• Title/Summary/Keyword: Periodontal health

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Relationship between Oral Health Care Behaviors and Perceived Periodontal Disease on Hypertension Patients (고혈압 환자의 구강건강관리 행태와 주관적 치주건강수준의 상관관계 연구)

  • An, Eunsuk;Kim, Min-Young
    • Journal of dental hygiene science
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    • v.16 no.1
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    • pp.101-109
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    • 2016
  • The purpose of this study was to examine the impact of the oral health behaviors and lifestyle of hypertension patients on their perceived periodontal diseases. The data of the 2013 community health survey were used, and the data of 55,632 patients who suffered from hypertension and who were at the ages of 19 and over was analyzed. The analying methods used in this study were chi-square test and multiple logistic regression analysis. Gender, age, marital status, education, economic activity, income level and subscription to private medical insurance were identified as the factors to affect the perceived periodontal disease of the hypertension patients, and lifestyle and oral health behaviors were found to have exerted a significant influence on perceived periodontal disease. As this study found that not only the socioeconomic characteristics of the hypertension patients but their oral health care and lifestyle were all correlated with perceived periodontal disease, how to promote the oral health of those who are susceptible to periodontal diseases should carefully be considered.

Trends in the incidence of tooth extraction due to periodontal disease: results of a 12-year longitudinal cohort study in South Korea

  • Lee, Jae-Hong;Oh, Jin-Young;Choi, Jung-Kyu;Kim, Yeon-Tae;Park, Ye-Sol;Jeong, Seong-Nyum;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.47 no.5
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    • pp.264-272
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    • 2017
  • Purpose: This study evaluated trends in tooth extraction due to acute and chronic periodontal disease (PD) using data from the National Health Insurance Service-National Sample Cohort for 2002-2013. Methods: A random sample of 1,025,340 individuals was selected as a representative sample of the population, and a database (DB) of diagnostic and prescription codes was followed up for 12 years. We used multivariate logistic regression analysis to assess the incidence of total extraction (TE), extraction due to periodontal disease (EPD), and immediate extraction due to periodontal disease (IEPD) according to sociodemographic factors (sex, age, household income, health status, and area of residence). Results: The incidence of tooth extraction was found to be increasing, and at a higher rate for TE in PD patients. In 2002, 50.6% of cases of TE were caused by PD, and this increased to 70.8% in 2013, while the number of cases of IEPD increased from 42.8% to 54.9% over the same period. The incidence rates of extraction due to acute and chronic PD increased monotonically. We found that the incidence rates of TE, EPD, and IEPD were all 2-fold higher among patients with high income levels and those who were not beneficiaries of health insurance. Conclusions: The rates of TE, EPD, and IEPD have been steadily increasing despite dental healthcare policies to expand public health insurance coverage, increasing the accessibility of dental clinics. Moreover, the effects of these policies were found to vary with both income and education levels. Consistent patient follow-up is required to observe changes in trends regarding tooth extraction according to changes in dental healthcare policies, and meticulous studies of such changes will ensure optimal policy reviews and revisions.

Recognition between laypersons and dental hygienists on expansion of health insurance of scaling (스케일링 건강보험 확대에 대한 일반인과 치과위생사의 인식도 조사)

  • Ju, On-Ju;Kang, Eun-Ju;Woo, Seung-Hee;Lee, A-Ju;Lee, Hea-Jung;Park, Mi-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.3
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    • pp.431-438
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    • 2014
  • Objectives : The purpose of the study is to investigate the recognition between laypersons and dental hygienists on expansion of health insurance of scaling. Methods : A self-reported questionnaires was filled out by 100 laypersons and 100 dental hygienists from October 7, 2013. Data were analyzed by SPSS version 21.0 program. Results : All the dental hygienists recognized the introduction of the health insurance of scaling and 71.0% of the laypersons agreed. The introduction of health insurance of scaling was responsible for the interest toward scaling in 80 dental hygienists(80.0%) and 66 laypersons(66.0%). 94% of dental hygienists answered that health insurance of scaling would prevent periodontal diseases. The expansion of health insurance of scaling revealed many periodontal diseases and 52% of laypersons answered that prevention of periodontal diseases would deprive the dental hygienists of their jobs. Conclusions : The expansion of health insurance of scaling can prevent the periodontal diseases and enhance the oral health services. So the government must try to expand the health insurance of scaling.

