• Journal of Periodontal and Implant Science
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• v.48 no.4
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• pp.213-223
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• 2018

Purpose: Oral lichen planus (OLP) is a chronic oral mucosal disease that has been recognized as an immune condition. The purpose of this study was to evaluate factors affecting the clinical outcomes of topical corticosteroid application on OLP lesions using dexamethasone gargle and ointment. Methods: The charts of patients who were clinically diagnosed with OLP and treated with dexamethasone from July 2003 to August 2017 at the Section of Dentistry of Seoul National University Bundang Hospital were thoroughly evaluated to identify subjects who were suitable for this retrospective study. For each patient, age at the index date, gender, medical history, and dental records related to OLP lesions and dexamethasone treatment were reviewed. Results: In total, 113 of the 225 patients were included in the present study. Among them, 79 patients were female (69.9%) and 34 were male (30.1%), with a mean age of 57.6 years. The average duration of dexamethasone treatment was 4.7 months and the mean follow-up period was 2.24 years. Improvements were observed within 1 year after dexamethasone treatment in most cases, and 17.7% of patients had a new OLP lesion after treatment. New OLP lesions were more frequently gingival than mucosal, although mucosal OLP lesions were more common than gingival OLP lesions in all age groups. In age- and gender-adjusted multivariate logistic regression, a history of malignant disease was found to be a significant factor affecting the formation of new lesions. Gingival OLP lesions and intermittent use of dexamethasone showed near-significant associations. In Kaplan-Meier failure analysis, history of malignancy, menopausal status, age, and the site of the OLP lesion were significant factors affecting clinical outcomes. Conclusions: The treatment outcomes of OLP were significantly influenced by age, history of malignancy, menopausal status, and the site of the OLP lesion, but not by factors related to dexamethasone treatment.

• Journal of Oral Medicine and Pain
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• v.36 no.2
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• pp.91-97
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• 2011

Helicobacter pylori (H. pylori) is bacterial infection, with more than half of the world population infected and relates to many oral disease such oral lichen planus, recurrent aphthous ulceration, periodontal disease and halitosis and so on. Burning mouth syndrome(BMS) is defined as a burning sensation of the oral mucosa, lips, and/or tongue, in the absence of specific oral lesions. The etiology of BMS is suggested local, systemic and psychological factors and researchs related BMS and to infection of H. pyloir in the oral cavity are few. The purpose of this study was to evaluate relationship between burning mouth syndrome and H. pylori in the oral cavity. We recruited 21 subjects with burning mouth syndrome and 21 subjects as control group. Samples in the oral cavity were taken area of buccal mucosa, dorsum of the tongue and saliva. We analysed samples by nested polymerase chain reaction(PCR). The results were as follows: 1. Among 21 patients with burning mouth sydrome and 21 subjects of control group, 6(29%) and 3(14%) were positive respectively(P>0.05). 2. In detection rate of H. pylori in area taken sample, 3(14%), 2(10%) and 4(19%) were positive in buccal mucosa, dorsum of the tongue and saliva of patient and 2(10%) and 1(5%) were positive in dorsum of the tongue and saliva of control group(P>0.05). Conclusively, we can guess that H. pylori in the oral cavity is not related with burning mouth syndrome.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.2
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• pp.202-209
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• 2018

This study analyzed the effects of the nutrient intake on oral health and chewing difficulty according to the age group. The subjects were 5,855 participants of the third Korea National Health and Nutrition Examination Survey(KNHANES VI), 2015, Korea Centers for Disease Control and prevention and aged 20 years and over. The data were analyzed using SPSS Ver 21.0, classified as the difficulty in chewing group (DC) and no difficulty in chewing group (NDC). As a result, the DC rates were 5 times higher in the 60+ year age group (39.5%) than in the 20-39 year age group (8.1%). The DC group were experience periodontal disease (33.4%), dental caries (30.1%), diabetes (41.8%), myocardial infarction (57.3%), arthritis (44.0%), asthma (48.0%), and depression (41.9%). In addition, 86% of the DC group were experiencing speech problems. The DC group had significantly lower intakes (1446.59g), than the NDC group (1666.62g), and the protein, carbohydrate, dietary fiber and other dietary intake were significantly lower. These findings suggest that the chewing difficulty is related to the nutrient intake, and psychological status in the elderly DC group. Therefore, the care of chewing difficulties is essential for the elderly to maintain a healthy lifestyle. Accordingly, oral care and myofunctional therapy are needed to maintain oral health.

