• 한국치위생학회지
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• 제15권5호
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• pp.925-932
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• 2015

Objectives: The aim of this study is to investigate the relationship between diabetes mellitus and oral disease in the Korea adults by using the representative data of Korea National Health and Nutrition Examination Survey (KNHANES) V. Methods: Using data from a cross-sectional survey of Korea National Health and Nutrition Examination Survey V. The subjects were 5,602 adults over 19 years old. The survey data and the examination data are used for the independent variables. KNHANES included health status, nutrition survey, and oral examination. The health status was obtained by a self-reported questionnaire of the study subjects and direct interview was carried out on economic status, prevalence rate, and use of medical services. Results: The regular dental checkup of diabetes patients was significantly lower than the general population. Regular dental visits allow adults to receive early diagnosis and obtain restorative care at the first visit. The regular annual oral examination is very important to prevent and manage the chronic diseases including diabetes mellitus. Conclusions: Diabetes mellitus can be fully prevented and managed by the regular annual dental checkup. The establishment of the regular dental checkup system can prevent and manage the complication due to diabetes mellitus and other chronic diseases.

• 한국치위생학회지
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• 제16권6호
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• pp.955-968
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• 2016

Objectives: The purpose of the study was to investigate the oral health behavior according to perceived oral symptoms in the elderly. Methods: The data were obtained from the 6th Korean National Health and Nutrition Examination Survey (2013). Data were analyzed by complex sample frequency t test, one-way ANOVA, ${\chi}^2$ test, and general analysis. The questionnaire consisted of general characteristics of the subjects and perceived oral symptoms. Results: Those who had higher education tended to brush teeth regularly. The use of oral hygiene product was also high in higher educated elderly and higher income. Those with good oral health perception showed regular toothbrushing habit. Those with good chewing and mastication used oral hygiene products. Male tended to have regular dental checkup. Those having spouse, higher income, younger age, regular dental checkup had good chewing ability. Poor oral health perception, toothache, and chewing difficulty were the main cause of dental visit (p<0.05). Conclusions: The elderly with poor perceived oral symptoms showed lower level of oral hygiene care. They tended to visit dental clinics only when they had oral symptoms.

• 한국치위생학회지
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• 제9권4호
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• pp.824-835
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• 2009

Objectives : The purpose of this study was identified about oral health status and oral health needs of elderly. Moreover this study would be based further research of development of oral health in elderly. Methods : This study was undertaken to determine the oral health status and the need of oral management of over 65years elderly who were with dental prosthesis in elderly welfare center and Kyung Ro Dong in Kyung Bok and Kyung Nam. The results were as follows. Results : The sample was 200 participants. The demographical characteristic were that 74.0% of participant was female, 29.0% of participant was 75~79 years old, 42.5% of participant was under elementary, and 45.5% of participant was living alone. 43.7% of participant was pain from muscle-skeletal disease, 37.1% of participant was cardiac-vascular disease, and 31.1% of participant was ophthalmic disease. In oral health status, 54.5% of participant was partly artificial tooth and 45% of participant was whole artificial tooth. 78.0% of participant used under 10 years with partly artificial tooth and only 27.4% were satisfaction with artificial tooth. 83.5% of participant used under 10 years with whole artificial tooth and only 26.4% were satisfaction with artificial tooth. In the oral health status of partly artificial tooth, the average of toothbrush was 2 times, 42.2%. The majority method of toothbrush was 'their own freely' 55.0%. The time of toothbrush was 'after meal' 81.8%. The study result showed that majority participant didn't experience of tongue brush, regular examination, scaling, and oral health education. In the need of oral management with the whole artificial tooth, the participant who used longer artificial tooth was significantly higher about artificial irrigation and the method of management(p<.05). The need of participant who answered 'don't gum massage', was higher of xerostomia treatment(p<.01) and halitosis treatment(p<.05). In the need of oral management with the partly artificial tooth, the participant who used longer artificial tooth was significantly higher about regular examination(p<.01), oral cavity massage(p<.05), scaling(p<.05), dental caries treatment(p<.01). The need of participant who answered 'don't satisfaction with artificial tooth' was higher of regular examination and scaling(p<.05). Conclusions : Oral management needs of elderly who kept artificial tooth or denture required were regular dental examination, xerostomia management, management of artificial tooth and irrigation, and management of bad breath. This results meaned the oral health intervention program for elderly was developed regularly.

