• Journal of the korean academy of Pediatric Dentistry
• /
• v.49 no.2
• /
• pp.206-216
• /
• 2022

This study aimed to investigate the frequency of dental visits after coronavirus disease 2019 (COVID-19) in children and adolescents in comparison to that of adults. The data on the number of dental visits on the basis of different classification and treatment codes for all the age groups were provided by the Health Insurance Review and Assessment Service from January 2017 to December 2020. To reduce the impact of the population change, dental visits per 1000 people was used. After the start of the pandemic, dental visits per 1000 people decreased in all age groups when analyzed for the diseases of pulp and periapical tissues classification code and dental visits per 1000 people decreased over 5 years age groups when analyzed for the pulp treatment code. Regarding the restorative treatment code, visits in the 0 - 19 years age group decreased after the pandemic. Based on the comparison of the number of confirmed COVID-19 cases to that of monthly dental visits by treatment codes, the change rate of pulp and restorative treatments gradually decreased after the waves of the pandemic in February and August 2020 in Korea. Furthermore, dental visits per 1000 people for gingivitis and periodontal disease classification code increased after the pandemic in all age groups. The rate of decrease in dental visits per 1000 people for restorative treatments in children and adolescents was higher than that in adults. The rate of decrease in the number of dental visits for multi-visit pulp treatments showed a rapid decrease as compared to that of 1-visit pulp treatments after the pandemic. This study identified changes in the number of dental visits of children and adolescents after COVID-19 transmission in comparison to that observed in adults.

• Journal of dental hygiene science
• /
• v.16 no.6
• /
• pp.481-487
• /
• 2016

The elderly population with dementia is rapidly growing in South Korea. The aim of this study was to investigate the relationship between dementia and oral health in 197 subjects aged ${\geq}65$ years. The questionnaire included questions on subjective health status, subjective health concern, subjective oral health status and behavior, mastication ability, Oral Health Impact Profile-14 (OHIP-14), and Korean Dementia Screening Questionnaires (KDSQ). Oral examination was conducted by a single dentist to evaluate upper or lower denture use, and determine the numbers of remaining and functioning teeth, including implant and fixed prosthesis. The subjects who required a dementia test (KDSQ-C [cognition] of ${\geq}6$) had significant differences in systemic disease prevalence rate, subjective health status, subjective health concern, KDSQ-V (vascular disease) score, KDSQ-D (depression) score, subjective oral treatment need, key food mastication ability and OHIP-14 score compared to the healthy subjects. The proportion of denture wearers, total remaining teeth, total functioning teeth, toothbrushing frequency, oral pain severity, symptoms of periodontal disease, subjective oral health status, and subjective oral health concern showed no significant differences between the two groups. KDSQ-C and OHIP-14 scores showed a strong positive relationship, while KDSQ-C score and total remaining teeth or key food mastication ability showed a weak negative relationship. In the multiple regression analysis, the KDSQ-D, KDSQ-V, and OHIP-14 scores influenced the KDSQ-C scores. We suggest a relationship between oral health and cognitive impairment.

• Journal of Periodontal and Implant Science
• /
• v.26 no.2
• /
• pp.448-468
• /
• 1996

