• Journal of Korean society of Dental Hygiene
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• v.18 no.1
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• pp.65-75
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• 2018

Objectives: This study aims to contribute to the prevention of dental diseases and health care in the elderly by investigating the relationship among the experiences of chronic diseases, dental health status, and the behaviors in the Korean elderly people. Methods: A total of 2,856 elderly people aged 65 or older were selected as the final analysis subjects using data from the 6th National Health and Nutrition Examination Survey (2013-2014). Chronic diseases were defined as 'cardiocerebrovascular diseases', 'diabetes', 'chronic respiratory diseases', and 'cancer' diagnosed by the doctors. For the statistical analysis, SPSS 21.0 for Windows was used. Descriptive analysis and a Chi-square test were conducted to investigate the relationship among the experiences of chronic diseases, general characteristics, dental health status, and the behaviors in the Korean elderly. Finally, logistic regression analysis was performed to investigate the relationship among the experiences of chronic diseases, dental health status, and the behaviors. Results:The prevalence of Cardiocerebrovascular diseases was significantly higher in the 3-4 group of community periodontal index with the score of 1.36 (95% CI 1.03-1.00) than in the 0-2 group. The prevalence of Cardiocerebrovascular diseases was significantly higher in the group without dental examination during the past one year with the score of 1.29 (95% CI 1.00-1.66). The prevalence of diabetes was significantly higher in the uncomfortable speaking state group with the score 1.46 (95% CI 1.12-1.91). The prevalence of cancer was significantly higher in the partial denture needs group with the score 1.67 (95% CI 0.98-2.83). Conclusions: Regular dental examinations and dental health care for the elderly with chronic diseases showed that periodontal health and residual teeth could be maintained and managed. Therefore, continuous customized dental health services should be implemented for the elderly with chronic diseases.

• Journal of Korean society of Dental Hygiene
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• v.9 no.2
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• pp.193-205
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• 2009

The purpose of this study was to use the result as basic resources for oral health project for elderly people. we found the needs of oral health project and perceived oral health status, oral health knowledge, attitude, behavior of elderly people. we conducted a study on 194 elderly more than 60 years living in several social welfare facility, asylum, or care centers in Jeolla province. Through self-filled questionnaires and direct interviews from December 2008 to January 2009. The obtained result were as follows. 1. In perceived oral health status, 57.7% of respondents said they have hypersensitivity and 42.8% of respondents needed denture. 2. In oral health promoting behavior, 67.0% of respondents said they didn't have any tooth brushing and 45.9% of respondents said they haven't visited to dentist for the last year. 3. In oral health knowledge, 94.8% of respondents gave correct answers on dental caries prevention but only 7.2% of respondents gave correct answers on dental caries cause. 4. In oral health attitude, 40.2% of respondents said they don't recognize the importance of oral hygiene devices. 46.9% of respondents the unnecessary to see a dentist even though they don't have toothache. 5. Needs of oral health project, 53.6% of respondents said they wanted to have a dentist come over their house. Therefore, oral health projects should have vehicles of dental treatment equipment. It is necessary to visit places where elderly people live and treat them in person. Also, it is vital to continue educate people about oral health knowledge in a systematic way to change their attitude toward oral health. Moreover, it is necessary to implement oral health promotion behavior more proactively.

• Journal of Convergence for Information Technology
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• v.10 no.12
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• pp.191-200
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• 2020

This study was conducted to identify the oral health status and management behavior and dental use behavior according to the level of education and income of the elderly, and to present the supporting data to prepare policies and systems for the promotion of elderly oral health. The data survey was conducted on 224 elderly people living in the Daejeon area from August 19, 2019 to October 25, 2019, and the collected data were analyzed by chi-square test and logistic regression analysis. As a result, oral health status and management behavior showed significant differences according to education and income level in denture use, implant use, oral hygiene product use, oral health education experience, and oral health management method. There was a significant difference in dental use behavior according to education and income level, and age, education level, implant use, and the main reasons for dental use were found to be factors affecting dental use. Therefore, it is expected that the quality of life of the elderly's oral health can be improved by preparing an institutional plan at the national that considers education and income level based on this study.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.7
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• pp.4353-4360
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• 2014

