• 치위생과학회지
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• 제19권1호
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• pp.48-59
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• 2019

Background: The purpose of this study is to provide the data for discussions related to oral health promotion policies for single-person households by analyzing the status of unmet dental needs and related factors in single-person households in Korea, based on the Anderson model. Methods: The data, obtained from 544 single-person households of those over 20 years old who were targeted for the 6th Korea National Health and Nutrition Examination Survey, were analyzed through a complex sample frequency analysis, complex sample cross analysis (Rao-Scott chi-square test), and complex sample binary logistic regression analysis on a complex sampling design. Results: The most frequently given reason for an unmet dental need among single-person households was economic (52.4%). Factors related to the unmet dental needs of single-person households are smoking, which is a predisposing factor; personal income levels, which are an enabling factor; chewing discomfort; and limited daily activities, which are need factors. Smokers, the high-income group, the chewing-discomfort group, and the limited activity group showed high unmet dental care experience. Smokers had a 2.75 times higher rate of unmet dental care than non-smokers, and the high-income group had a 5.29 times higher rate of unmet dental needs than the median group. The rate of unmet dental needs for the chewing discomfort group was 3.27 times higher than the non-chewing discomfort group, and the limited activity group had a 7.87 times higher rate of unmet dental needs than the non-limited activity group. Conclusion: It is necessary to map out policies designed to help maintain and promote met dental needs considered to be internally heterogeneous to single-person householders, based on the Anderson model.

• 한국치위생학회지
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• 제18권1호
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• pp.77-92
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• 2018

Objectives: The purpose of this study was to review depression and anxiety associated with pain during scaling procedures, and to establish measures for reducing scaling pain encompassing not only physical factors but also psychological aspects of patients. This study also attempts to reduce anxiety through proper patient education prior to scaling procedures. Methods: In Seoul, and Gyeonggi area from July 26, 2017 to August 19, 2017, there were 327 copies of questionnaire data collected, excluding 23 questionnaires with insufficient information such as missing entries. The following inductions were made based on data collected. Results: There are positive correlations between pain and depression, dental anxiety, trait anxiety, and state anxiety. Especially, stronger correlation is present between pain and dental anxiety. Depression (${\beta}=0.439$, p<0.001) is the most influential factor associated with pain. Next is dental anxiety (${\beta}=0.292$, p<0.001). Higher the depression and dental anxiety tend to increase pain over scaling procedure. This model is with adjusted explanatory power of 28.2%. Conclusions: The result demonstrates that there is a correlation between scaling pain and depression, dental anxiety, trait anxiety, and state anxiety. Especially, depression and dental anxiety were prominent factors in affecting scaling pain. Therefore, considering aforementioned-findings, a dental hygienist's positive attitude may help in reducing the pain of the patient during scaling procedures, by affecting the psychological state of the patient and reduce the anxiety through proper education prior to scaling procedures.

• 디지털융복합연구
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• 제18권11호
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• pp.1-11
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• 2020

경제적인 요인은 장애인들의 삶의 만족도에 있어 중요하다. 또한 직무만족도가 삶의 만족도에 미치는 영향은 기존연구들에 의해 검증된 바 있다. 그러나 Herzberg는 동기-위생이론을 통해 임금과 같은 경제적 소득이 위생요인으로서 직무의 불만족을 낮출 뿐 직무의 만족도에는 영향을 주지 못한다고 하였다. 본 연구는 Herzberg의 동기-위생이론에 의문을 제기하고 실증적인 분석을 통해 이를 확인하고자 한다. 이에 국내 2017년 장애인 고용패널조사 데이터를 기반으로 위생요인이 장애인들의 직무만족도에 영향을 주고 있는지 분석하였으며, 나아가 우리나라 주요 지자체를 지역변수로 투입하여 이를 지역적 연구로 확장하였다. 구조방정식 모형을 분석한 결과 근무환경, 대인관계, 개인생활과 같은 위생요인은 장애인 근로자들의 직무만족도에 직접적인 영향을 주는 것으로 나타났다. 또한 위계적 선형모형을 통해 지역적 요인을 분석한 결과 장애인 근로자들의 직무만족도를 높이기 위해서는 지자체의 교육지원이 무엇보다도 필요하다는 것이 확인되었다.

