• Title/Summary/Keyword: Public oral health project

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Application of the QLF technology to monitor recovery rates of enamel caries lesions with human saliva (법랑질 병소 회복율 평가를 위한 QLF 기술의 적용)

  • Kim, Gyung-Min;Ku, Hye-Min;Lee, Eun-Song;Kang, Si-Mook;Jong, Elbert de Josselin de;Kwon, Ho-Keun;Kim, Baek-Il
    • The Journal of the Korean dental association
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    • v.55 no.2
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    • pp.156-164
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    • 2017
  • Purpose: The aim of this in vitro study was to assess changes in remineralization by stimulated human saliva over a short period of 48 hours with quantitative light-induced fluorescence (QLF) technology. Materials and Methods: Bovine incisor surfaces were demineralized for 10 days. Two types of stimulated saliva were collected from 7 healthy persons. 24 hours after tooth brushing (Stimulated saliva group) and immediately after tooth brushing with 1,000 ppm NaF dentifrice (Dentifrice saliva group). The specimens were immersed in saliva and fluorescence images were obtained by QLF-digital (QLF-D $biluminator^{TM}$,) at 2, 4, 6, 12, 24, and 48 hours fluorescence loss (${\Delta}F%$) of the lesions. A paired t-test was performed to assess fluorescence differences between before (${\Delta}F_{baseline}$) and after (${\Delta}F_{treatment\;time}$) the remineralization process. Results: Before the remineralization, the mean ${\Delta}F_{baseline}$ of the initial demineralized specimens was $-18.42{\pm}0.15$ (%). In both groups, the ${\Delta}F$ values obtained at baseline and after 2 hours were statistically significant (P < 0.001), indicating recovery of the lesions by approximately 40% after 2 hours. After 48 hours, remineralization rates were slightly higher (49%) for the stimulated saliva group than for the dentifrice saliva group (41%), but the difference was not statistically significant. Conclusions: With QLF minute degrees of remineralization by saliva can be measured in periods as short as 2 hours. Additionally no significantly higher effects of remineralization were observed in the dentifrice saliva group when compared to the stimulated saliva group.

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A Study on the development for the primary school fluoride mouthrinsing project through the public health system in a rural area (공공보건조직을 통한 농촌지역 초등학교 불소양치사업 개발에 관한 연구 (1))

  • Choi, Jin-Su;Hong, Suk-Jin;Hwang, Min-Hong;Lee, Sang-Dae;Jeong, Seong-Soog
    • Journal of agricultural medicine and community health
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    • v.21 no.2
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    • pp.221-230
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    • 1996
  • This study was purposed to develop the fluoride mouthrinsing project through the public health system in a rural area. This project was performed under the management of the public health dentist for the 3rd grade students selected from the 5 primary schools at Goksunggun in Chonnam area. Fluoride mouthrinsing was executed with 0.2% neutral sodium fluoride solution once a week. After 1 year's fluoride mouthrinsing project, DMFT index, DMF rate frequencies of toothbrushing, simplified oral hygiene index, and the responses to fluoride mouthrinsing project of the school children participated were examined. The results obtained from this study were as follows: 1. The fluoride mouthrinsing project for school children was performed average 10 times a year by the public health dentist. They were relatively little active to perform this project. 2. There was no significant difference in the increasement of DMFT index and DMF rate during 1 year between control and fluoride mouthrinsing group. 3. Control group was increased higher than fluoride mouthrinsing group in simplified oral hygiene index. 4. Toothbrushing frequencies increased in both groups. 5. 80.4% of school children participated in fluoride mouthrinsing project was responded to like it, and 78.2% among them was responded the project to be beneficial for their dental health. 6. 39.2% of school children was responded to have water-like taste for fluoride solution. But 34.0% of them was done to have strange taste. On consideration of above findings, this fluoride mouthrinsing project was not well performed by the public health dentists and also the oral health status of school children participated was not significantly improved by this project. Therefore, to perform continually this project well, it was recommended that this project should be performed by other person such as dental hygienist rather than public health dentist.

