• Journal of Korean society of Dental Hygiene
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• v.20 no.5
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• pp.581-591
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• 2020

Objectives: Oral diseases can be prevented, and early treatment through dental checkups is important. This study was investigated the relationship between dental checkups and unmet dental care needs in Korean adults. Methods: From the data of the 7th Korean national health and nutrition survey (2016-2017), the final 9,300 of the 16,277 participants selected as the method for extracting stratified colonies by complex sample design. A structured questionnaire interview was used, and chi-square test and multiple logistic regression analysis were performed. Results: The relationship between dental checkups and unmet dental care needs for the last one year was analyzed by controlling demographic characteristics, variables related to health conditions, and "use of dental clinics for the last year." The unmet dental care needs were 7.57 times higher (CI: 6.49-8.83) for non-users of dental clinics for 1 year, and 1.32 times (CI: 1.13-1.54) for dental checkups for 1 year compared to non-dental checkups patients. Conclusions: As described above, there was a close relationship between adult dental checkups and unmet dental care needs. Therefore, it is suggested that it is necessary to expand educational publicity and prepare policy strategies such as visiting dental checkups to improve the adult dental checkups.

• Journal of Korean society of Dental Hygiene
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• v.22 no.2
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• pp.117-124
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• 2022

Objectives: It is crucial to detect and prevent oral problems early. Older adults, in particular, should go for regular dental checkups to maintain a healthy oral environment. This study identified the factors affecting regular dental examinations and unmet dental needs in older adults. Methods: This study analyzed 3,362 older adults aged 65 or over using the data from the 7th Korean National Health and Nutrition Examination Survey (KNHANES). Frequency analysis was performed on general characteristics. In addition, chi-square tests were done to determine differences in regular dental checkups and unmet dental needs according to general characteristics. Logistic regression analysis was performed on factors influencing regular dental checkups and unmet dental needs. Results: Factors influencing regular dental checkups were statistically significant according to residential areas, level of education, household income, and levels of physical activity (p<0.05). Factors influencing unmet dental needs were statistically significant according to residential areas, level of education, private medical insurance, and levels of dental pain (p<0.05). Conclusions: National level policy strategies should be implemented to improve the oral health of older adults. These strategies should encourage regular dental checkups to effectively lower the rate of unmet dental needs.

• Journal of the Korea Convergence Society
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• v.9 no.12
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• pp.401-409
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• 2018

The purpose of this study was to examine the oral health care and self-rated health status of adults visiting dental clinics in the region of Busan and influential factors for their dental fear from January to May, 2017, in an effort to obtain some information on how to relieve fear. As for dental fear, adults who were in their 30s, who were homemakers and whose monthly income ranged from 4 to 4.99 million won. In regard to fear according to oral health care, dental fear caused by the treatment avoidance factor was stronger among the adults who didn't receive dental checkups and who brushed their teeth in the wrong way. Dental fear that was attributed to the physiological reaction factor and the stimuli-inducing factor was severer among the adults who didn't receive dental checkups and who had no scaling experience. Overall fear was severer among the adults who didn't receive dental checkups and who changed their toothbrushes every four or more months. The factors that affected dental fear were self-rated health status, self-rated oral health status, gender, age, whether to receive dental checkups on a regular basis or not, and oral health education experience. Therefore in order to alleviate dental fear, self-rated health status should be improved, and the kind of system that encourages regular dental checkups and provides oral health education should be prepared.

• Journal of Korean society of Dental Hygiene
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• v.21 no.6
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• pp.763-771
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• 2021

Objectives: The purpose of this study was to examine the association between periodontitis and health behavior in women aged ≥40 years. In addition, related factors were compared according to the presence or absence of cardiovascular disease. Methods: Data from the 7th Korean National Health and Nutrition Examination Survey (2016-2018) were used. The study included 3,801 women aged 40-79 years, who participated in a questionnaire health survey related to hypertension, stroke, myocardial infarction, and angina pectoris, as well as completed blood tests, anthropometry, and oral examination. Statistical analyses were performed using complex sample general linear, complex sample crosstabs, and complex sample logistic regression analyses. Results: In all subjects, smoking and drinking, use of interdental care products, and dental checkups were confirmed to be significantly related to periodontitis. In the group with cardiovascular disease, the use of interdental care products, experience in dental checkups, and toothbrushing more than three times a day were confirmed as significant factors for lowering the prevalence of periodontitis. In the group without cardiovascular disease, smoking and drinking, use of interdental care products, and experience in dental checkups were confirmed as the significant factors. Conclusions: To improve the periodontal health of women over 40 years of age with cardiovascular disease, a health education program including self-care methods for proper dental plaque management and regular dental checkups are critical. Additionally, awareness of the risks of smoking and drinking would be helpful even for women without cardiovascular diseases.

