• Journal of Periodontal and Implant Science
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• v.34 no.2
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• pp.449-459
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• 2004

Bacterial byproducts and volatile sulfur compounds(VSC) have been found to be the leading intra-oral agents, specifically, the byproducts of gram negative anaerobic bacteria have been implicated as primary factors of halitosis in patients presenting with periodontal disease. The objective of this study was to determine the correlation between periodontal treatment and the subsequent reduction in the level of halitosis. Forty-three subjects presenting with periodontal disease were examined before periodontal treatment, one week after treatment, one month after treatment, and finally, two months after treatment, using a portable sulfide monitoring $Halimeter^{(R)}$ to measure the VSC concentrations at the prescribed intervals. The results of the study were as follows: 1. Significant decreases in the mean VSC concentration were observed at the one week, one month, and two month post-op intervals relative to the pre-op measurement. (p<0.05) 2. Significant decreases in the mean VSC concentration were observed in subjects after completion of flap operations. Significant decreases in the mean VSC concentration were observed at the one and two month post-flap operation measurement relative to the VSC concentration at one week (p<0.05), but no significant differences between the one month and two month VSC concentrations were found. (p<0.05) 3. Significant decreases in the mean VSC concentration were observed in subjects after completion of subgingival curettage (p<0,05). Significant decreases were found between the one week and one month measurements and between the one month and two month measurements, but significant differences were not observed between the one week and two month measurements. (p<0.05) The results of this study show significant decreases in VSC concentration in test subjects after periodontal treatment. It can be inferred from the results above, that periodontal disease is a significant contributing factor of halitosis, and that treatment of periodontal disease can been an effective means of reducing VSC concentration in patients presenting with halitosis concurrent with periodontal disease.

• Journal of Periodontal and Implant Science
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• v.49 no.2
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• pp.60-75
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• 2019

The primary aim of this systematic review was to assess the evidence on periodontal disease progression after treatment in patients receiving supportive periodontal therapy (SPT) and to identify predictors of clinical attachment level (CAL) loss. A protocol was developed to answer the following focused question: In adult patients treated for periodontitis, what is the disease progression in terms of CAL loss after surgical or non-surgical treatment? Randomized controlled clinical trials, prospective cohort studies, and longitudinal observational human studies with a minimum of 5 years of follow-up after surgical or non-surgical treatment that reported CAL and probing depth changes were selected. Seventeen publications reporting data from 14 investigations were included. Data from 964 patients with a follow-up range of 5-15 years was evaluated. When the CAL at the latest follow-up was compared to the CAL after active periodontal therapy, 10 of the included studies reported an overall mean CAL loss of ${\leq}0.5mm$, 3 studies reported a mean CAL loss of 0.5-1 mm, and 4 studies reported a mean CAL loss of >1 mm. Based on 7 publications, the percentage of sites showing a CAL loss of ${\geq}2mm$ varied from 3% to 20%, and a high percentage of sites with CAL loss was associated with poor oral hygiene, smoking, and poor compliance with SPT. The outcomes after periodontal therapy remained stable over time. Disease progression occurred in a reduced number of sites and patients, mostly associated with poor oral hygiene, poor compliance with SPT, and smoking.

• Journal of Korean society of Dental Hygiene
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• v.9 no.4
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• pp.836-848
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• 2009

Objectives : This study was conducted to evaluated the subjective oral health state related periodontal disease of elderly people. Methods : Data were collected through the National Health and Nutrition Survey in 2005. Participants consisted of 1,091 elderly people above 65 years old. Independent variables in the survey were social characteristic, health behavior, oral health condition, oral health management. The data were analyzed by using the SPSS 12.0. Results : The more elderly people of 69.0% recognized own oral health as is not healthy, elderly people of 74.0% recognized own oral health as is not healthy about subjective oral health and a lot of stressed(82.8%) has felt highly about periodontal disease(p<0.001). Respondents of have a sound teeth(58.9%), have a lower denture(75.0%) and have a no problem in mastication(74.5%) has felt highly about periodontal disease(p<0.001). Elderly people recognized own oral health as is not healthy about subjective oral health were 0.316 times(p<0.01), elderly people recognized own oral health as is common healthy about subjective oral health were 0.241 times(p<0.001), a lot of stressed were 1.410 times has felt highly about periodontal disease. Elderly people of have a lower denture were 1.159 times, have a upper denture were 1.159 times, have a lower and upper denture were 0.464 times has felt highly about periodontal disease(p<0.05). Also respondents of have a no problem in mastication were 7.464 times compared with problem in mastication(p<0.001). Conclusions : Quality of life from disease of Korean elderly people can be fallen, and improve quality of life that medical treatment is healthy numerical value state numerical value state. Study's findings of above may be used to inform the importance of health numerical value state while establish dental health policy that is string.

