The prevalence of periodontal disease according to oral care habits

( Do-hee Kim ),( Hyun-ju Chung ),( Ok-su Kim ) 조선대학교 구강생물학연구소 2017 Oral Biology Research (Oral Biol Res) Vol.41 No.2

Periodontal disease is one of the most common chronic diseases. Even though scaling and root planing are helpful for preventing periodontal disease, most people overlook it. So, the purpose of this study was to investigate oral care habits and the prevalence of periodontal disease to improve disease prevention and oral healthcare. This study was based on subpopulation of Donggu, Gwangju, Korea, for people older than 50, where oral examination and panoramic radiography were performed. Oral examination included O`Leary index, BOP (Bleeding on Probing), PD (Probing Depth), and CAL (Clinical Attatchment level). The subjects were 4025 people who responded to a oral health questionnaire. The prevalence of periodontal disease in the subjects were 10.3%, 56.1%, and 33.6% for slight, moderate, and severe periodontitis, respectively. The prevalence of periodontal disease was higher in men and older aged people in general. With respect to oral care habits, when subjects visited a dental center regularly and used oral hygiene devices, the ratio of the O`Leary Index was over 75%, the BOP was less than 25%, and severe PD and CAL (≥7 mm), and the prevalence of periodontal disease was less. Since the prevalence of periodontal disease was higher in male and increased with age, self-motivation about oral care habits, regular dental visits and oral care, such as scaling, root planning, and tooth brushing, are required for these groups. In addition, use of oral hygiene devices, such as dental floss and interdental brushes, is also.

경제활동자들의 만성질환과 구강건강행태가 구강질환에 미치는 영향

홍민희(Min-Hee Hong) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.4

본 연구는 국민건강영양조사 제6기(2015년) 원시자료를 이용하여 20∼65세의 경제적인 능력을 갖고 있는 2,088명의 근로자를 최종연구대상자로 선정하였다. 본 연구의 목적은 경제활동자의 만성질환과 구강건강행태의 연관성을 조사하고 구강질환의 위험인자를 알아보기 위해 시행하였다. 연구결과 다음과 같다. 치아우식증은 주관적인 구강건강상태, 치통경험, 교정치료경험, 씹기문제, 말하기문제, 구강검진 및 치과의료기관이용과 관련성이 나타냈다. 치주질환은 구강건강상태, 치통경험, 교정치료경험, 씹기 및 말하기문제와 관련성을 나타냈다. 만성질환과 구강건강행태가 구강질환에 미치는 위험도는 다음과 같다. 정상에 비해 고혈압은 1.37배, 비만은 1.48배, 당뇨군은 1.5배, 저HDL-콜레스테롤혈증, 1.31배, A형 간염항체는 1.53배 더 높은 것으로 나타났다. 건강상태는 좋은군에 비해 나쁜 상태가 치아우식증 1.70배, 치주질환 2.10배 높은 것으로 나타났다. 치통경험은 치아우식증 1.30배, 치주질환 1.35배 높은 것으로 나타났다. 씹기문제는 치아우식증 1.76배, 치주질환 1.78배, 스트레스는 치아우식증과 치주질환 모두 1.44배 높은 것으로 나타났다. 흡연자는 치아우식증 1.61배, 치주질환 1.63배 더 높은 것으로 나타났다. 이상의 결과로 볼 때 만성질환은 치주질환의 발생위험률을, 구강건강행태는 치아우식증과 치주질환의 발생위험률을 증가시키는 것으로 파악되었다. 치아우식증은 구강건강관리만 잘해준다면 만성질환으로 이활 될 위험도가 낮아지는 것으로 보이나, 치주질환은 만성질환과 구강건강관리 모두가 중요하다고 여겨진다. This study investigated 2,088 economically active workers aged 20 to 65 years selected from the sixth Korea National Health and Nutrition Examination Survey to evaluate the relationship between chronic diseases and oral health behaviors among economic workers and examine the risk factors for oral diseases. The results of the study were as follows. Dental caries were related to subjective oral health status, toothache experience, orthodontic treatment experience, chewing problems, speaking problems, oral examination, and dental clinic use. Periodontal disease was associated with oral health status, toothache experience, orthodontic experience, and chewing and speaking problems. The risk factors for chronic diseases and oral health behavior were as follows. Hypertension, 1.37 times; obesity, 1.48 times; diabetes, 1.5 times; low HDL-cholesterol, 1.31 times; hepatitis A antibody, 1.53 times higher. Health status was found to be 1.70 times higher in dental caries and 2.10 times higher in periodontal disease. The tooth experience was 1.30 times higher in dental caries and 1.35 times higher in periodontal disease. Problems chewing were 1.76 times for dental caries and 1.78 times for periodontal disease. The possibility of dental caries and periodontal disease was 1.44 times higher. Smokers were 1.61 times more likely to have dental caries and 1.63 times more likely to have periodontal disease. These results suggest that periodontal diseases increase the risk of chronic diseases and oral health behavior increases the risk of dental caries and periodontal disease. Although dental caries seem to have a lower risk of becoming a chronic disease if only oral health care is good, it is considered that both chronic disease and oral health care are important for periodontal disease.

