• 한국보건간호학회지
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• 제30권2호
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• pp.206-220
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• 2016

Propose: This study was to identify the factors affecting the oral health status in vulnerable elders receiving home visiting health care service. Methods: A total of 444 elderly people over the age of 65 at 33 public health centers in Daegu and Gyungbuk areas were included in this survey. The data were collected by personal interview with nurses using oral health knowledge, behavior, and status questionnaires from the $10^{th}$ to $22^{nd}$ of July, 2012. The data were analyzed with t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, and stepwise multiple regression, using SPSS program. Results: Factors affecting the oral health status were chewing satisfaction with denture 14.5% (${\beta}=.391$, p<.001), denture care (wash with water) 3.2% (${\beta}=-.187$, p<.01), and types of health insurance (medical aid type1, 2) 1% (${\beta}=-.111$, p<.05). The factors explained 18.7% of variance in the oral health status of vulnerable elderly subjects. Conclusion: The results of this study indicate that in order to improve the oral health status of vulnerable elders, it is necessary to provide oral health education that includes the proper usage of denture to elders who receive home-visiting care.

• 보건의료산업학회지
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• 제11권4호
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• pp.157-168
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• 2017

Objectives : The purpose of the study was to provide basic data for the improvement of their happiness through the use of effective denture-related services and restoration of healthy oral function. Methods : The subjects of the study were 452 denture wearers using the elderly welfare facilities in Seoul. Results : The main variables influencing the happiness of the denture wearers were living with the family, subjective health, oral health status, duration of denture use, and regular oral examinations. Living with one's family had the greatest influence on the happiness of the denture wearers. Conclusions : This study discusses the effect of satisfaction and behavior factors on effective denture use with reference to the happiness of denture wearers. This information will help improve denture management programs.

• 대한치과보철학회지
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• 제62권1호
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• pp.1-5
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• 2024

목적: 의치를 장착한 환자에서 성별, 연령, 보험적용여부 및 종류, 의치를 장착한 악궁, 의치 종류에 따라 의치 장착 후 사후 점검 횟수에 차이가 있는지 분석하고자 한다. 대상 및 방법:이 연구는 10년 간 일산병원 치과보철과에서 의치를 장착한 만 65세 이상의 환자 988명을 대상으로 하였다. 성별, 연령, 보험 적용 여부 및 종류, 의치를 장착한 악궁, 의치 종류 등의 변수를 고려하여 사후 점검의 횟수와 기간을 평가하였으며, 통계 분석은 5%의 유의수준에서 진행하였다. 결과: 총 988개의 의치가 포함되었으며, 사후 점검 횟수의 중위수는 3으로 나타났다. 남성이 여성보다 유의미하게 (P = .017) 내원 횟수가 더 많았으며, 의치 종류에 따라서는 금속상 총의치가 국소의치보다 유의미하게 (P = .005) 사후 점검 횟수가 더 많았다. 그 외의 변수는 사후 점검 횟수에 영향을 미치지 않았다. 결론: 이번 연구의 한계 내에서 남성 환자와, 금속상 총의치 환자의 경우 의치의 조정 횟수가 증가하였다.

• 대한영양사협회학술지
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• 제16권1호
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• pp.22-38
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• 2010

In Korea, there has been a rapid increase in the number and proportion of elderly people, especially in rural areas, due to improvements in the standard of living and medical technology. One of the main health problems for the elderly people is dental health, which can cause nutritional and health problems. Thus, in this study, the dental health status and health status in relation to nutritional intake were analyzed. A total of 155 rural-dwelling elderly people (68 males, 87 females) over the ages of 65 participated in this study. The subjects were classified into three groups; the no denture no teeth group, denture user group, and natural teeth group. The dietary intake, biochemical health status, and anthropometry were evaluated. Can-pro 3.0 was used to assess dietary intakes and the SPSS 12.0 program was used for statistical analysis. The results showed that the natural teeth group had better nutritional and dietary intake status than the no denture no teeth group. The dietary assessment showed that there were differences in food intakes among the groups, which depended on their dental health status. In conclusion, dietary management is required for the elderly since each group has a different ability to chew food depending on their dental health status. In addition, the elderly will need different therapeutic diets because of the high prevalence of chronic degenerative diseases.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.72-78
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• 2016