• Journal of dental hygiene science
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• v.21 no.3
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• pp.133-139
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• 2021

Background: Smoking in adolescence leads to an intensified addiction to nicotine when physical and mental growth has not yet been completed. With the advent of e-cigarettes, the rate of e-cigarette use among Korean adolescents has been steadily increasing. To date, studies on e-cigarettes and oral health, especially on the relationship between smoking styles and oral health in adolescents, are limited. Therefore, this study aimed to identify the risk factors for oral health problems caused by the repeated use of conventional cigarettes and e-cigarettes. Methods: This explanatory research study compared the adolescents' experiences of periodontal disease symptoms according to smoking type through a secondary analysis of the original data from the 15th Adolescent Health Behavior Survey (2019). Cross-analysis was performed to compare the smoking patterns according to the adolescents' general characteristics. Finally, a binary logistic regression analysis was performed to determine how smoking characteristics affect the adolescents' experience of periodontal disease symptoms. Results: In terms of patients' general characteristics, significant differences were observed in sex, school level, grades, household economic status, type of residence, and father's education level between adolescents who smoked conventional cigarettes alone and those who smoked both conventional cigarettes and e-cigarettes (p<0.05). After checking the factors affecting the smoking pattern and the experience of periodontal disease symptoms in adolescents, it was found that the duplicate smoking group was more likely to experience periodontal disease symptoms (odds ratio, 1.20) than the group that smoked conventional cigarettes alone (p<0.05). Conclusion: Duplicate smokers experienced more symptoms of periodontal disease than those who smoked cigarettes alone. Based on the findings of this study, smoking cessation counseling according to the smoking type and differentiated education for oral health promotion should be provided.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.4
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• pp.245-253
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• 2018

This study investigated 2,088 economically active workers aged 20 to 65 years selected from the sixth Korea National Health and Nutrition Examination Survey to evaluate the relationship between chronic diseases and oral health behaviors among economic workers and examine the risk factors for oral diseases. The results of the study were as follows. Dental caries were related to subjective oral health status, toothache experience, orthodontic treatment experience, chewing problems, speaking problems, oral examination, and dental clinic use. Periodontal disease was associated with oral health status, toothache experience, orthodontic experience, and chewing and speaking problems. The risk factors for chronic diseases and oral health behavior were as follows. Hypertension, 1.37 times; obesity, 1.48 times; diabetes, 1.5 times; low HDL-cholesterol, 1.31 times; hepatitis A antibody, 1.53 times higher. Health status was found to be 1.70 times higher in dental caries and 2.10 times higher in periodontal disease. The tooth experience was 1.30 times higher in dental caries and 1.35 times higher in periodontal disease. Problems chewing were 1.76 times for dental caries and 1.78 times for periodontal disease. The possibility of dental caries and periodontal disease was 1.44 times higher. Smokers were 1.61 times more likely to have dental caries and 1.63 times more likely to have periodontal disease. These results suggest that periodontal diseases increase the risk of chronic diseases and oral health behavior increases the risk of dental caries and periodontal disease. Although dental caries seem to have a lower risk of becoming a chronic disease if only oral health care is good, it is considered that both chronic disease and oral health care are important for periodontal disease.

• Journal of Korean society of Dental Hygiene
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• v.16 no.2
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• pp.225-231
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• 2016

Objectives: The purpose of this study was to investigate the influential factors of stress and fatigue on peridontal indicators in patients with periodontal disease. Methods: A self-administrated questionnaire study was conducted during November 2012 to January 2013 with 140 periodontal patients. The Fatigue and Stress were evaluated with Multidimensional Fatigue Scale(MFS) and Psychosocial Well-bing Index(PWI). Periodontal health indicators were consisted with gingival index and pocket depth. Data were analyzed by descriptive analysis, t-test, ANOVA, and multiple regression analysis. Results: Overall stress and fatigue level of subjects were $22.61{\pm}5.62$ and $64.67{\pm}9.45$. Gingival index and periodontal pocket depth as periodontal health indicators were $1.26{\pm}0.3$ and $4.29{\pm}0.52$. The influential factors of gingival index and periodontal pocket depth were social function(subcategory of pwi) and depression(subcategory of pwi), respectively. Conclusions: Some subcategories of PWI were related with periodontal health indicators. So, consideration of stress related with depression and social function are needed to manage and prevent periodontal disease.

