• Title/Summary/Keyword: preventive dentistry

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Periodontitis among poor rural Indian mothers increases the risk of low birth weight babies: a hospital-based case control study

  • Jacob, Pulikottil Shaju;Nath, Sonia
    • Journal of Periodontal and Implant Science
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    • v.44 no.2
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    • pp.85-93
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    • 2014
  • Purpose: Low birth weight (LBW) is one of the major public health problems in India. Hence, there is a need to identify risk factors that, when modified, will reduce the burden of unhealthy children on the healthcare system. The objective of this study was to determine whether periodontitis among mothers in the rural population of India is a risk factor for LBW babies. Methods: A hospital-based case control study was conducted among 340 postpartum mothers. The cases consisted of 170 women who had given birth to babies weighing <2,500 g, while the control group consisted of 170 women who had given birth to babies weighing ${\geq}2,500g$. Details of the mothers were taken from the hospital records and through a personal interview, and a full-mouth periodontal examination was performed postpartum, which included probing depth, clinical attachment level, and bleeding on probing on six sites per tooth. Results: LBW cases had a significantly worse periodontal status than the controls, having an odds ratio (OR) of 2.94 (P=0.01). The multivariate logistic regression model demonstrated that periodontal disease is a significant independent risk factor with an adjusted odds ratio (aOR) of 2.85 for the LBW group (95% confidence interval [CI], 1.62-5.5). Other factors showing significant associations with LBW were pre-eclampsia (aOR, 4.49; 95% CI, 1.4-14.7), preterm labor (aOR, 5.5; 95% CI, 3.2-9.9), and vaginal type of delivery (aOR, 2.74; 95% CI, 1.4-5.2). Conclusions: Periodontitis represents a strong, independent, and clinically significant risk factor for LBW. Periodontal therapy should form a part of the antenatal preventive care among rural women in India.

The effect of garlic extract on antibacterial activity of periopathogens (Garlic extract 배합 치약의 치주질환 균주에 대한 항균 효과)

  • Jang, Jong-Hwa;Park, Young-Duk;Ryu, Da-Young
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.3
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    • pp.631-640
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    • 2012
  • Objectives : This study mean to confirm the antibacterial activity of a garlic extract widely culturing in our region and was to determine the effect of dentifrice containing 0.1% extracts of garlic on dental plaque and gingivitis in a double blind and clinical studies in 50 healthy adults aged from 20 to 22 years who provided a consent for their participation. Methods : The antibacterial activity was evaluated using triple distilled water and the Kirby-Bauer disk diffusion method and the minimal inhibitory concentration(MIC) against various pathogens for periodontal disease, such as P. gingivalis 381(ATCC33277), was estimated. The experimental groups classified according to the concentration of garlic extract used: 10,000ppm(A), 5,000ppm(B), 2,500ppm(C), 1,000ppm(D). Oral examination of subjects was performed through clinical periods and on day of baseline, 6, 12, 19, 25 days plaque index and gingival index were scored by Turesky' modified index and Loe & Silness index. After 12, 19, 25 days use of their respective dentifrices, statistically decreases of plaque index, gingival index were shown in both the experimental and the control group, respectively. Results : There was significant antibacterial activity in the "2,500ppm(C)" group against P. gingivalis 381. Experimental group exhibited significantly the lower plaque levels and the higher levels of gingival health by the use of the dentifrices contained extract of garlic from 6 days compare with control group(p<0.05). The degree of decrease was more significant on gingivitis level of the experimental group than the control group(p<0.05). Conclusions : This findings indicated that the oral products containing a garlic extract is effective in preventing and treating periodontal diseases, and has potential value in inhibiting periopathogens.

THE STATUS OF ORAL HEALTH BEHAVIORS AND DENTAL SERVICES IN THE KOREAN DISABLED (전국 시설이용 장애인의 구강보건의식행태에 관한 조사연구)

  • Kim, Young-Nam;Choi, Youn-Hee;Jeon, Hyun-Sun;Lim, Ji-Jun;Chung, Won-Gyun;Jang, Sun-Ok;Lee, Keung-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.1 no.1
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    • pp.18-24
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    • 2005
  • The purposes of this study were 1) to investigate the oral health problem of the disabled according to the handicapped types, 2) to collect the empirical data for developing and establishing the oral health policies for the handicapped, and 3) to find out the major obstacles against the dental services and oral health promotion. The handicapped subjects were collected by designed cluster sampling and interviewed with structured questionnaire in order to measure the oral health knowledge and behaviors. The subjects were attending the special schools and private or public welfare institutions for crippled disorder, encephalopathy disorder, mental retardation, visual disturbance, hearing defect, and developmental disorder. Oral examination was conducted by 13 trained dentists. 1,476 of handicapped people were finally surveyed. The results were as follows; The experiences of visiting dental office during the last one year in 18~64 year-old disabled people were 48.86% in crippled disorder, 52.50% in mental retardation, 58.24% in visual disturbance, 39.29% in hearing defect, respectively. To improve this challenging situation, we should find out the obstacles against the dental service and oral hygiene maintenance by the types of handicap, and develop the oral health policies which could support and advocate the Korean disabled.

