• Title/Summary/Keyword: 치주상태

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Study on the Effectiveness of image inspection Replacement of the Periodontal disease Questionnaire in the Electronic Medical Record Environment (전자의무기록 의료 환경에서 치주 자가설문지의 영상 판독 대체 효용성에 대한 연구)

  • Maeng, You-Jin
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.4
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    • pp.707-714
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    • 2017
  • There have recently been an increasing number of reports claiming that the periodontal disease, the most typical oral disease, is closely associated with various systemic diseases such as cardiovascular disease. Therefore, it is imperative to explore the methods that can ensure effective and cost-effective monitoring of periodontal disease in specific population groups, as well as individuals in the electronic medical record environment. However, traditional periodontal examination methods, such as periodontal probe, are considerably demanding and time-consuming for dental specialists, and furthermore, cause the risk of bacteremia as they are invasive procedures. Thus, the objective of this study was to validate the capability of new method for screening the periodontal disease using the self-reported questionnaire for periodontitis which is the non-invasive procedure to replace radiography.

Distribution of Periodontal Status and Treatment Need between Smoker and Nonsmoker (흡연자와 비흡연자의 치주상태 및 치주치료요구도 - 일부 대학생 흡연자 중심 -)

  • Cho, Myung-Sook;Kim, Young-Sun;Jeong, Hyun-Ja
    • Journal of Korean society of Dental Hygiene
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    • v.1 no.1
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    • pp.111-123
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    • 2001
  • Objectives : The purpose of this study was to investigate distribution of periodontal status and treatment need between smokers and nonsmokers. Methods : Interview and measurement was completed by 82 smoker students and 59 nonsmoker students in Taegu Health College from April 1 to 31, 2001. The community periodontal index of treatment needs(CPITN) was analyzed by percentage. Results : In distribution of CPITN by age, almost all subjects had periodontal diseases except for aged 20~24 years nonsmokers(4%). Smoking 5 cigarettes per a day, up to 10, and above 10 increased 5.3%. 7.1%. and 9.5% in 4 score of CPITN, respectively. In years of smoking, smokers who had above 5 years(13.5%) were higher than below those(6.7%), 20% for smoker who take tooth brushing once per a day had higher than 8.3%(or three in depth of pocket above 6mm. In treatment need, all subjects should take education(or oral health except for aged 20~24 years nonsmokers(4%), 96% of smokers and nonsmokers were need scaling. Conclusion : This study indicated that treatment needs for periodontal diseases and scaling in smoker were higher than nonsmoker those.

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The Correlation between Diabetes and Periodontitis in Korean Adults (한국 성인의 당뇨병과 치주질환의 관련성)

  • Jung, Jung-Ock;Lee, Kyeong-Hee;Youn, Hye-Jeong
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.221-228
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    • 2011
  • The purpose of this study was to evaluate the correlation between diabetes and periodontal diseases in Korean adults based upon the data of the 2007 Korea National Health and Nutrition Examination Survey. The subjects of this study were 190 adults aged ${\geq}19years$ whose CPI(Community Periodontal Index) and diabetes related medial histories including its component-specific examination data had been available, and the results of this study are summarized as follows: 1. Diabetes related characteristics associated with the prevalence of periodontal diseases include diabetes education, diabetes treatment, and glycosylated hemoglobin (HbA1c). The incidence rate of periodontitis was higher in the subjects who had not received diabetes education or treatment or who showed at least 7.0 of glycosylated hemoglobin (HbA1c) levels (apt to be uncontrolled). 2. General health behaviors associated with the prevalence of periodontal diseases include smoking and drinking. The incidence rate of periodontitis was higher in those who were currently smokers or who had higher frequencies of drinking per week. 3. Oral health behaviors associated with the prevalence of periodontal diseases include the history of oral health examination in the previous year, the use of proxabrush or dental floss, and perceived oral health status. The incidence rate of periodontitis was higher in those who had not received oral health examinations in the previous year, who had used neither proxabrush nor dental floss or who perceived that their own oral health was poor.

Relationship among impaired fasting glucose and diabetes and periodontal disease (공복혈당장애 및 당뇨병과 치주질환의 관련성)

  • Park, Ji-Hye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.389-396
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    • 2015
  • This study examined the relationships among impaired fasting glucose (IFG), diabetes and periodontal disease. The data from 10,856 adults (aged over 19 years) was derived from the Fifth Korean National Health and Nutrition Examination Survey, which was conducted in 2010 and 2012. Adjusting the related confounders, multiple logistic regression analysis showed that periodontitis were related to gender, age, education level, smoking and diabetic status (p<0.001). These findings suggest that abnormal fasting glucose, which is a predisposing factor for diabetes mellitus, does not appear to be a risk indicator for periodontal disease. On the other hand, if patients do not take steps to prevent or delay diabetes, prediabetes is likely to develop into type 2 diabetes within 10 years. Therefore, patients with prediabetes need to undergo continuous examinations and management of periodontal disease.

