• Title/Summary/Keyword: Oral dryness

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The Mediating Effect of Anxiety in the Relationship between the Oral Health Status and Oral Health Quality of Life of Workers Participating in Self-sufficiency (자활 참여 근로자들의 구강건강 상태와 구강건강 삶의 질의 관계에서 불안의 매개효과)

  • Hong, Min Hee;Lee, Jung-Min
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.176-185
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    • 2021
  • This study conducted a survey from September 5 to 30, 2020 targeting 415 workers participating in regional self-sufficiency center programs in four locations in Daejeon and Daegu. The purpose of the study was to examine oral symptoms of the study subjects and the effects if psychological anxiety parameters on oral health and quality of life. As a result of the study, oral dryness, temporomandibular joint symptoms, and periodontitis all had a significant effect on oral health and quality of life, and psychological anxiety factors had a partial mediating effect. The subjective oral symptom problems led to a negative psychological state, which could further impair the quality of life. In the future, the results of this study can be used as basic data for expanding psychological counseling programs for self-supporting workers and improving oral health policies for regular oral health education.

Effect of cognitive function and oral health status on mastication ability in elderly individuals (노인의 인지기능과 구강건강상태가 저작능력에 미치는 영향)

  • Choi, Ma-I;Noh, Hee-Jin;Han, Sun-Young;Mun, So-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.1
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    • pp.65-78
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    • 2019
  • Objectives: This study was conducted to characterize the impact of cognitive function and oral health status on mastication in senior citizens, ${\geq}65$ years of age, using senior centers in the city of Wonju, South Korea. Methods: A cross-sectional study consisting of a simple oral examination and survey questionnaires was performed in 154 individuals. General characteristics, subjective masticatory function, objective masticatory function, cognitive function, and oral health status were collected as variables. Correlation and multiple linear regression analyses were conducted. A p-value of <0.05 was considered to be statistically significant. Results: The subjective masticatory function was scored using the 5-point Likert scale. When subjective masticatory function was analyzed in groups according to cognitive function, the mean subjective masticatory function scores were 4.31, 4.09, and 3.29 in the normal group (cognitive score of ${\geq}16$), suspected dementia group (cognitive score of 1215), and mild dementia group (cognitive score of ${\leq}11$), respectively. Thus, subjective masticatory function decreased along with decreasing cognitive function. When cognitive function, subjective masticatory function, and objective masticatory function were compared with indicators of oral health status (number of functional teeth, oral dryness), subjective masticatory function exhibited a significant positive correlation with objective masticatory function (r=0.635, p<0.01), cognitive function (r=0.292, p<0.01), and total number of functional teeth, including prosthetic appliances (dentures) (r=0.305, p<0.01). According to the regression analysis, age, sex, number of functional teeth, and cognitive function affected subjective masticatory function. Conclusions: The results of this study revealed that age, sex, number of functional teeth, and cognitive function affected subjective masticatory function, whereas oral dryness did not. Therefore, dental professionals must consider subjective masticatory function when providing oral care in senior patients with low cognitive function.

Sjögren's Syndrome: an Update on Diagnostic, Clinical, and Basic Aspects for Oral Medicine Specialists

  • Lee, Kyung-Eun
    • Journal of Oral Medicine and Pain
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    • v.43 no.4
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    • pp.99-111
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    • 2018
  • $Sj{\ddot{o}}gren^{\prime}s$ syndrome (SjS) is a common autoimmune disorder characterized by lymphocytic infiltration in the salivary and lacrimal glands, resulting in severe dry mouth or eyes. As a result, most of SjS patients suffer from oral dryness and can visit the department of oral medicine with or without diagnosis of SjS. Therefore, oral medicine specialists should know clues, which may indicate the diagnosis of SjS from the clinical and laboratory investigations. By the recent SjS criteria, SjS can be diagnosed by focus score, ocular staining, Schirmer's test, unstimulated whole saliva flow rate, and anti-SSA/Ro antibodies. The aim of this article is to review the diagnostic criteria, clinical investigation, and basic aspect related to SjS and to make oral medicine specialists play an important role in the detection of emerging SjS.

Management of complications of oral appliance therapy for snoring and obstructive sleep apnea (코골이 및 폐쇄성 수면무호흡증의 구강내 장치 치료시 부작용 및 관리)

  • Jo, Jung-Hwan
    • The Journal of the Korean dental association
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    • v.57 no.5
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    • pp.270-278
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    • 2019
  • Oral appliances therapy is becoming increasingly recognized as a successful treatment for snoring and obstructive sleep apnea(OSA). Compared with continuous positive airway pressure(CPAP), the gold standard therapy for OSA, oral appliance therapy are less efficacious for severe OSA but are more acceptable and tolerable for patients, which in turn, may lead to a comparable level of therapeutic effectiveness. Nevertheless, the various side effects of oral appliance therapy, such as, increased salivation or dryness, pain or discomfort in the teeth or gums, occlusal discomfort in the morning, temporomandibular disorders, dental and occlusal changes may cause discontinuation of treatment or changes in treatment plan. Therefore, oral appliance therapy should be provided by a qualified dentist who can evaluate oral tissues, occlusion, and temporomandibular joints, and prevent and manage the possible side effects.