Convergence of Relationship between Obesity and Periodontal Disease in Adults (성인의 비만과 치주질환과의 융합적 관계)

  • Lee, Yu-Hee;Choi, Jung-OK
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.215-222
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    • 2017
  • The purpose of this study was to investigate the relationship between oral health behaviors and periodontal diseases in adult obese people. Using the original data of the second phase of the 6th National Health and Nutrition Survey, the final 4381 adults were extracted. We analyzed frequency and technical statistics and chi - square test and multiple logistic regression analysis using SPSS statistical program to confirm the association between body mass index, number of brushing, drinking, smoking and oral health status and behavior. As a result, the prevalence of periodontal disease decreased as the number of toothbrushing increased, and the prevalence of periodontal disease increased as the body mass index increased. Through this study, obesity, a global health issue, should be more concerned with oral care and develop oral health management programs.

Comparison of dental treatment needs of workers depending on their working patterns (근로자의 근무형태에 따른 치과치료필요도 비교)

  • Ju, On-Ju;Kim, In-Ja
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.3
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    • pp.421-436
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    • 2019
  • Objectives: The purpose of this study was to compare the dental treatment needs of workers depending on their shifts and working patterns. Methods: Only workers aged 15 or older according to the $6^{th}$ Korea National Health and Nutrition Examination Survey (2013-2015) were considered eligible. A total of 9,092 people who responded to health surveys and completed oral examinations and interviews were selected for the study. Statistical analysis was carried out by the complex samples general linear model. Results: As the daytime workers' age increased, the requirement for restorative treatment decreased. In contrast, the requirement for tooth extraction caused by dental caries and periodontal disease increased. As the evening shift workers' age increased, the requirement for restorative treatment decreased. In the case of shift workers, the requirement for restorative treatment was lowest in those aged 50-64 years and highest in those aged 30-49 years. In the case of smokers; the daytime workers required a higher amount of restorative treatment, pulpal treatment, and tooth extraction due to dental caries and periodontal disease; the night shift workers required a higher amount of restorative treatment; and the shift workers required a higher amount of tooth extraction caused by periodontal disease. The results of comparing the dental treatment needs depending on working patterns were: the need for restorative treatment was higher in night shift workers (0.377) than in shift workers (0.245); the requirement for pulpal and restorative treatment was higher in daytime workers (0.055) than in night shift workers (0.010); requirement for tooth extraction due to periodontal disease was higher in night shift workers (0.060) than in evening shift workers (0.012). Conclusions: There are differences in dental treatment needs depending on the workers' working patterns. Collective oral health care is needed at workplaces to promote the workers' oral health.

Evaluation of health screening data for factors associated with peri-implant bone loss

  • Hyunjong Yoo;Jun-Beom Park;Youngkyung Ko
    • Journal of Periodontal and Implant Science
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    • v.52 no.6
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    • pp.509-521
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    • 2022
  • Purpose: Systemic health has a profound effect on dental treatment. The aim of this study was to evaluate peri-implant bone loss and health screening data to discover factors that may influence peri-implant diseases. Methods: This study analyzed the panoramic X-rays of patients undergoing health screenings at the Health Promotion Center at Seoul St. Mary's Hospital in 2018, to investigate the relationship between laboratory test results and dental data. The patients' physical data, such as height, weight, blood pressure, hematological and urine analysis data, smoking habits, number of remaining teeth, alveolar bone level, number of implants, and degree of bone loss around the implant, were analyzed for correlations. Their associations with glycated hemoglobin, glucose, blood urea nitrogen (BUN), creatinine, and severity of periodontitis were evaluated using univariate and multivariate regression analysis. Results: In total, 2,264 patients opted in for dental health examinations, of whom 752 (33.2%) had undergone dental implant treatment. These 752 patients had a total of 2,658 implants, and 129 (17.1%) had 1 or more implants with peri-implant bone loss of 2 mm or more. The number of these implants was 204 (7%). Body mass index and smoking were not correlated with peri-implant bone loss. Stepwise multivariate regression analysis revealed that the severity of periodontal bone loss (moderate bone loss: odds ratio [OR], 3.154; 95% confidence interval [CI], 1.175-8.475 and severe bone loss: OR, 7.751; 95% CI, 3.003-20) and BUN (OR, 1.082; 95% CI, 1.027-1.141) showed statistically significant predictive value. The severity of periodontitis showed greater predictive value than the biochemical parameters of blood glucose, renal function, and liver function. Conclusions: The results of this study showed that periodontal bone loss was a predictor of peri-implant bone loss, suggesting that periodontal disease should be controlled before dental treatment. Diligent maintenance care is recommended for patients with moderate to severe periodontal bone loss.

