• 치위생과학회지
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• 제17권3호
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• pp.202-208
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• 2017

Korea has been running the community oral health program for the elderly, including topical fluoride application and scaling. The aim of this study was to compare the subjective and objective oral health status of 345 participants according to the number of participants in the program and of 37 participants before and after the 5-year program. The survey consisted of an interview questionnaire and oral examinations. Analysis of variance was used to compare the variables of the 345 participants according to the numbers of participants. Paired t-test was used to compare the oral health statuses before and after the 5-year program in 37 subjects. There was no difference in subjective oral health status according to the number of participants in the oral health program in the elderly, including subjective health status, subjective oral health status, satisfaction with oral health, concern about oral health, need of dental treatment, oral pain, tooth sensitivity, subjective periodontal health, and subjective symptoms of periodontitis. The community periodontal index (CPI) of the 1 time participants was significantly higher than that of 3 times, 4 times or 5 times participants in the upper center, lower left, lower center, and lower right areas. There was a significant improvement in CPI from $2.59{\pm}1.14$ to $1.41{\pm}1.54$ (p<0.001) and positive oral behavioral change (daily tooth brushing frequency from $2.27{\pm}0.73$ to $2.54{\pm}0.90$) before and 5 years after the program. However, the program did not prevent tooth loss as the numbers of the remaining teeth significantly reduced from $23.77{\pm}1.84$ to $21.95{\pm}2.03$ over 5 years. We showed that running the community oral health program for the elderly for more than three years might have positive effects on the periodontal health of participants.

• 대한간호학회지
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• 제46권5호
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• pp.653-662
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• 2016

Purpose: The purpose of this study was to identify the influences of oral health behaviors, depression, and stress on periodontal disease in pregnant women. Methods: The participants in this study were 129 pregnant women. Data were collected using questionnaires which included individual characteristics, oral health care behaviors, the Center for Epidemiological Studies-Depression scale (CES-D), a global measure of perceived stress, and pregnancy stress. A dentist measured periodontal probing depth and classified stages of periodontal disease according to the Community Periodontal Index (CPI). Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression. Results: Periodontal disease had significant correlations with oral health care behaviors (r=-.56, p <.001), perceived stress (r=.44 p <.001), pregnancy stress (r=.37 p <.001), diet (r=-.33, p <.001) and depression (r=.18 p =.046). Factors influencing periodontal disease for these pregnant women were being in the 2nd (${\beta}=.27$, p <.001) or 3rd trimester (${\beta}=.45$, p <.001), having a pregnancy induced disease (${\beta}=.20$, p =.002), performing higher oral health behaviors (${\beta}=-.30$, p <.001), and having higher perceived stress (${\beta}=.17$, p =.028). The explanation power of this regression model was 61.6% (F=15.52, p <.001). Conclusion: The findings of this study indicated that periodic assessment of periodontal disease is essential for pregnant women who are in 2nd or 3rd trimester and have pregnancy induced diseases. Enhancing oral health care behaviors and reducing perceived stress are indicated as effective strategies to reduce periodontal disease in pregnant women.

• 치위생과학회지
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• 제19권4호
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• pp.228-237
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• 2019

Background: This study aimed to investigate allergic rhinitis and the relationship between allergic diseases, such as asthma and allergic rhinitis, and dental caries and periodontal disease using the raw data from third year of the 6th Korean National Health and Nutrition Examination Survey. Methods: A total of 3,729 subjects aged over 30 years who underwent examination for allergic diseases and an oral health checkup were selected. The data were analyzed using SPSS IBM SPSS ver. 25.0 (IBM Corp., USA). Composite sample cross correlation and composite sample logistic regression analyses were performed using the composite sample general linear model. Results: On examining the socioeconomic characteristics of the subjects suffering from allergic disease and the relationship between allergic disease and oral health, allergic rhinitis was more frequently found in younger subjects with a higher level of education. Periodontal disease and dental caries were more frequent among female, older age groups, lower income earners, and subjects with a lower level of education (p<0.05). On examining the relationship between the oral health characteristics of the subject and allergic diseases and oral health, allergic rhinitis was more common in subjects with a good oral health status perception than those who answered "bad" to the oral health status question. The community periodontal index of treatment needs (CPITN) score was higher in subjects who answered "poor" to the oral health status question, lower frequency of brushing, and higher in subjects using secondary oral hygiene products; the decayed, missing and filled teeth (DMFT) index was higher in subjects with a perception of poor oral health status (p<0.05). The DMFT index was high in the asthma group, and the CPITN score was high in the group who answered "no" to allergic rhinitis. Conclusion: There is a relationship between asthma and allergic rhinitis and the DFMT index and CPITN score. Corresponding oral programs for allergic patients need to be developed.