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A study on factors relevant to the self-perception of halitosis and the correlation between halitosis and obsessive-compulsive disorders (구취의 자각요인과 강박증에 관한 연구)

  • Lee, Mi-Ra;Kim, Nam-Song;Shim, Jae-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.2
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    • pp.231-237
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    • 2013
  • Objectives : The purpose of this study to provide preliminary data to effective halitosis control. Methods : A survey was carried out the self-perception of causative factors of halitosis in 98 female college students in Chungnam province. In addition, the levels of oral gas and breath gas were measured by use of the B&B checker, and an analysis was made of the correlation between halitosis and obsessive-compulsive disorder (OCD). Results : 1. Subjective halitosis awareness degree different degree of dryness, 'None', 'some', 'little' people who feel as the 'little fly' (68%), 78.3%, 70% was higher (p<0.05), halitosis interest 'very worried', 'worry', 'normal' person with a' not at all 'to 58.3% higher (p<0.01). 2. In regard to OCD severity, 49.0%, 34.7% and 16.3% were found to be mild, moderate and severe respectively. Halitosis tended to be severe in proportion to OCD severity, which was statistically significant (p<0.05). 3. Oral gas had a positively correlation with breath gas (r=0.329, p<0.01), but had a negative one with OCD severity (r=0.204, p<0.05). Conclusions : Symptoms of oral dryness and halitosis interest were associated with self-perception of halitosis. The levels of oral gas and breath gas were in inverse proportion to OCD severity. Hereat, it needs to analyze psychogenic factors properly as regards the diagnosis or treatment of halitosis.

Comparison of Effects according to Type of Oral Exercise Program for Elderly in Gangneung City (강릉시 일부 노인의 구강근육운동 프로그램 형태별 운영 효과 비교)

  • Lee, Sue-Hyang;Ryu, Jean-A;Yu, Ha-Eun;Lee, Jin-Hee;Shin, Sun-Jung
    • Journal of dental hygiene science
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    • v.16 no.6
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    • pp.424-431
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    • 2016
  • This study compared the effects of programs according to management type by preparing a manual for oral muscle exercises that integrates oral movement and oral massage. The program was performed on 14 elderly patients in a seniors' college self-practice program group and 28 elderly patients in a social welfare center expert intervention group. In the self-practice group, an expert demonstrated oral muscle exercises and subsequently encouraged self-practice by selecting an oral muscle exercise leader. In the expert intervention group, an expert demonstrated oral exercises on a one-on-one basis and subsequently gave oral muscle massages. In the self-practice group, there was no difference in saliva secretion (p=0.213) or oral dryness (p=0.206), after the intervention, the expert intervention group showed improvements in saliva secretion (p=0.009) and oral dryness (p=0.007). There was no difference in program satisfaction between groups (p=0.143), and both groups reported high satisfaction. As seniors may have difficulty in maintaining oral health behaviors, a certain amount of expert intervention may be needed. The results suggest that both a self-practice oral exercise program and an expert intervention program can be effective elderly patients.

A Study on the Oral Symptoms and Oral Health-Related Quality of Life (OHIP-14) of Industrial Workers (근로자의 구강자각증상과 구강건강 관련 삶의 질)

  • Kim, Ah-Jin;Kang, Eun-Ju
    • Journal of dental hygiene science
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    • v.14 no.1
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    • pp.51-58
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    • 2014
  • The purpose of this study was to examine the symptom of dry mouth of workers, their subjective oral symptoms and factors affecting their oral health-related quality of life (Oral Health Impact Profile, OHIP-14) in an effort to provide information on the development of oral health promotion programs geared toward workers. The subjects in this study were the workers in five different companies in North Jeolla Province. After a survey was conducted from August 1 to September 20, 2012, the collected data were analyzed. The findings of the study were as follows: The office workers got 2.59 in oral dryness, and the sales associates got 1.82. The oral dryness of the former was severer than that of the latter (p<0.001). The irregular workers got 2.05 in OHIP-14, and the regular workers got 1.82 (p<0.001). Symptom of dry mouth had a positive correlation to OHIP-14 (r=0.456). OHIP-14 was positively correlated with age (r=0.209) and negatively with academic credential (r=-0.136). OHIP-14 was more significantly affected when their symptom of dry mouth was severer (${\beta}=0.383$, p<0.001), when they were older (${\beta}=0.221$, p<0.001) and when they felt they had oral diseases (${\beta}=0.146$, p<0.01). In conclusion, quality programs should be developed to promote the oral health of industrial workers in consideration of the influential factors for the oral health-related quality of life of the workers, and the government should pay more attention to related policy setting to improve the oral health of industrial workers.

