• Journal of Korean Dental Science
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• 제10권2호
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• pp.74-81
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• 2017

This report describes two cases of complete arch implant-supported restorations. The first patient had seven dental implants in each arch with monolithic zirconia frameworks. At four weeks' follow-up, the one-piece maxillary framework was fractured, which was re-designed and re-fabricated using laser-sintered cobalt-chrome alloy. The second patient had four implants in the mandible only. A mandibular monolithic zirconia framework and a maxillary conventional complete denture were fabricated and delivered. At five years' follow-up, the patient reported no significant discomfort. Careful consideration and monitoring of the status of antagonistic arches and stress distribution on zirconia frameworks were suggested for complete arch implant-supported fixed restorations.

• 치위생과학회지
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• 제17권5호
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• pp.447-453
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• 2017

The purpose of this study was to analyze the relationship between objective oral health status determined by dentists, self-perceived subjective oral health status, and oral health related quality of life (OHRQoL) in the elderly. The related factors affecting OHRQoL in the elderly were also surveyed. Four hundred and thirty elderly individuals who visited the three public health centers and four dental clinics in Busan were selected by convenience sampling. Twelve dental hygienists investigated the subjective oral health status and OHRQoL using the 14-item Oral Health Impact Profile (OHIP-14) and twentyone dentists examined the objective oral health status, including healthy remaining teeth, treated remaining teeth, functional remaining teeth, missing teeth, and non-treated missing teeth. Data were analyzed using SPSS ver. 12.0. OHRQoL was higher when oral and periodontal status was perceived as healthy, when there was no toothache, no interference in mastication, and when study subjects had the ability of food softening. It was also higher when study subjects had ${\geq}20$ remaining teeth and <9 missing teeth, and were wearing denture. The related factors affecting OHRQoL of the elderly were the type of medical insurance, toothache, ability of food softening, perception of periodontal status, and the number of healthy remaining teeth. There was a significant relationship between the subjective-objective oral health status and OHRQoL in the elderly. A continuous oral health care system aimed at retaining ${\geq}20$ healthy remaining teeth is needed to improve oral health and OHRQoL for the elderly, especially for the elderly receiving medical aid.

• 치위생과학회지
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• 제14권3호
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• pp.417-423
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• 2014

이 연구는 국민건강영양조사를 이용하여 우리나라 만 65세 이상 노인을 대상으로 보철 상태에 따른 건강관련 삶의 질을 조사하여, 노인의 구강건강증진의 기초자료를 확보하고자 하였으며, 다음과 같은 결론을 얻었다. 전체 연구대상자의 HRQoL은 0.86이었으며, 성별에 따른 HRQoL은 남자에서 0.90에 비해 여성에서 0.82로 남자가 유의하게 높았으며, 월 평균 소득이 증가할수록, 학력수준이 높을수록, 상실치아 개수가 낮을수록 HRQoL이 유의하게 높았다. 연구대상자 중 고정성 가공의치와 총의치 필요한 대상자는 HRQoL이 유의하게 낮았으며, 부분의치와 총의치를 장착하지 않은 대상자에서 HRQoL이 유의하게 높았다. EQ-5D의 현재의 건강 상태 5개의 항목에서 운동능력 항목은 부분의치 장착군에서 비장착군에 비해 어려움에 대한 응답한 비율이 높았으며, 자기관리 항목에서 총의치장착군에서 어려움이 있다고 응답한 비율이 높았다. 불안/우울 항목에서 총의치 장착군이 비장착군에 비해 어려움이 있다고 응답한 비율이 높았다.

• 농촌의학ㆍ지역보건
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• 제35권1호
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• pp.56-66
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• 2010