• Journal of the Korea Convergence Society
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• v.1 no.1
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• pp.57-67
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• 2010

In this study, perceived oral health survey of factors affecting the level of analysis, and oral disease prevention and oral health improvement program for providing the basic information needed to develop community health promotion and aims at improving the quality of life Placed. The study period, 2010 January 2 to February 22 for adults and Yeungnam area surveyed as follows. Subjective oral condition is very bad as the 40.4% response rate was the highest. There were missing teeth in 41.3%, 61.5% had prosthetic teeth. 57.5% had dental caries, periodontal disease and 38.6% who were not parents to get dentures fitted by petitioner was 41.3%. The level of oral health knowledge, oral health is a good side, the prosthetic teeth and TMJ or no characters were higher than other groups. Oral Health Practice is a good side of the level of oral health status, and prosthetic teeth were the characters each. Eating Patterns is a good side of the level of oral health, dental caries, those who can not or do not have TMJ and the characters were higher than other groups.

• Journal of dental hygiene science
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• v.9 no.5
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• pp.485-490
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• 2009

The purpose of this study was to obtain basic data for improvement about oral health education, contents and method for college and university students. A question was used 10 questionnaire by 332 college and university students in the Tae gu-city and Gu mi-city. In conclusion, 1. They answered that dental caries cause is 'No-brushing'(88.3%). The man respondents answered that the cause of periodontal disease is 'weak disease'(39.2%). 2. The reason about visit to dental clinic is 'for treatment'(72.0%) and they answered that the tooth is 'very important in their life'(82.5%). 3. They answered that the frequency of tooth-brushing is 'two times in a day'(44.8%) and using auxiliary oral hygiene material is 'dental floss' by male(15.2%) and female(16.6%). 4. In the case of high oral health knowledge level showed high response rate about level of oral health attitude and oral health recognition.

• Journal of dental hygiene science
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• v.13 no.3
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• pp.339-346
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• 2013

This study conducted questionnaire survey with 268 workers in Ulsan city to examine influencing factors about Oral behavior and Missing teeth of some workers. The collected data were analyzed using SPSS 12.0 program. The analysis results are as follows. 1. Oral health awareness was highest in thirties (p<0.01). For oral health sensitivity, female was higher than male (p<0.01). The lower the age was (p<0.05) and the higher the academic background was, there was statistically significant difference (p<0.01). 2. The lower the age was (p<0.001) and the higher the academic background was, the number of daily tooth brushing was more (p<0.001) and there was statistically significant difference. 3. The more the number of daily tooth brushing was, portion of Missing teeth was low (p<0.01). When oral hygiene devices such as interdental brush, dental floss etc. were used, portion of Missing teeth was low (p<0.01). When dental visit for prevention was made, portion of Missing teeth was low (p<0.05). In case of periodontal disease, portion of Missing teeth was high so that there was statistically significant difference (p<0.01). 4. There was positive relationship according to oral health awareness and oral health sensitivity, oral health status. The oral health status and Missing teeth had a negative effect relationship. Relationship between number of Tooth brushing and Missing teeth showed negative one. In summary, oral health education is needed to increase the motivation of industrial workers to control their basic dental disease.

• Journal of dental hygiene science
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• v.6 no.2
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• pp.93-99
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• 2006

This study was carried out to investigate practical application status of oral hygiene devices through making a survey of labor of the D industrial company-about carefully curing oral disease in home, the status of practical application of tooth brush, the status of practical application of fluoridated toothpaste, status of practical application of auxiliary oral hygiene devices, a motive use or unuse of auxiliary oral hygiene devices. 1. In home, carefully curing oral disease is dental caries(62.4%). 2. Status of practical application toothbrush showed the highest user ratio of mideum size(79.6%). 3. Showed the highest user ratio of horizontal plane toothbrush(73.5%). 4. Answerd don't take a prudent attitued in choice of fluoridated toothpaste(73.5%). 5. In the status of reconition of oral hygiene devices, showed the highest user ratio of eletric toothbrush(77.0%). 6. In the status of reconition of auxiliary oral hygiene devices, showed the highest user ratio of wooden wedge stimulator(89.4%)and gargle liquid(84.5%). In using of oral hygiene devices, showed the highest user ratio of electric toothbrush(13.3%), toohbrush for periodontal patients(2.7%). In using of auxiliary, wooden wedge stimulator (58.4%)and gargle liquid(41.2%). In effect using of oral hygiene devices showed the highest user ratio of denture brush(50.0%)and eletric toothbrush(43.3%), in effect using of auxiliary oral hygiene devices showed the highest user ratio of water pick(80.0%) and dental floss(75.8%). 6. A motive of the use auxiliary oral hygiene device is choice by oneself through TV, advertisement, public information(57.6%), and the reason-they don't use of auxiliary oral hygiene devicebecause of they don't know proper to them the kind of auxiliary oral hygiene device.