Quality-of-life factors related to the oral health of the elderly in Jeollanam-do (전남 일부지역 노인의 구강건강관련 삶의 질 요인분석)

  • So-Ra, Yoon
    • Journal of Korean Dental Hygiene Science
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    • v.5 no.2
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    • pp.45-52
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    • 2022
  • Background: This study was aimed at obtaining basic data necessary to develop alternatives to improve the oral health-related quality of life of the elderly by investigating dry mouth and oral health-related quality of life of patients visiting the N Dental Clinic in Jeollanam-do. Methods: From November 2021 to September 2022, data were collected using a self-report survey of adults aged 50 years or older. Of the 300 questionnaires collected, 280 had insufficient data because of missing entries. Results: Analyzing the satisfaction level of oral health-related quality of life according to the participants' medical use and subjective oral health recognition, "what do you think your oral health is like" showed significant differences (p< 0.001). Dry mouth and satisfaction were positively correlated with the oral health-related quality of life (β=0.42, p= 0.00). Factors affecting the quality of life related to oral health were "total score of oral dryness" (β= 0.395) and "what do you think your oral health is like" (β=0.224). Conclusion: The results of this study suggested that systematic intervention, such as oral health programs, suitable for age may improve the oral health-related quality of life.

Risk factors for the development of oral bacteria in workers according to oral environment (근로자의 구강환경요인에 따른 구강세균 발생의 위험요인)

  • Hong, Min-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.537-545
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    • 2016
  • This research examined the oral environmental factors to identify the risk factors for oral bacteria detection. This study comprised of 60 office workers aged between 20 and 65 years, and was performed from January 15 to February 28, 2015. The study variables measured were the stimulated and unstimulated salivary flow rates, salivary buffering, saliva pH, dry mouth at the dorsum of the tongue and the sublingual region, halitosis, and the degree of tongue-coating as oral environmental factors. To identify the presence of oral bacteria, pathogens were detected by extracting the gDNA of the resting salivary flow rate. The risk of S.mutans detection was 15 times higher with smokers, 1.3~1.6 times higher when the resting or stimulated salivary flow rate was reduced by 1 mm. The risk of P.intermedia detection was 13 times higher in smokers, 4.3 times higher as the severity of oral dryness was lowered, and 4 times higher for adults with a tongue coating than those without. In addition, the risk of detecting TM7 was 5.5 times higher as sublingual dryness was decreased by 1mm. The oral bacterial count will be reduced considerably by smoking cessation education and habits that facilitate a salivary flow rate. Furthermore, adults with good and well-managed dental hygiene are anticipated to have less oral bacteria and fewer dental diseases.

The Effect of Repeated Restraint Stress on Clusterin Change of the Rat Salivary Glands (구속 스트레스가 백서 타액선 조직 내의 clusterin 변화에 미치는 영향)

  • Lee, Ko-Woon;Kang, Soo-Kyung;Chun, Yang-Hyun;Hong, Jung-Pyo
    • Journal of Oral Medicine and Pain
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    • v.37 no.2
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    • pp.81-91
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    • 2012
  • It has been known that saliva may affect the most of oral diseases. On the contrary, several systemic conditions may affect salivary flow and cause oral dryness and psychosocial stress especially may a crucial role in the etiology of hyposalivation and oral dryness. Many studies have focused on macroscopic effects of the stress on the salivary glands by autonomic respose, but on the other hand it has hardly been reported on cellular microscopic effects of the stress on the salivary glands. Therefore, this study was performed to examine clusterin, a antiapoptotic and cytoprotective protein, in the parotid glands under restraint stress condition. For this study, 10 rats were divided into 3 groups; 1) 2 rats of group I were selected as a normal control. 2) 2 rats of group II, as a experimental control were placed in the restraint cone for 2 hours 3) 6 rats of group III were placed in the restraint cone for 2 hours once a day. The rats were sacrificed immediately(group II, as a experimental control), 24, 48, and 72 hours after application of the stress and the parotid glands were excised. Western blotting and immunohistochemistry were performed. The finding were as follows: 1. In parotid glands, clusterin was mildly increased and clearly expressed in the ductal cell under restraint stress immediately after application of the stress. 2. In parotid glands, clusterin was significantly decreased and slightly stained in the ductal cell under restraint stress 24 and 48 hours after experiment. 3. In parotid glands, clusterin was prominently increased again and densely stained in the ductal cell under restraint stress 72 hours after experiment.