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The burden of disease research of oral disorders and suggestions for improvement (구강 질병부담 연구와 개선 방안)

  • Chung, Ju Hyun;Jung, Hoi In
    • Journal of Korean Academy of Dental Administration
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    • v.9 no.1
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    • pp.1-6
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    • 2021
  • Measuring and quantifying the burden of disease (BoD) is crucial for healthcare policy-related decisions. For this purpose, summary measures of population health (SMPH) have been proposed to overcome the limitations of prevalence, incidence, and mortality. Oral health remains separated from the mainstream healthcare system, and the lack of reliable epidemiological data has been pointed out as the cause. In this study, we aimed to understand the flow of international and domestic BoD research related to oral disorders and the direction in which those studies should advance in the future. It is necessary to continuously revise the previously measured BoD of oral disorders and calculate the BoD by performing subdivisions, starting from the development of lay descriptions. Furthermore, developing elaborate BoD measurement methodologies that reflect the complexity of the oral cavity is essential.

A Study on Knowledge and Satisfaction with Sealant in Public Oral Health Project (공중구강보건사업시 치면열구전색의 인지도 및 만족도에 관한 연구)

  • Kim, Jin-Soo;Park, Hyang-Sook
    • Journal of dental hygiene science
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    • v.5 no.4
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    • pp.227-231
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    • 2005
  • To provide basic data necessary to develop an efficient sealant project as a public oral health project, this study applied a sealant through a photodimerization method to first-graders from public primary schools in the Dong-gu Health Center in Incheon and conducted a survey on favor and knowledge of the sealant project with their parents and, consequently, obtained the following results. 1. 84.7% of the parents knew a sealant and most of them got the knowledge from a dental clinic (35.7%) or a school (31.6%). 2. A large majority of respondents (86.2%) were satisfied with sealant application; many parents (75.8%) checked for maintenance of the sealant; and 75.6% demanded reexamination after sealant application. 3. As factors associated with acceptance of a sealant, high recognition of a sealant, much experience of visiting a dental clinic, and parents' great concern about children's dental health were related to high sealant application. To put the results together, it is desirable to develop the sealant project by the Dong-gu Health Center in Incheon actively as a public oral health project.

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Survey on the effect of government paid denture project by the participating dentists (노인의치보철사업 참여 치과의사의 참여 만족도와 사업개선방안에 대한 연구)

  • Kim, Mi-Gyeong;Kim, Mi-Ja;Yu, Seung-Yeon;Lee, Mi-Suk;Lee, Yeong-Bok;Choe, Yong-Geun
    • The Journal of the Korean dental association
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    • v.45 no.10 s.461
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    • pp.641-650
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    • 2007
  • Few reports regarding the effect of government paid denture project for low-income elders evaluated by the participating dentists are available despite the project was launched in 2002. Thus, this study investigated the effect of the project evaluated by the participating dentists and suggested public health policies for the better development of the project. Survey questionnaire regarding desire to continue participation, motivation of the participation, list of complaints, wish of the payment increase, and wish of the abutment crown increase were completed by 117 dentists in Seoul and Pusan. 78.6% of them desired to continue the participation while 16.2 % of them did not. When the motivation of participation was the service for the society, they tended to show the desire of continuing participation. Half of them were satisfied with the current payment(50.4%), while the other 47.9% did not. Complicated oral health status(48.7%), poor cooperation of patients(8.5%) and too frequent after cares low payment(6.8%) were complained. Payment increase compensating the addition of preprosthetic procedures for the complicated oral health status and the after cares was desired. Also, more thorough education regarding the denture project for the patients by the public health center is needed to alleviate the inconvenience of the participating dentists.

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Changes in oral health status of the elderly with visiting oral hygiene care intervention based on community health care: Case reports (커뮤니티케어에 기반한 방문 구강 관리 중재 노인의 구강 건강 상태 변화에 관한 증례 보고)

  • Jang, Jong-Hwa;Jeong, Min-Suk;Jo, Se-Rim;Yoon, Hae-Soo
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.5
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    • pp.499-506
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    • 2021
  • Objectives: This case - study was conducted to assess the oral health status change of the elderly through visiting oral care interventions based on a community health care project. Methods: Professional dental hygiene treatment and oral health education, including brushing using interdental toothbrushes and sponge brushes, were performed on three senior citizens who received home visiting oral health care benefit. Results: The subject's periodontal conditions improved including gingival inflammation and bleeding. The gingival color tured pink by controlling the dental plaque. Conclusions: Visiting oral health care contributed to the improvement of oral health of the elderly. Therefore, based on the characteristics of the elderly with various systemic diseases, it is necessary to discover various cases that can perform professional and customized visiting oral health care programs.