• 한국학교ㆍ지역보건교육학회지
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• 제16권1호
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• pp.1-14
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• 2015

Objectives: The purpose of this study was to examine the effects that the self-efficacy, self-elasticity, and major satisfaction of students majoring in dental hygiene would have on the adaptation to the campus life. Methods: The total 396 students were surveyed who majored in dental hygiene in universities located at Gyeongbuk and Gyeongnam from October 15, 2013 to October 30. The collected data were analyzed by using the SPSS 17.0 program, along with the One-Way ANOVA, correlation analysis, and multi-regression analysis. Results: The 'aptitude and interest' were found to be greatest factor among the motive for application among the factors of self-efficacy, self-elasticity, and major satisfaction of students, depending on general characteristics. The results of correlation analysis showed that the self-elasticity had a correlation of 0.741 and the adaptation to the study had a correlation of 0.420 in the self-efficacy, while the individual emotional adaptation, adaptation to university environment, and adaptation to the study had a correlation as high as over 0.4 in the self-elasticity(p<0.05). In addition, it was found that the adaptation to the campus life increased proportionally to the self-elasticity and major satisfaction(p<0.05). Conclusions: To increase the campus life adaptation of students majoring in dental hygiene, it is considered necessary to explore the measures that can improve the self-elasticity and overall major satisfaction.

• 한국치위생학회지
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• 제19권1호
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• pp.79-91
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• 2019

Objectives: The purpose of this study was to contribute to the development of an oral hygiene care program for patients with dementia by understanding the oral care status and oral health knowledge of care workers and caregivers with regard to patients with dementia. Methods: For about two months from May to June 2018, a survey of care workers and caregivers working in long-term nursing homes and elderly-specialized nursing hospitals was performed, and 442 people were selected for the final analysis. The frequency and percentage were calculated to understand the oral care status and oral health knowledge regarding patients with dementia, and an independent t-test was conducted to determine the difference between the elderly oral health knowledge of care workers and caregivers. Multiple regression analysis was also carried out to examine factors affecting elderly oral health knowledge. Results: With respect to the factor of oral health education in elderly oral health knowledge, oral health knowledge was shown to be highest when participants responded that education was unnecessary (p<0.001), and regarding the will to participate in oral health education, oral health knowledge was highest when participants responded as having no desire to participate (p<0.05). Conclusions: These results suggest that a standard manual should be developed for the accurate and qualitative management of oral hygiene care tasks performed by care workers and caregivers who are in charge of oral care for patients with dementia in order to provide continuous and systematic oral care.

• 한국치위생학회지
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• 제19권3호
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• pp.351-362
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• 2019

Objectives: The study aimed to analyze the factors affecting the maturity of dental biofilm, which was assessed with quantitative light-induced fluorescence-digital(QLF-D), in a sample of Korean older adults. Methods: This cross-sectional study included 67 participants, aged 65 years and older. All participants completed a questionnaire and tests to measure their manual dexterity and handgrip strength, which are parameters that indicate hand function abilities. To evaluate dental biofilm maturity, 804 surfaces of six index teeth were imaged using QLF-D and then quantified as ${\Delta}R$ values. All data were collected from May 25, 2017 to April 30, 2018. The independent t-test, one-way analysis of variance, and step-wise multiple linear regression were performed to analyze the factors associated with the maturity of dental biofilm (${\Delta}R$). Results: The multivariate linear regression analysis revealed that the factor most strongly related to dental biofilm maturity(${\Delta}R$) was manual dexterity (${\beta}=-0.326$), followed by handgrip strength (${\beta}=-0.303$) and use of interdental cleaning devices (${\beta}=-0.283$) (p<0.05). Conclusions: Manual dexterity, handgrip strength, and use of interdental cleaning devices are factors that can predict dental biofilm maturity in adults aged 65 years or older. Therefore, the hand function of a patient should be evaluated first, before assessing the oral hygiene status of the patient or providing him/her with oral health education, and the dental hygienist should provide differentiated oral hygiene care depending on the patient's hand function ability. Finally, dental hygienists should help older adults to recognize the importance of auxiliary oral hygiene devices such as interdental brushes and keep motivating them to use the devices more frequently.

• 치위생과학회지
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• 제19권4호
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• pp.254-260
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• 2019

Background: The primary aims of periodontal disease treatment is to remove dental plaque and calculus, the main causes of tooth loss, and restore periodontal tissue destroyed by inflammation. Periodontal disease treatment should also help maintain the alveolar bone, alleviate inflammation, and promote periodontal ligament cell proliferation, which is essential for tissue regeneration. Conventional antibiotics and anti-inflammatories have adverse side effects, especially during long-term use, so there is a need for adjunct treatment agents derived from natural products. The purpose of this study was to investigate whether the herbal flavone baicalein has the osteogenic activity under inflammatory conditions, and assess the involvement of osteoblast immediate early response 3 (IER3) expression. Methods: Human osteoblastic MG-63 cells were cultured with the pro-inflammatory cytokines tumor necrosis factor α and interleukin 1β in the presence and absence of baicalein. Proliferation was assessed using the 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide assay, and expression of IER3 mRNA was assessed using real-time polymerase chain reaction. The expression of IER3 protein levels and activation of associated signal transduction pathways were assessed using western blotting. Results: Baicalein increased IER3 mRNA and protein expression synergistically. In addition, baicalein reversed the suppression of cell proliferation, and the downregulation of osteogenic transcription factor runt-related transcription factor 2 and osterix induced by pro-inflammatory cytokines. Baicalein also upregulated the phosphorylation of c-Jun N-terminal kinase (JNK) and extracellular signal-regulated kinase (ERK 1/2). The upregulation of IER3 by pro-inflammatory cytokines was blocked by pretreatment with inhibitors of AKT, p38, JNK, and ERK 1/2. Conclusion: Baicalein mitigates the deleterious responses of osteoblasts to pro-inflammatory cytokines. Further, IER3 enhanced the effect of baicalein via activation of AKT, p38, JNK, and ERK pathways.

