Objectives: The aim of this study is to analyze the differences in factors related to the incidence of dental caries between children in fluoridated and non-fluoridated areas and compared the DMFT and DMFS scores to confirm the effect of water fluoridation program (WFP) in Geoje and Changwon. Methods: The oral health examination and questionnaire survey were conducted in fluoridated and non-fluoridated areas. The number of surveyed children aged 8, 10, and 12 years in the fluoridated and non-fluoridated area of two cities was 1,524 and 1,383, respectively. Self-recorded questionnaires included self-perception of their own dental health, daily toothbrushing frequency, intake frequency of cariogenic sweet snacks and beverages, experience of gingival bleeding, experience of unmet dental treatment, and use of oral hygiene device except for toothbrush and toothpaste. The prevalence of caries and fissure-sealant status were surveyed. The logistic regression analysis was used to analyze the difference in children's self-rated oral health status between the fluoridated and non-fluoridated area. The mean number of sealed teeth and surfaces, marginal means of the DMFT and DMFS scores adjusted for the difference in the samples' sex distribution, and region were compared between the fluoridated and non-fluoridated areas. Results: In the fluoridated area, the experience rate of unmet dental treatments was higher among children aged 10 years, intake frequency of cariogenic sweet snacks and beverages were higher among the whole sample, and experience rate of professional fluoride application were lower than in the non-fluoridated area. The DMFT score for permanent dentition adjusted for differences in sex, region, and mean number of fissure-sealed teeth in the fluoridated area was significantly lower among whole samples and 8-, 10-, and 12-year-olds alone than in the non-fluoridated area. Conclusions: WFP can alleviate oral health inequality because it is effective in reducing the incidence of caries among children is disadvantaged demographic, socioeconomic, and cultural contexts.
This study was conducted to evaluated the effects of improvement on dental health behavior and dental health knowledge of adult group through dental health education program, the study subjects were 75, education group being 37(male 19, female 18) and non-education group being 38(male 19, female 19). who being in 2 office. The results of this study were as follow: 1. In the primary survey, the education group and non-education group showed no differences in sex, age, job year, income, smoking, self-rated dental health statues, DMFT index, a number of cervical abrasion tooth, dental health behavior, dental health knowledge. 2. before education program the use of tooth brushing method of horizontal+vertical was 40.6%, after education program the use of tooth brushing method of rolling was 89.2% in education group. 3. after education program the tooth brushing times was increased after-meal brushing, especially increased from 40.5% to 93.8% at after midday meal brushing. 4. the difference of mean change of dental health knowledge score after oral health education program had been studied. dental health knowledge score increased in 9.8 in the education group and non-education group in 1.6(pE0.001). 5. the difference of mean change of oral health promotion behavior after oral health education program had been studied, the frequence of tooth brushing(pE0.05), flossing(pE0.001), tongue brushing(pE0.001) was significantly increased in education group compare to non-education group. Above findings suggest that dental health education program was effective in improving the dental health behavior, dental health knowledge of the adult group.
Objectives : The purpose of this study was to examine the eating behavior of patients in a bid to facilitate the improvement of their eating behavior, as eating behavior seemed to affect oral health and dietary habits. Methods : The subjects in this study were 235 patients who visited the dental hygiene practice lab at C college in South Jeonla Province. After a survey was conducted, the collected data were analyzed with the statistical package SPSS 12.0. Results : 1. When their self-awareness of dietary habits and oral health was checked in consideration of eating behavior, those who thought they had very good dietary habits and were in good oral health had meals three times a day. Their eating time was very irregular, and they took 15 to 20 minutes to eat. Their overeating frequency was three or four times a week, and their frequency of eating between meals was once or twice a week. 2. On the contrary, the daily eating frequency of the patients who found themselves to have very bad dietary habits and to be in bad oral health was not fixed, and their eating time was neither regular nor irregular. They spent less than 10 minutes having a meal, and their overeating frequency was once or twice a week. Their frequency of having a snack was three or four times a week, and as for food preference, they had a liking for meat. 3. The patients considered themselves to be in better health when they had balanced meals and good eating behavior, namely good dietary habits. And they rated their own dietary habits higher when they were in a good oral state, had no experiences to feel pain in the mouth and didn't receive any dental treatment, namely when they were in good oral health. Conclusions : This study attempted to investigate the influence of eating behavior on oral health awareness. Another limitation of this study is that the geographic scope was just confined to an urban community in South Jeonla Province without checking any possible regional gaps. However, it's quite evident that eating behavior exerts an influence on oral health awareness, and it seems worth doing to examine a larger number of subjects by utilizing objective oral health guidelines.
