university students and provide basic data for the development of a health promotion program for healthy campus communities. Total 177 students filled out a self-administered questionnaire. Data were analyzed for descriptive statistics, chi-square test and multivariate logistic regression to evaluate the effects of health practice and oral behaviors on obesity. This study shows that the prevalence of obesity was 27.7%. Univarate analysis demonstrated that gender, age, the preference of salt, sleep in every day, self-perceived general health, the visiting the dentist during the past year were significantly different according to BMI. In multivariable regression, preference of salt, sleep in every day, the visiting the dentist during the past year were independent predictors of BMI, after adjustment of gender and age. The findings of this study emphasize the importance of obesity prevention program in overall, eating habit, mental health and oral health behavior in students.

Trends in Incidence of Head and Neck Cancer in the Northern Territory, Australia, between 2007 and 2010

  • Jayaraj, Rama;Singh, Jagtar;Baxi, Siddhartha;Ramamoorthi, Ramya;Thomas, Mahiban
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7753-7756
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    • 2014
  • Incidence trends of head and neck cancer (HNC) have implications for screening strategies, disease management, guiding health policy making, and are needed to further oral cancer research. This paper aims to describe trends in age-adjusted HNC incidence rates focusing on changes across calendar period between 2007 and 2010 in Australian Northern Territory. Age-adjusted incidence rates of HNC were calculated for 2007-2010 using Northern Territory population based data assembled by Department of Health, Northern Territory Government of Australia. Changes in the HNC rate ratio (RR) and Estimated Annual Percentage Change (EAPC) between 2007-2008, 2008-2009 and 2009-2010 were calculated. A total of 171 HNC patients were recorded by the Northern Territory Department of Health during the time period between 2007 and 2010, out of which, 135 were males (78.9% of male HNC patients) and 36 were females (21.1% of female HNC patients). In conclusion, HNC incidence rate has decreased in the Northern Territory Australian males but remains unchanged in Australian females. High incidences of HNC may be associated with the high smoking rate and high alcohol consumption in the Northern Territory. Continued monitoring of trends in HNC incidence rates is crucial to inform Northern Territory based cancer prevention strategies.

Analysis of factors related to the dental caries and periodontal diseases of the elderly (노인의 치아우식증과 치주질환에 연관된 요인 분석)

  • Jang, Jae-Yeon;Nam, Young-Shin
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.6
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    • pp.1173-1182
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    • 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.

Prevention Effect of Oral Disease through School-based Toothbrushing Program in Daejeon after 30 months (대전 양치교실사업 30개월 경과시점의 구강병 예방효과)

  • Park, Hoo-Seob;Nam, Hae-Sung;Choi, Yu-Kyoung;Song, Eun-Joo;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.11 no.2
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    • pp.91-97
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    • 2011
  • The aim of this study was to investigate the prevention effect of oral disease on the school-based toothbrushing program(SBTBP) in Daejeon in 30 months. The experimental subjects were the 5th grade's 70 students who have gone to school with the school-based toothbrushing program since the 3th-grade. The control school was located in close geographical area with similar economical status. The questionnaire about oral health knowledge and behavior was done by self-recording. After one dentist examined the dental caries and periodontal status, the gingival crevicular fluid(GCF) was collected with #25 paperpoint for 1 miniutes. Matrix Metalloproteinase(MMP)-9 in GCF was analyzed by ELISA. The SBTBP group had the upper oral health knowledge than the control significantly(p<0.001), but, the SBTBP group had no difference of the oral health behavior from the control. Although the SBTBP group had the lower plaque index than the control significantly(p=0.02), the SBTBP group had no difference of the gingival index, calculus index and the concentration of MMP-9 in GCF from the control. In conclusion, The SBTBP had the effect to reduce the dental plaque and to improve the oral health knowledge. On the other hand, the effect to prevent dental caries and periodontal disease of SBTBP was not clear.

