• Title/Summary/Keyword: dental health status

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Association between health status and tooth loss in Korean adults: longitudinal results from the National Health Insurance Service-Health Examinee Cohort, 2002-2015

  • Kim, Yeon-Tae;Choi, Jung-Kyu;Kim, Do-Hyung;Jeong, Seong-Nyum;Lee, Jae-Hong
    • Journal of Periodontal and Implant Science
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    • v.49 no.3
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    • pp.158-170
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    • 2019
  • Purpose: This study investigated the association between health status and tooth loss based on data from the National Health Insurance Service-Health Examinee Cohort in 2002-2015. Methods: Multivariate Cox proportional hazards regression analyses were applied to a longitudinal retrospective database, which was updated and newly released in 2018, to assess the association between health status and tooth loss while adjusting for potential confounders among sociodemographic and economic factors (sex, age, household income, insurance, and presence of disability), general and oral health status (body mass index [BMI], smoking and drinking status, periodic dental visits and scaling, and brushing before sleep), and comorbid disease (hypertension, diabetes mellitus [DM], and Charlson comorbidity index [CCI]). Results: Among 514,866 participants from a South Korean population, 234,247 (45.5%) participants satisfying the inclusion criteria were analyzed. In the adjusted multivariate analysis, sex, age, household income, insurance, presence of disability, BMI, smoking and drinking status, periodic scaling, tooth brushing before sleep, DM, and CCI showed statistically significant associations with the loss of at least 1 tooth. The risk of experiencing a loss of ${\geq}4$ teeth was associated with an increase in age (in those 50-59 years of age: hazard ratio [HR], 1.98; 95% confidence interval [CI], 1.93-2.03; in those 60-69 years of age: HR, 2.93; 95% CI, 2.85-3.02; and in those 70-79 years of age: HR, 2.93; 95%, CI 2.81-3.05), smoking (HR, 1.69; 95% CI, 1.65-1.73), and DM (HR, 1.43; 95% CI, 1.38-1.48). Conclusions: The results of this study showed that the risk of experiencing tooth loss was related to multiple determinants. DM and smoking were especially significantly associated with tooth loss.

Subjective Oral Health Status of the Elderly and Social Impact Efficacy (노인의 주관적 구강건강상태가 사회적 효능감에 미치는 영향)

  • Noh, Eun-Mi;Back, Jong-Uk
    • Journal of dental hygiene science
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    • v.10 no.4
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    • pp.233-239
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    • 2010
  • The study of the elderly and poor oral status interpersonal relationships and smooth social life limited to give is the social alienation and isolation, promoting to having problems with a sense of the elderly subjective oral health status and social efficacy affects whether analyzed. 1. Subjective oral health status authoring feel healthy food disorders, toothache, periodontal problems, tmj pain, dry mouth, bad breath symptoms such as 'sometimes' 'often' than a 'no' if you appear to be a highly subjective and social efficacy Efficacy of oral health status and social influence were more (p<0.01). 2. Subjective oral health status of the seven kinds of sub-variable that oral health status, food authoring disorders, toothache, gum disease, jaw joint or more, dry mouth, bad breath instantly and look at the relationship between social efficacy oral health status, ability of mastication, pain in oral, gum disease, tmj pain, dry mouth, presence of halitosis than positive (+) was correlated.

Dental fear and related factors of dental hygienists using analysis on dental fear survey (Dental Fear Survey 척도를 이용한 치과위생사들의 치과공포감 및 관련요인)

  • Lee, Jae-Ra;Hong, Sun-Hwa;Hwang, Gab-Woon;Kim, Seo-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.3
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    • pp.347-353
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    • 2016
  • Objectives: The purpose of the study is to investigate the dental fear and related factors of dental hygienists using dental fear survey. Methods: A self-reported questionnaire was completed by 279 dental hygienists from January 15 to March 28, 2015. The study instrument was dental fear survey. Data were analyzed using SPSS 19.0 program by t-test, one way ANOVA and stepwise multiple regression analysis. The questionnaire included general characteristics of the subjects, subjective oral health status, use of dental care services, subjective oral health status, and recent dental treatment. Results: Alcohol consumption was the most influential factor to the dental fear. The subjective status of oral health and direct pain sense also contributed to the dental fear. Conclusions: To reduce the dental fear, it is important to have high confidence toward the dental treatment performance in the dental hygienists.

Influences of health behaviors and perceived oral symptoms on subjective oral health status (건강행위 및 주관적 구강증상이 주관적 구강건강상태에 미치는 영향)

  • Won, Young-Soon;Park, So-Young
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.5
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    • pp.787-795
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    • 2013
  • Objectives : The aim of the study is to investigate the possible influences of health behaviors and oral symptoms on subjective oral health status and to provide basic data for the development of oral health education programs. Methods : Subjects were 274 nursing home workers in Jeollabukdo, Korea. A self- reported survey was carried out. Results : Eighty four persons (30.7%) subjectively perceived their subjective oral health was good in the meanwhile forty nine persons (17.9%) reported poor oral health status. Health behaviors had much influence on their subjective oral health status. Good subjective oral health status coincided with quitting od smoking and drinking alcohol. Periodontal diseases and dental caries, and tooache had bad influences on subjective oral health status. Conclusions : Quitting program for smoking and drinking alcohol will make the nursing home workers in good healthy oral health status.

