• Journal of dental hygiene science
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• v.12 no.3
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• pp.245-252
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• 2012

This study aimed to evaluate the correlation between metabolic syndrome and periodontal in the adult Korean population on the basis of the 2009 Korea National Health and Nutrition Examination Survey(NHANES) data. Of 19-year-old or older adult patients suffering from their disease diagnosed as metabolic syndrome, 1,315 subjects whose community periodontal index(CPI) information was fully available were finally analyzed, and the following conclusions were drawn. 1. It was found that of sociodemographic characteristics, age and educational background correlated to the prevalence of periodontal diseases. With increasing age and poorer educational background, the rates of periodontal diseases increased(p<0.001). 2. It was revealed that of general health behaviors, smoking, alcohol drinking and BMI correlated with the prevalence of periodontal diseases. Higher rates of periodontal diseases were shown in the group of patients who were current smokers(p<0.05), had the higher frequency of drinking per week(p<0.001), and had higher BMI(p<0.005). 3. It was ascertained that of oral health behaviors, the history of oral health examination in the previous year, the use of proxabrush or dental floss, and perceived(i.e., subjective) oral health status correlated to the prevalence of periodontal diseases. The higher rates of periodontal diseases were seen in those who had no history of oral health examination in the previous year(p<0.001), had used neither proxabrush nor dental floss(p<0.05), and perceived that their own oral health was poor(p<0.001).

• The Journal of the Korea Contents Association
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• v.9 no.6
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• pp.216-224
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• 2009

The purpose of this study was to examine the periodontal disease awareness and periodontal health status of industrial workers in an attempt to help facilitate their prevention and treatment of periodontal diseases. The findings of the study were as follows: 1. In regard to a knowledge acquisition route on periodontal diseases, the largest number of the industrial workers investigated(36.3%) learned about the diseases from dental hospitals. As to scaling cycle, the younger workers deemed it necessary to get their teeth scaled every six months. In contrary, the older workers considered it advisable to do that about once a year. Age made a statistically significant difference to that (p<.05). 2. As for the state of the periodontal diseases of the workers, the greatest group (26.5%) found themselves to have something between their teeth often. The second most prevalent peridontal disease was gingival bleeding(24.5%), and the third largest group(24.5%) had teeth that were sensitive to cold. The fourth greatest group(15.9%) had the swollen gums from time to time, and the fifth largest group(4.5%) had shaken teeth. 3. Concerning the cause of periodontal diseases, the largest group (48.8%) cited an incorrect toothbrushing. As to the prevention of periodontal diseases, the greatest group(66.8%) viewed the right toothbrushing as the best way for that as well.

• Journal of dental hygiene science
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• v.17 no.1
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• pp.73-80
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• 2017

Periodontal diseases occur from the interplay between increased bacterial response and the response of the host immune system over time. Anxiety and depression can impair immunological defense mechanisms, causing accumulation of periodontopathogens and thus exacerbating periodontal disease. We investigated the relationship of anxiety and depression to periodontal diseases in Korean women. In this study, 3,551 women aged ${\geq}19$ years were evaluated based on data from the first year (2010) of the Fifth Korea National Health and Nutrition Examination Survey. The analysis of the factors that caused periodontal diseases revealed that dental floss or interdental toothbrush nonuse behaviors have been shown to increase the risk of periodontal disease (odds ratio [OR], 1.49; 95% confidence interval [CI], 1.14~1.95). After adjusting for conditions such as age, marital status, income, educational level, economic activity, diabetes mellitus, smoking, drinking, and frequencies of toothbrushing and interdental cleaning, we found that anxiety and depression increased the risk of developing periodontal diseases (OR, 1.47; 95% CI, 1.04~2.09). People with anxiety and depression have a higher prevalence of periodontal diseases than people without anxiety and depression. Thus, periodic periodontal care and effective self-care education are needed to manage periodontal diseases.

