• 대한치위생과학회지
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• 제3권1호
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• pp.1-13
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• 2020

The purpose of this study was to investigate the perception of calculus removal, an essential factor in periodontal disease in the elderly population. Further, the study aimed to identify the oral hygiene management matters of individuals and to use the information as primary data for preventing dental loss and improving the prevention of chronic diseases. From December 20, 2019, to January 15, 2020, the results of 171 studies on oral hygiene management and awareness of calculus removal among the elderly aged 65 or older in Busan and Gyeongnam are as follows: The elderly with good health appreciated their functional oral health status and showed significant differences (Χ²=298.26, p<.001). Many of the elderly brushing their teeth at least three times a day had a better health status and showed significant differences according to their health status (= 134.42, p <.001). Usually, older people who are in good health have a dental floss (Χ²=89.31, p<.001), and the dental floss were used more often and significantly differed depending o health status (Χ²=92.53, p<.001). The elderly's perception of tartar removal has shown that the overall average out of five points is positive at 3.48. Older female adults were more positive and showed significant differences regarding gender (t=-7.95, p<.001). Senior citizens aged 65 to 70 were more positive about dental removal than those aged 71 or older, with significant differences in age (t=6.65, p<.001). As described above, oral hygiene management for the elderly population needs to develop a periodontal disease prevention program linked to systemic diseases, considering that there are many chronic diseases.

• 한국학교ㆍ지역보건교육학회지
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• 제13권3호
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• pp.101-112
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• 2012

Background & Objective: Oral health care in adolescent is important for oral health of adult life. The aim of this study was to investigate knowledge and attitude on oral health among high school students. Method: A questionnaire survey was conducted in April, 2010 for students of two high schools located in Yangsan, Gyeongsangnam-Do, Korea and final data from 458 students was analyzed. Results: The study subjects were well known about toothbrushing but not on scaling, oral care products, and fluorine. They had positive attitude toward toothbrushing, regular oral health examination, and smoking and drinking control but assumed negative attitude to scaling and utilization of fluorine. A total of 51.1% of the study subjects has participated in oral health education and they had higher level of knowledge and attitude on oral health. There was a significant difference in knowledge and attitude on oral health according to the interest level in oral health and also in knowledge on oral health according to self-rate oral health status. According to utilization of oral health product and scaling knowledge and attitude level on oral health were different significantly. Conclusions: Knowledge and attitude of adolescent are necessary to be improved and changed in some topics of oral health through oral health education.

• 한국치위생학회지
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• 제21권6호
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• pp.731-740
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• 2021

Objectives: The purpose of this study was to examine the effects of oral and mental health status on temporomandibular joint disorders (TMDs) and the effects of TMD symptoms on quality of life using data from the 5th 2012 National Health and Nutrition Examination Survey. Methods: A total of 1,154 people were selected as subjects for the study. Temporomandibular joint (TMJ) sounds (672 persons), TMJ pain (227 persons), and TMJ dislocation (255 persons) were the factors studied. The complex sample chi-square test was performed to compare demographic characteristics according to the three groups of TMD symptoms. Complex sample logistic regression analysis was performed to confirm the effect of oral and mental health status on TMDs, and complex sample linear regression analysis was performed to check the effect of TMDs on the quality of life (EQ-5D). Results: After adjusting for demographic characteristics, those without TMJ sound symptoms had lower pain/discomfort (OR: 0.055, CI: -0.095 to -0.016) and anxiety/depression (OR: 0.053, CI: -0.092 to -0.014). Those without TMJ pain had lower pain/discomfort (OR: 0.119, CI: -0.192 to -0.046) and anxiety/depression (OR: 0.071, CI: -0.137 to -0.004). Pain/discomfort (OR: 0.063, CI: -0.125 to -0.001) was lower in those without TMJ dislocation symptoms. After adjusting for mental health status, pain/discomfort (OR: 0.088, CI: -0.161 to -0.014) was found to be lower in those without TMJ pain symptoms (p<0.05). Conclusions: Based on the results of this study, the treatment of TMDs, oral health, and also mental health, is needed to improve the quality of life.

• 대한치과의사협회지
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• 제53권10호
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• pp.688-695
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• 2015

Purpose: The institutionalized elderly have placed the most vulnerable state, and the report about the oral health status of the institutionalized elderly was scarce. The aims of the current study were to investigate the oral health status of institutionalized elderly. Materials and methods: The survey of the oral health status was carried out on 487 institutionalized elderly from 4 longterm care facilities of Seoul metropolitan city, Gyunggi province, and Gangwon province in Korea. Results: The prevalence of dental caries, root caries, and dental calculus of the institutionalized elderly was 19.2%, 15.3%, and 23.7%, respectively. The percentage of edentulism among the institutionalized elderly was 26.2%. Those who had poor oral hygiene and tongue coating were 43.9% and 90.5%, respectively. The percentages wearing complete and removable partial denture on maxilla were 12.8% and 3.3%, respectively. The percentages wearing complete and removable partial denture on mandible were 7.8% and 5.6%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on maxilla were 29.7% and 27.2%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on mandible were 24.5% and 30.9%, respectively. Conclusion: The oral health stuatus of institutionalized elderly was poor. For the oral health promotion of elderly in longterm care facilities, it is essential to educate nurses and caregivers about the importance of the oral health and oral hygiene method.

