치과 임플란트와 전신질환과의 연관성에 관한 임상적 고찰

한양금,윤미숙,김한홍 대한치과위생학회 2023 대한치위생과학회지 Vol.6 No.2

연구배경: 전신질환을 보유한 대상자를 위한 임상치과위생사 주도의 치위생관리과정에서의 중요성을 강조하고 자 임상적 자료를 근거로 치과 임플란트에 영향을 미치고 있는 전신질환을 파악하고자 하였다. 연구방법: 치과 임플란트에 영향을 미치는 전신질환을 파악하고자 2023년 3월 1일부터 5월 31일까지 문헌고찰 을 실시하였으며, 검색 시기는 2000년 1월∼2020년 12월까지 국내ㆍ외 학술지에 게재된 연구 논문을 대상으 로 하였다. 검색에 활용된 국내 database는 학술정보서비스(RISS), 누리미디어(DBpia), 한국학술정보(http://www. papersearch.net;KISS)를 활용하였으며, 국외 database는 Pubmed에서 ‘치과 임플란트 실패’와 ‘임플란트와 전신질환’ 그리고 Dental implant failures와 Dental implant and systemic disease를 검색하여 전체 383편 중 최종적으로 13편의 자료를 선별하여 분석하였다. 결과: 임플란트의 누적생존률은 평균 94.3%이었으며 실패율은 5.7%이었다. 임상적으로 임플란트와 관련된 전신 질환에 대한 분석결과는 당뇨에 대한 연구가 13편(100.0%)으로 가장 높은 빈도를 차지하였으며 고혈압과 흡연에 대한 연구가 각각 8편(61.5%), 심혈관질환 7편(53.8%), 골관련 질환은 5편(38.5%) 순으로 위험요인이 조사되었다. 그 외 간질환 및 갑상선 이상 그리고 혈액이상 질환과 장기이식 및 감염성 질환 등이 확인되었다. 결론: 임상 치과위생사는 조절되지 않는 전신질환은 임플란트 실패의 위험요인이므로 전신질환이 임플란트에 미 치는 영향에 대한 인식과 치위생 사정-판단-수행-평가 등의 주기적인 예방적 치위생관리 과정에서 환자와의 정 보공유로 지속적으로 건강한 구강상태를 유지하도록 하여야 할 것이다. Background: In order to emphasize the importance of clinical dental hygienists-led dental hygiene management processes for those with systemic diseases, we tried to identify systemic diseases affecting dental implants based on clinical data. Methods: In order to identify systemic diseases affecting dental implants, literature review was conducted from March 1 to May 31, 2023, and the search period was for research papers published in domestic and foreign academic journals from January 2000 to December 2020. Domestic databases used for search use RISS, Nuri Media(DBpia), and Korea Academic Information (http://www.papersearch.net ; KISS), while overseas databases searched Pubmed for dental implant failures, implants, systemic diseases, and Dental implant and system disease. Results: The cumulative survival rate of implants averaged 94.3 percent and the failure rate was 5.7 percent. Clinical analysis of systemic diseases related to implants accounted for the highest frequency with 13 (100.0%), followed by 8 (61.5%) studies on high blood pressure and smoking, 7 (53.8%) cardiovascular diseases, and 5 (38.5%). In addition, liver disease, thyroid abnormalities, blood abnormalities, organ transplants and infectious diseases were confirmed. Conclusion: Since unregulated systemic diseases are a risk factor for implant failure, clinical dental hygienists should continue to maintain healthy oral conditions by sharing information with patients during periodic preventive dental hygiene management processes such as dental hygiene assessment.

