• Title/Summary/Keyword: 타액 분비

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Effect of Professional Oral Healthcare Program on the Oral Status of Elderly Residents in Long-Term Care Facilities (전문가 구강위생관리가 장기요양시설 재원노인의 구강상태에 미치는 효과)

  • Lee, Keun-Yoo;Lim, Soon-Ryun
    • Journal of dental hygiene science
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    • v.16 no.6
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    • pp.432-441
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    • 2016
  • This study was conducted to investigate the effects of professional oral healthcare program in eldery residents long-term care facilities. Ninety-four elderly residents from 5 different facilities in Asan participated in this study. The subjects were divided into 3 groups, with 32 in experimental group I, 30 in experimental group II, and 32 in the control group. Subjects in experimental group I were treated by a dental hygienist with professional oral healthcare and received daily oral care from caregivers who had completed elderly oral healthcare course. Subjects in experimental group II received daily oral care from caregivers who had completed elderly oral healthcare course. Control group received daily oral care from caregivers. These 3 groups were tested for dental plaque, halitosis, tongue coating, and salivary flow at baseline, and after 4 and 12 weeks of treatment. There were significant differences in the dental plaque index between the groups, mediate times, and mediate methods, in halitosis between the mediate methods, and in tongue coating between the mediate times, as well as the mediate methods. Finally, salivary flow was significantly different with regard to mediate methods between experimental group II and the control group. Therefore, to improve the oral health condition of elderly residents, involvement of a part-time dentist and scheduled professional oral healthcare are necessary. Furthermore, elderly oral healthcare education for nursing staff, including managers, should be provided.

Halitosis and Related Factors among Rural Residents (농촌지역 주민들의 구취실태와 유발요인)

  • Lee, Young-Ok;Hong, Jung-Pyo;Lee, Tae-Yong
    • Journal of Oral Medicine and Pain
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    • v.32 no.2
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    • pp.157-175
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    • 2007
  • This study was conducted through an interview process in which questionnaires were administered to 293 people. The questionnaires related to the behaviors of oral hygiene care, and disease history related to halitosis, and status of halitosis, halitosis measurement, oral examination, and caries activity tests such as the snyder test, Salivary flow rate test, and Salivary buffering capacity test. Our sample was taken from 293 rural residents within the period from 4th to 21st of January 2006. This was done in order to provide basic data to prepare both policies of halitosis prevention and a device to efficiently measure halitosis status and investigate the factors related therein. The major findings of this study results are as follows: 1. As for frequency of tooth brushing, twice a day occupied the greatest portion at 46.1 % Women exceeded men in frequency of tooth brushing. Tongue brushing everyday produced a 25.6 % result among subjects and The use of auxiliary oral hygiene devices occupied 9.2 %. 2. As for degree of usual self-awareness of halitosis: 62.5 %. This result also demonstrate that the severest time of self-awareness in regards to halitosis is wake up time in the morning. The time period produced the highest portion of 72.7 % in times of self-awareness. In terms of the area in which halitosis was observed, gum resulted in 23.0 %. As for types of halitosis, fetid smell was the most frequent at 37.2 %. 3. As for the result of halitosis measurement, values of OG less than 50 ppm occupied 54.3 % and $50{\sim}100ppm$ occupied 41.6 %. As for $NH_3$ values, $20{\sim}60ppm$ showed the highest value range of 52.6 %. 4. As for OG per disease history related to halitosis, values of OG were significantly high in the ranges of $50{\sim}100ppm$ within family history groups of food impaction by dental caries, diabetes mellitus and halitosis. As for values of $NH_3$, there showed a significant difference in respiratory system disease groups. 5 Value range of OG per ordinary halitosis self-awareness degree: values ranging less than 50 ppm were recorded at 55.9 % from the group realizing not aware of smell. 57.5 % from groups only realizing sometimes, while values range of $50{\sim}100ppm$ were recorded at 52.0 % from groups always aware of smell. 63.6 % from groups always strongly aware of smell. Meanwhile as for the values ranges of $NH_3$, $20{\sim}60ppm$. they occupied high portions for all groups of exams. 6. Values of OG per oral examination: the more pulp-exposed teeth and food impaction and the higher the tongue plaque index, values of OG increased within the range of $50{\sim}100ppm$. As for values of $NH_3$, the more prosthetic teeth and the higher the tongue plaque index, this value increased significantly, and the values increased up to no less than 60 ppm for groups of mandibular partial denture. 7. Within the realm of caries activity test: as for the Snyder test, high activity was highest by 43.0 % wherewith the higher the activity of acidogenic bacteria the higher the OG values. As for the salivary flow rate test, the number of cases below 8.0 ml showed the highest tendency by 62.5 %. The larger the salivary flow rate the more decreased OG values distribution. As for the salivary buffering capacity test, $6{\sim}10$ drops of 0.1N lactic acid showed the overwhelming trend by 58.7 % whereby the higher the salivary buffering capacity the greater distribution occupancy ratio of OG values below 50 ppm which is scentless to on ordinary person. 8. As for the correlation between oral environment and halitosis, OG showed the positive correlation with pulp exposed teeth, filled teeth, present teeth, tongue plaque index, and food impaction, while the negative correlation with salivary flow rate and prosthetic teeth. $NH_3$ showed a positive correlation with prosthetic teeth and frequency of tooth brushing, while decayed teeth was negative correlation. 9. As for the multiple regression analysis result, there have been selected female, pulp exposed teeth, prosthetic teeth, food impaction, salivary flow rate, tongue plaque index and severe activities in the Snyder test as factors affecting OG wherein explanatory power on it was 45.1 %. There have been selected females, pulp exposed teeth, tongue plaque index, and prosthetic teeth as factors affecting on $NH_3$ wherein explanatory power on it was 6.6 %. With the aforementioned results in mind, the status of halitosis among rural residents is considered to bare a close relation with oral environments and other factors related to halitosis such as the Snyder test from caries activity test, and salivary flow rate test. For the prevention of halitosis of residents in rural areas, we have to focus on correct tooth brushing methods and tongue brushing, with using auxiliary oral hygiene devices to remove fur of tongue plaque and food impaction. Also, when the cause and ingredients of halitosis are diverse and complex, in order to analyze exactly the factors of individual halitosis development, we need continuous and systematic study in order to provide rural residents with programs of oral hygiene education and encourage the use of dental hygienists in public health centers.

