• Title/Summary/Keyword: 치아우식증 예방법

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New Approaches to the Control of Pathogenic Oral Bacteria (바이오필름을 생성하는 병원성 구강 세균을 제어하는 새로운 접근법)

  • Cho, Soo Jeong
    • Journal of Life Science
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    • v.31 no.1
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    • pp.100-108
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    • 2021
  • In the oral cavity, there are hundreds of microbial species that exist as planktonic cells or are incorporated into biofilms. The accumulation and proliferation of pathogenic bacteria in the oral biofilm can lead to caries and periodontitis, which are typical oral diseases. The oral bacteria in the biofilm not only can resist environmental stress inside the oral cavity, but also have a 1,000 times higher resistance to antibiotics than planktonic cells by genes exchange through the interaction between cells in the oral biofilm. Therefore, if the formation of oral biofilm is suppressed or removed, oral diseases caused by bacterial infection can be more effectively prevented or treated. In particular, since oral biofilms have the characteristic of forming a biofilm by gathering several bacteria, quorum sensing, a signaling system between cells, can be a target for controlling the oral biofilm. In addition, a method of inhibiting biofilm formation by using arginine, an alkali-producing substrate of oral bacteria, is used to convert the distribution of oral microorganisms into an environment similar to that of healthy teeth or inhibit the secretion of glucosyltransferase by S. mutans to inhibit the formation of non-soluble glucans. It can be a target to control oral biofilm. This method of inhibiting or removing the oral biofilm formation rather than inducing the death of pathogenic bacteria in the oral cavity will be a new strategy that can selectively prevent or therapeutic avenues for oral diseases including dental caries.

A Needs Analysis Oral Health Education Contents for Teachers and Parents Using Borich Priority Formula and The Locus for Focus Model (Borich 요구도와 The Locus for Focus Model을 활용한 교사와 학부모의 구강보건교육 내용 우선순위 요구분석)

  • Kim, Ji-Su;Kang, Yu-Min;Lee, Su-Young
    • Journal of dental hygiene science
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    • v.18 no.4
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    • pp.252-264
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    • 2018
  • The purpose of this study was to analyze the priorities of oral health education contents for preschool children by targeting teachers and parents using the Borich priority formula and The Locus for Focus Model. The survey was conducted in 212 teachers and 215 parents from December 26, 2017 to January 21, 2018. The priorities of oral health education contents were based on a 3-step analysis method, including the paired sample t-test, Borich priority formula, and The Locus for Focus Model. As a result of this study, the number of items about oral health education for preschool children that were prioritized by teachers was 7, while that by parents was 9. The top priorities that teachers and parents had in common were the following 5 items; "The progression of dental caries," "Symptoms of dental caries," "How to prevent dental caries," "Eruption sequence of permanent teeth," and "Method for emergency management of avulsed teeth." The teachers' priorities of the oral health education contents were the same between teachers and parents; "Eruption sequence of deciduous teeth" and "The function of the permanent teeth" were added. The parents' priorities of the oral health education contents were the same between teachers and parents; "The effect of fluoride application," "The number of permanent teeth," "How to prevent malocclusion," and "The appropriate timing of malocclusion treatment" were added. Based on the results of this study, when developing oral health education programs for teachers and parents, oral health education for teachers should include 7 items and oral health education for parents should include 9 items.

A Study on Preschool Teachers' Oral Health Knowledge and Behaviors in Sung-nam City (성남시 어린이집 및 유치원 선생님의 유아구강보건의식과 행태에 관한 연구)

  • Ahn, Yong-Soon;Kim, Eun-Sook;Lim, Do-Seon;Jung, Se-Hwan;Kim, Mi-Jeong
    • Journal of dental hygiene science
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    • v.1 no.1
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    • pp.12-20
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    • 2001
  • The purpose of this study was to collect data about oral health to develop childrens' oral health programs in public centers. The questinnaire was mailed to 477 preschools in Sung-nam city. The returned 216 questinnaires were analyzed. The obtained results were as follows; (1) A majority of teachers knew the preventive probability of dental caries in deciduous teeth (86%) but the accuracy of the knowledge was not good. So, It is recommended that the preschool teachers' oral health knowledge should be improved. (2) Ninety-nine percent of responded teachers reported that the oral education program was needed and the right persons are the people whose worked at the department of oral health in public health centers. This means they agreed that the childrens' oral health program should be leaded by the public health centers. Therefore, public health centers should develop and supply the oral health education programs.

