• Journal of Periodontal and Implant Science
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• v.49 no.3
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• pp.158-170
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• 2019

Purpose: This study investigated the association between health status and tooth loss based on data from the National Health Insurance Service-Health Examinee Cohort in 2002-2015. Methods: Multivariate Cox proportional hazards regression analyses were applied to a longitudinal retrospective database, which was updated and newly released in 2018, to assess the association between health status and tooth loss while adjusting for potential confounders among sociodemographic and economic factors (sex, age, household income, insurance, and presence of disability), general and oral health status (body mass index [BMI], smoking and drinking status, periodic dental visits and scaling, and brushing before sleep), and comorbid disease (hypertension, diabetes mellitus [DM], and Charlson comorbidity index [CCI]). Results: Among 514,866 participants from a South Korean population, 234,247 (45.5%) participants satisfying the inclusion criteria were analyzed. In the adjusted multivariate analysis, sex, age, household income, insurance, presence of disability, BMI, smoking and drinking status, periodic scaling, tooth brushing before sleep, DM, and CCI showed statistically significant associations with the loss of at least 1 tooth. The risk of experiencing a loss of ${\geq}4$ teeth was associated with an increase in age (in those 50-59 years of age: hazard ratio [HR], 1.98; 95% confidence interval [CI], 1.93-2.03; in those 60-69 years of age: HR, 2.93; 95% CI, 2.85-3.02; and in those 70-79 years of age: HR, 2.93; 95%, CI 2.81-3.05), smoking (HR, 1.69; 95% CI, 1.65-1.73), and DM (HR, 1.43; 95% CI, 1.38-1.48). Conclusions: The results of this study showed that the risk of experiencing tooth loss was related to multiple determinants. DM and smoking were especially significantly associated with tooth loss.

• Biomedical Science Letters
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• v.30 no.2
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• pp.81-85
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• 2024

Among all subjects who participated in the survey in the 9th 1st year (2022), 2,448 men (44.0%) and 3,166 women (56.0%) aged 12 or older were identified to determine oral care behavior according to orthodontic treatment experience. The purpose was to provide basic data on the oral care of patients wearing orthodontic appliances. 1. When it comes to brushing teeth, brushing before going to bed was the highest. Regarding the use of oral care products, 3,965 people (69.1%) said they 'do not use dental floss', 4,064 people (73.2%) said they 'do not use interdental brushes', and 4,064 people (73.2%) said they used oral rinse. 'I don't do it' was the highest at 4,417 (77.7%), and electric toothbrushes were the highest at 'I don't do it' at 5,241 (93.6%). 2. In terms of the effect of orthodontic treatment experience on toothbrushing time, with orthodontic treatment experience, toothbrushing after breakfast was 0.598 times more likely (P<0.001), and toothbrushing after lunch was 1.482 times more likely (P<0.001). Toothbrushing after dinner was 0.805 times higher (P=0.049), and toothbrushing before going to bed was 1.794 times higher (P<0.001), which was statistically significant. 3. When having orthodontic treatment experience, dental floss was found to be used 1.434 times more often (P=0.002), interdental brushes were used 1.464 times more times (P<0.001), and oral rinses were found to be used 1.457 times more times (P=0.002), which was statistically significant.

• Journal of dental hygiene science
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• v.7 no.3
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• pp.187-191
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• 2007

