Background: Legal regulations and fees have been established in Korea to provide visiting oral health care services to individuals with long-term care insurance (LTCI). However, beneficiaries of this service are very limited. Therefore, to improve the Korean system we propose a comparative analysis with the Japanese system. Methods: This study is a descriptive analysis based on secondary data, such as statistics, laws, and service record forms from Korea and Japan. The most recent institutional documents were obtained through a Google search. The variables investigated were financial resources of LTCI, co-payment structure, monthly limit of LTCI benefits, care levels of LTCI, service providers, service costs, contents of service, and the number of cases of service. Results: In both Korea and Japan, LTCI is financed through a combination of taxes and insurance premiums. However, the monthly limit for receiving LTCI services in Japan is about 2.4 times higher than in Korea. Visiting medical and dental treatment is also possible in Japan. Furthermore, nursing staff can provide daily oral health care services according to dental hygienists' instruction unlike Korea. Oral health care services in Korea are focused on oral hygiene and prevention of oral diseases, while Japan additionally provides oral function screening, patient education for oral health management, and training for nursing staff to enhance oral function, eating, and swallowing of the patients. Conclusion: We concluded that the possibility of visiting dental treatment, differences in monthly limit of LTCI benefits, oral function assessment and guidance, as well as collaboration with other healthcare professionals contributed to the difference in the frequency of utilization of visiting oral health care services between Korea and Japan.
The most critical health effect of lead exposure is the neurodevelopmental effect to children caused by the increased blood lead level. Therefore, the endpoint of the risk assessment for lead-contaminated sites should be set at the blood lead level of children. In foreign countries, the risk assessment for lead-contaminated sites is conducted by estimating the increased blood lead level of children via oral intake and/or inhalation (United States Environmental Protection Agency, USEPA), or by comparing the estimated oral dose to the threshold oral dose of lead, which is derived from the permissible blood lead level of children (Dutch National Institute for Public Health and the Environment, RIVM). For the risk assessment, USEPA employs Integrated-Exposure-Uptake-Biokinetic (IEUBK) Model to check whether the estimated portion of children whose blood lead level exceeds 10 µg/dL, threshold blood lead level determined by USEPA, is higher than 5%, while Dutch RIVM compares the estimated oral dose of lead to the threshold oral dose (2.8 µg/kg-day), which is derived from the permissible blood lead level of children. In Korea, like The Netherlands, risk assessment for lead-contaminated sites is conducted by comparing the estimated oral dose to the threshold oral dose; however, because the threshold oral dose listed in Korean risk assessment guidance is an unidentified value, it is recommended to revise the existing threshold oral dose described in Korean risk assessment guidance. And, if significant lead exposure via inhalation is suspected, it is useful to employ IEUBK Model to derive the risk posed via multimedia exposure (i.e., both oral ingestion and inhalation).
Kim, Seol-Hee;Ku, In-Young;Heo, Hee-Young;Park, In-Suk
Journal of Korean society of Dental Hygiene
/
v.7
no.2
/
pp.105-113
/
2007
It is necessary that current oral health education should be not only focused on grade schoolers, but provided for even junior and senior high schools on regular basis in favor of higher level of knowledge about dental health and the habituation of oral health promotion behaviors. So this study took total 288 respondents as sample from Grade 3 of 'C' high school(Suncheon city, Jeonnam) to examine their experiences in oral health education, their awareness of needs for oral health education and their demands for oral health education in the interest of providing basic materials for effective oral health education. 1. As the result of researching health awareness, 13.9% respondents answered that they didn't have good total body health, while 33.3% respondents felt that they didn't have good oral health. That is, more respondents felt that their oral health is not good, rather than total body health is. 2. For daily toothbrushing frequency, it was found that most respondents(62.6%) brushed their teeth 3 times a day, And for toothbrushing methods, it was found that 35.5% used manual toothbrushing(up-and-down toothbrushing movement) and 30.0% used semi-automatic toothbrushing(rotational movement). On the other hand, majority(89.4%) of respondents conducted tongue brushing, but only 10.8% benefited from dental examination on regular basis. 3. 28.1% respondents had experiences in oral health education. Out of them, 69.3% felt moderate satisfaction at the education. Majority(91.2%) of respondents were instructed once in oral health education, and 82.7% respondents were instructed in the oral health via practices(toothbrushing guidance). 77.8% respondents were instructed in the oral health at dental clinics. 4. As the result of surveying demands related to oral health education, 92.3% respondents answered that they need regular oral health education, and 82.9% respondents answered that they need oral health technicians in school. And 87.8% respondents needed individual oral health education for the benefit of better oral health.