Comparative Studies on the Ultrastructure of Salivary Ducts between the Two Species of Snails, Achatina fulica and Incilaria fruhstorferi (두 종의 달팽이류 (Achatina fulica and Incilaria fruhstorferi) 사이의 타액관의 미세구조에 관한 비교연구)

  • Chang, Nam-Sub;Han, Jong-Min;Kim, Sang-Won;Lee, Kwang-Ju;Hwang, Sun-Jong
    • Applied Microscopy
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    • v.30 no.1
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    • pp.89-100
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    • 2000
  • We observed the salivary ducts of two species of snails, Achatina fulica and Incilaria fruhstoferi with an electron microscope, and obtained the following results. The intralobular and interlobular ducts of Achatina fulica assume the forms of round or ellipsoidal doughnuts. The boundaries between the endothelial cells are not clear. It is also found that the cytoplasm of the endothelial cells consists of the membrane infolded in interdigital form, and there are well -developed microvilli at the apical portion of the cytoplasm. On the other hand, the intralobular and interlobular ducts of Incilaria fruhtoferi consist of the irregular simple columnar epithelia. The high electron dense cytoplasm is filled with the irregular round granules. The microvilli at the apical portion of the cytoplasm are not so well-developed as those in Achatina fulica. In the salivary duct of Achatina fulica, the lumen has narrow and long tubular structure. The boundaries between the endothelial cells are not clear. The cytoplasm is full of many vacuoles and electron lucent granules. At the apical portion of the cytoplasm, lots of short and thin microvilli are found. The salivary duct of Incilaria fruhstorferi is wider ($65\times250{\mu}m$ in diameter) than that of Achatina fulica, and consists of endothelial cells of the same structures. At the apical portion of those endothelial cells, a lot of junction apparatus such as desmosomes are observed. The vessels in the salivary ducts of Achatina fulica and Incilaria fruhstoferi are observed mainly in the connective tissues between the salivary glands. The endothelial cell of the vessel has the irregular structure and looks dark due to the high electron density. These cells protrude their filopodia and phagocytosize foreign bodies.