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The Result of Oral Health Care on Primary School Children Using Dental Caries Activity Test (일부 초등학생의 치아우식활성검사를 이용한 계속구강건강관리 효과)

  • Son, Eun-Yung;Choi, Moon-Sil
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.93-102
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    • 2012
  • The purpose of this study was to evaluate the effectiveness of oral health care including some of dental caries activity test on dental clinics of regular visiting on primary school children. The dental surveys and initial caries control and some of dental caries activity test (Alban's, Lactobacillius, S'mutans, un-stimulation saliva test)were performed by trained dental hygienists with dentist from on 6 to 13 years old patients of S dental hospital in Gwangju Metropolitan Cities. The sample size of 39 children (18 in oral health care group, 21 in control group ) and accepted to their parents. The results of caries activity test score(Alban's and Lactobacillius test)were reduced 1.4 to 1.6 times in oral health care group(OHCG). Oral Hygiene Simplified Index of OHCG was reduced 1.6 times during six months and 1 year. DMFT index of OHCG was reduced 1.4 times more than Control Group(CG) after 1 year. DT index of OHCG was reduced 12 times more than Control Group(CG) after 1 year. Dental health capacity of the first perment molar of OHCG was reduced 1.02 times more than CG after 1 year. From the above results, long life related incremental oral health care system has reinforced to primary school children in dental clinic with oral health professional teams.

A survey on the awareness of water fluoridation concentration regulation project of some elementary school (대전시 일부 초등학교 일반교사와 보건교사의 수돗물 불소농도조정사업의 인식도조사)

  • Lee, Tae-Yong;Seung, Bo-Kyun;Kim, Jee-Hee;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.5
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    • pp.1929-1935
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    • 2010
  • Approximately 110 elementary schools and 400 teachers in Dae Jeon metropolitan city were chosen for this research, by using the method of direct visit and survey by mail. The survey was performed as in the forms of self administration, by simple statistic extract method, and among the survey, insincere answers and partly omitted contents were removed, which left 348 survey questionnaires to use for the final research. In order to restore the tap water fluorine concentration regulation project in Dae Jeon, advertise its benefits; it offered precise knowledge and positive response of fluorine through education on oral disease prevention, provide correct knowledge, administrative support should follow to support its importance.

EFFECTS OF SUBINHIBITORY CONCENTRATIONS OF ANTIMICROBIAL AGENTS ON CELL SURFACE PROPERTIES AND VIRULENCE FACTORS OF MUTANS STREPTOCOCCI (아저해농도(亞沮害濃度)의 항균물질이 mutans streptococci의 세포표면성질과 독력인자에 미치는 영향)