• The Journal of Korean Society for School & Community Health Education
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• v.19 no.1
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• pp.85-98
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• 2018

The purpose of this study was to examine the levels of the subjective oral health awareness of local residents in the city of Changwon and Haman county in an effort to lay the foundation for the development of customized local oral health education programs. The 2015 community health survey data were used, and the data from 864 residents in Changwon and from 719 dwellers in Haman county were analyzed. The Changwon residents brushed their teeth after lunch more, received more oral checkups over the past year and had more scaling experience. The Haman residents had more experience of not receiving dental treatment. The subjective health awareness, subjective oral health awareness, chewing difficulty and periodontal health of the Haman dwellers were all worse, and all the levels of awareness were lower among the respondents who were older and who were diagnosed with hypertension and/or diabetes. The respondents who made use of dentures and who didn't brush their teeth after lunch had experience of not receiving dental treatment, and all the levels of health-related awareness were lower among the respondents who didn't receive dental checkups nor had scaling experience. To remedy the situation, efforts should be made to prevent and manage chronic diseases, and the establishment of a system that guarantees regular dental checkups and scaling is required. And the kind of environments that everybody can receive dental treatment when they want should be prepared. In order to change negative awareness, necessary measures should be taken to provide oral health education that is not temporary but sustainable and tailored to local characteristics and different life stages.

• Journal of dental hygiene science
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• v.16 no.6
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• pp.415-423
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• 2016

This study examined the relationship between oral health behaviors and in senior citizens to determine how to improve their happiness index. The subjects in this study were 260 senior citizens aged 65 years or older, who resided in North Jeolla Province. A survey was conducted from June 17 to 30, 2016. The happiness index of elderly people who brushed their teeth more often and had dental checkups on a regular basis was significantly higher (p<0.05). Evaluation of subfactors associated with quality of life related to oral health showed significant differences in functional disturbances according to gender, age, the presence or absence of a spouse, and the use or nonuse of dentifrice (p<0.05). Physical pain significantly varied with the presence or absence of a spouse, educational level, monthly mean allowance, and regular dental checkups (p<0.05); significant differences were found in psychological discomfort according to gender, tooth brushing frequency, and regular dental checkups (p<0.05). There were significant differences in declining physical capacity according to gender, age, educational level, and monthly mean allowance (p<0.05); waning mental capacity significantly differed with age, living alone or with another person, the presence or absence of a spouse, and regular dental checkups (p<0.05). The factors that influenced the happiness index in senior citizens were age, living alone or with another person, educational level, monthly mean allowance and the Oral Health Impact Profile score (p<0.05). The study showed that measures are needed to improve the quality of life and happiness index in elderly people, including the development of oral health programs for this population.

• Journal of Periodontal and Implant Science
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• v.48 no.5
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• pp.317-325
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• 2018

Purpose: We investigated correlations between the findings of oral examinations and panoramic radiography in order to determine the efficacy of using panoramic radiographs in screening examinations. Methods: This study included patients who visited dental clinics at National Health Insurance Service (NHIS) Ilsan Hospital for checkups during 2009-2015 and underwent panoramic radiographic examinations within 1 year prior to the oral examinations. Among the 48,006 patients who received checkups, 1,091 were included in this study. The data were evaluated using the Cohen kappa and interrater agreement coefficients. Accuracy, sensitivity, and specificity were calculated using data from the panoramic radiographs as true positive diagnoses. Results: The interrater agreement coefficient for occlusal caries was 28.8%, and the Cohen kappa coefficient was 0.043 between the oral and panoramic radiographic examinations. Root caries and subgingival calculus were only found on the radiographs, while gingival inflammation was found only by the oral examinations. The oral examinations had a specificity for detecting occlusal dental caries of 100%, while their sensitivity for proximal dental caries and supragingival calculus was extremely low (14.0% and 18.3%, respectively) compared to the panoramic radiographic examinations. The oral examinations showed a relatively low sensitivity of 66.2% and a specificity of 43.7% in detecting tooth loss compared with panoramic radiography. Conclusions: Panoramic radiography can provide information that is difficult to obtain in oral examinations, such as root caries, furcation involvement, and subgingival calculus, which are factors that can directly affect the survival rate of teeth. It therefore seems reasonable and necessary to add panoramic radiography to large-scale health checkup programs such as that provided by the NHIS.

