Background: The aim of this study was to provide insight on dental fear amongst schoolchildren and evaluate the association between caries experience and fear of dental procedures. Methods: A sample size of 250 students (both sexes) of ages 10-14 years were enrolled in the study. Before dental examination, each participant was informed about the study and given the Children's Fear Survey Schedule - Dental Subscale (CFSS-DS) questionnaire. Children who scored greater than 38 were included in the 'with dental fear' group and those who scored less than 38 were assigned to the 'without dental fear' group. All oral check-ups were carried out on the school premises according to WHO criteria. Results: There were 105 children (42%) who experienced dental fear. As CFSS-DS scores increased, scores on the Decayed, Missing and Filled Surfaces Index (DMFS) also increased. Scores were highest on "injections" followed by "dentist drill" and "feeling of choking". Children were significantly less anxious about items of dental treatment if they had experienced that particular form of treatment. Female participants were found to be more dentally anxious than the male participants. Conclusions: The data revealed dental fear in 10-14 years old children and showed that dental fear scores decreased with increase in age and experience.
Background: The elderly in long-term care facilities tend to have a diminished oral health status, with a high prevalence of dental caries and periodontal disease, as reduced cognitive function, joint mobility, and gait ability hinder the performance of oral hygiene. To improve the oral health of the elderly at long-term care facilities, it is necessary to have precise guidelines for oral health care and assessment; however, such guidelines are not readily available. Therefore, the present study aimed to develop an oral care assessment tool with verified reliability and validity. Methods: The participants in this study were 100 elderly patients at a care facilities and 10 clinical dental hygienists. Collected data were analyzed using the descriptive statistics, content validity index, and inter-rater reliability, as well as the analyses of intra-class correlation coefficient. Results: After a review of relevant literature, a preliminary questionnaire comprised of seven questions related to the evaluation of oral health was formed. After revising and supplementing the questions through a content validity test, a total of nine questions were selected. Conclusion: The novel assessment tool developed for the present study is anticipated to allow analyses of the level of problems related to oral health care before routine and professional care. Moreover, regular oral health status check-ups will enable the early diagnosis and treatment of diseases.
Objectives: This study aimed to analyze the relationship between the socioeconomic status and oral health of adults. Methods: Data from the 7th Korea National Health and Nutrition Examination Survey (2016-2018) were analyzed, and 13,199 adults aged 19 years or older were selected as study subjects. Various oral health indicators were used to analyze the effect of socioeconomic status on oral health. Disparities in oral health according to socioeconomic status were analyzed using the complex sample chi-squared test and multiple logistic regression analysis. Results: A statistically significant difference was observed between income level, medical aid, and all oral health indicators, which indicated that the lower the income level, the lower the oral health level (p<0.001). Furthermore, all oral health indicators displayed statistically significant differences, with the exception of the prevalence of dental caries and education level. The lower the education level, the lower the oral health level (p<0.001). Therefore, the oral health level of adults presented significant differences according to different socioeconomic status indicators. Conclusions: To prevent oral health inequalities, the government and local governments need to intervene not only in the field of health care but also in the social determinants. Additionally, concerted efforts should be made to eliminate oral health disparities by improving policies and systems.
Jo, Hwa-Young;Jung, Yun-Sook;Park, Dong-Ok;Lee, Young-Eun;Choi, Youn-Hee;Song, Keun-Bae
Journal of dental hygiene science
/
v.16
no.3
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pp.242-248
/
2016
The purposes of this study were to investigate the factors affection the Oral Impacts on Daily Performances for Children (C-OIDP) in elementary and middle school students, and identify the association between oral health-related behaviors, oral health condition and C-OIDP. A cross-sectional study was conducted in three schools in Incheon, Asan, Korea. A total of 175 selected children were interviewed by a trained examiner using a questionnaire. Oral Health Related Quality of Life was assessed by the Korean version of C-OIDP. Socio-economic characteristics, oral health-related behaviors, oral health condition and C-OIDP were verified using the questionnaire. ANOVA analysis was performed to determine the oral health and C-OIDP, and multiple regression analysis was performed to determine the factors affecting the C-OIDP. The activities with the greatest effect were eating (28.0%), cleaning teeth (22.9%), and smiling (18.9%). In the logistic regression model, the high item score of C-OIDP was associated with experiencing dental caries and gum pain in the past month. The more the C-OIDP prevalence item, the more the fillng deciduous tooth surface (fs) (p=0.024), caries experienced deciduous tooth surface (dfs) (p=0.049), total caries tooth surface (ds+DS) (p=0.021), and total caries experienced tooth surface (dfs+DMFS) (p=0.047). It can be concluded that the factors affecting C-OIDP are fs, dfs, dfs+DMFS, and gingival pain. Based on these results, we can improve C-OIDP to advance preventive practice.