This study examined the relationship between the current chewing difficulty and the dental prosthesis needs of the elderly Koreans to improve their oral health status. A total of 1,177 subjects over 65 years who participated in the the Five Korea National Health and Nutrition Examination Survey were examined. An oral examination was conducted to determine the number of missing teeth and dental prosthesis required. A questionnaire was given to measure the sociodemographic characteristics, concerns about oral health, chewing ability and pronunciation ability. Statistical analysis was done using the SPSS 19.0 program. The percentage of the current chewing difficulty in Korean elderly was 42.9%. After adjusting for confounder variables, the odds ratio of the fixed prosthodontics needs were 1.22 (95% CI; 0.74 to 2.02), the odds ratio of partial denture needs were 2.47 (95% CI; 1.71 to 3.56) and the odds ratio of the full denture needs were 2.06 (95% CI; 0.73 to 5.81). The dental prosthesis needs were associated with the current chewing difficulty. Therefore, dental prosthesis support policy and public oral health promotion for the elderly is necessary.

• The Journal of the Korean dental association
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• v.22 no.11 s.186
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• pp.953-960
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• 1984

The author applied the attachment fixation overdenture on the patient whose residual alveolar ridge height was poor to increase mechanical denture retention, and observed the periodontal condition of the abutment roots after insertion of attachment fixation overdenture. The author obtained the conclusions as follows; 1. Attachment fixation overdenture showed better mechanical retention than conventional overdenture did, but it resulted unfavorable crown-root ratio. 2. Within one year after insertion, there were not significant changes in periodontal health, which was indicated by plaque index, gingival index, pocket depth, tooth mobility gingival hyperplasia and alveolar bone change. 3. Mild periodontal thickening was observed. 4. This study emphasized the importance of adequate follow-up care and home care instructions.

• Journal of Periodontal and Implant Science
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• v.43 no.2
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• pp.51-57
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• 2013

Implant treatment has become the treatment of choice to replace missing teeth in partially edentulous areas. Dental implants present different biological and biomechanical characteristics than natural teeth. Occlusion is considered to be one of the most important factors contributing to implant success. Most literature on implant occlusal concepts is based on expert opinion, anecdotal experiences, in vitro and animal studies, and only limited clinical research. Furthermore, scientific literature regarding implant occlusion, particularly in implant-supported fixed dental prostheses remains controversial. In this study, the current status of implant occlusion was reviewed and discussed. Further randomized clinical research to investigate the correlation between implant occlusion, the implant success rate, and its risk factors is warranted to determine best clinical practices.

• Journal of Korean society of Dental Hygiene
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• v.9 no.4
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• pp.606-619
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• 2009

