• Journal of dental hygiene science
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• v.12 no.5
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• pp.469-476
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• 2012

The purpose of this study to grasp the effects of the stress coping method on the periodontal disease in order to provide raw data for the studies on the development of the training for effective stress copying method resulting in improvement in prevention, occurrence, and progression of periodontal disease. Data were collected from total of 326 subjects in their forties and fifties, during the period from March to October 2011. Using questionnaire and examination of periodontal health, and were analyzed using frequency, t-test, multivariate analysis of variance, multiple regression by SPSS ver. 19.0 (IBM Co., USA). The higher emotion-focused stress coping ($\beta$=0.341), the higher the gingival index, the higher the emotion-focused stress coping ($\beta$=0.239) the deeper the pocket depth, the higher the emotion-focused stress coping ($\beta$=0.158) the higher clinical attachment loss, showed statistically significant positive association. This study suggests that the dental clinic institute needs to implement education program including stress management and coping method improvement in order to prevent periodontal disease and make the occurrence and progression to be managed by professionals.

• Journal of Korean society of Dental Hygiene
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• v.24 no.2
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• pp.121-130
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• 2024

Objectives: This study aimed to develop a virtual reality (VR)-based oral strength training program and apply it to older adults to assess improvements in oral function. Methods: The oral strength training was conducted 12 times over 6 weeks, from late August to early October 2023, at the participants' institution. Each session lasted approximately 60 minutes. Forty-one participants aged 65 and older were randomly assigned to either the intervention or control group. Results: Following the VR-based oral muscle strength training, the O'Leary index decreased by 0.42 (p<0.01), and the Löe & Silness index decreased by 1.11 (p<0.01). Additionally, there was a 1.24 reduction in tongue tie (p<0.01) and a 0.55 increase in salivation (p<0.05). Post hoc comparisons revealed significant differences between the two groups in gingival bacterial film (p<0.001), gingivitis (p<0.001), and tongue plaque (p<0.01). Conclusions: The study found that VR-based oral muscle strength training can improve oral health among older adults. Therefore, the VR-based oral muscle strength training program developed in this study could be beneficial in health promotion programs for the elderly.

• Journal of Periodontal and Implant Science
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• v.37 no.sup2
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• pp.409-426
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• 2007