Objectives : This study was to assess the children's mean number of decayed or filled primary teeth in relation to their mother's oral health behavior and then to increase children's oral health. Methods : The 346 children and their mothers were selected for this study. The children were 4 or 7 years old in the 4 dental clinics in Busan and Kyungnam, Korea. Data were collected by examination on children and self-administrated questionnaire on their mothers. The questionnaire was surveyed mother's oral health behaviour and children experienced dental caries or not and the number of decayed or filled they had were used as outcome variables. Results : 1. The mother's education level affected children's dft index significantly(p<0.05), In the case of tooth brushing method of children, the group with circle teeth wipes shows the low dft index(p<0.01). 2. On the other hand the group with snack as food eaten between meals has high dft index(p<0.001). 3. The group with mother's visiting to dentist within recent 1 year, experience in removing plaque or willing to attend the oral health education show low dft index(p<0.05). The important variables affecting to dft index are experience with oral health education, tooth brushing guidance, replacement of toothbrushes, the kind of food eaten between meals, recent experience of plaque removal and willing to participating in the oral health class. Conclusions : This study showed that the mother's oral health behavior and concern play an important role for the prevention of preschooler's dental caries. Dental health education would be focused on the mothers, expecially for the practice of preventive behavior by preschools themselves.
Objectives: This study examined the relationship between oral health symptoms and Internet usage of Korean adolescents for the purpose of identifying problems associated with Internet usage of adolescents and of preparing measures that can raise awareness on the importance of their oral health management. Methods: The data used in this study is from the 2015 Youth Health Behavior Online Survey (YHBOS). Data from all survey participants (n=68,043) were used in the final analysis, using SPSS Ver. 22.0. General linear models were constructed to analyze the relationship between oral health symptoms and Internet usage of adolescents. Results: In the relationship between Internet usage and oral disease symptoms, those who brush less than once a day during weekdays and weekend tended to use Internet at the highest levels: 72.5%, 78.3% (p<0.001). The following variables were found to be related with spending longer time at Internet: male students (p<0.001), students in lower grades (p<0.001), students with lower performance (p<0.001), and those from families of lower economic level (p<0.001). Moreover, those who brush their teeth less than once a day and those who experienced oral disease symptoms, such as pain during chewing, throbbing and shooting pain, and bad breath in the past year spent longer time at Internet. Conclusions: The above findings show that Internet usage and demographic characteristics of the adolescents are associated with their oral health management. Therefore, guidance and interventions are needed for adolescents with problematic Internet use, while continued education is also needed to raise awareness about the importance of oral health management during adolescence.
The Journal of Korean Society for School & Community Health Education
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v.20
no.3
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pp.113-122
/
2019
Objectives: This study was conducted to investigate the snack intake and brushing behavior according to the oral health education experience in some schools in Busan, and to investigate whether the oral health education experience affects the snack intake and brushing behavior. Methods: This study surveyed the entire fourth grade of elementary school in two districts by participating in university-linked oral health education activities run under the jurisdiction of the education office business to examine changes in the behavior of elementary school students in their snack intake and toothbrush. The survey was conducted on oral health education in elementary schools, prior oral health education experience before and after the activity, whether or not the brushing classroom was operated, and contents related to eating snacks and brushing behaviors. Result: Among the general characteristics of some schools in Busan, 69.9% of students have experience in oral health education and 30.1% of people have no experience in oral health education. 20.0%, 16.3% were 'normal' and 63.7% were 'helpful'. The brushing behavior according to the oral health education was 44.9% in the number of brushings, 44.9% in the number of brushings, 45.7% in 2-3 minutes in the time of brushing, 41.2% in the brushing method by sweeping the brush up and down. In the daily brushing period, 'after breakfast' was the highest at 72.3%, and the parent's brushing instruction was 'to lead' at 65.1%. The amount of sugar in subjective snacks was the highest with 60.6% of sugar content, and the parents had the highest level of 52.2% for parents' snack intake. This result was more significant than the students without oral health education experience. Conclusion: Based on the results of this study, the number and time of brushing, the method and timing of brushing according to the experience of oral health education. Students who had oral health education experience higher than those who did not have oral health education, but had a lower tendency to brush after lunch at school and before going to bed. For better oral health, the effect of oral health education will be better if the school has more systematic toothbrushing at lunch time and parental guidance at home.
Kim, Jin-Hee;Kim, Hyun-Jin;Kim, Hye-Jin;Park, Ji-Hye;Bang, Woo-Ri;Shin, Hye-Ju;Han, Su-Jin
Journal of dental hygiene science
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v.11
no.6
/
pp.505-512
/
2011
The purpose of this study was to examine the oral health behavior and awareness of teachers in community children's centers, the state of oral health care among children in the centers and the opinions of the teachers on child oral health education in a bid to gather information required for the development of oral health education programs geared toward community children's center teachers. The subjects in this study were 178 teachers who worked in 98 community children's centers in the city of Incheon. After a survey was conducted from April 28 to June 4, 2010, the collected data were analyzed. The findings of the study were as follows: The 57.3% of the teachers investigated provided toothbrushing guidance from time to time or couldn't do it at all. As for the reason why toothbrushing guidance was scarcely conducted, the largest group cited shortage of sinks(27.5%) as the reason, and the second biggest group replied they couldn't afford to pay attention to that due to heavy workload(20.6%). The third greatest group was pressed for time(16.7%). The teachers got a mean of 3.27 in oral health behavior, and 87.7% were concerned about children's oral health. The group of teachers who ever received oral health education was significantly better at oral health behavior and showed significant more interest in oral health(p<0.01). The 97.2% of the respondents considered oral health important. Concerning the reason, they replied it was crucial for systemic health (74.2%). The 89.4% of the teachers viewed child oral health education as necessary, and 86.5% had an intention to provide oral health education for children. They hoped to receive education on the oral health control act(4.52) and the prevention of dental caries(4.40). The above-mentioned findings confirmed that in order to step up the oral health promotion of child users of local children's centers, it's necessary to provide secondhand education for them through their teachers who have a great impact on them. Therefore the development of oral health education programs that cater to local children's center teachers is required.
