전문가 치면세균막관리 중심의 예방관리프로그램의 효과적인 관리주기

조민정 한국치위생과학회 2017 치위생과학회지 Vol.17 No.6

This study was conducted to investigate the optimal management interval in 33 healthy adults by observing changes in oral health on the basis of the plaque control index and gingival index. When plaque control score was compared according to the period, it was found that oral hygiene management was the best in the fourth visit (p<0.05). Improved oral hygiene status was observed during the 3- and 6-month follow-up (p<0.05). Regarding gingival index, the fourth visit showed the healthiest gingival status (p<0.05). At the 3-month follow-up, the gingival index worsened, but a healthy gingival status was attained by 6-month follow-up (p<0.05). The plaque control score according to interest in dental health showed that the ‘interested’ group had good oral hygiene management (p<0.05). As a motivation for oral hygiene status and gingival health, examination with a ‘phase contrast microscope’ in the first visit and calculation of the ‘evaluation index’ in the follow-up visit tended to improve the patients’ ability for oral hygiene management (p>0.05). The questionnaire survey showed, that the optimal management interval was 1, 3, and 6 months. As a result, with the effective management interval for the preventive management program focused on professional mechanical tooth cleaning, which was administered weekly, the maximum ability for oral hygiene management was attained at the fourth visit. The effective management period was 1 month. The use of a phase contrast microscope and the calculation of the evaluation index for oral hygiene management could influence the motivation to improve oral hygiene management. 본 연구는 건강한 성인 33명을 대상으로 예방관리프로그램의 핵심인 PMTC를 활용하여 구강건강의 변화를 치면세균막지수와 치은염지수를 통하여 관찰하여 최적의 관리주기를 찾아보고자 연구를 실시한 결과, 다음과 같은 결론을 얻었다. 첫째, 주기에 따른 치면세균막관리점수와 치은염지수를 비교한 결과, 4차 방문에서 가장 구강위생관리가 잘되고 있는 것으로 나타났고 치은염지수도 가장 좋게 나타났다(p<0.05). 하지만 3개월 follow-up에서 구강위생상태는 나빠졌다(p<0.05). 그러나 3개월, 6개월 follow-up에서는 1차방문보다 구강위생이 향상된 상태를 보였다(p<0.05). 이는매주 반복된 구강위생관리학습에서는 효과를 보였으나 올바른 구강위생관리능력이 배양되지 않은 상태에서 이행된계속관리주기는 적절하지 못하였다. 하지만 예방관리프로그램의 효과는 있음을 확인할 수 있었고 재교육의 중요성을인지할 수 있는 결과였다. 둘째, 평균 치은염지수에서 1차방문부터 3차 방문으로 이행될수록 치은염지수의 차이가크게 나타났다(p<0.05). 그러나 4차 방문의 치은염지수는3차 방문보다 개선되지 않은 경향을 보였다(p>0.05). 이는PMTC를 3회 이상 적용하였을 때 잇몸건강에 효과가 나타남을 알 수 있었다. 셋째, 연구 종료 후 문진 결과, 프로그램경험에 따른 피험자들의 구강위생상태와 잇몸건강에 영향을 미치는 동기부여방법은 1차 방문에서는 ‘위상차현미경’, follow-up에서는 ‘평가지수’가 구강위생관리력을 향상시키는 경향을 보였다. 그리고 피험자들의 54.5%가 프로그램 경험 후 1개월 단위를 추천하는 적정 관리주기로 응답하였다. 이상의 결과에서 PMTC 중심의 예방관리프로그램의 운영은 구강위생상태를 개선하는 데 효과가 있었음을 알 수 있었다. 하지만 4차 방문과 계속관리를 비교한 연구결과와 프로그램 경험 후 문진에서 조사된 피험자들의 응답을 통하여올바른 구강위생관리능력이 배양되지 않은 상태에서의 적정 관리주기는 1개월인 것으로 생각된다. 그리고 예방관리프로그램의 경험에 따른 문진에서 피험자들의 구강위생관리력에 영향을 미치는 동기부여방법으로 위상차현미경과평가지수가 구강위생관리력을 향상시키는 경향을 보이는것으로 조사되어 위상차현미경의 사용과 구강위생상태의평가는 필요하며 평가된 내용을 문자 전송하는 방식의 도입또한 필요할 것으로 생각된다. 그래서 향후 추가 연구에서는 환자의 특성에 따른 구강위생관리를 위한 태도 변화를유도하기 위한 학습기간에 대한 연구를 통하여 적정 관리주기에 대한 심도 있는 연구는 필요하리라 생각된다.