세균성 치태는 치은의 염증과 치주 조직 파괴를 동반하는 치주염의 주요한 인자로서 치주 조직 건강을 유지하기 위하여 적절한 치태 조절이 필요하다. 본 논문의 목적은 12주 동안 만성 초기 및 중등도 치주염 환자에서 치은염에 대한 임상 지수의 감소, interleukin-6 (IL-6) 농도와 치주질환 원인균인 Prevotella intermedia (P. intermedia), Actinobacillus actinomycetemcomitans (A. actinomycetemcomitans)에 대한 소니케어 전동 칫솔의 효과를 일반 칫솔과 비교해 보고자 하는 데 있다. 총 82명의 환자를 선택하였으며, 30명은 일반 칫솔, 52명은 소니케어 전동 칫솔 군으로 분류하여 칫솔질 교육을 실시하였다. 전악을 전치부와 구치부로 나누어 초진, 1, 4, 12주에서의 치태, 치은 지수 및 탐침 시 출혈 여부를 조사하였으며, 가장 깊은 치주낭 탐침을 보이는 치아 3개를 선택하여 탐침 깊이와 부착 정도를 측정하였고, 선택된 치아에서 초진, 1, 12주에 채취된 샘플을 통해 치은열구액 내의 IL-6 농도와 P. intermedia, A. actinomycetemcomitans의 CT값을 추가적으로 조사하여 다음과 같은 결과를 얻었다. 1 소니케어 전동 칫솔과 일반 칫솔군 모두 치은 염증을 나타내는 임상 지수 (치태지수, 치은지수, 탐침 시 출혈)는 12주 기간 동안 유의한 감소 (p<0.05)를 보였으나, 전동 칫솔 군에서 통계학적으로 더욱 유의하게 (p<0.05) 나타났다. 2. 전치부를 제외한 구치부 치아에서 소니케어 전동 칫솔군은 12주 기간 동안 탐침 시 출혈의 감소가 통계학적으로 유의하게 (p<0.05) 나타났다. 3. 가장 깊은 치주낭 탐침 깊이를 보이는 3개의 선택된 치아에서 치주낭 탐침 깊이와 부착 정도는 두 군 모두 초진에 비해 유의한 감소 (p<0.05)를 보였다. 퍼센트 변화 비교에서 치주낭 탐침 깊이는 소니케어 전동 칫솔군이 $18.47{\pm}10.05%$, 일반 칫솔군이 $14.19{\pm}8.16%$로, 부착 정도는 소니케어 전동 칫솔군이 $24.26{\pm}12.51%$, 일반 칫솔군이 $15.65{\pm}9.92%$로 각각 나타났으나, 군 간 통계적 유의차는 보이지 않았다. 4. 치은열구액의 IL-6 농도는 두 군 모두 12주 기간 동안 통계적으로 유의한 감소 (p<0.05)를 나타내었다. 퍼센트 변화 비교에서 전동 칫솔군은 51%, 일반 칫솔군은 37%로 각각 나타났으나, 군 간 통계적 유의차는 보이지 않았다. 5. Prevotella intermedia, Actinobacillus actinomycetemcomitans의 관찰에서 두 군 모두 유의한 차이는 없었다. 위 결과를 통해 본 연구에서는 소니케어 전동 칫솔의 사용이 일반 칫솔에 비하여 만성 초기 및 중등도 치주염 환자에서 치태의 제거, 치은 염증 및 임상 지수의 감소에 유의한 효과가 있으며 IL-6의 감소 경향에도 효과가 있음을 관찰하였다.

• Journal of the korean academy of Pediatric Dentistry
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• v.28 no.3
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• pp.391-402
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• 2001

The reports concerning dental disease in handicapped children are contentious, and there are many differences of opinion as to what extent handicapped children differ in oral health and disease from healthy children. The present study was done by conducting a comprehensive study and evaluation of the oral health between the 267 handicapped and the 128 normal persons with regard to caries rate, occlusion and the condition of the periodontium. The result showed that the dft, the dfs and DMFT indices of handicapped persons according to age were significantly lower than those of normal persons(p<0.05). The prevalence of gingivitis in handicapped persons increased with age and was significantly higher than those reported for normal persons(p<0.001). It was found that the handicapped group had a significant difference in the class distribution of occlusion, with a higher percentage of Class II and Class III occlusion from that observed in the control group(p<0.05).

• Journal of Korean society of Dental Hygiene
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• v.11 no.4
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• pp.595-602
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• 2011

Objectives : This study purpose were the effect of toothbrushing for decreasing halitosis for gingivitis and periodontitis patients. Methods : The university staffs were examined oral condition and analysised a change of oral health state score after using 3 types of toothbrushing. Results : The results were as followed : OHI-S shows that the decreasing effect takes place in the M. bass method and Tooth pick method, but shows no differences by each method. GI for Self test method shows decreasing effect after 2nd week during education while the M. bass method and Tooth pick method shows after 1st week during education. The M. bass method shows much greater effect of halitosis amongst 3 kind of method. PI for Self test method and Tooth pick method show decreasing effect. Decreasing effect during education shows until 2nd week by 3 kind of method, but it shows no differences after 3rd week. VSC(ppb) for M. bass method and Tooth pick method show decreasing effect. Decreasing effect during education shows after 3rd week by 3 kind of method, but it shows no differences until 2nd week. PHP for Self test method, M. bass method and Tooth pick method show decreasing effect after 2nd week during education. But, there is no differences of decreasing effect by among 3 kind of method. Conclusions : This study reports that it is necessary to carry outt further studies on the improvement of oral health management of adults based on the development of oral health education.