A study on the intraoral factor related to oral malodor (구취발생에 관여하는 구강내부요인에 관한 연구)

  • Jung, Mi-Ae;Lee, Eun-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.1
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    • pp.119-131
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    • 2008
  • This study was peformed in order to find out the relationship between the causing factors and the production of each gas 01 oral malodor, to contribute the oral malodor control at dental clinic as well as to establish the effective application of malodor control project for public oral health program 127 patients from 20 to 40 years old who had been visited for preventive dental cares were participated for the study. Such items as caries status, periodontal status, salivary flow, viscosity, pH. Snyder test, plaque deposit and tongue plaque were checked through the oral examination in order to find out the contributing factors Hydrogen sulfide, Methyl mercaptan, Di-methyl sulfide and Ammonia gas components were checked with Oral-Chroma and Attain, the oral malodor check units. Not only the corelation coefficiencies but also the multi-way variance analysis were calculated between each causing factor and each component of oral malodor gases to estimate the contributing factors of the oral malodor. 1. There was no relationship between the caries status and each component pf the oral malodor such as sulfur compound or Ammonia, both in laboratory test and VAS test (pF0.05). It revealed negative relationship between Hydrogen sulfide and FT(rM-0.1904. pE0.05) as well as the VAS and FT (rM-0.210. pE0.05). S0, it was estimated that the less oral malador was recognized when caries state changed to filled state in Hydrogen sulfide laboratory test or VAS test 2. High relationship was showed between salivary flow and Hydrogen sulfide (rM-0.183, pM0.039), Methyl mercaptan(rM-0.234, p-0.008). Dimethyl sulfide(rM-0.234, pM0.008) and Ammonia(-0.361. pM0.001) gas(pE0.05). 3. There was a high relationship between M-PHP(Modified-Patient Hygiene Performance Index) and tong plaque all kinds of sulfide(rM0.249. pM0.005). Ammonia gas component(rM0.232, pM0.009). 4. It was found that considerable relationship was appeared between the periodontal status and Ammonia gas (rM0.274, pM0.002), so, it should be needed to control Ammonia. Such dental Cares as the prevention or early treatment of periodontal disease and the accelerating the salivary flow as well as reducing the amounts and activities of filament or spiral typed oral micro-organism were recommended for adults, not only for dental care program at the dental clinics but also for public health programs, in order to promote the oral health and quality of file for individual and community peoples.

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Lack of Influence of an XRCC3 Gene Polymorphism on Oral Cancer Susceptibility: Meta-analysis

  • Zhang, En-Jiao;Cui, Zhi-Gang;Xu, Zhong-Fei;Duan, Wei-Yi;Huang, Shao-Hui;Tan, Xue-Xin;Yin, Zhi-Hua;Sun, Chang-Fu;Lu, Li
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.23
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    • pp.10329-10334
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    • 2015
  • Background: To systematically summarize the association between the X-ray repair cross complementing 3 (XRCC3) gene polymorphism and oral cancer susceptibility by meta-analysis. Materials and Methods: Databases including PubMed, EMbase, CNKI, VIP and WanFang Data were searched to identify case-control studies concerning the association between an XRCC3 gene polymorphism and the risk of oral cancer from the inception to June 2014. Two reviewers independently screened the literature according to the criteria, extracted the data and assessed the quality. Then meta-analysis was performed using Stata 11.0 software. Results: Seven published case-control studies including 775 patients with oral cancer and 1922 controls were selected. Associations between the rs861539 polymorphism and overall oral cancer risk were not statistically significant in all kinds of comparison models (CT vs CC: OR=0.94, 95%CI=0.74-1.18; TT vs CC: OR=0.94, 95%CI=0.64-1.38; dominant model: OR=0.95, 95%CI=0.76-1.18; recessive model: OR=0.94, 95%CI=0.69-1.29; allele T vs C: OR=0.97, 95%CI=0.84-1.11). In the stratified analysis by ethnicity, no significant associations were found among Asians and Caucasians. On stratification by tumor type, no significant associations were found for cancer and oral premalignant lesions. Conclusions: The XRCC3 gene polymorphism was not found to be associated with the risk of oral cancer. Considering the limited quality of the included case-control studies, more high quality studies with large sample size are needed to verify the above conclusion.

