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Survey on oral health behavior and knowledge of middle school students (일부 중학생의 구강보건행동과 지식에 관한 조사연구)

  • Lim, Kun-Ok;Choi, Jeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.2
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    • pp.243-250
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    • 2011
  • Objectives : The purpose of this study was to examine the oral health behavior and knowledge of middle schoolers in an attempt to facilitate the selection of what to teach about oral health. Methods : The subjects in this study were 315 students at three different middle schools located in the city of Gunsan. After a self-administered survey was conducted by using structured questionnaires in collaboration with their homeroom teachers, the answer sheets from 315 students were gathered. And the answer sheets from 302 students were analyzed with SPSS 12.0 program except 13 incomplete ones. The findings of the study were as follows: Results : 1. By gender and grade, the middle school boys(51.3%) outnumbered the middle school girls(48.7%), and the seventh, eighty and ninth graders respectively accounted for 31.5, 32.8 and 35.8 percent. 2. As to the parts of the mouth they brushed, the largest number of the seventh graders(31.6%) and ninth graders(56.5%) brushed their teeth and tongue. The largest group of the eighth graders(39.4%) brushed their teeth, tongue and gums, and the gaps between them and the others were statistically significant. 3. In regard to toothbrushing frequency, the ninth graders did that 2.62 times, which was the largest frequency, but the gap between them and the others was not statistically significant. 4. Concerning school oral health education experiences, the rates of the seventh, eighth and ninth graders who had ever received that education stood at 69.5, 50.6 and 50.5 percent respectively, and those students significantly outnumbered the others who hadn't(p<0.01). 5. As for the relationship of their oral health behavior scores to toothbrushing frequency, there was a statistically significant correlation between the two(r=0.227, p<0.001). And the oral health knowledge scores had a statistically significant correlation to toothbrushing frequency (r=0.116, p<0.05) and oral health behavior scores(r=0.358, p<0.001). Conclusions : It is concluded that proactive oral health education must be made through diverse programs and systems. Also, regular oral examination and active oral health program for preventing dental caries and periodontal disease should be proliferated in order to evaluate achievement and effectiveness and maintain oral health care.

Association between Periodontitis and Coronary heart disease in Korea : Inflammatory markers and IL-1 gene polymorphism (한국인에서 치주질환과 관상동맥질환의 관련성에 대한 염증표지자와 IL-1 유전자 다변성의 영향)

  • Jeong, Ha-Na;Chung, Hyun-Ju;Kim, Ok-Su;Kim, Young-Joon;Kim, Ju-Han;Koh, Jung-Tae
    • Journal of Periodontal and Implant Science
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    • v.34 no.3
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    • pp.607-622
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    • 2004
  • Recently epidemiologic studies have indicated that the patients with periodontitis may have increased risk of ischemic cardiovascular events, and have suggested the important roles of blood cytokines and acute reactant proteins in the systemic infection and inflammatory response. Periodontitis and coronary heart disease (CHD) may share the common risk factors and the genetic mechanism associated with interleukin(IL)-1A, B and RA genotype may be involved in the production of IL-1. This study was aimed to investigate the relationship between angiographically defined CHD and periodontitis as chronic Gram-negative bacterial infection and to determine whether the IL-1 gene polymorphism is associated in both diseases. Patients under the age of 60 who had undergone diagnostic coronary angiography were enrolled in this study. Subjects were classified as positive CHD (+CHD, n=37) with coronary artery stenosis more than 50% in at least one of major epicardial arteries, and negative CHD (-CHD, n=30) without significant stenosis. After recording the number of missing teeth, periodontal disease severity was measured by means of plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing depth (PD), clinical attachment level (CAL), and radiographic bone loss around all remaining teeth. Gingival crevicular fluid (GCF) was collected from the 4 deepest periodontal pockets and assessed for cytokine ($IL-1{\beta}$, IL-6, IL-1ra, tumor necrosis $factor-{\alpha}$, and prostaglandin $E_2$). Additionally, blood CHD markers, lipid profile, and blood cytokines were analyzed. IL-1 gene cluster genotyping was performed by polymerase chain reaction and enzyme restriction using genomic DNA from buccal swab, and allele 2 frequencies of IL-1A(+4845), IL-1B(+3954), IL-B(-511), and IL-1RA(intron 2) were compared between groups. Even though there was no significant difference in the periodontal parameters between 2 groups, GCF level of $PGE_2$ was significantly higher in the +CHD group(p<0.05). Correlation analysis showed the positive relationship among PD, CAL and coronary artery stenosis(%) and blood $PGE_2$. There was also significant positive relationship between the periodontal parameters (PI, PD, CAL) and the blood CHD markers (leukocyte count, C-reactive protein, and lactic dehyrogenase). IL-1 gene genotyping showed that IL-1A(+3954) allele 2 frequency was significantly higher in the +CHD group compared with the -CHD group (15% vs. 3.3%, OR 5.118,p=0.043). These results suggested that periodontal inflammation is related to systemic blood cytokine and CHD markers, and contributes to cardiovascular disease via systemic inflammatory reaction. IL-1 gene polymorphism might have an influence on periodontal and coronary heart diseases in Korean patients.