• Journal of dental hygiene science
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• v.14 no.2
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• pp.150-157
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• 2014

The aim of this study was to suggest a convenient method of monitoring the gingival state through plaque detection. Quantitative Light-Induced Fluorescence-Digital (QLF-D), which can assess mature plaque, can be used to assess the oral hygiene status of individuals and to establish an adequate intervention plans for them. The subjects of the study participated in the clinical training at Department of Dental Hygiene, N University. The subjects completed questionnaires on general characteristics and oral hygiene methods. Then, photographs of maxillary and mandibular anterior teeth of the subjects were taken using the QLF-D. After the oral examinations, gingival state was recorded according to the $L{\ddot{o}}e$ & Silness's Gingival Index (GI). In addition, a plaque control record was calculated in percentage using disclosing agent. The analysis of the relation between the plaque control record and the QLF-D scores showed positive correlation (r=0.638, p<0.001), and the analysis of the relation between the QLF-D scores and the gingival bleeding index scores also showed positive correlation (r=0.562, p<0.001). Besides, the study classified the participants into healthy gingiva group and the gingivitis group according to the classification criteria of GI, and when the difference of QLF-D scores between the groups was analyzed, the QLF-D scores were statistically significantly higher (t=-2.785, p=0.007) in the gingivitis group ($1.71{\pm}1.545$) than the healthy gingiva group ($0.74{\pm}1.290$). When the differences in mean values of the QLF-D scores were analyzed against and the gingival bleeding index scores, the QLF-D scores of 0 and 1 belonged to the category of normal gingival state while the QLF-D scores of 2, 3 and 4 belonged to the category of gingivitis state. Therefore, it is deemed that the red fluorescence detected by the QLF-D from the mature supragingival plaque can be used for monitoring the state of gingivitis.

• Journal of Korean society of Dental Hygiene
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• v.15 no.4
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• pp.555-563
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• 2015

Objectives: The purpose of the study is to investigate the effect of oral health education for the elderly using $Qscan^{TM}$. Methods: This study was a quasi-experiment design of nonequivalent control group pretest-posttest design carried out by oral health education from January 17 to March 7, 2015. The subjects were 64 elderly people over 65 years old who had more than one remaining teeth in the anterior teeth and canines living in Hongseong-gun and assigned to 33 control group and 31 intervention group. The intervention group was measured only by $Qscan^{TM}$. The educational effect between two groups were evaluated using oral health behavior, gingivitis index, and plaque index. After Institutional Review Board from Namseoul N University, the elderly people participated in the study. Results: The intervention group showed lower plaque index of percent reduction than the control group. The two groups showed a significant difference in gingival index after the oral health education(p<0.05), but did not show a significant difference in oral health behavior after the oral health education(p<0.05). Conclusions: The effect of oral health education through the motivation of $Qscan^{TM}$ was very effective in the comparison of oral health behavior, gingival index and plaque index.

• Journal of Korean society of Dental Hygiene
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• v.16 no.2
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• pp.225-231
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• 2016

Objectives: The purpose of this study was to investigate the influential factors of stress and fatigue on peridontal indicators in patients with periodontal disease. Methods: A self-administrated questionnaire study was conducted during November 2012 to January 2013 with 140 periodontal patients. The Fatigue and Stress were evaluated with Multidimensional Fatigue Scale(MFS) and Psychosocial Well-bing Index(PWI). Periodontal health indicators were consisted with gingival index and pocket depth. Data were analyzed by descriptive analysis, t-test, ANOVA, and multiple regression analysis. Results: Overall stress and fatigue level of subjects were $22.61{\pm}5.62$ and $64.67{\pm}9.45$. Gingival index and periodontal pocket depth as periodontal health indicators were $1.26{\pm}0.3$ and $4.29{\pm}0.52$. The influential factors of gingival index and periodontal pocket depth were social function(subcategory of pwi) and depression(subcategory of pwi), respectively. Conclusions: Some subcategories of PWI were related with periodontal health indicators. So, consideration of stress related with depression and social function are needed to manage and prevent periodontal disease.