• 치위생과학회지
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• 제19권1호
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• pp.67-75
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• 2019

Background: Dementia is a condition in which a person who has been living a normal life suffers from various cognitive impairments in memory, words, and judgment that considerably disrupt daily life. The oral care ability and subjective oral status of elderly individuals with dementia are lower than those of a healthy person. The oral health care of individuals admitted to nursing homes inevitably falls to nursing assistants and nursing care staff. This study aimed to investigate the need for oral health management items of and to provide basic direction for the future of the Dementia National Responsibility System. Methods: Elders aged 65 years and over were selected from a comprehensive welfare center. A total of 155 questionnaires were analyzed. The questionnaire consisted of 15 items about general status, 9 items about recognition of the Dementia National Responsibility System, 5 items of the subjective recognition of oral health, and 6 items of the correlation between oral health and dementia. Results: Among our subjects, 71.0% answered that they did not know about the Dementia National Responsibility System, 78.7% answered that they think they need the system, and 81.9% think that they should add dental health items to the Dementia National Responsibility System. The response to the need for dementia national responsibility, oral health items in the Dementia National Responsibility System, and oral specialists all showed scores of >4 points. The need for the Dementia National Responsibility System, oral health items, and specialists were found. Conclusion: It is necessary to include oral health care items in the Dementia National Responsibility System so that elderly individuals with dementia can receive the needed oral health care.

• 한국융합학회논문지
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• 제8권4호
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• pp.139-148
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• 2017

본 연구는 한국 청소년의 스트레스가 구강건강 및 건강행태에 미치는 융합적인 영향을 알아보고자 하였다. 제 11차(2015년) 청소년 건강행태 온라인 조사를 활용하여 72,060명을 대상으로 연구하였다. 일반적인 특성은 성별(Sex)에서는 여학생에서, 학년(Grade)에서는 고등학생이, 성적(Academic performance)에서는 하위그룹(Low)이, 주관적건강수준(Subjective health status)에서는 즉 나쁘다고 느끼는 학생이, 아침식사(Breakfast)를 하지 않는 학생이, 격렬한 신체운동(Exercise)에서도 하지 않는 학생에서 스트레스 지수가 또한 높게 나타났으며 통계적으로 유의하였다(p<0.001). 자가구강증상(Self-assessed Oral health status))에서는 저작시 통증(Tooth pain when eating)이 있으며, 잇몸에 출혈(Bleeding gum)이 있고, 구취(Bad breath)가 있는 학생에게서 스트레스가 높았으며, 통계적으로 유의하였다(p<0.001). 이 연구의 함축적인 결과 청소년들 사이에서 심리적인 스트레스가 구강건강 및 건강행태에 밀접한 영향을 주는 결과를 보였으며, 이러한 결과 더욱이 청소년 시기에 알맞은 구강건강프로그램의 지속적인 발전이 더욱 필요할 것으로 보인다.

• 치위생과학회지
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• 제12권6호
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• pp.607-616
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• 2012

본 연구는 국민건강영양조사 제4기 2차년도(2008) 원시자료를 이용하여 19세 이상 성인 6,094명을 대상으로 주관적인 구강건강인식과 관련된 본인인지 구강건강상태와 구강건강염려정도를 파악하고, 기존의 역학지수인 DMFT 지수, CPI뿐만 아니라 FS-T 지수, T-Health 지수를 포함한 다양한 구강보건지수를 이용하여, 주관적인 구강건강인식과 객관적인 구강보건지수와의 차이를 분석하여 다음과 같은 결과를 얻었다. 1. 주관적인 구강건강인식 관련하여 본인인지 구강건강상태는 49.4%로가 '나쁘다'라고 응답하였으며, 구강건강염려정도는 62.6%가 '신경 쓰이는 편이다'라고 응답하여 가장 높게 나타났다. 2. 인구사회학적 특성에 따른 구강보건지수에서는 현재 흡연여부를 제외한, 성별, 연령, 교육수준, 월평균가구소득, 간식횟수, 칫솔질횟수에서 통계적으로 유의한 차이를 보였다(p<0.000). 3. 인구사회학적 특성에 따른 본인인지 구강건강상태에서는 성별, 연령, 교육수준에서는 유의한 차이를 보이지 않았으며, 월평균가구소득, 현재흡연여부(p<0.000), 간식횟수(p<0.018), 칫솔질횟수(p<0.003)에서 통계적으로 유의한 차이를 보였다. 4. 인구사회학적 특성에 따른 구강건강염려정도는 성별과 현재흡연여부에서 유의한 차이를 보이지 않았으며, 연령(p<0.003), 교육수준, 월평균가구소득, 간식횟수, 칫솔질 횟수에서 통계적으로 유의한 차이를 보였다(p<0.000). 5. 주관적 구강건강인식과 구강보건지수에서는 본인인지 구강건강상태에서는 모든 지수에서 유의하지 않았으며, 구강건강염려수준에서 FS-T지수(p<0.003), T-Health 지수(p<0.011), CPI (p<0.017)에서 통계적으로 유의한 차이를 보였다. 이상의 연구결과로, 구강건강인식과 관련하여 구강건강상태를 파악하고자 할 때에는 본인인지구강건강상태보다는 구강건강염려정도에 대해 질문할 때 더 유용할 것으로 사료되며, 향후 단문항에 의한 주관적 구강강건인식에 의한 자기평가보다는 구강건강관련 심리요인, 자신의 구강에 대한 심미적인 요인 등 다양한 지표들이 포함되어 있는 다문항적인 주관적 구강건강인식척도가 개발되어야 할 것으로 사료된다.

