• Journal of Oral Medicine and Pain
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• 제45권3호
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• pp.49-55
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• 2020

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.

• 치위생과학회지
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• 제17권3호
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• pp.218-225
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• 2017

The purpose of this study was to determine the association between drinking behaviors and the need for periodontal treatment. The data of 5,995 adults from the 2012 Korea National Health and Nutrition Examination Survey were categorized into young adulthood (19~39 years), middle age (40~64 years), and old age (${\geq}65$ years) and analyzed. Chi-square test was performed to determine those who needed periodontal treatment by the respondents' general characteristics and drinking behaviors, and logistic regression analysis was carried out to determine the impact of each drinking behavior on the need for periodontal treatment. The results of this study have confirmed that alcohol intake is a factor adversely affecting periodontal status; therefore, patients should know the fact that excessive alcohol intake and increased frequency of drinking may affect the prevalence rate of periodontal diseases. Moreover, moderate-drinking programs that can reinforce prevention of drinking so that dental hygienists can provide good oral health care should be developed. A systematic oral health promotion program should be introduced for constant prevention with the objective of activating oral health education that focused on middle-aged and young-adult people in pursuit of healthy aging society.

• 한국치위생학회지
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• 제16권3호
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• pp.417-426
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• 2016

Objectives: The objective of the study was to investigate the related factors of preventive behavior experience toward dental caries and periodontal disease in Korean adolescents. Methods: The study subjects were 72,060 adolescents in 800 schools who completed 2014 Korean Youth Risk Behavior Web-based survey. Dependent variables included general characteristics of the subjects, oral health behavior, and oral disease experience. The experience rate of sealant and scaling showed the prevention behavior of dental caries and periodontal disease. Data were analyzed by IBM SPSS statistics 20.0. Results: The experience rate of sealant accounted for 26.9%. The experience of sealant was related with gender, school, maternal education level, economic status, vigorous physical activity, smoking, usual stress, fruit consumption, milk consumption, soda consumption, snack consumption, tooth brushing, oral health education experience, periodontal bleeding and pain, mucosal disorders, and bad breath. The experience rate of scaling was 22.6%. The experience of scaling was related with gender, school, city division, learning achievement, maternal education level, economic status, residential type, vigorous physical activity, usual stress, fruit consumption, milk consumption, tooth brushing, oral health education experience, periodontal bleeding and pain, mucosal disorders, and bad breath. Conclusions: To expand preventive oral health behavior in the adolescents, it is necessary to support the systematic policy making and monetary establishment in the future.

• 치위생과학회지
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• 제24권1호
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• pp.1-8
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• 2024

Background: Oral frailty is defined as the functional decline of the oral function due to aging, and it is associated with frailty and chronic disease. Most of the frailty intervention is for adults aged 65 years and older. However, early intervention for preventive disorder is most important. The objective of this study was to identify the age at which oral frailty surpass the "normal" range. Methods: This cross-sectional study included 719 adults (aged 30~89 years) residing in Gangwon province in May 2023. Risk of oral frailty was assessed using criteria from The Korean Academy of Geriatric Dentistry including oral function such as swallowing and mastication, and frailty. Frailty was assessed using the Kihon Checklist. To determine when oral frailty surpass the "normal" status, statistical analysis including chi-squared tests and multiple logistic regression analysis were performed using R (ver. 4.3.1). Results: There were 388 (54.0%) individuals who had a "normal" status risk of oral frailty. The risk of oral frailty was higher in the 50~54 age group compared to the 30~34 age group (odds ratio [OR] 0.50, 95% confidence interval [CI] 0.28~0.91), after adjusting for gender, education, income, occupation, and frailty (OR 0.46, 95% CI 0.22~0.94). This means that from 50~54 years old, regardless of gender, education, income, occupation, or frailty condition, there is a distinction from the "normal" status. Conclusion: We found that intervention for oral frailty is needed starting from age 50 years. This is the stage where early indications of oral frailty become apparent. Early intervention for oral frailty can lead to a decrease in the prevalence of diseases and medical expenditure. Therefore, early intervention in middle-aged adults of oral frailty is necessary to improve the quality of life related to oral health.

