• Asian Pacific Journal of Cancer Prevention
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• 제15권16호
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• pp.6755-6760
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• 2014

Background: Oral cancer is a common form of cancer in India, particularly among men. About 95% are squamous cell carcinomas. Tobacco along with alcohol are regarded as the major risk factors. Objectives: (i) To determine associations of oral squamous cell carcinoma (OSCC) with respect to gender, age group, socioeconomic status and risk habits; (ii) To observe the distribution of affected oral anatomical sites and clinico-pathological profile in OSCC patients. Materials and Methods: This is an unmatched case-control study during period January 2012 to December 2013. Total of 471 confirmed OSCC patients and 556 control subjects were enrolled. Data on socio-demography, risk habits with duration and medical history were recorded. Results: There were significant associations between OSCC with middle age (41-50years; unadjusted OR=1.63, 95%CI=1.05-2.52, p=0.02) (51-60 years; unadjusted OR=1.79, 95%CI=1.15-2.79, p=0.009) and male subjects (unadjusted OR=2.49, 95%CI=1.89-3.27, p=0.0001). Cases with both habits of tobacco chewing and smoking were at a higher risk for OSCC than tobacco chewing alone (unadjusted OR=0.52, 95%CI=0.38-0.72, p=0.0001), duration of risk habits also emerged as a responsible factor for the development of carcinoma. The majority of patients were presented in well-differentiated carcinomas (39.9%). Prevalence of advance stages (TNM stage III, IV) was 23.4% and 18.3% respectively. The buccal mucosa was the most common (35.5%) affected oral site. Conclusions: In most Asian countries, especially India, there is an important need to initiate the national level public awareness programs to control and prevent oral cancer by screening for early diagnosis and support a tobacco free environment.

• 한국학교ㆍ지역보건교육학회지
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• 제17권2호
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• pp.45-55
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• 2016

Objectives: This study examined the factors the oral health promotion in university students. It is to identify factors that affect activities for life style and subjective oral health status. Methods: The subjects are 385 students who agreed to participate in research Cheonan. Questionnaires were distributed and collected after they filled in by themselves. SPSS ver.20.0 was used for analysis to get the reliability of each analysis tool. The genral characteristics was analysis of frequency. For comparison oral health promotion and subjective oral health status related to the genral characteristics, it was used t-test, ANOVA. Pearson's correlation was used correlation of each variable. multiple linear regression analysis was used to comprehend that affects oral health promotion behavior. Results: There was statistical significant difference in factors affecting subjective oral health status, departments of health. dietary lifestyle was low correlated among sub factors of lifestyle. oral health promotion behavior wasn't related to subjective oral health status. dietary lifestyle had the most significant impact to oral health promotion behavior. Conclusion: To progess through oral health education program of the university students, it is asked to configure the content that can handle regular lifestyle, rather than focusing on smoking habits and drinking habits.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7075-7080
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• 2013

Background: Oral submucosal fibrosis (OSMF) is one of the most prevalent premalignant conditions in India which is easy to diagnose but difficult to manage. At present it is considered as irreversible and incurable. It has also been referred to as an epidemic in India. Aims and Objectives: To correlate the frequency and duration of habits with clinical staging, functional staging and histopathological grading and to correlate the clinical and functional staging with histopathological grading. Materials and Methods: The study included a total of 90 subjects, 80 with OSMF in the experimental group and 10 patients in the control group. Patient personal history was recorded with chewing habits, including frequency and duration of chewing. The site of keeping the quid, time duration and whether he/she swallows it or spits it were also noted. Clinical staging was done on the presence of palpable fibrous bands. Functional staging was accomplished by measuring mouth opening. Incisional biopsy was done for all the patients for histopathological examination. Histopathological grading was according to Pindborg and Sirsat. Results: The experimental group comprised 71 males and 9 females, the majority of which were in the age group of 21-30 years. Correlation of habits with clinical staging, functional staging and histopathological grading were significant (p<0.05). Clinical and functional staging did not correlate with histopathological grading, but the correlation of clinical and functional staging was highly significant (p<0.01). Conclusions: The widespread habit of chewing gutkha is a major risk factor for OSMF, especially in the younger age group. In this study, it was found that with increase in the duration and frequency of the habit the severity of the disease increased.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.7007-7009
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• 2015

Background: Tobacco use in various forms, including with Areca nut, causes several potentially malignant disorders. Many lesions may transform into oral squamous cell carcinoma. Although patients may be aware of the hazards of tobacco habits, the lesions by themselves are insidious in nature resulting in failure of patients to present to general dentists/specialists at early stages. Our aim was to study the types of habits prevalent in the region of Rourkela in Orissa and to assess the insidious nature of the lesions associated with these habits. Not many studies have been done from this part of India. Materials and Methods: A camp was conducted for habitual users of tobacco and its products, Areca nut and other mixed habit users. A thorough history was taken of the type, duration and frequency of habits, symptoms of patients along with clinical examination by a single examiner. The data was entered in detail into an excel sheet and analysed. Results: 54.7% had lesions and 60.9 % of them were asymptomatic and rest had mild burning sensation while eating. There was a very low awareness of the presence of lesions among the patients. Conclusions: There is a need to spread the awareness of the ill effects of the tobacco and other associated habits far and wide and more importantly educate the general public on the appearance of associated lesions as these are almost always insidious in nature. The patients can self-examine, detect lesions early when present and approach the dentist at the earliest opportunity.

