• 제목/요약/키워드: children's oral health

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다문화가족 어머니의 구강건강행동과 자녀의 치아우식경험에 관한 연구 (ORAL HEALTH BEHAVIORS OF MOTHERS AND DENTAL CARIES IN CHILDREN FROM MULTICULTURAL FAMILIES)

  • 이혜림;이광희;라지영;안소연;김윤희
    • 대한소아치과학회지
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    • 제39권2호
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    • pp.111-119
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    • 2012
  • 다문화가족 어린이와 일반가족 어린이의 구강건강상태를 비교하고 다문화가족 어머니와 일반가족 어머니의 자녀에게 행하는 구강건강행동을 비교하는 한편, 어머니의 사회적 특성, 구강건강행동과 자녀의 구강건강상태 사이의 관련성을 밝혀 다문화가족 어머니와 어린이의 구강건강증진을 위한 프로그램을 구축하는데 필요한 기초 자료를 제공하고자 전라북도 익산시 인근 시, 군 지역 다문화가족지원센터 한국사회적응교육에 참여한 다문화가족 어머니와 그 자녀 132쌍, 그리고 익산시내 2개소 유치원 원아와 어머니 131쌍을 대상으로 조사하여 다음과 같은 결론을 얻었다. 1. 다문화가족 어린이의 우식경험유치지수(dft index)는 4.17개로 일반가족 어린이의 2.69개보다 높았고, 다문화가족 어린이의 우식경험유치면지수(dfs index)는 6.67면으로 일반가족 어린이의 4.63면에 비해 높게 나타났다($p$ <0.05). 2. 다문화가족 어린이들의 하루 평균 칫솔질 횟수는 2.32회로 일반가족 어린이들의 2.73회에 비해 적었다($p$ <0.01). 다문화가족 어린이에서 하루 평균 칫솔질 횟수가 증가할수록 우식 발생이 감소하는 것으로 나타났다($p$ <0.01). 3. 다문화가족 어머니가 일반가족 어머니에 비해 자녀의 구강질병예방을 위해 어머니가 자녀에게 행하는 구강건강행동(칫솔질 지도, 구강건강 중요성 교육, 당분 섭취의 제한, 치과 방문)을 적게 실천했다($p$ <0.01). 자녀의 구강질병 예방을 위해 어머니가 자녀에게 행하는 구강건강행동은 어린이의 우식경험과 통계학적으로 유의한 관련성이 없었다($p$ >0.05).

모유수유와 유아기 우식증과의 관련성: 국민건강보험공단 영유아 구강검진 자료 분석 (Association between breastfeeding and early childhood caries: analysis of National Health Insurance Corporation's oral examination data for infants and toddlers)

  • 최윤영
    • 한국치위생학회지
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    • 제21권2호
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    • pp.119-128
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    • 2021
  • 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.

부모의 자녀에 대한 구강건강 관심도 조사 (Parents' concern for child oral health)

  • 김경선;김선주;김창희
    • 한국치위생학회지
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    • 제7권4호
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    • pp.405-418
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    • 2007
  • 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).

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초등학생의 구강증상 경험 및 구강건강행위에 관한 연구 (Study on Oral Symptom Experiences and Oral Health Behaviors of Primary School Children)

  • 김수경;임순환;원영순
    • 치위생과학회지
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    • 제9권4호
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    • pp.381-385
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    • 2009
  • 본 연구는 초등학생의 구강증상 경험 및 구강건강행위와 구강건강상태를 파악하여, 구강보건교육프로그램의 기초자료를 제공하고자 화성시에 위치한 초등학교 1, 4학년 학생 215명을 대상으로 구강검진 및 설문조사를 실시하였으며, 수집된 자료를 SPSS Win 12.0 프로그램을 이용하여 분석한 결과, 다음과 같은 결론을 얻었다. 1. 아동의 영구치우식유병자율은 57.2%이었으며, 성별로는 남학생 61.1%, 여학생 53.3%가 우식치아를 보유하고 있었고, 학년별로는 1학년 56.0%, 4학년 58.1%가 우식치아를 보유하고 있는 것으로 나타났다. 2. 성별에 따른 구강증상경험 중 '잇몸에서 피가 난다'고 응답한 남학생은 15.7%이었고, 여학생은 28.0%로 성별에 따른 유의한 차이가 나타났다(p<0.05). 3. 학년별에 따른 구강증상 경험 중 '차가운 음식을 먹을 때 이가 시리다'고 응답한 4학년생이 19.4%, 1학년생은 8.8%로 학년별 유의한 차이를 보였다.(p<0.05). 4. 학년별에 따른 구강건강행위 중 1일 잇솔질 횟수(p<0.05), 1일 간식섭취 횟수(p<0.05), 치과내원 경험(p<0.01)이 통계적으로 유의한 차이를 보였다. 5. 구강건강행위 중 잇솔질 횟수는 2회가 50.2%로 가장 많았으며, 1일 간식섭취 횟수는 2회(70.2%), 불소함유 치약사용은 사용한다(60.9%), 치과내원 경험은 있다(60.0%)는 응답이 가장 높게 나타났다.

