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2011, Vol.11, No.4

  • 1.

    Beneficial effect of vitamin K on bone health

    장영호 | 2011, 11(4) | pp.419~426 | number of Cited : 0
    Abstract PDF
    Originally, vitamin K was defined as a factor for blood coagulation. Now more attention is focused on vitamin K for bone metabolism and bone health. Vitamin K is a coenzyme for glutamate carboxylase which converts glutamate residues to γ-carboxyglutamate(Gla) residues. Gla residues have calcium binding ability and bound to hydroxyapatite crystals in bone. Vitamin K promotes the carboxylation of osteocalcin and matrix Gla-protein,vitamin K-dependent proteins and improves bone mineral density and bone mass. Vitamin K deficiency causes reductions in bone mineral density and increases the risk of osteoporotic bone fractures, resulting from undercarboxylated osteocalcin. This paper is to provide a brief information of vitamin K and its role in bone health.
  • 2.

    A study on the factors related to the choice of dental clinics for worker in Seoul

    정상희 | 정화영 | 김은희 | 2011, 11(4) | pp.427~439 | number of Cited : 1
    Abstract PDF
    Objectives : The purpose of this study was to examine the awareness of company employees. The importance of the selection factors of dental clinics by demographic characteristics. Methods : The subjects of this study was 218 employees. In this study, structured were used. Results : As for perception of the importance of traffic convenience by general characteristics, the company employees who were male, who were married, who had children, who continued to work for a longer period and who were better paid placed more significance on traffic convenience among the selection factors of dental institutions,and the gaps between them and their counterparts were significant. Regarding perception of the importance of the physical environments of dental institutions by general characteristics,those who were in their 20s and in their 50s and up, who were less educated, who worked for a smaller period and who were less paid gave more weight on the importance of physical environments, and the gaps between them and their counterparts were significant. As to perception of the importance of the image of dental institutions by general characteristics, monthly pay made a signifiant difference to that. Concerning the external qualifications of dental personnels, they took a significantly different view according to their age and monthly pay. In relation to perception of the importance of dental service by general characteristics, the women attached more importance to dental service than the men, and the intergroup gap was significant. In regard to perception of the importance of the basic components of dental institutions by general characteristics,those who were in their 40s and up, who had children, who were better paid and who were assistant directors were significantly different from their counterparts in their opinions on the importance of the basic components of dental institutions. Conclusions : The findings of the study suggest that dental institutions should make efforts to provide patients with the best medical service to gain their confidence.
  • 3.

    Impact of eating behavior on dietary habits and subjective oral health evaluation

    임근옥 | 우승희 | 곽정숙 | 2011, 11(4) | pp.441~451 | number of Cited : 9
    Abstract PDF
    improvement of their eating behavior, as eating behavior seemed to affect oral health and dietary habits. Methods : The subjects in this study were 235 patients who visited the dental hygiene practice lab at C college in South Jeonla Province. After a survey was conducted, the collected data were analyzed with the statistical package SPSS 12.0. Results : 1. When their self-awareness of dietary habits and oral health was checked in consideration of eating behavior, those who thought they had very good dietary habits and were in good oral health had meals three times a day. Their eating time was very irregular, and they took 15 to 20 minutes to eat. Their overeating frequency was three or four times a week, and their frequency of eating between meals was once or twice a week. 2. On the contrary, the daily eating frequency of the patients who found themselves to have very bad dietary habits and to be in bad oral health was not fixed, and their eating time was neither regular nor irregular. They spent less than 10 minutes having a meal, and their overeating frequency was once or twice a week. Their frequency of having a snack was three or four times a week, and as for food preference, they had a liking for meat. 3. The patients considered themselves to be in better health when they had balanced meals and good eating behavior,namely good dietary habits. And they rated their own dietary habits higher when they were in a good oral state,had no experiences to feel pain in the mouth and didn't receive any dental treatment, namely when they were in good oral health. Conclusions : This study attempted to investigate the influence of eating behavior on oral health awareness. Another limitation of this study is that the geographic scope was just confined to an urban community in South Jeonla Province without checking any possible regional gaps. However, it’s quite evident that eating behavior exerts an influence on oral health awareness, and it seems worth doing to examine a larger number of subjects by utilizing objective oral health guidelines.
  • 4.