To maintain its functional integrity, bone is continuously remodelled by a process involving resorption by osteoeclasts and formation by osteoblasts, In order to respond to changes in the physical environment or to trauma with the relevant action, this process is strictly regulated by locally synthesized or systemic fators, Prostaglandin $E_2(PGE_2$) is perhaps one of the best studied factors, having been known to affect bone cell function for several decades.$PGE_2$ has both anabolic and catabolic activities. Excess of $PGE_2$ has been implicated in a number of pathological states associated with bone loss in a number of chronic inflammatory conditions such as periodontal disease and rheumatoid arthritis. $PGE_2$ and other arachidonic acid metabolites have been shown to be potent stimulators of osteoclastic bone resorption in organ culture. The anabolic effects of $PGE_2$ were first noticed when an increase in periosteal woven bone formation was seen after the infusion of $PGE_2$ into infants in order to prevent closure of the ductus arteriosus. The cellular basis for the catabolic actions of $PGE_2$ has been well characterized. $PGE_2$increases osteoclast recruitment in bone marrow cell cultures. Also $PGE_2$ has a direct action on osteoclast serving to inhibit activity and can also indirectly activate osteoclast via other cells in the vicinity, presumably osteoblast. The cellular mechanisms for the anabolic actions of $PGE_2$ are not nearly so well understood. The purpose of this paper was to study the effects of $PGE_2$ and dibutyl(DB)cAMP on osteoblastic clone MC3T3El cells and on the generation of osteoclasts from their precursor cells. The effect of $PGE_2$ and DBcAMP on the induction of alkaline phoaphatase(AlP) was investigated in osteoblastic clone MC3T3El cells cultured in medium containing 0.4% fetal bovine serum. $PGE_2$ and DBcAMP stimulated ALP activity and MTT assay in the cells in a dose-dependent manner at concentrations of lO-SOOng/ml. Cycloheximide, protein synthesis inhibitor, inhibited the stimulative effect of $PGE_2$ and DBcAMP on ALP activity in the cells. $PGE_2$also increased the intracellular cAMP content in a dose-dependent fashion with a maximal effect at 500ng/ml. The effect of $PGE_2$ on the generation of osteoclasts was investigated in a coculture system of mouse bone marrow cells with primary osteoblastic cells cultured in media containing 10% fetal bovine serum.After cultures, staining for tartrate-resistant acid phosphatase(TRAP)-marker enzyme of osteoclast was performed. The TRAP(+) multinucleated cells(MNCs), which have 3 or more nuclei, were counted. More TRAP(+) MNCs were formed in coculture system than in control group. $PGE_2(10^{-5}10^{-6}M)$ stimulated the formation of osteoclast cells from mouse bone marrow cells in culture. $PGE_2(10^{-6}M)$ stimulated the formation of osteoclast cells from mouse bone marrow cells in coculture of osteoblastic clone MC3T3E1 cells This results suggest that $PGE_2$ stimulates the differentiation of osteoblasts and generation of osteoclast, and are involved in bone formation, as well as in bone resorption.

• Journal of dental hygiene science
• /
• v.4 no.3
• /
• pp.91-95
• /
• 2004

This study aims to analyze realities of oral health and related factors, and establish Structural Equation Modeling. The subjects of study were 9,340 elderly over age 65 who took the health examination(the first) for the local insured which National Health Insurance Corporation carried out in the survey area mentioned below from January 2002 to December 2002. The areas surveyed were 4 big cities including Seongbuk-ku, Seoul, 5 medium cities including Wonjusi, Gangwon-do, and 5 Counties including Yeong deok County, Kyeongbuk. Considering location and the scale of population, firstly, big unit areas(metropolitan city, province) were selected according to convenience, secondly, low unit areas(city, county, district) were selected randomly. The subjects were the elderly who took all tests including an oral examination and filled in the questionnaire. Major results from analysis are as follows: 1. Review of Composition Conception Validity As a result of analyzing composition conception validity of SEM including posture test, urine test, blood test, habits of eating, drinking and smoking, oral symptoms, and oral health status, using fit index such as GFI, CFI, TLI, and RMSEA, all were within fit range and composition conception validity was recognized. 2. As a result of analyzing SEM to find the relationship between each factor and oral health status, it was confirmed that all factors except urine test affected oral health status and the synthetic SEM to explain it could be established. In result, we could verify that the elderly of rural areas who had lesser experience of visiting a clinic and oral prophylaxis had a higher rate of caries, missing teeth, and denture need, and drinking and smoking negatively affected the rate of caries, periodontal, and missing teeth. Also, periodontal diseases were observed from 43.2% of the total elderly and much from the lower age. Most of oral disease can be prevented by right oral health behavior. Therefore through oral health professionals from each district public health center of the nation, oral health education for the elderly about right eating habits and oral health care should be carried out systematically and policy change to increase access to dental service is required lest that visiting a dental clinic should be impossible or oral health behaviors such as oral prophylaxis and denture wearing should be neglected by economic, geographical barriers. Also, to establish SEM to explain the relationship between oral health status and systemic health, more accurate test methods and effective index development should be preceded. Because items developed by National Health Insurance Corporation applied to this study without alteration, structuring a model had the uppermost limit. Continual study seems to be needed.