  • Kim, Young-Jae;Hahn, Se-Hyun;Lee, Sang-Hoon;Jang, Ki-Taeg;Kim, Chol-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.605-616
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    • 2004
  • Subinhibitory concentrations (sub-MICs) refer to concentrations below minimum inhibitory concentrations (MICs). The antimicrobial agents may be present at relatively high concentration, at least higher than bacterial MIC and thereafter be deserted off a surface and function at sub-MICs, perhaps by interfering with bacterial metabolism. Consequently, the aim of this study was to determine the effects of growth, in the presence of sub-MICs of antimicrobial agents, on the cell surface properties and virulence factors of mutans streptococci and to investigate the efficacy of a chemical approach in vitro. Streptococcus mutans Ingbritt and Streptococcus sobrinus 6715-7 were used. Eight antimicrobial agents (Sanguinaria extract;SG, Chlorhexidine digluconate;CHX, Fluoride;F, Propolis;PP, Hydrogen peroxide;HP, Triclosan;TC, Sodium dodecyl sulfate;SDS Cetylpyridinium chloride; CC) were diluted serially in broth to determine MICs and to compare the growth rate, acid production, hydrophobicity, adhesion activity to saliva coated hydroxyapatite, glucan synthesis and cellular aggregation of experiment groups (in the presence of sub-MICs) with those of control (in the absence of antimicrobial agents). Sub-MICs of antimicrobial agents affected the growth of cells, hydrophobicity, and adhesion of bacteria to saliva coated hydroxyapatite and glucan synthesis. They also resulted in a significant reduction in pH after 12 hours (p<0.05). By cells pretreated with proteinase K, either the aggregation induced by antimicrobial agents was completely inhibited or the aggregation titers were markedly increased. According to the results of the present study, each antimicrobial agent at sub-MICs could affect similar as its known action mechanism and could continually inhibit cariogenic bacteria at such concentrations. Thus, the use of these antimicrobial agents would be one of the effective methods to prevent dental caries.

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Quantitative comparison of mRNA expression of glucosyltransferase (GTF) between $xylitol-resistant(X^R)$ and $xylitol-sensitive(X^S)$ mutans streptococci (Mutans streptococci의 자일리톨 내성균주와 감성균주의 glucosyltransferase mRNA의 정량적 비교 연구)

  • Lee, MI-Na;Kim, Young-Jae;Lee, Sung-Hoon;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.1
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    • pp.77-84
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    • 2006
  • Since the long-term exposure of mutans streptococci to xylitol is known to select for xylitol-resistant $(X^R)$ natural mutants, the occurrence and survival of such $(X^R)$ strains were performed in batch culture methods. The aim of the study was to compare the differentiation and quantification of mRNA expression of the gtf genes of $X^R\;and\;X^S$ mutans streptococci. Using a real-time reverse-transcription polymerase chain reaction, the expression of each gtf was determined. In $X^R$ strains, the relative levels of transcription of gtfB and gtfC were decreased while that of gtfD was increased, suggesting the presence of independent promoters. It also suggested that mutation related to production of glucosyltransferase occurred under the exposure of xylitol could explain the caries-preventive mechanisms of xylitol.

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Effects of Food Intakes on Dental Caries in Primary School Students (초등학교 아동의 식품섭취실태가 치아우식에 미치는 영향)

  • 박경숙;서은숙;신미경
    • Korean journal of food and cookery science
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    • v.15 no.1
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    • pp.16-22
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    • 1999
  • The relation between food intakes and dental caries was investigated with 211 primary school students (83 boys and 128 girls) in Kumsan area. The results were as follows. The rate of dental caries of the subjects was 65.4%. 83.9% of the subjects had a snack, 69.5% of students having a snack and 44.1% of students having not snack was dental caries (p<0.001). For tooth brushing numbers per day, 38.4% of subjects was one time, and 61.6% was more than two times. For tooth brushing time, 31.8% had before meals and 68.2% after meals. The intake frequency rate of main food was cooked rice 33.30%, ramyun 14.81%, bread 9.57%, rice cake 6.16%, nodule 4.88% in good group, and cooked rice 27.04%, rice cake 12.04%, ramyun 8.50%, bread 8.11%, fried rice 5.49% in dental caries group. The intake frequency rate of a side dish was kimchi 13.88%, egg 6.21%, dried laver 5.51%, fish paste 5.51%, fish 5.03%, kongjaban 0.44% in good group, and potato soup 6.86%, cucumber 6.56%, sprout soup 5.78%, bean curd 5.33%, sesame leaf 5.21%, lettuce 1.23% in dental caries group. The intake frequency rate for snack was ice cream 9.85%, biscuit 7.35%, gum 6.17%, chestnut 6.16%, apple 5.81%, milk 5.56%, yogurt 4.86%, gypo 4.39%, candy 4.15%, chocolete 3.91% in good group, and biscuit 10.00%, ice cream 6.75%, candy 5.88%, fruit canned food 5.70%, milk 5.41%, corn 5.00%, banana 5.00%, peanut 4.42%, fritter 4.39% in dental caries group. The rate of cariogenic food, detergent food, protective food in a side dish were 4.0%, 40.8%, 55.1%o in good group, and 11.5%, 43.9%, 44.6% in dental group respectively (p<0.001). The rate of cariogenic food, detergent food, protective food in a snack 67.8%, 10.4%, 21.7% in good caries group, and 75.3%, 8.8%, 15.9% in dental caries group respectively (p<0.001).

