Journal of the korean academy of Pediatric Dentistry
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v.39
no.2
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pp.111-119
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2012
The objectives of this study were to evaluate oral health status of children in multicultural families and compare oral health behaviors of multicultural mothers with those of ordinary Korean families. The mothers' social characters, oral health behaviors and oral health status of children were investigated so that the data from this study can be utilized in developing programs for oral health care promotion especially designed for multicultural families. The subjects were 135 pairs of multicultural mothers and their children who participated in the community programs in suburban areas of Ik-san city and 168 pairs of ordinary Korean mothers and their children residing in Ik-san city. The results were as follows : 1. The dft index and dfs index of multicultural subjects were 4.17 and 6.67, respectively, while ordinary Korean subjects were found to have 2.69 and 4.63($p$ <0.05). 2. The frequency of tooth brushing per day of children from multicultural families was lower than that of children from ordinary Korean families($p$ <0.01). 3. The ratio of practice of oral health behaviors of mothers from multicultural families was lower than that of mothers from ordinary Korean families($p$ <0.01). Tooth brushing instructions were the most frequently carried out by multicultural mothers, which was followed by teaching the importance of oral health, restriction of carbohydrates, and dental check-ups. Significant correlations were not detected between mothers'oral health behaviors and children's dental caries experiences($p$ >0.05).
Objectives: The aim of this study was to investigate the effect of breastfeeding on the occurrence of early childhood caries in Korean infants and toddlers. Methods: Data on oral examinations of infants and toddlers of the National Health Insurance Service were analyzed. The study subjects were children who participated in both the first, second, and third oral examinations and the first general health examination in 2008-2017 (n=142,185). Based on the responses to the questionnaire, the subjects were classified into breastfeeding, formula feeding, and mixed feeding groups. The participants were monitored for the development of early childhood caries in three sequential oral examinations. Results: Based on the oral examination results conducted at 54-65 months old, the decayed-filled teeth index of the breastfeeding group was the highest (2.03±3.08), followed by the mixed (1.96±3.03) and the formula feeding groups (1.82±2.91). The Cox proportional hazard regression model including all the variables showed that the risk of developing dental caries was significantly lower in the formula (hazard ratio [HR], 0.85) and mixed feeding groups (HR, 0.91) than in the breastfeeding group. Conclusions: Breastfeeding children have a higher risk of early childhood caries; therefore, oral hygiene education and regular dental check-ups are necessary.
The purpose of this study was to examine the interest level of mothers in oral health. The subjects in this study were 184 mothers whose children attended daycare centers in the city of K. A survey was conducted from March 15 through April 30, 2007, and SPSS WIN 11.5 program was employed to analyze their answer sheets. The findings of the study were as follows: 1. A group of mothers whose children brushed their teeth three times a day on the average made up 55.7 percent of those who were at the age of 35 and under. Among the mothers having three or more children, those mothers accounted for 59.1 percent. The daily mean toothbrushing frequency of children was higher among the better-educated mothers. 2. Concerning dietary and oral guidance, the mothers whose academic background was better curbed their children's excessive sugar intake more often, and the gap between them and the others was statistically significant(pE.05). As to the importance of oral health by the number of child and academic credential, those who had two children(36.0%) taught them the importance of oral health frequently(pE.01), and the better-educated mothers taught about it often(pE.05). The gap between the groups and the others was significant. 3. As for experience of visiting dental institutions, the working mothers visited dental institutions more often than the stay-at-home mothers, and the gap between them was statistically significant(pE.05). Regarding purpose of the visit, the largest group aimed to get treatment(64.6%), followed by having a dental checkup(14.6%) and receiving preventive treatment(13.5%). As to any inconveniences in using dental institutions, those who were working and who were in the upper income bracket found it more inconvenient to do that because of a long distance or time constraints. The gap between them and the others was significant. 4. In regard to concern for dental care, the mothers who were better educated(pE.001) and whose family income was 3 million won or more had their teeth scaled more often, and the gap between them and the others was statistically significant(pE.01). The rate of the regular visitors of dental institutions stood at 32.7 percent of the junior-college graduates, 31.0 percent of the mothers receiving college or higher education and 10.1 percent of the high-school graduates(pE.01). And those who earned larger income paid a visit to dental institutions more often and on a regular basis. The gap between them and the others was statistically significant(pE.05).