• Journal of Korean society of Dental Hygiene
• /
• v.11 no.2
• /
• pp.243-250
• /
• 2011

Objectives : The purpose of this study was to examine the oral health behavior and knowledge of middle schoolers in an attempt to facilitate the selection of what to teach about oral health. Methods : The subjects in this study were 315 students at three different middle schools located in the city of Gunsan. After a self-administered survey was conducted by using structured questionnaires in collaboration with their homeroom teachers, the answer sheets from 315 students were gathered. And the answer sheets from 302 students were analyzed with SPSS 12.0 program except 13 incomplete ones. The findings of the study were as follows: Results : 1. By gender and grade, the middle school boys(51.3%) outnumbered the middle school girls(48.7%), and the seventh, eighty and ninth graders respectively accounted for 31.5, 32.8 and 35.8 percent. 2. As to the parts of the mouth they brushed, the largest number of the seventh graders(31.6%) and ninth graders(56.5%) brushed their teeth and tongue. The largest group of the eighth graders(39.4%) brushed their teeth, tongue and gums, and the gaps between them and the others were statistically significant. 3. In regard to toothbrushing frequency, the ninth graders did that 2.62 times, which was the largest frequency, but the gap between them and the others was not statistically significant. 4. Concerning school oral health education experiences, the rates of the seventh, eighth and ninth graders who had ever received that education stood at 69.5, 50.6 and 50.5 percent respectively, and those students significantly outnumbered the others who hadn't(p<0.01). 5. As for the relationship of their oral health behavior scores to toothbrushing frequency, there was a statistically significant correlation between the two(r=0.227, p<0.001). And the oral health knowledge scores had a statistically significant correlation to toothbrushing frequency (r=0.116, p<0.05) and oral health behavior scores(r=0.358, p<0.001). Conclusions : It is concluded that proactive oral health education must be made through diverse programs and systems. Also, regular oral examination and active oral health program for preventing dental caries and periodontal disease should be proliferated in order to evaluate achievement and effectiveness and maintain oral health care.

• Journal of dental hygiene science
• /
• v.12 no.1
• /
• pp.71-77
• /
• 2012

Sex Hormones exert significant influence in body physiology throughout life. Some reports suggested increased sex hormone levels correlate with an increased prevalence of gingivitis. The objectives of this pilot study are to(1) address the link between menstrual cycle and MMP-9, MMP-8, IL-$1{\beta}$ of gingival crevicular fluid during 4 weeks and (2) discuss the major biomarker of periodontal status. 7 female and 3 male volunteer who didn't have smoking habit, medical and dental disease after informed consent, were seen twice a week for 4 weeks. GCF samples were collected and GCF levels of MMP-9, MMP-8, IL-$1{\beta}$ were measured by enzyme-linked immunosorbent assay. The GCF levels of MMP-9, MMP-8, IL-$1{\beta}$ had fluctuation according to menstrual cycle, but the changes of those were not significant by Friedman matched samples test. There is no difference between female and male subjects by Mann-Whitney U test. The correlation of MMP-8, MMP-9 and IL-$1{\beta}$ showed strong by Spearman correlation(0.644-0.945). This study confirms menstrual cycle doesn't influence the periodontium of healthy female subjects.

• The Journal of Korean Society for School & Community Health Education
• /
• v.13 no.3
• /
• pp.33-42
• /
• 2012

Purpose: This research targeted the high school students to analysis the behavior leading to oral health following the level of knowledge of and attitude towards oral health. Going steps further, this research examines the effect of the education on the oral cavity's health on the behavior leading to oral health to provide the need to conduct education on the oral cavity's health. Methods: High school students in the 1st to the 3rd grades in two high schools in Gyeongsangnamdo were targeted to conduct survey on 444 students. Collected data was subjected to the SPSS statistical program to obtain the frequency, percentage and average. Moreover, standard deviation, t-verification, one-way ANOVA, correlation analysis and logistics regression analysis were conducted. Results: First, average of the high school students' knowledge of and attitude towards oral cavity's health was higher when the education on the oral cavity's health was received compared to when education on the oral cavity's health was not received. Second, knowledge of and attitude towards oral cavity's health were high when there was the willingness to participate in the education on the oral health. In case education on the oral cavity's health was received, average of the knowledge of oral cavity's health was high, which manifested statistically significant difference. Average of the knowledge of oral cavity's health was high as well in case there is a perception that the need for the education on oral cavity exists. Third, the probability of having had their teeth scaled was higher when the total score for the knowledge of oral cavity's health was higher. The probability of having had their teeth scaled was higher when the score on the attitude for preventing periodontal disease was higher. Conculsion: These results demonstrate that the existence of high school students' education on the oral cavity's health, and knowledge of and attitude towards oral cavity's health exert significant influence on the behavior leading to oral cavity's health.