• Journal of the Korea Convergence Society
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• v.10 no.5
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• pp.63-70
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• 2019

Periodontal disease as one of oral diseases is a chronic disease that continuously worsens once it occurs. It begins with gingivitis in the late school childhood. Its prevalence rate gradually increases in adolescence and continues to rise until young and middle ages. Therefore, the preventive care for the disease in one's whole life is of very importance. Since periodontal disease can be prevented and controlled by oral health behaviors, this study focuses on the relation between adults' oral health behaviors and the disease and emphasizes its importance. Based on the data of the 2015 6th (3rd Year) National Health and Nutrition Examination Survey, the prevalence rate of periodontal disease was compared according to study subjects' oral health behaviors. As a result, gum disease treatment, the count of gum brushing, use of dental floss use of interdental brush, and subjective oral health condition were statistically meaningful. Given that oral health behaviors are related to periodontal disease, it is necessary to conduct a systematic study for developing and performing the oral health education program to make the right habit of oral health behaviors.

• Journal of the Korea Convergence Society
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• v.9 no.12
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• pp.295-299
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• 2018

The aim of this study was to evaluate the association between the level urine cotinine and periodontal diseases in Korea adults. The date from the 2014, 2015 Korean National Health and Nutrition Survey were used, and 5,146 subjects over 30 years were included in the analysis. Periodontal disease was assessed using the Community Periodontal Index. Binary logistic regression model was used to estimate the odds ratio with 95% confidence intervals. There was a 2.08-fold (95% CI; 1.73-2.05) increased in the odds of periodontal disease for those with any ETS exposure compared with those with non-smokers following adjustment for sex, age, education, and income. The level of urine cotinine also showed a dose-dependent increase in extent of periodontal disease. Among persons in the Korea who had never used tobacco, those exposed to ETS were more likely to have periodontal disease than were those not exposed to ETS. In the future, voluntary compliance of smokers to measures to reduce ETS exposure should be encouraged.

• Journal of dental hygiene science
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• v.17 no.2
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• pp.160-167
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• 2017

The purpose of this systematic review was to investigate the association between periodontal disease and chronic kidney disease. A search of Embase, PubMed and The Cochrane Library databases was performed up to April 17, 2016. Article selection was based on cohort study design and the study subjects were patients with periodontal disease or severe periodontal disease. The final result was development of chronic kidney disease and kidney function decrease based on the estimated glomerular filtration rate values. The quantitative synthesis of the final selected articles was assessed using Review Manager statistical analysis software. A fixed-effects model meta-analysis was performed to estimate the degree of association between periodontal disease and chronic kidney disease. The search strategy identified 3,018 potentially eligible articles, of these, four studies were finally selected for meta-analysis, revealing that periodontal disease was significantly associated with the risk of developing chronic kidney disease (odds ratio, 1.65; 95% confidence interval, 1.44~1.90; p<0.001). In order to prevent the development of chronic kidney disease and kidney function decrease it is important to prevent periodontal disease, as well as minimizing the traditional risk factors known to reduce the quality of life of patients and increase disease burden.

• Journal of Periodontal and Implant Science
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• v.41 no.1
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• pp.23-29
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• 2011

Purpose: To investigate the healing pattern of the mucous membrane after tooth extraction necessitated by periodontal disease in the maxillary sinus. Methods: One hundred and three patients with 119 maxillary sinuses were investigated. Before implant placement, cone-beam computed tomography (CT) scanning was performed. The causes of extraction, the time elapsed since extraction, smoking, periodontal disease in adjacent teeth, and gender were recorded. In addition, the thickness of the mucous membrane of the maxillary sinus and the height of residual alveolar bone at the extracted area were calculated from CT images. Results: The thickness of the mucous membrane in the periodontal disease group ($3.05{\pm}2.71\;mm$) was greater than that of the pulp disease group ($1.92{\pm}1.78\;mm$) and the tooth fracture group ($1.35{\pm}0.55\;mm$; P<0.05). The causes of extraction, the time elapsed since extraction, and gender had relationships with a thickening of the mucous membrane of the maxillary sinus (P<0.05). In contrast, the height of the residual alveolar bone at the extracted area, periodontal disease in adjacent teeth, and smoking did not show any relation to the thickening of the mucous membrane of the maxillary sinus. Conclusions: The present study revealed distinct differences in healing patterns according to the causes of extraction in the maxillary sinus, especially periodontal disease, which resulted in more severe thickening of the mucous membrane.