이 연구는 한국 노인의 구강건강상태와 치과보철물 필요도가 구강건강관련 삶의 질에 미치는 요인을 경험적으로 규명함으로써 향후 노인대상의 구강건강사업에 필요한 기초자료를 제공하고자 한다. 이 연구자료는 2010년 1월부터 12월까지 질병관리본부에서 시행한 '국민건강영양조사 제5기 1차 및 2차년도를 활용 구강검사까지 완료한 65세 이상 노인 2,389명 중 검사가 미흡한 노인 116명을 제외한 2,273명을 최종 연구대상으로 하였다. 수집된 자료는 SPSS 22.0 프로그램을 이용하여 전산통계 처리하였으며, 분석방법은 빈도분석, 다중회귀분석, 구조방정식 모형을 이용하였다. 주관적 구강건강상태에 영향을 미치는 요인은 나이가 적을수록, ST지수가 높을수록, FS-T 지수가 높을수록, T-Health 지수가 높을수록, 상악 크라운 요구도가 낮을수록, 상 하악 의치 요구도가 낮을수록 주관적 구강건강상태가 높은 것으로 나타났다. 씹기문제에 영향을 미치는 요인은 소득수준이 높을수록, T-Health 지수가 높을수록, 상악 크라운 요구도가 낮을수록, 상 하악 의치 요구도가 낮을수록 씹기 문제가 불편하지 않는 것으로 나타났다. 말하기 문제에 영향을 미치는 요인은 ST지수가 높을수록, T-Health 지수가 높을수록, 상악 임플란트 요구도가 낮을수록, 상악 의치 요구도가 낮을수록 말하기 문제가 불편하지 않는 것으로 나타났다. 이상의 결과를 토대로 구강건강상태와 치과보철물 필요도는 구강건강관련 삶의 질에 상당한 영향을 미치고 있음을 알 수 있었고, 향후 노인의 구강건강 관련 삶을 증진시키기 위해서는 노인을 위한 구강건강증진사업과 치과보철 사업이 필요가 요구된다.

• 대한치과의사협회지
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• 제45권10호통권461호
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• pp.641-650
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• 2007

Few reports regarding the effect of government paid denture project for low-income elders evaluated by the participating dentists are available despite the project was launched in 2002. Thus, this study investigated the effect of the project evaluated by the participating dentists and suggested public health policies for the better development of the project. Survey questionnaire regarding desire to continue participation, motivation of the participation, list of complaints, wish of the payment increase, and wish of the abutment crown increase were completed by 117 dentists in Seoul and Pusan. 78.6% of them desired to continue the participation while 16.2 % of them did not. When the motivation of participation was the service for the society, they tended to show the desire of continuing participation. Half of them were satisfied with the current payment(50.4%), while the other 47.9% did not. Complicated oral health status(48.7%), poor cooperation of patients(8.5%) and too frequent after cares low payment(6.8%) were complained. Payment increase compensating the addition of preprosthetic procedures for the complicated oral health status and the after cares was desired. Also, more thorough education regarding the denture project for the patients by the public health center is needed to alleviate the inconvenience of the participating dentists.

• 대한치과보철학회지
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• 제14권1호
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• pp.66-71
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• 1976

