• 치위생과학회지
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• 제17권3호
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• pp.218-225
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• 2017

The purpose of this study was to determine the association between drinking behaviors and the need for periodontal treatment. The data of 5,995 adults from the 2012 Korea National Health and Nutrition Examination Survey were categorized into young adulthood (19~39 years), middle age (40~64 years), and old age (${\geq}65$ years) and analyzed. Chi-square test was performed to determine those who needed periodontal treatment by the respondents' general characteristics and drinking behaviors, and logistic regression analysis was carried out to determine the impact of each drinking behavior on the need for periodontal treatment. The results of this study have confirmed that alcohol intake is a factor adversely affecting periodontal status; therefore, patients should know the fact that excessive alcohol intake and increased frequency of drinking may affect the prevalence rate of periodontal diseases. Moreover, moderate-drinking programs that can reinforce prevention of drinking so that dental hygienists can provide good oral health care should be developed. A systematic oral health promotion program should be introduced for constant prevention with the objective of activating oral health education that focused on middle-aged and young-adult people in pursuit of healthy aging society.

• 한국치위생학회지
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• 제14권4호
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• pp.555-561
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• 2014

Objectives : The aim of this study was to investigate the factors related to stress perception. Methods : A self-reported questionnaire was filled out by 109 people living in Gimpo city from January 16 to April 15, 2013. The data were analyzed using SPSS window ver. 19.0(IBM CO., Armonk, NY, USA) for t-test, one-way ANOVA, and multiple linear regression analysis. Results : Men and group of 59 years old tended to have higher stress perception than women and those who over 60 years old, but the results were not statistically significant. Stress perception was higher among the group with systemic dryness and oral dryness(each${\geq}1$) and the group reporting high difficulty in daily living due to oral problem(${\geq}2$)(p<0.05). Especially, the factor that was most correlated to stress perception was systemic dryness(${\beta}$=0.347) followed by problem of daily living for oral problem(${\beta}$=0.278, p<0.01). Conclusions : Systemic dryness and oral problem can increase the level of stress perception, mouth dryness and oral problems are a part of stress responses. Therefore, the regular health checkup must be done and early treatment to reduce stress perception as well as negative aspects caused by stress. It will contribute to the enhancement of public health and life of quality.

• 한국치위생학회지
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• 제16권5호
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• pp.759-766
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• 2016

Objectives: The purpose of the study was to investigate the impact of dental fear on the oral health related quality of life in teenagers. Methods: A self-reported questionnaire by Likert 5 point scale was completed by 900 high school students in J area from March 10 to April 20, 2014. The questionnaire consisted of general characteristics of the subjects, dental fear survey, and oral health related quality of life. Data were analyzed by t-test and One-way ANOVA using SPSS 12.0 program. Results: Oral symptoms had no significant differences in mother's education and family economic status. Emotional well-being factors had no significant difference in age, religion, school performance, and family economic strength. Dental fear was closely related to emotional well-being, Oral symptoms, social stabilities, functional limit and mental stabilities. Explanation power of the model was 29.1%. Conclusions: It is very important to explain the dental fear procedure to teenagrers before dental surgery and this will enhance the oral health related quality of life in teenagers.

• 대한치과보철학회지
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• 제46권5호
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• pp.455-469
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• 2008

문제제기: 노인요양시설은 치과진료영역 가운데 가장 취약한 상태에 놓여 있고 신체적, 정신적 장애로 인해 주관적 치료요구도를 파악할 수 없는 상태지만 이에 대한 기초적인 실태조사가 전무한 상태이다. 목적: 본 연구는 노인요양시설에서 노인환자들의 치아우식증에 의한 구강실태를 조사하고, 기능치아와 보철물로 이루어진 교합단위를 분석하여 그에 따른 치과치료수요도를 분석하는데 목적이 있으며 향후 적절한 진료방향을 수립하는데 기여하고자 한다. 연구재료 및 방법: 노인요양시설에서 758명의 노인환자와 D치과의원에 내원한 212명의 65세 이상인 노인을 대상으로 2000년 국민구강건강실태조사에서 작성된 치아우식검진지침에 입각하여 구강실태조사를 시행하였다. 결과: 노인요양시설의 노인에게서 고령으로 갈수록 대조군에 비해 악화되고 있는 구강상태를 알 수 있었고 매우 높은 치료수요를 파악할 수 있었다. 고찰: 노인환자의 구강건강관리를 위해서는 무엇보다도 이들을 보살피는 간병인과 간호 인력들이 가지고 있는 구강건강의 중요성에 대한 인식을 바꾸기 위한 노력이 절실히 필요한 상황이다. 이제는 무치악 환자에게 시행되고 있는 일회성 의치사업 일변도의 복지정책방향을 보건복지부와 일선 지방자치단체에서 사후관리를 원칙으로 한 전문가에 의한 무치악 환자의 의치사업으로 강화해야 하며 유치악의 노인환자들에 대한 정기적인 치과검진을 시행하고 이동진료 및 왕진시스템이 보완된 구강건강관리 및 보존, 수복진료 형태로의 전환을 고려할 시점이라 생각된다.