• 한국치위생학회지
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• 제21권3호
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• pp.227-234
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• 2021

Objectives: The objective of this study was to investigate the relationship between smoking history and periodontal disease among the elderly in South Korea. Methods: The study subjects comprised 2,703 elderly people who underwent oral health examination as part of the 7th South Korea National Health and Nutrition Examination Survey (KNHANES; 2016-2018). Data were analyzed using frequency analysis, Rao-Scott chi-square test, t-test, and binary logistic regression analysis. Results: A complex sample logistic regression analysis showed that the odds for periodontal disease development were higher in past smokers (odds ratio [OR]=1.461; 95% CI=1.070-1.994) and current smokers (OR=1.601; 95% CI=1.011-2.536) than in lifetime non-smokers. Conclusions: Smokers must actively participate in smoking cessation programs and interventions starting from middle age.

• 치위생과학회지
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• 제13권4호
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• pp.426-433
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• 2013

본 연구는 국민건강영양조사 제4기 자료를 이용하여 미취학 아동의 치아우식상태와 어머니 구강건강상태와의 관련성을 파악하고자 하였다. 원시자료에서 가족 아이디 변수를 이용해 아동과 어머니를 짝짓기하여 최종 823명의 자료를 추출하였다. 통계분석은 복합표본설계를 반영하기 위하여 가중치를 고려한 분석을 실시하였으며, 어머니의 인구사회학적 특성과 구강건강행태 및 구강건강상태에 따른 자녀의 우식경험유치지수의 차이를 분석하고, 이들 간의 관련성을 알아보기 위해 다중회귀분석을 시행하였다. 분석결과, 미취학 아동의 우식경험유치지수는 어머니의 사회인구학적 특성 중 나이에 따른 차이가 통계적으로 유의하였으며 (p=0.005), 어머니의 구강건강행태 중 지난 1년 동안 치과검진 유무에 따른 차이가 통계적으로 유의하였다(p=0.034). 또한 어머니의 우식경험영구치지수에 따른 자녀의 우식경험유치지수의 차이도 통계적으로 유의하였다(p=0.016). 한편 어머니의 인구사회학적 특성과 구강건강행태를 보정한 후, 어머니와 자녀의 구강건강상태 관련성을 분석한 결과 어머니의 우식경험영구치지수는 자녀의 우식경험유치지수와 유의한 관련성이 있는 것으로 나타났다. 따라서 어머니의 구강건강상태가 양호할수록 자녀의 구강건강상태 또한 양호함을 알 수 있었다. 이러한 연구 결과는 어머니의 구강건강상태가 자녀들에게 영향을 미칠 수 있음을 보여주므로 어머니들의 구강건강상태를 향상시킬 수 있는 효과적인 구강보건교육 프로그램이 개발되어야 한다고 생각된다.

• 대한지역사회영양학회지
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• 제29권2호
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• pp.129-143
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• 2024

Objectives: The objective of this study is to compare a nutritionally balanced soft blend diet (SBD) with a soft fluid diet (SFD) on the health of inpatients who have undergone oral and maxillofacial (OMF) surgery, ultimately aiming to enhance care outcomes, improve health-related quality of life (QOL), and increase satisfaction with the hospital. Methods: Thirty-two patients were randomized into two groups: sixteen received SFD and sixteen received SBD. Anthropometric, laboratory evaluations were conducted upon admission and discharge. Patients filled out questionnaires on demographics, diet satisfaction, food intake amount, and health-related QOL on the day of discharge, assessed using the EuroQoL 5 Dimensions 3 Level and EuroQoL Visual Analogue Scale (EQ-VAS) instruments. Data were analyzed with descriptive statistics, χ² tests for group differences, and paired nonparametric t-tests for within-group comparisons. The Mann-Whitney U test evaluated inter-group differences in preoperative weight and body mass index (BMI), postoperative changes, meal satisfaction, intake, health-related QOL, and self-assessed health status. P-values were set at a significance level of 0.05. Results: The SBD group had higher dietary intake (63.2% vs. 51.0%) and greater diet satisfaction (80.6 vs. 48.1, P < 0.0001) compared to SFD group. Health-related QOL, measured by EQ-VAS, was better in SBD group (70.3 vs. 58.8, P < 0.05). Postoperative weight and BMI decreased in SFD group but increased in SBD group (P < 0.01). Changes in laboratory results showed more stability in the SBD group. No postoperative infections were reported in SBD group, whereas SFD group had a 31.25% complication rate. Conclusions: While SFD is often recommended after OMF surgery to protect oral wound healing process, our study reveals that SBD not only enhances physical and psychological outcomes but also, somewhat unexpectedly, supports wound healing and reduces complications. Essentially, SBD promotes physical recovery and enhances health-related QOL than SFD by supporting both somatic and mental healing aspects.

