• 치위생과학회지
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• 제17권1호
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• pp.56-64
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• 2017

Systemic health conditions increase with advancing age, and may be linked to poor self-reported oral health. The purpose of this study was to evaluate the association between systemic health conditions and poor self-reported oral health among Korean elderly. The study used a nationally representative sample of Koreans (2012 Korea National Health and Nutrition Examination Survey) aged 65~98 years (n=1,595). Systemic health conditions in this population were assessed by the presence of one or more of the following conditions: obesity, hypertension, diabetes, and hypercholesterolemia. The relative risk of poor self-reported oral health according to the occurrence of systemic health conditions was estimated by multivariate logistic regression after controlling for several potential confounders (i.e., socio-demographic factors, oral health behaviors, health behaviors, and psychological factors). After adjustment for these confounders, the relative risk of having poor self-reported oral health was greater among the elderly with one or more systemic health conditions than in those without a systemic health condition. The odds ratio of having poor self-reported oral health according to the occurrence of systemic health conditions was 1.51 (95% confidence interval, 1.08~2.12). Among the Korean elderly, perception of poor oral health was associated with the presence of one or more systemic health conditions. Future studies are needed to examine the detailed causal relation between systemic health conditions and poor oral health longitudinally.

• 한국산학기술학회논문지
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• 제11권12호
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• pp.4873-4880
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• 2010

본 연구는 환자가 느끼는 자신의 주관적 구강보건영향지수(OHIP-14; Oral Health Impact Profile-14)와 주관적 전신건강지수(THI; Todai Health Index)를 사용하여, 구강보건이 전신건강과 삶의 질(QOL; Quality of Life)에 어떤 영향을 미치는지 알아보고 구강질환 예방과 구강보건 향상을 위한 프로그램을 개발에 필요한 기초 자료를 제공하여 지역사회주민의 건강과 삶의 질을 증진하고자 한다. 주관적 구강건강상태에 따른 OHIP를 분석한 결과 자가 인식 구강 건강상태는 전 영역에서 유의한 차이가 있었고, 총 점수가 건강한 편이 4.33으로 유의하게 높았다. 주관적 구강건강상태에 따른 THI를 분석한 결과 자가 인식 구강건강상태는 전 영역에 걸쳐 유의한 차이가 있었으며, 총 점수에서는 매우건강 한 자가 3.83으로 점수가 높았다. 주관적 구강건강상태에 따른 QOL을 분석한 결과 자가 인식 구강건강상태에서는 사회적 영역을 제외한 전 영역에서 유의한 차이가 있었으며, 총 점수는 건강한 편이 3.39로 가장 높았다.

• 한국치위생학회지
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• 제13권1호
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• pp.105-113
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• 2013

Objectives : The purpose of this study was to perform researches and analysis on the use of dental institutions, oral health behavior, the actual conditions of oral health care, and the oral health knowledge according to the rank of soldiers and officers and then to provide the basic data for the contents development of an oral health education to the military. Methods : The subjects in this study were 380 soldiers serving in Gyeonggi, Gangwon and Chungchong provinces. Results : In terms of the use of dental institutions, the soldiers visit the dental clinics most(56.5%), and the officers visit the military dental clinics most(52.7%)(p<0.05). In the oral health behavior, the most of the soldiers(46.7%) and the officers(58.1%) answer that they thought to be in good oral health. Regarding the actual conditions of oral health care, it is investigated that the most of the soldiers brush their teeth twice a day(46.7%) and the officers three times a day(58.1%). With the oral health knowledge, the officers get a point of $2.89{\pm}1.36$, which is higher than the soldiers'($2.47{\pm}1.27$), and the person who have an experience to take an oral health education, getting a point of $2.83{\pm}1.22$, have higher level of the knowledge than the unexperienced with $2.48{\pm}1.31$(p<0.5). Conclusions : It is thought to be necessary to provide the military camps with an oral health education and to develop the contents of an oral health education customized to them.

