• Journal of the Korea Convergence Society
• /
• v.10 no.6
• /
• pp.49-58
• /
• 2019

This study aims to analyze the relevance between oral health practices and oral discomforts of the elderly in an urban-rural area by surveying the elderly in welfare centers for the Elderly-continued oral health care program. The result shows that the elderly brush their teeth under regular oral care, and practice oral health life by scaling for the prevention of periodontal disease. Most of the elderly who drink alcohol have experienced implant care and tend to quit drinking after the treatment, and seemed to get their oral discomfort relieved. However, no relevance is found between implant experiences and social discomfort. Furthermore, the elderly who had bad breath expressed pronunciation, taste, pain and chewing discomfort, and social discomfort (P>.05). The educational level of the elderly did not have an impact on oral discomfort, but smoking, chewing and bad breath discomfort seemed to be related to social discomfort(P>.05). Therefore, since oral discomfort of the elderly causes social discomfort which decreases their quality of living, we recommend oral health departments of local governments to help the elderly maintain happy lives by continuing to study the practical use of reducing oral discomfort.

• Journal of Oral Medicine and Pain
• /
• v.24 no.4
• /
• pp.387-396
• /
• 1999

구취를 주소로 내원한 환자 중 구취의 치료 후 객관적인 구취의 감소가 인정되는 데도 불구하고, 계속해서 구취를 호소하며 만족해 하지 못하는 환자들의 심리적 특성을 알아보고자 하였다. 구취를 주소로 서울대학교 치과병원 구강진단과 구취클리닉에 내원하여 검사 및 치료를 시행한 환자 중, 치료 전 객관적 구취의 소견을 보였으나, 치료 후 할리미터 수치의 객관적인 감소를 보이는 40명의 구취 환자를 대상으로 하였다. 치료 전, 모든 환자들은 자신의 주관적 구취 심도 및 그로 인한 불편감 정도를 표시하였고, 간이정신진단검사 (SCL-90-R)를 시행하였으며 할리미터를 이용하여 구강내 휘발성황화합물의 농도를 측정하였다. 치료 후, 구강내 휘발성황화합물의 농도, 주관적 구취 심도 및 불편감 정도를 재측정하였다. 주관적 구취 심도의 감소 정도에 따라 환자들을 두 군으로 분류하여 할리미터 수치와 불편감 정도 및 간이정신진단검사항목을 비교, 분석하였다; A군-주관적 구취 심도가 평균값 이상으로 감소한 환자군; B군-주관적 구취 심도가 평균값 이하로 감소한 환자군. 1. 치료 전후 모두에서 주관적 구취 심도와 휘발성황화합물 농도 사이에는 유의한 상관관계가 없었으며 주관적 구취 심도의 감소 정도 또한 휘발성황화합물의 감소 정도와 상관관계가 없었다. 2. 치료 전 휘발성황화합물의 농도는 치료 후 휘발성황화합물의 감소치와 유의한 상관관계를 보였다 (p < 0.01). 3.구취로 인한 불편감 정도는 주관적 구취 심도와 유의한 상관관계를 보였으며 (p < 0.01), 치료 후 A군에서는 유의하게 감소 (p < 0.01) 하였으나, B군에서는 유의한 감소를 보이지 않았다. 4. B군은 A군에 비하여 간이정신진단검사 항목 중 대인예민성과 우울증의 항목에서 유의하게 높은 수치를 보였다 (p < 0.05).

• Journal of dental hygiene science
• /
• v.11 no.4
• /
• pp.325-332
• /
• 2011

To get the evidences for decreasing the discomfort, dissatisfaction, and for improving management of the implant prothesis through assessment implant patients' awareness and discomforts about care of the prostheses. The subjects were 300 implant patients who treated in the 20 dental clinics in Pusan, Ulsan and Daegu. The general characteristics, recognition, maintenance, discomfort and dissatisfaction, and oral hygiene status were collected. Level of the discomfort and dissatisfaction was measured by a 5 Likert scale, and analyzed by the equivalent of 100. The life-span of the implants was overestimated, however, periodic recall check and scaling were underwent. The level of discomfort and dissatisfaction was generally good, but many of them (65.3%) complained the food impaction. As a result of the multiple regression analysis, level of the discomfort and dissatisfaction increased in case of more number of the prosthesis ($\beta$=0.864), however decreased in case of more frequent teeth brushing ($\beta$=0.737), more frequent periodic check ($\beta$=-0.737), longer duration from the implantation ($\beta$=-0.090). It is very important for the implant patients to be recognized that the lack of care may shorten the life-span of the implant prosthesis. Therefore, efforts of the continuous oral hygiene care such as, periodic recall check, scaling, teeth brushing, the correct using of additional oral hygiene product, and education would be more emphasized.

