• 치위생과학회지
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• 제13권1호
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• pp.20-28
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• 2013

생활스트레스는 점차 복잡하고 다양화되어 가는 현대사회에서 구강건강에 중요한 문제로 대두되고 있다. 본 연구는 2012년 7월 1일부터 10월 30일까지 460명의 성인을 대상으로 생활스트레스가 구강증상에 미치는 영향을 알아보고자 하였다. 연구결과는 다음과 같다. 1. 일반적인 특성에 따른 생활스트레스의 차이 결과 연령, 수입, 직종, 흡연유무에 유의한 차이를 나타냈다. 2. 일반적 특성에 따른 구강증상의 차이는 연령, 교육수준, 수입, 직종, 전신질환 음주와 흡연 습관에서 유의한 차이를 나타냈다. 3. 신체적, 행동상, 심리 감정상 스트레스의 수준에 따른 구강증상의 차이는 신체적, 심리 감정상 증후는 입술 볼, 혀, 치아 잇몸, 악관절 증상에서 유의한 차이를 나타냈으며, 행동상 증후는 입술 볼, 혀. 악관절 증상에서 유의한 차이를 나타냈다. 4. 생활스트레스가 구강증상에 미치는 영향은 신체적 증후 (p<0.01), 행동상 증후(p<0.05), 심리 감정상 증후(p<0.05)는 입술 볼, 혀 증상에 유의한 영향을 주는 것으로 나타났다. 신체적, 심리 감정상 증후는 치아 잇몸 증상에 유의한 영향을 주는 것으로 나타났으며, 심리 감정상(p<0.01), 신체적 징후(p<0.01)는 악관절 증상에 유의한 영향을 주는 것으로 나타났다. 이처럼 생활 스트레스는 입술 볼, 혀 및 구강점막에 더 많은 영향을 미치는 것으로 나타났다. 신체적, 심리 감정스트레스를 포함한 행동상 스트레스 증상까지 발생할 경우 다발성 구강질환이 더 많이 나타날 가능성을 본 결과를 통해 입증할 수 있었으며, 추후 스트레스와 구강점막 질환과의 관계를 좀 더 구체적으로 살펴 볼 필요가 있다.

• Journal of Periodontal and Implant Science
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• 제36권3호
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• pp.591-600
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• 2006

Purpose: This study assessed the impact of self-reported periodontal health on the oral health-related quality of life among elderly Koreans. Methods: Four hundred twenty one elderly Koreans in Seoul and suburban areas were selected with a cluster (institution) sampling method, and were requested to take oral examinations and finish questionnaires on the Oral Health Impact Profile-14(OHIP-14). and self-reported periodontal health status, such as periodontal symptoms, self-rated periodontal health and periodontal treatment need. As the dependent variable, OHIP-14 showed a positive skewed distribution (skewness: 1.17), we transformed to square-root form to apply parametric analyses. Bivariate analysis by t-test and ANOVA, and multivariate analysis with the two-level regression model accounting clusters were implemented. Results: Mean age of the subjects was 74.6 years and 66.5% were women. Fourteen items of OHIP-14 were summarized to one factor explaining 78.6% of total variance and produced the Chronbach alpha coefficient of 0.92. Results from the multivariate model, adjusting for age, sex, type of institutions, ability to pay, and number of teeth present, showed significantly lower OHIP-14 with reporting less than 3 periodontal symptoms (p(O.OOO1), rating their own periodontal health as above average level (p=O.0144), and thinking they don't need any periodontal treatments in the near future (p=O.0148), than their counterparts. The intraclass-corrrelation estimated by the final model was 0.028. Conclusion: This study demonstrates a significant association between self-reported periodontal health status and the oral health-related quality of life.

• 한국치위생학회지
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• 제17권3호
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• pp.539-551
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• 2017

Objectives: The purpose of this study was to investigate the changes in factors on unmet dental scaling rate before and after the national health insurance. Methods: This study used the $2^{nd}$ data from the Community Health Survey. The study participants numbered 209,341 in 2011 and 219,517 in 2013.The average age was $51{\pm}17$ in 2011 and $52{\pm}17$ in 2013. Data were analyzed by descriptive statistics, chi -squared test and logistic regression using SPSS 23.0. Results: The scaling experienced rate of Korean adults has fallen by 3.5% from 66% to 69.5%. Logistic regression analysis showed that 2.7 times more 'people who were educated at elementary school level or lower' did not use dental scaling compared to higher educated children. Agriculture, forestry and fisheries workers did not use scaling at 2.0 times. Local residents with an income of less than one million won did not use 1.7times scaling. Local residents of 'no private insurance' did not use scaling at 1.5 times. In the case of the predisposing factors, the 20s had less than 1.8 times scaling compared to 50s. In the case of needs factor, local residents who experienced 'bad oral health status' and 'dental calculus' were treated scaling 1.3 times less compared to people with good oral health status and normal periodontal symptoms. Conclusions: In Korea, local residents are less frequently treated scaling due to enabling factors such as accessibility. In addition, predisposing factors such as age and sex, and oral health status and periodontal symptoms were related to not using the dental scaling. Therefore, the universality of health care services should be considered so that people who need periodontal care can use scaling.