• 농촌의학ㆍ지역보건
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• 제40권4호
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• pp.193-205
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• 2015

Objectives: This study was conducted to find the relationship between oral health conditions of elderly people and closures of public dental health clinics in rural areas. Methods: Oral examinations and surveys were conducted in 2011 from May 11 through November 4 on 383 seniors over 65-years and under 74 years old. Results: The results of this study were as follows: 1. The results of comparative analysis of the usage behaviors of health clinics of subjects in relation to the closures of public dental clinics within the area showed that the usage level and frequency of public health agencies in areas with public dental clinics were high, and that the trend of influence on personal oral health conditions and improvement in prevention was high. When compared to 3 years ago, there was an 11.6 percentage point reduction in areas without public dental clinics (24.4%) compared to areas with public dental clinics (12.8%). 2. The results of comparative analysis of the oral health conditions and behaviors of subjects in relation to the closures of public dental clinics showed that the level of dental caries was high in areas with no public dental clinics, and the number of toothbrush usage and oral health supplemental product usage were shown to be high in areas with public dental clinics. Conclusion: The closures of public dental clinics were found to affect oral health behavior and conditions of elderly people in rural areas.

• 한국치위생학회지
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• 제21권6호
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• pp.741-750
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• 2021

Objectives: To provide basic data for oral health policy by identifying the differences in oral health behaviors and conditions among middle-aged people in their 40s and 50s and relating these to their health-related quality of life, and to identify factors affecting health-related quality of life. Methods: In this study, secondary data from the National Health and Nutrition Examination Survey were used. Data were gathered from 8,127 participants, of which 2,353 were middle-aged (40-59 years old). Covariance analysis was performed using a complex sample general linear model to investigate the changes in the subjects' health-related quality of life (EQ-5D) according to their general characteristics, oral health behaviors, and oral health status. Results: Oral health behavior was not significantly related to health-related quality of life. In contrast, a higher oral health status (chewing function) was associated with better health-related quality of life. Conclusions: In conclusion, this study suggested a close relationship between oral health status (chewing function) and health-related quality of life. Therefore, it is necessary to recognize the importance of oral health in improving the health-related quality of life of middle-aged people in their 40s and 50s, as well as in informing oral health policies and preventive measures for individuals and communities.

• 한국치위생학회지
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• 제15권3호
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• pp.417-424
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• 2015

Objectives: The purpose of the study is to investigate the relationship between oral health conditions and their subjective oral health perception in the elderly in Gimcheon. Methods: The study subjects were 214 elderly aged over 65 years old in Gimcheon. The study was carried out by direct interview method of from February 20 to 24, 2014. The oral examination was performed by the dentist base on the World Health Organization criteria including direct examination and observation. The questionnaire consisted of sex, type of family, use of medical services, and oral health behavior, The independent variable included three questions of the general characteristics of the subjects, two questions of use of medical services, and two questions of oral health behavior. The subjective oral health perception was composed of heathy and unhealthy. The objective oral health condition was evaluated by number of residual teeth, FT index, MT index, and DMFT index. Results: In the elderly, the number of residual tooth was $8.89{\pm}9.72$ and the number of decayed teeth was $0.03{\pm}0.20$. The numbers of missing teeth and filled teeth were $19.26{\pm}9.65$ and $0.28{\pm}1.01$, respectively. The DMFT index was $19.57{\pm}9.28$. In relation to the subjective oral health perception, 76.6% answered 'good' and 23.4% answered 'bad'. The subjective oral health perception showed a weak quantitative linear relationship of r=0.235 with the number of residual tooth. the subjective oral health perception showed a weak negative linear relationship(p<0.01) of r=-0.225 with the number of missing teeth and r=-0.217 with DMFT(number of decayed missing and filled teeth) index.

• 치위생과학회지
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• 제17권5호
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• pp.423-432
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• 2017

This study aimed to investigate the effect of repeated oral health education on the oral health of preschool children. This study classified the control group of children of 5~6 years of age where the oral health education was conducted one time, and the experiment group where the oral health education was conducted 4 times. The oral health conditions of each group and their risk of developing dental caries were also assessed. No significant difference was observed in the participants in terms of general characteristics, oral health conditions, risk of developing dental caries, and oral health behavior after oral health education. The two groups did not show a significant difference (p<0.001) in dental plaque index before and after oral health education, and showed a significant difference (p<0.001) according to the number of education sessions. Before oral health education, the participants in both groups were brushing their teeth incorrectly. However, after the third session, 56.7% of the participants in the experimental group and 9.4% in the control group used the correct method of tooth brushing. A significant difference was observed between the two groups (p<0.05). In addition, when the tooth-brushing time was compared, the two groups showed a significant difference (p<0.001), and a significant difference was observed in terms of the number of education sessions (p<0.05). In summary, repeated oral health education had significant influences on the dental plaque index, tooth-brushing method, brushing occlusal surfaces, and tooth-brushing time. Therefore, when oral health education is carried out, repeated oral health education in children is more effective than one-time oral health education as reflected in the changes in dental plaque index and oral health behavior. Moreover, oral health education is considered effective in changing the oral health behavior of children when conducted at least 3 times.

