한국 성인의 우식예방 인식과 자녀의 우식예방 실천행위조사; 한국갤럽자료분석

송근배 ( Keun Bae Song ),진혜정 ( Hye Jung Jin ),황윤숙 ( Yoon Sook Hwang ),진명욱 ( Myoung Uk Jin ),최연희 ( Youn Hee Choi ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.4

This study was to evaluate the influence of dental caries prevention-related concerned and perceived in Korean adults and oral health behavior of their first child if they had children. A cross-sectional study in 1,014 adults over 19 years old were conducted in Korean adults, asked to answer a computer-assisted telephone interview regarding their oral health-related knowledge, behavior, concerned of caries prevention and child`s behaviors such as frequencies of tooth brushing, chewing the xylitol gum and dental checkup. The statistical analysis was done by using the SPSS 19.0 program (IBM Co., Armonk, NY, USA). Awareness of caries prevention in the female than male, 40∼49 years old age group was higher. Parents of school-age children were higher level of awareness of the dental caries prevention than other group. As knowledge and behavior of dental caries prevention were higher, the child`s conduct regular oral health checkups, fluoride topical application and dental sealant was significantly higher. The higher the concerned of caries preventive, the intention of oral health behaviors and child`s oral health behaviors was more increased. Awareness of caries prevention had effect on the perception of the impact of the child`s oral health behaviors.

유치원 아동 부모의 구강보건에 대한 지식 및 행태

박춘호,손혜숙,이종태 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

Objectives : This study was performed to evaluate the role and importance of parent's knowledge, cognition and behaviour about dental health care on the development of dental caries in preschoolers. Methods : Subjects were 170 preschoolers collected from three preschools placed in Pusan and Kimhae area and study period were 6 months from January, 2000. Examination on preschoolers' dental health and questionnaire survey on parents' knowledge, cognition and behaviour about dental health care were conducted. Collected data was analyzed by chi-square test and t-test using SAS program. Results : Dental caries was so prevalent as the rate of 73.5%. And, the rate was so different by the area(p=0.001), and increased with preschooler's age(p=0.004). The parent's knowledge level about dental health care was higher in case of children without caries than with caries; causes of dental caries(p=0.009), general dental health care(p=0.001), preventive dental health care(p=0.054). Caries development was higher in case of breast feeding than that of artificial and mixed(p=0.007). Instead, caries development was significantly lower in case of regular brushing than that of insufficient brushing(p=0.002) and in case of consistently informing brushing time to their children(p=0.014). Conclusions : This results showed that the dental health care for preschoolers is still insufficient and the most important habit for caries prevention is regular brushing. And it seemed that the parent's concerns and knowledges play an important role for the prevention of preschooler's dental caries. Dental health education would be focused on the parents, especially for the practice of preventive behavior by preschoolers themselves.

일개 대학 재학생의 치아우식예방 불소이용법에 관한 경험과 인식

김수련 ( Soo Ryeon Kim ),김수현 ( Su Hyun Kim ),김초롱 ( Cho Rong Kim ),박지원 ( Jee Won Park ),황수정 ( Soo Jeong Hwang ) 한국치위생과학회 2014 치위생과학회지 Vol.14 No.4

Fluoride use is the best and widespread method for dental caries prevention. The aim of this study was to investigate experience and recognition of fluoride for caries prevention focusing on majors in one university. Four hundred twenty-four university students were selected by convenience sampling with informed consent and answered the questionnaire by self recording type. The subjects except dental hygiene students knew about purpose of fluoride use (84.6%), over the count fluoride rinse (63.2%), fluoride toothpaste (61.5%), professional fluoride application (56.4%) and water fluoridation (43.6%). They experienced over the count fluoride rinse (67.5%), school fluoride rinse (45.3%), professional fluoride application (30.8%), fluoride toothpaste (28.2%) and water fluoridation (12.0%). The main information paths about fluoride were university lectures among dental hygiene students and internet and mass media, followed by nurse-teachers among non dental hygiene students. The ratios of intention to use fluoride were: 67.8% in dental hygiene, 34.9% in health, 51.4% in non-health in case of professional fluoride application for oneself, 93.1% in dental hygiene, 48.0% in health, 50.4% in non-health in case of professional fluoride application for their children, 79.0% in dental hygiene, 51.3% in health, 55.8% in non-health in case of water fluoridation. The subjects to experience and recognize fluoride for caries prevention had more positive intention to use fluoride. The answers of students majoring in health or medical care were not different from non-health, except dental hygiene. Dental professionals should try to let the public know about fluoride use for caries prevention through mass media and internet as well as individual education in dental clinics.