• Journal of Korean Academy of Oral Health
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• 제41권4호
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• pp.267-273
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• 2017

Objectives: Unmet needs for dental treatment are one of the potential contributing factors to poor oral health because oral health problems worsen if left untreated. This study aimed to demonstrate the prevalence of and the causes for unmet dental needs, and to evaluate the association between unmet needs for dental treatment and oral health status. Methods: Data on 3,883 subjects aged ${\geq}18years$ from the Korean National Oral Health Survey 2006 were analyzed. Information regarding unmet needs for dental treatment was obtained using standardized questionnaires. Eight trained dentists examined decayed, missing, or filled teeth (DMFT). Multiple regression models were built to assess the association between unmet needs for dental treatment and the DMFT scores. Results: The prevalence of perceived unmet needs for dental treatment was 34.7% among the adult Korean population. Economic constraints were the main cause (38.6%) for unmet dental needs. The average DMFT scores were higher in the subjects with unmet needs for dental treatment than in those without. In individuals with unmet needs for dental treatment within the past 1 year, the number of decayed teeth after adjusting for confounders was likely to be greater by 0.58 and that of missing teeth by 0.27 compared to that in their counterparts with no unmet dental needs in the past 1 year. Conclusions: Perceived unmet needs for dental treatment were significantly associated with poor oral health status among the adult Korean population. Further studies are needed to clarify the direct and indirect effects of unmet needs for dental treatment on an individual's oral health status by investigating critical variables of the causal pathways among perceived dental needs, dental care utilization, and oral health status.

• 대한소아치과학회지
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• 제36권4호
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• pp.539-549
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• 2009

본 연구는 소년원학교 학생의 치아우식증, 치주조직 상태와 구강건강에 대한 실태 및 인식도를 조사하기 위해 경기도 지역 소년원학교에 수용되어 있는 13~20세 남녀 청소년 342명의 우식, 상실, 충전 치아 수와, 상하악 좌우 제1대구치와 상악 우측 중절치, 하악 좌측 중절치의 출혈/치석/치주낭 존재 유무를 검사하였으며, 구강건강에 대한 인식도에 대한 설문조사를 시행하여 다음과 같은 결과를 얻었다. 1. 2006년 국민구강건강실태 조사와 비교할 때, 일반청소년에 비해 소년원학교 학생의 우식 치아, 우식경험 영구치, 출혈, 치석, 천치주낭을 보이는 치아 수가 많았다. 2. 여자가 남자보다 우식경험 영구치 수가 많았으나(p<0.05),건전 치주조직을 보이는 치아 수는 많고, 천치주낭을 보이는 치아 수는 더 적었다(p<0.05). 3. 여자가 남자보다 자신의 구강건강이 나쁘다고 생각하는 비율이 높았으며(p<0.05), 대다수(79.2%) 청소년이 구강건강이 중요하다고 응답하였다. 4. 소년원학교 학생의 71.5%가 치과치료에 대한 불안이 있다고 응답하였으며, 여자가 남자보다 그 비율이 높았다(p<0.05).

• 통합자연과학논문집
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• 제13권2호
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• pp.58-62
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• 2020

Many studies have demonstrated the Quality of Life to oral health of the periodic dental visitors. Despite of the theoretical importance, a critical determinants of oral health concern have not yet been identified by intuition. The purpose of the present study is : (1) to analyze the relationship between clinical oral health status and subjective oral health concern(self-rated); (2) use them as basic data to efficiently operate oral health management programs specializing in prevention. The distribution of oral health concerns differed depending only on whether or not oral health care was performed periodically (P<0.05, Table 1).