일부 노인의 구강 위생관리 및 치석제거에 대한 인식

고은정,Go, Eun-jeong 대한치과위생학회한국치위생과학회 2020 대한치위생과학회지 Vol.3 No.1

The purpose of this study was to investigate the perception of calculus removal, an essential factor in periodontal disease in the elderly population. Further, the study aimed to identify the oral hygiene management matters of individuals and to use the information as primary data for preventing dental loss and improving the prevention of chronic diseases. From December 20, 2019, to January 15, 2020, the results of 171 studies on oral hygiene management and awareness of calculus removal among the elderly aged 65 or older in Busan and Gyeongnam are as follows: The elderly with good health appreciated their functional oral health status and showed significant differences (Χ²=298.26, p<.001). Many of the elderly brushing their teeth at least three times a day had a better health status and showed significant differences according to their health status (= 134.42, p <.001). Usually, older people who are in good health have a dental floss (Χ²=89.31, p<.001), and the dental floss were used more often and significantly differed depending o health status (Χ²=92.53, p<.001). The elderly's perception of tartar removal has shown that the overall average out of five points is positive at 3.48. Older female adults were more positive and showed significant differences regarding gender (t=-7.95, p<.001). Senior citizens aged 65 to 70 were more positive about dental removal than those aged 71 or older, with significant differences in age (t=6.65, p<.001). As described above, oral hygiene management for the elderly population needs to develop a periodontal disease prevention program linked to systemic diseases, considering that there are many chronic diseases.

일부 오십견 환자의 현수운동치료 적용에 따른 관절가동범위의 변화 - 물리치료 보존요법 포함 -

이대희 ( Dae Hee Lee ),이승주 ( Seung Ju Yi ),주민 ( Min Ju ),남태호 ( Tae Ho Nam ),이윤환 ( Yun Hwan Lee ) 한국위생과학회 2003 한국위생과학회지 Vol.9 No.2

치주상태에 따른 임플란트 식립분포에 대한 조사 연구

윤현서 ( Hyun Seo Yoon ),이미옥 ( Mi Ok Lee ) 한국위생과학회 2009 한국위생과학회지 Vol.15 No.2

중년여성의 삶의 질과 구강건강증진 행위와의 관계

김정술 ( Jung Sool Kim ) 한국위생과학회 2008 한국위생과학회지 Vol.14 No.1

색소 생성균 Bacillus sp. DC-2 를 이용한 Protease 생성

지원대,손동화,정영건,최웅규 한국위생과학회 1996 한국위생과학회지 Vol.2 No.1

The strain DC-2, which was isolated from 42 Korean traditional fermented soybean products was tested to pigment production ability and protease activity. In the pigment production ability, the more concentration of the soybean, the more pigmentation was obtained. This strain was identified Bacillus sp. It was confirmed that optimum conditions for culture media were 0.5% of maltose, 0.25% of ammonium Sulfate, 0.5% of yeast extract, 0.1% of MgSO₄ ? 7H₂O, and 1.0% of NaCl per distilled water. The high efficient condition of culture was obtained at pH 7.0 and 37 It was examined that optimum conditions for protease production media were 0.5% of maltose, 0.25% of ammonium sulfate, 0.5% of yeast extract, 0.3% of K₂HPO₄, and 0.01% of MgSO₄ ? 7H₂O per distilled water. The best efficient condition of protease activity was obtained at pH 7.5 and 37℃ . The strain was exhibited strong resistance against metal salts, Na₂HAsO₄, Na₂MoO₄ ? 2H₂O and LiCl₂ and antibiotic, chloramphenicol.