This study carried out to provide basic educational material of primary school children to improve the children's oral health by oral health checkup and survey over 215 students in the first grade and the fourth grade at the primary school in Hwaseong city. The collected data were analyzed by SPSS Win 12.0 program 1. The rate of students who have decayed permanent teeth was 57.2%, and there seemed to be a significant difference between the two genders showing 61.6% for male students and 53.3% for female students. Also 1st grade showed 56.0% and 4th grade 58.1% respectively. 2. The male students who claimed 'bleeding gum' against questions about oral illness experiences were 15.7% whereas female students were 28.0%. There was a significant difference(p<0.05) by the gender. 3. The 4th grade students who said 'Toothache while eating cold food' about questions of oral symptoms appeared as 19.4% and 1st grade students were 8.8%. Also there was a significant difference(p<0.05) by the grade. 4. Regarding oral health improvement behavior, there were significant differences in frequency of toothbrushing a day, the number(p<0.05) of eating snacks a day and the number(p<0.01) of experience of visiting dental clinic(p<0.01). 5. About oral health behavior frequency of daily toothbrushing was found as twice(50.2%), twice of eating snacks a day(70.2%), using fluoride toothpaste 60.9% and visiting a dental clinic(60.0%), were shown as the highest numbers.
The purpose of this study was to utilize it as a basic data for local self-government in each region to plan and perform the oral health program targeting children and mothers as guardian. Data had been obtained by using children's oral examination and mothers' self-reported questionnaire method from June 1 to June 30 in 2007 targeting kindergartens where are located in the region of Hwaseong city. The survey was conducted targeting totally 239 people. Its results are as follows. 1. The healthy-tooth rate in the whole children accounted for 79.12%, thus girls were indicated to be a little higher with 80.36% than boys with 78.13%. Carious-tooth rate showed 8.74% for boys and 6.07% for girls. The dental-caries experience treatment rate showed 11.37% for boys and 12.59% for girls. 2. The index of children at age 5, df rate was 39.3% in the whole, thereby having been indicated that boys with 41.3% are higher than girls with 37.2%. Even dft index is showing the higher index in boys with 3.9 than girls with 3.2. 3. As a result of examining mothers' oral-health behavior, mothers with out employment thought the self oral-health state to be good(p = 0.002). In appearance of scaling experience or of periodic dental checkup, a slight difference is being shown according to general characteristics, but wasn't significant. 4. As a result of examining children's oral management, it was indicated that the higher economic level(p = 0.011) and the more in mothers without employment lead to giving a light meal less(p = 0.41). In appearance of children's periodic dental checkup, the higher academic background level(p = 0.047) and the more employment(p = 0.044) led to receiving dental examination.
Background: Ketamine is widely used in infants and young children for procedural sedation and anesthesia. The aim of this study was to evaluate the efficacy and safety of low dose oral ketamine to control pain and distress in children during intravenous (IV) cannulation. Methods: This is a prospective, randomized, double-blind study, including children aged between 3 and 6 years requiring a non-emergent IV-line placement. Children were randomly assigned to two groups, treated either with oral ketamine or a placebo. All patients were monitored for vital signs. Pain was assessed using the Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) and Wong-Baker Faces Pain Rating Scale (WBFS) scales and sedation using a 5-point sedation score. The facility of IV-line placement was measured by a 3-point scale. Adverse effects were recorded after 1 and 24 hours. Results: A total of 79 and 81 children were entered in the ketamine and placebo groups, respectively. The heart and respiratory rates increased significantly in the placebo group. The median CHEOPS 4 (95% confidence interval [CI]: 3, 4, P < 0.001) and WBFS 6 (95% CI: 4, 6, P < 0.001) scores decreased statistically in the ketamine group. IV-line placement was 50% easier in the ketamine group (95% CI: 37%, 63%, P < 0.001). No serious adverse effects were observed in all cases. Conclusions: Low dose oral ketamine effectively decreased the pain and distress during IV cannulation in children without any significant adverse reactions.