In this study a research was conducted with 108 adolescents sent to three reformatories in D city to investigate their recognition of oral health so that they could assess their knowledge of oral health and improve oral health through correct oral health education. For this purpose, after the primary survey from June 13 to 28, 2006, oral health education was implemented through audio-vidual teaching aids and tooth-brushing training using one toothbrush per person, followed by the secondary survey using the same questionnaire. The research obtained the following results. 1. As for recognition of the concept of dental caries, the answer that it was a disease developing on teeth increased from 75.0% before oral health education to 82.4% after the education, which showed statistically significant differences (p < 0.001). 2. As for recognition of a preventive agent for dental caries, the answer that it was fluorine increased from 34.3% before oral health education to 75.0% after the education, which showed statistically significant differences (p < 0.001). 3. As for recognition of a good tooth-brushing method, the answer that it was a rotating method increased from 21.3% before oral health education to 95.4% after the education. 4. As for recognition of the amount of time for tooth-brushing, the answer that it was three minutes increased from 58.3% before oral health education to 88.9% after the education, which showed statistically significant differences (p < 0.001). 5. As for recognition of effects of smoking on oral health, the answer that it was bad increased from 65.7% before oral health education to 93.5% after the education. 6. As for recognition after oral health education for improving oral health, "completely agree" (78.7%) comprised the largest percentage (p < 0.001) for "teeth are important for health"; "completely agree" (76.9%) comprised the largest percentage (p < 0.001) for "correct tooth-brushing serves to prevent an oral disease"; "completely agree" (37.0%) comprised the largest percentage (p < 0.001) for "scaling is necessary to prevent a gingival disease"; "completely agree" (77.8%) comprised the largest percentage (p < 0.001) for "non-smoking is good for dental health"; "completely agree" (62.0%) comprised the largest percentage (p < 0.001) for "a seasonal medical check-up should be taken by all means".

• Journal of dental hygiene science
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• v.11 no.4
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• pp.325-332
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• 2011

To get the evidences for decreasing the discomfort, dissatisfaction, and for improving management of the implant prothesis through assessment implant patients' awareness and discomforts about care of the prostheses. The subjects were 300 implant patients who treated in the 20 dental clinics in Pusan, Ulsan and Daegu. The general characteristics, recognition, maintenance, discomfort and dissatisfaction, and oral hygiene status were collected. Level of the discomfort and dissatisfaction was measured by a 5 Likert scale, and analyzed by the equivalent of 100. The life-span of the implants was overestimated, however, periodic recall check and scaling were underwent. The level of discomfort and dissatisfaction was generally good, but many of them (65.3%) complained the food impaction. As a result of the multiple regression analysis, level of the discomfort and dissatisfaction increased in case of more number of the prosthesis ($\beta$=0.864), however decreased in case of more frequent teeth brushing ($\beta$=0.737), more frequent periodic check ($\beta$=-0.737), longer duration from the implantation ($\beta$=-0.090). It is very important for the implant patients to be recognized that the lack of care may shorten the life-span of the implant prosthesis. Therefore, efforts of the continuous oral hygiene care such as, periodic recall check, scaling, teeth brushing, the correct using of additional oral hygiene product, and education would be more emphasized.

• Journal of dental hygiene science
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• v.6 no.3
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• pp.177-186
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• 2006

The purpose of this study was to obtain baseline data for establishing oral health policy and developing oral health among industrial workers. A question was used to question paper 226 workers of D heavy industrial company in Sacheon-City. The result obtained were as follows: 1.Generally dental patients asked to not prevention treatment but treatment of dental disease. 2.Most of workers respondent that their oral health is so so.(52.2%). 3.Respondents reported 76.1% of dental calculus, 55.8% of sensitive to cold and hot things. 4.Oral health attitude is tooth brushing experience (39.8%), scaling experience (75.7%), when brushed area all teeth, gingiva and tongue(47.3%). 5.81.8% of respondents received no teeth pain when brushing time is over 3 minutes and 83.7% of smokers had calculus.

• Journal of the Korean Society of School Health
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• v.15 no.2
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• pp.205-218
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• 2002