• 대한장애인치과학회지
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• 제5권1호
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• pp.5-11
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• 2009

The objective of this study was to assess oral health status such as prevalence of dental caries, gingivitis and other combined disorder, orofacial dysfunction in patients with cerebral palsy(CP), as well as the state of tooth brushing, possibility of dental treatment. Sixty-six subjects with CP aged 9 to 37 years were included in the study. Clinical caries status(DMFT index) and other data were evaluated and statistically analyzed using SPSS program (SPSS 17.0). The results were as follows: The DMFT index and prevalence of gingivitis of study subjects were 2.82(male), 3.33(female) and 89%, respectively. DMFT index classified into four groups according to age as follows: DMFT index were 1.14(ages 6-11), 1.40(ages 12-14), 2.16(ages 15-24), 4.15(ages 25-37). In addition to the physical disorder, speech difficulty(86%), epilepsy(35%) and visual impairment(14%) were associated and the epilepsy medication was the most common medication. And orofacial dysfunction such as the eating difficulties(79%), drooling(36%), swallowing disorder(30%), breathing difficulty(15%), bruxism(30%) and snoring(33%) was shown. Most people with cerebral palsy can't brush alone and didn't use oral care adjunctive supplies. Moreover, Fifty-nine percent of them were noncooperative to dental treatment.

• 한국치위생학회지
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• 제10권6호
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• pp.1049-1059
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• 2010

Objective : The purpose of this study was to examine the relationship of the general characteristics of parents to their children's oral health care. The subjects in this study were 117 parents and their children who resided in rural communities in the region of K. Methods : A survey was conducted with the consent of the parents from July 1 to 30, 2010. As for the survey on the children, the children who were in the lower grades were interviewed, and the upper graders filled out the questionnaires in person. A frequency analysis was carried out to find out the general characteristics of the parents and children, and x2-test was utilized to grasp the links between the general characteristics of the parents and the children's oral health care. A SPSS WIN 12.0 program was employed to analyze all the collected data. The findings of the study were as follows: Result : 1. As a result of investigating the relationship of the occupation of the parents to the children's regular dental checkup, the 71.8 percent of the entire children didn't get a dental checkup on a regular basis. The biggest percentage of the children of the self-employed parents(100%) got a regular dental checkup, and 90.9 percent of the children of the government workers did that(p<.05). 2. As a result of checking the relationship of the occupation of the parents to the children's dental-caries experiences, 39.3 percent of the whole children had no such experiences. The largest percentage of the children of the company employees(51.9%) had dental-caries experiences(p<.05). 3. Concerning the links between the academic credential of the parents and the children's toothbrushing method, the biggest percentage of the children(40.2%) brushed their teeth up and down. The largest rate of the children whose parents were high-school graduates(41.5%) brushed their teeth in that way(p<.05). 4. Regarding the links between the toothbrushing time of the parents and the children's view, 43.6 percent found their parents to take good care of their teeth to make them clean. 60 percent whose parents brushed their teeth after having breakfast and dinner took the best view(p<.001). 5. As for the oral-health education experiences of the parents and a time for the children's change of toothbrushes, 29.1 percent changed their toothbrushes every two months, and 29.1 percent did that not on a regular basis but when the bristles of their toothbrushes got bent(p<.05). Conclusions : The above-mentioned findings suggest that in order to promote children's oral health in consideration of the characteristics of their parents, children should be urged to get a regular dental checkup, and the development of oral-health education programs in which parents and children can participate together is urgently required.

• 보건의료산업학회지
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• 제8권2호
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• pp.139-148
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• 2014

The purpose of this study was to analyze the factors affecting the unmet dental needs of Koreans. In relation to the subjects and methodology for this study, the data from the 5th national health nutrition survey which had been conducted between 2010 and 2012 were analyzed by using the PASW statistics 18.0 (SPSS Inc., Chicago, IL, USA), a statistical program, through the frequency analysis of complex samples, cross analysis of complex samples, and logistics regression analysis of complex samples. The results of analysis showed that the rate of unmet dental needs stood at 35.3% of all subjects. Moreover, to determine the factors related to the unmet dental needs, the logistics regression analysis of complex samples was conducted. The results of analysis showed that the demographic and socio-economic factors and oral health condition factors had relationship with unmet dental needs. It is necessary to consider all the objective dental treatments that reflect specific dental diagnosis from a comprehensive standpoint.