• Title/Summary/Keyword: 치석 제거

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Clinical effect of smoking on the healing response following scaling and root planing (흡연이 비외과적 치주치료 후 치유반응에 미치는 임상적 영향)

  • Shim, Ji-Yeon;Kim, Tae-Il;Seol, Yang-Jo;Lee, Yong-Moo;Ku, Young;Rhyu, In-Chul;Chung, Chong-Pyoung;Han, Soo-Boo
    • Journal of Periodontal and Implant Science
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    • v.36 no.1
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    • pp.125-137
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    • 2006
  • 1. 목적 흡연은 치주질환의 주요한 위험 인자 중의 하나이다. 일반적으로 흡연자는 비흡연자보다 비외과적 및 외과적 치주치료에 대한 반응이 덜 효과적인 것으로 알려져 있다. 이 연구에서는 중등도의 만성 치주염이 존재하는 한국인 흡연자와 비흡연자를 대상으로 하여, 비외과적 치주치료인 치석 제거술과 치근 활택술을 시행한 후 6개윌 동안의 임상적 치유 반응을 비교해 보고자 하였다. 2. 방법 20명의 중등도 만성 치주염 환자(흡연자 10명, 비흡연자 10명)를 대상으로 치주낭 깊이(Probing Pocket Depth, PPD), 치은퇴축(GR), 치주탐침시 출혈유무(BOP), #16, 12, 24, 32, 36, 44의 치태지수(Plaque Index, Silness & $L{\"{o}}e$ 1964)를 임상변수로 측정하였다. 치주낭 깊이 (PD)와 치은퇴축(GR)은 전자 탐침(Florida $Probe^{(R)}$ Co. Gainesville, FL)을 이용하여 각 치아당 6군데를 측정하였다. 임상적 부착 수준(CAL)은 치주낭 깊이(PD)와 치은퇴축(GR)의 합으로 계산하였다. 초진시에 전악 임상 검사를 시행하였고, 초진시의 치주낭 깊이에 따라 조사 대상이 되는 치아 부위를 선정하였다. 치주적으로 건강한 부위 $(PD{\leq}3mm)$를 대조군인 1군으로 하고 치주낭 깊이가 4 mm를 초과하고 5 mm 미만인 부위를 2군, 5 mm 이상의 치주낭 깊이를 가지는 부위를 3군으로 설정하였다. 비외과적 치주치료인 치석 제거술, 치근 활택술과 구강위생 교육을 시행하였고 2개월(T1), 4개윌(T2), 6개윌(T3)에 선정된 해당 치아 부위에 대해 임상 재검사를 시행하였다. 3. 결과 BOP와 Plaque Index는 초진, 2, 4, 6개월에 흡연자와 비흡연자 간에 유의할 만한 차이가 없었으나 전반적으로 감소하는 경향이 나타났다. 대조군인 l군에 서는 흡연자와 비흡연자 간에 모든 시기에서 PD, GR, CAL에 유의할 만한 차이가 없었다. 치주낭 깊이가 4 mm를 초과하고 5 mm 미만인 2군에서는 비흡연자에서 6개월에 유의할 만한 치주낭 깊이 감소가 나타났으며, 4개월과 6개윌에 유의할 만한 부착수준의 증가가 관찰되었다(p<0.05). 치주낭 깊이가 5 mm이상인 3군에서는 비흡연자에서 치주낭 깊이 감소가 일관되게 더 많이 나타났으나 통계학적으로 유의할 만한 차이는 6개월째에서만 관찰되었다. 2군과 유사하게 치주낭 갚이 감소는 흡연자보다 비흡연자에서 0.6 mm 더 크게 나타났다. 부착수준의 획득은 2군에서는 4, 6개월째에, 3군에서는 6개월째에 비흡연자에서 유의하게 더 많이 일어났다. 초진시의 치주낭 깊이와 각 시기별 ${\Delta}PD$ 간의 상관관계에서는 치주낭 갚이가 5mm 이상인 3군에서 비흡연자의 경우 6개월째에 가장 강한 상관성이 나타났다($r_s=0.43$, p<0.05). 흡연자에서는 3군에서 어떠한 유의한 상관관계도 나타나지 않았다. 결론적으로 중등도 만성 치주염 환자를 대상으로 한 6개윌의 단기간 연구에서 비외과적 치주치료 후 흡연자에서 비흡연자보다 치주낭 깊이 감소의 개선과 부착수준의 획득이 더 적게 나타나 임상적 치유반응이 좋지 않음을 확인하였다. 이는 흡연이 숙주의 치유반응 부정적인 영향을 주기 때문으로 생각된다.

