• 한국치위생학회지
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• 제14권6호
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• pp.805-812
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• 2014

Objectives: The purpose of the study was to examine the association between diabetes mellitus and community periodontal index in Korean adults. Methods: The study populations were recruited by the Fifth Korea National Health and Nutrition Examination Survey. Study subjects were 10,411 who were examined oral examination, blood test, and aged over 19 years. Using multiple logistic regression analyses, the variables were adjusted for gender, age, household income, family history of diabetes, body mess index, smoking habit, and frequency of tooth brushing. Periodontal tissue examination of the subjects was performed and scored by Community periodontal index(CPI). Using probe, six teeth were examined for hemorrhage, plaque, and pocket depth and classified into $CPI_0$, $CPI_1$, $CPI_2$, $CPI_3$ and $CPI_4$. Healthy periodontal groups($CPI_{0-2}$) and periodontal disease groups($CPI_{3-4}$) were divided by the periodontal disease status. The definition of diabetes mellitus(DM) was decided by the diagnosis by the doctors and fasting blood sugar level. Those who were diagnosed as DM were included in DM group. The DM variables included normal blood sugar level, increased fasting blood sugar level, and DM blood sugar level. The DM variables were compared to periodontal disease blood sugar level and analyzed. Results: The periodontitis prevalence rate was 23.2%. Those who had diabetes mellitus accounted for 5.5% of the subjects. Those who had impaired fasting glucose accounted for 17.7% and 7.9% of subjects were diabetes mellitus by blood test. In the confirmed diabetes group by doctor, the periodontitis prevalence rate was significantly higher than the non-diabetic group. Diabetic group by blood test had the highest prevalence rate of periodontitis than those who had impaired fasting glucose group or normal group. After adjusting for gender, age, household income, family history of diabetes, body mass index, smoking habit, and frequency of tooth brushing, the risk of periodontitis in diagnosed diabetes mellitus was 1.57 times(95% CI; 1.27-1.94) higher than the normal group. In impaired fasting glucose group and diabetes mellitus group by blood test, the risk of periodontitis was 1.11 times(95% CI; 0.95-1.30) and 1.45 times(95% CI; 1.45-2.12) higher, respectively. Conclusions: There was a significant relationship between diabetes mellitus and periodontitis in Korean adults. These results suggest that diabetes mellitus is a risk factor for periodontitis.

• 치위생과학회지
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• 제13권4호
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• pp.369-377
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• 2013

본 연구는 일부 대학생의 흡연실태와 흡연실태에 따른 흡연신념을 파악하여 대학생의 건강증진에 도움이 될 수 있는 흡연 예방 및 금연 프로그램 개발과 활용에 필요한 자료를 제공하고자 2012년 5월 1일부터 6월 1일까지 전라북도에 위치하고 있는 10개 대학교 학생 중 1,696명을 대상으로 분석한 결과 다음과 같은 결론을 얻었다. 1. 흡연실태는 흡연경험이 있는 학생은 23.7%였고, 처음 흡연한 시기는 고등학교가 42.1%로 가장 높았고, 흡연기간은 4년 이상이 46.1%로 가장 높게 나타났다. 2. 일반적 특성에 따른 흡연신념은 한 달 용돈이 30만원~39만원과, 40만원 이상에서 1.91점으로 가장 높았고(p<0.001), 흡연과 구강건강 관련성은 '전혀 그렇지 않다'가 2.00점으로 가장 높게 나타났다(p<0.001). 3. 흡연실태에 따른 흡연신념은 처음 흡연한 시기에서 초등학교가 2.66점으로 가장 높았고, 친한 친구 5명 중 흡연하는 친구는 4명이 2.60점으로 가장 높게 나타났다(p<0.05). 4. 흡연의존도와 금연의도에 따른 흡연신념은 흡연의존도에서 '매우 그렇다'가 2.75점으로 가장 높았고(p<0.001), 금연의도는 '금연하지 않음'이 2.68점으로 가장 높게 나타났다(p<0.01).

• 한국산학기술학회논문지
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• 제19권2호
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• pp.202-209
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• 2018

본 연구는 연령층별 구강건강과 저작불편이 영양소 섭취에 미치는 영향을 분석하기 위해 수행되었다. 대상은 국민건강영양조사 제6기(2015), 질병관리본부 자료를 이용하였으며, 그 중 20세 이상 성인 5,855명을 선정하였다. 자료는 SPSS 21.0을 이용하여 분석하였다. 연구결과 저작불편군은 60세 이상이 39.5%로 나타났으며, 20-39세 8.1%에 비해 5배 가까이 높게 조사되었다. 저작불편군은 치주질환 33.4%, 치아우식 30.1%, 당뇨 41.8%, 심근경색 57.3%, 관절염 44.0%, 천식 48.0%, 우울증 41.9%를 현재 경험하고 있었고. 저작불편군의 86%가 발음 불편을 경험하고 있었다. 저작불편군의 식품섭취량은 1446.59g으로 저작용이군 1666.62g보다 낮았고 단백질, 탄수화물, 식이섬유 등 다양한 식품 섭취량이 유의하게 낮은 것으로 조사되었다. 결론적으로 저작불편은 식품섭취, 전신 및 정신건강과 관련이 있었고, 연령증가에 따른 저작불편은 발음 불편의 문제와도 연관성이 있었다. 그러므로 연령증가에 따른 구강건강 문제를 해결하기 위해 예방처치에 관심을 갖고 구강건강을 유지할 필요가 있으며, 저작불편 문제의 초기치료가 요구되었다. 그리고 구강질환 예방을 위한 치과적 치료뿐만 아니라 구강근훈련을 통한 구강기능 개선으로 저작, 발음 기능을 유지하여 건강한 삶을 유지할 수 있도록 지속적인 구강건강관리가 요구되었다.