A Study on the Oral Health Awareness and Behavior of Lower Graders in Elementary School (초등학교 저학년 학생의 구강보건에 관한 인식 및 행동)

  • Kim, Eun-Kyeong;Moon, Hyock-Soo;Jung, Jae-Yeon;Kim, Young-Kyung;Han, Su-Jin;Lee, Byoung-Jin;Jung, Hye-Ryun
    • Journal of Korean society of Dental Hygiene
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    • v.1 no.1
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    • pp.39-51
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    • 2001
  • This study was performed to collect basic data for the development of effective oral health education program of lower graders in elementary school. The subject in this study were 704 first-year, second-year and third-year in Hyoje elementary school. The authors collected the tissue where dental caries involved. the possibilities of dental caries prevention. cariogenic food and noncariogenic food. time and frequency of toothbrushing. size of using toothbrush, intake frequency of cariogenic food and the experience with visiting dental clinics, the purpose of visiting dental clinics and fear for dental treatment. The collected data were analyzed. The finding of this study were as follows: 1. Twenty-four percent of students had not correct understanding about the tissue which dental caries are involved. Eleven percent of students thought that it was impossible to prevent dental caries. 2. Sixty-four percent of student brushed their teeth before going to bed, and 63.0% of responded students brushed their teeth twice or more a day. Seventy-eight percent of students used small toothbrush. and there was a Significant difference of size of using toothbrush among the first, second and third graders(P<0.01). Sixty-nine percent of students intake cariogenic food once or more a day. 3. Eighty-six percent of students had experienced with visiting denial clinics. sixty-two percent of students visited dental clinics when they had a toothache. and there was a significant difference of the purpose of visiting dental clinics among the first. second and third graders(P<0.01). Seventeen percent of students responded that dental treatment is fearful there was a significant difference of fear for denial treatment among the first, second and third graders(P<0.05). 4. It was recommended that effective oral health education programs should be developed to increase toothbrushing after breakfast, to decrease intake frequency of cariogenic food, to increase frequency of visiting dental clinics regularly, and to reduced fear for dental treatment.

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Clinical Effects of Salivary Peroxidase System Containing Gel on the Patients with Burning Mouth Syndrome (Salivary peroxidase system 함유 gel의 구강내 작열감 증후군 환자에 대한 치료효과)

  • Sung-Woo Lee;Jin-Woo Chung
    • Journal of Oral Medicine and Pain
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    • v.21 no.1
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    • pp.133-140
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    • 1996
  • Saliva have many important functions in the maintenance of oral health. Saliva contains protective components, antibacterial enzymes, and other rubricating glycoprotein elements. When the salivary flow decreases of the salivary composition changes, a normally healthy mouth can become susceptible to caries, periodontal disease, and mucositis, and other diseases. Salivary peroxidase system acts as an antimicrobial factor in the oral cavity, having a role in the prevention of dental plaque accumulation, dental caries and gingivitis. Recently, this enzyme system has been introduced by many researchers in the form of toothpaste, mouthwash or moisturizing gel for use in patients with various disease states . The author prescribed the peroxidase system containing gel (Oralbalance) to the 18 Burning Mouth Syndrome (BMS) patients for 1 week and investigated the changes of the subjective symptoms, $HOSCN/OSCN^-$ levels of unstimulated whole saliva, and the salivary flow rates. The obtained results were as follows : 1. The patients reported decrease in all symptoms of BMS after the use of peroxidase system containing gel, particulary, a significantly higher decreases of dry mouth and burning symptoms. 2. Decreased $HOSCN/OSCN^-$ levels of unstimulated whole saliva were detected in the patients with BMS after the use of perosidase system containing gel for 1 week. 3. There was no difference between the flow rates of unstimulated whole saliva before and after uses of peroxidase system containing gel for 1 week.

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