A Study on the Status for Oral Health Education of Dental Patients (치과에 내원하는 환자의 구강보건교육 실태에 관한 연구)

  • Ju, On-Ju;Park, Chung-Soon;Lee, Heung-Soo
    • Journal of dental hygiene science
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    • v.5 no.2
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    • pp.77-82
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    • 2005
  • The present study accentuate to investigate attitude and behavior about oral health education. The purpose is to provide awareness the importance of oral health education in dental clinics. A total of 350 surveys were over the age of 18 who visited oral health institutes in Chollabuk-Do, Korea. Survey was conducted with self-reported questionnaires from March 22 through April 10, 2004. The results were as follows: 1. The experience to receive oral health education, female, better educated and homemakers made a higher request. 2. Concerning practice they learned, the patients who were female, in there 30s, better educated and government works practiced was it the best. As for why didn't apply learned, they had not concerned about that (62.8%). 3. The greatest rate of respondents had been scaling in content of oral health Dental Patients education (35.3%) and 42.2% were informed flossing except tooth brushing in regarding auxiliary oral hygiene devices. 4. Respondents showed that tooth brushing was more frequently helpful (46.9%) and food control was 10.1% after oral health education. 5. To oral health care by oral health education, there was no significantly different in tooth brushing method and their teeth cleaned every two years (25.7%) and they used floss and the interproximal brush (30.6%).

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The Noise Level Assessment of Dental Equipment (치과 의료장비의 소음 수준 평가)

  • Lee, Jeong-Suk;Han, Ye-Seul;Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.603-611
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    • 2015
  • This research is aimed at cutting off hearing loss and other harmful factors due to noise and providing basic material for noise reduction plan. As the research method, this research assessed noise by measuring acoustic pressure level and frequency in various situation of non-treatment and treatment. As the measurement result, average noise degree of high speed handpiece of non-treatment, ultrasonic waves scaler, and low speed handpiece showed 58~66 dB(A). Average noise degree of scaling of treatment, tooth elimination, and denture adjust showed 73~81 dB(A). The result is inferior to recognized standards of noise induced hearing loss. But the result of assessing this with (noise rating) NR curve was NR-73~78, which exceeded general workplace noise standard. This level can cause hearing loss when exposed to a long time. Therefore, treatment office noise during dental treatment can cause psychological and physical damage in dental clinic employees, and it is urgently required to establish systematic and active noise reduction plan.

A Comparison of Effectiveness of Gracey Curet and Ultrasonic Curet on Subgingival Scaling and Root Planning (치은 연하 치석 제거와 치근면 활택술시 Gracey curet과 Ultrasonic curet의 치석 제거에 효과에 대한 비교 연구)

  • Chung, Suk-Hyung;Chung, Chin-Hyung;Lim, Sung-Bin
    • Journal of Periodontal and Implant Science
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    • v.31 no.1
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    • pp.257-269
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    • 2001
  • Removal of subgingival calculus is essential for the success in periodontal treatment. Subgingival instrumentation is used for the removal of all bacterial plaque and calculus. In this study, Gracey curet and Ultrasonic curet were used on single rooted teeth to conduct subgingval scaling and root planning. The remaining amount of calculus was evaluated according to type of instrument, depth of pocket, and tooth surface. 24 teeth were extracted from 14 patients being treated at department Periodontology Seoul Advantist dental hospital were used. Total 96 area(4 surface per teeth) were evaluated. 12 teeth treated with Gracey curet were used as the control group and the other 12 teeth treated with Ultrasonic curet were examined for experimental group. The 4 surface of the teeth(buccal, mesial, lingual or palatal, distal) were observed through the stereomicroscope and the images of the surface were captured and saved in CCD. The images were displayed on the monitor and the amount of calculus remained was evaluated by overlapping $10{\times}10$ grid pixel screen produced by Microsoft power point. The results evaluated were as follows 1. There was no statistically significant difference in residual calculus and tooth position following scaling and root planning of all group, but statistically significant correlation with residual calculus, probing depth, instruments and tooth surface. 2. There was statistically significant correlation between residual calculus and probing depth, but no statistically significant difference in residual calculus, tooth surface and tooth position on experimental(Ultrasonic curet) group. 3. There was no statistically significant difference in residual calculus according to the pre-treatment pocket depth and tooth position, but statistically significant correlation with tooth surface. The amount of residual calculus increase with mesial, distal, buccal and lingual(or palatal) surface on control(Gracey curet) group. 4. The Gracey showed better results than ultrasonic curet in mesial and distal surface, and there is significant difference. The results demonstrate that ultrasonic curet alone is inadequate for thorough subgingival debridement and suggest that Ultrasonic curet with Gracey curet should be more effective.