• 한국치위생학회지
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• 제9권2호
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• pp.13-24
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• 2009

The purpose of this study was to examine the relationship between the dietary habits and oral health of elderly people in an attempt to pave the way for the development of oral health promotion programs geared toward improving the quality of life of the elderly. The subjects in this study were senior citizens who were selected by convenience sampling from Seoul. The findings of the study were as follows: 1. Regarding subjective oral health state, 54.5% of the elderly people, more than the half, considered their mouth to be in good health. The number of their mean remaining permanent teeth was 13.71. 47.5 percent of the senior citizens investigated had no shaking teeth. 2. Those who found themselves to be in good oral health had meals on a regular basis(p=0.022) and ate detergent food often. The gaps between them and the others was significant(p=0.005). In contrast, the elderly people who were in a bad oral health frequently ate cariogenic food(p=0.044). 3. The elderly people who had 21 teeth or more ate detergent food often(p=0.029), and those who owned no teeth had a sweet teeth(p=0.003), ate more cariogenic food(p=0.001) and had a snack frequently(p=0.026). 4. The subjective oral health status had a positive correlation to detergent food intake(r=0.23) and had a slightly negative correlation to preference for sweets(r=-0.14), cariogenic food intake(r=-0.14) and snack intake(r=-0.06). The number of tooth was positively correlated to detergent food intake(r=0.23) and negatively to preference for sweets(r=0.32), cariogenic food intake(r=-0.30) and snack intake(r=-0.21). The presence or absence of shaking teeth had a positive correlation to snack intake(r=0.14). The above-mentioned findings suggested that the dietary habits of the elderly people had a statistically significant relationship to subjective and objective oral health state, which indicated that there was a close relationship between oral health and dietary habits. Therefore how to improve dietary habits as well as oral health should be taken into account when oral health promotion programs are developed for the sake of the elderly. That would contribute to promoting the oral health of elderly people and eventually boosting their quality of life.

• 한국치위생학회지
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• 제16권6호
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• pp.849-861
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• 2016

Objectives: The purpose of the study was to investigate the relationships among snack habits, oral health practice, and oral health status in preschool children. Methods: The subjects were 209 preschool children and their mothers in Jeonbuk from March 24 to May 30, 2014. The study instruments comprised snack habits, oral health practice, and oral health status. Data were analyzed for independent t-test, one way ANOVA and hierarchical multiple regression using SPSS Win 21.0 version. Results: Higher dft index was shown in the older age (p=0.033), lower mother's education (p<0.001), lower mother's daily toothbrushing (p<0.001), check-up after tooth-brushing (p<0.001), tooth-brushing practice before sleeping (p<0.001), tooth-brushing practice after snack (p<0.001), regular dental check-up (p<0.001), fluoride and sealant for prevention caries (p<0.001), limitation of sugar snack intake (p<0.007), periodic replacement toothbrush (p=0.022). The cause of higher dft index included soda (p<0.001), yogurt (p<0.001), snack (p=0.002), bread and cake (p=0.002) and caramel and candy (p<0.001). Fruit (p<0.001), vegetable (p<0.001) and milk (p=0.004) decreased dft index. Factors affecting oral health status were tooth-brushing practice before sleeping, tooth-brushing practice after snack, regular dental check-up, fluoride and sealant for prevention caries, and intake of soda, yogurt, caramel, candy, and fruit. The explanation power of the final model was 67.6%. Conclusions: It is necessary to develop the oral health education program for the preschool children and mothers to enhance the best oral health condition.

