• Journal of Periodontal and Implant Science
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• 제50권4호
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• pp.268-277
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• 2020

Purpose: Many home care treatments can be used to promote the health and longevity of dental implants; however, few studies are available to support the concept that self-performed oral hygiene behaviors are an essential tool for improving and maintaining oral health. We investigated age-stratified associations between dental health behaviors related to tooth brushing (TB) and oral hygiene product use in Korean adults with implants. Methods: A total of 1,911 subjects over 19 years of age who had 1 or more implants and who participated in the 2013 to 2015 Korea National Health and Nutrition Examination Survey were reviewed. Periodontal status was assessed using Community Periodontal Index (CPI) scores, and periodontitis was defined as a CPI greater than or equal to 3. The complex sampling design of the survey was utilized to obtain the variance and individual weight of each analyzed factor. A high CPI was the outcome variable, and the main explanatory variables were oral hygiene behaviors, such as TB, dental floss (DF), interproximal brushing, and mouth rinsing. Results: Almost all individuals with a lower CPI brushed their teeth twice or more per day, in contrast to those with a higher CPI, and were likely to use DF. The adjusted odds ratio of not using DF for a higher CPI was 1.83 (95% confidence interval, 1.35-2.49). Conclusions: TB was implemented more than twice a day by patients with good oral health, and the combination of TB and DF significantly reduced the prevalence of a higher CPI. Self-performed oral hygiene practices combining TB and DF were significantly related to a low prevalence of periodontitis in implant patients.

• 대한간호학회지
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• 제48권5호
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• pp.506-520
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• 2018

Purpose: To compare the effects of the Interaction Model of Client Health Behavior (IMCHB)-based oral health program (OHP) and walking exercise program (WEP) on oral health behaviors, periodontal disease, physical activity, and psychological indicators (depression, stress, and quality of life) in pregnant women. Methods: A nonequivalent control group pretest-posttest design was adopted to compare the effects of a 12-week OHP and WEP on pregnant women (n=65). Pregnant women were randomly assigned to the oral health group (OHG; n=23), walking exercise group (WEG; n=21), or control group (CG; n=21). Data were analyzed by the ${\chi}^2-test$, Fisher's exact test, Scheffe test, and repeated measures ANOVA, using the Statistical Package for the Social Sciences for Windows (version 21.0). Results: The OHG and WEG showed significant improvements in oral health behaviors, periodontal disease, and psychological indicators as compared to the CG. The WEG showed significant improvement in physical activity as compared to the OHG and CG. Conclusion: These findings indicate that the IMCHB-based OHP and WEP were effective in improving periodontal disease, physical activity, and psychological indicators. However, further studies are needed to identify the positive effects of the OHP and WEP on birth outcomes.

• 대한치과의료관리학회지
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• 제11권1호
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• pp.1-7
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• 2023

The purpose of this study was to identify chronic diseases and oral health care behaviors in 65-year-old individuals and to determine the factors that influence masticatory mobility. The raw data from the 8th National Health and Nutrition Examination Survey in 2020 were utilized to analyze factors associated with chewing discomfort in 1,278 elderly Koreans. Using IBM SPSS Statistics 27.0, we conducted complex sample cross-analysis to examine the difference in chewing discomfort based on general characteristics, chronic diseases, and oral health care behaviors. Additionally, we performed complex sample multiple logistic regression analysis to identify the factors associated with chewing discomfort. As a factor influencing chewing discomfort, unmet dental care was 3.33 times higher (p<0.001), and subjective oral health was 0.18 times more likely to be moderate (p<0.001) and 0.48 times more likely to be good (p<0.001) lower. In the case of arthritis, the level of chewing discomfort was high (OR=1.08, p=0.694), but there was no significant difference. As a result of the aforementioned factors, it is believed that there is a need for policies and systems to provide dental care to the elderly before their oral health deteriorates. Additionally, tailored oral health promotion programs should be implemented.

• 한국치위생학회지
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• 제10권4호
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• pp.705-715
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• 2010

Objectives : This study is aimed to seek how to promote oral health care by leading the clients with dental fears to change their behaviors in oral hygiene care based on the analysis of the relationships between the dental fears and oral health care behaviors of the clients who visit the Dental Hygiene Education Room. Methods : This study analyzed the 361 dental hygiene records of the subjects with finished treatment and accurate records among a total of 370 clients who had received dental hygiene care at the Dental Hygiene clinic in Y University from March 2007 till June 2009. According to their general features, the study analyzed whether they had any dental fears and why such fears occurred and conducted Chi-square test to compare their oral hygiene care experiences and behaviors with dental fears. Data analysis was made using the SPSS 12.0K for Window, with level of significance set at 0.05. Results : 1. In terms of dental fear or non-fear, the comparison by gender showed that women had a higher level than men, with 76 women(47.2%) answering yes; the comparison by age showed that the age group of 30 years old or older had a higher level than other groups. 2. In terms of dental fear reasons, "the past pain experiences" recorded 34.2%, showing the highest rate. 3. In addition, dental fears had influences on regular dental examination, scaling and dental hygiene education and the subjects without dental fear showed higher levels in terms of tooth-brushing frequency and time. Conclusions : To control "the past pain experiences", future dental treatment should place priority on preventive treatment and get clients to cope with pains through the preliminary education with pains. Besides, to make an effective oral health care of the clients with dental fears, dental hygienists should control the fears of the clients and perform an appropriate oral health care for them using the communication techniques to make friendly and trustworthy impressions.