• Journal of the korean academy of Pediatric Dentistry
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• v.28 no.4
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• pp.649-653
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• 2001

The Chiari malformation is a deformation within the central nervous system which the lower brain stem and the cerebellum migrate into the foramen magnum causing herniation. In 1891, Arnold Chiari classified such symptoms into 3 categories. This case report is of a 8-year-old female with the complaint of a slight facial swelling and pain on the upper right molar during tooth brushing since 10 days before. Clinical examination showed gingival pocket formation on distal of the upper right first molar with pain and mobility of the tooth. Radiographic examination showed generalized low bone density in the upper molar area, and especially no bone support above the upper right and left first molars were noted. With a temporary diagnosis of Early-onset periodontitis, consultations with medical doctors for the possibility of an underlying systemic disease were made during periodontal treatment. 3D CT was taken with after a final diagnosis of Chiari malformation. Generalized thinning and defect of the cranial bone was noted and the foramen magnum was slightly enlarged. The occipital and maxillary bone was low in density, and the alveolar bone of maxillary posterior teeth was especially almost non-existing causing the upper right and left first molar to be floating. For this, the patient went under consultation with the department of neurosurgery and is still under observation. Periodontitis in childreren is very rare. When symptoms of periodontitis appear in a child, due to the possibility of an underlying systemic disease such as leukemia, histiocytosis X, and hypophosphatasia, proper examinations should be carried out so that the primary factor the symptoms can be treated.

• Journal of Korean society of Dental Hygiene
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• v.5 no.2
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• pp.263-278
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• 2005

This study investigated the current oral health conditions of the elderly at home and welfare facilities in their age over 65 years around some rural areas in Gangwon province, which would expect the fewer medical benefits even with lower interest than urban areas, despite of relatively high ratio of elder populations, so that it could prepare a basic document necessary to determine certain planned quantification for the benefit of elder's oral healthcare. As of the end of December 2004 both 50 elders at home and 50 elders at welfare facilities were randomly sampled in their age over 65 years in Samcheok city. As a result of this study, it was found that the elders at welfare facilities scored 15 pts. in DMFT index level typical of oral health conditions, which was higher than the elders at home. In addition, the elders at welfare facilities scored 26.0% in the coexistence of immobile bridge and partial denture higher than the elders at home with regard to the presence of intraoral prosthetic appliance. The results of analyzing the difference in the one-year dental visiting experience of respondents hereof showed that the elders at home were relatively more in ratio(62.0%) than those at welfare facilities, while many of the former group(38.0%) had relatively more handicap in masticatory movement than the latter one with regard to the conditions of dental prosthesis in use. Besides, many of the elders at facilities(30% or more) felt subjective symptoms of periodontal disease including bleeding or swelling, which indicates higher ratio than the elders at home. Finally, the elders at home used to brush their teeth at more frequency on a daily basis than those at facilities, while the latter group suffered general body disease more than the former group. Summing up, it is concluded that a formulated oral healthcare system will become more needed in near future than now for the benefit of the elderly living in welfare facilities, while nationwide policy-level supports would be urgent for them in the aspect of national welfare.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.403-410
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• 2018

This study is to look at the risk of chronic diseases in adults and oral health behaviors affecting periodontitis by gender. This study selected 3,071 males aged 35 to 65, 4,273 females, and 7,344 people as the final subjects of the study using the sixth original data from the National Health and Nutrition Survey. In this study, subjective oral health classified under 'bad' presented 1.69 times(p<0.001) the risk of Periodontitis for males and 1.50 times(p<0.001) for females. There was a 2.01 times(p<0.001) of a risk of periodontitis for male and 1.40 times(p=0.001) of a risk for females. Smokers have a 1.68 times(p<0.001) of a risk for males and 2.07 times(p<0.001) of a risk for females, thus a higher risk for periodontitis for females. The risk of periodontitis was 1.44 times(p<0.001) of a risk for males and 1.30 times(p<0.05) for females when compared in normal hypertension. Obesity was at a rate of 1.199 times(p<0.05) as much for males in the non-military group, 1.202 times(p<0.05) that of females for periodontitis and putting females slightly more at risk. For diabetes, males were at risk of 1.28(p<0.05) whereas it being 1.53 times(p<0.05) for females, compared the average health female. In total, Males were found to be at the greatest risk of periodontitis, while women were at the highest risk for smoking. All parameters except smoking and diabetes show a higher risk of periodontitis for females. As males are more likely to have a higher risk of periodontitis than females, they are considered to be more interested in oral health care and need systematic oral health education and policies to prevent oral diseases.