• 치위생과학회지
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• 제10권5호
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• pp.315-321
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• 2010

본 연구는 2009년 8월부터 2009년 11월까지 편의추출된 서울, 인천, 대구지역 치과 병의원 3곳에서 1개 이상 3개 이하 치아에 대해 임플란트 시술을 받은 20세 이상의 남녀 성인 환자 중 102명을 대상으로 하여 3개 이하의 임플란트 고정성 보철물 장착 전후의 구강건강관련 삶의 질(OHIP-14) 변화에 관하여 조사하고 다음과 같은 결론을 얻었다. 1. 3개 이하의 임플란트 고정성 보철물 장착 후 OHIP-14 총점은 치료 전에 비해 유의하게 감소하여(p<0.001) 구강건강관련 삶의 질이 향상된 것으로 나타났다. 2. 인구통계적 특성에 따른 보철물 장착 전 시점의 OHIP-14 총점은 성별(p=0.01), 경제적 수준별(p=0.04), 교육수준별(p=0.01)에는 유의한 차이가 있었으나 보철물 장착 후에는 OHIP-14 총점의 유의한 차이가 나타나지 않았다. 3. 3개 이하의 임플란트 고정성 보철물 장착 후 North Texas Periodontal Associates에서 제시한 모형의 저작 기능, 사회적 기능, 심리적 기능 만족도에 있어서도 유의하게 변화하였으나(p<0.001) 세부지표 중 구강건강에 대한 염려의 전후 변화는 유의하지 않았다. 4. 3개 이하의 임플란트 고정성 보철물 장착 후 구강건강관련 관심도 변화에 있어서 잇솔질 횟수 증가(p<0.001), 주기적 구강검진(p<0.001), 구강검진필요 인지(p<0.001), 구강질병치료 인지(p<0.001) 등에 있어서도 유의하게 변화하였다. 따라서, 본 연구에서는 소수 치아 결손 시 임플란트를 이용한 고정성 보철물 장착이 구강건강관련 삶의 질, 저작기능, 사회적 기능, 심리적 기능 만족도, 구강건강관련 관심도를 향상시킬 수 있다고 판단되었다.

• 한국산학기술학회논문지
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• 제16권12호
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• pp.8487-8497
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• 2015

본 연구는 영남지역에 거주하고 있는 일부 결혼이주여성을 대상으로 구강건강신념 및 자기효능감과 구강건강인식도와의 관련성을 파악하여 구강건강 인식 개선과 태도 변화에 필요한 프로그램을 구축하는데 기초자료로 사용하고자 2013년 10월 1일부터 12월 15일까지 대구, 경북, 경남지역 8곳의 다문화 관련센터를 이용하는 결혼이주여성을 대상으로 면접조사방법을 통한 자기기입식 설문지를 이용하여 최종 256부를 분석 자료로 활용하였다. 통계분석은 SPSS 18.0과 AMOS 7.0을 사용하였고, 통계적 유의수준은 p<.05로 하였다. 구강건강신념과 자기효능감이 구강건강인식도에 영향을 미치는지 분석한 결과 치석제거(스케일링)경험은 구강건강신념요인 중 심각성(${\beta}$=.568)이 영향을 미치는 것으로 나타났고(p<.05), 구강건강상태는 구강건강신념요인 중 감수성(${\beta}$=-.391)이 영향을 미치는 것으로 나타났으며(p<.01), 구강건강관심도는 구강건강신념요인 중 감수성(${\beta}$=-.183), 심각성(${\beta}$=.172), 유익성(${\beta}$=.224)과 자기효능감(${\beta}$=.237)이 영향을 미치는 것으로 나타났다(p<.01). 결혼이주여성의 효율적인 구강건강관리를 위하여 구강건강신념과 자기효능감이 구강건강인식에 미치는 요인의 분석으로 향후 예방적 구강건강관리 및 구강보건교육 프로그램의 적극적인 방안의 모색과 다문화가정의 구강건강 향상을 위한 기본 정책의 마련이 필요할 것으로 사료된다.

• 디지털융복합연구
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• 제11권7호
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• pp.243-253
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• 2013

본 연구는 치위생과 학생과 일반 대학생들과의 비교분석을 통해 구강보건교육의 중요성을 알아봄으로써, 현재 구강보건관리를 책임지고 있는 인력들에게 시사점을 제공하고자 연구되어 다음과 같은 결과를 얻었다. 첫째, 대학생들이 인지, 자각하고 있는 구강건강 특성을 살펴본 결과, 구강건강에 대한 관심(p<0.001), 구강건강의 중요도(p<0.01), 현재 학생들이 지각하는 구강건강 상태(p<0.01) 등의 모든 요인에서 치위생과 학생이 일반 학생들 보다 높게 나타났다. 둘째, 구강보건인식 수준은 치위생과 학생이 $4.41{\pm}0.62$점으로 일반 학생 $3.81{\pm}0.70$점보다 유의하게 높게 나타났으며(p<0.001), 구강보건실천 수준 역시 치위생과 학생이 $3.80{\pm}0.61$점으로 일반 학생 $3.33{\pm}0.57$점보다 유의하게 높게 나타났다(p<0.001). 이상의 결과에서 구강보건교육을 받은 경험이 있는 경우 구강보건인식과 실천 수준이 높고, 구강보건인식 수준이 증가할수록 구강보건실천 수준이 높아지는 것으로 나타나 대학생 시기에 적절한 구강보건교육이 실시되어야 할 것으로 생각된다.