• 치위생과학회지
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• 제11권6호
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• pp.563-571
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• 2011

본 연구는 울산지역에 위치하는 2개 대학의 학생들 330명을 대상으로 건강증진행위를 하는데 있어 중요한 변수로 인식된 기존의 변수들을 모아 구강건강증진 행위에 대한 경로를 분석한 결과 다음과 같은 결론을 얻었다. 1. 최종모형의 적합도는 ${\chi}^2$ 값은 39.06, 유의확률은 0.152, GFI= .982, AGFI= .948, NFI=.967, NNFI= .982, RMSR= .028로 나타나 자료와 잘 부합되는 것으로 나타났다. 2. 가설모형에서 선정된 39개의 경로중 27개의 경로가 통계적으로 직접효과와 총효과가 유의하였으며, 2개 경로는 간접효과와 총효과가 유의하여 총 27개의 경로가 유의한 것으로 나타났다. 3. 현재의 구강건강증진행위에 영향을 미치는 변수로는 과거구강건강경험(총효과=.805), 주관적 구강건강(총효과=.717), 지각된 장애성(총효과=-.226), 자기효능감(총효과=.179), 사회적지지(총효과=.192), 구강건강통제위(총효과=.120), 의도(총효과=.167)로 나타났다(P<.05). 4. 현재의 구강건강증진행위에 긍정적으로 영향을 미치는 변수로는 과거구강건강경험, 주관적 구강건강, 사회적지지, 자기효능감, 의도, 구강건강통제위의 순으로 긍정적인 영향을 미치는 것으로 나타났고, 지각된 장애성은 부정적인 의미로 영향을 미치는 것 으로 나타났다.

• 한국치위생학회지
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• 제16권4호
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• pp.585-590
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• 2016

Objectives: The purpose of the study was to investigate oral health-related behaviors of some elementary school students by installation of toothbrushing facility. Methods: A self-reported questionnaire was completed, out by 377 elementary school students with toothbrushing facility, and by 260 elementary school students with no toothbrushing facility in M city from November to December, 2015. The data were analyzed by ${\chi}^2$-test, t-test and stepwise multiple regression analysis using SPSS 12.0 program. The questionnaire comprised toothbrushing practice(2 items), satisfaction of toothbrushing facility(1 item), oral health knowledge(4 items), fluoride recognition(1 item), and necessity of fluoride mouthrinse(1 item). Results: The level of oral health knowledge was high in toothbrushing facility school. But toothbrushing practice was higher in school of no toothbrushing facility(63.8%) than the school with toothbrushing facility(49.1%)(p<0.001). The number of brushing times a week was also higher in school of no toothbrushing facility(1.98 times) than the toothbrushing facility school(1.59 times)(p=0.011). The dominant reason for no brushing was not recognition(65.8%) in toothbrushing facility school, lack of places(61.3%) in non toothbrushing facility school. Conclusions: In order to improve the oral health in elementary school students, it is necessary to provide toothbrushing education and toothbrushing facility in elementary schools.

• 대한치위생과학회지
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• 제2권2호
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• pp.31-39
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• 2019

본 연구는 수도권에 거주하는 서비스직 아르바이트 중인 대학생 150명, 비서비스직인 대학생 150명을 대상으로 2018년 4월 26일부터 5월 5일까지 자가구취인식도가 구강보건관리실천도에 미치는 영향력 알아보고자 설문조사를 실시한 연구결과는 다음과 같다. 1. 서비스직군에서 칫솔질을 하는 목적은 '충치와 잇몸병 예방'과 '구취' 항목이 주를 이룬 반면, 비서비스직군에서는 '충치와 잇몸병 예방'과 '상쾌한 기분' 항목에 가장 많은 응답을 한 것으로 나타났다(x²=18.21, p<0.001). 2. 서비스직군과 비서비스직군 모두에서 구취의 원인은 백태와 음식물이 영향을 미치는 요인으로 나타났다(x²=10.95, p=0.027). 3. 서비스직 유무에 따른 자가구취인식도와 구강보건관리실천도의 평균분석에 따르면, 서비스직군에서 모든값이 높은 것으로 나타났다(p<0.001). 4. 자가구취인식과 구강보건관리실천도는 음의 상관관계가 있는 것으로 확인되었다(γ=-0.11, p<0.05). 5. 성별과 학년을 보정한 회귀분석모델에서, 자가구취인식도가 한 단위 증가하면 구강보건관리실천도는 증가하는 것으로 나타났다(Beta=-0.185, p=0.02). 이상과 같이 서비스직 유무에 따른 아르바이트 종사자 대학생을 대상으로 자가구취인식도가 구강보건관리 실천도에 미치는 영향을 확인해 본 결과, 서비스직 아르바이트에 종사하는 대학생의 자가구취인식도가 높을수록 구강보건관리실천도에 미치는 영향이 증가하는 것을 근거로 서비스직 종사자의 구강건강향상 및 증진을 위한 구강건강 프로그램 및 홍보등의 체계적인 개입이 필요할 것으로 사료된다.

