불화나트륨 투여에 의한 백서경조직 미세경도 및 골강도 변화

최성진,송근배 ( Sung Jin Choi,Keun Bae Song ) 대한예방치과·구강보건학회 1997 大韓口腔保健學會誌 Vol.21 No.1

우리나라 성인의 대사증후군과 치주질환의 관련성

백혜진 ( Hye Jin Baek ),최연희 ( Youn Hee Choi ),이상규 ( Sang Gyu Lee ),송근배 ( Keun Bae Song ),권호장 ( Ho Jang Kwon ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.3

Objectives. The aim of this study was to evaluate the association between metabolic syndrome and periodontitis in Korean adult population. Methods. We analyzed a total of 2,808 subjects aged 18 years or older who participated in a Korea National Health and Nutrition Examination Survey in 2007. Periodontal health was measured using Community Periodontal Index (CPI). Periodontitis was defined as CPI score was three or four. Metabolic syndrome (MS) was the diagnosis when participants were positive for three or more of five components of MS. The association between periodontitis and MS was analyzed using a χ2-test and logistic regression analysis (using SPSS 17.0). Results. The prevalence of periodontitis was higher among people who were male, older, and current or ex-smokers. People having periodontitis were likely to have lower household incomes, and do more frequent toothbrushing and drinking. Persons having MS had significantly higher odds of having periodontitis than normal people; the odds ratio was 1.23 after adjusting for age, gender, education, intake of alcohol, smoking, toothbrushing, oral hygiene goods, eating between meals, exercise and household income (95% CI: 1.02~1.47). Conclusions. Korean adults with MS had a higher risk of periodontitis. Further studies are required to investigate a casual relationship between MS and periodontitis.

원저 : 예방치과학 분야 ; 35% 과산화수소와 수종의 광원을 이용한 전문가 치아미백술의 효과 비교

구효진 ( Hyo Jin Gu ),최성숙 ( Sung Suk Choi ),김정숙 ( Jung Suck Kim ),송근배 ( Keun Bae Song ) 대한구강보건학회 2008 大韓口腔保健學會誌 Vol.32 No.4

대도시 일부 청소년들의 치아우식증 발생과 관련된 식이자료 분석: 3년간 추적조사

백혜진 ( Hye Jin Baek ),나채환 ( Chae Hwan Na ),정성화 ( Seong Hwa Jeong ),안상헌 ( Sang Hun Ahn ),최연희 ( Youn Hee Choi ),송근배 ( Keun Bae Song ) 대한예방치과·구강보건학회 2011 大韓口腔保健學會誌 Vol.35 No.3

Objectives. The purpose of this study was to analyze the relationship between the risk of newly developed dental caries and diet pattern among early adolescence for three years as a longitudinal design. Methods. A middle school in a city of Korea was conveniently selected for this study. An oral exam and a food frequency questionnaire (FFQ) were performed every year from 2007 (baseline) to 2010 (end point) among 244 middle school students who consented to this survey. All the collected data were analyzed using SPSS 17.0. Corresponding p-values were considered significant at values of less than 0.05. Results. With a greater protein and lipid consumption, a lower mean change of DMFT index was observed, but there were no statistically significant after adjusting the DMFT index at baseline. Among the essential minerals, the group that consumed less calcium, phosphorous, magnesium and fluoride were likely to have a higher increment of the DMFT index. In terms of microelements, for the early adolescents who consumed more copper and selenium, less change was revealed in the DMFT index over the three years, but there were no differences. Conclusions. This study may suggest that a greater carbohydrate intake tends to result in a higher DMFT increment. Further studies need to be implemented to investigate the causal relationship between minerals and microelements and dental care.

