• 대한치과의료관리학회지
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• 제11권1호
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• pp.54-61
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• 2023

This study was conducted to identify factors related to discomfort while speaking in the elderly and provide fundamental data for establishing oral health care policies for a healthy old age. Using the raw data from the 8th wave of the National Health and Nutrition Examination Survey (2020), we conducted an analysis to examine the relationship between speaking discomfort and mental health, as well as oral health care behavior, among 1,278 elderly individuals in Korea. Differences in speaking discomfort were analyzed based on general characteristics, mental health, and oral health care behavior using complex sample cross-analysis. Additionally, factors associated with speaking discomfort were analyzed using complex sample multiple logistic regression analysis. As a result, individuals with depression experienced higher levels of speaking discomfort (p<0.05), and individuals experiencing high levels of stress also reported higher levels of speaking discomfort (p<0.05). As a factor affecting speaking discomfort, it was found that speaking discomfort was 2.56 times higher (p<0.001) when dental care was not met, and speaking discomfort was 3.05 times higher (p<0.05) when teeth brushing was less frequent. As a result of the aforementioned findings, it is believed that a customized oral health promotion program is necessary to expand dental health insurance coverage for the elderly and improve oral healthcare.

• 디지털융복합연구
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• 제11권12호
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• pp.607-614
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• 2013

본 연구는 혈액투석 중인 만성신부전증 환자들의 자가 구취인식이 구강건강관련 삶의 질에 미치는 영향을 파악하여 국내에서는 매우 드문 만성신부전 환자의 구강관련 기초자료로 사용하고자 실시하였다. 연구대상은 2013년 6월부터 7월까지 전주시에 위치한 혈액투석 전문병원에서 혈액투석 중인 만성신부전증 환자에게 설문조사를 실시하였다. 자가 구취 인식에 따른 구강 증상에서는 지난 한 달 동안 치아 아픔 증상, 잇몸에 피가 남, 혀 또는 뺨 아픔 증상, 입안 건조 증상에 유의한 차이가 나타났고, 구강기능 상태에서는 음식 씹는데 불편, 발음의 어려움, 상실된 치아 유무에 유의한 차이가 나타났다. 구강건강관련 삶의 질에서는 기능적 제한, 신체적 동통, 심리적 불편, 신체적 능력저하, 심리적 능력저하, 사회적 능력저하, 사회적 불리에 유의한 차이가 나타났다. 만성신부전 환자에서 인식한 구취가 구강건강관련 삶의 질에 미치는 영향요인 분석한 결과, 심리적 불편(B=-2.028, p<.01), 사회적 능력저하(B=2.596, p<.01), 사회적 불리(B=-2.173, p<.01)에 영향을 미치는 것으로 나타났다. 따라서 자가 인식한 구취는 심리적, 사회적으로 부정적인 영향을 미치므로 급격히 증가하고 있는 신부전 환자들에게 중요하게 고려할 요인이다.

• 한국치위생학회지
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• 제13권5호
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• pp.835-843
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• 2013

Objectives : The purpose of this study was to evaluate the chewing ability, oral-health related quality of life and factors in periodontal disease patients. Methods : Subjects were 111 patients having peridontal disease in 10 dental clinics in Busan and Gyeongsangnamdo. Questionnaire survey was carried out from July to August 2010. Questionnaire consisted of demographic characteristics, oral health factors, chewing ability and quality of life. Data were analyzed by descriptive analysis, t-test, ANOVA, correlation analysis, and multiple regression analysis using SAS(Ver 9.2) set at p<0.05. Results : Chewing ability was $44.85{\pm}8.8$, and their quality of life was $41.7{\pm}8.8$. Low level of quality of life was closely related to those factors as education, missing of more than 5 posterior teeth, certain subjective periodontal symptoms including swollen gums, sore gums, drifting gums, bad breath and toothache. The effective factors to the quality of life was chewing ability, bad breath and toothache. Conclusions : Chewing ability and quality of life were closely related each other. To enhance the quality of life, chewing ability should be improved. Proper treatment and effective method of management should also be properly considered to prevent the subjective periodontal symptoms and to minimize tooth loss.