Objectives : This study was to examine the state of customized visiting oral health programs in a bid to help facilitate the unified operation of the programs and the development of required guidelines. Methods : The subjects in this study were 49 dental hygienists who were professionals responsible for customized visiting health care programs across the nation. Results : 1. Regarding the form of employment of the dental hygienists were investigated many contract and daily workers. 2. As to the possession of equipment necessary for visiting oral health programs, denture cleaners(12.2%) were most widely possessed in some regions, followed by mobile scalers(10.2%) and mobile suctions(8.2%). In terms of expendable devices and materials, dental mirrors, pincettes and explorers were the most widely possessed dental checkup devices, and the most widely possessed oral hygiene supplies were toothbrushes, interdental brushes and denture cleaners. Those devices and materials were in more possession than the other types of devices and materials. The most widely possessed equipment for educational purpose was laptop computers, followed by beam projectors and screens. The most widely possessed teaching materials were dentiform, followed by CD-ROMs. 3. Those whom they visited the most for oral health care service were elderly people, followed by the disabled and patients with chronic diseases. The dental hygienists who went out to visit those people outnumbered the others who stayed at public health centers. Concerning the types of visiting oral health care service, the most prevalent service provided to the elderly included denture cleaning/management, oral massage and preventive treatment against dental caries. The most dominant service provided to the disabled involved education of the oral health care act, preventive treatment against dental caries and toothbrushing by professionals. The most common service offered to patients with chronic diseases was education of the oral health care act and oral health education. The dental hygienists paid a visit to a mean of 5.8 households a day. The average weekly number of households cared by the dental hygienists was 27.3. It took a mean of 37.1 minutes for them to take care of each household. 4. As for satisfaction level with the implementation of the visiting oral health programs, they expressed the greatest satisfaction at teamwork with professionals($3.56{\pm}0.94$), followed by the professionalism of their work($3.21{\pm}0.94$) and workload($3.08{\pm}0.94$). Their satisfaction level with the work conditions required for creative job performance($2.75{\pm}0.98$) and partnership with other institutions($2.64{\pm}1.03$) was below 3.0. In regard to the impact of their characteristics, marital status made a statistically significant difference to satisfaction level with workload. The unmarried dental hygienists were more pleased with their workload than the married ones(p<0.05). 5. As to needs for education for professionalism improvement, they asked for education about visiting oral health care skills the most, followed by education about oral health care for patients with chronic diseases, education of planning/evaluation and education of oral health care for the disabled. Conclusions : The top priority for the vitalization of the programs was the procurement of budget, followed by the procurement of equipment and educational media and the procurement of human resources.

• The Journal of Korean Academy of Prosthodontics
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• v.18 no.1
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• pp.7-13
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• 1980

The purpose of this study was to evaluate the removable partial denture prescriptions including surveyed crowns and design of component parts sent to the laboratory technician. A total of 351 casess with prescription forms and master cast in maxillary and mandibular semi-edentulous situations collected from dental laboratory by random sampling were selected for this study. The evaluation and study observed here involved the classification of edentulous situations, status of abutment splinting, form of rest seats and guiding plane of surveyed crows, location of maxillary major connectors and tripodig marks on the master casts. Removable partial denture prescriptions contained (1) general request (upper and lower cast framework), (2) types of metal, (3) location of retainer(retention, lingual bracing, rest area, guiding plane surface), (4) location and type of major connector, (5) relief area and amount, (6) and other specific instructions. The following informations based on the classified groups such as Group I was those cases sent with no real prescriptions. They say 'make a partial.' No prescriptions, no thought beforehand, Group II was those cases sent with a minimal prescriptions. They say 'make a partial with clasps on May be some preparations, usually inadequate. Group III was those cases sent with a moderately good prescription. Adequate but could be much better. No tripoding but it tell what clasps go where. Still not good prescriptions. Group IV was good cases, tripoded with adequate prescriptions and a prescription which exactly describes what is expected from the laboratory. The analyzed results were as follows: 1. The normal form of rest seats and guiding plane of surveyed crowns in Class. I and Class. II edentulous situations on the maxillary cast were observed 31.9% and 27.89%, respectively. The abutment teeth and retainer without occlusal rests of Class. I and Class. II were showed 11.58% and 8.86%, respectively. In mandibular cases, the normal form of rest seats and guiding plane of surveyed crowns showed 27.54% and 8.82% in Class. I and Class. II situation. The abutment teeth and retainer without rest seats were showed 15.19%, respectively. 2. The splinted surveyed crowns of Class. I and Class. II maxillary edentulous situations in distal extension cases were showed 34.51% and 28.85%, but 28.52% and 10.29%, respectively. 3. The location and type of maxillary major connector delineated on the master cast were 66 cases (44.89%). 4. The results of 351 cases were classified as Group I 146(41.59%), Group II 115 (32.76%), Group III 57 (16.23%), and Group IV 33 (9.48%). 5. The delineation of abutment tooth for clasping were 176 cases (50.14%) among total of 351 cases. 6. The delineation of height of contour line were showed 45 cases (12.8%) in Group II, 14 cases (3.98%) in Group III and 33 cases (9.40%) in Group IV with total 92 cases (26.21%). 7. In surveying procedure, the delineation of tripoding marks and reference line were showed 17 cases (4.84%).

