• 한국학교ㆍ지역보건교육학회지
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• 제19권2호
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• pp.53-63
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• 2018

Objectives: This study was intended to provide resources for the development and operation of the elderly's oral health education programs by comparing the difference of oral health behavior, oral health care self-efficacy and oral health levels according to their oral health education experiences and by researching the correlation of oral Health Behavior, self-efficacy, subjective oral health level and oral health education experience. Methods: An interview survey using structured questionaries was done on 180 senior citizens older than 65 years old residing in some areas of Gyeonggi-do from April 19 to May 25, 2018. The data was analyzed with Chi-square, t-test, spearman correlation coefficient with the use of SPSS 20.0. Results: 1. Those who are older than 75 years old and have higher levels of education and finance have more experiences of oral health education. 2. Those who have experiences of oral health education brush their teeth more than three times a day, use more oral health care items and get more regular preventive treatments such as oral examination and scaling. 3. As they has experiences of oral health education, their oral health behaviors, oral health care self-efficacy(tooth care, dietary control, regular checkup) and subjective oral health levels are high. Conclusion: It is necessary to try to improve the elderly's oral health levels by motivating the importance of oral health care and changing their oral health behaviors positively with the implement of oral health education on the elderly. Especially, oral health education programs that are operated on the elderly should be planned with practical programs that can cause the change of their oral health behaviors and should be processed to reinforce oral health care self-efficacy. Furthermore, preventive treatments for the elderly such as oral health education, oral examination and scaling should be implemented systematically and continuously by policy.

• 치위생과학회지
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• 제19권3호
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• pp.162-169
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• 2019

Background: Oral diseases are caused by various systemic and local factors, the most closely related being the biofilm. However, the challenges involved in removing an established biofilm necessitate professional care for its removal. This study aimed to evaluate and compare the effects of professional self and professional biofilm care in healthy patients to prevent the development of periodontal diseases. Methods: Thirty-seven patients who visited the dental clinic between September 2018 and February 2019 were included in this study. Self-biofilm care was performed by routine tooth brushing and professional biofilm care was provided using the toothpick method (TPM) or the oral prophylaxis (OP) method using a rubber cup. Subgingival bacterial motility and halitosis (levels of hydrogen sulfide, $H_2S$; methyl mercaptan, $CH_3SH$; and di-methyl sulfide, $(CH_3)_2S$) were measured before, immediately after, and 5 hours after the preventive treatment in the three groups. Repeated measures analysis of variance test was performed to determine significant differences among the groups. Results: TPM was effective immediately after the prevention treatment, whereas OP was more effective after 5 hours (proximal surfaces, F=16.353, p<0.001; smooth surfaces, F=66.575, p<0.001). The three components responsible for halitosis were effectively reduced by professional biofilm care immediately after the preventive treatment; however, self-biofilm care was more effective after 5 hours ($H_2S$, F=3.564, p=0.011; $CH_3SH$, F=6.657, p<0.001; $(CH_3)_2S$, F=21.135, p<0.001). Conclusion: To prevent oral diseases, it is critical to monitor the biofilm. The dental hygienist should check the oral hygiene status and the ability of the patient to administer oral care. Professional biofilm care should be provided by assessing and treating each surface of the tooth. We hope to strengthen our professional in biofilm care through continuous clinical research.

• 한국엔터테인먼트산업학회논문지
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• 제13권8호
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• pp.551-561
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• 2019

본 연구는 인문계 3학년 여자 고등학생의 입시스트레스와 구강관리 자기효능감과의 관련성을 파악하고자 하였다. 2018년 6월부터 7월까지 G지역 인문계 고등학교에 재학 중인 3학년 여학생 192명을 대상으로 자기기입식 설문조사를 실시하였다. 입시스트레스의 하위영역 중 시험긴장/성적부진이 3.07점으로 가장 높았고, 여가생활부족 2.83점, 미래불확실성 2.57점, 부모압력 2.44점 순이었다. 연구대상자의 일반적인 특성과 입시스트레스를 분석한 결과, 시험긴장/성적부진 스트레스와 관련된 변수는 학업성적(p<.01), 가족소득수준(p<.05), 주관적 구강건강상태(p<.05), 일일칫솔질횟수(p<.01)이었다. 구강관리 자기효능감의 하위영역별 수준은 칫솔질 자기효능감이 3.13점으로 가장 높았고, 치과방문 2.80점, 치간청결 2.64점 순이었다. 연구대상자의 일반적인 특성과 구강관리 자기 효능감을 분석한 결과, 칫솔질 자기효능감과 관련 있는 변수는 주관적 구강건강상태, 우식성 간식 섭취(1일 기준), 우식성 음료 섭취(1일 기준)이었다(p<.01). 입시스트레스 하위영역과 구강관리 자기효능감 간에는 음의 상관관계를 나타내어 입시스트레스가 높을 수록 구강관리 자기효능감은 낮아지는 것으로 나타났다. 이에 입시스트레스가 높은 학생의 구강질환 예방과 구강관리 자기효능감을 높이기 위해 학생들이 흥미를 가지고 구강보건행동을 쉽게 수행할 수 있는 학교구강보건교육 프로그램 제공이 필요할 것으로 사료된다.