    A survey on the understanding of dental homepages by students of dental hygiene departments and dental hygienists in some regions

    김선영 | 오정숙 | moonsangeun | 2011, 11(4) | pp.453~464 | number of Cited : 4
    Abstract PDF
    Objectives : The purpose of the study is to gain some basic material for the improvement of dental clinics’homepages through a survey investigation, in which college students of Dental Hygiene Departments and Dental Hygienists in Kwangju and Cheollanamdo Province Methods : It conducted the self-reported questionnaire survey on the Recognition Degrees of the Dental Clinics’Homepages from May 26, 2010 to October 19 targeting 240 dental hygienists who are working for dental offices and 638 college students of Dental Hygiene Departments. Results : 1. It was asked whether they have visited dental homepages for the recent one year; ‘yes’answers occupied 68.1%, double than ‘no’answers. 2. It was asked how much they know services provided in dental homepages; The more respondents correctly answered that there exist all these services like general information service, visitor’s book and bulletin board service, reservation service, dental information service, counseling service,and visual service. 3. All the respondents answered that the homepage of each dental clinic is closely related with the image of the clinic : freshmen showed 3.84, sophomore showed 4.03, juniors showed 4.03, and dental hygienists showed 3.88. 4. It was asked how much they know services provided in dental homepages; Are there the homepages for dental hygienists? Many of them answered that IT experts or businesses are managing the homepages in the technical respect(38.4%) and their use and general administration mainly belongs to dental hygienists(46.2%). Conclusions : It is necessary that through the studies of dental hygienists’interest and understanding on dental homepages we have to seek the development orientation of the technical management and the way of using them,and furthermore we have to know the thoughts of patients on dental homepages, who are users of the dental informations, and find the ways of improving medical services which the patients want.
  • 5.

    An experimental study on plaque removal effect through the acting types of the electric toothbrushes

    이천희 | 안선하 | 장영호 | 2011, 11(4) | pp.465~474 | number of Cited : 3
    Abstract PDF
    Objectives : The removal of most reliable mechanical dental plaque that is to say tooth brushing was generalized to control of dental plaque, many oral health goods have also developed due to the effect differences followed by individual habit. The electric toothbrush have studied and developed widely as major field of study that electric toothbrush having various moving phase was sold and developed at the market. Methods : Accordingly author studied about selling electric toothbrushes shape (vibration type, ultra-sonic minuteness vibration type, semi rotation type) to raise the efficiency after comparing to the moving them that total 8 groups classified by poor tooth models for example normal set of tooth, crowding tooth, bracket attached tooth, prosthetic status etc. and executed plaque removal effect on the tooth through comparing experiment. Results : The removal rate of artificial plaque on the tooth was improved in proportion to the increase of tooth brushing time(p<0.05). The ultra-sonic minuteness vibration and semi rotation type was superior to toothbrush of vibration type comparing to the removal rate of plaque on the tooth(p<0.05). Conclusions : The electric toothbrush of supersonic minuteness vibration and semi rotation type can be recommended most of tooth types regardless of oral tooth setting status for example, normal set of tooth, crowding tooth, bracket attached tooth, porcelain tooth.
  • 6.

    Evaluation of the qualite of life related to oral health among elderly people in some elderly care facilities by OHIP-14