• 한국치위생학회지
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• 제14권3호
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• pp.399-406
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• 2014

Objectives : The purpose of the study is to investigate the oral health behaviors between students studying in Vancouver, Canada and college students in Daejeon, Korea. Methods : A self-reported questionnaire was filled out by 239 students in November, 2013. The questionnaire consisted of oral health behavior including tooth brushing methods between two countries. Chi-square test and t-test were analyzed. The analyses were conducted using R version 2.14.2(R Foundation for statistical Computing, Vienna, Austria). Results : The number of tooth brushing in Korean students was higher than those in Canada. Fifty nine percent of the Koreans brushed their teeth 3 times a day while 62.3% of students in Canada brushed their teeth 2 times a day(p<0.0001). Those who were taught on oral health education tended to brush the teeth more frequently that those who had not. Koreans and Japanese tended to brush teeth more frequently after breakfast than the Taiwanese(p=0.005). Koreans also brushed teeth after dinner more frequently than Japanese, Taiwanese, and other foreigners(p=0.012). Conclusions : This study indicated that Koreans have better oral health behaviors in comparison to students studying abroad.

• 치위생과학회지
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• 제13권4호
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• pp.440-448
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• 2013

전국 대표성 있는 표본조사인 청소년건강행태온라인조사를 활용하여 청소년의 스트레스와 구강건강관련 행태의 관련성을 살펴본 결과는 다음과 같다. 첫째, 스트레스를 '대단히 많이' 또는 '많이' 느끼는 학생은 전체의 41.9%이며, 80% 이상이 스트레스를 경험하였다. 둘째, 경제상태가 상위계층일수록 연간 구강진료 경험, 간식 후 칫솔질, 잠자기 전 칫솔질 실천 가능성이 유의하게 높았다. 또한 어머니의 교육수준, 가족풍요도 척도가 높을수록 과일, 채소반찬, 우유의 섭취빈도, 연간 구강진료 경험이 높았다. 셋째, 스트레스가 높은 청소년은 과일, 채소반찬, 우유섭취 실천 가능성이 유의하게 낮았고, 탄산음료, 패스트푸드, 과자섭취는 유의하게 증가하였다. 또한 간식 후 칫솔질, 잠자기 전 칫솔질 실천 가능성이 유의하게 낮았다. 청소년의 구강건강에 위험요인으로 작용하는 생활습관들을 개선하는 데 있어 스트레스와 같은 사회심리적인 부분도 고려되어야 할 것이다. 또한 과도한 스트레스는 청소년의 부정적인 식습관을 조장하게 되므로, 청소년들의 적절한 스트레스 관리를 도모하고 과일이나 야채 등 섬유소가 풍부한 식품, 치아의 경조직 석회화를 촉진시키는 우유 및 유제품을 권장하며, 점착도가 높은 우식성 식품섭취는 감소시키기 위한 노력이 필요하다. 더불어 간식섭취 후 칫솔질 실천율은 21%로 낮아 이에 대한 교육도 강화할 필요가 있다.

• 한국학교ㆍ지역보건교육학회지
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• 제14권3호
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• pp.1-14
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• 2013

Objectives: The purpose of this study was to investigate the possible impact factors(oral health level, oral health promotion behaviors, health level, health behaviors, and mental health) on oral health related quality of life using OHIP-14 of health allied college students. Methods: A total of 363 self-administered questionnaires were collected from university student in Seoul. To investigate the casual relationship between each variable presented in the research model, descriptive statistics, t-test, one-way ANOVA(Scheffe's test), man-whitney, kruskal wallis, multiple regression analysis were carried out by using SPSS ver. 21.0 Results: The study shows that the students reported mean score of OHIP-14 ($8.32{\pm}7.51$), of which physical pain was the highest score($1.88{\pm}1.45$) and social disability was the lowest score($0.69{\pm}1.13$). Multiple regression revealed that the score of OHIP-14 was shown to be significantly higher for the following people: who were get more self-reported symptom of periodontitis, halitosis, negative self-perceived general health and oral health, no received dental scaling treatment, and participants who had no experience awareness of distress in two weeks. The explanatory power was 18.2%. The most powerful factor regarding to self-reported symptom of periodontitis was shown to be negatively relations oral health-related quality of life. Conclusions: In order to enhance the students' life quality, there need to be considered for a comprehensive oral health-related quality of life program for the students through health education policy.