• 치위생과학회지
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• 제11권3호
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• pp.221-228
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• 2011

2007년 국민건강영양조사 자료를 이용하여 한국 성인의 당뇨병과 치주질환과의 관련성에 대해 평가하고자 하였다. 지역사회치주지수(Community Periodontal Index: CPI)와 당뇨병 각 구성요소에 대한 검진자료가 모두 있는 만 19세 이상 성인 190명을 최종분석대상자로 하여 다음과 같은 결론을 얻을 수 있었다. 1. 치주질환 유병과 관련이 있는 당뇨병 관련 특성은 당뇨 교육과 당뇨 치료, 당화혈색소 로 나타났다. 당뇨교육과 당뇨 치료를 받지 않는 경우, 당화혈색소가 7.0이상(조절 안 되는 편)인 경우 치주질환의 비율이 높게 나타났다. 2. 치주질환 유병과 관련이 있는 일반건강행위는 흡연과 음주로 나타났다. 현재 흡연을 하 는 경우, 일주일에 음주횟수가 많을수록 치주질환의 비율이 높게 나타났다. 3. 치주질환 유병과 관련이 있는 구강건강행위는 지난 1년간 구강검진 여부, 치간 칫솔 및 치실 사용 여부, 주관적 구강건강 상태로 나타났다. 지난 1년간 구강검진을 받지 않고 치간 칫솔 및 치실을 사용하지 않는 경우, 주관적 구강건강 상태가 건강하지 않다고 생 각하는 경우 치주질환의 비율이 높게 나타났다.

• 치위생과학회지
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• 제20권3호
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• pp.178-186
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• 2020

Background: The purpose of this study was to evaluate the association between metabolic syndrome and periodontal disease in Korean adults. Methods: This study analyzed the screening data of 12,686 adults aged ≥19 years, including demographic characteristics, lifestyle habits, and each component of metabolic syndrome, obtained from the sixth Korea National Health and Nutrition Examination Survey database. Periodontal health status was measured by the community periodontal index. Subjects with three or more risk factors were considered as having metabolic syndrome. The Rao-Scott chi-square test was performed to assess the relationships between demographic characteristics, lifestyle habits, components of metabolic syndrome, and periodontal disease. Logistic regression analysis was performed based on the complex sample to evaluate the relationship between metabolic syndrome and periodontal disease. Results: The prevalence of periodontal disease was higher among the subjects with advancing age, lower average household income and education level, those working in production, residents of eup-myeon areas, in past or current smoker, those with excessive alcohol consumption habit in a week, and reduced brushing frequency and the use of oral care products (p<0.001). Each component of metabolic syndrome was associated with higher prevalence of periodontitis in the subjects with abnormal than in those with normal levels (p<0.001). The prevalence of periodontal disease in subjects with metabolic syndrome was approximately 1.443 times higher than that in normal subjects (odds ratio,1.443; p<0.001). Conclusion: This study confirmed the association between metabolic syndrome and periodontitis in Korean adults, and further studies will be needed to determine the causal relationship between the two conditions.

• 한국융합학회논문지
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• 제9권11호
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• pp.379-384
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• 2018

본 연구는 구강건강행태에 따른 당뇨여부의 차이가 치주질환에 얼마나 영향을 미치는지를 살펴보고자 하였다. 2013-2015년 국민건강영양조사를 이용하였으며, 최종분석대상자는 14,282명을 선정하였다. 치주질환은 지역사회치주지수를 이용하였으며, 로지스틱회귀분석을 이용하였다. 구강건강행태를 모두 모델에 포함했을 때 칫솔질횟수, 치실사용여부, 치간 칫솔사용여부가 치주질환과 유의한 관련성이 있었으며, 당뇨에 따른 치주질환 위험은 유의하게 높게 나타났으나 투입요인별 치주질환 위험 차이는 거의 없었다. 정상혈당군에서는 구강건강행태가 치주질환과 관련성이 있었으나 당뇨가 있는 경우에서는 관련성이 없었다. 당뇨가 있는 경우 구강건강행태 만으로 치주질환 관리가 어려우므로, 혈당 조절을 병행해야 할 것이다.

• 한국산학기술학회논문지
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• 제15권6호
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• pp.3706-3713
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• 2014

본 연구의 목적은 성인 근로자의 치주질환 유병 여부와 관련하여 인구학적, 구강 행태적 위험 요인을 알아보고자 시행하였다. 연구대상 및 방법은 제5기 3차 국민건강영양조사 자료를 활용하여 20-64세 한국 성인 근로자 1650명을 대상으로 시행하였다. 연구결과, 치주조직 유병자에 대해서 성별, 연령, 소득수준, 교육수준, 전신질환, 수면시간, 구강건강수준, 씹기 문제 및 저작 불편함이 위험요인으로 나타났다. 이중 가장 많은 영향력은 씹기 문제와 저작불편에 문제가 있는 근로자에서 3.5배 이상 치주조직병에 이환될 가능성이 높게 나타났다. 본 연구 결과를 통해서 한국 근로자에 있어서 치주질환 유병의 다양한 위험요인이 존재하고 있음 알 수 있었으며, 향후 치주질환의 유병율을 줄이기 위해서는 정기적인 구강검진과 건강검진, 충분한 수면을 취하고 스트레스를 낮추어야 할 뿐만 아니라, 소득수준과 교육수준의 차이와 같은 사회경제적 불평등 해결을 위한 제도적인 노력이 필요할 것으로 보인다.

