Journal of the Korean Association of Oral and Maxillofacial Surgeons
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v.44
no.6
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pp.269-274
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2018
Objectives: The incidence and patterns of mandibular fractures vary by country and population age. This retrospective study evaluated the etiologies and patterns of mandibular fractures in children. Materials and Methods: The clinical records of 89 children (45 males and 44 females) aged 0 to 12 years who presented with mandibular fractures from July 2012 to June 2016 were retrospectively reviewed. The sex, patient age, site of fracture, etiology of trauma, and monthly variations of the fractures were recorded. Descriptive statistics, the z-test and chi-square test were used for statistical analysis and the P-value was set at <0.05. Results: Eighty-nine children (male-to-female ratio 1.02:1) sustained 131 mandibular fractures. Within the study sample, the 6 to 9 year age group most frequently experienced fractures (47.3%). Falls and road traffic accidents (RTA) were the two most common etiological factors that accounted for 44.9% and 24.7% of cases. The condylar fracture was the most common anatomical location (38.9%) followed by the angle (20.6%), parasymphysis (18.3%), body (15.3%), and symphysis (5.3%). A single fracture (51.7%) was more common than multiple fractures (48.3%). The month-wise distribution of mandibular fractures was fairly constant. Conclusion: The condylar region was the most common anatomic site for fractures; in addition, a fall and RTA were the major etiological factors for mandibular fractures. A single fracture was observed in 51.7% of patients while multiple fracture lines accounted for 48.3% of cases.
Objectives: The aim of this study was to investigate the association between depression, anxiety, and COVID-19 with regard to dental hygienists. Methods: A questionnaire survey on depression and anxiety was conducted on 189 dental hygienists from dental hospitals and clinics in the Daegu-Gyeongbuk area. Results: The overall prevalence of depression was 69.8% and that of anxiety was 53.4%. The aspect of depression was heavily influenced by past experience with COVID-19 related quarantine and contact with a confirmed patient. The prolonged pandemic was observed to have exerted a greater impact on depression and anxiety (p<0.05). Conclusions: Depression and anxiety seem to be related to COVID-19 related factors among dental hygienists. Dental hospitals and clinics should monitor the level of depression and anxiety of dental hygienists who are at an elevated risk of COVID-19.
Background: To promote and maintain oral health among adults, the relationship between oral health and obesity was examined, and the effects of oral health on obesity were investigated. Methods: A total of 4,270 Korean adults aged ≥20 years were selected as study subjects using raw data from the first year (2019) of the eighth period of the Korea National Health and Nutrition Examination Survey (KNHANES). Complex sample Rao-Scott chi-square test and complex sample logistic regression analysis were performed using PASW Statistics ver. 18.0. Results: The prevalence of abdominal obesity was 1.3 times higher subjects with poor oral health than in those with good perceived oral health and 1.3 times higher in subjects who did not receive dental checkups compared to those that did. The frequency of brushing of teeth was 1.2 times higher for subjects who reported brushing 2~3 times per day compared to those who reported brushing four or more times per day. The risk of being overweight was 1.3 times higher in subjects with one or more dental implants than in those with none. Conclusion: To build an integrated health program, it is thought that a preventive approach through self and expert oral health care, considering the age-specific characteristics of adults, is necessary for the intervention process used to build customized obesity prevention projects at the national level.
This study aims to investigate the effect of four-week oral health promotion program operated through the cooperation between professionals and teachers of community child centers by reflecting characteristics of the centers and to suggest oral health promotion program applicable to community child centers. 4 community child centers has an enrollment of 119. 53 (44.5%) children completing the first and the second questionnaire survey were analyzed in this study. When dental plaque scores of 41 participants joining all of the first- to the fourth- week program and undergoing the dental plaque examination were compared before and after the oral health promotion program for community child center, the plaque control score was improved after the repeated education(p<0.05). Oral health knowledge and awareness of children in community child center were positive improved by oral health promotion program(p<0.05). And number of tooth-brushing a day improved by oral health promotion program. These findings suggest that there was a need for various oral health promotion program development in the community.