Patient related and tooth related risk factor of tooth loss after periodontal surgical treatment - prospective study (치주수술 후 치아상실에 대한 환자관련, 치아관련 위험요소 - 후향적 연구)

  • Jong-Geun Song;Sung-Jo Lee;Pham-Duong Hieu;Hyun-Seung Shin;In-Woo Cho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.1
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    • pp.1-8
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    • 2023
  • Purpose: The purpose of this study is to analyze the prognostic factors related to tooth loss after 5 years of periodontal surgery in periodontal disease patients. Materials and Methods: From January to December 2017, 22 patients and 124 teeth who underwent periodontal treatment through periodontal surgery were targeted. At the time of treatment, the measured values were evaluated after recording the maximum probing depth, average periodontal probing depth, number of root, furcation involvement, pulp vitality, and prosthesis state on the day of periodontal surgery. Based on the initial records at the time of visit, patient-related factors were gender, age, smoking, tooth loss due to periodontal disease at the time of first visit, diabetes, and maintenance period. The influence of each factor on tooth loss was evaluated. Results: As a result of examining the influence of tooth-related factors on tooth loss, the maximum probing depth depth (P: 0.000), bone loss (P: 0.021) was found to have a significant effect on tooth loss. Conclusion: As a result of examining the influence of patient-related factors on tooth loss, any variables had no significant effect. Bone loss, maximum probing depth acted as statistically significant prognostic factors for tooth loss in patients who underwent periodontal surgery.

The association between periodontal treatment needs and oral health behaviors in Korean adults (한국 성인의 치주치료요구와 구강건강행동의 관련성)

  • Han, Su-Jin
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.89-97
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    • 2020
  • This study aimed to identify the association between each stage of Community periodontal index of treatment needs (CPITN) and oral health behaviors. Multivariate logistic regression analysis was performed on the data obtained from 11,002 adults aged between 19 and 79 years, using data from the 7th Korea National Health and Nutrition Examination Survey. When interdental care products such as floss or interdental brush were used, the risk of CPITN1 to CPITN3 and periodontitis was significantly reduced. Brushing more than 3 times a day significantly reduced the risk for CPITN1 and CPITN2, and dental check-ups reduced the risk for CPITN1, CPITN2, and periodontitis. There were differences in related factors depending on the stage of CPITN and periodontitis. Therefore, it is essential to include training on the use of interdental care products in oral health education. In addition, it will be helpful educate subjects on select oral health behaviors based on their periodontal status.

Impact of nonsurgical periodontal therapy on oral malodor and microbial load of saliva (구취와 타액내의 미생물 수에 대한 비외과적 치주치료의 영향)

  • Kim, Myung-Jin;Kim, Sung-Jo;Choi, Jeom-II;Lee, Ju-Youn
    • Journal of Periodontal and Implant Science
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    • v.37 no.1
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    • pp.1-10
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    • 2007
  • 연구 목적 : 구취의 주된 화학적 요소는 휘발성 황 화합물 (VSCs)들이다. 이들은 치태, 설태, 타액과 혈액, 상피세포의 혐기성 그람 음성 세균에 의한 단백분해 변성으로 만들어 진다. 또한 구취는 치주질환과 타액내의 세균의 증가를 야기하는 불량한 구강 위생상태에서 기인한다고 보고되고 있다. 이 연구의 목적은 VSCs를 측정함으로 구취에 대한 비외과적 치주 치료의 영향을 평가하고, 타액내의 세균 수를 측정함으로써 VSCs와의 상관관계를 살펴보고자 하는 것이다. 연구 대상 및 방법 : 중등도의 만성치주염을 가지는 23명의 참가자들이 대조군과 실험군으로 분류되었다. 대조군은 구강위생교육 (치간청결기구와 혀세정 포함)만을 시행하였고 실험군은 구강위생교육과 함께 24시간 내에 전악 치석제거술과 치근활택술을 시행하였다. 치료 전과 치료 4주 후에 VSCs 농도를 $Halimeter^{(R)}$(Interscan Corp., CA, USA)를 사용하여 측정하였고 타액 시료는 혐기성과 호기성 조건에서 배양되었다. 결과 : 4주 후에 두 군 모두에서 휘발성 황화합물의 농도가 유의하게 감소하였고, 실험군에서의 감소량이 통계적으로 유의하게 더 크게 나타났다. 타액 내 세균의 배양에서 총세균수에 대한 혐기성 세균의 비율이 실험군에서만 통계적으로 유의하게 감소하였다. 그러나 세균의 비율과 휘발성 황화합물의 농도와의 상관관계는 낮게 나타났다. 즉 구취의 감소는 타액 요인 보다는 치주치료에 의한 다른 복합적인 인자의 작용에 의한 것으로 추론할 수 있었다. 결론 : 본 연구는 중등도의 치주염환자에서 구강위생교육만으로도 구취의 주요 화학적 요인인 휘발성 황화합물의 농도를 감소시킬 수 있으나 비외과적 치주치료를 동반하였을 때 더욱 큰 효과를 얻을 수 있는 것으로 해석된다. 그러나 실험 참가자의 수가 적었고 장기간의 분석이 이루어지지 않았으므로 앞으로 더 많은 연구가 구취에 대한 치주치료의 영향을 이해하기 위해서 필요할 것으로 사료된다.