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Comparison analysis of before and after use of periodontal instruments on strength and agility of hands (치주기구사용 전·후의 손의 근력 및 민첩성 비교분석)

  • Yoo, DooHan;Kyung, So-jin;Back, Eun-jeong;Oh, Hyeon-hoei;Won, Sol-hee;Jang, Sol;Chae, Na-ri;Kang, Kyung-hee
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.117-122
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    • 2019
  • This study aimed to provide the basic data for the prevention of carpal tunnel syndrome by measuring and comparatively analyzing the changes in muscular strength, grasping force, and agility of hands before/after practice, targeting the dental hygiene students taking the scaling practice course. Targeting total 15 students(4th-year) of Dental Hygienics who had no problems with anatomical structure, muscular strength, grasping force, and senses of hands, the muscular strength, grasping force, and agility of hands were measured before/after the scaling practice. The collected data was processed by using the PASW Statistics 18.0(SPSS) Program. In the results of this study, the muscular strength and grasping force of hands were decreased after the practice compared to the ones before the practice. The agility of hands was increased after the practice compared to the one before the practice. Based on such results of this study, it would be necessary to avoid such exhausting hand gestures for scaling, and also to develop the preventive exercise to build up the strength of hands like stretching before/after scaling.

Influential Factors upon Missing Tooth of some Industrial Workers (일부 산업장 근로자의 결손치에 관한 영향요인)

  • Moon, Seon-Jeong;Lee, Myeong-Seon
    • The Journal of the Korea Contents Association
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    • v.11 no.10
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    • pp.370-379
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    • 2011
  • This study was carried out in order to offer basic data available for forming the better oral health habit by closely examining a cause for industrial workers' tooth loss. It analyzed correlation in missing teeth with general characteristics, subjective oral health recognition, habit related to oral health, and oral symptom targeting 6,976 of production workers and office workers who work at 49 industrial places where are located in Gumi city of Gyeongsangbuk-do Province from June 1, 2009 to December 31, thereby having obtained the following conclusions. 1. The higher age group led to the higher ratio of missing teeth. The ratio of missing teeth was lower in a case of having been removed plaque than having not been removed plaque. 2. The ratio of missing teeth was high in a case of having dental caries and periodontal disease. The ratio of missing teeth was high in a case of having smoked in the past or in a case of smoking now. 3. The ratio of missing teeth was high in a case of having less toothbrushing frequency and in a case of not using dental floss or interdental brush. 4. The ratio of missing teeth was high when a tooth is throbbing and when tongue and cheek are throbbing in addition to pain and bleeding in gum. 5. The ratio of missing teeth was high in a case of having unpleasant bad breath. The above results are expected to be likely conducive to offering basic data necessary for developing the oral health educational program for industrial places that can promote and maintain workers' oral health, and for improving oral health program and system available for promoting and maintaining workers' oral health hereafter.

Analysis of Correlation between Smoking and Gingivitis an Actual Condition of Oral Health Care in Some Vocational High School Boy Students (일부지역 실업계 고등학교 남학생의 구강관리실태 및 흡연과 치은염과의 상관성 분석)

  • Kim, Han-Hong;Yu, Ji-Su;Han, Yang-Keum
    • Journal of dental hygiene science
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    • v.9 no.5
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    • pp.513-518
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    • 2009
  • The purpose of this study was to examine correlation between smoking and gingivitis in boy students targeting 281 students in the 2nd grade for vocational boys' high schools where are located in Cheongju city. As a result of carrying out questionnaire research and oral examination, the following conclusions were obtained. 1. The smoking-experience rate in subjects of this study accounted for 59.4%. The current smoking rate was indicated to be 41.3%. Students' average gingivitis prevalence accounted for 61.5%. Out of those students, the students with experience of smoking accounted for 44.8%. The average gingivitis index was $0.20{\pm}0.27$. Out of those students, the students with experience of smoking were indicated to be $0.29{\pm}0.31$. 2. In case of having experience of smoking, the probability of having gingivitis was high(p = 0.000). The more drinking experience led to the higher gingivitis prevalence(p = 0.010). 3. In the multi-variate analysis, a case of gingivitis prevalence was higher in the group with experience of smoking by 5.5 times(p = 0.000) compared to the non-smoking group. A case that the smoking volume for a day is over 6 pieces was higher by 8.4 times(p = 0.000) compared to the non-smoking group. A case of being over 25 months in the smoking period was higher 13.2 times(p = 0.000) compared to the non-smoking group.