This study conducted oral examinations and individual interviews on migrant multi-cultural family women in Daegu and measured their socio-demographic characters, oral health conditions and OHIP-14 in an aim to investigate the relevance between the oral health of migrant multi-cultural family women living in some big cities and their quality of life. Based on data finally collected from 189 women, the t-test, ANOVA and binary logistic regression analysis were conducted and the conclusions are as follows: The average number of decayed teeth was 2.23, loss teeth was 1.48, and treated teeth was 5.58. Women from the Philippines had more number of loss teeth than those from other countries, and women from China relatively had a small number of filled permanent teeth. The quality of life related to oral health was found to be poor in proportion to the number of loss teeth. A comparison of life quality related to oral health depending on loss teeth showed that life quality related to oral health was lowest in the areas of mental discomfort, physical ability decrease, mental ability decrease, social ability decrease and social disadvantage. Life quality related to oral health was found to be low in proportion to the number of permanent teeth with decay experience and poor monthly household income, which shows that the number of permanent teeth with decay experience and monthly income are mostly related to life quality related to oral health. As migrant multi-cultural family women's life quality related to oral health is low in proportion to the number of loss teeth and decayed teeth, it needs to develop a program to improve their oral healthrelated life quality and conduct follow-up research to verify its effect.
This study was the study verifying dental technicians' motivation and job satisfaction in Seoul through the positive method as well as its purposes were to investigated the effect of dental technicians manpower supply/demand prospect on motivation, job satisfaction and the effect of other job satisfaction factors on dental technicians motivation and job satisfaction. For then, general characteristics of study objects were classified by sex, married/unmarried, age, career, salary, highest level of education, working place, position and job as well as job satisfaction factors were classified with future supply/demand prospect, future prospect, working hours, working environment and salary. We conducted a frequency analysis, crossing analysis and multi-linear regression analysis about the effect of the classified articles on motivation and job satisfaction. Also, for verifying the relationship of motivation and job satisfaction, we conducted correlation analysis and its result is as followed. First, it showed that the job related with making orthodontic appliance influenced on motivation, among the age, career and job of the general characteristics, and other jobs between working place and job influenced on job satisfaction. Second, the dark future prospect was showed to influence on motivation and job satisfaction highly so we could grasp that negative opinions are included in that. And low-paying was showed to highly influence on job satisfaction s fall so we could grasp the subjective low-salary standard at the present. But we expected that the manpower supply/demand prospect would influence on motivation and job satisfaction but there was little influence. Third, the correlation between motivation and job satisfaction was showed to be somewhat high, motivation had the standard which is above average and job satisfaction had the standard which is below the average. So with a little improving of job satisfaction, it s possible that motivation can be very high. Therefore, in rapidly changing generation, we think that the dental technicians are actively coping with the reality of low-paying and high-working. But it's implying that anxiety for uncertain future was reflected. Furthermore, because institutional strategies for dental technicians' efficient management are insufficient in relation with policies so it's necessary the policy consideration for solve the job-unsatisfying factors actively.
Kim, Su-Jin;Chun, Youn-Sic;Jung, Sang-Hyuk;Park, Sun-Hyung
The korean journal of orthodontics
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v.38
no.6
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pp.376-387
/
2008
Objective: The purpose of this study was to compare the three dimensional changes of tooth movement using four different types of maxillary molar distalization appliances; pendulum appliance (PD), mini-implant supported pendulum appliance (MPD), stainless steel open coil spring (SP) and mini-implant supported stainless steel open coil spring (MSP). Methods: These experiments were performed using the Calorific $machine^{(R)}$ which can simulate dynamic tooth movement. Computed tomography (CT) images of the experimental model were taken before and after tooth movement in 1 mm thicknesses and reconstructed into a three dimensional model using V-works $4.0^{TM}$. These reconstructed images were superimposed using Rapidform $2004^{TM}$ and the direction and amount of tooth movement were measured. Results: The mean reciprocal anchor loss ratio at the first premolar was 17 - 19% for the PD and SP groups. The appliances using mini-implants (MPD or MSP) resulted in less anchorage loss (7 - 8%). On application of a pendulum appliance or MPD, distalization was obtained by tipping rather than by bodily movement. Furthermore, the maxillary second molar tipped distally and bucally. But on application of MSP, distalization was achieved almost by bodily movement. Conclusions: Regarding tooth movement patterns during molar distalization, stainless steel open coil spring with indirect skeletal anchorage was relatively superior to other methods.