The purpose of this study was to determine the oral health condition and behavioral status of Korean adults according to occupational status. The subjects were 7,676 adults, aged between 19 and 64 years, who completed both oral examination and questionnaire survey, among those who indicated that they were currently participating in economic activities, according to the data from the Fourth Korea National Health and Nutrition Examination Survey. Occupational class and employment status were selected as measures of occupational status. Complex-samples logistic regression models were used to assess the associations among oral health, behavioral, and occupational statuses. We found a significant occupational class-related difference in the oral health and behavioral statuses of both the men and women. In particular, the prevalence odds ratios of untreated dental caries in manual workers were 1.19 and 1.67 times higher than in non-manual workers, for men and women, respectively. As for oral health condition and behavioral status according to employment status, the health risk in temporary employment workers was higher than that in permanent employment workers. As for the prevalence odds ratios of the risk of dental caries, the highest values were observed for tooth brushing fewer than 3 times per day, not undergoing oral examinations, and chewing difficulty complaints. The risk of dental caries for agricultural, forestry, and fishing workers for both men and women was found to be the highest among other workers. Thus, strategies to promote workplace oral health in the microscopic and macroscopic perspectives should be developed to constantly monitor oral health problems, and to identify vulnerable social groups within occupational groups and the related factors that mediate oral health differences.
Seo, YeJin;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
Journal of the korean academy of Pediatric Dentistry
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v.44
no.1
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pp.11-19
/
2017
The purpose of the study was to investigate the distribution of primary fused teeth and identify the correlation between primary fused teeth and their effect on permanent dentition. 2575 children between the age of 4 and 6 in Kyungpook National University Hospital from January 2009 to August 2015 were investigated. A total of 84 children (46 boys and 38 girls) had fused teeth. 14 of these children had two fused teeth. Prevalence of caries involvement was in 65% of maxilla and 6% of mandible. Prevalence of permanent successors missing was 86.3% in the cases involving maxillary central and lateral incisor, 70% in mandibular lateral incisor and cuspid, 11.7% in mandibular central and lateral incisor. 27 of 84 children (32.1%) had supernumerary teeth. The highest prevalence rate is seen in the cases involving maxillary central and lateral incisor. Delayed permanent tooth eruption was only observed in the maxilla because of developing supernumerary tooth. Early diagnosis of fused tooth in the primary dentition can allow the dentist to make treatment plan at the appropriate time in accordance with the tooth arrangement and tooth development.
Journal of the korean academy of Pediatric Dentistry
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v.43
no.4
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pp.354-364
/
2016
To evaluate the oral health status and to assess the resultant dental treatment needs in adolescents, 2,062 adolescents aged 14-17 years attending middle and high schools in Yangsan were surveyed by clinical examination and questionnaires. The obtained results were as follows. In the dental caries examination based on WHO criteria, the treatment needs of 66.7% of the subjects were determined. Assessment of dental erosion by the VEDE system indicated the treatment needs in 27.8% of the subjects, while MIH examination based on EAPD criteria indicated the treatment needs in 14.7%. Assessment of malocclusion using the occlusal index showed good occlusion in 67.8%, no need for treatment in 19.7%, slight need for treatment in 6.8%, definite need for treatment in 4.5%, and worst occlusion in 1.1% of the subjects, showing 12.5% of average treatment need. The prevalence and treatment need for periodontal disease was found to be 71.2% by CPITN assessments. The assessment of temporomandibular disorders by Helkimo's anamnestic index showed no symptoms in 67.1%, mild symptoms in 13.4%, and severe symptoms in 19.5% of the examinees. The overall treatment need of TMD was 20.6%. Periodontal diseases were ranked the highest in treatment need, followed by dental caries, dental erosion, MIH, TMD, and malocclusion in order. The results of this study indicated the overall status of adolescents'oral health and dental treatment needs. These might hopefully provide fundamental data and contribute to establishing promotional projects for adolescent oral health in Korea.