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A comparison of marginal fitness by dental alloys (치관 보철물 제작에 사용되는 치과용 금속의 변연 적합도 비교)

  • Kim, Nam-Joong;Hwang, Kyung-Sook;Park, Yong-Duk
    • Journal of Technologic Dentistry
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    • v.25 no.1
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    • pp.29-40
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    • 2003
  • This study was aimed to verify a comparison by dental alloys upon the marginal fitness of dental prosthesis. Firstly, we waxed up on 45 epoxy resin dies, pressed the margin with hands, and identified the marginal fitness with microscope. And we made a single direct spruing system type of sprue by 3 dental alloys - metal crown alloys, PFM crown alloys, and gold crown alloys - each 15, total 45 waxing up, adjusting W/P ratio and invested the cast ring. Then, we made the dental prosthesis using the electric casting machine. In these processes we followed the manufacturer's instructions, in order to maintain the other conditions from the inner and outer, which included investment and burning out. After we tried on the dental prosthesis on epoxy resin dies, we have got the means of marginal gap at 9 points with same distances, around the cervical line which was checked already, using microscope($\times$300). The results of this study were as follows : 1. Metal crown alloys showed 2.9% better in marginal fitness than PFM crown alloys, and the difference was not statistically significant(P=0.497). 2. Gold crown alloys showed 31.3% better in marginal fitness than Metal crown alloys, and the difference was statistically significant(P=0.004). 3. Gold crown alloys showed 32.4% better in marginal fitness than PFM crown alloys, and the difference was statistically significant(P=0.002). 4. We saw that Gold crown alloys was the best dental alloys in the marginal fitness among the three.(P=0.049).

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Spatial changes of the upper dentition following en-masse space closure: A comparison between first and second premolar extraction (En-masse 견인에 의한 발치공간 폐쇄 후 상악치열의 이동양상 -제1소구치 및 제2소구치 발치 비교)

  • Kim, Hui-Jung;Chun, Youn-Sic;Jung, Sang-Hyuk
    • The korean journal of orthodontics
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    • v.35 no.5 s.112
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    • pp.371-380
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    • 2005
  • The purpose of this experimental study was to evaluate aㅜd compare maxillary arch dimensional and positional changes between first and second premolar extraction groups. The Calorific Machine was used to illustrate tooth movement in three dimensions. The experimental teeth except the first or second premolars were embedded in artifical alveolar bone. The extraction space was closed using arch wires with bull loops into which 15 degree gable bends were placed. Before and after space closure, radiographs were taken in the sagittal and occlusal directions using occlusal films. The results showed greater mean maxillary incisor retraction and less anchorage loss in the maxillary first premolar extraction group than in the maxillary second premolar extraction group. Mesiopalatal rotation of anchor teeth was greater after extraction of a maxillary second premolar than a maxillary first premolar (P<.001).

Achievement and effectiveness on oral health education of M high school students in Seoul (서울 M 고등학교 학생들의 구강보건교육에 대한 성취도 및 유효도)

  • Shin, Kyoung-Hee;Jin, Bo-Hyoung;Yoon, Mi-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.5
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    • pp.801-809
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    • 2011
  • Objectives : The Purpose of this study is to apply an oral health education program to the high school students, to analyze their oral health knowledge and changes of behaviors, and to examine oral health education for effective, thus using all of those results as the basic data for developing materials on their oral health education. Methods : The study was conducted on the freshmen and women of M high student in Seoul City. They were in total 85 student, consisting of 77 of male student(90.6%) and 8 of female student(9.4%). Knowledge survey contained 38 questions including such as dental common knowledge, dental caries, and periodontal disease, while behaviors survey did 24 questions including such as tooth-brushing, brush selection and management, and prevention of oral disease. Results : First, oral health education had brought to improve oral health knowledge for high school students. Second, even with the improvement of oral health behaviors through the education, there was not statistically significant on behaviors such as the regular checkups and the usage of dental floss. And third, the students in general were satisfied with the oral health education. Conclusions : First, the oral health education being conducted in kindergarten and elementary school should be continued or expanded into the adolescence. Second, the oral health education should be focused efficiently on the learning objective demanding for a change of behavior through the repeated education, for which the education that is right for the high school students should be done. And third, for the effective oral health education in high school, the media that could cause interests should be developed.

Growth Inhibition of S.mutans by using fluorine and reproducing the test method by measuring the pH change in the culture solution (불소에 의한 S. mutans의 성장억제 및 배양액의 pH변화 측정을 이용한 실험법 재현)

  • Jee, Yun-Jeong;Choi, Yun-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.3
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    • pp.139-148
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    • 2008
  • A fluorine solution was used to measure the growth of S.mutans and the pH changes were also measured in order to find an effective and preventative dentistry lab within a limited time for the dental hygiene department curriculum and the following results were obtained. 1. In the growth comparison of S.mutans, the culture medium of the experiment group with fluorine weighed 0.3g and the culture medium with no fluorine weighed 0.5g, which shows that the growth rate of S.mutans is significantly decreased in the culture medium with the fluorine. 2. The pH7.8 of the culture medium was not nearly changed; it became 7.0 after culturing with fluoride, however the pH was significantly decreased to 3 in the culture medium that had no fluorine. 3. Since it has been proven that the fluorine can control the growth of germs, it is believed that the effect of fluorine as a cavity preventative should be emphasized to students and in addition, it will help students transmit the effect of fluoride to their patients since this knowledge has been acquired through practice. 4. It is considered that this is a simple test protocol providing effective results in the microorganism and preventive dentistry lab within a limited time and furthermore, it will furnish the students of dental hygiene with comprehensive accessibility to dental hygiene curriculum.