만성질환이 구강건강 행동에 미치는 영향

강유민 ( Yu-min Kang ),이인숙 ( In-sook Lee ),김나연 ( Na-yeon Kim ) 한국치위생학회(구 한국치위생교육학회) 2016 한국치위생학회지 Vol.16 No.6

Objectives: The purpose of this study was to examine the impact of chronic disease on oral health behavior. Methods: The subjects were 317 adults over 30-years old living in urban and rural areas. They were selected by convenience sampling method and filled out the self-reported questionnaire. The questionnaire consisted of general characteristics, dental treatment, chronic disease, and oral health behavior including oral health self-care behavior and professional oral health care. Results: The self-care oral health behavior and the professional oral health care had a negative correlation with the chronic diseases. Especially, the self-care oral health behavior and the professional oral health care had a statistically significant negative correlation with hypertension and osteoporosis. Multiple regression analysis was performed after including general characteristics, dental treatment, chronic disease. Meanwhile the presence of chronic disease had a significant influence on the self-care oral health behavior and the professional oral health care. Hypertension and Osteoporosis were the most influential factors of chronic diseases and had a significant influence on the oral health behavior. In conclusion, the chronic diseases aggravated the oral health behavior practice. Conclusions: presence of chronic disease affects oral health behavior. Therefore, the effective intervention and education programs related to oral health care are necessary to enhance adult`s oral health behavior and total health. The continuous follow-up study will determine the causal relationship between oral health behavior and the presence of chronic disease.

청소년의 건강위험요인과 구강질환증상 경험과의 관련성

김예황,이정화 보건의료산업학회 2018 보건의료산업학회지 Vol.12 No.3

Objectives: The purpose of this study was to provide basic data for the improvement of healthy habits and development of an oral health promotion program among Korean youth. Therefore, this study investigated adolescent health risk factors, oral health risk factors, and oral disease symptoms. Methods: This study used data from the Korea youth web-based survey, 2016. The subjects selected for the study were 61,086 persons who did not exhibit health risk factors, oral health risk factors, and oral disease symptoms. The statistical analyses were conducted by applying a complex sample analysis technique. Results: Those who drank carbonated beverages at least once a day were 1.15 times more likely to experience oral disease symptoms. The more sweet drinks they drank, the higher the risk of experiencing oral disease symptoms. Subjects who consumed alcohol had a 1.30 times greater risk of experiencing oral disease symptoms while subjects with smoking experience had a 1.13 times greater risk of experiencing oral disease symptoms. Conclusions: As a result, in order to maintain the physical and mental health of Korean adolescents, it is necessary to develop an oral health program for the prevention of unhealthy eating habits and oral diseases.

Oral Symptoms Related to Vitamin B₁₂ Deficiency in a Patient with Crohn's Disease

Lee, Joo-Hee,Park, Youn-Jung,Kwon, Jeong-Seung,Kim, Young-Gun,Ahn, Hyung-Joon Korean Academy of Orofacial Pain and Oral Medicine 2017 Journal of Oral Medicine and Pain Vol.42 No.1

Crohn's disease is an inflammatory bowel disease which affects whole gastrointestinal tract from mouth to anus. Crohn's disease may present both oral manifestation and gastrointestinal symptom-abdominal pain, diarrhea, weight loss, anorexia, fever, and growth failure. The prevalence rate of oral manifestation is approximately between 0.5% and 20%. The oral lesion could be the first sign of Crohn's disease. We present a case of Crohn's disease in a patient who did not show typical oral manifestations but had nonspecific aphthous like ulceration and burning sensation for many years. Through this case, we suggest approaches for the diagnosis and treatment of the oral lesion of Crohn's disease.