• Journal of dental hygiene science
• /
• v.15 no.2
• /
• pp.145-152
• /
• 2015

In this study, PASW Statistics ver. 18.0 was used to analyze the correlation between chewing difficulty and osteoarthritis in the population of 8,498 persons aged 50 years and older who had completed the health related questionnaire in the fifth Korea National Health and Nutrition Examination Survey in 2010~2012. The following conclusion was drawn: The distribution of the chewing difficulty status showed that 38.8% of the respondents had chewing difficulty and that there was no significant difference by gender. Older respondents tended to have significantly greater chewing difficulty 34.3% of the respondents aged from 50 to 64 years and 46.4% of those aged 65 years and older, those who had lower levels of education and income, who were smokers, and who had higher levels of depression and stress suffered from significantly greater chewing difficulty. Chewing difficulty and osteoarthritis were correlated with each other: the respondents having chewing difficulty had 1.44 (95% confidence interval [CI], 1.23~1.70) higher prevalence of osteoarthritis than those with no such difficulty. In addition, such correlation was not found in males: the former had 1.36 (95% CI, 0.98~1.88) higher prevalence of osteoarthritis than the latter, which was not statistically significant. Such correlation was found in females: the former had 1.47 (95% CI, 1.22~1.76) higher prevalence of osteoarthritis than the latter, which was statistically significant. Therefore, the chewing difficulty status affected osteoarthritis for females aged 50 years and older. Therefore, the efforts to solve oral health problems through oral hygiene would help prevent osteoarthritis from worsening and manage the condition.

• Journal of Oral Medicine and Pain
• /
• v.19 no.2
• /
• pp.7-23
• /
• 1994

구강내 작열감 증후군은 객관적 징후없이 구강점막에 작열감을 나타내는 만성동통장애이다. 다양한 원인요소들이 제시되어 있지만, 이러한 요소들의 관련성에 대해서는 아직 분명하지 않은 실정이다. 그러므로, 이러한 구강내 기능이상의 근본적이고 효과적인 치료를 위해서는 다양한 임상적 관찰과 원인요소의 분석등이 계속 연구 조사되어져야 할 것이다. 저자는 구강내 작열감 증후군의 증상을 호소하는 112명의 환자의 임상적 특징에 대해 조사하고자, 환자군과 대조군에 대해 구강내 작열감 증후군에 관한 설문조사 및 구강검사와 혈액학적 검사를 시행하였으며, 점도계를 사용하여 구강내 작열감 증후군 환자의 자극이 전타액의 점도를 측정하였다. 또한, 환자의 심리적 요인을 파악하고자 간이정신진단검사를 실시한 결과 다음과 같은 결론을 얻었다. 1. 구강내 작열감 증후군은 주로 페경기 전후의 여성에서 많이 나타났으며, 호발부위는 혀, 치주 및 치조점막, 구개, 협점막의 순이었다. 2. 구강내 작열감 증후군 환자에게서 대조군 비해 구강건조감, 미각 및 수면장애, 빈혈, 소화기 장애, 두통과 기타 다른 신체불편감의 호소 등이 더 많이 나타났다. 3. 혈액학적 검사결과, 구강내 작열감 증후군 환자중의 26%와 12%에서 각각 혈중 엽산농도와 철분농도의 저하를 나타냇다. 4. 자극시 분비된 전타액의 점도는 40대와 50대이상의 연령군에서 구강내 작열감 증후군 환자가 정상인에 비해 높았다.(p<0.01). 5. 구강내 작열감 증후군 환자군의 간이정신진단검사의 각 증상차원 및 전체지표의 T점수의 평균치는 정상범위내에 있었으며, 신체화(SOD)와 우울 (DEP)차원의 평균치가 가장 높았다.

• Korean Journal of Adult Nursing
• /
• v.17 no.2
• /
• pp.276-286
• /
• 2005

Purpose: The study is to investigate the effects of tea tree oil gargling on oral cavity micro-organism growth and on the perceived discomfort of patients receiving chemotherapy. Methods: A nonequivalent control group non-synchronized design was used to determine the effects of tea tree oil gargling on oral cavity for 20 second after using it for one week, twice a day. The sample consisted of two groups of patients receiving chemotherapy : 19 patients in experimental and 20 patients in control group. The instruments used in the study were Oral Assessment Guide(OAG), a measure of perceived symptoms on oral cavity, and a test of oral mucosal micro-organism culture. The data were analyzed using chi-square test, repeated measure of ANOVA, and Pearson correlation coefficient. Results: There was no significant difference between the two groups in micro-organism culture test of oral mucosa. The experimental group showed a lower number and fewer kinds of micro-organisms than the control group. Conclusion: It is considered that use of tea tree oil is effective in infection control of the oral cavity.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.36 no.1
• /
• pp.12-20
• /
• 2020