The purpose of this investigation was to evaluate the mouth preparation and design of removable partial dentures. A total of 187cases for the prefabricated partial denture frameworks in both maxillary and mandibular semi-dentulous situations (66 cases and 203 cases) was selected from this study. The evaluations of mouth preparation and design observed here involved the classification of edentulous spaces, status of abutment splinting with location, design of direct retainer and structure of maxillary major connector according to the incidence of both dental arches, ages, sexes and segment of semidentulousness. The analyzed results were as follows: 1) The order of frequency rate in removable partial denture construction was Class II (50.27%), Class I (36. 90%), Class III (10.69%), and Class IV (2.14 %). 2) The distribution on design of maxillary removable partial denture prosthesis was 33.22% and 64.11% in mandibular removable partial denture prosthesis. 3) The age distribution of removable partial denture prosthesis was prominent after40 years (41.71%). 4) The design pattern of maxillary major connectors was in order of anteroposterior bar, single palatal bar, palatal strap, U-shape connector. 5) The design pattern of direct retainer was in order of Aker's clasp, I-bar clasp, backaction clasp, cuspid universal clasp. 6) The abutment for partial denture clasp splinted between premolar and premolar and its frequency rate revealed 53.44%. 7) It seemed that the location and design of the indirect retainer showed accepatble limit.

• 대한치과보철학회지
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• 제30권2호
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• pp.286-318
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• 1992

The objective of preventive dentistry is the maintenance of a healthy dentition for the life of a patient. Unfortunately, if an individual has not received the benefit of a comprehensive program of preventive dentistry and has finally reached the edentulous state, as a consequence, he receives a set of complete denture. Dentures are mechanical devices and subject to the principles of mechanics. In some cases, the general health and nutritional status of the patient are felt to be the causative factors. But, the most important thing in residual ridge resorption is felt to be caused by the unequal distribution of functional forces. This study was to analyze mandibular stresses of complete denture occlusion by three dimensional finite element method. The results were as follows ; 1. As deformation and stress distribution of the complete denture of the mandible were concentrated on the upper lingual side of the mandible, alveolar ridge resorption of the mandible occurred from lingual side to labio-buccal side. 2. Analyzing by three dimensional F. E. M., the mandible is a very effective form for tolerating stress and deformation biomechanically. 3. According to the concentration of stress distibution in the upper buccal side of the lower posteriors, buccal shelf area must be a primary stress bearing area in the lower complete denture. 4. Lower complete denture moved horizontally to the balancing side under lateral occlusal force. 5. Bilateral balanced occlusion should be constructed in the complete denture for denture stability, especially in the protrusive movement. 6. Physical property of the denture base material was as important for stress distribution in the denture base as or even more than that in the mandible. 7. Impression technique is very important because of most of stress was concentrated between them due to close contact of the mandible and the denture base.

• Journal of Yeungnam Medical Science
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• 제21권1호
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• pp.51-59
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• 2004

Background: The objective of this study is to evaluate the relationship between chewing ability and health status in order to provide basic information for the development of program which may lead to an improvement of a the elderly health status in urban areas. Materials and methods: The subjects of this study were 128 elderly urban female over the age of 65 who reside at house. The data were collected from May 21 to August 20, 2001, through questionnaires about nutrient intake status, direct measurement of anthropometrics, and oral examinations. Results: In terms of remaining teeth, there was significant negative relationship between age and number of remained teeth. The average number of remained teeth our subjects was $13.1{\pm}10.6$. About sixty five percent of the subjects were denture users (partial or full dentures) and there was positive relationship between age and the percentage of denture user. There was a significant negative correlation between age and chewing ability. The group that was able to chew had more remained teeth than the other group. Conclusion: This study suggests that there is strong positive relationship between chewing ability (remaining teeth) and elderly health status in urban areas, and the importance of preserving original teeth to improve the elderly health status in the public health program.

• 대한치과의사협회지
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• 제49권6호
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• pp.334-339
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• 2011

The purpose of this study was to investigate the oral health condition and dental treatment need of low socioeconomic elderly people. A total of 116 elderly people who visited Boramae Hospital were evaluated with oral examination and panoramic radiogaph. The results showed that the most expecting treatment of low income aged people was removable partial denture. It was very clear in the age group of 70-84. In the age group under 70, most of the patients wanted prosthodontic tratement using fixed partial denture or crown. As the result of this study, elderly people with low socioeconomic status under age 85 needed removable partial denture or fixed prosthesis than complete denture. It is necessary to develop a more expanding and customized Senile prosthetic restoration program.