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The Effects of Oral Function Improving Exercise on the UWS, Oral function and OHIP in Elderly (재가노인의 타액분비량, 구강기능과 삶의 질 향상을 위한 구강기능향상운동의 효과)

  • Yang, Soon-Ok;Jeong, Geumhee;Kim, Shin-Jeong;Kim, Kyongwon;Lee, Seung Hee;Saung, Sooyoung;Baik, Sunghee
    • Journal of Korean Public Health Nursing
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    • v.26 no.3
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    • pp.478-490
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    • 2012
  • Purpose: The purpose of this study was to investigate the effects of oral exercise on oral function and quality of life among community-dwelling elders. Methods: This was a quasi-experimental study. Sixty four participants were recruited from the dental clinic of a public health center in G City, Gyeonggi-do. Thirty one participants were assigned to the experimental group and 33 to the control group. Participants in the experimental group performed oral exercise once a week for a period of three months. Subjects in the The control group received usual oral education. The Scores for oral function and quality of life were measured before and after the treatment. Data were analyzed using SPSS WIN 14.0. Results: After the experiment, statistically significant differences were observed between the two groups. were observed. The amount of saliva (p<.001), and the scores of for oral function (p<.001), and quality of life (p<.001) were higher in the intervention group compared to the control group. Conclusions: Oral exercise programs were effective in improving the oral function and quality of life among community-dwelling elders. Oral exercise could be an effective oral health nursing intervention for older people in the community.

Subjective oral dryness and stimulated salivary flow rate in medicated patients in chronic severe psychiatric patients (일부 만성 중증 정신질환자의 약물 복용에 따른 구강건조증상과 자극성 타액분비율)

  • Mun, So-Jung;Seo, Hye-Yeon;Jeon, Hyun-Sun;Baek, Ji-Hyun;Noh, Hie-Jin;Chung, Won-Gyun
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.3
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    • pp.353-362
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    • 2014
  • Objectives : The purpose of the study is to investigate the xerostomia in the chronic severe psychiatric patients in Korea because there were few reports on xerostomia in the psychiatric patients. Methods : The subjects were 61 psychiatric patients in the mental hospital by convenience cluster sampling. A self-reported symptom questionnaire was filled out by the three researchers on the basis of medical records by the informed consent. The stimulated salivary flow rate of the patients was measured by saliva sampling. Results : The subjects consisted of 45.9% of male and 54.1% of female. High school graduation accounted for 40.0% and 20.0% did not attend the school. The majority of the patients were medicaid recipients. Schizophrenia accounted for 86.9% and most patients were long term care recipients. A total of 68.9% of the patients suffered from salivary dysfunction. The medication in schizophrenia seemed to decrease the stimulated salivary flow rate and made the patients difficult in chewing and swallowing due to xerostomia and low saliva secretion(p<0.05). Conclusions : Medication in schizophrenic patients caused the salivary dysfunction. So the collaboration between the psychiatry doctors and dental hygienists is very important to improve the salivary secretion in the schizophrenic patients. The continuous and long term care of the xerostomia will help the patients maintain the good oral hygiene.

The Gene Frequency in Parotid Salivary PR, DB, PA Proteins according to Salivary Secretory Blood Components (타액내 혈형물질 분비형 및 비분비형에 따른 이하선 타액내 Pr,Db,Pa 단백질의 유전자 빈도)

  • San Kim;Chang-Lyuk Yoon
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.233-244
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    • 1994
  • The purpose of this study was to evaluate the gene frequency in parotid salivary proteins according to salivary blood components and salivary blood types. Parotid and whole saliva were collected from 160 healthy Korean adults (from 20 years of age to 43). They were divided by blood type(Q,B, AB,O type). Each group contained 40 adults respectively. They were tested to the salivary secretory blood components and parotid acidic protein(Pa), proline-rich protein(Pr) and double band protein(Db) were analyzed to evaluate the distribution of phenotype using alkaline slab polyacrylamide gel electrophoresis. Results were as follows : 1. In parotid saliva, the salivary blood substances were not found. In whole saliva, secretory type was 21.9% and non-secretory type was 78.1%. : In A type blood group, secretory type 87.5% and non-secretory type 12.5%. In B type blood group, secretory type 82.5% and non-secretory type 17.5%. In AB type blood group, secretory type 85% and non-secretory type 15%. In O type blood group, secretory type 57.5% and non-secretory type 42.5%. 2. The gene frequency of parotid acidic protein(Pa) were Pa+=0.160, Pa-=0.840 and proline-rich protein(Pr) were Pr1=0.781, Pr2=0.219 and double-band protein(Db) were Db+=0.019, Db-=0.981. 3. The difference between phenotype of Pa, Pr, Db proteins and salivary secretory blood components was not statistically significant. (P>0.05) 4. The difference between phenotype of Pa, Pr, Db proteins and blood types was not statistically significant.(P>0.05)

