• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.23 no.2
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• pp.137-145
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• 2020

Purpose: The Oral-anal Transit Test (OTT) is a simple method of obtaining information about colonic transit. We aim to assess the correlation of OTT with the neuromuscular integrity of the colon determined by colonic manometry (CM). Methods: All patients who had OTT followed by CM were evaluated. Less than 6 of 24 markers remaining on OTT was considered normal. CM was performed per previously published guidelines. A normal CM was defined as at least one High Amplitude Propagating Contraction progressing from the most proximal sensor through the sigmoid colon. Results: A total of 34 patients underwent both OTT and CM (44% male, age 4-18 years, mean 11.5 years, 97% functional constipation +/- soiling, Hirschsprung's Disease). Of normal and abnormal OTT patients, 85.7% (6/7) and 18.5% (5/27) respectively had normal CM. When all markers progressed to at least the sigmoid colon, this was 100% predictive against colonic inertia. Greater than 50% of patients with manometric isolated sigmoid dysfunction had markers proximal to the recto-sigmoid. Conclusion: OTT and CM are both valuable studies that assess different aspects of colonic function. OTT can be used as a screening test to rule out colonic inertia. However, the most proximal extent of remaining markers does not predict the anatomical extent of the manometric abnormality, particularly in isolated sigmoid dysfunction.

• Journal of dental hygiene science
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• v.14 no.3
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• pp.311-318
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• 2014

The purpose of this study was to look into the perception, experience, treatment of early childhood caries (ECC) and influential factors of perception in order to provide basic data useful for preventing the ECC by examining the relationship between oral health of young children in infancy and mother. In this study, 277 mothers were surveyed who had children in children under 6 years old and visiting the pediatrics, day care center, and pediatric dental clinics located in Daegu and Gyeongsangbuk-do from July 10, 2013 to September 5 of the same year. The results obtained from the survey were analyzed through chi-square test, t-test, and binary logistic regression analysis by using the SPSS 18.0, a statistical program. The results of analysis showed that ECC in children under 6 years old was associated with mother's age, education background of mothers, number of children and monthly income and had a significant correlation with mother's oral health-related knowledge and oral health care of their children. Thus, it would be necessary to develop oral health education programs and implement such oral health education programs at a national level on a regular basis for the mothers of young children in infancy and would-be mothers in order to reduce the ECC in infancy and promote oral health.

• Journal of Korean Clinical Health Science
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• v.7 no.2
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• pp.1325-1336
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• 2019

Purpose. Infant oral health care forms the basis of lifelong health, and the role of child care teachers in contributing to the quality level in the formation of correct habits at this time throughout the infant's health care and education is very important. The purpose of this study was to examine the relationship between the perceived oral health status of nursery teachers and the necessity of oral health education, and to emphasize that the oral health of teachers is closely related to the oral health of infants and young children. Methods. This study was conducted from May to June 2018 by surveying private nursery teachers in some parts of Gyeongsangbuk-do province by using the self-entry method. The research tools consisted of the general characteristics of subjects, subjective oral health status, oral health practice, oral health education awareness, and oral health education needs. We used shceffe as a post hoc test to compare the differences between groups after frequency analysis, independent t-test, and one-way ANOVA analysis. The linear regression analysis was conducted to determine the relationship between perceived oral health status, oral health practice and awareness, and oral health education needs. The statistical level was .05. Results. According to the results of this study, the oral health related practice according to the demographic characteristics is at the final education level, and the oral health related awareness is age, marital status and oral health education needs. The results showed statistically significant differences in final educational attainment and cohabitation. Regarding the relationship between perceived oral health status, oral health related practice and awareness, and oral health education needs There were significant differences in oral health practice(β =.329) and oral health education needs (β =.158). Conclusion. Based on the above results, the child care facility can emphasize the importance of the role of the child care teacher in the oral health care of infants, and the basic data for the establishment of the child care management program in the future by reflecting the role of the teacher in the development of the child care management program of the child care facility. I want to use as.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.4 no.2
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• pp.69-72
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• 2008