• 한국융합학회논문지
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• 제9권12호
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• pp.295-299
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• 2018

본 연구의 목적은 30세이상 성인을 대상으로 간접흡연노출과 치주질환과의 관련성을 파악하고자 하였다. 연구자료는 2014년, 2015년 국민건강영양조사 자료를 이용하였으며, 5,146명을 최종분석대상자로 선정하였다. 치주질환은 지역사회 치주지수로 파악하였다. 이분형 로지스틱회귀분석을 이용하였으며, 95% 신뢰구간을 산출하였다. 본 연구결과 성별, 연령, 교육수준, 그리고 수입을 보정한 경우에서 요코티닌 수준이 50ng/mL미만에 비해 550ng/mL이상인 경우에서 치주질환 위험이 2.08배(95% CI=1.73-2.50) 높게 나타났다. 요코티닌 수준과 치주질환 위험 증가에 대한 용량-반응관계가 나타났다. 본 연구결과 간접흡연자에서 요코티닌 수준이 증가할수록 치주질환 위험이 증가하는 것으로 나타났다. 향후 간접흡연에 대한 노출을 감소시키기 위해 흡연자의 자발적인 금연참여를 권장하여야 할 것이다.

• Journal of Periodontal and Implant Science
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• 제49권4호
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• pp.206-214
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• 2019

Purpose: The purpose of this study was to examine the association between the intake of semi-solid yogurt and periodontitis in Korean adults using a national database. Methods: The data analyzed in this study are a subset of the sixth Korean National Health and Nutrition Examination Survey conducted in 2015 by the Korea Centers for Disease Control and Prevention. The sample size for this study was 4,727. We collected data on sociodemographic characteristics, oral health-related variables, oral and general health status, and intake of semi-solid yogurt. Semi-solid yogurt intake (YI) was calculated by multiplying the frequency of YI over the previous week by the average intake per serving. We assessed periodontal conditions using the Community Periodontal Index (CPI) and defined periodontitis as a CPI score ${\geq}3$. Multivariate logistic regression analyses were performed after adjusting for sociodemographic variables, and oral and general health behaviors and status. Results: The mean weekly YI among those without periodontitis ($1.03{\pm}0.06cups$) was significantly higher than among those with periodontitis ($0.77{\pm}0.08cups$) (P<0.001). Individuals who consumed more than 2 cups of yogurt per day were 76% less likely to have periodontitis than those who consumed less than 1 cup of yogurt per week after adjusting for all covariates (odds ratio, 0.24; 95% confidence interval, 0.10-0.60). Conclusions: We found a significant association between increased intake of semi-solid yogurt and periodontal health. We therefore recommend daily consumption of semi-solid yogurt as a probiotic to improve periodontal health. Further longitudinal studies are required to elucidate plausible mechanisms through which probiotics impact periodontal disease, considering both periodontal pathogens and clinical periodontal parameters.

• 한국치위생학회지
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• 제7권4호
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• pp.553-567
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• 2007

Migrant Worker are rapidly increasing in Korea since 1990. They are nowadays main sources of laborer groups engaging in medium-sized factories. The purpose of this study is to provide the basic information to establish proper oral health policy. Dental caries and periodontal disese are the most common disease that occur in the mouth. Periodontal disease is the most common disease in humans and the biggest reason for the loss of the teeth in the adult population. The CPITIN has been developed jontly by the international Dental Federation and the World Health Organization. CPITN is now an established index of level, of periodontal condition in populations for which specific intervention might be considered. This study was conducted to obtain the information regarding to CPITN of migrant workers located in Daegu, Questionaire survey was carried out for 289 workers from July 9 to August 8, 2006. Total survey was 289, 224 males and 65 females. The result was as follows: First, The number of nationality was 14. The first majority was China as 31.8% Among 14 nationalities were Cambodia 18.0%, Vietnam 12.8%, Sri Lanka 12.1%, Indonesia 7.3%, Nepal 4.2%, the other 13.8%, those who are aged from 20 to 29 were 43.9%, and salary from 1,000,000 won to 1,490,000 won 51.2%.(as for their residence, those who resided) over 3 years were 42.6% and not insured reached 68.5%. Second, more than 93.4% of the subjects need periodontal treatment, only 4.9% of non-smoker was health periodontal states, four times frequency of tooth brushing per a day was 16.7%. Third, 28.7% of migrant workers had experienced visit of dental clinic, and 22.9% had received treatment of decayed tooth. Fourth, It is difficult for them 65.1% of them to visit dental clinic in korea, the First was a communication problem and the second was time. Fifth, Most of them didn't have a oral health education but 85.1% of them said that they wish they attend oral health education. We conclude that the situation of migrant workers was very bad considering their working conditions, circumstances, and health condition. According to this study, more than 93.4% of the people need periodontal treatment. Besides they didn't have accurate knowledge about prevention of periodontal disease. Therefor our considering these facts, the policy of dental health by government should be established for migrant workers.