• 치위생과학회지
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• 제21권4호
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• pp.275-281
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• 2021

Background: The aim of this study was to understand the importance of professional oral care for inpatients by examining the type and frequency of surgery and hospital discharge period at dental hospitals, and identify the types of professional oral care actually in progress. Methods: In this study, the type of surgery and length of hospitalization were investigated among patients admitted to the dental hospital for oral and maxillofacial surgery, and the professional oral care status of inpatients who had difficulty self-managing their oral care was retrospectively identified by collecting data on oral care before and after surgery, including the type and frequency. Results: The majority of inpatients at dental hospitals were male (57.6%), elderly patients over 60 years accounted for 20% of patients, and the average length of hospitalization was 4 days. In the 20s (aged 20~29 y), the number of orthognathic surgery patients (73.1%) was high, and the incidence of cysts was high in middle-aged patients. Regarding the oral care of hospitalized patients, scaling was performed once by a dentist before surgery. After surgery, surgical dressings using H₂O₂ balls were applied and oral care education was introduced before discharge. Conclusion: Based on the results of this study, professional oral care is essential to prevent infection and complications caused by oral bacteria among inpatients at dental hospitals. It is necessary to use various oral hygiene aids for inpatients and to conduct effective oral care instruction according to each patient's situation. In addition, it is necessary to raise awareness and the role of dental hygienists in professional oral care.

• 한국치위생학회지
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• 제22권1호
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• pp.63-72
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• 2022

Objectives: This study was conducted to prepare basic data to propose the necessity and utilization of oral welfare products in the welfare services of the long-term care insurance system, focusing on facility workers working in elderly facilities. Methods: The analysis was conducted on 144 workers working at some local elderly facilities. The questionnaire was constructed by classifying the use of oral welfare tools into 6 questions and the necessity and demand for oral welfare devices into 13 questions. Frequency analysis and technical analysis were performed for data analysis, and one-way ANOVA was performed for differences in the necessity and demand for oral welfare equipment. The statistical significance level was p<0.05. Results: As a result of examining the awareness of the necessity and demand for oral welfare equipment among workers in elderly facilities, the awareness of the necessity of including oral welfare equipment in the items of welfare equipment in the current long-term care insurance system was high at 4.15 points. As a result of analyzing the correlation between awareness of care products and the need and demand for oral welfare equipment, it was confirmed that there was a statistically significant positive correlation (p<0.01). Conclusions: In the long-term care insurance system for the elderly, oral welfare products need to be considered for welfare equipment services. The provision of oral welfare products within the long-term care insurance system for the elderly can provide opportunities and services to select various self-care tools. In addition, it is expected that it will be possible to promote changes in the long-term care insurance system for the elderly and to improve the system in a variety of positive ways.

• 한국치위생학회지
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• 제16권3호
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• pp.373-381
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• 2016

Objectives: The purpose of the study is to investigate the awareness toward use and service contents of long term care for the elderly. Methods: A self-reported questionnaire was completed by 296 adults from August 13 to October 20, 2014. The questionnaire consisted of general characteristics of the subjects, awareness toward long term care insurance for the elderly, awareness toward long term oral health care services, use of long term care service and use intention for the long term care insurance. Data were analyzed by SPSS 18.0 program. Results: Those who were aware of the long term care insurance accounted for 55.4 percent. Approximately 50 percent of the respondents recognized long term care service items, home visit care, home visit bathing, and home visit nursing. Most of the respondents had information of long term care services by way of mass media and direct contact. Only 13.4 percent of the respondents were aware of the oral health service in the long term care insurance. The subjects were aware of denture cleaning, oral cleaning and oral health education out of oral health service in order; and oral health services that needed to be offered were denture cleaning, oral health education and professional toothbrushing. They reported that dental hygienists were the most important manpower that offered the efficient oral health care services. They answered that professional manpower and financial support are required for oral health services. The positive thinking to long term care insurance accounted for 89.2 percent and 91.3 percent had use intention for oral health services. Conclusions: Many elderly people have mastication or dysphagic problems due to systemic diseases. Therefore, it is necessary to announce the long term care insurance and long term care services for the elderly people.