비도시지역 수돗물불소농도조정사업의 영구치 우식예방효과

정지인 ( Ji In Jung ),김지은 ( Ji Eun Kim ),김세연 ( Se Yeon Kim ),이정하 ( Jung Ha Lee ),김진범 ( Jin Bom Kim ),정승화 ( Seung Hwa Jeong ) 대한예방치과·구강보건학회 2016 大韓口腔保健學會誌 Vol.40 No.1

Objectives: The aim of this study is to evaluate the effect of suburban community water fluoridation programs on preventing caries in permanent teeth. Methods: In 2012, surveys were administered to children aged 8, 12, and 15 years residing in fluoridated Habcheon township area. Samples collected during the national survey in 2012 from children of the same age residing in non-fluoridated township areas were used as the control, and the caries prevalence data from this sample were used to estimate the caries preventive effect in the studied regions. This study included 457 subjects from the Habcheon township area and 1,792 in the control group. The data obtained from the survey were analyzed using the IBM SPSS statistical package version 21.0. The caries preventive effect exerted by fluoride in the community water supply was determined by calculating the differences in the DMFT and DMFS indices between the study and control groups. The cofounders of the mean number of fissure-sealed teeth and surfaces were controlled to estimate the effectiveness of caries prevention. Results: The odds ratio of subjects with no dental caries in the fluoridated region was 0.75 compared to that in the control group. The mean DMFT scores or DMFS scores adjusted for the number of fissuresealed teeth or tooth surfaces were lower than those in the control group. The caries prevention fraction was estimated to be 23.4% based on the difference in the adjusted mean DMFT scores between the control and study groups. Conclusions: These results suggest that fluoridation of the community water in the suburban area was highly effective in preventing dental caries in permanent teeth, and therefore, this community water fluoridation program should be implemented in other regions in Korea.