Objectives : Because elementary school children are sensitive and prevalent to dental caries, oral health care program for the elementary school children (ESOHCP) should be met the first priority for the national oral health care program. This study was performed to proposed the guidelines for executing the efficient ESOHCP through the evaluation of present oral health care and education status based on the attitudes and opinions of health teachers. Methods : Subjects were 181 health teachers those are a part of the total 273 elementary school health teachers in Busan. From April to June 2001, questionnaire survey on the teacher's attitude and opinion, present status of oral health care and education in their own school was done. Data was analyzed by $\chi^2$-test, t-test, ANOVA using SAS (ver 6.21) program. Results : Mean age of the teachers was 40 years (24~58 years) and mean scale of the subject school was 32 classes (5~58 classes). Above 90% of them agreed with the necessity and importance of ESOHCP, but actual level of concerning was lower. They gained the informations about oral health mainly from media (33%), PC net (26%), academic society (25%), and more used internet (p=0.012) in younger generation. Though most of them (96%) had a specified school dentist, only 58% had the experience of periodic oral health examinations in their own school. The major experienced ESOHCP was fluoride brushing and contest to choose the best healthy teeth. Oral health education given by the teachers was not professional but their own. About half (42%) of the teachers had never taken education during last one year. Major education materials were VTR tape (79%), teeth model (64%), CD (55%), booklet (50%), etc., and the teachers' preference was also VTR tape (43%) and CD (41%). When they need education materials, they frequently request to dentist's association (36%), academic society (35%), but rarely to dental clinics or dentists (6%). They prefer that two times (46%) of annual oral health education, with the contents of regular brushing (53%), but lower regular visit to clinics (13%). The interest to oral health care (p=0.016) increased with teacher's age. And, they agreed regular students education in case of higher interest(p=0.044). Intention about join in the model school program was decreased with scale of school (p=0.002). Conclusions : This result showed that the present status of ESOHCP is still insufficient. It considered that the health teachers' interest and role is most important for the maintenance and success of ESOHCP. The professional and efficient education program would be focused on the health teachers to induce drive on ESOHCP.

• Journal of Korean society of Dental Hygiene
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• v.6 no.2
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• pp.129-141
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• 2006

This study attempts to provide basic information that is necessary to establish the direction of oral health education process abd to develop effective oral health promoting programs for college students by analyzing the modifying factors that may affect their oral health behaviors and their cognitive and perceptive factors. Data for this study are collected by the questionnaire method from college students who attend colleges located Chungchong and Busan province for the period between June 20, 2006 and July 30, 2006. The respondents were chosen from Dental department and Non-Dental department. After omitting the responses with insufficient information, 409 valid responses are used for this analysis. The major finding of the present study are as follows: 1. Oral health behaviors factor is higher rate dental department than non-dental department, dental department than non-dental department appear significant the oral health education, the lasted year round oral examination, the used of oral hygiene supplies, oral prevention treatment. 2. Oral health behaviors and perception-awareness factor is higher score dental department than non-dental department and self efficiency is similar. Oral health behaviors is higher score dental department, the barriers to oral health behaviors is similar. The benefits of oral health behavior is higher score dental department. 3. The oral health behavior is higher dental department. In dental department the overall average score for oral health behaviors question is the correct teeth-brushing, self-restraint of liquor and cigarettes. Non dental department the overall average score for oral health behaviors question is the correct teeth brushing, good nutrition. The lower average score is scaling and periodic oral examination. 4. The correlation coefficient analysis between oral health behaviors and perception-awareness factors, variables which appear significant correlation coefficient by the self-efficiency are the control of oral health, the benefits of oral health behaviors, behavior of oral health, variables which appear significant correlation coefficient by the control of oral health are the benefits of oral health behaviors, the knowledge of oral health, behavior of oral health. And variables which appear significant correlation coefficient by the barriers to oral health behaviors is the benefits of oral health behaviors, variables which appear significant correlation coefficient by the knowledge of oral health is oral health behaviors.

• Journal of Korean society of Dental Hygiene
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• v.9 no.3
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• pp.344-356
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• 2009