• 한국치위생학회지
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• 제20권5호
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• pp.635-643
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• 2020

Objectives: The purpose of this study was to evaluate dental hygienists understanding of the provisions of oral health care and awareness for the elderly. Methods: A survey was conducted among 285 dental hygienists, currently practicing around Gwangju province, Korea. The questionnaire contained questions on general characteristics of the subjects (5 items), oral health status of the elderly (5 items), and awareness (8 items) among the dental hygienists. The data were analyzed using a chi-square test. IBM SPSS 21.0 program was used for all statistical analyses. Results: The results showed that 47.7% of the dental hygienists took care of 1 to 5 elderly patients per day; they could not provide high quality oral health education to these patients because of lack of knowledge, lack of treatment time, and excessive workload. An analysis of the hygienists' professional educational experience related to oral healthcare of the elderly during university years showed that the older and more experienced hygienists' were less likely to have completed this education, i.e., 22.05% and 10.9%, respectively (p<0.001). Of all the dental hygienists, 62.8% were interested in oral health problems of the elderly, and 34.4% of dental hygienists for geriatric oral care were the most needed for geriatric oral care education (p<0.001). Conclusions: According to these results, it is important that dental hygienists participate in training on oral healthcare for the elderly and develop various programs for managing the oral health of the elderly.

• 치위생과학회지
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• 제18권1호
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• pp.1-8
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• 2018

Stroke is the second cause of death worldwide, although the survival period is increasing after the occurrence of stroke, severe physical disability is caused with aftereffect. Oral inflammation is not limited to the oral cavity, it can cause malignant changes in other tissues and organs. In previous studies, we confirmed the relationship between tooth loss and stroke due to periodontal inflammation. The purpose of this study was to investigate the relationship between oral health and stroke such as oral hygiene behavior, tooth loss and periodontal disease among Korean adults over 40 years of age. This study was analyzed using the 6th Korea National Health and Nutrition Examination Survey (KNHANES) data. A total of 3,389 adults over 40 years of age were analyzed as final subjects. Socioeconomic statuses and oral health status was analyzed using a complex sample analysis technique. Logistic regression was used to analyze the relationship of oral health and stroke, and 95% confidence intervals were computed using SPSS. When the prevalence of stroke according to oral hygiene behavior was checked, the prevalence of strokes was lower in subjects who had a lot of brushings per day and subjects who used oral hygiene products (p<0.05). The risk of stroke was 2.17 times (95% confidence interval, 1.43~3.28) higher in the group with less than 19 remaining teeth, but it was not statistically significant as a result of adjusting for age and sex, income level, education level, drinking and smoking (p>0.05). Loss of teeth was found to be associated with the risk factor of stroke. Therefore, loss of teeth due to periodontal disease is an additional issue that should be considered as a risk factor for stroke.

• 치위생과학회지
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• 제19권4호
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• pp.245-253
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• 2019

Background: This study aimed to analyze correlations between depression, cognitive function, oral health state, ability to perform activities of daily living, oral dryness symptoms, and oral health-related quality of life, and determine factors influencing the latter. Methods: This was a cross-sectional study based on questionnaires completed by 260 participants with suspected dementia, residing in South Korea. Psychiatrists, psychiatric nurses, and dental hygienists visited clinics in the participating regions for examination and questionnaire administration. General characteristics, the geriatric depression scale, ability to perform activities of daily living, cognitive function, oral health state, and oral health-related quality of life were analyzed. Independent t-tests, one-way analysis of variance (ANOVA), correlation analysis and multiple regression analysis were conducted, identifying factors affecting oral health-related quality of life. Data analysis was performed using SPSS ver. 20.0 (IBM Corp., USA), and the significance was set at p<0.05. Results: Approximately 65.0% of participants were female, 63.5% were in their 70s, and 90.0% had health insurance. About 21.5%, 42.0%, and 36.5% were normal, slightly impaired, and had dementia, respectively. High cognitive impairment was associated with poor oral health. Sex, education levels, marital status, and living arrangements influenced oral health-related quality of life. According to the regression analysis, geriatric depression and oral dryness affected the Geriatric Oral Health Assessment Index scores. Conclusion: In conclusion, oral dryness and depression levels among elders influenced oral health-related quality of life. The results showed that to enhance elders' oral health-related quality of life, it is essential to not only improve their oral health state, but also relieve oral health problems, especially oral dryness, and take into consideration their psychological aspects.