A study on the oral health awareness of the elderly for dental health project planning (구강보건사업계획에 필요한 노인의 구강건강 인식에 관한 연구 - 전주시 -)

  • Nam, Yong-Ok;Park, Cheol-Eung;Park, Jin-Hyeon;Ju, On-Ju;Kim, Young Im
    • Journal of Korean society of Dental Hygiene
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    • v.6 no.4
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    • pp.325-337
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    • 2006
  • The purpose of this study was to examine the oral health state of the elderly in an effort to pave the way for dental health project planning for the elderly for the city of Jeonju and to help promote the oral health of the elderly population to which health care services weren't accessible a lot. The subjects in this study were 300 elderly people who were in their 60s and up and used 10 different welfare establishments for the elderly in Jeonju. A survey was conducted from May 3 through 13, 2005, by interviewing them in person, and the collected data were analyzed. The findings of the study were as follows: 1. In terms of the period of oral health examination, 44.1 percent of the 66-70 age group, 48.1 percent of the elementary school graduates and 39.4 percent of the house owners had their teeth examined whenever they had a toothache. So their cycle of oral health examination was statistically significantly different according to age(p<.05), education(p<0.001) and form of residence(p<0.001). 2. Regarding the necessity of prosthesis, prosthesis was needed by 52.1 percent of the age group from 71 to 80, 44.3 percent of the women, 48.9 percent of the men, 60.0 percent of the community college graduates and 55.9 percent who rent a house on a deposit or monthly basis. But there was no statistically significant gap among the groups. 3. As for the necessity of oral health education, the necessity of it was absolutely supported by 89.7 percent of the 66-70 age group, 76.0 percent of the women, 87.2 percent of the men, 95.3 percent of the middle school graduates and 87.7 percent of the house owners. Their age(p<.0.01), gender(p<0.05) education(p<0.05) and form of residence(p<0.01) made a statistically significant difference to that. 4. Concerning oral health education experience, 79.3 percent of the high school graduates and 79.8 percent of the house owners had never received oral health education, and that experience statistically significantly varied with education(p<0.001) and form of residence (p<0.001). 5. As to the biggest reason for oral health care, 50.0 percent found it necessary to take care of their teeth to ensure their own perpetual oral health, and 33.7 percent felt the need for that because they had a toothache. The above-mentioned findings indicated that the elderly people were definitely in want of oral health education. Dental hygienists in public dental clinics should serve as dental health educators to address their needs, and regular oral health care programs should be prepared to spread awareness about the importance of oral health among elderly locals.

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Dental Radiography for Age Estimation: A Scoping Review

  • Jeon, Kug Jin;Kim, Young Hyun;Lee, Joo-Young;Jung, Hoi In;Han, Sang-Sun
    • Journal of Korean Dental Science
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    • v.15 no.1
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    • pp.31-50
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    • 2022
  • Purpose: This study was to investigate the types of imaging modalities, analytical methods for age estimation, and the age of the subjects in research on age estimation using dental radiography through a scoping review, and to investigate the overall trends in age estimation studies. Materials and Methods: A scoping review was designed according to the Arksey and O'Malley guidelines and the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. Three electronic databases were used as search sources (Medline, Embase, and Cochrane Library). Studies were classified according to the three main components of the research question. "What are the imaging modalities, analytical methods, and target age in dental imaging-based age estimation studies?" Result: The final 198 studies were selected by two reviewers. The most common imaging modality used in studies was panoramic radiography (69.7%), and studies using cone-beam computed tomography have increased over time. Analytical methods for age estimation were 62.6% in studies based on tooth development and 26.3% in studies using pulp/tooth ratio. The subject age was 27.8% for children and 27.3% for adults. Studies conducted in all age groups comprised the smallest category (5.2%). Conclusion: Panoramic radiography has been the most used types of imaging modalities for age estimation, and the most common analytical method was analysis of tooth development. Most studies targeted specific ages, and very few involved all age groups. Dental age estimation studies should be carried out with appropriate consideration of the imaging modality that is analyzed, the methods that are used, and the age that is targeted.