한국 고등학생들의 식이습관 및 체질량지수와 구강질환증상경험의 관련성-2019년도 제15차 청소년건강행태온라인조사를 중심으로

장지언 ( Ji Eon Jang ),정선락 ( Sun Rak Jeong ) 한국보건정보통계학회 2021 보건정보통계학회지 Vol.46 No.4

Objectives: This study was to survey the distribution of Korean high school students’ dietary habits, body mass index (BMI) and oral symptom experiences and analyze the relevance of those to contribute to the development of a program to prevent and manage their oral diseases. Methods: The analysis was based on the raw data of the 15th Online Youth Health Behavior Survey in 2019 and the subjects were 27,919 high school students which went under complex sample analysis. Results: In the dietary habits of the subjects, the highest were ‘once or twice a week’ with 33.8% in recent 7 days’ fruit intake frequency, 42.9% of ‘once or twice a week’ in soda intake frequency, 35.8% of ‘once or twice a week’ in sweet drinks frequency, and 56.1% of ‘once or twice a week’ in fast food frequency. BMI showed the highest 52.9% of ‘normal’, 19.5% of ‘obesity’, 14.1% of ‘overweight’, and 13.5% of ‘underweight’ in order. In the recent 12-month experience of oral disease symptoms, the highest was 39.2% of ‘none’ with 25.4% of ‘one’, 18.0% of ‘more than three’, and 17.4% of ‘two’ in order. In the affecting factors on BMI ‘3 or 4 times a week’ in soda, ‘once or twice a week’ in sweet drinks were significantly high and ‘3 or 4 times a week’ were significantly low in vegetable intake (p<0.05). The affecting factors on oral disease symptoms were significantly lower with male than female, and those on academic achievements and economic status were significantly lower in ‘mid’ than in ‘low’ (p<0.01). ‘Once or twice a week’ soda intake and less sweet drinks and fast food were significantly low (p<0.01). Less vegetable intake showed significantly higher (p<0.01), and there were no significant relevance between BMI and oral disease symptoms. Conclusions: It is suggested that a program be developed as soon as possible for preventing and managing oral diseases for adolescents to grow up to be healthy adults in terms of surveying characteristic distribution of dietary habits, BMI and oral disease symptoms and analyzing the relevance among them efficiently.

Symptoms of Oral Mucosal Diseases and Vocational Preference Inventory

Park, Hye Sook Korean Academy of Orofacial Pain and Oral Medicine 2018 Journal of Oral Medicine and Pain Vol.43 No.1

Purpose: The purpose of this study was to assess the association of vocational interest and personality with oral mucosal diseases. Methods: Three hundred and fifty eight college students in Gyeonggi-do completed Vocational Preference Inventory L form and a questionnaire and collected data were analyzed by R program. Results: The prevalence of symptoms of oral mucosal diseases showed no significant difference among six vocational personality types. Compared to subjects with good or fair general health status, a significantly increased percentage of subjects with bad general health status showed herpetic stomatitis (p<0.01), oral malodor (p<0.01), and glossodynia (p<0.0001). Prevalence of taste disturbance increased significantly as the score of emotional instability (${\beta}=0.0438$, p=0.0082), anxiety (${\beta}=0.038$, p=0.0174), angry hostility (${\beta}=0.0398$, p=0.0061), depression (${\beta}=0.0443$, p=0.0035), and impulsiveness (${\beta}=0.0358$, p=0.0186) increased. Subjects who strongly felt oral malodor revealed significantly higher mean scales of scores of anxiety and angry hostility than subjects who did not feel oral malodor (p<0.05). Subjects who strongly felt oral malodor manifested significantly higher mean scales of scores of anxiety than subjects who slightly felt oral malodor (p<0.05). Conclusions: Taste disturbance was affected by emotional instability, anxiety, angry hostility, depression, and impulsiveness. Oral malodor was related to anxiety and angry hostility. Therefore, psychological aspects of taste disturbance and oral malodor could be evaluated by Vocational Preference Inventory L form.

