• 한국치위생학회지
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• 제19권1호
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• pp.117-129
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• 2019

Objectives: The purpose of this study was to investigate the influence of demographic characteristics and oral health status on unmet dental needs among preschool children and to provide a basis for improvement of the dental care equality and accessibility using data from the $6^{th}$ National Health and Nutrition Survey. Methods: This study was performed using data collected from the $6^{th}$ National Health and Nutrition Survey. The subjects were 1,472 out of 22,940 people, who participated in the survey and under went oral examination. IBM SPSS Statistics (Version 20.0) was used for statistical analyses based on the complex sampling design. Frequency analysis was performed to determine the distribution of unmet dental needs according to the characteristics of the subjects. The Rao-Scott ${\chi}^2$ test was performed to examine the relationship of unmet dental needs with general characteristics and health- and oral health-related variables. Relevant factors were determined using binary logistic regression analysis. Results: The factors that had statistically significant relations with unmet dental needs included age, medical insurance, household income, limited physical activity, history of dental caries in deciduous teeth, and subjective health status. Logistic regression analysis of complex samples was conducted to determine factors related to unmet dental needs. The results of analysis showed that limited physical activity and history of dental caries in deciduous teeth were related to unmet dental needs. Conclusions: The results show the factors affecting, and the reasons for, the unmet dental needs of preschool children. Future studies are needed to develop national projects and oral health education reforms to address inequalities in preschool children's dental care.

• 한국치위생학회지
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• 제16권6호
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• pp.893-907
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• 2016

Objectives: The purpose of this study was to identify the related factors of dental caries and periodontal disease in adolescents from Korean multicultural families, thereby helping to reduce the prevalence rate of oral disease. Methods: The subjects were 710 multicultural adolescents recruited using a web-based survey, National 2015 Korean Youth Risk Behavior, from the Korean Center for Disease Control. A multicultural family was defined in this study as one having an immigrant mother or father. Oral symptoms included dental caries and periodontal disease. Toothache was defined as a symptom of dental caries. Tender or bleeding gums were defined as symptom of periodontal disease. For statistical analysis, Statistical Package for Social Sciences (SPSS) Version 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to determine the factors associated with general characteristics, health behavior, and oral health behavior. Finally, to investigate the associations among oral disease symptoms, logistic regression analysis was performed. Results: Toothache was significantly higher in female 1.52 (95% CI; 1.45-1.60), high school 1.23 (95% CI; 1.18-1.28), women school 1.10 (95% CI; 1.05-1.16), individuals with poor economic status 1.45 (95% CI; 1.30-1.52), and participants who consumed alcohol 1.32 (95% CI; 1.27-1.37). Toothache related to perceived health status was significantly lower in the healthy group 0.69 (95% CI; 0.64-0.75), and was higher in usual stress group 1.65 (95% CI; 1.57-1.74). Gum bleeding was significantly higher in female 1.32 (95% CI; 1.27-1.37), high school 1.15 (95% CI; 1.10-1.19), and individuals with poor economic status 1.38 (95% CI; 1.27-1.50). Gum bleeding related to perceived health status was significantly lower in the healthy group 0.68 (95% CI; 0.63-0.74), and was higher in usual stress group 1.54 (95% CI; 1.46-1.62). Conclusions: Taking into account of social and economic levels, and dietary habits in the multicultural families adolescents, further education and support will be needed for oral disease prevention and early treatment.

• 한국치위생학회지
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• 제11권5호
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• pp.717-727
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• 2011

Objectives : This study was purposed to estimate the level of oral health quality of life and the relationship between health-related factors and oral health quality of life in patients with successful dental implants. Methods : This questionnaire survey was conducted during the period from December 2009 to March 2010 with 126 patients confirmed successful dental implants in Busan. The oral health related quality of life and oral health-related factors were estimated with OHIP-14 and 8 oral health characteristics, respectively. Data analysis was performed with descriptive analysis, t-test, ANOVA, multiple regression analysis using SAS(ver 9.1) program. Results : The score of oral health quality of life in patients with successful dental implants was $12.25{\pm}7.82$. The scores of subscale of the oral health quality of life were $1.24{\pm}1.35$ in social disability, $1.60{\pm}1.37$ in handicap, $1.60{\pm}1.44$ in psychological disability, $1.70{\pm}1.38$ in functional limitation, $1.81{\pm}1.35$ in physical disability, $2.14{\pm}1.46$ in physical pain, $2.17{\pm}1.46$ in psychological discomfort, respectively. The related factors of oral health quality of life in patients with successful dental implants were absence of other type prosthesis and experience of tooth brushing education. Conclusions : The oral health related quality of life in patients with successful dental implants was relatively good condition. Social supports and chances for high quality denture and tooth brushing educations are needed to improve oral health related quality of life in patients with dental implants.