    장선희 | 최미혜 | 2011, 11(4) | pp.475~487 | number of Cited : 16
    Abstract PDF
    Objectives : The growing elderly population and social changes have fueled a rapid increase in demand for elderly care facilities, but health care services for the elderly, especially oral health services, have long been overlooked. The purpose of this study was to examine the oral health care of elderly residents in elderly care facilities in an effort to provide some information on the elderly's oral health care and the development of dental care programs geared toward institutionalized elderly people. Methods : The subjects in this study were 230 elderly people who were in elderly care facilities in Jeolla Province. An individual interview was held, and they got a dental checkup. As for data analysis, t-test and ANOVA were utilized, and Scheffe post-hoc test was employed. Results : 1. In relation to the subfactors of the quality of life related to oral health, the elderly people investigated got a mean of 4.58, 4.47, 4.38, 4.09, 3.94, 3.91 and 3.76 respectively in activity disorder, mental disorder,social disorder, mental inconvenience, functional disorder, physical pain and physical disorder. 2. Concerning the overall quality of life related to oral health, there were statistically significant gaps in this aspect according to gender, age, presence or absence of systemic disorder, presence or absence of eating difficulties, subjective health status, subjective oral health state and oral health concern. 3. The presence or absence of root caries had a significant relationship to physical pain and social disorder among the subfactors of the OHIP-14, but that had nothing to do with functional disorder, mental inconvenience, physical disorder, mental disorder and activity disorder. Conclusions : The oral health indexes of the institutionalized elderly people in Jeolla Province were measured,and what factors affected the subfactors of oral health was checked. As a result, there appeared a close relationshould be carried out to improve elderly people’s quality of life related to oral health who stay in long-term elderly care facilities. In the future, prolonged research should be implemented from diverse angles for the sake of institutionalized elderly people.
  • 7.

    Changes in the trends of dental caries patients in Korea -Based on patient survey data from 1990 to 2008-

    Choi YongKeum | Sei Rok Doh | 박덕영 | 2011, 11(4) | pp.489~497 | number of Cited : 2
    Abstract PDF
    Objectives : Based on data collected from patients who suffered from dental caries during the period between 1990 and 2008, the number of patients and their trends were analyzed as a source of evidence to conduct the oral health plan. Methods : A population of sample design for patient survey data was derived from computerized data saved at medical institutions accredited by National Health Insurance Corporation. Large institutions such as dental hospitals were included for the complete enumeration test, while the rest of medical institutions, for example, dental clinic, relatively small institutions, were used for the sample survey. Most of patients with dental caries were outpatients and their disease was treated at the dental hospital or dental clinic in general, therefore, main analysis was carried out at those institutions. Results : The rate of patients who suffered the dental caries has decreased to 56.8% in 2008 from 78.5% in 1990. The rate of patients who visited the dental hospital for treatment has increased to 4.8% in 2008 from 0.5% in 1990,whereas the percentage of those who visited the dental clinic has fallen to 97.9% from 99.5% during the same period. The ratio by age, in the meantime, it showed that patients aged 40s has increased to 13.5% in 2008 from 7.2%in 1990, and the number also has risen in 50s from 5.6% in 1990 to 9.9% in 2008. However, the number of children aged 0 to 9 who visited hospital for treatment of dental caries has fallen to 17.0% in 2008 from 33.9% in 1990. Conclusions : By figuring out the trends of patients with the dental caries during the period between 1990 and 2008, fundamental data for the oral health policy have been collected. As a result, the necessity of a new medical treatment system for managing the dental caries in terms of patient ages as well as the oral health policy and campaign was taken into consideration.
  • 8.

    Relationship of oral health behavior to subjective oral health status and the DMFT index in Korean adults

    장윤정 | Kim,Nam-Song | 2011, 11(4) | pp.499~509 | number of Cited : 24
    Abstract PDF
    Objectives : The purpose of this study was to provide some information on down-to-earth oral health policy to improve the systemic health involving oral health and the quality of life in Korean adults. Methods : The third-year data of the 4th National Health and Nutrition Survey in 2009 were analyzed, and x2(Chi-square) test was carried out to see whether there would be any gaps in subjective oral health status according to demographic characteristics, systemic health state, frequency of eating between meals and oral health behavior. In terms of the DMFT index, one-way ANOVA was utilized, and then Scheffe post-hoc analysis was conducted. Besides, multiple regression analysis was made to grasp the relationship of oral health behavior to subjective oral health state and the DMFT index. Results : The demographic characteristics, systemic health status and oral health behavior had a significant relationship to both of subjective oral health status and the DMFT index. As a result of analyzing the relationship of oral health behavior to subjective oral health state and the DMFT index, the subfactors of oral health behavior exerted a significant independent influence on subjective oral health status and the DMFT index. Conclusions : The findings of the study suggest that in order to promote the oral health of adults, preventive measures should be taken, and systematic oral health education should be provided. As there is an increase in the elderly population in Korea, the successful implementation of senior oral health plans and the development of oral health programs geared toward adults are both required.
  • 9.

