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Comparison of knowledge, cognition and practice level on oral health care of the clients visiting dental clinic in Pusan area (부산지역 일부 치과의원 내원환자의 구강건강 지식 및 인식과 실천수준 비교)

  • Kim, Hae-Ran;Kim, Dong-Yeol;Moon, Deog-Hwan
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.4
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    • pp.647-654
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    • 2012
  • Objectives : To propose the data for prevention of oral health problems through assessment on the knowledge, cognition and practice about oral health care of the clients who visit dental clinics. Methods : The subjects were total 400 clients from the four dental clinics in Busan city. Their knowledge, cognition and performances about oral healthcare collected with questionnaire survey from February to March, 2011. The rate and mean compared by chi-square test, t-test, and ANOVA. Results : Mean level of their knowledge, recognition and practice were 72.5, 80.2, and 65.6, respectively. Theses levels were higher in women (p<0.01), in the group of higher interested (p<0.001), immediately treated (p<0.001), correct tooth brushing (p<0.05), toothbrushing educated (p<0.001), take regular scaling (p<0.001), use assistant hygiene items (p<0.001), instead no differences by age and education level. And, the rate of correct toothbrushing was higher as 1.24 (1.03~1.50) times in the group with higher knowledge level, the rate of immediate treatment and regular scaling were higher as 1.35 (1.07~1.70) times, and 2.26 (1.41~3.64) times in the group with higher recognition level, respectively. Conclusions : These results demonstrate that insufficient knowledge and recognition of oral health care are related to a lack of its practice. Though their primary goal of the visits was treatment, the clients' attention needed to raise the comprehensive knowledge and recognition levels for their oral health promotion, especially reach to the performance level rather than simple knowledge acquisition. And more, to achieve the efficient oral health promotion, the importance of early treatment and strengthened efforts for prevention should be emphasized.

Mental nerve paresthesia secondary to initiation of endodontic therapy: a case report

  • Andrabi, Syed Mukhtar-Un-Nisar;Alam, Sharique;Zia, Afaf;Khan, Masood Hasan;Kumar, Ashok
    • Restorative Dentistry and Endodontics
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    • v.39 no.3
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    • pp.215-219
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    • 2014
  • Whenever endodontic therapy is performed on mandibular posterior teeth, damage to the inferior alveolar nerve or any of its branches is possible. Acute periapical infection in mandibular posterior teeth may also sometimes disturb the normal functioning of the inferior alveolar nerve. The most common clinical manifestation of these insults is the paresthesia of the inferior alveolar nerve or mental nerve paresthesia. Paresthesia usually manifests as burning, prickling, tingling, numbness, itching or any deviation from normal sensation. Altered sensation and pain in the involved areas may interfere with speaking, eating, drinking, shaving, tooth brushing and other events of social interaction which will have a disturbing impact on the patient. Paresthesia can be short term, long term or even permanent. The duration of the paresthesia depends upon the extent of the nerve damage or persistence of the etiology. Permanent paresthesia is the result of nerve trunk laceration or actual total nerve damage. Paresthesia must be treated as soon as diagnosed to have better treatment outcomes. The present paper describes a case of mental nerve paresthesia arising after the start of the endodontic therapy in left mandibular first molar which was managed successfully by conservative treatment.

Periodontal treatment of a Glanzmann's thrombasthenia patient : A case report (Glanzmann씨 혈소판무력증(Glanzmann's Thrombasthenia) 환자의 치주 치료 증례)

  • Lee, Hak-Churl;Han, Soo-Boo;Kim, Woo-Sung;Lee, Hye-Ja
    • Journal of Periodontal and Implant Science
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    • v.27 no.3
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    • pp.597-602
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    • 1997
  • Glanzmann's thrombasthenia is a Qualitative platelet disorder characterized by a deficiency in the platelet membrane glycoproteins IIb/IIIa. It belongs to a group of hereditary platelet disorders typified by normal platelet numbers and a prolonged bleeding time. The severity of bleeding does not correlate with the severity of the platelet glycoprotein IIb/IIIa a abnormality. The present case report describes the periodontal treatment of a patient with Glanzmann's thrombasthenia. A 30-year-old female with a history of Glanzmann's thrombasthenia was referred for gingival bleeding on tooth brushing and discomforts in #38 area. The periodontal finding revealed a diagnosis of localized slight adult periodontitis. Root planing and extraction of #38 was performed under 12 pack of platelets transfusion and digital compression was done for hemostasis. The gingival bleeding ceased within a day in maxilla and 2 days later in mandible. 42 pack of platelets was administered for 3 days of post-treatment and for iron-deficiency anemia 3 pack of RBCs was transfused 2 days later. 1 week later the inflammation in gingiva disappeared and gingival stippling appeared. The clinical result we got was good and in such a medically compromised patient it is an ability to maintain a proper oral hygiene that is essential both for oral and systemic health.