Objectives: This study aimed to determine the relationship between hours of smartphone use and oral disease symptoms in Korean adolescents. Methods: In this study, data from the 2022 Youth Health Behavior Online Survey were used. The final analysis was conducted on students who responded that they have used a smartphone (N=50,375). Chi-squared test and multivariate logistic regression analysis were used to analyze the relationship between oral disease symptoms and smartphone use time (p<0.05). Results: Consequent to examining the effect of smartphone use on oral disease symptoms, it was found that oral symptoms, such as pain during chewing and tingling throbbing, increased as smartphones were used for >4 h (p<0.05). Additionally, oral symptoms, such as gingivalgia bleeding and bad breath, appeared to increase as smartphones were used for >6 h (p<0.05). However, using smartphones for <0-2 h or 2-4 h had no effect on oral disease symptoms. Conclusions: In adolescents, oral disease symptoms increased significantly with increasing hours of smartphone use. Therefore, adolescents should be guided so that they use smartphones for <2 h or >4 h. Moreover, guidance on forming the habit of tooth brushing after eating food should be provided to prevent oral disease symptoms.
The purpose of this study was to examine the interest level of mothers in oral health. The subjects in this study were 184 mothers whose children attended daycare centers in the city of K. A survey was conducted from March 15 through April 30, 2007, and SPSS WIN 11.5 program was employed to analyze their answer sheets. The findings of the study were as follows: 1. A group of mothers whose children brushed their teeth three times a day on the average made up 55.7 percent of those who were at the age of 35 and under. Among the mothers having three or more children, those mothers accounted for 59.1 percent. The daily mean toothbrushing frequency of children was higher among the better-educated mothers. 2. Concerning dietary and oral guidance, the mothers whose academic background was better curbed their children's excessive sugar intake more often, and the gap between them and the others was statistically significant(pE.05). As to the importance of oral health by the number of child and academic credential, those who had two children(36.0%) taught them the importance of oral health frequently(pE.01), and the better-educated mothers taught about it often(pE.05). The gap between the groups and the others was significant. 3. As for experience of visiting dental institutions, the working mothers visited dental institutions more often than the stay-at-home mothers, and the gap between them was statistically significant(pE.05). Regarding purpose of the visit, the largest group aimed to get treatment(64.6%), followed by having a dental checkup(14.6%) and receiving preventive treatment(13.5%). As to any inconveniences in using dental institutions, those who were working and who were in the upper income bracket found it more inconvenient to do that because of a long distance or time constraints. The gap between them and the others was significant. 4. In regard to concern for dental care, the mothers who were better educated(pE.001) and whose family income was 3 million won or more had their teeth scaled more often, and the gap between them and the others was statistically significant(pE.01). The rate of the regular visitors of dental institutions stood at 32.7 percent of the junior-college graduates, 31.0 percent of the mothers receiving college or higher education and 10.1 percent of the high-school graduates(pE.01). And those who earned larger income paid a visit to dental institutions more often and on a regular basis. The gap between them and the others was statistically significant(pE.05).
Given that the demand for dental care for elderly individuals is expected to increase according to demographic changes, long-term roadmaps for the current health insurance system should be actively planned. The study aimed to investigate the health insurance system in Korea, compared to that of Japan, and suggest directions for the work of dental hygienists to provide basic data on efficient improvements in the health insurance system. Based on the collected data, the website was used to collect additional related data from Korea and Japan. The most common cause of death in Korea was malignant neoplasms, and most patients were hospitalized for diseases and disorders of the musculoskeletal system and connective tissue. Dental care covered by Korean medical insurance for individuals aged 65 years or older was treatment oriented, such as dentures and implants, while in Japan, treatment-intensive items, such as visiting a dental hygienist for guidance and provision of home-care professional oral hygiene treatment, were covered. The percentages of remaining teeth in Korea and the percentage of remaining 20 teeth were 68.9% in those aged 65 to 74 years and 51.2% in those aged 75 to 84 years in Japan. A strategy for promoting oral health among elderly individuals should be established, and a multilateral intervention approach is required to prevent oral problems from leading to deterioration of whole-body health. The role of dental hygienists in providing comprehensive assessment to elderly individuals is important. In order to provide systemic oral care, it is necessary to introduce oral care systems according to the national policy.
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