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Change of salivary flow rate, xerostomia, and oral health-related quality of life after oral muscle massage (구강근육마사지 후 타액분비량, 구강건조감, 삶의 질의 변화)

  • Kim, Eun-Ju;Kwag, Jung-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.4
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    • pp.679-685
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    • 2015
  • Objectives: The purpose of the study is to investigate the change of the salivary flow rate, xerostomia, and oral health-related quality of life in the elderly people after the application of oral massage. Methods: The subjects were 101 elderly people at two senior welfare centers in Mokpo from November, 2012 to January, 2013 by the application of oral massage. The final subjects were 56 elderly people who participated in the massage more than 15 times of 20. They were measured for saliva flow rate, xerostomia, and OHIP. On the first and the last day, a self-reported questionnaire was completed by the elderly people. The questionnaire consisted of general characteristics of the subjects, oral health related knowledge, symptoms and behavior of xerostomia, and OHIP. OHIP included functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap, and was measured by Likert 5 point scale. Results: The salivary flow rate of the elderly people increased after the implementation of the program. There was a significant improvement in xerostomia, functional limitation, physical pain, psychological discomfort, and social efficacy (p<0.001). Conclusions : The oral massage program enhanced the oral function of the elderly people, and had an influence on the improvement of oral health-related quality of life.

Preschooler's Internal Representation Profile Types and Diurnal Cortisol Regulation Pattern at Home (유아 내적 표상 유형과 가정에서의 코티솔 패턴 변화)

  • Min, Hyun Suk;Moon, Young Kyung
    • Korean Journal of Childcare and Education
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    • v.11 no.1
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    • pp.153-171
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    • 2015
  • The purposes of this study were to explore the relations of preschoolers' narrative representation profile types to diurnal cortisol regulation pattern at home. Fourteen story stems from the MacArthur Story Stem Battery (MSSB, Bretherton, et al., 1990) were administered to 40 preschoolers(22 boys, 18 girls, aged 5) recruited from 8 kindergartens in the Seoul and Gyeonggi areas. And also, their saliva cortisol was collected. The children's responses were aggregated into 5 dimensions, based on content themes and performance scores, which included emotions expressed and narrative coherence using the MacArthur Narrative Coding System(Robinson, et al., 2004). Data were analyzed by means of cluster analysis. Five response profiles emerged over the course of this research: Prosocial, Anxiety, Dyregulated aggression, Restricted, and Avoidance profiles. Cortisol at home showed decrease diurnal cortisol regulation patterns, however it showed a difference according to narrative response profiles. Restricted, Prosocial, and Avoidance profiles showed decrease diurnal cortisol regulation patterns. Anxiety profiles showed flat pattern, and Dyregulated aggression profile showed rising diurnal cortisol regulation pattern. These results show the preschoolers' internal representation may affect the diurnal cortisol reaction in daytime.

Evaluation of the Effectiveness of Color Consulting Services to Improve the School Environment, Seoul Report Results (서울시 학교환경개선 컬러컨설팅 효과성 평가 용역 결과보고)