• 한국치위생학회지
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• 제12권4호
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• pp.741-749
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• 2012

Objectives : High school students to measure fear of dental treatment, dental health care workers according to the level of reliability of this study is to determine the extent of terror was carried out. Methods : Located in Gwangju, 165 high school students were surveyed. SPSS windows ver. 11.0 by demographic characteristics and oral health characteristics of the frequency and percentage, and dental health care workers about the reliability of the Chi-square test, the general characteristics and oral health characteristics by dental fear of the t-test and one way ANOVA and were factors associated with dental fear of the stepwise multiple regression analysis was performed. General characteristics, except Cronbach-${\alpha}$ coefficient was 0.911. Results : According the general fear of Dental Treatment Fear Factor item 4, you'll feel the highest fear when you feel the muscle tension and the needle pricks your skin. The reliability of dental health care workers if the dentist lower the higher the grade, subjective oral health status is considered more reliable health was higher, the stronger the reliability of pain was significantly lower (p<0.05). Other care coordination include the reliability of sources of interest in subjective oral health history, no past experience in treating pain and increase the number of reliability was low (p<0.05), past experience and increase the number of pain during treatment the stronger the fear of more pain showed an increase (p<0.05). Conclusion : According the related factors about the fear of dental treatment, stimulus-response and fear of dental office have increased, the fear of dental treatment increase.

• Journal of Periodontal and Implant Science
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• 제36권3호
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• pp.591-600
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• 2006

Purpose: This study assessed the impact of self-reported periodontal health on the oral health-related quality of life among elderly Koreans. Methods: Four hundred twenty one elderly Koreans in Seoul and suburban areas were selected with a cluster (institution) sampling method, and were requested to take oral examinations and finish questionnaires on the Oral Health Impact Profile-14(OHIP-14). and self-reported periodontal health status, such as periodontal symptoms, self-rated periodontal health and periodontal treatment need. As the dependent variable, OHIP-14 showed a positive skewed distribution (skewness: 1.17), we transformed to square-root form to apply parametric analyses. Bivariate analysis by t-test and ANOVA, and multivariate analysis with the two-level regression model accounting clusters were implemented. Results: Mean age of the subjects was 74.6 years and 66.5% were women. Fourteen items of OHIP-14 were summarized to one factor explaining 78.6% of total variance and produced the Chronbach alpha coefficient of 0.92. Results from the multivariate model, adjusting for age, sex, type of institutions, ability to pay, and number of teeth present, showed significantly lower OHIP-14 with reporting less than 3 periodontal symptoms (p(O.OOO1), rating their own periodontal health as above average level (p=O.0144), and thinking they don't need any periodontal treatments in the near future (p=O.0148), than their counterparts. The intraclass-corrrelation estimated by the final model was 0.028. Conclusion: This study demonstrates a significant association between self-reported periodontal health status and the oral health-related quality of life.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제35권5호
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• pp.294-298
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• 2009

Purpose: The development of a microvascularization is important for the homeostasis of normal bone. Vascular endothelial growth factor (VEGF) is one of the most important factors in vessel formation. The purpose of this study was to examine VEGF-related autocrine growth in periosteal-derived cells. Materials and methods: Periosteal-derived cells were obtained from mandibular periosteums and introduced into the cell culture. After passage 3, the periosteal-derived cells were further cultured for 21 days in an osteogenic inductive culture medium containing dexamethasone, ascorbic acid, and $\beta$-glycerophosphate. Results: The expression of four VEGF isoforms and VEGFRs was observed in periosteal-derived cells. Treatment with cultures with VEGFR-1 and VEGFR-2 Kinase Inhibitor inhibited osteoblastic differentiation and alkaline phosphatase (ALP) activity of periosteal-derived cells. In addition, exogenous VEGF treatment increased calcium content in the periosteal-derived cells. Conclusion: These results suggest that VEGF might act as an autocrine growth molecule during osteoblastic differentiation of cultured human periosteal-derived cells.

• 융합정보논문지
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• 제8권4호
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• pp.45-53
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• 2018

본 연구는 우리나라 청소년의 주관적 우울경험이 구강건강에 미치는 융합 요인을 알아보기 위해 청소년건강행태 온라인 조사를 이용하였다. 본 연구의 종속변수는 구강건강행태와 자각증상경험으로 구분하였고, 독립변수로는 주관적 우울경험으로 구성하였다. 우울경험이 구강건강에 미치는 융합요인으로 구강건강행태에서는 하루 칫솔질 횟수, 점심식사 후 칫솔질, 실란트 유무는 주관적 우울경험이 없는 경우보다 있는 경우가 유의하게 높았고, 자각증상경험에서는 치아 깨짐, 음식섭취 시 아픔, 잇몸출혈 유무, 구취 유무에서 주관적 우울이 없는 경우 보다 있는 경우 유의하게 높게 나타났다. 이상의 결과로 보아 우울과 구강건강은 관련이 있는 것으로 나타나 청소년들의 구강건강을 향상시키기 위해 심리적인 요소를 고려해야 할 것으로 사료된다.