• 대한치과기공학회지
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• 제42권3호
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• pp.254-261
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• 2020

Purpose: This study aimed to investigate the effect of stress and oral parafunctional habits on temporomandibular joint disorders (TMD) in college students. Methods: An online survey comprising 354 questionnaires was conducted from May 23, 2020, to June 21, 2020. The collected data were analyzed using Student's t-test, one-way analysis of variance, correlation tests, and multiple regression analysis. Results: The stress symptom score was higher in females than in males. The symptoms of physical stress were significantly higher among students from the Department of Public Health, whereas those of psychological stress were higher among students from the Department of Physical Education. Both TMDs and oral parafunctional habits were higher among females, students of the Departments of Arts and Physical Education, and seniors. The higher the stress symptom level, the higher the scores for TMD and oral parafunctional habits. TMD and oral parafunctional habits were found to be most affected by physical stress. Conclusion: These findings indicate that a reduction in physical stress is required to decrease the prevalence of oral parafunctional habits and TMDs among college students. This can be achieved by the incorporation of physical activity programs, which may aid in reducing the symptoms of physical stress.

• 한국치위생학회지
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• 제15권5호
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• pp.823-829
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• 2015

Objectives: The objective of the study was to investigate the related factors of non-utilization of dental care among Korean adults. Methods: Korean National Health and Nutrition Survey 2012 was carried out in South Korea. A total of 5,589 adults were interviewed and examined. A multinominal logistic regression model was used to estimate the odds ratio with 95% confidence intervals for the non-utilization of dental care. Results: The non-utilization of dental care was shown to have a badly perceived oral health status, less toothbrushing before sleeping(OR=1.18: 95% CI=1.00-1.39), periodontitis symptoms (OR=1.82: 95% CI=1.50-2.22), toothache experience (OR=2.03: 95% CI=1.75-2.34), TMJ symptom experience (OR=3.31: 95% CI=2.74-3.99), speaking problem (OR=1.87: 95% CI=1.75-2.34) and a partial dentures needs (OR=2.49: 95% CI=1.93-3.19). Conclusions: The non-utilization of dental care tended to have badly perceived oral health status, less toothbrushing before sleeping, periodontitis, toothache experience, TMJ symptom experience, speaking problem, and partial dentures needs.

• 한국산학기술학회논문지
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• 제14권10호
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• pp.4919-4926
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• 2013

본 연구는 보건계열 대학생의 스트레스가 신체적 증상 및 턱관절 증상에 미치는 영향을 파악하기 위하여 충남지역의 대학생 283명을 대상으로 2012. 9. 1부터 11.30일까지 실시하였다. 본 연구의 수집된 자료는 SPSS 18.0(SPSS 18.0 K for window, SPSS Inc, USA) 프로그램을 사용하여 분석하였다. 연구결과, 연령, 학년, 흡연, 간식섭취량은 스트레스에서 유의한 차이를 나타냈다. 성별, 학년, 음주, 간식섭취량 변화는 모두 소화증상에서 유의한 차이를 나타냈으며, 턱관절 장애는 성별에서 유의한 차이를 나타냈다. 스트레스, 신체적 증상 및 턱관절 증상 변수들 간에 양의 상관관계를 나타냈다. 스트레스는 신체적 증상 및 턱관절 증상에 영향을 미치는 것으로 나타났다. 따라서 보건계열 대학생들의 스트레스를 건전하게 해소할 수 있는 방안을 모색하고 대학생들의 신체 정신 건강과 구강건강을 예방하여 건전한 대학생활을 위한 대책이 필요하다.