• 대한치과의사협회지
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• 제49권10호
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• pp.609-617
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• 2011

The geriatric population is the most rapidly growing part of the general population, which leads to an increase of chronic conditions and illnesses that will influence both oral and systemic health. The most common chronic diseases in elderly population are arthritis, hypertension, heart diseases, diabetes, and cognitive impairment. Chronic impairments such as visual, hearing, orthopedic, and speech disorders are also prevalent among older adults. All these chronic conditions have potential oral complications and the treatments of systemic diseases also has implications for the maintenance of oral health. Therefore, oral health care professionals should catch up with increasing knowledge in this field and can modify the treatment strategy for older adults. In addition, oral health care professionals should understand the changing need of oral health problems in this age and prepare the future demand.

• 한국치위생학회지
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• 제15권2호
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• pp.217-223
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• 2015

Objectives: The purpose of this study is to investigate cognitive function, performance of activities of daily living, and recognition on oral health with the cognitive function testto dementia or dementia-suspected patients in the outpatients. Methods: The subjects were 94 dementia or dementia-suspected patients visiting C University hospital for the dementia test. Study instruments included Korea Mini-Mental State Examination KMMS, The Bayer-Activities of Daily Living Scale; B-ADL, Seoul-Instrumental Activities of Daily Living; S-IADL, Global Deterioration Scale; GDS, Korean Dementia Screening Questionnaire; KDSQ, and underlying diseases. Results: Dementia or dementia-suspected patients were 42 by KMMSE test, 25 patients had impaired functioning of daily living by B-ADL test, 27 patients showed the presence of depression by GDS test, and 45 patients showed impaired functioning of daily living. There was a statistically significant difference in the subjective recognition on oral health conditions. There was a statistically significant difference in the subjective recognition on oral health conditions by ADL. There was a positive correlation between the cognitive function and ADL performance. Higher cognitive function is proportional to ADL performance. Conclusions: The cognitive function was closely associated with ADL and subjective oral health conditions.

• 한국치위생학회지
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• 제7권3호
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• pp.273-284
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• 2007

Oral health in youth is very important because this period influences life for adult remarkably. Therefore, more effective oral health education and recognition of early treatment for oral disease are required sincerely. For more effectual education for high-school students, it is necessary to consider their circumstance like obesity and smoking. This study will analyze the correlation oral health behavior with obesity and subjective oral health concerns. In addition to, the actual condition of smoking for high-school girls and oral health condition will be verified. A survey was progressed for high-school girls in Busan city and BMI(body mass index) was used for classification of weight. The statistical significance was analyzed using SPSS 13.3 for Windows. Results of this study is following. 1. The frequence of daily toothbrushing was significantly different with obesity although difference of oral health knowledge was not significant. The frequency of toothbrushing of overweight students were lesser than the others. This results may be caused by low-level for oral health concerns and by passive life style of fat person. This habit has possibility of causing serious periodontal disease like periodontitis and tooth caries. 2. The correlation of obesity and time of brush change, using for supplement, and recent dental institution was insignificant. However, concerns of oral health were showed significantly according to obesity. Under-weight and standard-weight students were more concerned about oral health than over-weight. This results can be related to frequence of toothbrushing for fat subject. This relevance of two factors was confirmed by logistic regression analysis. 3. Approximately 70% students have smoking experience responded to uncomfortableness of periodontal conditions. On the other hand, non-smoking students felt uncomfortable in 50%. This results indicated that smoking have an effect on oral health condition. Further study which identify periodontal conditions practically has to go on for verification of direct correlation smoking and oral health.