    Impact of oral health behaviors on the presence or absence of periodontal diseases and missing tooth

    주온주 | 2011, 11(4) | pp.511~522 | number of Cited : 13
    Abstract PDF
    Objectives : The purpose of this study was to provide some information on the development of oral health care programs geared toward diabetics and ways of promoting their oral health. Methods : The subjects in this study were 586 diabetics who were selected from the 2009 third-year raw data of the 4th(2007~2009) National Health & Nutrition Survey. The data were analyzed with the statistical package SPSS 12.0 to grasp the influence of their sociodemographic characteristics and oral health behaviors on the presence or absence of periodontal diseases and missing tooth. Results : .1. Periodontal diseases were twofold more prevalent among the men than the women(p<0.01). By age,those who were in their 60s had 1.11-fold more periodontal diseases than those who were in their 70s and up(p <0.05). 2. The men and women were similar to each other in the number of missing tooth. By age, the number of missing tooth got smaller in proportion to decrease in age. By income, the number of missing tooth was 1.48-fold larger among the patients who earned an income of one million won or less than those who earned an income of two million won or more(p<0.01). Conclusions : The above-mentioned findings suggest that prospective cohort studies should be implemented to present prediction models of periodontal diseases and diabetes instead of merely sticking to cross-sectional studies. And oral health programs should be developed based on the findings of cohort studies to encourage diabetics to care about their oral health, and in which way they should be helped to promote their oral health should carefully be considered.
  • 10.

    The effect of factors dental treatment fear of dental hygiene and non-dental hygiene students

    최미혜 | Kim,Nam-Song | 2011, 11(4) | pp.523~532 | number of Cited : 8
    Abstract PDF
    Objectives : The purpose of this study was to measure the effect of factors analyes the associated by the dental treatment fear of level dental hygiene and non-dental hygiene students. and then to provide basic material which can help to improveoral health and effective dental treatment. Methods : The subject in this study were 275 students in Jeolla region. The data were collected from March through April 2010, by way of the self-reported questionnaire. Results : 1. Subjects, who correspond to‘high fear level’which is more than 60 points in the scale of Dental Fear Survey, were indicated to be larger in collegians of general-related departments(38.9%) than collegians of health-related department(36.3%).2. Among three detailed factors, the treatment-stimulator response factor showed the higher fear sense than other 2 factors. In the physiological response, ‘muscular tension’was 2.72points, there by having been indicated to be the highest.3. The more belonging to the group with high fear was indicated to lead to the more in direct pain experience, in non-anesthesia pain experience, and in indirect pain experience through brothers and sisters. Even the symptom and syndrome in oral disease were indicated to be much. 4. As a result of comparing difference in dental fear level depending on pain experience, it was indicated that the more belonging to the group with high fear leads to the more in direct pain experience, in non-anesthesia pain experience, and in indirect pain experience through brothers and sisters. Conclusions : Dental fear must be controlled carefully in order to promote oral health and effective dental treatment.
  • 11.

    Oral health knowledge, attitude, behavior in middle and high school students and needs for oral health education

    최혜숙 | 황선희 | 안세연 and 7other persons | 2011, 11(4) | pp.533~546 | number of Cited : 17
    Abstract PDF
    Objectives : The purpose of this study was to examine the oral health knowledge, attitude, behavior among 918secondary students and their needs for oral health education in Seoul, Gyeonggi Province and Choongbuk Province. Methods : The collected data were analyzed by the statistical package SPSS 18.0, and frequency analysis, correlation analysis, crosstabs, t-test and ANOVA were utilized. Results : The girls proceeded the boys in oral health knowledge, and the high school students were ahead of the middle schoolers in oral health knowledge, attitude and behavior. Those who ever received oral health education surpassed the others who didn't in oral health knowledge and behavior(p<0.01). The students hoped to be provided with oral health education by dental hygienists during regular classroom hours once per semester, 30 minutes to one hour at a once, and their favorite ways of oral health education were videotape watching and practice. As for needs for oral health education, the middle school students had higher needs for that than the high schoolers, and the former’s needs scores were above the average(p<0.05). Conclusions : There were differences among the students in oral health knowledge, attitude and behavior according to their school system, gender and oral health education experiences, but oral health education was provided without taking their differences into account. It was recommended, efficient oral health education programs should be developed by focusing on how to take care of and prevent oral diseases, and videotape watching and practice that were preferred by the secondary students should be included in the programs.
  • 12.