• 한국융합학회논문지
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• 제8권4호
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• pp.139-148
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• 2017

본 연구는 한국 청소년의 스트레스가 구강건강 및 건강행태에 미치는 융합적인 영향을 알아보고자 하였다. 제 11차(2015년) 청소년 건강행태 온라인 조사를 활용하여 72,060명을 대상으로 연구하였다. 일반적인 특성은 성별(Sex)에서는 여학생에서, 학년(Grade)에서는 고등학생이, 성적(Academic performance)에서는 하위그룹(Low)이, 주관적건강수준(Subjective health status)에서는 즉 나쁘다고 느끼는 학생이, 아침식사(Breakfast)를 하지 않는 학생이, 격렬한 신체운동(Exercise)에서도 하지 않는 학생에서 스트레스 지수가 또한 높게 나타났으며 통계적으로 유의하였다(p<0.001). 자가구강증상(Self-assessed Oral health status))에서는 저작시 통증(Tooth pain when eating)이 있으며, 잇몸에 출혈(Bleeding gum)이 있고, 구취(Bad breath)가 있는 학생에게서 스트레스가 높았으며, 통계적으로 유의하였다(p<0.001). 이 연구의 함축적인 결과 청소년들 사이에서 심리적인 스트레스가 구강건강 및 건강행태에 밀접한 영향을 주는 결과를 보였으며, 이러한 결과 더욱이 청소년 시기에 알맞은 구강건강프로그램의 지속적인 발전이 더욱 필요할 것으로 보인다.

• 한국치위생학회지
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• 제15권4호
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• pp.679-685
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• 2015

Objectives: The purpose of the study is to investigate the change of the salivary flow rate, xerostomia, and oral health-related quality of life in the elderly people after the application of oral massage. Methods: The subjects were 101 elderly people at two senior welfare centers in Mokpo from November, 2012 to January, 2013 by the application of oral massage. The final subjects were 56 elderly people who participated in the massage more than 15 times of 20. They were measured for saliva flow rate, xerostomia, and OHIP. On the first and the last day, a self-reported questionnaire was completed by the elderly people. The questionnaire consisted of general characteristics of the subjects, oral health related knowledge, symptoms and behavior of xerostomia, and OHIP. OHIP included functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap, and was measured by Likert 5 point scale. Results: The salivary flow rate of the elderly people increased after the implementation of the program. There was a significant improvement in xerostomia, functional limitation, physical pain, psychological discomfort, and social efficacy (p<0.001). Conclusions : The oral massage program enhanced the oral function of the elderly people, and had an influence on the improvement of oral health-related quality of life.

• 한국산학기술학회논문지
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• 제21권5호
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• pp.320-326
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• 2020

본 연구는 2018년 아동 구강건강실태조사자료를 활용하여 아동의 치아우식증에 영향을 미치는 위험 요인을 알아보고자 시행하였다. 연구 대상은 만 12세 아동 20,235명을 대상으로 시행하였다. 조사항목으로 일반적인 특성, 치아우식 식이 행태, 구강 상태, 구강건강 관련 행태 요인을 조사하였다. 그 결과 성별, 지역, 경제수준, 주관적 구강건강 상태, 치아우식 식이 행태, 구강상태, 구강건강 관련 행태 모두 위험요인으로 나타났다. 특히 구강 상태는 치석, 치은 출혈, 치아 통증, 반점치 증상을 나타내는 학생에서 치아우식증 위험도가 더 높게 나타났다. 구강건강 관련 행태는 잇솔질 횟수 2회 이하, 치실과 손잡이 치실 미사용 학생에서 치아우식증 위험도가 높게 나타났다. 이상의 결과로 볼 때 치아우식증의 감수성이 가장 높은 아동을 대상으로 국가나 지역사회는 치아우식을 초기에 진단하여 관리할 수 있고 계속 구강건강관리를 위한 치아우식 관리사업체계를 구축함이 필요하다. 또한 아동·청소년기의 구강건강관리 습관을 개선시킬 수 있는 구강보건교육을 확대하고 치아우식증 예방 프로그램 개선 및 지역사회 활용의 구강보건정책의 체계가 필요하다.

• 보건의료산업학회지
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• 제8권2호
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• pp.245-254
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• 2014

The objective of this study is to identify the relationship of dietary habits and health habits with dental caries subjective symptoms and to present data on nutritional education related to oral health. The subjects of this study are 334 teachers at pre-schools. The subjects of the study were selected using the convenience sampling method. Surveys were taken with the self-entry questionnaire method. It was found that dental caries subjective symptoms were higher among study subjects who ate appetizers frequently through the day, consumed more milk and other dairies and sugars, drank alcohol more, did less exercise, smoked, and had less sleep time. Systematic diet control and nutritional education must be strengthened to form proper dietary habits and health habits for preventing dental caries.