고등학생의 구강증상인지 및 구강관리행태에 따른 치아우식경험

남지영,김혜진 사단법인 인문사회과학기술융합학회 2016 예술인문사회융합멀티미디어논문지 Vol.6 No.1

The present study aimed to ascertain the oral health of young individuals according to their oral symptoms and oral health behaviors. In doing so, we intend to provide foundational data for the establishment of continued oral health education, which is required to make positive changes to oral health behavior. We conducted oral health examinations as well as self-report surveys for identifying oral symptoms and oral health behaviors of 288 high school students who visited the K Hospital, Busan, South Korea, between May and October 2014. In the dental health examination, the majority of the subjects had the result ‘None’ for the number of teeth showing dental caries (162 persons, 56.3%) and ‘1–4’ for the number of teeth at risk of developing dental caries (168 persons, 58.3%). Meanwhile, with respect to oral hygiene, 155 students (53.8%) were rated as ‘Excellent’ and 123 (42.7%) as ‘Hope for Improvement’. In terms of oral health behavior, 74.0% of the participants had not visited a dentist in the past year and 64.9% brushed their teeth less than twice a day. When asked about their level of consumption of sugary foods and drinks such as snacks and cola, 52.8% of the participants responded with ‘Average’, and when asked if the toothpaste they were currently using contained fluorine, the most common response (39.2%) was ‘I don’t know’. When analyzing the correlation between identification of oral symptoms, oral care behavior, and incidence of dental caries, there was a positive correlation between the number of teeth showing dental caries and oral hygiene (r=0.914, p<0.000), and there was a strong negative correlation between the number of teeth at risk of developing dental caries and the use of fluorine-containing toothpaste (r=-0.119, p<0.05) and between oral hygiene and the consumption of sugary foods (r=-0.560, p<0.000). Combining the above results, it can be seen that oral symptoms and oral care behavior in young individuals has a significant effect on dental caries. Therefore, systematic projects to promote oral health and oral health education programs need to be developed to encourage treatment and oral health care at the appropriate time and to create a positive change in oral health behavior. 본 연구는 청소년의 구강증상경험과 구강관리행태에 따른 구강건강상태를 파악함으로써 긍정적인 구강건강행태 변화에 필요한 지속적인 구강보건교육 정착을 위한 기초자료로 활용하고자 시행하였다. 2014년 5월에서 10월까지 부산광역시 소재 K병원 방문 고등학생 288명을 대상으로 구강검진 및 구강증상인지, 구강건강행태에 대해 자기기입식 설문조사를 시행하였다. 구강검사 결과 우식치아는 '없음'이 162명(56.3%)으로 가강 많았고 우식발생 위험치아는 '1~4개'가 168(58.3%), 구강위생상태는 '우수'가 155명(53.8%), '개선요망'이 123명(42.7%)으로 비슷한 분포를 보였다. 구강건강행태에서 지난 1년간 치과에 간 적이 ’없음‘이 74.0%, 하루 2회 이하의 칫솔질이 64.9%, 과자, 콜라 등 당분이 든 음식을 즐겨 먹는가에서 ‘보통이다’ 52.8%, 현재 사용 중인 치약에 불소가 들어 있는가에서 ‘모르겠다’가 39.2%로 높았다. 구강증상인지, 구강관리행태, 치아우식경험과의 상관관계는 우식치아는 구강위생 상태(r=0.914, p<0.000)와 양의 상관관계가 나타났고 우식발생 위험치아는 치약내 불소함유 유무(r=-0.119, p<0.05), 구강위생상태는 ‘과자, 콜라 등 당분이 든 음식을 즐겨 먹는가(r=-0.560, p<0.000)’에 음의 높은 상관관계를 나타냈다. 이상의 결과를 종합해 볼 때 청소년의 구강증상 및 구강관리행태에 따른 치아우식상태에 유의한 영향을 주어 긍정적인 구강건강행태 변화를 위해 적절한 시기의 구강증상 치료 및 관리를 위한 체계적인 구강검진사업과 구강보건교육 프로그램 개발이 필요한 것으로 사료된다.

치면열구전색사업과 수돗물불소농도 조정사업을 병용한 구강보건사업의 영구치우식증 예방효과

안세호 ( Se Ho Ahn ),유해영 ( Hae Young You ),김민지 ( Min Ji Kim ),한동헌 ( Dong Hun Han ),김진범 ( Jin Bom Kim ),정승화 ( Seung Hwa Jeong ) 대한구강보건학회 2012 大韓口腔保健學會誌 Vol.36 No.4

Objectives: The aim of this study was to evaluate the caries preventive effects of oral health programs composed of pit and fissure sealant and community water fluoridation in Hapcheon-Up, Hapcheon-Gun, the Republic of Korea. Methods: Dental surveys were conducted on 6 to 14 year old children at Hapcheon-Up, Hapcheon-Gun in 2000 and 2009, respectively. The number of the subjects was 1,957 and 1,535 children in 2000 and 2009, respectively. The percentage of samples among total population aged 6 to 14 years in 2000 and 2009 was 90.6% and 92.3%, respectively. The obtained data from these surveys were analyzed with the PASW statistical package version 18.0 (SPSS Inc., Chicago, IL, USA). The 2009 dental health data including the prevalence of dental caries and fissure sealants on children`s permanent teeth was compared to the 2000 dental health data, and assessed using chi-square test and independent-sample t-test. Results: DMF rate of 12-year olds was 76.9% in 2000, and it significantly decreased to 42.5% in 2009. DMFT index of 12-year olds was 3.03 in 2000, and it significantly decreased to 1.07 in 2009. The prevalence rate of sealed permanent teeth among the 12-year olds was 15.4% in 2000, and it significantly increased to 97.2% in 2009. The caries reduction rate from pit and fissure sealant added by community water fluoridation program was calculated as 44.7% in 12-year olds by the difference of DMFT index between 2000 and 2009 year. Logistic regression analysis revealed that both programs were associated with an increasing likelihood of experiencing no dental caries (OR=4.00, 95% CI; 3.23-4.95). Conclusions: These results suggest that the oral health program composed of pit and fissure sealant and community water fluoridation in Hapcheon was very effective in caries prevention. The program should be expanded to other area to prevent dental caries among children.