The Effects of oral health behaviors of elderly on periodontal status (From the 2010 Korean National Examination Health and Nutrition survey) (노인의 구강건강행위가 치주상태에 미치는 영향 - 2010년 국민건강영양조사를 이용하여 -)

  • Jung, Hyo-Kyung;Kwak, Dong-Ju
    • Journal of Technologic Dentistry
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    • v.34 no.2
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    • pp.157-164
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    • 2012
  • Purpose: The purpose of this study was to survey periodontal status using oral health index in the elderly population and determine methods for improving oral health status. Methods: The date collected from 'The fifth korean national health and nutrition examination survey 2010' was analyzed in this study. Statistical analysis was done using the Statistical Package for Social Sciences version 19.0 for windows. We determined frequencies and percentage, calculating means, and standard deviations, and determining statistical significance using logistic regression analysis, multiple regression analysis. Results: General characteristics showed differences in oral health behaviors associated with gender, age, residence, education. General characteristics showed differences in periodontal status associated with gender, family type, gender, residence, education. Oral health behaviors showed differences in periodontal status associated with using oral health care products, dental treatment. Conclusion: In conclusion, in order to improve oral health of the elderly, the importance and needs of periodontal status should be emphasized. periodontal status related education for the elderly should be operated.

Factors affecting unmet dental care needs of Korean: The 6th Korean national health and nutritional examination survey (한국인의 미충족 치과치료에 영향을 미치는 요인: 제6기 국민건강영양조사 자료를 이용하여)

  • Moon, Sang-Eun;Song, Ae-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.5
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    • pp.767-774
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    • 2016
  • Objective: The purpose of the study was to investigate the factors affecting unmet dental care needs of Korean using 6th Korean National Health and Nutritional Examination survey(KNHANES). Methods: The subjects were 13,718 Koreans from the 6th KNHANES data. The questionnaire consisted of general characteristics of the subjects, reason for dental care needs by socio-economic status and unmet dental care needs. Data were analyzed using SPSS 21.0 program. Results: The proportion of unmet dental care needs accounted for 27.4% and the main reasons were financial burden and less priority. Male had 0.21 times less unmet dental needs than female. Low, mid low, and mid high economic income groups had 1.27, 1.24, and 1.08 times respectively more unmet dental care needs than high income group. Those having good and average self-perceived oral health status experienced 0.83 and 0.63 times less dental care needs. Conclusions: Socio-economic factors and health status were the important factors of unmet dental care needs and it is necessary to provide a variety of public service of dental care for the low income group.

A study incremental dental care programs of appraisal report for oral health education elementary school in Ulsan City (울산시 구강보건교육 시범초등학교의 계속구강건강관리사업)

  • Kim, Youn-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.1
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    • pp.31-39
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    • 2007
  • This purpose of this study was to provide the basic data for preventing dental caries, and maintaining and enhancing Oral health education. The subject of this study through the survey of the recognition of Oral health education, a questionnaire survey and dental experience and Pit and fissure sealant status was conducted for 334 male and female students who were in the 4th, 5th, 6th grade of elementary school in Ulsan city. Statistical analysis was conducted using the SPSS 11.5 with t-test, ANOVA and correlation. The obtained results were as follows 1. Experience caries on permanent teeth was male score of 58.0% and female score of 42.0% and an everage score of 52.7% very low. 2. The students who were in the 4th, 5th, 6th grade of elementary school Experience caries on permanent teeth is grad higher(p=0.000). Pit and fissure sealant of teeth number and teeth surface status by grad higher(pE0.016, p=0.000). 3. Oral health knowledge and behavior is significantly related to status(p=0.001), behavior and Daily tooth brushing frequency was significantly related to status(p=0.000). But experience caries on permanent teeth and Oral health knowledge and behavior beween wasn't significantly related to status.

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A study on the correlation between oral health status and dental prosthetic treatment (구강보건 실태와 치과보철치료의 상관관계에 관한 연구)

