Journal of The Korean Society of Integrative Medicine
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v.6
no.1
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pp.25-33
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2018
Purpose : The present study aimed to investigate the of the based on their oral health status and the study findings will provide the basic data for establishing future oral health related policies for the elderly. Methods : A total of 50 elderly participants were selected for the study. Oral examinations were performed by a single trained dental hygienist, the oral health status was classified according to the use of dentures, presence of temporo-mandibular joint (TMJ) noise, presence of TMJ pain, presence of trismus, presence of preferred chewing, and number of residual teeth. An oral health-related survey using the in-person interview method was conducted by two dental hygienists and 30 types of foods were selected for the assessment of chewing ability. For data analysis, the Mann-Whitney U test and Spearman's Rho analysis were performed to investigate the association between oral health status and chewing ability. Result : The results of the present study revealed that there was a statistically significant positive (+) correlation between the number of residual teeth and chewing abilities. In other words, as the number of residual teeth increased, chewing ability increased as well, with the differences being statistically significant. Conclusion : Improvement of oral health in the elderly is a fundamental aspect of healthy aging. Therefore, the implementation of more efficient oral health care policies for the elderly is required as We move toward a super-aged society.
Purpose: This study investigated the association between the objective indicator of masticatory function assessment and the masseter muscle thickness (MMT) using ultrasound imaging. Methods: A total of 99 subjects (males: 24, females: 75, mean age: 76) were analyzed. The maximum bite force (MBF) was measured with a pressure-sensitive sheet and an image scanner. The mixing ability index (MAI) was calculated by image analysis after asking the subjects to chew a wax specimen. The MMT during rest and clenching were obtained with a diagnostic ultrasound system, and the difference in MMT during rest and MMT during clenching was defined as the difference in masseter muscle thickness (DMMT). Multiple regression analysis was performed to determine the independent variables affecting MBF and MAI. Results: The MBF showed correlation with the number of remaining teeth (β=0.346, p=0.002) and DMMT (β=0.251, p=0.011). The MAI correlated with only the number of remaining teeth (β=0.476, p<0.001). Conclusions: The DMMT reflects the state of masseter muscle contraction, and can be used as a predictor as well as the number of teeth when assessing masticatory function.
PURPOSE. The purpose of this study was to to analyze the effect of Type 2 diabetes on tooth mortality, implant treatment and prosthetic status. MATERIALS AND METHODS. 275 Type 2 diabetics and 300 non-diabetics, aged 40-80 years were selected for analysis. The assessment of number of teeth, missing teeth, fixed prostheses (bridge pontics), implants using panoramic radiographs and dental records were carried out. RESULTS. Diabetes mellitus (DM) patients had a higher number of missing teeth (P<.05) and placed implants (P=.074), age (P<.05), male gender percentage (P=.042), smoker percentage (P<.05) than non-DM patients. In univariate analysis, the patients in older group showed significantly higher number of tooth loss rate at the first dental examination than the patients in younger group. Tooth loss rate of smokers did not show higher value than that of non-smokers. When multiple variables including DM, age, smoking, gender were considered together, diabetics and older group patients showed significantly higher tooth loss rate at the first dental examination than non-diabetics and younger group patients, respectively. Smokers and male group did not show a significant difference than nonsmokers and female group, respectively. CONCLUSION. Tooth mortality and implant treatment rate were significantly higher in the DM group as indicated by univariate and multivariate logistic regression analysis. Old age groups showed significantly higher odds ratios and tooth loss rate. As diabetics showed the higher tooth loss rate than non-diabetics, diabetics also had more implant restorations than non-diabetics.
The purpose of this study was to compare the amount of the vertical pin opening of $33^{\circ}$ resin and $0^{\circ}$ resin teeth during processing and to determine whether the changes in tooth contacts by using articulation ribbon and T-Scan system follow any identifiable pattern, and to determine if there is any correlation between the changes in tooth contacts and the amount of the vertical pin opening after processing. Through statistical analyses on the data from this study, the following conclusions were obtained. 1. The amounts of the vertical pin opening were 0.78m, 0.87mm for $0^{\circ}$ teeth and $33^{\circ}$ teeth, respectively. But there was no significant difference between them. 2. The total number of contact points recorded by articulating ribbon after processing was decreased to 442.5% of that before processing. 3. The mean values for the number of contact points per tooth recorded by articulating ribbon after processing were 4.3 for the second molar, 3.8 for the first molar, 1.3 for the second premolar, 0.8 for the first premolar. The reduction of contact points per tooth became greater moving in an anterior direction. 4. The correlation between the reduction of contact points and the amount of the pin opening after processing was not significant. 5. The mean values for the numbers of contact points per tooth recorded by T-Scan system after processing were 2.2, 2.5, 1.0, and 0.5 at the second molar, the first molar, the second premolar, and the first premolar, respectively. 6. The correlation between the number of contact points by using articulating ribbon and TScan system after processing was not significant.