창녕군 수돗물 불소농도조정사업 도입을 위한 기초치아건강실태조사

김지영,김진범,진익준 대한구강보건학회 2002 大韓口腔保健學會誌 Vol.26 No.1

The aim of this study is to survey a baseline dental health status of school children in Changnyong-gun for the introduction of water fluoridation program. The baseline dental health survey was carried out by a dentist at primary and middle schools in Changnyong-gun, Korea in 2000. The total subjects were 3,854 of age 6-14 years. The prevalence of dental caries, fissure sealants and dental fluorosis on permanent teeth of children was assessed. The obtained results were as follows: 1. The dental caries prevalence showed a tendency to increase according to age and it exceeded 50% in aged 10 or more years. 2. The DMFr index showed a tendency to increase according to age. 3. The percentage of FT among DMFr scores were below 50% at every age. 4. The percentage of caries experienced permanent teeth by tooth type and the percentage contribution to total DMFT index of age by tooth type were highest in upper and lower first and second molars 5. The prevalence of fissure sealants and the average number of permanent teeth with sealants among children were evaluated to be low compared with the data of oral health developed countries like United Kingdom. 6. The percentage of children without dental fluorosis were 97.2% among age 6-14 years. 7. Changnyong-gun was evaluated to be a proper community for the introduction and development of water fluoridation program because of high prevalence and low treatment rate of dental caries.

자녀의 구강건강 관심도 및 인지도에 따른 치아우식예방법의 인식과 실천

이지영 ( Ji Young Lee ),조평규 ( Pyeong Kyu Cho ) 한국치위생학회 2011 한국치위생학회지 Vol.11 No.6

Objectives: The purpose of this study was to examine the awareness of mothers on their children`s oral health and their concern for that by socio- demographic characteristics and the relationship of their awareness of methods of dental-caries prevention to their practice of the methods. Methods: The subjects in this study were 337 guardians of preschoolers at kindergartens and daycare centers. A self-administered survey was conducted from April 25 to May 27, 2011, and the collected data were analyzed by the statistical package SPSS 18.0. Results: 1.Self-rated concern for children`s oral health, 87.7 percent and 12.1 percent replied, So-so. Whether they were working or not and whether they were mainly responsible for child rearing made significant differences to that(p<.05). 2. As to subjective awareness of their children`s oral health, the largest group of the mothers answered So-so. (44.9%) The second replied that their children were in good oral health(40.5%), and the third group in poor oral health(14.2%). 3. The relationship between self-rated concern for their children`s oral health and awareness of methods of caries prevention, statistically significant differences were found according to toothbrushing education and sealant(p<.05). There were no statistically significant differences in practice ,but application of fluoride was the least. 4. The relationship between self-rated awareness for their children`s oral health and awareness of the preventive methods of caries, there were statistically significant gaps in awareness of toothbrushing education(p<.05). In practice, statistically significant gaps were found in practice of toothbrushing education and sugar-intake restriction(p<.01). 5. In regard to the correlation between awareness and practice of the preventive methods of caries, awareness of all the factors involving toothbrushing education, sealant, application of fluoride and restriction of sugar intake had a significant positive correlation to practice of them. Better awareness led to better practice. Conclusions: In order to ensure children`s successful oral health care, more authentic education of how to pre- vent dental caries should be offered by experts such as dental hygienists and dentists. Especially, detailed information on application of fluoride, restriction of sugar intake and pit and sealant should be provided for mothers to help their children to stay away from dental caries. (J Korean Soc Dent Hygiene 2011; 11(6):1005-1016)