• 감성과학
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• 제24권3호
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• pp.17-26
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• 2021

본 연구는 국민건강영양조사 7기(2016~2018) 자료를 이용하여 의사로부터 우울증 진단을 받았거나 우울증 선별도구(PHQ-9)를 바탕으로 우울증 분류된 대상자의 구강건강 상태와 구강 건강관리행태를 비교하고 관련 위험요인들을 분석하였다. 연구에 사용된 국민건강영양조사 7기 전체 대상자 수는 16,489명이며, 그중 성인(19세 이상)이며 구강검진을 시행한 13,199명을 대상으로 자료를 분석하였다. 일반적 특성 중 성별, 연령, 소득수준, 교육수준, 흡연과 음주 모두에서 우울증군과 비우울증군 간에 유의미한 차이를 확인하였다. 또한, 구강검진 및 구강 건강상태에서 비우울증군과 비교하여 우울증 군에서 말하기 불편감(OR=2.82), 저작불편감(OR=2.41), 치통경험(OR=1.49), 보철물(OR=1.33)이 높은 것으로 나타나 우울증 발생 위험도가 증가하는 것으로 관찰되었으나, 가공의치 필요 수는 우울증 발생관련 위험요인이 아닌 것으로 확인되었다. 심리적 요인에 있어서는 전신건강이 나쁘다고 인식할수록 우울증 발생 유병률이 증가하였으며(OR=9.10), 구강건강이 나쁘다고 느끼는 경우도 증가하여(OR=1.94) 우울증 발생 관련 위험요인으로 확인되었다. 구강 건강관리 행태에서는 일일 칫솔질 횟수가 감소할수록(OR=1.81), 치실을 사용하지 않고(OR=1.42) 구강검진을 받지 않는 사람 일수록(OR=1.31) 우울증 발생 위험도가 증가함이 확인되었다. 따라서 구강건강 상태 및 구강건강 행태는 성인 우울증의 잠재적 위험요인으로 인지되며, 이를 바탕으로 성인 우울증 관리에 있어서 일반적 정신건강뿐만 아니라 구강건강과 구강관리행태 고려한 성인건강 관련 프로그램이 필요할 것으로 생각된다.

• 한국치위생학회지
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• 제18권4호
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• pp.585-595
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• 2018

Objectives: The purposes of this study were to comprehend the subjective dental health status and the level of dental health knowledge in some middle school students and to analyze the correlation with dental health behaviors. Methods: A survey was conducted in some middle school students and the final 637 survey data were analysed. As the statistical analysis methods, the subjective dental health status, dental health knowledge and dental health behaviors according to the general characteristics were analyzed by independent t-test, one way ANOVA and Scheffe. The correlations among the subjective dental health status, dental health knowledge and dental health behavior were found by Pearson's correlation and multiple regression analysis. Results: Through correlation analysis of the subjective dental health status, dental health knowledge and dental health behavior, all showed a significant correlation. As a result of the factor analysis affecting dental behaviors, subjective dental health status was the highest (${\beta}=0.304$, p<0.001). Conclusions: The results of this study suggest that the improvement of subjective dental health status and dental health knowledge related to dental behaviors health in the middle school students should be considered. In addition, dental health education should focus on improving subjective dental health status through motivation rather than knowledge transfer training. Moreover, development programs appropriate for the middle school students whose behavioral changes are hard to obtain are needed.

• 한국치위생학회지
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• 제10권1호
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• pp.157-172
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• 2010

Objectives : This study is to grasp the efficacy, locus of control, oral disease management beliefs, etc and to make a close inquiry the relevance between theses key figures and oral health promotion practice for a teacher and oral care about children and to provide the basic materials of oral health education for the teachers of infant nursery. Methods : This study was made from July to September in 2009 to nursery teacher by having the self-report questionnaire for teachers of infant nursery who are performing nursry school tearcher. Total 187 questionnaire were distributed and among these, 167 questionnaire excluding 20 questionnaire of incomplete responses were statistically analyzed with SPSS12.0. Results : The efficacy is highly in a married person(p=0.001) according to the teacher's age(P=0.006), perceived good oral status(p=0.001) according to the oral conditions and has the significant difference. The internal locus of control is highly in a married person(p=0.006) according to the teacher's age(P=0.037) and the marital status and has the significant difference statistically. The external locus of control is the highest(p=0.038) in the age of 40 among teacher's age and has the significant difference statistically. The oral disease management beliefs is the highest in the age of 20 ~ 29(p=0.001), highly in married(p=0.003) and has the significant difference according to the marital status and perceived good oral status(p=0.045) according to the oral conditions. There has no significant difference in the efficacy, the internal locus of control, the external Lotus of Control, oral disease management beliefs following by the infant oral care after taking medicines and oral care of infants after tooth brushing. Conclusions : Therefore, the oral health promotion activities should be induced by educating the nursery teacher and it needs to spread out the oral care education with the development to operate practically. It is considered in need of the infant oral care which is not burden on to the nursery teacher but helpful to the infant by connecting the subjects of dental hygiene and oral health education training.