Effects of Indomethacin on the physiologic root resorption of deciduous teeth in dogs (인도메타신이 개의 유치 치근 흡수에 미치는 영향)

  • Shin, Kang-Seob;Kang, Yoon-Goo;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.35 no.2 s.109
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    • pp.106-115
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    • 2005
  • This study was aimed to investigate the effects of indomethancin on physiologic root resorption and to examine the dental pulp and tissue changes around the resorbing teeth 13-14 week old six mongrel dogs were divided into 3 groups, two experimental groups administered indomethacin 2mg/kg/day and 8mg/kg/day orally two times a day for 14 days respectively. and control group administered a placebo The deciduous incisors showing root resorption were selected. fixed for 24 hrs in $10\%$ formalin solution. demineralized in $10\%$ EDTA solution. Invested in paraffin and sectioned in $5{\mu}m$ thick sections. The preparations were stained with H&E staining and Masson's trichrome staining and examined under the light microscope Observation revealed that deciduous root resorbing tissue resembles inflammatory tissue and accompanies bore remodelling. The dental pulp was formal except the area near root resorption. well organized columnar odontoblasts layer under the predentin, anud the odontoblasts near root resorption were cuboidal or flat cells in the disrupted layer under the predentin. Indomethacin administered group showed a partial decrease in the number of odontoclasts and nucleus But there was no sign of pulp change by indomethacin. These results suggest that indomethacin inhibits recruitment of odontoclasts partially and that of osteoclasts more. and so when it is administered for long periods deciduous root resorption can be delayed and eruption of the successor can be delayed for a short period.

Prognostic factors influencing clinical outcome of nonsurgical endodontic treatment (비외과적 근관치료의 임상적 성공에 영향을 미치는 예측 인자들의 평가)

  • Kim, Seon-Ah
    • Restorative Dentistry and Endodontics
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    • v.35 no.6
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    • pp.436-444
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    • 2010
  • Objectives: This study aimed to assess prospectively the clinical outcome of nonsurgical endodontic treatment and identify patient- and tooth-related factors, rather than treatment-related factors, that were the best predictors of this outcome. Materials and Methods: The inception cohort comprised 441 teeth (320 patients) and 175 teeth (123 patients) were followed up for 1-2 years. Age, gender, presence of medical disease, number of canals, previous endodontic treatment, presence of sensitivity and pain, pulp vitality, swelling or sinus tract of pulpal origin on the gingiva, periapical radiolucency and tendency of unilateral bite on the affected tooth were recorded at treatment start. Results: The outcome was classified on the basis of periapical radiolucency as healed or non healed. The overall healed rate in these cases, including nonsurgical retreatment, was 81.1%. Four tooth-related factors had a negative impact in the bivariate analysis: previous endodontic treatment, necrotic pulp, preoperative gingival swelling or sinus tract of pulpal origin, and preoperative periapical radiolucency. Stepwise logistic regression analysis including patient-, tooth-related factors and level of the root canal filling as a treatment-related factor showed that preoperative gingival lesion (odds ratio [OR]: 4.4; p = 0.005), preoperative periapical radiolucency (OR: 3.6; p = 0.011), and $\leq$ 1-2 mm under root filling length (OR: 9.6; p = 0.012) were significant predictors of failure. Conclusions: A preoperative gingival lesion of pulpal origin can influence the outcome of nonsurgical endodontic treatment in addition to preoperative periapical radiolucency.

Valplast$^{(R)}$ flexible removable partial denture for a patient with medically compromised conditions : a clinical report (전신적 질환자 및 예후가 불량한 환자에서 Valplast$^{(R)}$ 탄성 국소의치의 적용)

  • Choi, Bohm;Kim, Seong-Hun;Lee, Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.3
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    • pp.295-300
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    • 2009
  • Statement of problem: As the number of elders is growing with the advancement of medicine, partially or fully edentulous patients have increased. Medically compromised conditions are common in the older population so that it should be taken into account in prosthetic treatment planning as well as their economic conditions. In the older patients, removable prosthesis has been preferred to implant prosthesis. However, cast metal based removable partial dentures also has several limitations. Purpose: In this report, we present several cases of Valplast$^{(R)}$ flexible denture which were fabricated in patients who had medically compromised conditions or whose remaining teeth showed a relatively poor prognosis. Results & Conclusion: This article describes an alternative treatment for a partially edentulous patient with mouth opening limitation, after cancer surgery, compromised general condition and questionable remaining teeth. In these patients, Valplast$^{(R)}$ flexible denture was used because of its unique characteristics and the results were all satisfactory. Patients had 1-2 check-up and there were no postoperative pain or fracture of denture up to now.