소아,청소년의 대사증후군과 치은건강의 관련성

진혜정 ( Hye Jung Jin ),최연희 ( Youn Hee Choi ),이상규 ( Sang Gyu Lee ),송근배 ( Kean Bae Song ),이희경 ( Hee Kyung Lee ),권호장 ( Ho Jang Kwon ),김형규 ( Hyung Gyoo Kim ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.4

Objectives. Metabolic syndrome (MS) is becoming a common disorder worldwide. Preventing metabolic syndrome is important because the presence of multiple MS components increases the risk of developing cardiovascular diseases. In this cross-sectional study, we aimed to assess the association of between MS and gingivitis in youth. Methods. A total of 947 subjects (513 boys and 432 girls) who underwent medical and dental checkups with all MS components was final sample size from data analysis from the fourth Korea National Health and Nutrition Examination Survey. We examined the relationship between each component and the number of positive components of MS (central obesity, hypertriglyceridemia, low high-density lipoprotein-cholesterol, hypertension, insulin resistance) and gingivitis status using the Community Periodontal Index. The logistic regression models were build odds ratios (ORs) and 95% confidence intervals (CIs) were calculation using SPSS 17.0 program. Results. Of the five components of MS, low HDL cholesterol level and high blood pressure were each significantly related with having gingivitis. Logistic regression analysis for full model including all metabolic syndrome components and other risk factors the OR for low HDL-cholesterol was 1.52 significantly and the OR for high blood pressure was 1.38. Conclusions. Gingivitis was positively associated with MS in Korean, suggesting that further studies should be needed to investigate causal relationship.

한국 청소년의 위생습관 중 잇솔질과 손 씻기의 연관성

진혜정 ( Hye Jung Jin ),이영은 ( Young Eun Lee ),안상헌 ( Sang Hun Ahn ),진명욱 ( Myoung Uk Jin ),최순례 ( Soon Lye Choi ),송근배 ( Keun Bae Song ),최연희 ( Youn Hee Choi ) 한국치위생학회(구 한국치위생교육학회) 2013 한국치위생학회지 Vol.13 No.1

Objectives: The aim of this study was to evaluate the relationship between the hand washing management and tooth brushing frequency. Methods: The subjects in this study were 7,285 adults who were selected from the third-year(2009) raw data of the fourth national health & nutrition survey. Results: The mean frequency of daily toothbrushing was 3.35. Increases the frequency of both toothbrushing and hand washing with higher grade class. The higher the tooth brushing frequency, the intention of hand washing management at school and home was more increased. Conclusions: This study can contribute to the general health and oral health promotion.

치주건강과 만성폐쇄성폐질환의 관련성

진혜정 ( Hye Jung Jin ),김은경 ( Eun Kyong Kim ),안서영 ( Seo Young An ),임상욱 ( Sang Uk Im ),송근배 ( Keun Bae Song ),최연희 ( Youn Hee Choi ) 대한예방치과·구강보건학회 2013 大韓口腔保健學會誌 Vol.37 No.3

만성폐쇄성폐질환은 높은 유병률과 사망률임에도 불구하고 과소 진단되고 있는 질병이다. 이 연구에서는 국민건강영양조사를 이용하여 우리나라 성인을 대상으로 치주질환과 만성폐쇄성폐질환의 관련성을 파악하여 구강위생을 통한 치주건강을 향상시킴으로써 만성폐쇄성폐질환 악화를 예방하기 위한 기초자료를 마련하고자 하였으며, 다음과 같은 결론을 얻었다. 1. 연구대상자의 치주상태에 따른 분포에서 폐기능정상군에서 치석형성치주조직을 가진 대상자가 42.3%로 가장 높게 나타났으며, 천치주낭형성치주조직을 가진 대상자가 24.1%, 심치주낭형성치주조직을 가진 대상자가 6.3%로 나타났으며, 만성폐쇄 성폐질환군에서도 치석형성치주조직을 가진 대상자가 31.5%, 천치주낭형성치주조직을 가진 대상자가 28.8%, 심치주낭형성치주 조직을 가진 대상자가 13.3% 순으로 나타났다. 2. 로지스틱 회귀분석한 결과, 건전치주조직을 가진 대상자에 비해 천치주낭형성치주조직 대상자의 만성폐쇄성폐질환 위험비는 0.79배(95% CI=0.50, 1.25)로 나타났으며, 심치주낭형성치주조직 대상자의 만성폐쇄성폐질환 위험비는 1.18배(95% CI=0.63, 2.21)로 치주질환과 만성폐쇄성폐질환과는 관련성이 없는 것으로 나타났다. 3. 흡연상태를 층화시켜 분석한 결과, 심치주낭형성치주조직대상자의 만성폐쇄성폐질환을 가질 위험비는 흡연자에서 0.92배(95% CI=0.41, 2.05), 비흡연자에서 1.29배(95% CI=0.64, 2.59)로 나타났지만 통계적으로 유의하지 않았다. Objectives: The aim of this study was to examine the relationship between periodontal health and chronic obstructive pulmonary disease (COPD) in a Korean population. Methods: The Community Periodontal Index (CPI) data of 7,264 subjects, aged over 25 years, who participated in the Fourth Korea National Health and Nutrition Examination Survey was used to assess the periodontal status of the population. Severity of COPD in the subjects was classified according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) definition. Results: Subjects with more severe COPD were more likely to have severe periodontal disease. After adjustment for gender, age, monthly income, education, economic activity, and occupation, the odds ratio of COPD was 1.18 (95% Confidence interval [CI], 0.63-2.21) for severe periodontal disease in the study sample. When stratified by smoking status, the odds ratio of current smokers was 0.92 (95% CI, 0.41-2.05) and that of non-smokers was 1.29 (95% CI, 0.64-2.59). Conclusions: Periodontal health was not significantly related to the severity of the COPD, even though smoking was a common risk factor. This is the first study examining the relationship between periodontal health and COPD in a Korean population. Studies that further investigate the causal relationship between the two are recommended.