  • Lee, Jong-Do;Kim, Jeoung-Sook
    • Journal of Technologic Dentistry
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    • v.30 no.1
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    • pp.109-119
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    • 2008
  • The Status of oral health and dental prosthetic treatment in Daegu and Gyoung Buk area was examined. To investigate the correlation between factors such as demographic and socioeconomic characteristics and status of oral health and knowledge about oral preventive measures, a survey was performed. After analyzing the effects of knowledge levels about dental prosthetic treatment on the oral health status and preventive measures, following results were obtained. A Total of 625 people participated in the survey for three months from October 2007 to January 2008. The responses from the survey were then analyzed to assess whether those with less knowledge of preventive measures tended to have more dental prosthetic work. Of those that took part in the survey: ${\cdot}$ 30.2% were in their twenties ${\cdot}$ 56.2% were married ${\cdot}$ 51.4% of respondents had at least a college degree ${\cdot}$ 42.4% had monthly incomes below one million Won ${\cdot}$ 24.3% were students ${\cdot}$ 55.8% were from urban areas After studying the relationship between oral health and various demographics, researchers concluded that respondents' sex, income, job and place of residence had no effect on the overall status of their oral health. However, those that were divorcees or widows (1.95${_+}/{_-}$ 0.32), over the age of 70 (1.67${_+}/{_-}$0.31), or had little education (0.82${_+}/{_-}$0.28), all demonstrated a statistically significant effect on their oral health with a significance level of 0.05.Cross analysis revealed a p-value of 0.000. The correlation between knowledge of oral preventive measures and other factors was examined. No difference was found between men and women but people who were divorced or lost their spouse, people over the age of 60, and people with no education, the results of knowledge of oral preventive measure was poor as 1.74$\pm$0.44, 1.85$\pm$0.40, 1.85$\pm$0.44,and 1.60$\pm$0.47 separately. Cross analysis showed that p-value was 0.000 and correlation between knowledge of oral preventive measures and those factors were statistically significant at significance level of 0.05. The status of dental prosthetic treatment was investigated. Women, people with higher income, and married people had more dental prosthetic treatment and it was related to education, income, residential area, and the status of dental prosthetic treatment. The returns of those factors was 32.7%. Respondents$^{\circ}{\emptyset}$ oral hygiene status and knowledge of oral preventive measures was related to demographic or socioeconomic factors. Therefore, a preventive program for oral health care needs to be developed in advanced countries. Knowledge of oral health is below the international average and more research and effort needs to be put in to develop public knowledge of dental prosthetic treatment. Government intervention such as enacting an oral health initiative or dental insurance that covers prosthetic treatments is urgently needed.

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A study of the EQ-5D index according to the dental prostheses status of the elderly in Korea (한국 노인의 치과보철 상태에 따른 건강 관련 삶의 질에 관한 연구)

  • Hwang, Hong-Gu;Lee, Jong-Hwa
    • Journal of Technologic Dentistry
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    • v.43 no.1
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    • pp.19-28
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    • 2021
  • Purpose: This study aimed to obtain basic data on oral health improvement by investigating the EQ-5D index according to the oral prosthesis status of elderly persons aged 65 years or older in Korea using the Seventh Korea National Health and Nutrition Examination Survey. Methods: In this study, 3,426 elderly persons aged 65 years or older were included to analyze the relationship between the dental prostheses status and EQ-5D index in the collected data. Results: Compared to the "complete denture" in oral prosthesis, EQ in case of no dental prostheses or fixed dental prostheses is comparable to removable prosthetics such as "no dental prostheses," "one fixed bridge," and "two or more fixed bridges." Removable partial denture and complete denture required for the maxillary and mandibular EQ-5D index were significantly higher in "not necessary" than in "complete denture necessary" in all the elderly persons. Conclusion: The condition of the dental prosthesis and the need for a removable partial denture and complete denture for the elderly's EQ-5D index were confirmed, and it was found that the fixed dental prostheses were more effective than the removable dental prostheses. Therefore, oral health education programs for the elderly should be developed to promote dental function and oral health maintenance.

Differences in oral health behavior and quality of life among the elderly depending on income and education levels (노인의 소득 및 교육수준에 따른 구강건강행태와 구강건강 삶의 질)

  • Yang, Hye-Jung;Suh, Won-Sik
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.2
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    • pp.217-226
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    • 2018
  • Objectives: The purpose of this study is to find out differences in oral health status, defined as their oral health and oral health quality of life among the elderly depending on their income and education levels. Methods: This study used 922 senior citizens over 65 from the data (2015) of the 6th National Health and Nutrition Survey (NHNS). The regression analysis was adopted to identify factors affecting their oral health status which has effect on their oral health quality of life. The statistical package SPSS 21.0 was employed. Frequency analysis, chi-squared analysis and regression analysis were used, and the significance level or Cronbach's alpha value was 0.05. Results: Depending on income levels, there were differences in their oral health status as to whether they use oral hygiene products, take dental examinations, join private health-insurances, and delay dental treatments or not. And educational levels also made significant differences in their oral health status as to whether they smoke, drink alcohol, how many times they brush teeth a day, whether they use oral hygiene products, take dental treatments, and join private health-insurances. Regression analysis on the relationship between their oral health status and the oral health quality of life showed that there were significant differences depending on whether they take dental treatments, delay dental medical treatments, smoke, take oral examinations, how many times they brush teeth a day, and whether they use oral hygiene products, or join private health-insurances. Conclusions: The study shows that a comprehensive plan is needed to raise attention on proper oral health-care and ultimately to improve the quality of life by considering the daily number of tooth brushing, oral hygiene product use, regular dental treatments, and other medical uses.