Study on the Radula of Korean Marine Gastropods (한국산 해산 권패류 치설의 형태에 관한 연구)

  • KANG Pil Ae
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.9 no.1
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    • pp.25-34
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    • 1976
  • The purpose of the present study on the radula of Korean marine gastropods is to determine the systematic position of the species by the radula features. The radula features of 9 Families based on the observation of specimens consisting of 31 species are described briefly as follows. 1. Naticidae; Radula formula 2-1-C-1-2. Rachidian is 3-cusped. All cusps are strong and pointed. The lateral tooth is massive and strong with a huge triangula cusp. Two marginal teethare slender, long and strong. 2. Cymatidae; Radula formula 2-1-c-1-2. Fachidian, 1-cusped. Cusp is strong and acute. The basal margin is toothed with a number of small denticles. The lateral tooth is beak-like and strong with groove inside. The marginal teeth are slender and pointed. 3. Tonnidae; Radula Formula 2-1-C-1-2. Rachidian, 3 cusped. Central cusp is huge, strong and abruptly pointed. Lateral cusp is blunt and relatively small. The lateral tooth and maginal teeth are identical to that of the preceding one. 4. Muricidae; Radula formula 1-C-1. Rachidian has 3 to 5 cusps. Central cusp, long, thick, strong and pointed. Lateral cusps are rather shorter than central, thick, strong and well cut with several minute denticles along outer margin. The lateral tooth is falciform. 5. Pyrenidae; Radula formula 1-c-1 Rachidian lacks of cusp. The base is thin, narrow, small and rectangular. Lateral tooth has 2 cusps with a crescent shaped base. 6. Buccinidae; Radula formula 1-C-1. Rachidian has 3 to 7 cusps. The base is massive and broadened laterally. The lateral tooth is large-and has 2 to 4 cusps. The central cusp is the shortest, and become longer towards the each side. 7. Busyconidae ; Radula formula 1-C-1. Rachidian, 3-cusped with a massive base. All cusps are pointed and strong. Centeral cusp is rather shorter than lateral one. Lateral tooth, 2-cusped. Inner cusp short about one half the length of outer one. 8. Fasciolariidae; Radula formula 1-C-1. Rachidian, 3 to 4-cusped. Very small in size. Lateral tooth broadened laterally with about 10 thin, long, sharp cusps. 9. Volutidae ; Only the rachidian exists. Rachidian, 3-cusped. All cusps are strong and sharply pointed. Central cusp is narrower than lateral ones. Anterior basal margin is concave.

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A Study on Dietary Behaviors, Snack Habits and Dental Caries of High School Students in Gimhae, Kyungnam Province (경상남도 김해지역 고등학생의 식행동, 간식섭취 및 충치 실태조사)

  • Yoon, Hyun-Sook;Kwak, Hye-Jeong;Noh, Sang-K.
    • Journal of Nutrition and Health
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    • v.41 no.8
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    • pp.809-817
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    • 2008
  • This study was conducted to provide basic information snack intake frequency, eating patterns and current dental caries in high school students. A total of 626 students (333 males, 293 females) in Gimhae city participated in this study. The survey conducted by using a self-administered questionnaire in January, 2008. Dental caries-related information was obtained during the students' physical examination at the designated clinical hospital in 2007. The results were as follows. Sixty three point nine percent of the students were shown to have dental caries, which includes a sealant. The average number of dental caries was 3.1, which was greater in female than in male students (p < 0.001). Eighty six percent of the students were shown to maintain correct toothbrushing habits to prevent dental caries. Twenty percent of the participants brushed there teeth ‘instantly’ a meal or snack, and 27.3% of the participants brushed there teeth, gum and tongue, and 58.9% of the participants received toothbrushing education. In snack intake frequency, participants with no dental caries had preference to white milk whereas those with dental caries had preference to snacks such as chewing gums and carbonated beverages. Female students were shown to have more dental caries maybe because of their higher snack intake frequency in chocolate, cookies and chips, yoghurt and ice-cream. Dental caries did not affect eating behaviors. This study suggests that more education for correct toothbrushing and cariogenic and detergent foods are needed for better dental hygiene.

