• 한국치위생학회지
• /
• 제8권3호
• /
• pp.73-84
• /
• 2008

This study conducted an interview questionnaire survey of 245 old people in some halls for the aged in the Daejeon Metropolitan City from June 1 to 31, 2008. on their attitudes toward and practice items for oral health, resulting in the following findings. 1. In terms of socio-demographic characteristics of the subjects, males females were 48.2% and 51.8% respectively, and in the educational level, no-education, elementary school graduation, middle school graduation, and high school graduation and higher were 27.8%, 33.9%, 26.5%, and 11.8%, respectively, showing the statistically significant difference (p=0.009). 2. In terms of attitudes toward oral health management by oral health care education, regarding questions of use of oral and dental hygiene products (p=0.016), experience in scaling, and whether or not they wear false teeth (p=0.018), a group having received the education rather than a group not having received it showed more positive oral health management attitudes, indicating the statistically significant difference. 3. In daily living inconvenience of acute oral health diseases according to oral health care education, acute oral diseases presents in a group with the education ($2.30{\pm}0.72$) lower than in a group without the education ($2.49{\pm}0.63$), indicating the statistically significant difference(p=0.031). 4. Factors of oral health diseases showed the significant relation with types of health insurance, subjective systemic health status, acute diseases and subjective oral health status (p<0.01), and the explanatory power or the final model was 38%. Accordingly it is thought that there is the indicated need for analyzing and grasping factors related to oral health diseases among the elderly through considering their attitudes toward and practice for oral health, and developing programs of enhancing the oral health of the elderly in order for them to change their attitudes and habits, and also reinforcing oral health care education for the elderly focused on making them perform oral health behaviors in a right way.

• 한국치위생학회지
• /
• 제20권5호
• /
• pp.743-752
• /
• 2020

Objectives: The objectives of this study were to investigate the distribution and level of periodontopathic bacteria with the general characteristics and oral health condition of the elderly. Methods: A total of 335 elderly individuals aged 65 years or older who lived in Ganghwa-gun, Incheon, were included in the study. Oral examination, investigation through a questionnaire, and collection of saliva were carried out. The collected saliva was analyzed for the distribution and levels of bacteria (red and orange complex bacteria) by real-time polymerase chain reaction. Statistical analyses were performed using chi-square test, t-test, one-way analysis of variance, and Pearson's correlation coefficient with SAS statistical software version 9.4. Results: Among the general characteristics, there were significant differences in the distribution of Porphyromonas gingivalis, Treponema denticola, and Parvimonas micra depending on sex, age, and dental visits (p<0.05). The number of remaining teeth and denture use were related to the distribution of periodontopathic bacteria, except T. denticola (p<0.05). Additionally, periodontitis was related to the distribution of P. gingivalis (p<0.05). As the number of remaining teeth increased, the copy number of red and orange complex bacteria also increased (p<0.05). Those individuals who did not use dentures and had periodontal disease had more periodontopathic bacteria (p<0.05). Conclusions: The distribution and copy number of periodontopathic bacteria in the elderly were more related to oral health condition than to general characteristics. In particular, the distribution and copy number of periodontopathic bacteria were higher in subjects with multiple remaining teeth, no dentures, and periodontal disease.