It is well known that the application of dressings after periodontal surgery have benefits to provide the comforts to patient and to promote the healing process with action of bleeding control and temporary stabilization for the operated mobile teeth. But until recently the relationship between periodontal dressings and cells which are composed of periodontium has not been clear. The purpose of this study was to evaluate the cytotoxic effect of soluble extracts from the four different kinds of periodontal dressings, two of them were eugenol type (K.H.pack, Wondrpak) and the others were non-eugenol type (Coe-pak, Periocare), on the human gingival fibroblasts in vitro. Human gingival fibroblasts were primarily cultured from gingiva around third molar during the extraction for preventive purposes. Extracts solution were prepared with culture medium by means of imersing the consistent size of periodontal dressing made from plastic mold. Cell were inoculated into the 24 well plate with $3\;{\times}\;10^4\;cells/well$ of medium at $37\;^{\circ}C$, 100% of humidity, 5% of $CO_2$, incubator for 24 hours. After discard of the supernatant of medium, those cells were cultured with original, 1/2, 1/5, 1/10 diluted soluble extract for 24, 48 and 72 hours, and counted the number of cells using the hemocytometer at each designed time and concentration. Also, the cytotoxic effect of soluble extract was measured by Wataha's MTT assay method. In briefly, cells were inoculated and cultured into 96 well culture plate with $2\;{\times}\;10^4\;cells/well$ for 24 hours. Soluble extracts were applied to cultured cells and incubated for 48 hours at same condition. $50\;{\mu}l$ of MTT solution and DMSO were added into each well for the detection of absorbance with ELISA reader. The measured data were calculated by value of colorimetric assay for survival rate. The results were as follows ; In the case of eugenol type of dressing, original, 1/2 and 1/5 diluted extracts of K.H.pack showed very low survival rate. And original extract of Wondrpak showed strong cytotoxic effect and 1/2 diluted extract showed moderate cytotoxic effect. In the case of Non-eugenol type of dressings, only original extract of Coe-pak revealed strong cytotoxic effect and Periocare had little cytotoxic effect. It is concluded that eugenol type of dressings showed more cytotoxic effect than non-eugenol types. This study suggest that use of non-eugenol dressings after periodontal surgery is recommended.
The aim of this study was to assess the association between recommendation of sugar-free oral medicines and the knowledge, attitude and awareness regarding oral health in Korean pharmacists. A total of 223 pharmacists were invited to participate, and the response rate was 67.7%(n=151). Chi-square test and Logistic regression models were conducted using SPSS 18.0K for Windows(Version 18.0, SPSS Inc, USA). Pharmacists with high scores oral health knowledge or awareness more have recommended of sugar-free oral medicines compared to pharmacists with low scores oral health attitude or awareness. We found that oral health attitude and awareness was significantly associated with recommendation of sugar-free oral medicines of pharmacists. Future research is required to develop oral health education program for the role of pharmacist as an oral health adviser.
Objectives : The aim of this study was to evaluate the relation between the state of dental health(number of natural teeth) and nutritional status of Korean elderly using Korean Dietary Reference Intakes, which was an objective standard for nutritional intake based on database of Korea National Health and Nutrition Examination Survey, large scale of sample obtained by the government. Methods : Complex sampling procedure was used to analyze the fourth data(2007-2009) of Korea National Health and Nutrition Examination Survey. When preparing planning file, the estimator of variance as a stratification variance (variance name : kstrata), population of survey unit as a cluster variance(variance name : PSU), and previous exam and nutritional related weighted as a weighted were analyzed by considering reproduced survey and nutritional related total weighted. Complex samples chi-square test was used to estimate the relation between number of natural teeth and inadequate intake and relation factors included in the model were analyzed by complex samples logistic regression analysis. Results : The group of edentulous had a higher risk to intake less nutrient, except calcium, riboflavin and vitamin C than recommended level comparing to reference group which had natural teeth more than 20(phosphate : OR=1.763; 95% CI=1.273-2.443, thiamine : OR=1.748; 95% CI=1.276-2.395, protein : OR=1.610; 95% CI=1.213-2.138). Conclusions : The number of teeth in Korean elderly over 65 years old had a relation with nutritional status in this investigation. Especially, intake level of nutrients was different between the edentulous group and the reference group. Therefore, dental health care is needed from young and middle age to keep health dental condition for through whole life as well as old age. Although the dental condition of the aged is not good, it is evitable to educate them about the relation between dental health and nutritional ingestion to take balanced nutrition, we think.
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