  • Kim, Sun-Hyun;Kim, Yongh-Hyeon
    • Journal of the Korean Institute of Educational Facilities
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    • v.24 no.2
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    • pp.18-24
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    • 2017
  • 본 연구는 청소년 스트레스 호르몬 변화를 보기위한 연구로 컬러 컨설팅 환경개선에 따른 스트레스 호르몬 변화를 연구하였다. 청소년 스트레스 연구들에 따르면, 아동이나 청소년도 성인만큼 스트레스를 경험하고 있고 청소년들의 스트레스는 정서적 부적응과 신체적 건강에도 영향을 미친다. 스트레스가 지속되면 부신피질에서 스테로이드 호르몬인 코티솔도 분비하는 근거를 통해 환경변화로 생긴 코티솔 분비를 측정하였다. 코티솔 분비를 통한 스트레스 반응 정도 측정은 침해성을 최소화하기 위한 간편한 방법인 타액검사로 실시하였으며 비 침습적인 방법으로 특별한 장비나 도움이 없이 수집할 수 있었고 부작용이 적은 효율적 검사였다. 연구 결과 전체 학생(46명)의 코티솔은 환경개선 사전($0.121{\pm}0.087{\mu}g/dL$)에 비해 사후($0.096{\pm}0.058{\mu}g/dL$)에 감소하였고(t=1.718, p=.093) 중고등학생(36명)의 코디솔은 사전($0.137{\pm}0.092{\mu}g/dL$)에 비해 사후($0.104{\pm}0.062{\mu}g/dL$)에 감소하였으며, 유의수준 10%에서 통계적으로도 유의미한 차이를 보였다(t=1.750, p=.089). 따라서 환경 개선 전에 비해 환경 개선 후 청소년들의 스트레스가 감소되었음을 알 수 있다. 하지만 초등학생(10명)의 코티솔은 사전($0.064{\pm}0.023{\mu}g/dL$)에 비해 사후($0.065{\pm}0.016{\mu}g/dL$)에 변화를 보이지 않아, 유의수준 5%에서 통계적으로 유의미한 변화는 나타나지 않았다(t=-0.121, p=0.906). 따라서 후두엽이 발달하는 중학생 시기는 환경 변화에 민감하며 색채 자극에 크게 영향을 미치는 시기인 만큼 본 연구에서 환경전후로 검사한 코티솔 분비의 측정값도 감소함을 볼 수 있었다. 하지만 본 연구는 환경 변화에 코티솔 분비량에 유의미한 변화를 나타내지 않은 초등학생들은 스트레스 호르몬 변화에는 차이가 없었지만 환경변화의 자극이 없었다고 볼 수는 없다.

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Clinical Characteristics of Patients with Taste Disorders (미각 장애 환자의 임상적 특성에 관한 연구)

  • Lee, Eun-Jin;Park, Won-Kyu;Nam, Jin-Woo;Yun, Jong-Il;Kho, Hong-Seop
    • Journal of Oral Medicine and Pain
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    • v.34 no.4
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    • pp.341-351
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    • 2009
  • There is tremendous variability in the ways patients present with taste problems. Because of complex and multifactorial etiological background, it is not simple to evaluate patients with taste disorders. Accurate assessment of patients' status by prudent, thorough history taking and symptom analysis is the most essential for exact diagnosis of taste disorders. The aim of this study was to investigate the clinical characteristics of patients with taste problems as a primary complaint. Consecutive series of 50 patients (12 males and 38 females, mean age $53.6\;{\pm}\;14.7$ years) were included for the present study. All subjects were requested to complete a comprehensive questionnaire. Clinical evaluation procedures included oral examination, interview, questionnaire analysis, panoramic radiography, blood test and measurement of salivary flow rate. The obtained results were as follows: 1. Among the patients, 36 patients (72%) complained of oral mucosal pain or burning sensation. Of these patients, 18 patients (36%) were diagnosed as burning mouth syndrome. 2. Nineteen patients (38%) complained of subjective oral dryness. The flow rate of unstimulated whole saliva was less than 0.1 mL/min in 14 patients (28%) and 17 (34%) had a stimulated whole salivary flow rate of less than 0.5 mL/min. 3. Among the types of taste disorders, hypogeusia, the most frequently reported, was found in 25 patients (50%), dysgeusia in 18 patients (36%), phantogeusia in 15 patients (30%), hypergeusia in 10 patients (20%), and ageusia in 5 patients (10%). Nineteen patients (38%) reported more than one type of taste disorder and the most frequent combination was dysgeusia + hypogeusia (n=6, 12%). 4. Based on data from the medical and dental histories and examinations, the patients were assigned to 12 probable causal categories. Taste disorders due to oral mucosal diseases and idiopathic taste disorder were the most frequent (n=9; 18%, each), followed by psychogenic taste disorder (n=8; 16%), drug-induced taste disorder (n=7; 14%), and taste disorder due to dry mouth (n=6; 12%). These 5 categories of taste disorder accounted for 78% of all cases in this study.