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Comparative study on factors affecting patient cooperation for dental treatments between orthodontic patients and non-orthodontic patients (치과교정여부에 따른 치과협조도에 영향을 미치는 요인 연구)

  • Lee, Kyeong-Hee;Park, Han-Bit;Yong, Hee-Yeon;Lee, Ji-Hee;Choi, Da-In;Hyeon, Hye-Min;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.4
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    • pp.565-575
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    • 2017
  • Objectives: This study aims to investigate patient cooperation for dental treatments by dividing patients into two groups with different treatment categories, i.e. orthodontic patients versus non-orthodontic patients. Methods: On December 2016, the study conducted survey targeting 311 orthodontic or non-orthodontic patients who are 20 years old or older living in Seoul and Gyeonggi-do, South Korea. The study subject were informed with the adequate information of the study and signed consent forms. Except for the questionnaire copies from 23 respondents whose answers were insincere those from 288 respondents, equivalent to 92.6% of the data collected, were used in the present analysis. Results: This review intended to clarify any factors affecting patient cooperation for dental treatments shows that the perception of oral condition, the reliability of dentistry, and the patient preventive cooperation had an effect on patient cooperation for dental treatments. Conclusions: The results summarized above suggest orthodontic patients who are familiar with dental treatments by virtue of their regular visits to dental clinics have higher cooperation for dental treatments compared to non-orthodontic patients, and the higher reliability of dentistry leads to higher patient cooperation for dental treatments.

The effect of calcium and magnesium concentration in saliva on dental caries activity after consuming calcium (칼슘 섭취 후 타액 내 칼슘 및 마그네슘 농도가 치아우식활성도에 미치는 영향)

  • Park, Jung-Eun;Hwang, Su-Yeon;Kim, Seol-Ak
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.2
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    • pp.283-294
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    • 2017
  • Objectives: The purpose of the study was to investigate the effect of calcium concentration in saliva on dental caries activity after consuming calcium. Methods: A total of 59 adult women aged 20 to 40 years were surveyed for calcium intake. The daily average calcium intake was analyzed through dietary records of the subjects. The subjects were divided into two groups based on daily average calcium intake. Salivary pH and concentrations of minerals in the saliva were obtained from A group and B group. Calcium ($Ca^{2+}$) and magnesium ($Mg^{2+}$) concentrations in saliva were measured by HPLC-Ion chromatography using 15 mM sulfuric acid. The dental caries activity test was quantified by salivary buffer capacity test and plaque pH test. Results: The mean $Ca^{2+}$ concentrations of A group was $12.75{\mu}g/m$, the mean $Ca^{2+}$ concentrations in the B group was $16.30{\mu}g/mL$ (p<0.05) and respectively, $Mg^{2+}$ concentrations were found to be $0.48{\mu}g/mL$ and $0.51{\mu}g/mL$. Calcium intake and calcium concentration in saliva showed a significant correlation (r=0.380). Conclusions: The mean $Ca^{2+}$ concentrations in saliva was higher in the high calcium intake group. Therefore, calcium intake in saliva was correlated with dental caries.

The effect of the cariview test and professional brushing training on the reduction of PHP index of dental hygiene students (Cariview test와 전문가 칫솔질 교육이 치위생(학)과 신입생의 PHP index 감소에 미치는 효과)

  • Kim, Youn-Hwa;Kim, Yu-Geun;Yoo, Jin-Ah;Park, Jung-Eun
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.6
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    • pp.993-1001
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    • 2017
  • Objectives: This study was conducted to examine the effectiveness in oral health promotion through oral health education for freshmen students of the dental hygiene department. Methods: To verify its effectiveness, research was conducted on 74 freshmen of the dental hygiene department by the evaluation of DMFT index, PHP index, and Cariview test (2015-2016). Results: The analysis of the test results using Cariview equipment shows a categorization of low risk group consisting of 10 students (13.5%), middle risk group consisting of 47 students (63.5%), and a high risk group consisting of 17 students (22.9%). DT index according to the number of daily tooth brushing by <2 is DT index average score higher and in such a case, statistics are considered meaningful (p<0.01). Oral health state at DMFT index of low risk group according to Cariview risk group for an analysis is lower than both the middle risk group and the high risk group (p<0.001). Conclusions: A review of the effect of the promotion of oral health through oral health education on the behavior change rather than of Cariview test and value of dental plaque through tooth brushing method was conducted.