본 연구는 우리나라 일부 농촌지역 노인의 구강건강상태와 의치만족도의 관련성을 조사하여 의치 만족도에 관여하는 요인들을 분석하고자 경상북도 지역 내 2개군 지역을 선정하여 지역 내 만 65세이상 노인들을 대상으로 구강검사를 실시하고, 이들 중 가철성 의치를 장착한 노인만을 대상으로 의치만족도에 대한 설문조사하였다. 최종 수합된 546명의 자료를 분석한 결과 다음과 같다. 첫째, 조사대상자들의 각 세부요인별 만족도 점수는 저작기능에 대한 만족도의 경우 $3.20{\pm}1.08$, 의치고정에 대한 만족도 $3.45{\pm}0.96$, 심미적인 만족도 $3.73{\pm}0.99$ 그리고 일반적인 만족도는 $3.56{\pm}1.04$이었다. 둘째, 인구통계적 특성에 따른 의치만족도의 차이는 성별의 경우 여자에 비해 남자에서 저작 기능, 의치고정, 심미 및 일반 만족도가 모두 높은 경향이 있었으며, 의치고정에 대한 만족도에서는 통계적으로 유의하였다. 연령에 따른 차이는 75세 이상인 군에서 모든 세부요인별 만족도가 가장 낮았으며, 저작기능 및 의치고정에 대한 만족도와 심미적인 만족도의 경우 통계적으로 유의하였다. 교육수준이 높을수록 만족도가 증가하는 경향이 있었으며, 저작기능 및 의치고정에 대한 만족도와 일반적인 만족도에서 통계적으로 유의하였다. 동거가족에 따른 차이는 배우자와 함께 거주하는 경우에 만족도가 가장 높았으며, 저작기능에 대한 만족도의 경우 통계적으로 유의하였다. 또한 직업유무의 경우 직업이 있는 군이 없는 군에 비해 모든 세부요인별 만족도가 통계적으로 유의하게 높았으며, 월소득에 따른 차이는 소득수준이 높을수록 만족도가 증가하는 경향이 있었으며, 저작기능에 대한 만족도를 제외한 의치고정 만족도, 심미적인 만족도, 일반적인 만족도에서 각각 통계적으로 유의하였다. 셋째, 구강건강상태 및 사용의치에 따른 의치 만족도의 차이는 우식경험영구치수의 경우 우식경험영구치수가 10개 미만인 군의 만족도가 가장 높았고, 잔존치아 수에 따른 차이는 잔존치아 수가 10개 이상인 군들의 만족도가 상대적으로 높았으며, 특히 의치고정에 대한 만족도와 심미적인 만족도에서는 통계적으로 유의하였다. 또한 음식을 먹을 때 의치를 사용하는 군이 사용하지 않는 군에 비해 저작기능 만족도, 의치고정 만족도, 심미적인 만족도, 일반적인 만족도가 모두 통계적으로 유의하게 높았다. 하루 종일 의치를 사용하는 군의 만족도는 사용하지 않는 군에 비하여 상대적으로 높은 경향을 보였으며 의치고정 만족도를 제외한 저작기능 만족도, 심미적인 만족도, 일반적인 만족도에서 각각 통계적으로 유의하였다. 이러한 연구결과를 종합해 볼 때 농촌지역 노인들의 구강건강상태 및 의치만족도는 전반적으로 낮은 것으로 조사 되었으며 이들 농촌지역 노인들의 구강보건을 증진시킬 수 있는 효과적인 노인구강보건 관리 및 교육프로그램이 시행되어야 할 것이다.

• 한국치위생학회지
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• 제8권4호
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• pp.1-10
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• 2008

The purpose of this study was to compare the oral health status of elderly people living in nursing home with private home in Busan, Kimhae and Jinju in Gyeongnam province for development oral healthy policy of elderly people. 253 elderly subjects aged more than 65 in a hall for the aged and special medical treatment hospital are made up questions. The date was analysed using the SPSS 13.0 program. The obtained result were as follows. 1. 39.5 percent elder people recognize that their subjective oral health is not good. In the case of above three times in brushing tooth a day, 29 percent people are less their oral health is good. As the number of times of brushing tooth decreases, the percent feeling their oral status good decrease(p<.05). 2. The respondents who have visited the dentist within one year are less than people with no visit. Also the percent having a mind that their oral health status is good is higher in the respondents having scaling than them without scaling(p<.05). The respondents who answer that their diet is not bad is most in the ratio of people feeling subjective oral health status good(p<.001). 3. The portion of people feeling their oral status not healthy is highest in the respondents without tooth(p<.05). 4. Among the respondents answering their subjective oral health is not good, the some problem of conversation due to no tooth or denture and relation with others is issued each(p<.001). This study suggests that perceived toothbrusing frequency and periodic scaling with oral health among the elderly. The finding of this study will helpful to policy makers to design plants to increase the oral health related quality of life among the elderly.

• 한국치위생학회지
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• 제23권1호
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• pp.13-23
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• 2023

Objectives: This case study was conducted to assess the changes in the oral health status of older individuals with hearing and visual impairments through home oral health care based on community care. Methods: The participants were two older adults with hearing and visual impairments. Through home visits, an oral health intervention program, including oral hygiene care and training on strengthening of oral function, was conducted once a week for 5 months. Dental hygienists performed special oral health interventions such as dental plaque control through individual tooth brushing and interdental care, training on strengthening of intraoral and extraoral muscle function, and denture care for the individuals with visual-hearing impairments. Results: The overall periodontal health status and oral muscle function improved in older adults with hearing and visual impairments. In the case of the visually impaired individuals, changes in the oral health status were oral mucosal moisture (30.1 and 37.2 points before and after intervention, respectively), salivary secretion (3.5 and 4.0 cm before and after intervention, respectively), and maximum tongue pressure (20.5 and 26.2 kPa before and after intervention, respectively). Changes in the oral health status of the hearing impaired individuals increased from 28.3 points before the intervention to 38.4 points after the intervention, and the maximum tongue pressure increased from 1.85 kPa to 23.5 kPa after the intervention. Conclusions: Oral health intervention activities contributed to improving the periodontal health and oral function of older adults with hearing and visual impairments. To improve their overall and oral health, it is necessary to prepare measures to activate customized oral health intervention programs.