Purpose: The institutionalized elderly have placed the most vulnerable state, and the report about the oral health status of the institutionalized elderly was scarce. The aims of the current study were to investigate the oral health status of institutionalized elderly. Materials and methods: The survey of the oral health status was carried out on 487 institutionalized elderly from 4 longterm care facilities of Seoul metropolitan city, Gyunggi province, and Gangwon province in Korea. Results: The prevalence of dental caries, root caries, and dental calculus of the institutionalized elderly was 19.2%, 15.3%, and 23.7%, respectively. The percentage of edentulism among the institutionalized elderly was 26.2%. Those who had poor oral hygiene and tongue coating were 43.9% and 90.5%, respectively. The percentages wearing complete and removable partial denture on maxilla were 12.8% and 3.3%, respectively. The percentages wearing complete and removable partial denture on mandible were 7.8% and 5.6%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on maxilla were 29.7% and 27.2%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on mandible were 24.5% and 30.9%, respectively. Conclusion: The oral health stuatus of institutionalized elderly was poor. For the oral health promotion of elderly in longterm care facilities, it is essential to educate nurses and caregivers about the importance of the oral health and oral hygiene method.
Journal of the korean academy of Pediatric Dentistry
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v.39
no.4
/
pp.348-356
/
2012
The treatment pattern of pediatric dentistry has been changing recently, because of so many socioeconomic changes such as decrease of birth rates and prevalence of caries. The purpose of this study is to recognize the changing patterns in pediatric dental treatment and to help predict future direction for pediatric dentistry. Patients distribution and treatment pattern were examined in all new patients of the department of pediatric dentistry, Chosun University Dental Hospital and two pediatric local clinics in Gwang-ju, from 2005 to 2010. The number of new patients in recent 5 years has been increasing. There was a higher ratio of male patients. Age distribution has shown the percentage of 3~4 age group was highest. The hospital visit rate to Chosun University Dental Hospital was high, whereas the visit rate for local clinics was low. Dental caries showed the highest percentage in chief complaints, oral examinations have increased. The percentage of restoration treatment was highest, fluoride treatment had increased. In restorative treatment, the percentage of resin and GIC restoration was highest and amalgam restoration has decreased. The percentage of sedation treatment was decreased a little, Chosun University Dental Hospital showed a higher rate than local clinics.
Journal of the korean academy of Pediatric Dentistry
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v.36
no.4
/
pp.539-549
/
2009
The purpose of this study was to investigate the prevalence of dental caries, periodontal status, and self-perceived oral health status of students in juvenile protection education institutions. The subjects of this study were 342 adolescents aged 13-20 years detained in two juvenile protection education institutions located in Gyeonggi Province. The study involved an oral examination to record decayed, missing, filled teeth and index teeth with bleeding, calculus, or periodontal pocket, combined with a questionnaire to investigate self-perceived oral health status. The main findings are as follows. 1. When compared with the result of National oral health survey, the students detained had more decayed teeth, DMFT, and teeth with bleeding, calculus, and shallow pocket than general population of the same age. 2. Female students showed more DMFT, more teeth with healthy periodontium, and fewer teeth with shallow pocket than male students (p<0.05). 3. Female students perceived their health to be poorer than male students (p<0.05). A majority(79.2%) of detainee valued their oral health in their life. 4. A majority(71.5%) of detainee reported their dental anxiety, and more female adolescents showed dental anxiety than male adolescents(p<0.05).
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