일부 지역 출산 경험이 있는 여성의 구강건강에 대한 인식도 조사

한양금,유지수 대한치과위생학회 2010 대한치과위생학회지 Vol.12 No.1

일부대학 치위생과 여대생의 월경곤란증에 관한 조사

한양금,황수현 대한치과위생학회 2011 대한치과위생학회지 Vol.13 No.4

상수도불화사업과 불소용액양치사업 아동의 영구치 구강상태 비교연구

한양금 韓國學校保健學會 1995 韓國學校保健學會誌 Vol.8 No.2

A comparative study on the effects of the water fluoridation program and fluoride mouth rinsing program in the elementary school children. This study was performed to compare the oral health status of permanent teeth for children of the caries prevention effects by using methods of fluoride 309 children for water fluoridated program, 240 for fluoride mouth rinsing program and 248 for control group. The DMFS rate, DMFT index, soft and hard deposite rate were analysed from the oral examination. And 300 questionares from the parents who lived in Cheong ju city were evaluated to see the situations of using the tap water. The results were as follows; 1. Caries experience rate in permanent dentition was the lowest in fluoride mouth rinsing group. 2. It was estimated that soft deposite rate was comparatively low in the fluoride mouth rinsing group but calculus deposite rate was no significant difference in each other groups. 3. The 72.0 percentage of parents who lived in non fluoridated water area were misunderstood that they lived in water fluoridated area. 4. The 66.8 percentage of residents used the piped water as drinking water. 5. It was recommended that fluoride mouth rinsing program was suggested in rural area, on the other hands, toothbrusing program in urban area with water fluoridation to prevent the dental caries for school children.

일부대학 치위생 전공 대학생들의 교육만족도 조사

유지수,황수현,한양금 대한치과위생학회 2011 대한치과위생학회지 Vol.13 No.2

치위생과 학생들의 임상실습만족도가 치과위생사 이미지에 미치는 영향

한양금 ( Yang Keum Han ),김한홍 ( Han Hong Kim ) 한국치위생과학회 2015 치위생과학회지 Vol.15 No.4

The purpose of this study was to examine the relationship between image of dental hygienists and clinical practice satisfaction of dental hygiene students. The subjects in the study were 706 female students who majored in dental hygiene at randomly selected colleges, which were located in Daejeon, Ulsan, and North Chungcheong province. Data were gathered using structured questionnaires from October 20, 2014 to April 13, 2015. The major findings of the study were as follows: The average of satisfaction with clinical practice was 3.32, The average of image of dental hygienists was 3.55. As for clinical practice satisfaction by general and practice characteristics, there were statistically significant difference according to degree of satisfaction for major, as for image of dental hygienists, there were statistically significant difference according to grade, degree of satisfaction for major, number of clinical experience, practice organization and admission motive. The relationship of image of dental hygienists and clinical practice satisfaction was analyzed, and clinical practice satisfaction had a significant positive effect on image of dental hygienists. As a result of analyzing which variables affected image of dental hygienists, it’s found that image of dental hygienists were under the influence of number of clinical experience, practice organization and clinical practice satisfaction. Clinical practice satisfaction influenced image of dental hygienists. Therefore, dental hygiene students are given a chance to have positive image through well-structured clinical practice.

치과위생사 수행업무에 관한 치과의사의 견해조사

한양금(Yang-Keum Han),김승희(Seung-Hee Kim),양진영(Jin-Young Yang),유지수(Ji-Su Yu),배수명(Soo-Myoung Bae) 대한치과의료관리학회 2019 대한치과의료관리학회지 Vol.7 No.1

조골세포에서 Porphyromonas gingivalis Lipopolysaccharide와 니코틴에 의한 염증에 대한 JAK/STAT Pathway의 역할

한양금 ( Yang-keum Han ),이인수 ( In Soo Lee ),이상임 ( Sang-im Lee ) 한국치위생과학회 2017 치위생과학회지 Vol.17 No.1

Bacterial infection and smoking are an important risk factors involved in the development and progression of periodontitis. However, the signaling mechanism underlying the host immune response is not fully understood in periodontal lesions. In this study, we determined the expression of janus kinase (JAK)/signal transducer and activator of transcription (STAT) on Porphyromonas gingivalis lipopolysaccharide (LPS)- and nicotine-induced cytotoxicity and the production of inflammatory mediators, using osteoblasts. The cells were cultured with 5 mM nicotine in the presence of 1 μg/ml LPS. Cell viability was determined using MTT assay. The role of JAK on inflammatory mediator expression and production, and the regulatory mechanisms involved were assessed via enzyme-linked immunosorbent assay, reverse transcription-polymerase chain reaction, and Western blot analysis. LPS- and nicotine synergistically induced the production of cyclooxgenase-2 (COX-2) and prostaglandin E₂ (PGE₂) and increased the protein expression of JAK/STAT. Treatment with an JAK inhibitor blocked the production of COX-2 and PGE₂ as well as the expression of pro-inflammatory cytokines, such as tumor necrosis factor-α, interleukin-1β(IL-1β), and IL-6 in LPS- and nicotine-stimulated osteoblasts. These results suggest that JAK/STAT is closely related to the LPS- and nicotine-induced inflammatory effects and is likely to regulate the immune response in periodontal disease associated with dental plaque and smoking.