장애를 가지지 않은 비장애 아동의 치과 치료를 생각할 때 우리는 일상적으로 치과의사, 어린이, 그리고 보호자로 구성된 삼각관계의 의사소통을 흔히 떠올리며, 특히 의료진과 부모와의 의사소통을 매우 중시한다. 그러나 우리가 장애아동을 접할 때에도 마찬가지로 이런 자세로 임하고 있는가를 생각해 보면 의문의 여지가 남는다. 그것은 아마 어린이가 가진 장애의 본질과 그 대처방법에 몰두한 나머지 부모의 심리를 읽어내려는 정상적인 노력이 상대적으로 소홀히 되는 경향에 기인하는 것이 아닌가 생각된다. 장애아동을 둔 부모들은 그들의 자녀와 마찬가지로 의료진의 각별한 관심을 받을 만한 자격과 이유가 충분함에도 불구하고 그렇지 못해 온 것에 대하여 이들을 맞는 의료진은 진정한 성찰이 있어야 하겠다.

• The Journal of Korean Academy of Sensory Integration
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• v.17 no.3
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• pp.1-13
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• 2019

Objective : The purpose of the present study is to investigate the effects of Ayres Sensory Integration (ASI^®) with play-centered oral defensiveness reduction activities on the oral sensitivity of a child with oral defensiveness. Methods : The subject was a three-and-a-half year-old boy with a developmental delay. The study was performed from August to September, 2018. The research design used in this study is the design for single-subject research. The experimental period was divided into three phases: three sessions for the initial baseline phase (A), 15 sessions for the treatment phase (B), and three sessions for the final baseline phase (A'). Ayres Sensory Integration (ASI^®) with active oral play was conducted in the treatment phase. The Measuring Oral Sensitivity in Practice was used to test changes in the oral sensitivity level. The Korean Children's Eating Behavior Inventory and Food Checklist were used to assess the difference in functions related to oral sensitivity before and after the intervention. Results : In comparison with the baseline phase, the Measuring Oral Sensitivity in Practice and Korean Children's Eating Behavior Inventory were improved during the treatment phase, but the Food Intake checklist score was not changed after the treatment phase. Conclusion : The use of Ayres Sensory Integration (ASI^®) with active oral play produced positive results and reduced the child's oral sensitivity and eating problems.

• Journal of dental hygiene science
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• v.21 no.3
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• pp.140-149
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• 2021

Background: The aim of these two (pre COVID-19 pandemic) public health studies in Amsterdam were to promote the profession of the oral hygienist and to increase oral health care awareness among (pregnant) women and young mothers, who were visitors of public consumer's exhibitions. Methods: Two cross-sectional studies were carried out. In 2018, during the first study, 1,765 visitors of the Household Fair completed a questionnaire. In 2020, during Study 2, 304 visitors of the Nine-Month Fair completed a semi-structured online questionnaire. At both fairs a team of 'outspoken' oral hygienists, i.e., members of the Foundation 'Goed Gebekt', provided the visitors with tailored advices about general health related to adults, mothers', and their children' oral health, using natural routine interviewing, that was based on their own professional daily practical experience. Results: In Study 1, just over half (53.5%) of a total of 1,742 visitors, (85.7% female) was younger than 45 years old. In Study 2, 210 visitors with a mean age of 30.7 years were included. Most women reported their self-perceived oral health as 'good' (mean=8.0, standard deviation=1.3; range 3~10). Qualified (self) employed oral hygienists seem to be known among the visitors, but still only visited upon referral of the dentists. Up to the age of 18 reimbursements by the basic insurance is still unknown to the public. Conclusion: The Foundation 'Goed Gebekt' encourages other oral hygienists to make their own initiatives and experiences public and to share it. Public awareness is needed for oral health promotion and the development of optimally targeted interventions among (pregnant) women and young mothers by oral hygienists.

• Journal of Korean society of Dental Hygiene
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• v.3 no.1
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• pp.25-43
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• 2003