• Journal of dental hygiene science
• /
• v.12 no.2
• /
• pp.171-179
• /
• 2012

The aim of this study was to analyze the factors related to whole saliva flow and the xerostomia for the ground use of the materials in developing oral health improvement program and life quality improvement program. So, this study performed a questionnaire survey, targeting at 160 adults, older than 40 years, living in Gyeonggi and Incheon provinces from January to February 2011 and measured unstimulated salivary flow rate and stimulated salivary flow rate. The results are as followings. The group of participants who took gums and candies to relieve oral dryness had low stimulated whole saliva flow. The group of participants who graduated from middle schools, who separated by death, who were not healthy with menopause, and who recognized periodontal disease symptoms and tongue burning sensation recognized more symptoms of dry mouth than others. In addition, the group of participants who were not satisfied with life so much, who couldn't feel the meaning of life, and who recognized negative feelings frequently recognized symptoms of dry mouth more. Women, the group of participants who graduated from middle schools, who suffered from depressive symptoms, and who recognized halitosis had low unstimulated whole saliva flow. The group of participants who graduated from middle schools, who were not satisfied with life so much, who couldn't feel the meaning of life, and who were not satisfied with themselves had low stimulated saliva flow.

• Journal of dental hygiene science
• /
• v.8 no.3
• /
• pp.117-122
• /
• 2008

The purpose of this study was to delve into how to provide better and more oral health education to middle school students, and to boost school oral health projects. The subjects in this study were 430 middle schoolers. After their oral health awareness, knowledge and oral health care were investigated, the following findings were given: 1. Concerning concern for oral health, 56.7 percent were oral health conscious, and as many as 43.2 percent were little or never concerned about it. 2. As to subjective oral health status, 36.7 percent found their own oral health status to be good, and 63.3 percent had a periodontal disease or felt that there was something wrong with their oral health. Regarding self-assessed abnormal oral symptoms, 25.8 percent considered themselves to have an abnormal symptom related to temporomandibular joint, and approximately 30 percent thought there was something wrong with their gums. 3. As for toothbrushing habits, the number of the girls who brushed their teeth after lunch was statistically significantly far larger than that of the boys who did. There were some differences between the boys and girls in toothbrushing method and in which part of the oral cavity they brushed. 4. In regard to oral health knowledge, the girls(a mean of 7.05) significantly excelled the boys(6.36). Those who were more oral health conscious got significantly better scores in oral health knowledge. 5. In terms of dental-clinic visit experiences, the students who had ever visited a dental clinic took in less sugar and got a more frequent regular dental checkup(2.62, 2.50) than the others who hadn't(2.32, 1.74).

• The Journal of Korea Assosiation for Disability and Oral Health
• /
• v.13 no.2
• /
• pp.95-98
• /
• 2017

Due to hypodontia, poor oral hygiene, and significantly more prevalent periodontal disease, patients with Down syndrome show higher incidence of edentulism. Oral rehabilitation of such patients is imperative but challenging as high rates of prosthesis failure are reported due to malocclusion, high masticatory force, and parafunctional habits. As CAD/CAM(Computer-Aided Design and Computer Aided Manufacturing) is the recent trend in prosthodontics, this report discusses the application of CAD/CAM in a Down syndrome patient. A 25-year-old patient with Down syndrome was presented to the Department of Pediatric Dentistry, Yonsei University Dental Hospital for oral examination. 5 maxillary teeth were missing, 3 were fully impacted, and 4 had grade III mobility. The patient underwent general anesthesia for extraction of impacted and mobile teeth, implant surgery, and final impression for prosthesis. Afterwards, CAD/CAM was used to design and manufacture a 10-unit zirconia bridge. However the bridge was fractured after 18 months due to the patient's bruxism and high masticatory force. Final impression taking, bite registration, cast fabrication, cast scanning, and prosthesis designing were not needed as CAD/CAM data remained. Previous CAD/CAM design was used to remanufacture the zirconia bridge. Down syndrome patients have malocclusion, high masticatory force, and parafunctional habits which increase the possibility of prosthesis fracture. CAD/CAM is beneficial for Down syndrome patients as previous digital records can be utilized for prosthesis repair or remake. In detail, application of CAD/CAM in remanufacturing decreases patient's discomfort of impression taking, shortens and simplifies dental laboratory procedures, and reduces clinician's effort of taking detailed final impressions or accurate bite registration. In conclusion, oral rehabilitation using CAD/CAM provides not only satisfactory levels of comfort, stability, and esthetics, but also easier repair or remake compared to conventional prostheses.