The purpose of this study was to examine the effect of a program geared toward improving elderly people's oral function. After a program was provided to the selected elderly people free of charge for three months, they were asked to rate their own oral function to see whether they underwent any changes after their participation in the program, and their oral function was tested to obtain objective data. The collected data were analyzed by the statistical package SPSS WIN 18.0. The findings of the study were as follows: As for changes in their self-rated indicators of oral function, they faced less troubles in most of the oral function items after they participated in the program, and there were statistically significant differences in some of the items. As a result of making an objective evaluation of their oral function, they underwent a little change in salivary flow rate from 1.19 to 1.30, though the change was not statistically significant. In terms of opening, they showed a statistically significant rise of scores from 4.22 to 4.53, and they also showed a statistically significant rise of scores in pronunciation from 30.52 to 38.88. Regarding satisfaction with the program, they gave 4.48 to the program, which implied that they were greatly satisfied with the program. The abovementioned findings suggest that oral health experts and program providers should try to encourage elderly people to keep on taking oral health programs with interest. Currently, oral exercise programs are conducted in some public health centers and in the field of clinical dentistry, and it's required to offer more oral exercise programs as community exercise programs for the elderly.
The purpose of this study was to examine unmet dental care needs and related factors among adults in Korea. The study included a nationally representative sample of Koreans (Korea National Health and Nutrition Examination Survey 2104). The dependent variable was unmet dental care need and the independent variables were socioeconomic status and oral health status. The chi-square test and logistic regression analysis were performed to identify the associations between explanatory variables and unmet dental care needs. The major causes of unmet dental care needs included economic burden, work life, and academic reasons; in addition, dental treatment was considered to have lower priority. The factors that had statistically significant relationships with unmet dental care needs were sex, age, self-rated oral health status, and difficulty in mastication. The findings of the study, suggest a need for lower dental insurance copayments in keeping with the policies and principles aimed at strengthening the national health insurance system. In addition, groups with limited access to dental services should be identified, and effective health care policies and services should be established for these individuals.
The purpose of this study was to examine the impact of the oral health behavior and self-rated oral health of workers on their happiness indexes in an attempt to provide information on oral health planning geared toward industrial workers. The subjects in this study were 294 workers in North Gyeongsang Province. As a result of analyzing the relationship between their health behavior and happiness indexes, the workers who got regular health checkups had higher happiness indexes for both single items(p=0.002) and entire five items(0.012), and those who had their teeth cleaned over the past year had higher happiness indexes for both single items(p<0.001) and entire five items(p=0.003). As for a toothbrushing frequency, the respondents who brushed their teeth more frequently had higher happiness indexes for both single items(p<0.001) and entire five items(p=0.023), and those who had ever received oral health education had higher happiness indexes for both single items(p=0.041) and entire five items. The workers who kept their toothbrushes at work had higher happiness indexes for both single items(p=0.001) and entire five items, and the respondents who could afford to visit a dental clinic immediately in case of having a toothache had higher happiness indexes for both single items(p<0.001) and entire five items(p<0.001). The findings of the study suggest that the preparation of systematic oral health programs is required to boost the happiness indexes of industrial workers.