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The effect of sedentary time on health-related quality of life (EQ-5D) and oral health-related behaviors: using the 7th Korea National Health and Nutrition Examination Survey (좌식 시간이 건강관련 삶의 질 (EQ-5D)과 구강건강관련 행위에 미치는 영향: 제7기 국민건강영양조사 자료를 이용하여)

  • Kim, Yu-Rin
    • Journal of Convergence for Information Technology
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    • v.11 no.11
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    • pp.219-228
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    • 2021
  • The purpose of this study was to determine the effect of sedentary time on quality of life and oral health-related behaviors using the Korean National Health and Nutrition Examination Survey. A total of 19,983 data were analyzed using the IBM SPSS 25.0 program, and complex sample logistic regression analysis was performed to confirm the effect of sedentary time on health-related quality of life and oral health-related behaviors. As a result, the longer the sitting time, the worse the quality of life (p<.05). There was an increase in the number of cases of not brushing (p<.05). Also, as for dental treatment, the longer the sitting time, the more prophylactic treatment and periodontal treatment increased (p<.05). Therefore, it is judged that it can be used as basic data to improve the quality of life and increase oral health-related behaviors in consideration of the socio-demographic characteristics of prolonged sedentary time.

The Effects of Biofilm Care on Subgingival Bacterial Motility and Halitosis

  • Kim, Yu-Rin
    • Journal of dental hygiene science
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    • v.19 no.3
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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.

Relationship between oral health knowledge, behavior and satisfaction of fixed orthodontic treatment in orthodontic patients (고정성 치열교정장치 장착환자의 구강보건 지식 및 행태와 교정만족도의 관련성)

  • Choi, Eun-Young;Lee, Jae-Ra;Yoon, So-Ra
    • Journal of Korean Dental Hygiene Science
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    • v.3 no.2
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    • pp.1-8
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    • 2020
  • This study investigated the relationship between oral health knowledge, behavior and orthodontic satisfaction in orthodontic patients visiting dental hospitals and clinics and provided suggestions to improve orthodontic patients' satisfaction. This study anayzed structured self-administered questionnaires collected from 245 patients who visited 5 dental clinics in Gwangju Metropolitan City. Regarding oral health knowledge, the highest percentage of correct answers was for the item "Cavities heal themselves over time" (97.1%), and the lowest percentage of correct answers was for the item "Cavity bacteria move from tooth to tooth" (16.7%). Five fluoride items showed a lower percentage of correct answers than those for cavity and gingival diseases. Regarding the survey on oral health behavior, the highest score was found for the item "I brush my teeth with a certain method and order" (3.78 out of 5), and the lowest score was found for the item "I use an electric toothbrush" (1.34 out of 5). Regarding the survey on orthodontic satisfaction, the highest score was found for the item "I would recommend receiving medical treatment at the department of orthodontics" (4.23), and the lowest score was found for the item "Orthodontic cost is reasonable" (3.46). While oral health behavior had on orthodontic satisfaction, oral health knowledge had no effect on it. Oral health behaviors should be improved to enhance orthodontic satisfaction. To improve oral health behavior, it is necessary to develop and activate education programs for tooth brushing and oral care for orthodontic patients.

A Study on the Actual Condition of Oral Health Management in Upper Elementary Children (초등학교(國民學校) 고학년(高學年) 아동(兒童)의 구강보건(口腔保健) 관리실태(管理實態) 조사연구)

