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최은미,백대일,김종배 경복대학 2002 京福論叢 Vol.6 No.-
In an individual, four first molars are the most important ones of twenty deciduous teeth and thirty two permanent teeth. Therefore, all dentists and dental hygienists emphasize in each country that the life of them should be prolonged as long as possible. Besides, the first molars are called six years molars, because those are erupted at the age of six. Moreover, because Korean people say six years molar as youk-se koo-chi and June 9th as youk-wol koo-il in Korean, Korean dentists have presumed that youk-se koo-chi can efficiently be emphasized on youk-wol koo-il in each year. In connection with this reason, every June 9th has been designated as a day for educating Korean people in six years molar cares by Korean Dental Association since 1946. As a result, Korean dentists and dental hygienists have emphasized on June 9th each year that the life of six years molars should be prolonged as long as possible and educated Korean people in six years molar cares by the various educational methods during a week, which follows June 9th each year and is called Dental Health Week in Korea. In the result, the various dental health educational activities on June 9th and during Dental Health Week each year have been called a 6ㆍ9 event in Korea for more than 50 years. Nevertheless, the effectiveness of the 6ㆍ9 events has not been evaluated till now. For the purpose of confirming the effectiveness of the 6ㆍ9 events implemented for more than 50 years and selecting the contents of the more effective six years molar care education, the knowledges of six years molar cares had been surveyed in the freshmem of the educational course by questionnaire. The authors analyzed the freshmen's awarenesses of six years molars, period using six years molars, causative diseases for extracting six years molars, programs for preventing dental caries, programs for preventing periodontal disease, programs for treating dental and periodontal diseases at the early stages and necessities for dental and periodontal diseases to be prevented and discussed. The obtained results were as follows: 1. The effectiveness of the 6ㆍ9 events implemented for more than 50 years was not reliable, because the level of knowledges of six years molar cares was not high in the fresh men the college educational course. Therefore, it was concluded that the 6ㆍ9 events should be corrected in it's contents and methods. 2 In the 6ㆍ9 events, the student should be taught that the first molar is the six years molar and il must be used for a whole life. 3. The student should also be taught in the 6ㆍ9 events that almost all the six years molars are extracted due to dental caries and periodontal disease. 4. It should be emphasized in the events that the dental and periodontal diseases must be prevented for prolonging the life of six years molar. 5. The student should be taught in the events that the communal water fluoridation programs and pit & fissure sealing programs must be developed for preventing dental caries and the school based toothbrushing drills for preventing periodontal disease. 6. It should also be emphasized in the events that the periodic incremental dental care programs should be developed for treating dental and periodontal diseases at the early stage for prolonging the life of six years molar.
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황수정 ( Soo Jeong Hwang ),백대일 ( Dai Il Paik ),김현덕 ( Hyun Duck Kim ),진보형 ( Bo Hyoung Jin ),배광학 ( Kwang Hak Bae ),김남희 ( Nam Hee Kim ) 대한예방치과·구강보건학회 2010 대한구강보건학회지 Vol.34 No.2
연구목적. 일부 연구자들은 치은염 예방 또는 치료 성분이 포함되어 있는 특수세치제의 치은염 억제 효과를 입증하기 위하여 Loe의 실험치은염모형을 변형한 변형실험치은염 모형을 사용하고 있으나, 변형실험치은염모형에 대한 안전성 검토는 미비한 상태이다. 따라서, 본 연구는 3주간 구강분할동시현상비교연구법(split mouth method)을 사용하여 변형실험치은염모형의 안전성을 검토하고 치은염의 일부 기구를 알아보고자 하였다. 연구방법. 성인남자 59명을 대상으로 3주 동안 잇솔질시 잇솔질방지판과 세치제를 편측 소구치부위에 착용하여 기계적 잇솔질을 금지한 실험치은염을 발생시켜 잇솔질방지하악소구치부와 잇솔질허용하악소구치부의 치은염지수, 치면세균막지수, 치은열 구액내의 MMP-9의 농도, IL-1β의 농도를 비교 검토하였다. 연구결과. 잇솔질방지하악소구치부는 3주간의 실험기간동안 실험시작 후 2주차 때 치은염지수와 치면세균막지수가 가장 높았으며 시간에 따라 차이변화가 유의하였으며(p<0.02) 실험 종료 후 초기상태로 회복되었다. 3주간의 실험기간동안 잇솔질방지하악 소구치부와 잇솔질허용하악소구치부 사이에서는 치은열구액내 염증지표인 MMP-9의 농도변화는 유의하지 않았고 염증전단계지표인 IL-1β의 농도변화는 유의하였으나(p=0.03) 잇솔질방지하악소구치부의 MMP-9의 농도와 IL-1β의 농도는 유의한 상관 관계를 보였다. 결론. 잇솔질방지하악소구치부내 MMP-9의 농도는 유의하게 변화하지 않았으므로 치은의 직접적인 파괴는 나타나지 않은 것으로 사료되어 변형실험치은염모형은 세치제의 효과를 평가함에 있어 안전한 모형으로 사료되었다.
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高等學校卒業者의 學校集團弗素溶液漱口意識에 關한 調査硏究
송윤신,백대일,김종배 경복대학 2002 京福論叢 Vol.6 No.-
본 연구는 대학 신입생의 학교집단불소용액수구지식의 수준을 확인하고, 대중을 대상으로 하는 학교집단불소용액수구교육의 목표와 내용을 확인할 목적으로 2002년도 경복대학 신입생 586명을 대상으로 구강보건의식에 관한 설문지를 사용하여 설문조사하고 분석한 결과 다음과 같은 결론을 얻었다. 1. 영구치아의 사용기간 인지율이 59.2% 이었다. 2. 영구치아를 발거하는 제1원인상병 인지율이 48.3% 이었다. 3. 학교집단불소용액수구사업의 치아우식예방효과 인지율 36.7% 이었다. 4. 치아우식증을 예방함으로서, 진료받을 필요를 감소시켜, 국민건강보험료를 인하시키면서도, 치아의 수명을 연장시킬 수 있다는 사실을 인지하고 있는 사람이 3분의 1에 불과하였다 5. 초등학교와 중등학교에서 학생들에게 학교집단불소용액수구사업에 관하여 교육하여야한다. 6. 농어촌 주민들에게도 사회교육의 일환으로 학교집단불소용액수구사업에 관하여 교육하여야 한다. To make confirm the knowledge level, educational goal and teaching contents of gargling with fluoride solution of school, an investigation was performed to examine and analysed, targeting in 586 college freshmen. Following results were obtained.(The results show as follows.) 1. Acknowledgement rate of retaining period of permanant teeth was 59.2%. 2. Acknowledgement rate of primaly etiology that causes extraction of permanant teeth was 48.3%. 3. Acknowledgement rate of preventive effect to dental caries through the plan of fluoride gargle in group was 36.7%. 4. 33.3% of people acknowledge the fact that prevention from dental caries car1 result in prolonging the life span of permanant teeth as well as reduction of national health insurance payment. The most important thing is to educate this plan to all the students in primary and middle school, and as a social education by extension to educate this plan to all the residents in farming and fishing villages.
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