• 한국치위생학회지
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• 제12권6호
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• pp.1148-1157
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• 2012

Objectives : The purpose of this study is to analyze factors impacting dental treatment of fear and distrust of dentists. The subjects of this study consists of 720 middle & high school students in Daegu area. Methods : The data were collected from June 1, 2009 to September 30, 2009 by self-administrative questionnaires. The data received was analyzed using the descriptive statistic, t-test, ANOVA, and multiple linear regression analysis with level of significance as p<0.05 stimulus response factors in oral health education, often highly-experienced, and distrust of the dentists of factors the lower stimulus response factors are highly. Results : A female dental treatment of fear and distrust of dentists showed higher than male. Showed higher dental treatment of fear and the higher distrust of dentist. Showde the treatment-avoidance factors the higher patient of negligence factors and distrust of dentists factors are highly statistically significant. Showed the stimulus response factors in oral health education, often highly-experienced, and distrust of the dentists of factors the lower stimulus response factors are highly. Showed the similar results physiological arousal factors and the stimulus response factors. Conclusions : The results suggest that oral health status of improve adolescent before treatment of patients identify biological characteristics and personality can decrease dental treatment of fear and distrust of dentist.

• 디지털융복합연구
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• 제19권10호
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• pp.535-543
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• 2021

노인성 안질환과 구강질환은 비가역적 손상을 일으키기 때문에 삶의 질에 큰 영향을 미친다. 따라서 나이관련황반변성(AMD) 및 녹내장과 같은 노인성 안질환과 구강건강행태와의 관련성을 확인하고자 하였다. 제7기 2차년도(2017) 국민건강영양조사 자료를 이용하여 AMD 및 녹내장과 구강건강행태를 분석하였다. 녹내장과 AMD 유병자와 녹내장과 AMD 미보유자를 비교하기 위해 교차분석을 실시하였고, 복합로지스틱 회귀분석을 통해 AMD 및 녹내장과 구강건강행태와의 위험비를 확인하였다. 황반변성 및 녹내장의 유무에 따라 연령, 학력, 구강위생용품 사용, 발음불편 호소에서 통계적으로 유의한 차이가 있었다. 또한 녹내장 유무는 성별에서도 차이가 있었다. 구강건강행태와 노인성 안질환과의 일부 변수에서 유의한 연관성이 있었다. 구강건강행태는 AMD 및 녹내장 질환을 예방하는 데 위험 요인으로 작용할 수 있으므로 구강건강행태에 대한 인식도가 더욱 높아져야 할 것이다.

• 치위생과학회지
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• 제21권3호
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• pp.133-139
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• 2021

Background: Smoking in adolescence leads to an intensified addiction to nicotine when physical and mental growth has not yet been completed. With the advent of e-cigarettes, the rate of e-cigarette use among Korean adolescents has been steadily increasing. To date, studies on e-cigarettes and oral health, especially on the relationship between smoking styles and oral health in adolescents, are limited. Therefore, this study aimed to identify the risk factors for oral health problems caused by the repeated use of conventional cigarettes and e-cigarettes. Methods: This explanatory research study compared the adolescents' experiences of periodontal disease symptoms according to smoking type through a secondary analysis of the original data from the 15th Adolescent Health Behavior Survey (2019). Cross-analysis was performed to compare the smoking patterns according to the adolescents' general characteristics. Finally, a binary logistic regression analysis was performed to determine how smoking characteristics affect the adolescents' experience of periodontal disease symptoms. Results: In terms of patients' general characteristics, significant differences were observed in sex, school level, grades, household economic status, type of residence, and father's education level between adolescents who smoked conventional cigarettes alone and those who smoked both conventional cigarettes and e-cigarettes (p<0.05). After checking the factors affecting the smoking pattern and the experience of periodontal disease symptoms in adolescents, it was found that the duplicate smoking group was more likely to experience periodontal disease symptoms (odds ratio, 1.20) than the group that smoked conventional cigarettes alone (p<0.05). Conclusion: Duplicate smokers experienced more symptoms of periodontal disease than those who smoked cigarettes alone. Based on the findings of this study, smoking cessation counseling according to the smoking type and differentiated education for oral health promotion should be provided.

• 치위생과학회지
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• 제14권2호
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• pp.158-166
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• 2014