• 대한치과의사협회지
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• 제57권4호
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• pp.213-220
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• 2019

Purpose: The aim of this study was to evaluate the red fluorescence characteristics of bacterial dental deposits assessed by quantitative light-induced fluorescence (QLF) technology and confirm whether the red fluorescence can distinguish and evaluate quantitatively accumulation of bacterial dental deposits. Methods: This retrospective cross-sectional study used QLF images captured at a dental clinic from January to December 2016. In each QLF image, a skilled examiner selected one region where the presence of deposits was suspected. Then, the regions were classified into three groups of not detectable deposits(ND), half detectable deposits (HD), and full detectable deposits (FD) by two examiners according to classification criteria. Only those images where the regions of bacterial dental deposits were classified identically by all examiners were used for analysis. The mean red fluorescence intensity (RFI) was defined as the mean value of R/G for all pixels in the regions. The RFI was compared between groups using Welch's ANOVA test, and the Spearman correlation was calculated to assess the association between RFI and accumulation of deposits. Results: In this study, 351 images among the collected images of 605 subjects were finally selected. The mean age of subjects was about 44 years. The R/G values of the ND, HD and FD were 0.73, 1.26 and 1.83 respectively. There were significant differences between all groups (p<0.001), and strong positive correlation was identified between the R/G value and the accumulation of deposits (r = 0.90, p<0.001). Conclusion: The intensity of red fluorescence as observed in the QLF images correlated well with the accumulation maturation of the deposits, which indicates that the QLF technology can be used to evaluate the status of oral hygiene.

• Journal of the Korean Data and Information Science Society
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• 제27권2호
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• pp.419-427
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• 2016

본 연구는 한국의료패널 조사 자료 2008-2012년의 연간 통합자료를 활용하여 흡연력에 따른 구강질환과 관련하여 치과외래이용횟수에 미치는 영향을 알아보고자 하였다. 2010-2012년의 연간 통합자료 중 연령이 20세-60세이면서 3차례 모두 조사된 남성 3,866명을 최종 분석대상으로 하였다. 음이항회귀모형을 이용한 분석에서 연령, 혼인상태, 가구소득수준와 만성질환여부를 통제한 후 치과외래이용횟수에 미치는 영향은 유의하였으며 흡연력이 10갑년 증가할 때마다 치과외래이용횟수는 6%씩 증가할 것으로 예측되었다. 특히, 40~50대 남성의 치과외래이용횟수는 비흡연자에 비교하여 평균적으로 20~29.9갑년의 흡연자는 25%, 30갑년 이상 흡연자는 52% 더 많이 이용하는 것으로 나타났다.

• 한국콘텐츠학회논문지
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• 제14권5호
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• pp.281-288
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• 2014

본 연구는 울산시에 소재하는 H기업 예비군 동원훈련에 참여한 307명을 대상으로 보철물(틀니, 브릿지)과 임플란트 기대 수준에 대한 인식을 조사하고, 환자교육 및 상담에 기초자료로 활용하고자 한다. 보철물 기대수준의 신뢰도 cronbach'${\alpha}$는 .971, 임플란트 기대수준의 신뢰도 cronbach'${\alpha}$는 .967로 높게 나타났고 자료의 분석은 IBM SPSS Statistics. v. 19.0 프로그램을 이용하였으며, 유의수준은 0.05로 고려하였다. 연구결과는 첫째, 보철물 기대수준은 평균 3.98점으로 나타났다. 둘째, 임플란트 기대수준은 평균 3.74점으로 나타났다. 셋째, 주관적 건강상태에 따른 임플란트 기대수준은 평균 3.74점으로 나타났고 통계적으로 유의하였다(p=0.003). 넷째, 구강위생관리 관심정도에 따른 임플란트 기대수준의 차이는 평균 3.74점으로 나타났고 통계적으로 유의하였다(0<0.001). 다섯째, 보철물 기대수준과 임플란트 기대수준은 0.392로 강한 양의 상관관계를 나타났다. 위의 결과로 보철과 임플란트에 대한 정확한 정보전달이 필요하다.