• Journal of dental hygiene science
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• v.6 no.2
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• pp.93-99
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• 2006

This study was carried out to investigate practical application status of oral hygiene devices through making a survey of labor of the D industrial company-about carefully curing oral disease in home, the status of practical application of tooth brush, the status of practical application of fluoridated toothpaste, status of practical application of auxiliary oral hygiene devices, a motive use or unuse of auxiliary oral hygiene devices. 1. In home, carefully curing oral disease is dental caries(62.4%). 2. Status of practical application toothbrush showed the highest user ratio of mideum size(79.6%). 3. Showed the highest user ratio of horizontal plane toothbrush(73.5%). 4. Answerd don't take a prudent attitued in choice of fluoridated toothpaste(73.5%). 5. In the status of reconition of oral hygiene devices, showed the highest user ratio of eletric toothbrush(77.0%). 6. In the status of reconition of auxiliary oral hygiene devices, showed the highest user ratio of wooden wedge stimulator(89.4%)and gargle liquid(84.5%). In using of oral hygiene devices, showed the highest user ratio of electric toothbrush(13.3%), toohbrush for periodontal patients(2.7%). In using of auxiliary, wooden wedge stimulator (58.4%)and gargle liquid(41.2%). In effect using of oral hygiene devices showed the highest user ratio of denture brush(50.0%)and eletric toothbrush(43.3%), in effect using of auxiliary oral hygiene devices showed the highest user ratio of water pick(80.0%) and dental floss(75.8%). 6. A motive of the use auxiliary oral hygiene device is choice by oneself through TV, advertisement, public information(57.6%), and the reason-they don't use of auxiliary oral hygiene devicebecause of they don't know proper to them the kind of auxiliary oral hygiene device.

• Journal of dental hygiene science
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• v.7 no.3
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• pp.113-119
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• 2007

This study attempts to find factors contributing to the use pattern of prosthetics by investigating the current condition of prosthetics for the aged of over 65 years old by place of practice. Among those of over 65 years old who live in Gangnam-gu, Seocho-gu, Seongbuk-gu, and Gwanak-gu of Seoul and use the apartment senior's center, those having prosthetics were selected as subjects of this study, and this study was conducted in forms of interview and record. Findings of this study are summarized as follows: First, in regard of the state of prosthetics and relevant symptoms in the mouth according to the place of prosthetics practice, there was significant difference in the questions except the medical benefit of prosthetics between unlicensed facilities and dental clinics and hospitals. Second, regarding difference in satisfaction according to the place of prosthetics practice, dental clinics and hospitals showed a higher level of aesthetic satisfaction than unlicensed facilities. For difference in satisfaction at pronunciation, chewing, pain, a sense of foreign body, and holding power, dental clinics and hospitals showed a higher level than unlicensed facilities, Third, after factor analysis on the perception factors of unlicensed treatment and dental treatment, unlicensed facilities showed the highest level of reliability, and then convenience, word of mouth, and modernity in order. Dental clinics and hospitals also showed the highest level of reliability, however, and then convenience, modernity, and word of mouth in order. Fourth, as a consequence of analyzing the factors to influence the use pattern of prosthetics, regarding residential pattern, there were higher possibilities to use dental clinics and hospitals when the subjects lived together with their children and in Gangnam, and the more were the number of pyeong for the residence, pocket money, medical expense, and property in their name, compared to unlicensed facilities. In conclusion, economic factors appear to be the most important factors in selecting facilities for denture prosthodontics. Therefore, it is important to ensure the denture prosthodontics for the elderly are reimbursable so that they can enjoy a healthier life.