• 한국치위생학회지
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• 제16권4호
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• pp.617-623
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• 2016

Objectives: The purpose of this study is to investigate the effect of health behavior on oral health of Korean adolescents. Methods: The study subjects were 1,071 adolescents of 13-18 years old from Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012. Male students were 54.5% and female students were 45.5%. The study consisted of two groups: 13-15 years old and 16-18 years old groups. Data were analyzed by SAS 9.13 version. Results: Those who ingested alcohol had gingival bleeding in 41.0% and 31.0% in those who did not. Those who did not have regular oral examinations had 38.5% of gingival bleeding while those with regular oral examination had 29.7% of gingival bleeding (p<0.01). Students between 16 to 18 years old without oral care products tended to have more gingival bleeding than those who use auxiliary oral hygiene devices (OR=2.658, 95% CI=1.327-5.324). Conclusions: The oral health management of adolescents is closely related to health behavior. Cessation of alcohol ingestion and smoking is very important to improve the adolescent oral health.

• 한국치위생학회지
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• 제22권2호
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• pp.117-124
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• 2022

Objectives: It is crucial to detect and prevent oral problems early. Older adults, in particular, should go for regular dental checkups to maintain a healthy oral environment. This study identified the factors affecting regular dental examinations and unmet dental needs in older adults. Methods: This study analyzed 3,362 older adults aged 65 or over using the data from the 7th Korean National Health and Nutrition Examination Survey (KNHANES). Frequency analysis was performed on general characteristics. In addition, chi-square tests were done to determine differences in regular dental checkups and unmet dental needs according to general characteristics. Logistic regression analysis was performed on factors influencing regular dental checkups and unmet dental needs. Results: Factors influencing regular dental checkups were statistically significant according to residential areas, level of education, household income, and levels of physical activity (p<0.05). Factors influencing unmet dental needs were statistically significant according to residential areas, level of education, private medical insurance, and levels of dental pain (p<0.05). Conclusions: National level policy strategies should be implemented to improve the oral health of older adults. These strategies should encourage regular dental checkups to effectively lower the rate of unmet dental needs.

• 한국학교ㆍ지역보건교육학회지
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• 제19권2호
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• pp.53-63
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• 2018

Objectives: This study was intended to provide resources for the development and operation of the elderly's oral health education programs by comparing the difference of oral health behavior, oral health care self-efficacy and oral health levels according to their oral health education experiences and by researching the correlation of oral Health Behavior, self-efficacy, subjective oral health level and oral health education experience. Methods: An interview survey using structured questionaries was done on 180 senior citizens older than 65 years old residing in some areas of Gyeonggi-do from April 19 to May 25, 2018. The data was analyzed with Chi-square, t-test, spearman correlation coefficient with the use of SPSS 20.0. Results: 1. Those who are older than 75 years old and have higher levels of education and finance have more experiences of oral health education. 2. Those who have experiences of oral health education brush their teeth more than three times a day, use more oral health care items and get more regular preventive treatments such as oral examination and scaling. 3. As they has experiences of oral health education, their oral health behaviors, oral health care self-efficacy(tooth care, dietary control, regular checkup) and subjective oral health levels are high. Conclusion: It is necessary to try to improve the elderly's oral health levels by motivating the importance of oral health care and changing their oral health behaviors positively with the implement of oral health education on the elderly. Especially, oral health education programs that are operated on the elderly should be planned with practical programs that can cause the change of their oral health behaviors and should be processed to reinforce oral health care self-efficacy. Furthermore, preventive treatments for the elderly such as oral health education, oral examination and scaling should be implemented systematically and continuously by policy.

• 한국치위생학회지
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• 제17권5호
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• pp.889-898
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• 2017

Objectives: This study was conducted in order to identify the various influencing factors of dental caries according to the socio-economic characteristics and oral health behaviors across the life cycle among Koreans. Methods: The data were extracted from the 6th Korea National Health and Nutrition Examination Survey (2013-2015) and a total of 4,871 subjects with ages of 7 and over were selected. The data were analyzed using SPSS 21.0 for ${\chi}^2$-test and multi-logistic regression. Results: Significant differences were observed in the socio-economic characteristics, health behaviors and in the dental caries across the life cycle. The influencing factors of DT includes the type of health insurance (p<0.05) in school aged & adolescence, Oral health examination/year (p<0.01), Residence (p<0.05) in early adults, type of health insurance (p<0.001), Oral health examination/year (p<0.001), use of oral hygiene products (p<0.01) in late Adults, Oral health examination/year (p<0.05) and Gender (p<0.05) in old age. Conclusions: This study suggests that dental health promotion can be enhanced by regular checkup. The government must provide the people with better quality of oral health care and promotion across the life cycle in the near future.