Periodontal prosthesis on medically compromised patient with few remaining teeth: hybrid telescopic double crown with friction pin method (의과적 문제가 있고 소수 잔존치를 가지는 환자에서의 치주보철 임상증례: 프릭션핀을 이용한 하이브리드 텔레스코픽 이중관법)

  • Ha, Seok-Joon;Lee, Cheong-Hee;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.4
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    • pp.359-365
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    • 2014
  • Successful results of treatments using double crown prostheses for the partially edentulous patients who have a few remaining teeth have been reported in several journals. A double crown removable partial denture can be an alternative treatment for the patients with a poor periodontal condition of remaining teeth. Since a double crown removable partial denture can be applied without the risk of surgical operation to the medically compromised patients with a poor periodontal condition which is inadequate for dental implants, it has psychological and economical advantages. In this case, there were sufficient remaining teeth to be restored with fixed prostheses in maxilla, while there were a few remaining teeth with a very poor periodontal condition so that it was almost impossible to restore with a clasp removable partial denture using these remaining teeth in mandible. In addition, the patient had the medical history of surgical operation due to osteomyelitis in the mandibular anterior areas a year ago, thus difficult to conduct an implant placement. The main objective of this report is to introduce our case because a double crown partial denture using a few mandibular remaining teeth showed satisfactory results in functional and esthetical aspects during more than two years follow-up period in this unfavorable condition.

Oral Health Status of Some Patients with Chronic Mental Illness in Korea (일부 만성 정신질환자의 구강건강 상태)

  • Seo, Hye-Yeon;Jeon, Hyun-Sun;Park, Su-Kyung;Park, Ki-Chang;Chung, Won-Gyun;Mun, So-Jung
    • Journal of dental hygiene science
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    • v.13 no.4
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    • pp.493-500
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    • 2013
  • The study aims to determine the status of oral health of mental illness patients and establish the preliminary data. The examinations and questionnaire survey were done 92 psychiatric patients to measure sociodemographic characteristics, decayed, missing and filled teeth (DMFT) index, patient hygiene performance (PHP) index, community periodontal index of treatment need (CPITN). Result of the missing teeth index in the state of oral health was higher in the hospital group (6.42) while the filled teeth index was higher in the center group (4.78). In the DMFT index, mental illness patients were higher than the national sample. The oral health status of medical aid recipients was poorer as the subjects were older and less educated (p<0.05). The PHP index was 3.41, close to the bad oral hygiene state. The hospital group (81.7%) required higher need for periodontal treatment. The periodontal health state was much poorer especially when the subject was in the age of 40's and 60's, received less education, and had no family (p<0.05). $CPITN_3$ was higher in the hospital group (13.3%) than the national sample (5.7%). The mental illness patients were socially vulnerable, therefore oral health care program should be needed and age, education level, health insurance type, presence of family and other factors needs to be considered in this approach.

Association between Oral Health Status and Perceived General Health (EuroQol-5D) (구강건강상태와 감지 건강상태(EuroQol-5D)와의 연관성)

  • Sim, Seon-Ju
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.364-370
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    • 2014
  • The purpose of this study was to examine association between oral health status and perceived general health symptom. We analyzed 14,231 subjects who participated in Korea National Health and Nutrition Examination Survey (2007~2009). All individuals were examined by a questionnaire about socioeconomic history, smoking and drinking habit, the frequency of daily tooth brushing, the presence of regular dental visit, and EuroQol-5D. Dental survey was conducted to find the decayed, missing, and filled teeth (DMFT) index and community periodontal index. Subjects with perceived problem with mobility had higher DMFT index (odds ratio, 1.18, p<0.001). Subjects with with perceived problem with pain/discomfort had higher DMFT index (odds ratio, 1.16, p<0.001). Self-rating general health symptom was not associated with periodontitis (p>0.05). Perceived general health was associated with DMFT index. It is recommendable that we can use the perceived general health to predict oral health status.