• 한국학교ㆍ지역보건교육학회지
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• 제15권2호
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• pp.39-49
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• 2014

Objectives: University students's oral health care practice and oral health status are very important. Because its affect their systemic disease, so as to have confidence, and to be eager to study. However if they feel dental fear, they avoid dental treatment. It is miss opportunities of early treatment and prevention treatment and have little effect on dental treatment. The aim of this study was to investigate the factors influencing dental fear of university students to reduce their dental fear. Methods: A total of 366 self-administered questionnaires were collected from university student in Cheon-an. To investigate the factors influencing dental fear of university students, t-test, one-way ANOVA, correlation analysis, linear regression analysis were carried out by using SPSS ver. 18.0 Results: University students feel the most fear of specific dental stimuli. Especially, 'Feeling the needle injected'. University Students felt dental fear in order of 'fear of specific dental stimuli', 'physiologic arousal', 'avoidance fear'. 'Feeling the needle injected', they felt severe dental fear. 'My muscles become tense' of Symptoms they feel dental fear was the most frequent Sex affects avoidance fear, physiologic arousal, fear of specific dental stimuli and dental fear. Femal feel more its than male. The time since last dental clinic visit affects physiologic arousal, fear of specific dental stimuli and dental fear. Group do not visit the dental clinic within a year feel more its than others. Conclusions: To reduce dental fear in university students, it is necessary to make them visit dental clinics frequently and dental staffs consider their sex. Therefore, Department of dental hygiene and dentistry must be added the management of dental fear of the curriculum. In addition, it must be emphasized that to visit dental clinics frequently for university students.

• 디지털융복합연구
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• 제15권10호
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• pp.387-397
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• 2017

본 연구는 2013년 7월 시행된 스케일링 보험화가 스케일링 경험에 영향을 미쳤는지를 알아보기 위한 것으로 '지역사회건강조사' 2012년과 2014년의 대도시 1개 구와 지방중소도시 2개 시지역의 자료가 분석에 이용되었다. 연구결과는 다음과 같다. 1) 주관적 구강건강수준과 점심식사 후 칫솔질은 2012년, 2014년 모두 강남구 지역이 가장 높았다.(p<0.001). 2) 구강검진 경험은 또한 2012년 2014년 모두 강남구 지역이 가장 많았다(p<0.001). 3) 스케일링 경험은 2012년 강남구 51.9%, 동해시 19.3%, 속초시 22.9%, 2014년 강남구 58.8%, 동해시 22.0%, 속초시 29.9%로 스케일링 경험이 다소 증가하였다(p<0.001). 4) 인구사회학적 특성과 스케일링 경험은 2012년 2014년 모두 학력과 소득이 높을수록(p<0.001), 사무직(p<0.001)과 배우자가 있을 때(p<0.001) 스케일링 경험이 높았다. 소득이나 불평등한 의료자원으로 인한 스케일링 경험률의 격차를 줄이기 위한 대책이 필요하다.

• 대한치과기공학회지
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• 제37권4호
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• pp.253-259
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• 2015

Purpose: The purpose of the study is to investigate the need for the retirement attitude of korean dental technicians. Retirement attitude is important in the study of retirement planning. Methods: A total of 778 dental technicians were selected by proportional stratified by region compared to extraction sampling from a list of korea dental technician association in 2012. The final sample size was 386. Questionnaires consisted of 10 questions general characteristics, 9 questions for the current life satisfaction and retirement preparation, and 4 questions about retirement attitudes on a Likert 5 scale. Cronbach's alpha was 0.812 in the study. All statistical analyzed were performed using SPSS 14.0(Statistical Packages for Social Science Ver. 14.0. Chicago, IL, USA). Results: An average of $3.01{\pm}0.8$ dental technicians were retirement attitude. To affect retirement attitude marital status, age, subjective health status, assets satisfaction, job type, job satisfaction and the economic outlook was living after retirement (p <0.05). Conclusion: This study suggested that retirement attitude of korean dental technicians was very important and the preparation must be connected with the social welfare policy.

• 보건행정학회지
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• 제18권4호
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• pp.170-184
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• 2008

Objectives: The aim of this analysis was to investigate factors associated with dental visits in terms of getting diagnosis and receiving care for diagnosed dental diseases among Korean adults. Methods: Data used in this analysis were from the 2005 Korean National Health and Nutrition Examination Survey which involved a representative sample of 25,487 adults nineteen years of age and older who resided in Korea. This analysis used data of adults who had completed health interview survey (n = 25,215). Uni- and bi-variate analysis, Chi-square test, and logistic regression analyses. were conducted using SAS. Results: The percentages of people diagnosed (treated) dental canes, periodontal disease. and temporomandibular joint disorder were 70.4(77.1), 16.1 (55.7), and 0.6(37.4), respectively. The reception of treatment for diagnosed dental caries and periodontal disease was significantly associated with older age, high monthly household income, and high education attainment. Logistic regression model indicated that age, monthly household income, education attainment, type of health insurance, and chewing problem were significantly associated with getting diagnosis and treatments of dental diseases. Most frequently answered reason for non - or delayed treatments of diagnosed dental diseases during the last one year was cost of treatments. Conclusions: The findings indicated that socio-economic-status still significantly affected reception of needed dental treatments among Korean adults despite the national health insurance system. Oral health policy and programs should be augmented to provide further support to adults of low socio-economic-status who are more prone to dental diseases yet lack resources for needed dental treatments.