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제2형 당뇨병 환자에서 구강건강행위와 당화혈색소와의 연관성
최준선 ( Jun Seon Choi ),이명주 ( Myung Joo Lee ),한수진 ( Su Jin Han ) 대한예방치과·구강보건학회 2009 大韓口腔保健學會誌 Vol.33 No.3
Objectives: This study examined the association between oral health behavior and the hemoglobin A1c level in type 2 diabetic patients. Methods: The subjects of this study were One hundred and fifty type 2 diabetes mellitus patients, who visited the internal and family medicine departments of clinics from June to October, 2007. A questionnaire and NYCOCARD(R) READERII were used to quantify hemoglobin A1c. The data was analyzed using a t-test, one-way ANOVA and multiple regression analysis included in the SPSS 12.0 program. Results: 16.7% of subjects had scaling experience over the past year. 7.3% and 5.3% reported receiving a periodic dental examination and periodic scaling, respectively. Less than one-tenth(8.6%) reported using dental floss silk. The most common self-reported symptoms were swelling and bleeding of the gums(48.0%). These results show that the Hemoglobin A1c level is related to the frequency of visiting medical institutions for diabetic treatment, blood glucose monitoring, physical exercise, diet control, time passed from visiting dental institutions, and periodic scaling. Conclusions: Scaling and visits to dental institutions were found to be closely related to the Hemoglobin Alc level. Therefore, dental and other health care professionals should emphasize the importance of periodic scaling, dental checkups and daily oral self-care, including tooth brushing, dental floss silk, in people with diabetes.
최준선 ( Jun-seon Choi ) 한국치위생학회 2017 한국치위생학회지 Vol.17 No.3
Objectives: The purpose of this study was to examine the practice of oral hygiene behaviors and oral health status of long-term care facility residents and to analyze the factors related to salivary hemoglobin level which can predict active periodontal disease. Methods: From 30th October 2015 to 7th January 2016, a questionnaire was provided to 63 participants and their dental plaque and saliva samples were collected to assess the levels of salivary hemoglobin and dental plaque acidogenicity. In order to analyze the factors related to salivary hemoglobin level, multiple linear regression analysis was performed. Results: Tooth-brushing was most frequently performed by the participants themselves (98.4%) and toothbrushing was performed after eating breakfast (81.3%). 68.8% of participants reported brushing their tongue. 35.9% of participants perceived having bad teeth, and 87.5% had high dental caries activity. The percentages of participants with hyposalivation and ≥ 0.20 μg/ml salivary hemoglobin level were 45.3% and 59.4%, respectively. The salivary hemoglobin level was significantly higher in the group in which stimulated salivary flow rate was ≤ 0.70 ml/min, dental plaque acidogenicity was superior, and perceived having bad teeth (p<0.05). There was also a tendency for the salivary hemoglobin level to increase with age (p<0.05). Conclusions: Oral health status of the long-term care facility residents was still not improved, and the characteristics of salivary volume and dental plaque were important factors affecting salivary hemoglobin level. Therefore, it is necessary to operate an oral hygiene intervention program by oral health professionals in such facilities in order to provide residents with effective oral care aligned with their respective needs. Furthermore, it is necessary for caregivers to complete mandatory oral health education to improve the oral hygiene status of the long-term care facility residents.
주관적으로 인지한 구강건강문제와 구강건강관련 삶의 질과의 연관성
최준선 ( Jun Seon Choi ),이영주 ( Yeong Ju Lee ),전수빈 ( Su Bin Jeon ),김혜미 ( Hye Mi Kim ),정은하 ( Eun Ha Jeong ),조은지 ( Eun Ji Jo ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.3
Objectives. The arm of this study was to investigate the correlations between self-reported oral health problems and oral health-related quality of life using OHIP-14S. Methods. For the study, adult residents over 35 age living in Seoul, Incheon, and Gyeonggi area have been surveyed from 17th Aug., 2009 to 4th Sep., 2009. Oral health-related quality of life was measured using the OHIP-14S. The relationship between self-reported oral health problems and the oral health-related quality of life was evaluated by t-test, one-way ANOVA, and multiple regression analysis. Results. The study shows that the OHIP-14 scores are found the lowest at people in over 60 years (p<0.01). Self-reported symptoms of mandibular dysfunction are found to higher in middle school graduates comparing with highschool or above graduates (p<0.05). Also symptoms of dry mouth are more reported among people over 60 years and elementary school graduates (p<0.05). People get more self-reported symptoms of periodontitis, dental caries, mandibular dysfunction, and dry mouth they likely get higher score of functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap on the OHIP-14 7-demensions (p<0.05). People who were older and had more self-reported symptoms of periodontitis, mandibular dysfunction, dry mouth and need for oral health treatment are found to higher OHIP-14 scores (p<0.05). Especially, the strongest correlations were found between oral health-related quality of life and self-reported symptoms of periodontitis (p<0.001). Conclusions. The results demonstrated periodontitis, mandibular dysfunction, and dry mouth are clearly cause negative impact on public`s life quality. Therefore, to improve people`s life quality some measures to prevent factors lowering oral functions and abilities, uncomfortable, and pains should be taken in advance. Further, government is required to widely drive oral-disease preventive programs and dental professionals will make efforts to revitalizing regular oral health check programs and developments and applications of useful oral health education programs.
최준선(Jun-Seon Choi),김선주(Sun-Ju Kim) 한국콘텐츠학회 2011 한국콘텐츠학회논문지 Vol.11 No.11
본 연구는 국내 일부 지역에 거주하는 외국인의 치과의료 이용 실태를 분석하여 국내 거주 외국인에 대한 치과의료서비스를 확충하고, 관련 제도의 개선을 위한 기초자료를 제공하고자 수행하였다. 조사 대상자의 대부분이 국내에서의 치과치료 경험이 없었고, 치과치료를 받지 못한 이유는 시간부족과 진료비 부담 때문이었다. 건강보험이 있는 경우 치과치료 경험이 많았으며, 국내 치과의료기관 이용 시 만족도는 전반적으로 불만족하다고 응답하였다. 따라서, 국제화 시대에서 날로 증가하고 있는 외국인들이 국내에 체류하는 동안 기본적인 구강건강을 유지하고 양질의 치과의료서비스를 받을 수 있도록 실질적인 치과의료서비스 확충 및 관련 보건정책의 수립이 필요하다. The purpose of this study was to investigate the actual profile of dental clinic services used by foreigners who reside in certain regions of Korea. As a result, this study could come to the following conclusion: It was found that most of respondents had never received any dental treatment in Korea, but the largest number of respondents who ever experienced any dental treatment had visited dental clinics in their neighborhood for treatment. Most respondents allowed for public recognition of medical institution among others in terms of criteria about selection of dental care institution. In addition, our respondents not receiving any dental treatment during their residence in Korea primarily because they had ‘no sufficient time’ to use dental clinics, and secondarily because they had ‘a burden of expenses spent in dental care’. Moreover, many respondents were unsatisfied with their use of Korean dental clinics. Based on these findings, it is necessary to further expand dental care services in practical aspect and establish relevant public health policies.