• 한국치위생학회지
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• 제16권2호
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• pp.285-293
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• 2016

Objectives: The aim of the study was to investigate the association of self-perceived oral health and depression in the Korean elderly. Methods: The subjects were 1,329 elderly in Korea from the sixth Korea National Health and Nutrition Examination Survey (the 6th KNHANES). The dependent variable was depression that continued more than two weeks. Model I for the impacts of depression on self-reported oral health, Model II for the impacts of depression on chewing problem, Model III for the impacts of depression on speaking problem was evaluated. PASW Statistics 18.0 version was used for frequency analysis, chi-square test and logistic regression analysis. Results: Female elderly were much more prone to depression than male. Female had lower monthly compensation, less medicaid, chewing problem, speaking problem, and less education. For these reasons, they tended to have more depression than male (p<0.001). Self-perceived oral health impacts on depression included poor self-reported oral health(p<0.01), poor chewing problem(p<0.01) and poor speaking problem(p<0.05). On the other hand, male did not show a statistically significant association. Conclusions: The study showed the self-perceived oral health related quality of life had a significant influence on depression in the elderly. The continuing lifelong oral health care can prevent depression in the later life because oral health care improvement can enhance the self-perceived oral health status.

• 한국치위생학회지
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• 제5권1호
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• pp.53-62
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• 2005

To prepare basic data for oral health promotion of high school students through the survey of the recognition of oral health care, a questionnaire survey was conducted for 268 students. Statistical analysis was conducted using the SPSS 11.5 with ${\chi}^2$-test, fisher's exact test, t-test and logistic regression. The obtained results were as follows 1. The average of the high school student's oral health knowledge was $13.12{\pm}2.06$. Statistically school girls were higher(pE0.05) than school boy's oral health knowledge(male: 12.91, female: 13.35), tooth brushing frequency(male: 4times or more-15.4%, female: 4times or more-29.8%), and preventive dental visit(male: 8.1%, female: 17.5%). 2. More than 70% of high school students was concerned about oral health. According to the self-judgement of oral health, more than 50% of them was answered that they wasn't sure of oral health. 3. Only 13% of high school students received oral health education and 80% of them recognized oral health manpower's education needs. 4. The logistic regression analysis illustrated that high school student's preventive dental visit was independently associated with the self-judgement of oral health. The odds ratio was 3.0 and statistically significant.

• 한국치위생학회지
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• 제13권4호
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• pp.639-644
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• 2013

Objectives : The aim of this study is to investigate the influencing factors of oral health behaviors according to oral health education experiences in middle school students. Methods : The subjects were 301 middle school students who lived in Gimhae and Jinhae. All statistical analyses were performed using SPSS. Results : The group with oral health education experience had higher scores in oral health knowledge(p<.01) than the group without oral health education. The group with oral health education experience has higher scores in oral health behavior (p<.01) than the group without oral health education. The group with oral health education experience has higher scores in self-efficiency (p<.01) than the group without oral health education. The experience of oral health education shows positive correlation with oral health knowledge(r=0.184), oral health behavior(r=0.199) and self-efficiency(r=0.199). There existed a positive correlation between oral health knowledge and self-efficiency(r=0.351). Conclusions : It is necessary to provide oral health promotion program in middle school students. The importance of oral health care is closely related to oral health knowledge.

• 치위생과학회지
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• 제9권4호
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• pp.461-467
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• 2009

The purpose of this study was to find out the degree of self-consciousness of oral malodor, the status of oral hygiene care, some oral examination factors, and measurement values of malodor compounds through conduction oral examination and questionnaire survey, and measuring volatile malodor compounds by instrumental analysis. The data were collected from 155 patients visiting a dental clinic by using a self-administered questionnaire, conducting oral examination for halitosis, and measuring malodor compounds with Oral Chroma. The rate of recognizing their breath as 'somewhat bad' were 80.0% for the female patients and 74.3% for the male, and, however, 14.3% of the male recognized their breath as 'very bad' while 18.8% of the female did not recognized oral malodor, showing statistically significant difference between gender(p=0.004). The average concentrations of volatile sulfur compounds measured by Oral Chroma were 1.65 ng/10 ml for hydrogen sulfide, 1.71 ng/10 ml for methyl mercaptan and 1.66 ng/10 ml for dimethyl sulfide, on the average, respectively, exceeding malodor threshold levels of all 3 compounds, and were significantly higher in the male group than those in the female, also exceeding all threshold levels except hydrogen sulfide values of the female group. The type of oral malodor was the most prevalent for Type I as 23.2%, followed by Type V, Type IV, Type II whileas Type I and Type IV in the female as 30.6% and 25.9% respectively, showing statistically significant difference by gender(p=0.006). The correlations among oral examination indices was the highest between tongue fur score and simplified oral hygiene index, followed by a significant reverse correlation between the number of fixed prosthodontic teeth and the number of dental caries(p=0.000).