• 한국치위생학회지
• /
• 제10권6호
• /
• pp.983-990
• /
• 2010

Objectives : This study was to investigate the level of oral health, xerostomia, and oral health related activities of daily living(ADL) and the clinical factors influencing oral health related quality of life(OHIP-14) in elderly for visiting healthcare. Methods : Data were obtained from a cross-sectional survey of 106 elderly people(mean age=$77.5{\pm}4.98$). Participants in the study were recruited when they attended the public health center in Cheonan-si. Data were collected by means of a personal interview from July 19 through to August 20, 2010. Oral health related ADL, OHIP-14 and dry mouth was measured by the total 24-items. The data was analysed with t-test, one-way ANOVA, and multiple regression using the SPSS program. Results : Participants had a mean of 13.6 remaining natural teeth, which was significantly with age and perceived oral health. Xerostomia score achieved a mean of 6.39 out of a maximum 12 points. Powerful predictors of OHIP-14 were natural teeth, masticatory difficulty, oral pain, PHP index, perceived oral health, age and living together for the elderly Conclusions : Based on the findings, OHIP-14 has a significantly impact on oral health related ADL. These results suggest that elder people oral health promotion should be developed assessment index which was measured predictors related oral health in the elderly for visiting healthcare.

• 한국치위생학회지
• /
• 제9권2호
• /
• pp.193-205
• /
• 2009

The purpose of this study was to use the result as basic resources for oral health project for elderly people. we found the needs of oral health project and perceived oral health status, oral health knowledge, attitude, behavior of elderly people. we conducted a study on 194 elderly more than 60 years living in several social welfare facility, asylum, or care centers in Jeolla province. Through self-filled questionnaires and direct interviews from December 2008 to January 2009. The obtained result were as follows. 1. In perceived oral health status, 57.7% of respondents said they have hypersensitivity and 42.8% of respondents needed denture. 2. In oral health promoting behavior, 67.0% of respondents said they didn't have any tooth brushing and 45.9% of respondents said they haven't visited to dentist for the last year. 3. In oral health knowledge, 94.8% of respondents gave correct answers on dental caries prevention but only 7.2% of respondents gave correct answers on dental caries cause. 4. In oral health attitude, 40.2% of respondents said they don't recognize the importance of oral hygiene devices. 46.9% of respondents the unnecessary to see a dentist even though they don't have toothache. 5. Needs of oral health project, 53.6% of respondents said they wanted to have a dentist come over their house. Therefore, oral health projects should have vehicles of dental treatment equipment. It is necessary to visit places where elderly people live and treat them in person. Also, it is vital to continue educate people about oral health knowledge in a systematic way to change their attitude toward oral health. Moreover, it is necessary to implement oral health promotion behavior more proactively.

• 한국치위생학회지
• /
• 제23권4호
• /
• pp.261-268
• /
• 2023

Objectives: In this study, we aimed to examine the dysphagia knowledge, preventive attitudes toward dysphagia, and educational needs concerning geriatric oral health, of dental hygienists, and to provide fundamental information for recognizing the necessity of knowledge and education concerning geriatric oral health and for increasing educational needs. Methods: From April 1 to June 30, 2022, a questionnaire survey was administered to 198 dental hygienists via an online link. SPSS Statistics ver. 22.0 was used to conduct the frequency analysis, t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis. Results: Regarding the difference in knowledge of dysphagia depending on general characteristics, the study participants had more knowledge of dysphagia when they were more interested in dysphagia and had a higher geriatric treatment frequency. The preventive attitudes toward dysphagia were strong in those who graduated from graduate school or higher, had more prevention and education at work, became more interested in dysphagia, received more education about dysphagia, had intention to receive additional education on dysphagia, and had a higher geriatric treatment frequency. Positive correlations were observed between knowledge of dysphagia, preventive attitudes toward dysphagia, and educational needs related to geriatric oral health. The educational needs related to geriatric oral health were found to be, significantly and positively influenced by preventive attitudes toward dysphagia, having master's degree or higher, knowledge of dysphagia, and intention to receive additional education on dysphagia. Conclusions: It is necessary to improve the quality of oral health services offered to older patients by having accurate knowledge of dysphagia implementing appropriate prevention practices for dysphagia, and understanding the educational content needed by the oral hygienists and developing an effective education program to enhance their professionalism.