청소년의 음주,흡연에 따른 구강지식평가 및 구강보건교육의 필요성에 관한 연구

최윤화 ( Yun Hwa Choi ),지윤정 ( Yun Jeong Jee ) 한국치위생학회 2008 한국치위생학회지 Vol.8 No.3

This study is to enforce to ready basic data of effective dental education program and no smoking and no drinking program for high school students who do smoking and drinking, executed investigation by own recording way using smoking and questionnaire consisted of actual conditions and caries prevention awareness and dental health knowledge degree of drinking to some man high school. Analyzes result that total 487 people respond in SPSS WIN 13.0 programs and got following sequence. Result of this study is as following. 1. Mans high school students had more students who do not than a drinking student and main current received most soju. Third-year student appeared by thing which receive a lot of soju than 1 or 2 class student but different other difference was not seen by class. 2. Mans high school students had more students who do not than a smoking student and a student who smoke more than 3 years was the most. I can know was old since third-year student smokes than 1 or 2 class student. 3. It was not difference that keep in mind by drinking, smoking availability although there were many students who recognize that all of the on-time dental medical examination, sugar intake limitation, fluorine inclusion toothpaste, teeth fluorine application are seldom effective on caries prevention. 4. Recognized that right brushing is effective relatively on caries prevention. I was shown difference that recognized that righter brushing is effective on bad tooth courtesy call than a student who a student who do not smoke does, and keeps in mind according to smoking availability (χ2=6.78, p<0.05). 5. I knew best about question of `A caries may not treat if is painless` among that question ask knowledge for a caries, and appeared by thing which do not know best about question of `Know that method that supply fluorine in water`. 6. A student who do not drink general dental know-how for a caries was high knowledge degree for a caries than a drunk student but it was no difference that keep in mind by drinking availability. Also, a student who do not smoke by smoking availability was high knowledge degree for a caries than a done student but difference that keep in mind statistically was not seen. 7. It was no difference that keep in mind by drinking availability, but a student who do not smoke by smoking availability was high relation knowledge degree with food and a caries than a smoked student, and I was shown difference that keep in mind according to smoking availability(t=-2.03, p<0.05). 8. Awareness and synthetic estimation degree of knowledge degree a student who do not smoke than a smoked student mouth knowledge degree high, and I was shown difference that keep in mind according to smoking availability(t=-2.03, p<0.05). When see as result such as singularity, family, school, all social institutions may have to help by national business coming and try so that can become national business based on special know-how for development of effective and epoch-making education program as quickly as possible.

레이저 우식진단기기 ‘DIAGNODent<SUP>®</SUP>’의 활용

이병진(Byoung Jin Lee) 대한치과의사협회 2011 대한치과의사협회지 Vol.49 No.8

The detection of carious lesions is a key point to apply appropriate preventive measures or operative treatment of dental caries. A laser fluorescence device DIAGNODent<SUP>®</SUP>(KaVo, Biberach, Germany) has also been shown to be of additional clinical value in the detection of initial caries. This report focus on the DIAGNODent<SUP>®</SUP> for caries detection. DIAGNODent<SUP>®</SUP> irradiate visible red light at a wavelength of 655 nm to elicit near-infrared fluorescence from caries lesion. This device is known as a reproducible method for caries detection, with good sensitivity and specificity especially for caries detection on occlusal and accessible smooth surfaces. DIAGNODent<SUP>®</SUP> tended to be more sensitive method of detecting occlusal dentinal caries, however, showed more false-positive diagnoses than the visual inspection. So Clinician should not use the device as a clinician’s primary diagnostic method and it is recommended that the device should be used in the decision-making process in relation to the diagnosis of caries as a second opinion in cases of doubt after visual inspection. The trend of modern dentistry would be a preventive approach rather than invasive treatment of the disease. This is possible only with early detection and respective preventive measures, DIAGNODent<SUP>®</SUP> can help the changes.