To identify subjective health status of senior citizens' oral health following senior citizens' general characteristics and knowledge and behavior for the oral hygiene, this research conducted individual interview with 237 senior citizens in some parts of Seoul. The results are as follows. 1. Degree of senior citizens' knowledge on the oral hygiene is about Middle. Among the categories on the senior citizens' knowledge on the oral hygiene, teeth's brushing was the highest while knowledge on fluorine was the lowest. 2. Senior citizens who feel that their oral health is healthy when it comes to the subjective health state of senior citizens' oral health following behavior for the oral hygiene, brush their teeth, three times in a day, for more than three minutes (p<.01). Moreover, senior citizens who feel that their oral health is healthy brush different corners of the tongue when brushing (p<.01). 3. In case of knowledge on the oral hygiene following general characteristics, knowledge on the oral hygiene was higher when economic status was higher (p<.01). In case of living expenses, knowledge on the oral hygiene was higher for the senior citizens with pay or income (p<.01). 4. In case of behavior for the oral hygiene, women tended to act for the oral hygiene more than men. As for the method for raising living expenses, senior citizens who receive basic social security check or those at the highest tier tended to act less for the oral hygiene (p<.01). 5. Senior citizens who answered that their oral health is healthy when it comes to the subjective health state of senior citizens' oral cavity tended to have high knowledge on the oral hygiene (p<.01). In conclusion, subjective health status of senior citizens' oral health is higher when the knowledge on the oral hygiene and behavior for the oral hygiene are higher. Accordingly, it is necessary to develop and execute oral hygiene training program to change senior citizens' behavior incrementally and the dental hygienists who can conduct this training should be actively attracted into the senior citizens' oral hygiene training.

• Journal of Korean society of Dental Hygiene
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• v.7 no.4
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• pp.569-582
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• 2007

The author aims at first securing basic material required for developing and operating proper oral health care education programs though making an investigation into the undergraduates of S College of Education on the actual status of oral health care and perceptions of oral health care education. The obtained results were as follows 1. In the actual status of oral care based on whether or not they have experiences in taking oral health care education, undergraduates with teeth brushing for more than three minutes a time were found to be 25.9% and 15.7% respectively according to the existence and nonexistence of experiences in the education(pM0.020), and undergraduates with teeth brushing in a circular motion was found to be 64.7% and 51.7% respectively, showing statistically significant differences(pM0.015). 2. In the actual status of preventative oral care according to whether or not they have experiences in taking oral care education, degrees of awareness of the usefulness of dental cleansers among the undergraduates were found to be 37.6% and 21.5% respectively according to the existence and nonexistence of experiences in the education(pM0.001), undergraduates with experiences in scaling were found to be 51.8% and 34.9% respectively(pM0.002) and undergraduates with experiences in having dental sealants were found to be 26.5% and 16.9%(pM0.031), showing statistically significant differences. 3. In the survey on perceptions of oral health care according to the existence and nonexistence of experiences in oral health care education, it was revealed that the case that they indicated 'the necessity of oral health care education' was 87.1% and 64.0% respectively according to the existence and nonexistence of the experience(pM0.000), and undergraduates intended to 'participate in oral care education for students(at mid and high schools and so on) after being teachers' were 77.6% and 65.7% respectively, showing statistically significant differences(pM0.011). 4. In general characteristics according to awareness of the necessity of cultivating oral health professionals, groups with awareness of the necessity consisted of 31.8% of freshmen and juniors(pM0.001), 55.69b of female undergraduates(pM0.001), 80.8% of non-smokers(pM0.012), 38.9% of large city residents(pM0.002) and 32.3% of undergraduates living in their own houses (pM0.028), showing statistically significant differences.

• Journal of dental hygiene science
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• v.13 no.4
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• pp.440-448
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• 2013

The purpose of this study was to analyze the effects of perceived stress on dietary habits and oral health behaviors in Korean adolescents. Data were from the Korea Youth Risk Behavior Web-based Survey (KYRBS) in 2011. A total of 74,186 adolescents were surveyed using the self-administered questionnaire. Logistic regression analyses were performed to elucidate the effects of perceived stress on dietary habits and oral health behaviors. Statistical analyses were conducted, and p<0.05 were considered significant. We found that adolescents with higher stress were more likely to increase the risk of adverse dietary habits (low consumption of fruits, vegetables and milk, high consumption of carbonated soft drinks, fast food and cookie) compared to those with lower stress. Regarding the relationship between perceived stress and oral health behaviors, adolescents with higher stress were less likely to practice oral health behaviors such as brushing teeth after snack consumption and brushing teeth before sleep compared to those with lower stress. This result indicates that adolescents' perceived stress might play a significant role in the negative dietary habits and oral health behavior.