• 한국치위생학회지
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• 제12권6호
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• pp.1203-1211
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• 2012

Objectives : The aim of this study was to investigate the factor-related oral care self-efficacy among the type 2 diabetic patients. Methods : Questionnaire was conducted with 174 Type 2 diabetic patients from 9th January to 9th March in 2012. The following conclusion was obtained as a result of carrying out t-test and one-way ANOVA analysis and multiple linear regression analysis. Results : 1. Analysis of the level of each item concerning oral care self-efficacy showed tooth brushing self-efficacy was $13.3{\pm}2.9$, the highest of all. 2. The factor that was most highly related with oral care self-efficacy was oral health behaviors(${\beta}=0.474$). The other factors were found to be expected duration of diabetes(${\beta}=-0.205$), self-assessed physical health(${\beta}=0.177$) and oral health(${\beta}=0.111$) in such order (p<0.05). Conclusions : Diabetes causes a variety of complications in the mouth, and therefore it is very important to practice oral care activity in order to oral health promotion. This study showed oral care self-efficacy appeared to be the greatest factor of relevance in practicing oral care activity. So, dental hygienist is obliged to keep on motivating so that the patient may maintain the oral care activity for him/herself. Also, a study on various intervention methods to improve oral care self-efficacy should be continued.

• Journal of Oral Medicine and Pain
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• 제40권2호
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• pp.41-46
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• 2015

Purpose: This study was performed to investigate a correlation among oral hygiene habits, dryness of mouth, and self-perceived oral malodor and therefore to find out self-care methods which could be a help to reduce oral malodor. Methods: A survey of 296 dental undergraduate students of School of Dentistry, Pusan National University, who wrote consents voluntarily and participated in this study, was conducted using a questionnaire consisting of 17 questions and analyzed to investigate a correlation among oral hygiene habits (frequency of tooth brushing, water gargling, and drinking water, etc.), dryness of mouth indicating the amount of salivary secretion, and self-perceived oral malodor. Results: There was no significant correlation between mechanical cleaning factors and self-perceived oral malodor. The factor showing a strong correlation with severe self-perceived oral malodor was dryness of mouth (p=0.000). Conclusions: There was no correlation between mechanical cleaning habits and self-perceived oral malodor. Participants who felt self-perceived oral malodor more tended to have rather good mechanical cleaning habits. The factor showing a strong correlation with severe self-perceived oral malodor was dryness of mouth. Therefore trying to increase salivary secretion is considered to be a help to reduce self-perceived halitosis.

• 한국치위생학회지
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• 제17권6호
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• pp.1121-1134
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• 2017

Objectives: The purpose of this study is to analyze the factors affecting the self-perceived halitosis of adults and to utilize them as basic data for the development of prevention and management program to reduce of self-perceived halitosis. Methods: A questionnaire survey of 301 adults in their 20s and 50s living in Gwangju and Jeonnam selected by convenience sampling from July 1, 2017 to August 31, 2017 was conducted to investigate oral health status and behavior, fatigue and perceived stress. Statistical analysis was performed using frequency analysis, independent t-test, one way ANOVA, Pearson's correlation analysis, and multiple regression analysis. Results: The degree of self-perceived halitosis was higher in married (2.51) and unemployed (2.71), with tongue brushing (2.68), intention to participate in halitosis education (2.57), taking medication (2.73), coated tongue (2.82) and there was both otolaryngology and gastrointestinal disease (2.72) and periodontal disease (2.89) (p<0.05). Fatigue (${\beta}=0.237$), periodontal disease (${\beta}=0.196$), and coated tongue (${\beta}=0.237$) affect the self-perceived halitosis (p<0.001). Conclusions: The self-perceived halitosis in adults was correlated with fatigue and perceived stress. Also fatigue, periodontal disease, coated tongue factors were analyzed as factors influencing self-perceived halitosis. Additional studies such as prevention and management of periodontal disease and coated tongue, which is a factor of self-perceived halitosis in adults, and development of programs to reduce self-perceived halitosis for fatigue management, which is an external factor, are necessary.