Oral Health Promotion Program Application and Effect for Underprivileged Lower Grade Students (취약계층 아동의 구강건강증진 실천프로그램 적용 및 평가)

  • Jung, Jin-Hee;Jin, Bo-Hyung;Lee, Jung-Nam;Yu, Ju-Yeon
    • The Journal of Korean Society for School & Community Health Education
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    • v.16 no.3
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    • pp.41-50
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    • 2015
  • Objectives: The purpose of this study was to apply an effective oral health promotion program and effect for underprivileged lower grade students. This study attempted to resolve some oral health inequality issues by providing underprivileged children with an oral health action program designed to promote positive oral health maintenance habits. Methods: This study was carried from May to August of 2009 with 77(control group 27 subjects, experimental group 36 subjects) elementary school students selected among first to third graders attending regional welfare center's after school program in Seoul. To the control group, conventional education methods were applied. To the experimental group, newly designed program was conducted by three project experts(1 expert, 1 dentist, 1 dental hygienist). It consisted of 5 sessions and progressed with various activities. It was focused on achieving target knowledge and changing oral health behavior. In order to evaluate the designed educational program, learners' achievement was evaluated with implementing the questionnaire and one-on-one interviews. And also the oral health improvement was evaluated based on change of Patient Hygiene Performance(PHP) index. Results: Based on the results of learners' achievement, the experimental group showed the significant increment of the oral health knowledge by the relapsed time, and it maintained after finished the program(p<0.001). The patient hygiene performance index showed not significant changed(p>0.05), but 1 month later the control group showed an increment of the PHP score, but the experimental group showed a decrement of it. Conclusions: Oral health promotion program by project approach could give a long-lasting educational effect to the children and encouraged proper oral hygiene behavioral changes.

Classification of maturation of bacterial dental deposits using differences in fluorescence intensity (형광 차이를 이용한 세균성 치아 침착물의 성숙도 구별)

  • Cho, Mu-Yeol;Lee, Eun-Song;de Jong, Elbert de Josselin;Yoon, Hong-Chul;Kim, Baek-Il
    • The Journal of the Korean dental association
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    • v.57 no.4
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    • pp.213-220
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    • 2019
  • Purpose: The aim of this study was to evaluate the red fluorescence characteristics of bacterial dental deposits assessed by quantitative light-induced fluorescence (QLF) technology and confirm whether the red fluorescence can distinguish and evaluate quantitatively accumulation of bacterial dental deposits. Methods: This retrospective cross-sectional study used QLF images captured at a dental clinic from January to December 2016. In each QLF image, a skilled examiner selected one region where the presence of deposits was suspected. Then, the regions were classified into three groups of not detectable deposits(ND), half detectable deposits (HD), and full detectable deposits (FD) by two examiners according to classification criteria. Only those images where the regions of bacterial dental deposits were classified identically by all examiners were used for analysis. The mean red fluorescence intensity (RFI) was defined as the mean value of R/G for all pixels in the regions. The RFI was compared between groups using Welch's ANOVA test, and the Spearman correlation was calculated to assess the association between RFI and accumulation of deposits. Results: In this study, 351 images among the collected images of 605 subjects were finally selected. The mean age of subjects was about 44 years. The R/G values of the ND, HD and FD were 0.73, 1.26 and 1.83 respectively. There were significant differences between all groups (p<0.001), and strong positive correlation was identified between the R/G value and the accumulation of deposits (r = 0.90, p<0.001). Conclusion: The intensity of red fluorescence as observed in the QLF images correlated well with the accumulation maturation of the deposits, which indicates that the QLF technology can be used to evaluate the status of oral hygiene.

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