• 치위생과학회지
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• 제9권4호
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• pp.419-426
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• 2009

치통의 발생은 구강건강의 이상을 알리는 신호로 발생 초기에 구강의 이상 유무를 파악하게 하여 조기에 질병의 악화를 차단할 수 있게 함으로써 사전에 예방이 가능할 것으로 사료되어, 대학생 235명을 대상으로 구조화된 설문을 통하여 치통과 관련된 구강건강관리실태를 조사 분석하였다. 이를 토대로 치통 발생에 관여하는 구강건강관리습관 요인과의 관계를 규명하고자 회귀분석, CART 모델 간의 치통 발생 예측을 비교하고자 한다. 연구결과 대상자의 치통 발생 유무에 따른 현재 건강상태, 지난 1년간의 건강상태는 차이가 있었다(p<0.05). 대상자의 식생활 습관에 따른 치통 발생 유무에서 규칙적인 식사 여부와 치이가 있었다(p<0.05). 대상자의 구강건강 관리습관에 따른 치통발생 유무에서는 칫솔질이나 치실 사용시 잇몸 출혈 여부에서 차이가 있었다(p<0.05). 회귀분석 결과 건강샐활습관 및 구강건강관리실태에 따른 치통발생 유무와의 관계에서는 어느 요인도 유의하지 않았다. 연구 조사된 집단에서 70.0%의 샘플을 무작위 추출하여 분석용 모형을 생성하였고, 나머지 30%의 샘플로 평가용모형을 생성하였다. CART 모델 결과 식사 시간이 불규칙하면서 현재 건강상태가 나쁜 경우 치통 발생이 건강상태가 좋거나 보통인 경우보다 높게 나타났다. 이상의 결과는 치통의 발생을 예측하는데 회귀분석에 비하여 CART모델이 매우 유용한 기법임을 시사하며, 향후 치통을 포함한 다른 구강 질환을 예측하는데 매우 도움이 될 것으로 기대된다.

• 대한치과기공학회지
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• 제36권3호
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• pp.187-196
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• 2014

Purpose: This study aims to examine correlation between temporomandibular disorder and oral habits that have been known to cause temporomandibular disorder with both male and female undergraduates. Methods: To figure out correlation between temporomandibular disorder and oral habits, a survey was conducted to 500 students of two universities located in Daegu Metropolitan City and Gyeongsangbuk-do, and excluding the ones unreliably answered or indicating errors, total 427 (85.4%) out of 500 questionnaire sheets were used for final analysis. Results: Female students showed higher prevalence rates than male students in temporomandibular joint pain and temporomandibular joint clicking, and students having the lip biting habit, tongue thrust habit, or bruxism habit indicated a higher prevalence rate of temporomandibular joint pain than normal students. Also, students having the tongue thrust habit indicated a significantly higher prevalence rate of temporomandibular joint clicking than normal students not having it. And about trismus, students having the bruxism habit showed a significantly higher prevalence rate than normal students not having it. Conclusion: The findings imply that oral habits like lip biting, tongue thrust, or bruxism are closely related with temporomandibular joint pain, tongue thrust influences temporomandibular joint clicking, and bruxism does affect trismus.

• 융합정보논문지
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• 제11권10호
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• pp.215-222
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• 2021

본 연구의 목적은 인문계 고등학생들의 측두하악장애 자각증상의 영향요인을 분석하여 측두하악 건강관리에 있어 도움이 되는 접근성이 용이한 프로그램 개발의 기초자료를 제공하고자 실시하였다. 자료수집은 2019년 12월 1일부터 30일까지 대전·전북지역의 일부 인문계 고등학생들을 대상으로 편의추출하여 자기기입식방법으로 설문을 작성하였다. 통계분석은 t-검정, 일원분산분석법, 피어슨 상관관계로 분석하였고, 단계적 다중 회귀분석을 실시하였다. 구강 악습관과 특성불안은 양의 상관관계를 나타냈고, 측두하악장애 자각증상과도 양의 상관관계를 나타냈으며, 특성불안은 측두하악장애 자각증상과 양의 상관관계를 나타냈다. 고등학생들의 측두하악장애 자각증상에 가장 영향을 미치는 요인은 구강 악습관, 건강습관, 특성불안으로 나타났다. 이에 고등학생들의 시기에 맞는 적절한 불안 대처 및 구강 악습관 관리에 적극적인 소통과 개입이 요구되며, 더불어 사전예방할 수 있는 사회심리적 대응을 접목한 구강건강증진 프로그램이 적용될 필요가 있을 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1633-1637
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• 2012

Introduction: The incidence of oral premalignant and malignant lesions is on the rise due to an increased number of people taking in tobacco and alcohol related habits. Material and Methods: 1028 patients with tobacco, alcohol and areca nut habits attending our Department of Oral Medicine and Radiology formed the study sample. An interviewer based questionnaire was used to record the habit details. All the patients were then examined clinically for the presence of lesions. Chi square and Fisher exact tests were used to assess the statistical significance of the study parameters. Results: Males had a higher prevalence and comprised 87.9% of the sample. The commonest habit in this study sample was smoking (39.2%) followed by smokeless tobacco use (28.1%). Out of the 1028 patients with habits 40% had no clinically detectable changes in their mucosa. Of the mucosal changes leukoplakia (14%) was the commonest. Conclusions: This study provided information about the habit trends in the patients visiting this institution. The study may serve as a useful tool in educating the patients about the deleterious effects of oral tobacco, alcohol and betel exposure.