• The Journal of the Korean dental association
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• v.51 no.9
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• pp.501-510
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• 2013

This paper reviews a current view regarding the association between periodontitis and atherosclerotic cardiovascular diseases (ACVD). Many evidences have suggested that there exist biological mechanisms by which periodontitis can lead to ACVD. Periodontal infection can lead to direct bacterial invasion into endothelial tissues through the blood stream, then the bacteria can activate the host inflammatory response followed by atheroma formation, maturation and exacerbation. Also, chronic periodontal infections may indirectly induce endothelial activation or dysfunction through a state of systemic inflammation as evidenced by elevated plasma acute proteins, IL-6 and fibrinogen as well. There is moderate evidence that periodontal treatment can reduce systemic inflammation and improvement of both clinical surrogate markers. But there is no periodontal intervention study available on primary ACVD prevention. There is consistent and strong epidemiologic evidence, including in vitro, animal and clinical studies, that periodontitis imparts increased risk for future ACVD. However, evidences from intervention trials to date are not sufficient to confirm the multi directional causality of periodontitis in ACVD etiology. Well-designed intervention trials on the impact of periodontal treatment on the prevention of ACVD outcomes are needed.

• Journal of Korean society of Dental Hygiene
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• v.18 no.1
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• pp.93-101
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• 2018

Objectives: The purpose of this study was to investigate the relationship between consumption of nutrition and periodontal diseases in the Korean menopausal women. Methods: The data used for analysis were obtained from the sixth Korean National Health and Nutrition Examination Survey (2013). Subjects were 1,407 women aged over 35 years old. Data were analyzed by chi-square and t-test. Multiple regression analysis was also performed to assess the association between nutrition and periodontal diseases. Statistical significance level was set at p<0.05. Results: Using multiple logistic regression analysis after adjustment of age, education level, and BMI, we found significant relationship between intake of protein (OR: 0.31, 95%CI: 0.14-0.65), carbohydrate (OR:3.31, 95%CI 1.90-5.77) and risk for periodontitis. Conclusions: dequate intake of protein and decreased intake of carbohydrate may be recommended for prevention of periodontal diseases in the menopausal women.

• IMMUNE NETWORK
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• v.3 no.4
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• pp.261-267
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• 2003

The periodontal diseases are infections caused by bacteria in oral biofilm, a gelatinous mat commonly called dental plaque, which is a complex microbial community that forms and adhere to tooth surfaces. Host immune-pathogen interaction in periodontal disease appears to be a complex process, which is regulated not only by the acquired immunity to deal with ever-growing and -invading microorganisms in periodontal pockets, but also by genetic and/or environmental factors. However, our understanding of the pathogenesis in human periodontal diseases is limited by the lack of specific and sensitive tools or models to study the complex microbial challenges and their interactions with the host's immune system. Recent advances in cellular and molecular biology research have demonstrated the importance of the acquired immune system in fighting the virulent periodontal pathogens and in protecting the host from developing further devastating conditions in periodontal infections. The use of genetic knockout and immunodeficient mouse strains has shown that the acquired immune response, in particular, $CD4^+$ T-cells plays a pivotal role in controlling the ongoing infection, the immune/inflammatory responses, and the subsequent host's tissue destruction.

• The Journal of the Korean dental association
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• v.50 no.8
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• pp.460-464
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• 2012

Periodontitis is the most prevalent noncontagious disease. Periodontal probing for measuring probing depth (PD) and clinical attachment level (CAL) has been an important diagnostic tool to determine the presence and severity of periodontal diseases. For probing reproducibility, adroit probe handling with constant force is required.

• International Journal of Oral Biology
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• v.38 no.3
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• pp.87-92
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• 2013