• 한국치위생학회지
• /
• 제22권6호
• /
• pp.551-561
• /
• 2022

Objectives: This study aimed to investigate the perceptions regarding oral muscle strength training for elder people among dental professionals. Methods: The study participants were selected using non-probability sampling methods, as dentists and dental hygienists with more than 3 years of work experience at dental institutions. A total of 15 participants were selected, including 6 dentists, 4 clinical dental hygienists, and 5 public dental hygienists. Interviews were conducted in June and July 2022, and two focus group interviews were conducted for each group. The first round was face-to-face and the second round was conducted through an online video conference. Results: Through focus group interviews, five factors were obtained; lack of awareness, value of training, factors necessary for implementation, performance status, and obstructive factors. It was found that most study participants had a negative perception regarding the application of oral muscle strength training for elder people due to the lack of information and education on the subject. However, the benefit of oral muscle strength training was positively recognized; adequate educational material, appropriate compensation, adequate time, and availability of patients will be necessary for proper training. Conclusions: It is necessary to improve the perceptions regarding the importance of strengthening oral muscles for the elder people among dentists and dental hygienists. In addition, high-quality educational material that can be easily comprehended and practiced should be developed for effective training.

• 한국치위생학회지
• /
• 제23권5호
• /
• pp.351-360
• /
• 2023

Objectives: This study is based on a visiting oral health care intervention program in the community care. This qualitative study was conducted through in-depth interviews to identify awareness and attitudes regarding intervention program among older adults. Methods: The research team visited the homes of the target older adults and conducted in-depth interviews for approximately an hour using a semi-structured questionnaire. The collected voice recordings were transcribed using Clova Note, and AI program by Naver. Using the 'Word Cloud Generator 3.7' program, words of high importance and interest from interview answers were extracted, visualized, and analyzed. Results: Participating older adults acknowledged that their quality of life related to oral health could be improved by increasing the level of oral health awareness and oral health knowledge through the intervention program. In addition, the older adults indicated that their oral hygiene management ability improved compared to before the intervention through expert oral hygiene management and oral health education. Further, as the level of oral health knowledge increased, so too did satisfaction with the intervention program increase. Conclusions: The intervention program for visiting oral health care showed a positive effect on the awareness and attitude of older adults. Thus, it is suggested that education for continuous competency enhancement of dental hygienists and multidisciplinary education for the improvement of general health and quality of life of older adults should be promoted.

• 한국치위생학회지
• /
• 제11권6호
• /
• pp.833-841
• /
• 2011

Objectives : The purpose of this study was investigation of quality and quantity of nutritional intake related oral health status among Korean elders. Methods : The nutrient intake and the dietary quality was evaluated on the basis of the Dietary Reference Intakes For Koreans(KDRIs). Chi-square test for Complex Samples was used to determine the relationship between oral health and inadequate nutrient intake in Korean elders. The complex samples general linear model was used to test difference of average value difference of nutrient intake percentage compared to dietary reference intake(DRI), energy intake rate from three major nutrients, average mean adequacy ratio(MAR) and index of nutritional quality(INQ) related oral health status. Age, sex and total energy intake was compensated for this analysis. PASW 18 was used for statistical analysis. Results : We could found the difference of the nutrient intake and the dietary quality related oral health status among Korean elders. Especially, Nutrient intake percentage and component ratio of protein among energy intake rate from three major nutrient was lower as oral health status became worse. The percentage of subjects with nutritional intakes under showed highest level in worst oral health status. As oral health status became worse, average mean adequacy ratio(MAR) was lower and the number of nutrient of which index of nutritional quality(INQ) was under 1 was more. Conclusions : From the result above, this study clearly shows the level of oral health affecting the inequalities of eating and the food for the people. And the various propose of oral health policies is needed for vulnerable groups who needs solution to solve the problem of inequality of food distribution where intensive distribution of nutrition problem occurred. Sufficient, safe, and a variety of healthy food intake is a fundamental right of our people. And also, to apply this policy in reality, institutional arrangements and organizations, and specific performing system will be needed.

