• Journal of Korean Dental Science
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• 제10권1호
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• pp.22-28
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• 2017

Purpose: The purpose of this study was to evaluate the dental fear experienced among Korean adolescents and to identify the relevant factors. Materials and Methods: In order to compare the level of dental fear depending on the subjects' previous experience, descriptive statistical analysis was performed. Gender- and grade-dependent evaluation was performed according to the presence of their previous dental visit and dental fear. Subjective oral health status was also investigated. In order to determine the factors affecting dental fear, logistic regression analysis was performed. Result: Among the total of 333 subjects who had experienced dental fear, females were found to experience 1.766 times greater dental fear than males (P=0.007). The worse subjective perception of their oral health was associated with increase in the experience of dental fear by 1.245-fold (P=0.047). Conclusion: The dental fear was likely to be formed during the visit to the dentist's office or through previous experience of dental treatment. Therefore in order to reduce the fear associated with dental treatment in adolescents, establishemnt of a proper environment in the dental clinic and a patient management program are necessitated.

• 대한장애인치과학회지
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• 제13권2호
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• pp.67-72
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• 2017

The purpose of study was to analyze the types of dental treatment and their frequencies in a charity dental clinic for the disabled people, and to figure out baseline data for developing oral health policies. This study was based on the 141 patient records who visited the charity free dental clinic between 2011 and 2016. Data were evaluated according to gender, types of disability, types of treatment, and the average number of caries. The number of dental treatment according to sex was 70% for men and 30% for women. Patients were classified according to types of disability. The most common type of disability is intellectual disabilities (53.9%). After that, developmental disabilities were 37.5%, and brain lesions were 8.51%. The highest frequency of dental treatment is preventive treatment (45.1%). The mean number of dental caries was higher than the number of initial dental caries in all types of disability. Preventive oral care education and regular oral screening are necessary for the oral health of patients with disabilities.

• 대한치과의사협회지
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• 제45권10호통권461호
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• pp.641-650
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• 2007

Few reports regarding the effect of government paid denture project for low-income elders evaluated by the participating dentists are available despite the project was launched in 2002. Thus, this study investigated the effect of the project evaluated by the participating dentists and suggested public health policies for the better development of the project. Survey questionnaire regarding desire to continue participation, motivation of the participation, list of complaints, wish of the payment increase, and wish of the abutment crown increase were completed by 117 dentists in Seoul and Pusan. 78.6% of them desired to continue the participation while 16.2 % of them did not. When the motivation of participation was the service for the society, they tended to show the desire of continuing participation. Half of them were satisfied with the current payment(50.4%), while the other 47.9% did not. Complicated oral health status(48.7%), poor cooperation of patients(8.5%) and too frequent after cares low payment(6.8%) were complained. Payment increase compensating the addition of preprosthetic procedures for the complicated oral health status and the after cares was desired. Also, more thorough education regarding the denture project for the patients by the public health center is needed to alleviate the inconvenience of the participating dentists.

• 대한치과의사협회지
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• 제22권2호통권177호
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• pp.141-148
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• 1984

The auther had studied on the debri index, calculus index and simplified oral hygiene index, which was made according to the oral examination criteria recommened by WHO in 1971. The examined persons were 14,825 persons who lived in large cities and rural area. The obtained results were as follows: 1. the simplified oral hygiene index were 1.81 in male and 1.54 in female who lived I large cities. In rural area, the simplified oral hygiene index were 2.23 in male and 1.92 in female. 2. the debri index, calculus index and oral hygiene index were lower in upper jaw than in lower jaw. 3. According to the aging, debri, index, calculus index and simplified oral hygiene index score wee increased. 4. Dental health education what had done was not so effective on oral hygiene.

• 치위생과학회지
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• 제12권2호
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• pp.139-144
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• 2012