Jabur, Roberto de Oliveira;Goncalves, Ramon Cesar Godoy;Faria, Kethleen Wiechetek;Semczik, Izabelle Millene;Ramacciato, Juliana Cama;Bortoluzzi, Marcelo Carlos
Journal of Dental Anesthesia and Pain Medicine
/
v.21
no.2
/
pp.155-165
/
2021
Background: This study aimed to assess the course of anxiety and pain during lower third molar (LTMo) surgery and explore the role of mobile and single-channel electroencephalography under clinical and surgical conditions. Methods: The State-Trait Anxiety Inventory (STAI), Corah's Dental Anxiety Scale (DAS), and Interval Scale of Anxiety Response (ISAR) were used. The patient self-rated anxiety (PSA), the pain felt during and after surgery, EEG, heart rate (HR), and blood pressure (BP) were assessed. Results: The Attention (ATT) and Meditation (MED) algorithms and indicators evaluated in this study showed several associations. ATT showed interactions and an association with STAI-S, pain during surgery, PSA level, HR, and surgical duration. MED showed an interaction and association with DAS, STAI-S, and pain due to anesthesia. Preclinical anxiety parameters may influence clinical perceptions and biological parameters during LTMo surgeries. High STAI-Trait and PSA scores were associated with postoperative pain, whereas high STAI-State scores were associated with more pain during anesthesia and surgery, as well as DAS, which was also associated with patient interference during surgery due to anxiety. Conclusions: The findings suggest that single-channel EEG is promising for evaluating brain responses associated with systemic reactions related to anxiety, surgical stress, and pain during oral surgery.
The purpose of this study was to examine the oral symptoms, self-rated systemic health state and oral health status of industrial workers in a bid to provide some information on oral health education geared toward industrial workers. The subjects in this study were 294 workers who got a medical checkup in Korea Industrial Health Association in North Gyeongsang Province. Those who felt less inconveniences in the oral cavity led a better quality of life related to oral health in every area except physical handicaps (p<.001, p<.01). The men's OHIP-14 was higher than the women's, and the younger workers led a better quality of life related to oral health in the area of social separation(p<.01), and the married ones did in the area of physical handicaps, mental disorder and social separation(p<.05). And the workers whose household income was larger lived a better quality of life related to oral health in the areas of Psychological discomfort, physical handicaps, mental disorder, social disorder and social separation(p<.05). Those who found themselves to be generally in good health(p<.001, p<.05) and whose subjective oral health state was led a better quality of life in every area(p<.001, p<.05). The findings of the study showed that there were differences in the quality of life according to awareness of oral symptoms, general health status and oral health state.
The purpose of this study was to examine the self-rated oral health status of industrial workers and influential factors for their work loss caused by dental care in an effort to prepare some information on policy setting about the promotion of the oral health of industrial workers and on the prevention of their oral diseases. The married industrial workers experienced work loss due to dental care more commonly than did the unmarried workers ($x^2=5.10$, p<0.05). In addition, the workers who found themselves to be in worse health experienced significantly more work loss ($x^2=29.69$, p<0.001). The workers who received treatment for oral diseases experienced significantly more work loss than those who did not receive treatment ($x^2=14.60$, p<0.001). In addition, the workers who had oral symptoms requiring treatment experienced more work loss than the others who not ($x^2=11.08$, p<0.01). The experience of not receiving treatment for a perceived oral disease was more dominant among the workers who found themselves to have an oral disease but did not receive treatment than among those who received treatment (p<0.001). Regarding factors affecting the work loss of the industrial workers caused by dental care, the workers whose monthly mean income was larger and who found themselves to be in worse health had significantly more experience of absenting themselves from the office or of leaving work early (p<0.001).
The purpose of this study was to examine the impact of stress on the habits of temporomandibular disorder in college students. The subjects in this study were 396 male and female students who were in their first to fourth years at five different colleges located in Jeollabuk-do. The findings of the study were as follows: As for the degree of bad oral habits, "sleeping on one side" was the most common bad oral habit, followed by "enjoying caffeinated beverages," "resting the chin on the hand or a thing" and "chewing food in one side of the mouth only." As a result of analyzing their stress by general characteristics including gender, there were significant differences according to gender in stress about school life problems, one's own problems and economic difficulties, and only stress about one's own problems statistically significantly varied with academic year. When the correlation of the factors was analyzed, perceived stress about school life problems and one's own problems had a significant positive correlation with bad oral habit scores. When a multiple linear regression analysis was made to determine the influence of general characteristics and perceived stress on bad oral habit scores, gender, academic year, self-rated oral health status, stress about school life problems and stress about one's own problems were identified as significant variables. The findings of the study illustrated that there was an organic relationship between the bad oral habits and stress of the college students.
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