구강내 아말감 제거가 어린이 뇨중 수은농도에 미치는 영향: 예비연구

진혜정 ( Hye Jung Jin ),김은경 ( Eun Kyong Kim ),우경지 ( Gyeong Ji Woo ),임상욱 ( Sang Uk Im ),송근배 ( Keun Bae Song ),최연희 ( Youn Hee Choi ) 대한예방치과·구강보건학회 2013 大韓口腔保健學會誌 Vol.37 No.4

Objectives: This pilot study aimed to evaluate the effect of dental amalgam, a restorative material, on children by measuring the mercury concentration in the urine as well as the number of teeth filled with dental amalgam. Methods: Twenty children enrolled in grades 1-4 of two elementary schools in Daegu participated in this study. One trained dentist performed oral examinations and removed amalgam restorations from the teeth with a high and low speed handpiece. In order to measure the urinary mercury concentrations, urine samples were collected from all participants at baseline and immediately and 24 hours after removal of the dental amalgam restorations. Results: The mean number of teeth from which the amalgam restorations was removed was 9.8 while the mean urinary mercury concentrations at baseline, immediately, and 24 hours after removal of dental amalgam restorations were 2.66, 2.76, and 2.76 μg/g creatinine, respectively. The mean urinary mercury concentration increased consistently after amalgam restoration removal. For those participants whose removed amalgamated surfaces were more than 11, the mean urinary mercury concentration immediately after amalgam restoration removal and 24 hours after removal increased consistently but showed no significant difference. Conclusions: This study demonstrated that dental amalgam restoration was related to urinary mercury concentration, and these findings present a possibility of mercury accumulation in the body. Therefore, we suggest future longitudinal studies to ensure the safety of children exposed to mercury by establishing criteria for amalgam removal.

어린이의 구강 내 아말감 노출이 요중 수은농도에 미치는 영향

전은숙 ( Eun Suk Jeon ),진혜정 ( Hye Jung Jin ),김은경 ( Eun Kyong Kim ),임상욱 ( Sang Uk Im ),송근배 ( Keun Bae Song ),최연희 ( Youn Hee Choi ) 한국치위생과학회 2014 치위생과학회지 Vol.14 No.1