Journal of the korean academy of Pediatric Dentistry
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v.29
no.3
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pp.444-449
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2002
The term 'impaction' is used to designate a tooth which remains unerupted in the jaw beyond the time at which it should normally be erupted. The main causal factors are local (lack of space, ectopic positions of teeth, supernumerary teeth, cyst, the occurrence of infectious process in the eruption path, traumatic facial injury etc.). Systemic and genetic disorders, however, may have primary failure of eruption and retarded eruption as additional symptoms (cleidocranial dysplasia, osteopetrosis etc.). Most cases of impacted teeth reported in the literature are of permanent teeth. The absence of primary teeth occur rarely whereas impaction of second primary molars is more numerous than all other impactions. Impaction due to primary failure of eruption must be distinguished from the secondary infraocclusion. The etiology of impaction of primary teeth is probably related to early ankylosis of primary teeth, but it is not clear. Failure of eruption of primary teeth may cause a number of complications, such as interference with development and eruption of succedaneous teeth, formation of cyst, and damage to adjacent teeth. This study is to report cases of primary failure of eruption in the primary dentition.
Objectives : This study was to assess the children's mean number of decayed or filled primary teeth in relation to their mother's oral health behavior and then to increase children's oral health. Methods : The 346 children and their mothers were selected for this study. The children were 4 or 7 years old in the 4 dental clinics in Busan and Kyungnam, Korea. Data were collected by examination on children and self-administrated questionnaire on their mothers. The questionnaire was surveyed mother's oral health behaviour and children experienced dental caries or not and the number of decayed or filled they had were used as outcome variables. Results : 1. The mother's education level affected children's dft index significantly(p<0.05), In the case of tooth brushing method of children, the group with circle teeth wipes shows the low dft index(p<0.01). 2. On the other hand the group with snack as food eaten between meals has high dft index(p<0.001). 3. The group with mother's visiting to dentist within recent 1 year, experience in removing plaque or willing to attend the oral health education show low dft index(p<0.05). The important variables affecting to dft index are experience with oral health education, tooth brushing guidance, replacement of toothbrushes, the kind of food eaten between meals, recent experience of plaque removal and willing to participating in the oral health class. Conclusions : This study showed that the mother's oral health behavior and concern play an important role for the prevention of preschooler's dental caries. Dental health education would be focused on the mothers, expecially for the practice of preventive behavior by preschools themselves.
Relationship of Dental Health Assessment to the Number of Existing Permanent Tooth in Senior Citizens visited a dental hospital or clinic from Some Regions. The purpose of this study was to examine the relationship of the dental health assessment of elderly people who were at the age of 65 and up to the number of existing permanent tooth in an effort to lay the groundwork for pinpointing problems with their oral status and developing programs geared toward improving their dental health and quality of life. The findings of the study were as follows: 1. Regarding self-perceived dental health, the largest group of the senior citizens that accounted for 57.9 percent didn't find themselves to be in good dental health. The second largest group that represented 32.5 percent thought their dental health was at an ordinary level, and the third greatest number of them that stood at 9.5 percent considered themselves to be in good dental health. Their self-perceived dental health status was statistically significantly different according to education and monthly income, and whether they had a job or not made a statistically significant difference to that as well(p < .01, p < .001). 2. In terms of taste appreciation, 58.7 percent, the largest group, didn't appreciate one or two kinds of taste, and their taste appreciation was statistically significantly different according to education and monthly income(p < .05, p < .01). 3. As for chewing ability, 20.6 percent were able to chew well. In regard to digestion, 69.0 percent had an ordinary level of digestive power. 4. Concerning the number of existing permanent tooth, 38.9 percent, the greatest percentage, had ten or less permanent teeth. By education, the possession of 21or more permanent teeth(40.0%) was most common among those who received high-school or higher education. The greatest group of the senior citizens with a job had 11 to 20 permanent teeth(41.7%), and the largest number of the elderly people whose monthly income was 500 thousand won or more were in possession of 11 to 20 permanent teeth(41.7%). The number of existing permanent tooth statistically significantly differed with their general characteristics(p < .01). 5. As to connections between dental health and the number of existing permanent tooth, 21 permanent teeth or more were owned by those who were in good dental health, who appreciated different tastes and whose chewing ability was good. So there was a statistically significant relationship between the two.