In Korea, changes in children's diet patterns accelerate their physical growth and development: frequent snacking has been presumed to be a major cause of increasing dental caries. The present study attempts to clarify the relationship between the physical development of growing children and their tooth decay. For this purpose, 632 six-grade children in 4 elementary school located in Urban(Seoul) and Rural(Po-gok, Yang-In) were classified into three groups based on the Weight Length Index(WLI), known to reflect the nutritional conditions of school-age children, and the relationship was analyzed between each group and the variables considered to be related with dental caries. The result is as follows: The average weight and height of the male is $44.88{\pm}10.89$ kg, $148.49{\pm}7.33$ cm and female is $43.35{\pm}9.60$ kg, $149.23{\pm}6.73$ cm, respectively, which are in the similar level with the Korean Physical Standard. The classification of the children by the WLI reveals a relatively high distribution of over-weighted child ren - 212 persons, 335% of the entire population. The DMFT Index was a little high in the rural area(3.15 teeth in urban and 3.31, in rural). Among the groups of children classified by the WLI, the over-weight group have the highest DMFT index(3.69 teeth). The relationship between the frequency of taking in basic nutrients and the DMFT index is also found: the relationship is not evident in case of the foods containing rich calcium, protein, as well as fruits and vegetables. But, in the protein-rich food, higher frequency of its intake means significantly lower DMFT index in the normal-weight group of the urban children. In case of carbohydrate, higher frequency of its intake means significantly higher DMFT index in all the groups of the rural children. The DMFT index has some correlations with the relevant variables: the index has a positive correlation with the frequency of snacking, and a negative correlation with the economic status. That is, the higher the frequency of snacking is, and the lower the economic status is, the higher the DMFT index may be. In the logistic multiple regression analysis conducted with the presence of DMFT as a dependent variable, only the frequency of tooth brushing is turned to be a variable affecting the presence of either decayed, missing, or filled teeth. Based on the above result, the variables affecting the DMFT index are a time spent on eating, frequency of intake of protein and carbohydrate for a week, frequency of snacking, regular dental check-ups, preventive behaviors for oral health(fluoride gargling, tooth brusing after each meal, proper tooth brushing method). These variables have a relationship with the DMFT index, but the degree is somewhat different between the groups classified either by the region or by the WLI. Therefore, appropriate nutrition management should be conducted according to the individual's nutritional conditions when the services like nutritional education are provided based on the closely-examined characteristics of each target group. And, at the same time, oral health education should be strengthened, and its importance should also be emphasized so that people can pay attention to their own oral health.

• 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.

• The Journal of the Korean dental association
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• v.48 no.6
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• pp.436-442
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• 2010

Objective: Transmission of S. mutans, a major dental caries pathogen, occurs mainly during the first 2.5 years of age. Children appear to acquire S. mutans mostly from their mothers, but few studies have investigated preventive effect of xylitol to S. mutans transmission from mother to child. The aim of this study was to perform a follow-up evaluation the preventive effect of xylitol chewing gum of the S. mutans of children's oral cavities, which included the characteristics of vertical transmission from mother to child. Methods: The mothers voluntarily participating in a women's oral health prevention program were divided into two groups (a control and a xylitol group). The subjects were 20 mother-child pairs, who were monitored for 30 months. Xylitol chewing gum group had consumed 2 gum pellets, 3 times a day for 24 months, and then they were followed until 30 months. At baseline, 24 and 30 months whole stimulated saliva samples were collected from the mothers. Children were also recruited from 6 months to 30 months after birth and were collected their dental plaque samples. After isolation and identification, the analysis of the colony count, transmission electron microscopy and real-time RT-PCR were performed to analyze the characteristics of S. mutans. Results: The S. mutans counts decreased steadily in the xylitol group at 24 months, but increased at 30 months. The similar results were showed at their children. While the glucan synthesis was decreased at xylitol group both mother and child. The expression of gtfB, gtfD and ftf were significantly reduced in the xylitol group both mother and child (p<0.05). Conclusions: These findings indicate that chewing xylitol gum over a long period may decrease the expression of the genes associated virulence and reduced the glucan synthesis of S. mutans, which can result the preventing the mother-to-child transmission of S. mutans.

• The Journal of the Korea Contents Association
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• v.10 no.7
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• pp.276-284
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• 2010

The purpose of this study was to examine the oral health plans of 142 special schools for disabled youth in different regions across the nation based on the self-evaluation of their school nurses in an attempt to help improve school oral health plans and provide useful information on the planning of oral health plans for schools for disabled youth, as the oral health plans of special schools for disabled youth depended on local characteristics. As a result of make a synthetic evaluation, the oral health plans of special schools located in Gyeongsang Province ranked first, and those of special schools in Seoul scored low due to the smallest number of items included. And it's recommended to select separate objectives of oral health education geared toward physically disadvantaged children, to extend school fluoride mouth rinse and pit & fissure sealing projects, and to enhance the management of school dental clinics.