본 연구는 2007년부터 시작된 대전 양치교실사업의 효과를 평가하고자 양치교실 실험군 59명과 대조군 60명을 대상으로 하여 2011년 6월- 9월까지 구강검사와 COHIP를 비롯한 설문조사를 실시하였다. 두 군 간의 경제적 상태와 주관적인 건강인식에 차이를 보여 이들 변수를 통제한 후 자료를 분석한 연구 결과는 다음과 같다. 1. 양치교실이 있는 실험군은 대조군과 비교하여 우식경험영구치수, 우식경험영구치면수 모두에서 유의한 차이가 없었다. 2. 양치교실이 있는 실험군은 대조군과 비교하여 치면세균막지수는 유의하게 낮았다(p<0.05). 3. 양치교실이 있는 실험군은 대조군과 비교하여 아동구강건강관련 삶의 질이 유의하게 양호하였다(p<0.01). 4. 양치교실이 있는 실험군은 대조군과 비교하여 불소와 치아홈메우기 사업에 관한 지식이 유의하게 높았다(p<0.01). 5. 양치교실이 있는 실험군은 대조군과 비교하여 구강보건행위면에서 유의한 차이를 보이지는 않았다. 6. 대조군이 양치교실이 있는 실험군과 비교하여 학교집단잇솔질사업에 관한 긍정적인 태도를 보였다(p<0.05) 따라서, 초등학교 양치교실사업은 치면세균막지수 감소효과와 구강건강 관련 삶의 질 증진효과를 가지고 있으나 치아우식경험도를 감소시키기 위해서는 부가적인 치아우식예방법이 요구되며 양치교실 운영시 양치교실이 효율적으로 이용될 수 있도록 운영방안과 학생들의 동기를 유발할 수 있는 프로그램 개발이 필요하다고 사료되었다.

• 치위생과학회지
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• 제15권3호
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• pp.325-332
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• 2015

본 연구는 충남 A시 보건소 방문보건팀에 등록된 방문건강사업 대상 노인 300명을 대상으로 구강건강 관련 삶의 질과 관련 요인을 조사하여 취약계층 노인들의 삶의 질 향상과 구강건강을 유지, 증진시키기 위한 지역사회 프로그램개발을 위한 기초자료로 제공하고자 연구되었으며 그 연구 결과를 요약하면 다음과 같다. 방문건강사업 대상 노인의 평균 연령은 77.1세였고, 평균 잔존 치아 수는 12.7개, 주관적 건강인지도 평균은 2.27, 일상생활점수 평균은 7.39로 나타났으며 대상자의 91.0%가 1개 이상의 만성질환을 가지고 있었다. GOHAI 점수의 평균은 37.36으로 나타났으며 점수가 낮았던 문항은 구강상태에 행복한 경험이 없음, 걱정이 있음, 단단한 음식을 씹을 때 문제가 있음의 순이었다. 구강보건행태에 따른 GOHAI의 관계는 점심식사 후 칫솔질, 구강위생용품 사용, 무자격자에 의한 진료경험, 구강검진, 스케일링 경험에서는 통계적으로 유의하지 않았으나, 미 충족 치과진료 여부는 유의한 차이가 있었다(p<0.001). GOHAI의 총점에서는 잔존 치아수(p<0.001)와 나이에서 유의미한 차이가 있었으며 하위요인에서는 남성이 통증과 불편요인에서 점수가 높았고(p<0.05), 74세 이하에서 기능제한요인의 점수가 높았다(p<0.01) 잔존 치아 수에서는 통증과 불편요인을 제외한 모든 요인에서 유의미한 차이가 있었다(p<0.001). GOHAI에 영향을 미치는 요인은 연령(p<0.05), 잔존 치아수(p<0.001), 주관적 건강 인지도(p<0.001)로 나타났다. 이상의 연구결과에 따르면 방문건강사업 대상 노인의 구강건강평가지수 점수는 낮은 편이며 연령, 치아수, 주관적 건강 인지도와 연관성이 부분적으로 확인되었기에, 방문건강대상 노인의 구강건강관련 삶의 질을 높이기 위해 치아기능 회복을 위한 보철물 제작 등 틀니 지원 확대를 위한 국가 재원 외에 지방자치단체 예산을 확보할 필요가 있으며, 장착된 의치 관리 및 구강건강증진과 관련된 프로그램이 지속적으로 개발될 필요성이 있다.