    Infection control among dental hygienists according to infection control education experiences

    김지현 | 김진경 | 2011, 11(4) | pp.547~556 | number of Cited : 22
    Abstract PDF
    Objectives : The purpose of this study was to examine the relationship between the infection control education experiences of dental hygienists and the state of their infection control. Methods : The subjects in this study were the dental hygienists who worked in Seoul. The relationship of their infection control education experiences to their gender, marital status, academic credential, workplace, length of service, infection control implementation, experience of being exposed to infection, way of coping with it, hand washing, use of personal protection devices and equipment management was analyzed. Results : It is found that the variable to affect the state of infection control was educational experiences about handpiece water pipe management, ultrasonic scaler water pipe management and three-way syringe water pipe management. Conclusions : Dental hygienists who are one of major dental personnels should receive systematic education on infection control to acquire accurate knowledge to ensure the successful prevention of cross infection.
  • 13.

    Study on elements for effective infection control at dental hospitals

    배성숙 | Myung Sun Lee | 2011, 11(4) | pp.557~569 | number of Cited : 21
    Abstract PDF
    Objectives : Based on the system and control activity for the monitoring system made of components for infection control at dental hospitals and infection rate reporting, and the role of trained infection control staff, this study tried to understand approaches to the effective infection control program by surveying infection control at dental hospitals in Korea. Methods : The survey was conducted from December 14,2010 to January 31,2011 for 121 dental hospitals in Korea. For statistical analysis, PASW Statistic 18 was used. Results : And following conclusions were reached. 1. As for the infection control system at dental hospitals, 54.7%has an infection control committee, 58.7% infection control staff, 78.5% infection control rules, and 39.7% annual infection control plan and record. 2. As for surveillance indexes to report infection rates, 50.4% has the reporting system for staff’s exposure to infectious disease and needle pricking. The average number of exposures to infectious disease was 0.28±2.23 and that of needle pricking was 1.83±5.39. 3. As for infection control indexes, it was reviewed whether infection control rules were implemented according to operation agents, general hospitals were more active in staff infection control, and hospitals annexed to a dental university or special legal entity were more active in microorganism control. As for use of personal protection gear, there was no significant difference among operation agents. More than 71% of operators and their assistants said they did not replace their masks between patients. 4. As for personnel indexes for effective infection control staff, most hospitals designated dental hygienists, which was followed by dental doctors (or doctors). Where their workload was reviewed, the ratio of other work such as treatment was relatively higher than that of infection control (n=71). Conclusions : These results show dental hospitals in Korea have a certain level of infection control system. As infection indexes are managed mainly for staff members, patient monitoring is needed, and trained and effective infection control staff should be designated. This study reviewed surveillance, infection control and personnel indexes. And further studies are needed in the future.
  • 14.

    A study on re-use intention through external stimuli and infection control of dental office perceived by medical consumer

    ChoMinJeong | 2011, 11(4) | pp.571~580 | number of Cited : 9
    Abstract PDF
    Objectives : This study focused on examine the relevance between behavioral changes of customers and re-use intention on medical institution after experiencing infection control through external stimuli. Methods : This research was based on self-standing survey conducted from August to November 2010, 214 people who randomly selected from five dental clinics located in Busan were analyzed as the final group. Collected data were performed using SPSS 12.0 for Window. Results : 1. 82.8% of those surveyed who experienced external stimulation have changed their behavior on hospital environments and facilities, and 80.5% of them answered the stimuli influenced their re-use intention on medical institution. 2. There were no significant differences between participants by general characteristics on ‘The reason why medical team wear sanitary appliances’. In age group 30~39, 85.4% of participants chose the answer so the difference were statistically significant(p<.001). Result by household income showed significant difference in group over $1,000 to $2,000 as 82.7% response(p<.05). 3. 94.4% of participants chose‘ Required’for both surgical suits and gloves in research of‘ The necessity level of personal sanitary appliances’which medical teams wear for treatment and 79.4% agreed that medical teams need to change their medical gloves whenever treating each patients. 4. The survey revealed that the most important appliance in patient’s awareness were surgical gloves and protective goggles has chosen as the least important one. Conclusions : Patients as medical consumer were highly noticed of importance of the infection control in dental clinic and necessity of personal sanitary appliances. The patients who has accessed dental infection control information by external stimuli in advance showed objectival changes of their visit and behavioral changes with bringing medical environments together. This aspects influenced those patient’s re-use intention in conclusion.
  • 15.