  • Son, In-Sook
    • Journal of the Korean Society of School Health
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    • v.6 no.2
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    • pp.69-75
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    • 1993
  • The questionaire survey in this study was obtained from 1256 upper elementary children in a certain elementary school in In-Cheon city from May 1 to May 31 1993. The purpose of this study was to promote an understanding on the Actual condition of oral health management and to plan a desirable solution for oral health program by surveying the current status of oarl health management. The survey was carried out by using the questionaire after being modified and complemented which was used for the survey of the study on the actual condition of oral health management by Sin Seon Hang (1989). The major results are summarized as follows: 1. General tooth brushing of respondents. 1) As for frequency, 2 times it day is highest. 2) After breakfast meal and below 3 minutes is high. 3) Respondents brushed only teeth with the direction of up and down, left and right side. 4) The period of using for one tooth brush is from 4 months to 6 months. 2. The degree of recognition on oral health knowledge is low. 3. 1) The degree of dental examine's experience with scaling experience are 26.83%. 2) Respondents who experience dental treatment are 57.88%. 3) In oral disease, dental caries is highest. 4) Great difficulty of going to the dentists' is psychological thread and next is lack of time.

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Relationship between Early Menopause and Periodontal Disease in Korean Postmenopausal Women

  • Lee, Yun-Hee;Kim, Sun-Mi;Ahn, Eunsuk
    • Journal of dental hygiene science
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    • v.18 no.5
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    • pp.312-318
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    • 2018
  • The purpose of this study was to evaluate the relationship between early menopause and periodontal disease in postmenopausal women using data from the 6th Korean National Health and Nutrition Examination Survey (2013~2015). A study was conducted with 2,048 postmenopausal women aged 45 to 74 years. Participants were divided into the early menopause group (menopause occurring at age 45 years or before) and normal menopause group (menopause occurring after age 45 years). A community periodontal index greater than or equal to code 3 was used to define periodontal treatment needs. A chi-square test was used to confirm the bivariate relationship between the variables. Multinomial logistic regression analysis was used to adjust for covariates (age, education, family income, body mass index, alcohol drinking, smoking, visiting dentist in the last year, use of oral care products, frequency of tooth brushing per day). The risk of periodontal disease was higher in the early menopause group after adjusting for potential confounders (odds ratio, 1.59). In particular, the relationship between early menopause and periodontal disease was more evident in women with low education and those who did not use oral care products. The findings of this study suggest that early menopause is a significant factor of periodontal disease in Korean women.

Health-related quality of life according to oral health behavior in adults (성인의 연령별 구강건강행위에 따른 건강관련 삶의 질에 관한 연구)

  • Hwang, Su-Hyun
    • Journal of Korean Dental Hygiene Science
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    • v.2 no.2
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    • pp.21-30
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    • 2019
  • This study identifies oral health behavior factors related to the health-related quality of life(EQ-5D) of adults. Three groups are analyzed, young adults(aged 19 to 39 years old), middle-aged(40 to 64 years old), and elderly(over 65 years old). By comparing the factors related to health-related quality of life by age, we will provide information for improving the overall quality of life, including oral health for current and future elderly. Using raw data from the 1st year(2016) of the National Health and Nutrition Survey, the oral health behaviors of the study subjects were compared. These included: the number of times teeth were brushed, the time brushing took place, the use of interdental care products, and whether they went for oral and examinations. There was a statistical significance in treatment experience and drinking habits. There was also a significant influence on the health-related quality of life across the age groups. Therefore, it is possible to improve the health-related quality of life, including oral health practices according to age. It will be necessary to develop and apply.

THE EFFECTS OF PLAQUE CONTROL INSTRUCTION IN ORTHODONTIC PATIENTS (치과교정환자의 치면세균막 관리교육 효과)

  • Jae, Young-Ji;Kim, Jin-Beom;Son, Woo-Sung
    • The korean journal of orthodontics
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    • v.24 no.1 s.44
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    • pp.221-231
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    • 1994
  • The short-term effects of plaque control instruction were studied in 42 adolescent orthodontic patients under active fixed treatment. At first visit, all the patients were received plaque control instruction using materials such as oral hygiene education slides, dentiform, disclosing agents, tooth brush and interdental brush. After that, Pateints were asked to perform the tooth brushing according to instructions. Such a procedure was repeated every week lot 3 weeks. Plaque index and bleeding index were scored once a week for 4 weeks and were compared according to ages, sex and duration with fixed appliance. The results were as follows: 1. Plaque control instruction was effective in reducing plaque accumulation and gingival inflammation of the orthodontic patients. 2. The effect of plaque control instruction was continued during 3 weeks among all groups of subjects, and it was prominent at the first week. 3. There was no statistically significant difference in the effects of the plaque control of instruction according to sex, ages, or duration with fixed appliances.

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