• 치위생과학회지
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• 제23권4호
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• pp.378-388
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• 2023

Background: With increasing interest in health in old age, aspects of oral aging are being considered. The Korean Academy of Geriatric Dentistry recently proposed the diagnostic criteria for oral frailty in older adults in Korea. This study aimed to conduct a cross-sectional survey of factors related to oral frailty among community-dwelling older adults and identify differences in oral frailty status according to age and sex. Methods: Among 217 older adults aged ≥60 years who visited a senior center in Wonju, 206 completed all tests for oral frailty. Among them, data from those with a Korean Version of the Modified Barthel Index score ≥90 were used in the final analysis. After evaluating oral frailty diagnostic factors such as chewing ability, occlusal force, tongue pressure, oral dryness, oral cleanliness, and swallowing function, oral hypofunction was determined according to the oral frailty diagnostic criteria. Subsequently, the evaluation results were compared based on sex and age. Results: Significant differences in chewing ability, maximum occlusal pressure, and maximum tongue pressure were observed between sexes. However, these differences did not affect oral frailty diagnosis. All diagnostic factors of oral frailty, except for the risk of oral dryness and swallowing dysfunction, showed significant differences with age. However, no significant difference was observed in the prevalence of oral frailty. Additionally, this study found no relationship between sex and oral frailty factors using the oral frailty diagnostic criteria. However, it also found that age plays a significant role as an oral frailty diagnostic indicator, in addition to oral dryness and swallowing function. Conclusion: Sex and age did not affect oral frailty diagnosis. However, patients' chewing ability, occlusal force, and tongue pressure were affected by sex and age. Therefore, sex and age should be considered when diagnosing and intervening in oral frailty in the future.

• 대한장애인치과학회지
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• 제13권1호
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• pp.33-36
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• 2017

뇌성마비 환자들은 식이자세와 잇솔질에 대해 스스로 행동할 수 없기 때문에 의과적 치과적인 문제에 더 취약할 수 밖에 없다. 낮은 사회경제적 지위와 심각한 운동장애를 가진 뇌성마비 환자들은 특히 치과치료에서 소외되기 쉽다. 의과적 치료와 함께 구강관리는 뇌성마비 환자들의 삶의 질에 매우 중요한 관련이 있다. 그러므로, 장애인들의 삶의 질을 향상시키고 의료혜택으로부터 소외되지 않도록 정기적인 검진과 예방치료를 받기 위해서는 국가차원에서 공공의료서비스 및 시스템이 필요하다.

• 한국치위생학회지
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• 제16권3호
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• pp.455-461
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• 2016

Objectives: The purpose of the study was to investigate the association between remaining functional teeth and oral health-related quality of life using Geriatric Oral Health Assessment Index(GOHAI) in the elderly. Methods: A self-reported questionnaire was completed by 237 female elderly in Daegu from May to September, 2015. The questionnaire consisted of general characteristics of the subjects and Geriatric Oral Health Assessment Index(GOHAI). A total of 216 female elderly data were analyzed for oral health status and their GOHAI score. Data were analyzed using SPSS 23.0 version. Logistic regression analysis showed the association of functional teeth and GOHAI score. Results: Number of functional teeth can affect oral health related quality of life in the elderly. When functional teeth is small, the odds ratio(OR) was 2.119(95% CI: 1.215-3.696). After adjusting age, residence type and education, OR was 1.900(95% CI: 1.060-3.399). Policies to preserve natural tooth should be recommended for increasing quality of life in general. Conclusions: This study showed significant association between number of functional teeth and the GOHAI score of the elderly women.

• 치위생과학회지
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• 제21권1호
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• pp.8-18
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• 2021

The purpose of this study is to provide the general history of fostering dentists in Japan and introducing their new roles. This research was conducted based on the government policy report on dentists and the information published by each educational institution. Based on the collected data, the official websites were used to represent the latest statistics of the institutions. The number of dentists in Japan has increased. The government established the National Examination for Dentists to guarantee the quality of dentists. After the standards for developing questions for the national examination were established in 1985, the contents of the examination have been appropriately improved by revising the standards every four years. This improvement has required dental students to study a variety of subjects for six years at dental school. Since dentists in Japan are required to respond to various demands from the nation; the Model Core Curriculum for Dental Education was developed to teach medical ethics and abilities to ensure that dentists conduct themselves professionally. Recently, the roles of dentists have been changing in Japan. When providing dental services to older patients over the age of 65, dentists and other dental professions focus on maintaining oral functions, such as saliva secretion, bite force, tongue movement, and masticatory/swallowing functions. However, oral function-related services for children are different. In addition to providing essential dental services, dental practitioners also provide special treatment, such as oral muscle training, myofunctional therapy, health guidance, and space retainers to the child patients with developmental insufficiency in oral functions. Dentistry in Japan has undergone numerous changes over the years and has continued to offer high-quality dental health services. Thus, information gained from the Japanese experience may be helpful to dental professions in other developed countries for planning oral health measures.