구강 내 아말감 충전물에 의해 인체에 유리되는 수은이 요중 수은농도에 미치는 영향에 대하여 관련성을 평가하고자 하였다. 이 연구는 대도시 일부지역의 2개 초등학교 1∼4학년 학생 317명을 대상으로 6개월 간격으로 총 4번의 구강검진과 소변검사를 실시하였으며, 자료를 수합하여 분석한 결과 다음과 같은 결론을 얻었다. 각 조사 시점별 아말감 충전 여부에 따라 요중 수은농도를 비교한 결과, 모든 연구시기에서 아말감 충전한 대상자에서 아말감 비충전군에 비해 요중 수은농도가 높게 나타났으며, 2차 추적조사와 3차 추적조사는 통계적으로 유의한 차이가 있었다. 혼합모형 분석한 결과 아말감 한 치면이 증 가할수록 현재 요중 수은농도에서 0.028 μg/g creatinine 증가하였다(p<0.001). 남학생에 비해 여학생에서 0.065 μg/g creatinine (p<0.001), 생선섭취 빈도에서 일주일에 3회 이상 섭취군에서 0.099 μg/g creatinine 증가하였다(p=0.001). 누적 요중 수은농도에서 아말감 한 치면이 증가할수록 누적 요중 수은농도에서 0.017 μg/g creatinine 증가하였다(p<0.001). 남학생에 비해 여학생에서 0.071 μg/g creatinine (p<0.001), 생선섭취 빈도에서 일주일에 3회 이상 섭취군에서 0.110 μg/g creatinine 증가하였다(p<0.001). 구강 내 아말감 충전물은 미량이라도 수은을 유리시켜 체내 요중 수은농도의 변화에 영향을 미치므로 이 연구결과를 토대로 구강 내 수은흡수를 최소화할 수 있는 기준이나 방안이 마련되어야 할 것이다. This study aims to evaluate the impact of varying exposure to dental amalgam on urinary mercury levels in children by measuring the number ofamalgam-filled teeth and the variance of mercury concentration in urine over a period of 2 years. A total of 317 (male 158, female 159) elementaryschool children (1st∼4th graders) attending 2 schools in urban regions participated in this study. At 6-month intervals, 4 oral examinations wereconducted to check any variance in the conditions of dental caries and the status of dental fillings. Also, urine tests were conducted followed bya questionnaire survey. To elucidate the factors potentially affecting the mercury concentration in urine, t-test, ANOVA, chi-square test and a mixedmodel were used for the analysis. Regarding the status of dental fillings in line with examination time periods, deciduous teeth had moreamalgam-filled surfaces than those filled with resin, whereas permanent teeth had more resin-filled surfaces than those filled with amalgam. Asignificant relevance was found between the exposure to dental amalgam and urinary mercury levels. Specifically, subjects whose teeth surfaceshad been filled with dental amalgam showed higher urinary mercury levels than those who had no dental amalgam fillings. Based on the analysisusing the mixed model, the increase in the number of teeth surfaces filled with amalgam was found to be the factor affecting the increase in urinarymercury levels. The urinary mercury levels were found to be highly associated with the exposure to dental amalgam. The more the teeth surfacesfilled with amalgam, the higher the urinary mercury levels. Hence, even a trace of dental amalgam fillings can liberate mercury, affecting the variancein the urinary mercury levels. These findings suggest that some criteria or measures should be developed to minimize the exposure to dentalamalgam. Moreover, relevant further studies are warranted.

임플란트 치료 전후의 구강건강관련 삶의 질 변화

정성화 ( Seong Hwa Jeong ),박진호 ( Jin Ho Park ),안상헌 ( Sang Hun Ahn ),이정희 ( Jeong Hee Lee ),최연희 ( Youn Hee Choi ),송근배 ( Keun Bae Song ) 대한예방치과·구강보건학회 2009 大韓口腔保健學會誌 Vol.33 No.4

Objectives: The capacity of dental clinicians to assess oral health and to advocate for dental care has been hampered by limitations for measuring the quality of life and/or satisfaction with implant treatment. The use of patient-based outcomes to measure the effectiveness of treatment is increasing as clinical scientists attempt to evaluate the impact of therapy on the recipient. The purpose of this study was to assess the change of oral health related quality of life between pre- and post-treatment with implant therapy. Methods: Two hundreds and forty-six consecutive patients from six private dental clinics in Daegu, Korea participated with consent in the survey of this study, and we obtained the patients` consent. The oral health related quality of life was measured by OHIP-14 before implant therapy and six months after all the implant therapy was finished. All the statistical analyses were performed using SPSS(SPSS 14.0 for Windows, SPSS Inc, USA). Results: The oral health quality of life was significantly increased after implant therapy for all the subscales of OHIP-14 (p<0.001). Psychological discomfort and physical disability factors were decreased most significantly among 7 subscales, when compared between pre- and post-treatment. The OHIP-total score was significantly raised from 54.78 (pre-treatment) to 64.90 (post-treatment) following implant therapy (p<0.001). The more implants a patient received, the more increased was the score of all the subscales of the OHIP-14 (p<0.001). Conclusion: Implant therapy can improve the oral health related quality of life among dental patients. It can also stimulate the satisfaction for the general quality of life.