• 한국치위생학회지
• /
• 제11권6호
• /
• pp.923-938
• /
• 2011

Objectives : This study was attempted in order to grasp oral health level according to socio-demographic characteristics in elders in some communities, and to evaluate oral health status and its association. Methods : The subjects in this study were performed with 235 people, who were over 65 years and resided in Daejeon Province, from June 20 to July 10, 2011. An individual interview was held, and they got a dental checkup. As for data analysis, chi-square test, t-test, one-way ANOVA, pearson correlation were utilized. Methods : The subjects in this study were performed with 235 people, who were over 65 years and resided in Daejeon Province, from June 20 to July 10, 2011. An individual interview was held, and they got a dental checkup. As for data analysis, chi-square test, t-test, one-way ANOVA, pearson correlation were utilized. Results : The older age in the whole research subjects and the lower educational level led to the less remaining teeth and the larger missing teeth index. The decayed missing filled teeth index and the decayed missing filled teeth rate were higher in more women and older age and in the lower educational level. Tooth mortality rate was higher in the older age, the lower educational level, and the group of living together with spouse. The maxillary-mandibular fixed-bridge status in the mouth was indicated to be the highest in the full-denture mounting ratio as for elders in over 80 years old. Oral Health Impact Profile(OHIP-14) average score was $56.05{\pm}11.64$ in the whole research subjects The decayed missing filled teeth index and the decayed missing filled teeth rate showed significantly positive correlation with the decayed missing filled teeth rate, tooth mortality rate and showed significantly negative correlation with OHIP-14. Tooth mortality rate showed significantly negative correlation with OHIP-14 Oral Health Impact Profile(OHIP-14) showed significantly positive correlation with its factors. Conclusions : Accordingly, the policy effort is considered to be necessary that implements in elders in order to spend active senescence, and that elders' health and oral-health behavior can be implemented continuously and preventively through classification according to elders' physical function.

• 한국치위생학회지
• /
• 제11권6호
• /
• pp.961-971
• /
• 2011

Objectives : The aim of the study was to identify the need of oral health education and prevention? for over 65 years elderly. Methods : his study was to identify the need of oral health management and oral health impact profile among elderly over 65 years. 200 elderly participated in the study, lived in KungBuk and KungNam areas, visited Senior welfare center, from 1st September to 30st December 2008. Results : 1. This majority of respondents are female(74.0%), 75-79 years(29.5%), none education(42.5%), living alone(45.5%), income from children(46.0%), and health insurance(65.5%). 2. In the need of oral health management category, the need of dental treatment are professional toothbrushing, gum treatment, treatment for dental caries, treatment for xerostomia. In the need of prevention and education, the majority participants are 'required'. In oral health impact profile category, the majority participants are 'feel no difficulty during speaking(59.0%)', and 'feel no difficulty during tasting(47.0%)'. In the category, the positive answers are more than negative answers. 3. According to general characteristic with the need of oral health management, famle, obviously income, high level of life are significantly different in the need of prevention and education category. Obviously income is significantly different in the need of dental treatment category. According to general characteristic with the oral health impact profile, getting older, high education are significantly different in disadvantage category. In the case of no spouse, anxiety, physical difficulty, mental difficulty and disadvantage are high score in oral health impact profile. In the case of living alone, pain, anxiety, and disadvantage are high score in oral health impact profile. In the case of no income, limitation of function, pain, anxiety, mental difficulty and disadvantage are high score in oral health impact profile. In the case of no health insurance, anxiety, physical difficulty mental difficulty and lack of sociality are high score in oral health impact profile. 4. The oral health impact profile are positive correlation with the need of dental treatment and the need of prevention education. The effect of oral health impact profile are significantly different with spouse, average of income, the need of prevention education. Conclusions : In Conclusion, the need of prevention education and dental treatment for individual oral health promotion are related with general life condition and life level. Also these are influence of quality of life relate with oral health. These findings are require of development of oral health services program and system from bottom to top.