The effect of supportive periodontal therapy after periodontal treatment : A 1-year follow up. (치주치료 후 유지치주치료의 효과에 관한 평가 : 1년 관찰)

  • Kim, Shin-Young;Kim, Yong-Gun
    • The Journal of the Korean dental association
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    • v.55 no.1
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    • pp.22-29
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    • 2017
  • Purpose : Preservation of the periodontal health of the treated patient requires supportive periodontal therapy for the elimination of periodontal disease. After Phase I therapy is completed, patients are placed on a schedule of periodic recall visits for maintenance care to prevent recurrence of the disease. The amount of tooth loss would be the most relevant criterion in an evaluation of the effect of periodontal treatment, but this would require studies with extremely long follow-up periods. Thus the most commonly used outcome criteria in clinical research have been clinical attachment level change, reduction of pocket depth and bleeding frequency. The purpose of this case study is to identify the effect of supportive periodontal therapy after periodontal flap surgery. Materials & Methods : Following routine hygienic phase of treatment, patients with chronic periodontitis received surgical periodontal treatment. Bleeding on probing, pocket depth and clinical attachment level were measured at baseline, pre-operation and 1 year follow up. All procedures were performed by one operator. Results : One year a total of 28 patients (58sites) to recheck remained, when conducted maintenance program after periodontal flap surgery was observed reduction of bleeding frequency, pocket depth and improvement of clinical attachment level. Conclusion : The results from this study indicate that supportive periodontal therapy after periodontal flap surgery is effective for reduction of bleeding frequency, pocket depth and gain of clinical attachment level.

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The change of oral volatile sulfur compounds(VSC) concentration after periodontal treatment (치주치료 후 구강 내 Volatile Sulfur Compounds(VSC)의 변화)

  • Kim, Sung-Hyun;Chae, Gyeong-Jun;Jung, Ui-Won;Kim, Chang-Sung;Choi, Seong-Ho;Cho, Kyoo-Sung;Chai, Jung-Kyu;Kim, Chong-Kwan;Bang, Eun-Gyeong
    • Journal of Periodontal and Implant Science
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    • v.36 no.3
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    • pp.653-659
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    • 2006
  • Oral malodor may cause a significant social or psychological handicap to those suffering from it. Oral malodor has been correlated with the concentration of volatile sulfur compounds (VSC) produced in the oral cavity. Specific bacteria identified in the production of VSC have been reported and many of these bacteria are commonly suspected periodontal pathogens. The aim of this study was to estimate the change of the VSC concentration after periodontal treatment, Twenty subjects with probing depth $(PD)\;{\geq}5mm$ (experimental group) and 20 subjects with PD<5mm (control group) participated. VSC concentration measurement was made with gas chromatography. VSC concentration was measured at pre-treatment, 2 weeks after scaling and 1 month after periodontal treatment(root planning and flap operation). Maximum probing depth and bleeding on probing(BOP) were also examed at pretreatment and 1 month after periodontal treatment, The conclusions were as follow: 1. In the experimental group VSC concentration and CH3SH/H2S ratio were higher than control group. (p<0.05) 2. Both VSC concentration and CH3SH/H2S ratio showed decrease after periodontal treatment, But only CH3SH/H2S ratio after 1 month periodontal treatment was statistically significantly different from pre-treatment. (p<0.05) 3. CH3SH/H2S ratio tended to be on increase according to maximum probing depth and bleeding on probing. Periodontal disease could be a factor that caused oral malodor and oral malodor could be decreased after periodontal treatment.

Influential Factors for the Knowledge and Awareness of Adults on Periodontal Diseases and Their Belief (성인의 치주질환에 관한 지식, 인식과 신념에 미치는 영향)

  • Lee, Ji-Yeoun;Lee, Mi-Oak
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.295-307
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    • 2016
  • The purpose of this study was to examine the awareness and knowledge of school organizational members about peridontal diseases, their belief in the diseases, attitude and periodontal health in an effort to provide some information on how to ensure successful oral health education and incremental dental care. The subjects in this study were the selected patients who visited school dental clinics. Their ideas of periodontal diseases and periodontal health were analyzed to determine the influential factors. They got a mean of 2.77 in awareness of the epidemiologic characteristics of periodontal diseases, 2.97 in knowledge on the initial symptoms of gingivitis, 2.90 in awareness of the causes of periodontal diseases, 2.95 in awareness of the prevention and treatment of peridontal diseases, and 3.04 in belief in periodontal diseases and attitude. Thus, they had a good understanding and knowledge of periodontal diseases, and they had the right belief and the right attitude as well. They scored relatively lower in several items of periodontal diseases: awareness of tooth loss caused by aging, awareness of the relationship of food to the prevention and occurrence of periodontal diseases, the relationship between toothbrushing time and gingival health, the right toothbrushing method and the right way of dental care.