    A research study on the relationship of work environments to occupational diseases in dental hygienists

    남영신 | Jang Jae Yeon | 2011, 11(4) | pp.581~593 | number of Cited : 6
    Abstract PDF
    Objectives : The purpose of this study was to examine the relationship of the work environments of dental hygienists to their occupational diseases in a bid to provide some information on their health care, health promotion and the prevention of occupational diseases. Methods : The subjects in this study were 300 dental hygienists who worked in Seoul, urban communities involving large cities and rural areas. One-on-one interviews and a self-administered survey were implemented with their consent. Results : The findings of the study were as follows: 1. 60 percent of the dental hygienists investigated replied that they had occupation-related physical symptoms. By the length of service, the dental hygienists who worked for six to 10 years had the most symptoms. 2. Out of the occupation-related symptoms, the most prevalent symptom was a pain in the shoulders and neck(41%), followed by a pain in the lower back, a pain in the legs, a pain in the wrists and skin diseases. The most painful parts of the body were hands and arms. 3. In regard to the relationship between the general characteristics and the intensity of pain, the highest group of the dental hygienists in Seoul replied that they had a severe pain, and the lowest number of those in the large cities gave the same answer. 4. Concerning the cause of occupational diseases, 65.7 percent cited the wrong posture. 5. As to relationship between the general characteristics and regular hospital-visit experiences for the prevention of pain during work hours, many of the dental hygienists who were in their 40s and 50s visited hospitals from time to time, and many of those in their 20s never did that. 6. In regard to links between the general characteristics and an opinion on the necessity of regular education, many of the respondents from Seoul and urban regions involving large cities considered it necessary to receive education on a regular basis. By daily work hours, the highest number of those who worked for eight hours or less considered that necessary, and lots of those who worked for 11 hours didn’t consent to that. The gaps between them were statistically significant(p<0.05). Conclusions : Given the findings of the study, daily work hours and length of service were two integral factors to affect the regular hospital-visit experiences and pain, and the wrong posture was identified as the most common cause of occupational diseases. To ensure the successful prevention of occupational diseases, dental hygiene students should be taught the importance of occupational disease before they start to work, and supplementary education should be provided for dental hygienists to work in the right posture.
  • 16.

    A Study of change of oral health state score from gingivitis patients using toothbrushing method

    정현자 | 김혜진 | 정애화 | 2011, 11(4) | pp.595~603 | number of Cited : 11
    Abstract PDF
    Objectives : This study purpose were the effect of toothbrushing for decreasing halitosis for gingivitis and periodontitis patients. Methods : The university staffs were examined oral condition and analysised a change of oral health state score after using 3 types of toothbrushing. Results : The results were as followed : OHI-S shows that the decreasing effect takes place in the M. bass method and Tooth pick method, but shows no differences by each method. GI for Self test method shows decreasing effect after 2nd week during education while the M. bass method and Tooth pick method shows after 1st week during education. The M. bass method shows much greater effect of halitosis amongst 3 kind of method. PI for Self test method and Tooth pick method show decreasing effect. Decreasing effect during education shows until 2nd week by 3 kind of method, but it shows no differences after 3rd week. VSC(ppb) for M. bass method and Tooth pick method show decreasing effect. Decreasing effect during education shows after 3rd week by 3 kind of method,but it shows no differences until 2nd week. PHP for Self test method, M. bass method and Tooth pick method show decreasing effect after 2nd week during education. But, there is no differences of decreasing effect by among 3 kind of method. Conclusions : This study reports that it is necessary to carry outt further studies on the improvement of oral health management of adults based on the development of oral health education.