• Journal of dental hygiene science
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• v.15 no.5
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• pp.594-602
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• 2015

The purpose of this study was to examine the relationship of oral health status and oral health care to life. The subjects in this study were the patients who visited dental hospitals and clinics in several regions for seven months from March 2013. They got dental checkups, and a survey was conducted. The patients who received general treatment scored highest in Oral Health Impact Profile-14. Among the subfactors, the patients who received general treatment scored higher in functional limitation (8.27), physical pain (7.24), physical restrictions (7.90), social restrictions (7.79), physical limitations (8.14) and social difficulties (8.24). The patients who received orthodontic treatment scored higher in handicap (8.78). All the differences were statistically significant. As for gender gaps, the men scored higher in every factor. By age group, the older patients led a worse quality of life. By occupation, the homemakers mostly led a worse quality of life, and the patients who had no systemic diseases lived a better quality of life. All the differences were significant. Concerning self-rated health status and self-rated oral health state, the patients who found themselves to be in better health and in better oral health led a better quality of life. The differences were significant. Regarding oral health care, the patients who didn't get regular dental checkups and who could visit a dental clinic whenever they had a pain lived a better quality of life. The differences were significant. In terms of oral health status, a higher quality of life was found among the patients who had sound teeth, whose teeth received no sealant treatment, whose teeth received no filling therapy, who had no missing tooth, whose teeth received no prosthetic treatment and who had no dental implants teeth.

• Journal of The Korean Society of Integrative Medicine
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• v.5 no.3
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• pp.101-113
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• 2017

Purpose : The purpose of this study was to examine the self-rated oral health status of local residents and their quality of life in urban and county areas in an effort to provide information on how to improve their quality of life. Method : The 2015 community health survey data for South Gyeongsang Province(10 urban regions and 10 county areas) were analyzed. Result : The findings of the study were as follows: As for the characteristics of self- rated oral health, there were better self-rated oral health, less chewing difficulty, less use of dentures, higher rate of receiving dental checkups and more scaling experience in the urban communities than in the county areas. Concerning EQ-5D and happiness index by region, the two were higher in the urban regions than in the county areas. In regard to EQ-5D and happiness index by the characteristics of self-rated oral health, better self-rated oral health status and less chewing difficulty led to higher EQ-5D and higher happiness index. And the two were higher when dentures were not used, when more dental checkups were received and when there was more scaling experience. Conclusion : Therefore in order to boost the quality of life of local residents, the preparation of various educational programs is necessary to raise their awareness of health, and they should be provided with a wide range of medical benefits by dispersing medical institutions that are mostly located in urban communities or by expanding public health services in county areas.

• Journal of Korean society of Dental Hygiene
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• v.11 no.6
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• pp.973-983
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• 2011

Objectives : The oral care during early childhood plays an important role to maintain sound oral health during adulthood. As the number of children's using child care facilities is on the rise recently, the children's oral health awareness and behavior of the educators at nurseries and kindergartens are to be examined. Methods : A self-recording survey was conducted on 194 educators at the nurseries and kindergartens in Chungnam region. Results : The most frequently given snack was milk, 91.8 percent of the facilities had children brush their teeth, 63.4 percent made them apply fluoride and 56.2 percent kept children's toothbrushes in an ultraviolet rays sterilizer. There was a meaningful difference in the awareness of the necessity to educate children about oral health according to the offer of the opportunity to apply fluoride (p<0.05). A meaningful difference was found in the recognition of the necessity to educate children according to their grade (p<0.05) and to train teachers themselves (p<0.05). The most desirable persons in charge of oral health education were dentists in health centers (46.9%) in order. The more experience in teaching they have had (p<0.05), when they're married (50.5%) (p<0.05) and when they're not homeroom teachers (52.6 percent), the more regular checkups they have had (p<0.05). As for the importance of oral health and the results of regular checkups, those who had answered 'very important'(42.4%) showed higher rate of regular checkup (p<0.05) than those who had answered 'important'(23.9%). When teachers have the experience to get trained about oral care (96.3%), the practice frequency of brushing teeth was proved to become higher (p<0.05). Conclusions : The educators for children should recognize the importance of oral health education, educate children to practice oral health care, and the environment and systematic foundation should be established which the educators manage effectively.