일부 대학생들의 보건교육 수혜에 따른 B형 간염 및 AIDS에 관한 지식도

송경희,조명숙 한국위생과학회 2002 한국위생과학회지 Vol.8 No.2

본 조사는 보건계열 대학생 499명, 비 보건계열 학생 438명 총 937명을 대상으로 B형 감염과 AIDS에 대한 지식도를 설문 조사란 결과로 다음과 같다. B형 간염 예방 접종률은 보건계열 학생(70.7 %)보다 오히려 비 보건계열 학생 (73.1 %)이 약간 더 높게 나타났다. 보건계열 학생 중 68.2 %가 임상실습을 경험했으며, 그 중 38.2 %가 상해를 입은 것으로 조사되었으며, 전염성 질환의 관심도, 손 세척, 잇솔질과 같은 개인 위생면에서 보건계열 학생들의 성적이 높았다. AIDS에 관한 지식도를 측정하는 설문에서 대부분의 항목에서 보건계열 학생들이 비 보건계열 학생들 보다 약간 더 높게 나타났다. 본 조사의 결과로 볼 때 성공적인 감염방지를 위해 병원종사자를 포함한 대학생들의 감염성 질환에 대한 효율적인 대처방안을 실천하고 적극적인 참여의지가 중요하다고 생각된다. 이를 실현하기 위해 임상실습 전에 B형 간염의 예방접종을 의무화하고 교과과정에 감염방지 프로그램을 포함시켜야 할 것이다. This study was conducted to investigate knowledge level about hepatitis B and AIDS of students of received a health education. 937 students (499 students of health department and 438 student of non-health department) in college answered some questions for statistical research. Student of non-health department(73.1 %) had more HBV vaccination than those of health department (70.7 %), 38.2 % of health department students experienced unintentional injuries during clinical practice. The mean snore of health department students were higher than those of non-health department students on the knowledge level about Hepatitis B and AIDS. Generally, the findings on the knowledge about Hepatitis B and AIDS were that student of health department received higher mean score than those of student of non-health department.

우리나라 일부 대학생의 구강진료이용행태

김정술 ( Jung Sool Kim ) 한국위생과학회 2008 한국위생과학회지 Vol.14 No.1

대구지역 크롬취급 사업장 작업환경 및 근로자 폭로실태에 관한 연구

김종한,조수열,차상은,박상래,김성대 한국위생과학회 1996 한국위생과학회지 Vol.2 No.1

The aim of this study is to evaluate the effect of chromium exposure and to obtain the fundamental information about chromium exposure. The authors performed urinary and workplace levels of chromium, questionaire interview an the subject 29 workers and workplace. The results were as follows ; The mean±SE of chromium in urine was 7.938± 1.94㎍/g creatinine(range 0∼41.67㎍/g creatinine, AM) and 7.662±1.96㎍/g creatinine (range 0∼43.67㎍/g creatinine, PM). The mean±SE of chromium in workplace was 0.0268±0.0166 mg/㎥ 0.00005∼0.4860mg/㎥). Correlation of working duration with urine chromium concentration of workers in plating plant. The group of 13-24 month working duration was higher than any other groups of urine chromium concentration. Urine chromium concentration of wearing condition of personal protective devices was lower than no wearing condition. Urine chromium concentration of good condition of local ventilation system was lower than poor condition.

일부지역 주민들의 치주질환 인식도에 관한 조사(1) : 대구시 중심

조명숙 한국위생과학회 1996 한국위생과학회지 Vol.2 No.1

This study was conducted to obtain the information regarding to recognition of peridontal disease among residents in Taegu City area, a quetionnair survey was carried out for 525 residents from 2nd of December to 14th, 1996. The results were as follows: Frequency of 525 respondents who had one more decayed tooth was 54.9%. Frequency of respondents who had concerned about dental health was 53.0%. Respondents answer that a cause of periodontal disease was bacteria and small food fragments were 60.8%. Respondents answer that a cause of tooth brush behavior was not to propagate bacteria were 64.0%. Two Frequency of tooth brushing per a day was 61.7%, time of tooth brushing was morning and dinner(65.0%). According to this study, women showed more concern about dental health and recognition of peridontal disease than men.