Purpose: This study was designed to analyze the relationship between the presence and severity of depression and chewing problems (CPs) in a representative sample of the general population. Materials and Methods: Health surveys and examinations were conducted on a nationally representative sample (n = 8150) of Korean was conducted. CPs was determined by a simple survey response concerning "Do you feel uncomfortable about chewing your food because of problems with your mouth such as teeth, dentures and gums?" Depression was defined as individuals with a total score ≥ 10 on the Patient Health Questionnaire (PHQ)-9 survey. Data regarding demographics, socioeconomic history and comorbid health conditions were used to analyze adjusted logistic regression models. Results: In the Korean population, the prevalence of depression was significantly greater in individuals with CP (17.2%) than in those without CP (10.2%). On multivariate logistic regression analysis, the presence of depression was significantly associated with CPs (adjusted odd ratio [aOR]: 1.90, P < 0.001). The risk of CPs increased with increasing severity of depression as follows: severe depression (OR: 2.62, P < 0.001), moderately severe depression (OR: 2.19, P < 0.001). Conclusion: The presence of depression was significantly associated with CPs, especially in severely depressed individuals. Depression screening should be considered in treating CP patients.

• Journal of Korean society of Dental Hygiene
• /
• v.20 no.4
• /
• pp.447-455
• /
• 2020

Objectives: This study was conducted to analyze the factors affecting discomfort in the oral cavity for the elderly and to provide basic data for improving oral health in the elderly. Methods: It was conducted with ethical approval, and all subjects were explained about the research method and purpose before conducting the questionnaire. The final 178 were analyzed through a self-written questionnaire. SPSS 25.0 was used for statistical analysis of the collected data, and the significance level was 0.05. Results: Dental caries was 51.7%, periodontal disease was 69.1%, and lost tooth was 71.9%.The average score of discomfort in the oral cavity was 2.62±0.96. The factors affecting discomfort in the oral cavity were found to affect discomfort in the oral cavity in groups with education, periodontal disease, and missing teeth. Conclusions: Therefore, it is necessary to proceed with the oral health program according to the educational background of the elderly. Find out how to reduce oral discomfort caused by periodontal disease. It is believed that there is a need to expand health insurance for preventive care rather than treatment.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.35 no.3
• /
• pp.123-131
• /
• 2019

Burning mouth syndrome (BMS) is defined as the xerostomia, burning sensation and various discomfort of tongue and oral mucosa. BMS can occur in both men and women, but is more frequent in middle-aged menopausal women. Because exact cause can't be identified clearly and it is hard to make diagnosis in clinic, the purpose of the treatment have been to relieve symptoms. Etiology of BMS is divided into local, systemic, and psychological factors. ${\alpha}$-lipoic acid, clonazepam, supplemental therapy and cognitive behavior therapy can be prescribed for BMS. Nowdays, many experts focus attention on effect of combination therapy. It is necessary to solve the symptoms of the patients by combination of pharmacological approach and psychotherapy with cognitive behavior therapy considering the factors in various aspects.

• Journal of dental hygiene science
• /
• v.15 no.3
• /
• pp.355-360
• /
• 2015

The purpose of this study was to examine the relationship between the oral health behavior and self-efficacy of adolescents. The subjects in this study were 300 selected students in a girls' high school located in the city of Iksan. A survey was conducted from November 2 to 5, 2014, with questionnaires that covered oral health behavior and self-efficacy, and the answer sheets from 298 respondents were analyzed by a statistical package IBM SPSS Statistics ver. 21.0. The group that got regular dental checkups (3.26) excelled the other group that didn't in self-efficacy (p<0.05), and the group who made use of oral care products and who brushed their teeth four times or more had a better self-efficacy than the other group that didn't. The students who considered themselves to be in better oral health scored higher in self-efficacy, and the groups who had no difficulties in pronunciation (3.66) and mastication (3.32) scored higher (p<0.01, <0.001). Masticatory dysfunction (r=-0.184) and pronunciation disorder (r=-0.200) were negatively correlated with self-efficacy, but oral health status (r=0.243) had a positive correlation with it. Self-efficacy was better when oral health status was better (p<0.001) and when there was no pronunciation disorder (p<0.01). The above-mentioned findings suggested that there was a close relationship between oral health behavior and self-efficacy. Therefore the kind of program that aims at changing youth oral health awareness and oral health behavior should be prepared to improve the self-efficacy of adolescents.