본 연구는 남자 고등학생들의 스트레스와 구강건강의 중요성 및 주관적 구강건강상태 인식, 칫솔질 횟수에 따른 스트레스와 구강건강관련 삶의 질에 대한 연관성을 파악하여 고등학생들에 대한 실질적인 구강보건교육 필요성을 강조하며 청소년기의 구강위생관리가 올바르게 이루어져 성인 및 노인기까지 구강건강이 유지 증진되어 전반적인 삶의 질이 향상될 수 있는 기초자료를 제공하고자 한다. 2013년 5월부터 7월까지 충남에 위치한 2개 고등학교 1, 2학년을 대상으로 편의표본추출법에 의한 자기기입식으로 설문조사를 실시하였다. PASW Statistics 18.0과 AMOS 5.0 프로그램을 이용하여 다음과 같은 결과를 얻었다. 잠재변수 스트레스가 하위 5가지 영역의 스트레스와 구강건강관련 삶의 질과의 관련성을 분석결과 모두 유의한 것으로(p<0.001)로 나타났으며, 스트레스가 구강건강관련 삶의 질에 주는 영향력은 구강건강의 중요성 인식에 따라 구강건강이 중요하지 않다고 인식할 때보다(-0.38, p<0.001), 중요하다고 인식할 때(-0.32, p<0.001) 구강건강관련 삶의 질이 높은 것으로 나타나 스트레스의 영향이 낮은 것을 알 수 있으며, 주관적 구강건강 인식에서 또한 스스로 구강건강이 좋다고 인식할 때 스트레스의 영향력이-0.14 (p<0.05)로 낮게 나타나 구강건강관련 삶의 질이 높은 것으로 나타났다. 구강건강관리 행태와의 관련성에서는 하루 칫솔질 횟수가 1회로 낮을 때 스트레스가 구강건강의 삶의 질에 주는 영향력이 -0.69 (p<0.001)로 매우 높아 구강건강관련 삶의 질에도 매우 부정적인 영향을 주었다. 이상의 결과를 바탕으로 모델의 적합도 검정결과 GFI, AGFI, CFI, NFI에서 모두 0.9 이상을 보였으며, RMR과 RMSEA 값이 모두 0.1보다 작은 값이 추정되어 양호한 모형이다. 본 연구결과 스트레스와 구강건강관련 삶의 질은 연관성이 있다고 볼 수 있다. 또한 학생들의 구강건강 중요성 인식과 주관적 구강건강 인식도는 구강건강관련 삶의 질과 연관성이 있음을 확인되었고, 구강위생 관리 행태 중 칫솔질 횟수와도 연관성이 나타났다. 그러므로 본인의 구강건강을 스스로 책임져야 할 시기인 고등학생들이 구강건강을 위하여 바람직한 인식과 습관 형성을 위한 실질적이고 체계적인 구강보건교육이 시행되야 할 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8365-8370
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• 2016

Background: Shammah is a traditional form of snuff dipping tobacco (a smokeless tobacco form) that is commonly used in Yemen. Oral mucosal changes due to the use of shammah can usually be observed in the mucosal surfaces that the product touches. The aim of this study was to determine the association between shammah use and oral leukoplakia-like lesions. Other associated factors were also determined. Materials and Methods: A cross sectional study was conducted on 346 randomly selected adult males. Multi-stage random sampling was used to select the study location. After completing the structured questionnaire interviews, all the participants underwent clinical exanimation for screening of oral leukoplakia-like lesions Clinical features of oral leukoplakia-like lesion were characterized based on the grades of $Ax{\acute{e}}ll$ et al (1976). Univariable logistic regression and multivariable logistic regression were used to assess the potential associated factors. Results: Out of 346 male participants aged 18 years and older, 68 (19.7%) reported being current shammah users. The multivariable analysis revealed that age, non-formal or primary level of education, former shammah user, current shammah user, and frequency of shammah use per day were statistically associated with the presence of oral leukoplakia-like lesions [Adjusted odds ratio (AOR) = 1.03; 95% confidence interval (CI) : 1.01, 1.06; P=0.006], (AOR=8.65; 95% CI: 2.81, 26.57; P=0.001), (AOR=3.65; 95% CI: 1.40, 9.50; P=0.008), (AOR=12.99; 95% CI: 6.34, 26.59; P=0.001), and (AOR=1.17; 95% CI: 1.02, 1.36; P=0.026), respectively. Conclusions: The results revealed oral leukoplakia-like lesions to be significantly associated with shammah use. Therefore, it is important to develop comprehensive shammah prevention programs in Yemen.

• 한국융합학회논문지
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• 제7권1호
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• pp.43-48
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• 2016

본 논문에서는 중학생 학습자의 특성을 고려하여 UCC 매체를 활용한 구강보건교육을 실시하고 지식전달인 지적 영역과 태도변화인 정의적 영역, 행동 변화인 정신운동 영역의 결과를 살펴보았다. 이에 UCC 매체를 활용한 구강보건교육의 결과는 평균 지적 영역 4.09, 정의적 영역 4.05, 정신운동 영역 4.14로 나타났다. 학습자에게 흥미도와 이해도를 높여 관심을 가지고 행동의 변화를 보여 구강보건교육의 효과를 극대화 할 수 있도록 해야겠다. 일회성인 교육매체 자료 보다는 YouTube에서도 학습자가 언제든지 다시 볼 수 있도록 하여 계속관리 교육이 되도록 할 수 있다. 추후 관련된 보건교육프로그램 및 보건교육에 활용하여 교육내용의 정확한 전달과 학습자에게 동기유발을 일으켜 교육의 결과를 높일 수 있도록 한다.

• 대한장애인치과학회지
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• 제15권1호
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• pp.84-88
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• 2019

장애인의 교정 치료는 환자에 따라 치료 목표와 방법이 비장애인의 교정 치료와 달라질 수 있다. 교정 치료를 시작하기 전에 환자의 교정 치료의 한계에 대한 보호자와의 충분한 의사소통이 먼저 이루어져야 하고, 교정 치료는 환자가 견딜 수 있으면서 도움이 되는 방향으로 시행되어야 한다. 또한 교정치료 시 보호자들에게 구강위생관리의 중요성을 항상 강조하고 집에서의 구강 위생 관리를 위한 교육을 반드시 시행해야 한다.