• 한국치위생학회지
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• 제10권5호
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• pp.925-933
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• 2010

Objectives : This study aimed to research subjective recognition of oral health, oral disease prevention, and knowledge of oral health among high school students to provide basic data necessary to develop an oral health education program for helping them prevent oral diseases and improve oral health in the future. Methods : Respondents' general characteristics and knowledge of oral health were estimated at frequency and percentage, and chi-square $(x^2)$ test was carried out to make a comparison for subjective recognition of oral health and oral disease prevention by general characteristics. ANOVA was used to get scores concerning knowledge of oral health care by general characteristics, and Pearson correlation was used to analyze correlation between recognition of oral health, oral disease prevention, and knowledge of oral health. Results : The findings of the study were as follows: 1. The percentage of those who had visited a dental clinic (hospital) within the previous one year (p<0.01) and had a regular oral examination (p<0.05) was higher in female students than in male ones, and percentage of those who had experienced oral health education (p<0.01) and who had regular oral examination (p<0.001) was highest in 11th graders. The percentage of those who used oral health products (p<0.01) and had pit and fissure sealing (p<0.01) was significantly higher among low-grade students, and the percentage of those who had scaling (p<0.01) was significantly higher among high-grade students. 2. Knowledge of oral health management was higher in female students (12.6) than in male ones (11.2) (p<0.001). Conclusions : A systematic oral health education program is necessary to help high school students improve recognition, prevention, and knowledge concerning oral health care, and continuous attention and efforts must be given to activate continuous oral health care implemented at the elementary level by inducing secondary school students to go on with it.

• 한국융합학회논문지
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• 제9권7호
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• pp.259-268
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• 2018

본 연구는 일부지역 건강검진 대상자들의 건강검진 자료를 토대로 대사증후군과 그 위험인자를 가진 성인에 있어서 치주질환을 효과적으로 예방할 수 있는 방법을 모색하기 위해 실시되었다. 연구대상자는 2014년 1월 1일부터 12월 31일까지 한국건강관리협회에서 건강검진을 받은 성인 9,902명을 대상으로 하였다. IBM SPSS 24.0 Ver을 이용하여 분석하였고, 유의수준은 0.05로 하였다. 그 결과, 대사증후군에 이환되어 있는 대상자들 중 치주질환 발병율에 가장 큰 영향을 미치는 요인은 정기적 구강검진(0.579), 구강용품사용유무(0.499), 구강보건교육 경험유무(0.358)이었으며, 치주질환의 교차비는 정기적 구강검진을 하지 않는 경우 1.79배, 구강관리용품을 사용하지 않는 경우 1.61배, 구강보건교육경험이 없는 경우 1.43배로 증가하였다(p<0.001). 결론적으로 대사증후군 대상자들에 있어서 치주질환 발병율이 높게 나타났으며, 치주질환을 예방하기 위해서는 정기검진, 구강관리용품 사용, 구강보건교육이 매우 중요함을 밝혔는데 의미가 있다고 생각한다.

• 한국치위생학회지
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• 제21권2호
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• pp.119-128
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• 2021

Objectives: The aim of this study was to investigate the effect of breastfeeding on the occurrence of early childhood caries in Korean infants and toddlers. Methods: Data on oral examinations of infants and toddlers of the National Health Insurance Service were analyzed. The study subjects were children who participated in both the first, second, and third oral examinations and the first general health examination in 2008-2017 (n=142,185). Based on the responses to the questionnaire, the subjects were classified into breastfeeding, formula feeding, and mixed feeding groups. The participants were monitored for the development of early childhood caries in three sequential oral examinations. Results: Based on the oral examination results conducted at 54-65 months old, the decayed-filled teeth index of the breastfeeding group was the highest (2.03±3.08), followed by the mixed (1.96±3.03) and the formula feeding groups (1.82±2.91). The Cox proportional hazard regression model including all the variables showed that the risk of developing dental caries was significantly lower in the formula (hazard ratio [HR], 0.85) and mixed feeding groups (HR, 0.91) than in the breastfeeding group. Conclusions: Breastfeeding children have a higher risk of early childhood caries; therefore, oral hygiene education and regular dental check-ups are necessary.