A Study on the Oral Health Care and Oral Health Awareness of Some Laborers (일부 근로자들의 구강건강관리행태 및 인식 조사)

  • Hong, Min-hee;Kim, Yoon-shin;Jeong, Mi-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.9
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    • pp.2545-2550
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    • 2009
  • The purpose of this study was to examine the oral health care and oral health awareness of some laborers. Out of them, 220 workers were selected from K motor company in Hwaseong, and the other 180 workers were selected from D automobile company in Bupyeong. The findings of the study were as follows: As for daily toothbrushing frequency, the largest number of the laborers investigated(44.0%) brushed their teeth three times a day. Smoking made a significant difference to that($x^2$=19.00, p<.01). Concerning the use of oral hygiene supplies, 41.3 percent put oral hygiene supplies to use. There was a significant difference in that aspect according to gender($x^2$=9.20, p<.01). Regarding scaling experience, the largest group(37.3%) had their teeth scaled twice or more, and their scaling experience significantly varied with gender($x^2$=8.60, p<.05), age($x^2$=20.07, p<.01), academic credential($x^2$=11.88, p<.01) and the presence or absence of systemic diseases($x^2$=8.19, p<.05). In relation to oral diseases, the greatest group(27.8%) had dental caries. By gender, the female workers had more dental caries or the more swollen gums than the males, and the gap between the two was significant($x^2$=13.65, p<.05).

Factors related to oral health and subjective health among Korean adolescents : the 18th Korea Youth Risk Behavior Survey (KYRBS) (한국 청소년의 구강건강과 주관적 건강 관련 요인 : 제18차 청소년건강행태조사를 바탕으로)

  • Se-In Ryu;Sun-A Lim
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.5
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    • pp.415-422
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    • 2024
  • Objectives: This study was conducted to investigate factors related to oral health and subjective health in Korean adolescents, a total of 51,850 people. Methods: Subjective health by general characteristics, subjective health by oral health characteristics, and subjective health by oral health symptoms were analyzed by a cross-analysis. Factors influencing subjective health were analyzed using multiple regression analysis. Results: As a factor influencing subjective health, the number of times teeth were brushed 0.62 times lower (p<0.001) for 0 times, and 0.91 times lower (p<0.05) for 1-2 times. The risk was 1.33 times higher (p<0.001) if teeth were brushed before going to bed, and 1.10 times higher (p<0.05) if an intrdental brush was used, In cases where oral health education was not received, subjective health was 0.86 times lower (p<0.001). In cases where there was no pain subjective health was 1.44 times higher (p<0.001), gingival bleeding was 1.51 times higher (p<0.001), or malodor was 1.53 times higher (p<0.001). Conclusions: Based on the above results, the relationship between oral health and subjective health was confirmed, and it is thought that opportunities to develop preventive programs to promote youth health should be expanded.

Photoelastic stress analysis of the mandibular unilateral free-end removable partial dentures according to the design (하악 편측 유리단 가철성 국소의치의 설계에 따른 광탄성 응력 분석)

  • Park, Cheol-Woo;Kay, Kee-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.2
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    • pp.206-214
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    • 2009
  • Statement of problem: There are common clinical cases in which the mandibular first and second molars are missing unilaterally. Purpose: This study was designed to compare and evaluate the magnitude and distribution of stress produced by four kinds of mandibular unilateral free-end removable partial dentures that could be applied clinically in Kennedy class II cases. Material and methods: Four unilateral free-end removable partial dentures using clasp, Konus crown, resilient attachment, and flexible resin were fabricated on the photoelastic models of the Kennedy class II cases. The vertical load of 6㎏ was applied on the central fossa of the first molar of every removable partial denture in the stress freezing furnace and the photoelastic models were frozen according to the stress freezing cycle. After these models were sliced mesio-distally to a thickness of 6mm, the photoelastic isochromatic white and black lines of the sliced specimens were examined with the transparent photoelastic experiment device and photographs were taken with a digital camera. The fringe order numbers at eight measuring points in the photograph were measured with the naked eye. Results: The maximum fringe order number of each sliced specimen and the fringe order number at the residual ridge just below the loading point were in the decreasing order of the unilateral removable partial dentures using flexible resin followed by clasp, resilient attachment, and Konus crown. The fringe order number at the root apex of the second premolar was in the decreasing order of the unilateral removable partial dentures using clasp followed by flexible resin, Konus crown, and resilient attachment. Conclusion: The removable partial denture using Konus crown showed the most equalized stress distribution to the supporting alveolar bone of abutment teeth and residual ridge under the vertical loads. The removable partial denture using flexible resin can be applied to the case that has a better state of residual ridge than abutment teeth.