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Experience and Recognition of Fluorides for Caries Prevention: Focusing on One University (일개 대학 재학생의 치아우식예방 불소이용법에 관한 경험과 인식)

  • Kim, Soo-Ryeon;Kim, Su-Hyun;Kim, Cho-Rong;Park, Jee-Won;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.580-588
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    • 2014
  • Fluoride use is the best and widespread method for dental caries prevention. The aim of this study was to investigate experience and recognition of fluoride for caries prevention focusing on majors in one university. Four hundred twenty-four university students were selected by convenience sampling with informed consent and answered the questionnaire by self recording type. The subjects except dental hygiene students knew about purpose of fluoride use (84.6%), over the count fluoride rinse (63.2%), fluoride toothpaste (61.5%), professional fluoride application (56.4%) and water fluoridation (43.6%). They experienced over the count fluoride rinse (67.5%), school fluoride rinse (45.3%), professional fluoride application (30.8%), fluoride toothpaste (28.2%) and water fluoridation (12.0%). The main information paths about fluoride were university lectures among dental hygiene students and internet and mass media, followed by nurse-teachers among non dental hygiene students. The ratios of intention to use fluoride were: 67.8% in dental hygiene, 34.9% in health, 51.4% in non-health in case of professional fluoride application for oneself, 93.1% in dental hygiene, 48.0% in health, 50.4% in non-health in case of professional fluoride application for their children, 79.0% in dental hygiene, 51.3% in health, 55.8% in non-health in case of water fluoridation. The subjects to experience and recognize fluoride for caries prevention had more positive intention to use fluoride. The answers of students majoring in health or medical care were not different from non-health, except dental hygiene. Dental professionals should try to let the public know about fluoride use for caries prevention through mass media and internet as well as individual education in dental clinics.

A Survey on the Oral Health in Accordance with The Oral Health Behavior of Children in Kindergarten (유치원 아동들의 구강보건행태에 따른 구강건강실태 연구)

  • Lee, YunHui;Jwa, SuKyung;Choi, MiSung
    • Journal of the Korean Society of Radiology
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    • v.7 no.6
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    • pp.419-426
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    • 2013
  • This study was performed in order to suggest the basic informations about the proper oral health babits for kindergarten children, through the investigation of the oral health survey and their oral haelth behaviors. 213 of kindergarten children age 6 were surveyed who has lived at Daegu city and the examined data were analysed by use of spss 18.0 ver.program. The children who had performed the toothbrushing for 3 or 4 times a day, were estimated as high level in voluntary under taking of toothbrushing. It revealed that the low of the caries experience rate in the group of the sabiects who performed toothbrushing at every after meals. On the other hands, both the caries experience index of children who had perfomed toothbrushing with the rolling method and the dental plague index of children who had performed the toothbrushing just the morning time of the oral examination day, wer reveealed as high scores, due to the lack of the abilities to perform the toothbrusing with the proper method. It was needed to educate children for practical performing the toothbrush as well as for traning it with the right way, in order to promote the oral health for kindergarten children.