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일부 경기지역 5세 아동의 구강건강실태와 어머니의 구강건강행위에 관한 연구 (A Study on the Oral Health State in Children at Age 5 and the Oral Health Behavior in Mothers for Some Parts of Gyeonggi Region)

  • 한지형;임도선;안용순
    • 치위생과학회지
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    • 제9권1호
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    • pp.115-120
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    • 2009
  • 본 연구는 각 지역자치단체에서 아동 및 보호자인 어머니를 대상으로 구강보건사업을 계획 및 수행하는데 기초자료로 활용하고자 화성시 지역에 위치한 유치원을 대상으로 2007년 6월 1일부터 6월 30일까지 아동의 구강검사와 어머니의 자가기입식 설문지법을 이용하여 자료를 얻었으며, 총 239명을 대상으로 조사하였다. 그에 대한 결과는 다음과 같다. 1. 전체 아동의 건전치율이 79.12%를 보이고 있으며, 여아가 80.36%로 남아 78.13%보다 약간 높게 나타났으며 우식치율은 남아 8.74%, 여아 6.07%, 우식경험처치율은 남아 11.37%, 여아 12.59%를 보였다 2. 5세 아동의 유치우식경험율(df rate)이 전체 39.3%를 보이고 있으며, 남아가 41.3%로 37.2%인 여아보다 높게 나타났다. 우식경험유치지수(dft index)도 남아가 3.9개로 여아 3.2개보다 높은 지수를 나타내 여아가 남아에 비해 구강건강상태가 양호한 것으로 나타났다. 3. 어머니의 구강건강행위를 알아본 결과 자가구강건강상태는 미취업의 경우가 취업하고 있는 경우보다 더 좋다고 답하였다(p = 0.002). 스케일링 경험 유무나 정기검진 유무에 있어서는 취업하고 있는 경우가 약간 높은 결과를 보이고 있지만 유의하지는 않았다. 4. 자녀의 구강관리를 알아본 결과 경제적 수준이 높을수록(p = 0.011), 취업을 하고 있지 않은 어머니일수록 간식을 적게 주는 것으로 나타났으며(p = 0.41), 자녀의 정기검진 유무에 있어서는 학력수준이 높을수록(p = 0.047), 취업을 하고 있을수록(p = 0.044) 높게 나타났다.

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Efficacy and safety of low dose oral ketamine for controlling pain and distress during intravenous cannulation in children: a double-blind, randomized, placebo-controlled trial

  • Bagheri, Mahdi;Soltani, Alireza Ebrahim;Qorbani, Mostafa;Sureda, Antoni;Faghihi, Toktam
    • The Korean Journal of Pain
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    • 제35권3호
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    • pp.311-318
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    • 2022
  • 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.

영유아기의 수유형태와 식행동이 치아우식증에 미치는 영향 -경기도 일부 지역 유아를 중심으로- (The Effects of Preschool Children′s Food Habits and Past Lactation Types on Dental Health Status -with Special Reference to the Preschool Children in a Section of Kyungki Province -)

  • 김영진;이윤희
    • 동아시아식생활학회지
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    • 제7권4호
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    • pp.419-428
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    • 1997
  • 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.

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학교구강보건실 운영·비운영학교 교사의 구강보건지식과 행태에 관한 조사 (Oral Health Knowledge and Behavior of Teachers in Elementary School with or without School Dental Clinic Programs)

  • 이정화;진혜정
    • 보건의료산업학회지
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    • 제8권4호
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    • pp.141-147
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    • 2014
  • 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.

유치원 아동 대상 계속구강건강관리 효과 (The effects of incremental dental care(IDC) on kindergarten children)

  • 하명옥;조민정;김은미
    • 한국치위생학회지
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    • 제13권2호
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    • pp.271-277
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    • 2013
  • 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.

일부 고학년 초등학생들의 구강건강신념 및 치과진료에 따른 구강건강 행위의 관련성 (Relevant on oral health, oral health beliefs and practices of dental care in some elementary students)

  • 정유선;김수경
    • 한국치위생학회지
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    • 제11권6호
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    • pp.985-992
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    • 2011
  • 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.