• Journal of the korean academy of Pediatric Dentistry
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• v.32 no.4
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• pp.717-725
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• 2005

It is widely known that individuals with Down's syndrome(DS) often develop early onset severe periodontal diseases. In this study, We examined the prevalence of periodontopathic bacteria in DS patients to compare controls with mental disabilities(MD) The subjects were 27 DS patients (7 to 19 years old) and 27 age-matched controls with MD. Plaque index and gingival index were measured. And 5 pathogens, Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola, Fusobacterium nucleatum, were surveyed in subgingival plaque samples using a polymerase chain reaction. No significant difference in plaque index and gingival index were observed between the DS and control group. The prevalence in DS was 96.3% for F. nucleatum, 74.1% for T. forsythia, 63.0% for P. gingivalis, 55.6% for A. actinomycetemcomitans. 40.7% for T. denticola. No significant differences were observed in the prevalence of periodontopathic bacterias between the DS and control. Prevalence of P.g(16.7%) at age $7{\sim}10$ is lower than other age group in DS, but its prevalence increased with age. Prevalence of A.a(83.3%) is peak at age $7{\sim}10$ in DS. These results suggest that various periodontopathic pathogens can colo nize in the very early childhood of DS and MD patients. But no significant difference was observed in the prevalence of periodontopathic bacterias between the DS and control.

• Journal of Periodontal and Implant Science
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• v.31 no.4
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• pp.651-659
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• 2001

후박추출물은 치주병인균에는 항균효과가 있고, 치은섬유아세포에는 세포독성이 적은 것으로 알려져 있으며 홍아씨 추출물은 골아세포를 활성화시키는 효과가 있어 골조직재생에 효과가 있는 것으로 알려져 있다. 이 실험의 목적은 비글견에 인위적으로 치주염을 유도하고 후박추출물과 홍화씨추출물의 혼합물을 투여함으로써, 이 두 가지 혼합물이 치주염 진행에 예방효과가 잇는지, 또, 치료효과가 있는지 알아보는 것이다. 후박과 홍화씨를 구입하여 에탄올에서 추출하여 정제하고 진공상태에서 건조시켜 농축하였다. 후박추출물과 홍화씨 추출물을 1:5의 질량비로 혼합하고 250㎎씩 캡슐에 넣었다. 비글견의 상하악 소구치와 하악 제1대구치를 8주 동안 철사와 견사로 결찰하여 치주염을 유발하였다. 8주 후에, 실험군 비글견에게는 미리 후박추출물과 홍화씨추출물 혼합물을 매 12시간마다 하루에 1,500㎎ 씩 12주 동안 투약하였다. 대조군 비글견에는 투약을 하지 않았다. 투약을 시작한 후에 치은지수, 부착수준을 매 4주마다 측정하였다. 매 4주마다 치주낭에서 페이퍼포인트를 이용하여 혐기성세균과 호기성세균을 채취, 배양하여 각각의 집락 수를 세었다. 그 결과 실험군의 치은지수는 8주, 12주에서 대조군보다 유의하게 낮았고(p<0.05)), 임상적으로도 상당한 치은염의 개선을 보였다. 실험군의 혐기성세균 집락수는 감소하여 4, 8, 및 12주에서 대조군에 비해 유의하게 낮았고(p<0.001), 호기성 세균 집락수는 4, 8, 및 12주에서 대조군에 비해 유의하게 낮았다.(p<0.05)이 실험 결과, 후박 추출물과 홍화씨 추출물 혼합물이 치주질환의 예방 및 치료에 이용되어질 수 있을 것으로 생각된다.