The purpose of this study is to examine the effects of pre-school children's past lactation types and food habits on dental health status. This study was carried out by analyzing the information obtained from oral inspection of 163 preschool children and questionnaires answered by their mothers. The results are as follows: 1. 80.4% of the preschool children have decayed and filled teeth. 2. The older they are, the more decayed and filled teeth they have 3. The earlier they started to have weaning foods, the more decayed and filled teeth they have. Preschool children who started weaning foods after 12 months of their birth have significantly more decayed and filled teeth. 4. Preschool children who had weaning foods by using milk-bottles have significantly more decayed and filled teeth than others. 5. Preschool children who had weaning foods regularly have significantly less decayed and filled teeth. 6. Preschool children who have frequently skipped breakfast have the least decayed and filled teeth. 7. Preschool children who would like to have sweet things have significantly more decayed and filled teeth than others.
Dental clinic programs for elementary school children to live healthy life by promote healthy lives by oral health self-management skills. This study on schools with and without dental clinics compared and analyze teacher's knowledge of and attitudes toward oral care and determines whether or not to recommend the school dental clinic program. The subjects of the study were 239 teachers in schools with dental clinics and 201 teachers in schools without dental clinics. In total, the study included 20 schools and 440 teachers. Teachers from schools with dental clinics had a higher recognition rate of the purpose of tooth brushing and the fluoride caries preventive effect than teachers from schools without dental clinics. However, there was no significant difference between schools with and without dental clinics when we compared the daily tooth brushing frequency and oral health attitude. There is also need of a school dental clinic program for teachers because if teachers lack knowledge and professionalism of oral health it will affect the student's oral health attitudes.
Objectives : The purpose of this study was to evaluate the effects of incremental dental care(IDC) program on kindergarten children. Methods : The subjects were 46 kindergarten children aged 6 who wished participation in IDC program during 5 weeks at oral health center in G-college from March to May, 2012. The data of subjects were examined into oral conditions such as toothbrushing method and frequency, modified O'leary plaque index and dental caries activity before and after IDC program. The collected data were analyzed by SPSS statistical package version 19.0. Results : 1. The rolling and fones methods of toothbrushing increased from 10.8% to 91.3% after IDC program(p<.001). The change of toothbrushing frequency showed that over 3 times a day increased from 52.2% to 76.0% after IDC program(p<.01). 2. The modified O'leary plaque index of before toothbrushing education increased from 1st visit(score 32.19) to 5th visit(score 57.14) and after toothbrushing education increased from 1st visit(score 64.45) to 5th visit(score 78.27) during IDC program(p<.001). 3. As a results of dental caries activity test before and after IDC program, it was found that the bacterial numbers in S.mutans and Latobacillus reduced from 0.74, 0.70 to 0.28, 0.41 (p<.01) and the saliva buffering capacity increased from 1.50 to 2.02(p<.001). Conclusions : It is considered very necessary that IDC program should be maintained and extended to dental clinic so as to enhance the oral health state of kindergarten children.
Objectives : This study is based on oral health knowledge and oral health belief, oral health behaviors are processed of an elementary school oral health education. Methods : Questionnaire survey was carried out targeting the elementary grades 5,6, in Nowon region. The data collected with T-test and pearson correlation analysis results were as follows: Results : 1. Correct answers of oral health knowledge is not required to treat dental decay in children's showed 5 grade students 17 persons 11.3%, 6 grade students 10 persons 6.8%. 2. 2 times of a day brush strokes showed 5 grade students85 persons56.6% and 6 grade students 79 persons 53.7%. 3. Students who have received dental care, oral health beliefs of the seriousness of the average $10.80{\pm}3.94$ and showed, Students who have never received dental care in the severity of oral health beliefs appear to the average $9.16{\pm}3.15$ were significantly different. 4. Elementary students' oral health beliefs and health of the sensitivity of the severity and disability - increasing the motivation to increase susceptibility showed a positive correlation, negative correlation between benefit and importance was the. Conclusions : In this study, elementary school students learn proper oral health knowledge will be required to be properly trained, improving oral health, oral health education beliefs lead to action would be to help.
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