• 치위생과학회지
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• 제7권4호
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• pp.281-286
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• 2007

본 연구에서는 노인의 구강건강관리 실태를 파악하여 구강건강 인지 및 수준을 파악하고자 만 60세 이상 노인 256명을 대상으로 설문지를 배포한 후 직접 면접 조사하여 다음과 같은 결론을 얻었다. 1. 잇솔질 방법은 남자의 경우 횡마법, 여자의 경우 회전법을 주로 사용하고 있었으며, 60~69세에서는 회전법 68.1%, 70세 이상에서는 횡마법 80.4%로 통계적으로 유의하게 나타났다(p < 0.001). 2. 성별 치과방문 실태는 60~69세에서 이가 아플 때 내원한다가 49.1%로 높았고, 70세 이상에서 1년에 한번 내원한다가 47.9%로 높게 나타났으나 통계적으로 유의하지는 않았다. 3. 구강 내 보철장착 필요성 인식여부는 여자가 75.4%로 남자보다 높았고, 60~69세에서 74.1%로 70세 이상 보다 60~69세에서 통계적으로 유의하게 높았으며(p < 0.05), 학력별 구강 내 보철장착 필요성 인식여부는 무학 77.2%, 초등학교 졸업이상에서 57.0%로 무학이 통계적으로 유의하게 높았다(p < 0.01) 4. 현재 의치사용 유무는 남자가 92.6%로 여자보다 의치 사용율이 더 높았고, 60~69세에서 62.9%, 70세 이상에서 85.0%로 연령이 높을수록 통계적으로 유의하게 높았다(p < 0.001). 5. 의치 관리 실태는 세척 후 찬물에 보관한다가 여자가 95.5%로 통계적으로 유의하게 높았고(p < 0.001), 연령별, 학력별 의치사용 유무는 세척 후 찬물에 보관한다가 높게 나타났으나 통계적으로 유의하지는 않았다.

• 기본간호학회지
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• 제15권3호
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• pp.332-341
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• 2008

Purpose: The purpose of this study was to identify factors associated with oral health-related quality of life among elderly women living in the community. Method: The participants were 162 elderly women aged 65 and older who lived in D city. Descriptive statistics, ANOVA, Pearson correlation coefficients and stepwise multiple regression were used with SPSS/PC windows program to analyze the data. Results: The major findings of this study are as follows: 1) there were statistical differences in OHQoL for spouse presence, educational level, monthly income, self-rated health, number of teeth and chronic disease, and types of denture. 2) OHQoL was positively related to age, number of chronic disease and nutrition. Also, OHQoL was negatively related to educational level, monthly income, number of teeth, and diet habit. 3) Significant factors influencing OHQoL were self-rated health and nutritional status. Conclusion: Based on these results, it is necessary to do further study on oral health of those who have 20 or more teeth. Oral health promotion programs focusing on prevention are necessary for elderly women in the high risk group.

• 한국치위생학회지
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• 제14권3호
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• pp.293-302
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• 2014

Objectives : The objective of this study was to investigate the relationship between the status and necessity of dental prosthesis and mastication function in the Korean elderly. Methods : This study investigated 4,557 elderly people aged over 65 in the 5th Korea National Health and Nutrition Examination Survey(2010-2012). Frequency analysis, ${\chi}^2$ test, and logistic regression analysis were used. Results : Those aged over 75 complained of greater discomfort in mastication function than those from 65 to 74, and it was statistically significant(p<0.001). Mastication discomfort was not so significant in those with higher education and higher income(p<0.001). Those who did not use prosthesis tended to have better mastication function(p<0.001). Denture users complained of mastication discomfort when they used it(p<0.001). Conclusions : This study verified the relationship between the discomfort in mastication and related factors, and will provide the basic data for the access to dental clinic services.

• 한국치위생학회지
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• 제15권3호
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• pp.443-450
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• 2015

Objectives: The purpose of the study is to identify the relationship between happiness, subjective oral health condition and oral health behavior in Korean elderly people. Methods: A self-reported questionnaire was completed by 487 elderly people using facilities for the senior citizens in Gyeonggi-do from January 3 to November 28, 2014 by convenience sampling method. The questionnaire consisted of demographic characteristics of the subjects, subjective oral health status, oral health behavior, and happiness. Cronbach'a alpha in the happiness was 0.734 in the study. Results: Happiness was closely correlated with abscence of subjective periodontal diseases, dental fillings, and denture. The number of toothbrushing and dental health education had also influenced on happiness. Conclusions: In order to improve the quality of dental health in the elderly, it is necessary to develop a multilateral systematic dental health promotion program by Ministry of Health and Welfare.