Periodontal inflammation increases the risk of tooth loss, particularly in cases where there is an associated loss of alveolar bone and periodontal ligament (PDL). Histological and morphometric evaluation of periodontal inflammation is difficult. Especially, the lengths of the periodontal ligament and interdental alveolar bone space have not been quantified. A quantitative imaging procedure applicable to an animal model would be an important clinical study. The purpose of this study was to quantify the loss of alveolar bone and periodontal ligament by evaluation with micro-computed tomography (micro-CT). Another purpose was to investigate differences in infections with systemic E. coli LPS and TNF-${\alpha}$ on E. coli lipopolysaccharide (LPS) in loss of alveolar bone and periodontal ligament model on mice. This study showed that linear measurements of alveolar bone loss were represented with an increasing trend of the periodontal ligament length and interdental alveolar process space. The effects of systemic E. coli LPS and TNF-${\alpha}$ on an E. coli LPS-induced periodontitis mice model were investigated in this research. Loss of periodontal ligament and alveolar bone were evaluated by micro-computed tomography (micro-CT) and calculated by the two- and three dimensional microstructure morphometric parameters. Also, there was a significantly increasing trend of the interdental alveolar process space in E. coli LPS and TNF-${\alpha}$ on E. coli LPS compared to PBS. And E. coli LPS and TNF-${\alpha}$ on E. coli LPS had a slightly increasing trend of the periodontal ligament length. The increasing trend of TNF-${\alpha}$ on the LPS-induced mice model in this experiment supports the previous studies on the contribution of periodontal diseases in the pathogenesis of systemic diseases. Also, our findings offer a unique model for the study of the role of LPS-induced TNF-${\alpha}$ in systemic and chronic local inflammatory processes and inflammatory diseases. In this study, we performed rapidly quantification of the periodontal inflammatory processes and periodontal bone loss using micro-computed tomography (micro-CT) in mice.

• Journal of Korean society of Dental Hygiene
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• v.8 no.3
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• pp.107-114
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• 2008

The purpose of this study was to examine the awareness of adult patients visiting dental clinics about periodontal diseases. The subjects in this study were 204 patients who paid a visit to five dental clinics and a dental hospital in the region of Jeonju. After a survey was conducted, the results were obtained as follows: 1. With regard to toothbrushing method, the most of the male patients(43.8%) brushed their teeth by rolling the toothbrushes up and down, and the most of the female patients(46.1%) did that both up and down and right and left. As to the influence of smoking, the largest number of the smokers(50.0%) and nonsmokers(40.4%) brushed their teeth both up and down and right and left. statistically significant differences were shown by gender and smoking(p<0.05). 2. As for knowledge acquisition route on periodontal diseases by gender, there was no way for the men(38.2%) to get the information, and the largest number of the women (43.4%) acquired the information through the internet. With respect to smoking, the largest numbers of the smokers(38.2%) and nonsmokers(37.5%) got the information by the internet, and statistically significant differences were found (p<0.05). 3. Concerning treatment method of periodontal diseases provided by the dental clinic, the largest number of the men(33.7%) got their teeth scaled, and the greatest group of the women(29.6%) had their gums treated. The treatment method made statistically significant differences by gender (p<0.05). Regarding smoking, the largest group of the smokers(32.4%) had their teeth scaled, and the largest number of the nonsmokers(28.7%) got their gums treated. significant differences were made statistically by smoking (p<0.05). 4. As to instruction on the prevention of periodontal diseases, the largest group(63.2%) intended to take that. The second (23.0%) was eager to do it, and the third(13.8%) was unwilling to do it.

• Journal of Korean society of Dental Hygiene
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• v.13 no.2
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• pp.323-334
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• 2013

Objectives : The purpose of this study was to examine the oral health care and educational needs of college students in an effort to give some suggestions on the development of oral health educational media. It's basically meant to boost the efficiency of oral health education geared toward college students. Methods : The subjects in this study were 500 students at seven different colleges located in Daejeon and South Choongcheong Province. After a survey was conducted, frequency analysis and ANOVA were utilized to analyze the collected data. And the records of the in-depth interviews of 10 students were analyzed as well. Results : The gender of the students and whether their major was linked to health or not made differences to their knowledge of dental caries. And there was nothing to affect their knowledge of periodontal diseases except whether their major was related to health or not. They didn't have a good knowledge of periodontal diseases, and they just regarded toothbrushing as a means to prevent dental caries and periodontal diseases. They preferred to acquire knowledge over the Internet. Conclusions : College students who don't know well about periodontal diseases should be given an opportunity to learn about periodontal diseases and diverse ways of preventing dental caries and periodontal diseases other than toothbrushing. As the college students preferred to surf the Internet, educational programs should be developed in the form of video clips that can be found over the Internet, and more aggressive publicity is required via SNS, etc.