The aim of present study is to evaluate the influence of adjacent tooth to the microbiology of clinically healthy implant. Control group included patients who had clinically healthy implant and tooth with healthy $periodontium(PD{\leq}3mm)$, test group was composed of patients who had clinically healthy implant and tooth with periodontal pocket(PD>3mm). The criteria of clinically health implant are no pain or discomfort, the restorative suprastructure provide satisfactory fit and function, and the tissue around the fixtures were firm and probing with standard periodontal probe with a rounded tip 0.5mm in diameter resulted in penetration of no more than 5mm when using a force of 0.5N at any location. 38 patients, partially edentulous subjects with endosseous root-form implants were selected. All subjects were medically healthy and had not taken systemic antibiotics and professional plaque control 3 months before sampling. Number of control group is 25(mean age $52{\pm}13$, 26 teeth, 34 implants) and test group is 13(mean age $60{\pm}13$, 13 teeth, 17 implants). All teeth and implants of each patient were examined probing depth(PD), bleeding on probing(BOP), and plaque index(PI), and samples of subgingival plaque were obtained at each site with sterile curet or fine paper points, then the plaque transferred to PBS. Obtained samples were examined for the presence of P. gingivalis, T. forsythensis, and T. denticola by the polymerase chain reaction(PCR). The relationship among clinical parameters and the colonizations by the 3 bacterial species from natural teeth and implants region were analyzed by student t-test. The results of this study were as follows: 1. PD was different in teeth between 2 groups(p<0.05), but the other parameters were not. 2. Statistically significant difference was not found in clinical parameters of implants between 2 groups. 3. All bacterial prevalences of teeth were higher in test group than in control group, and prevalence of T. forsythensis had statistically significant difference between 2 groups(p<0.05). 4. Prevalences of P. gingivalis and T. forsythensis are higher in test group than control group, and that of T. denticola is higher in control group than in test group. But there were no statistically significant differences between 2 groups. In conclusion, there is no statistically significant difference in prevalence of implant microbiology between 2 groups. But if the number of samples increased, it will be possible to find out statistical significance in prevalence of P. gingivalis. It seems that pocket of adjacent tooth influences prevalence of P. gingivalis. These results mean that improvement of the periodontal condition before implantation is very important.
The purpose of this study was to examine the relationship between the dietary habits and oral health of elderly people in an attempt to pave the way for the development of oral health promotion programs geared toward improving the quality of life of the elderly. The subjects in this study were senior citizens who were selected by convenience sampling from Seoul. The findings of the study were as follows: 1. Regarding subjective oral health state, 54.5% of the elderly people, more than the half, considered their mouth to be in good health. The number of their mean remaining permanent teeth was 13.71. 47.5 percent of the senior citizens investigated had no shaking teeth. 2. Those who found themselves to be in good oral health had meals on a regular basis(p=0.022) and ate detergent food often. The gaps between them and the others was significant(p=0.005). In contrast, the elderly people who were in a bad oral health frequently ate cariogenic food(p=0.044). 3. The elderly people who had 21 teeth or more ate detergent food often(p=0.029), and those who owned no teeth had a sweet teeth(p=0.003), ate more cariogenic food(p=0.001) and had a snack frequently(p=0.026). 4. The subjective oral health status had a positive correlation to detergent food intake(r=0.23) and had a slightly negative correlation to preference for sweets(r=-0.14), cariogenic food intake(r=-0.14) and snack intake(r=-0.06). The number of tooth was positively correlated to detergent food intake(r=0.23) and negatively to preference for sweets(r=0.32), cariogenic food intake(r=-0.30) and snack intake(r=-0.21). The presence or absence of shaking teeth had a positive correlation to snack intake(r=0.14). The above-mentioned findings suggested that the dietary habits of the elderly people had a statistically significant relationship to subjective and objective oral health state, which indicated that there was a close relationship between oral health and dietary habits. Therefore how to improve dietary habits as well as oral health should be taken into account when oral health promotion programs are developed for the sake of the elderly. That would contribute to promoting the oral health of elderly people and eventually boosting their quality of life.
Journal of the korean academy of Pediatric Dentistry
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v.30
no.3
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pp.363-372
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2003
Supernumerary teeth are found frequently in the dental office causing many dental complications. They are one of the many dental abnormalities that may occur during tooth development. Inversely impacted supernumerary teeth in the midpalatal area are especially important clinically because they occur with high frequency and many complications. Though many previous clinical and radiographical studies exist, the sample numbers were small and the evaluation of shape, location, and effects to its surrounding tissue may not be accurate due to the solitary use of intraoral radiographs or panoramic radiographs. Among the patients who visited department of pediatric dentistry, yonsei dental hospital, from July, 1998 to June, 2002, those with inversely impacted supernumerary teeth took computerized tomography for a more accurate diagnosis. Their dental chart, panoramic radiograph and computerized tomography were evaluated for this study. The number, form, convexity, location, distance, and complications of inversely impacted supernumerary teeth in the midpalatal area were recorded. This study show that when the supernumerary teeth is tuberculated with a curved root and is in close proximity to the adjacent teeth, it causes complications such as eruption disturbance, rotation, displacement of adjacent teeth, and diastema. Such factors must be considered in making decisions for diagnosis and treatment.
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