Oral Symptoms Related to Vitamin B12 Deficiency in a Patient with Crohn’s Disease

이주희,박연정,권정승,김영건,안형준 대한안면통증∙구강내과학회 2017 Journal of Oral Medicine and Pain Vol.42 No.1

Crohn’s disease is an inflammatory bowel disease which affects whole gastrointestinal tractfrom mouth to anus. Crohn’s disease may present both oral manifestation and gastrointestinalsymptom–abdominal pain, diarrhea, weight loss, anorexia, fever, and growth failure. Theprevalence rate of oral manifestation is approximately between 0.5% and 20%. The oral lesioncould be the first sign of Crohn’s disease. We present a case of Crohn’s disease in a patientwho did not show typical oral manifestations but had nonspecific aphthous like ulceration andburning sensation for many years. Through this case, we suggest approaches for the diagnosisand treatment of the oral lesion of Crohn’s disease.

일부 성인의 치주질환에 대한 주관적인 인식정도와 구강환경에 관한 연구

이명주,이효진,이소영,임지현 대한치과위생학회 2016 대한치과위생학회지 Vol.18 No.3

Periodontal diseases are one of major dental diseases that commonly happen in oral cavity. They tend to start with initial inflammation, and if they are not managed appropriately, they would cause the loss of teeth, which is a chronic disease. Patients should recognize their oral health for themselves. This study is to find out the relationship between the subjective recognition and objective assessment results. Therefore, the purpose of this study is to find out whether the subjective recognition is related to oral environment or not. This study was conducted in from June 2015 to October. Oral health assessment and survey were carried out to the adult subjects of this study who were over 19 years and visited dental clinics located in Seoul and Gyeonggi-do Province. The factors influencing oral environment was analyzed according to the subjects’ characteristics of social demography. In TPI(p<0.001), S-PHP(p<0.001), PMA(p<0.044), CPI(p<0.000), male’ figure is higher than female’ one. In a smoker group, the figure of both male and female is noticeably high in TPI(p<0.001), S-PHP(p<0.004), PMA(p<0.009), CPI(p<0.002). The factors influencing oral hygiene was analyzed according to the subjective recognition about periodontal diseases. For people who have suffered from periodontal diseases, their figures of S-PHP(p<0.010), PMA(p<0.011), CPI(p<0.024) are high, and for people who have suffered from tooth mobility, their figures are high in S-PHP(p<0.008), PMA(p<0.002), CPI(p<0.002). The figures of TPI(p<0.007), PMA(p<0.010), CPI(p<0.002) are noticeably high for the group who do not use dental floss. The factors influencing oral environment was analyzed according to the subjective recognition about oral hygiene care. The unhealthier oral health is, the higher the figure is in S-PHP(p<0.001), PMA(p<0.028), CPI(p<0.004). The less often brushing teeth is performed, the higher the figures in TPI(<0.001), S-PHP(p<0.008), PMA(p<0.033), CPI(p<0.004) are. The poorer ability to manage oral hygiene care the subjects have, their figures are noticeably high in TPI(p<0.001), S-PHP(p<0.001), PMA(p<0.002), CPI(p<0.000). There are 3 relevant factors between subjective recognition about periodontal diseases and oral environment: chewing difficulty(p<0.001) in S-PHP, alveolar bone resoption(p<.0001) in PMA, and tooth mobility(p<0.011) in CPI. As the results are indicated above, adults’ subjective recognition about periodontal diseases is not related to oral environment. Preventive programs effective for oral health care should be developed so that adult-centered dental health education programs can be activated.

스트레스, 수면시간 및 주관적 구강건강 상태가 치주질환에 미치는 영향

김예황,이정화 보건의료산업학회 2017 보건의료산업학회지 Vol.11 No.4

Objectives : In this study, we investigated the correlation of mental-and oral-health status with periodontal disease. Ultimately, we sought to make a positive contribution to the promotion of periodontal health and the prevention of periodontal disease. Methods : This study was analyzed using the data of KNHANES 2013–2015. The participants of this study were between 20 and 64 years old. The final selection was 1,512 adults. Results : Participants with a sleeping time of less than 6 hours and those who recognized stress showed higher periodontal disease. Number of decaying teeth, oral-health status, toothaches, and chewing problems were associated significantly with periodontal disease. To investigate the effects of general characteristics and mental and oral-health status on periodontal disease, a logistic regression analysis was conducted. Sex, age, education level, smoking status, oral-health status, and chewing problems were variables that affected periodontal disease. Conclusions : This study showed that mental-and oral-health status is closely related to periodontal disease. Therefore, it is expected that this will be used as basic data to effectively improve periodontal disease in adults.