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Related Factors and Oral health Status of Some Manufacturering Workers (일부 제조업 생산직 남성근로자들의 구강건강상태 및 관련요인)

  • Cha, Jeong-Dan;Jang, Kyeung-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.4959-4967
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    • 2011
  • The Purpose of this study was to examine the factors affecting oral health status of some workers. Answer sheets for questionnarie for 178 workers at Changwon city, Korea, were collected and analyzed using SPSS 19.0. The number of respondents who have visited dental clinic is lower among group with dental caries than group without dental caries. The respondents who have scaling corresponds to 31.3% in the group with dental caries and a little bit lower percentage is shown in the group without dental cares(p<.05). Among those with dental caries, the respondents who experienced tooth pains are to 51.3% and those who had frequent blooding in gum 48.7% and those who had ordors inside the mouth 53.8%. The number of respondents who had scaling within last one year among the group with gingival inflammation is lower than those without it(p<.001). In the group with gingival inflammation, no smokers are corresponding to 13.9%(p<.01) and those with more than 3 times brush of tooth 4.7% and those with oral hygiene devices are to 5.9%. Important variables which have effects on dental caries are understood as self-evaluation for dental health, dental floss or interdental brush, ordors in the mouth. Also variables related with gingival inflammation are considered as tooth brush before bed time, tongue pain, orders in the mouth, the cold as ice tooth and tooth scaling experience. In summary, Oral health education is needed to increase the motivation of industrial workers to control their basic dental disease.

A study on the general health status related hypertension and oral health status of rural elder (일부 농촌지역 노인의 고혈압 관련 건강관리 및 구강관리 상태)

  • Jeong, Hyun-Ja;Jaung, Ae-Hwa;Kim, Hye-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.4852-4860
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    • 2011
  • Purpose: The aim of the study was to identify the oral health status and general health status of rural elder in order to develop of oral health management program and improving quality of life. Methods : 150 elder participated in the study, lived in GoRung Gun city, visited public health center, from 1st July 2009 to 30st July 2009. Results: The majority elder had hypertension and took medicine for hypertension regularly. The subjective oral health status was bad and the majority of experience of scaling and oral examination were none. General health management was influenced by education and economic status and oral health status was influenced by age, education and economic status. Age and economic status were effect for oral examination. Conclusion: These results may contribute to a better understanding of general health status, oral health status and management of rural elder. The relation between oral management and general health management was influenced. These findings are basis to development of oral health management program including scaling and oral examination for rural elder.

A Study on the Oral Health Care and Oral Health Awareness of Some Laborers (일부 근로자들의 구강건강관리행태 및 인식 조사)

  • Hong, Min-hee;Kim, Yoon-shin;Jeong, Mi-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.9
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    • pp.2545-2550
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    • 2009
  • The purpose of this study was to examine the oral health care and oral health awareness of some laborers. Out of them, 220 workers were selected from K motor company in Hwaseong, and the other 180 workers were selected from D automobile company in Bupyeong. The findings of the study were as follows: As for daily toothbrushing frequency, the largest number of the laborers investigated(44.0%) brushed their teeth three times a day. Smoking made a significant difference to that($x^2$=19.00, p<.01). Concerning the use of oral hygiene supplies, 41.3 percent put oral hygiene supplies to use. There was a significant difference in that aspect according to gender($x^2$=9.20, p<.01). Regarding scaling experience, the largest group(37.3%) had their teeth scaled twice or more, and their scaling experience significantly varied with gender($x^2$=8.60, p<.05), age($x^2$=20.07, p<.01), academic credential($x^2$=11.88, p<.01) and the presence or absence of systemic diseases($x^2$=8.19, p<.05). In relation to oral diseases, the greatest group(27.8%) had dental caries. By gender, the female workers had more dental caries or the more swollen gums than the males, and the gap between the two was significant($x^2$=13.65, p<.05).