치위생학의 학문적 정의와 위상에 따른 발전 방향에 관한 연구

한양금 ( Yang Keum Han ),한만덕 ( Man Deuk Han ) 한국치위생과학회 2007 치위생과학회지 Vol.7 No.4

치위생전공 학생의 분노표현이 자아존중감에 미치는 영향

한양금 ( Yang Keum Han ),유지수 ( Ji Su Yu ),김한홍 ( Han Hong Kim ) 한국치위생과학회 2016 치위생과학회지 Vol.16 No.3

본 연구는 일부 지역의 치위생전공 여학생이 주관적으로 느끼는 분노에 대한 감정표현과 자아존중감 간의 관계에 대해 생각하고 관련성을 알아보고자 실시하였다. 연구대상은 편의 추출된 대전광역시와 충청북도에 소재하는 대학교의 치위생과 598명의 여학생을 대상으로 하였으며, 자료는 구조화된 설문지를 이용하여 2014년 5월 20일부터 2014년 6월5일까지 수집하였다. 자아존중감과 분노표현 간의 관계를 알아보기 위해 분석한 결과, 분노표현과 자아존중감은 부적상관관계(p<0.01)를 보였으며 분노표현의 하위영역인 괴롭힘(p<0.01), 언어·심리적 폭력(p<0.05), 따돌림(p<0.01)과도 부적 상관성을 보였다. 자아존중감의 하위영역 중 부모양육태도 및 관계(p<0.01)만이 분노표현과 부적 상관관계를 보였다. 자아존중감에 영향을 미치는 관련 변수들을 파악하기 위해 분석한 결과는 학년(p=0.040), 학교 성적이 낮은 하 집단보다 상 집단(p<0.001)과, 중 집단(p=010)인 경우 분노표현의 하위영역인 괴롭힘(p=0.002), 언어·심리적 폭력(p=0.035), 따돌림(p<0.001)이 자아존중감에 영향을 미치는 요인으로 나타났고, 이들 변수의 설명력은 39.3%였다. 이상의 결과로 보아 자아존중감은 분노표현과 높지는 않지만 관련성을 가지고 있음을 알 수 있었다. 이는 졸업 후다양한 대인관계, 즉 환자, 치과의사, 동료 치과위생사 및 치과관련 다양한 직종분야의 사람들과의 밀접한 관계에서 업무를 수행해야 하는 치위생전공 대학생들에게 개인 및 학과또는 대학 차원에서 자신을 존중하고 타인을 배려할 수 있도록 자기계발 및 자아존중 프로그램의 개발·운영이 필요하다고 생각된다. The purpose of this study was to examine the relationship between anger expression and self-esteem of female college students of dental hygiene. Participants were 598 female students who majored in dental hygiene from randomly selected colleges, located in Daejeon and Chungcheongbuk-do. Data were gathered from May 20 to June 5, 2014, using structured questionnaires. The major findings of the study were as follows: the correlation between anger expression and self-esteem was analyzed, and self-esteem was found to have a weak significant negative correlation with anger expression. On analyzing data to explore which variables affected self-esteem, it was found that self-esteem was influenced by grade, school record, harassment, languageㆍpsychological violence, and bullying. The above-mentioned findings suggest that anger expression is related to self-esteem. After graduation from college, dental hygiene students, encounter a variety of interpersonal relationships in their work. Therefore self-esteem programs need to be developed and implemented at an individual, departmental, and collegiate level to help students learn to respect themselves and others, and to provide appropriate care.