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Diagnosis and treatment of physiologic halitosis: a case report.

Journal of Korean Academy of Oral Health.2016;40(3):206-211. doi:10.11149/jkaoh.2016.40.3.206

We selected a patient with physiological bad breath from among the outpatients with bad breath that have visited the halitosis control clinic in KUMC. We identified the factors that were associated with the development of bad breath and assessed the occurrence of discomfort in the mouth; thereafter, we were able to prescribe a treatment method for the patient. We determined the daily routine of the patient through a questionnaire and a diary of dietary life. From these analyses, we deduced the factors associated with her physiologic halitosis. We combined this information with the results of analysis of her oral and exhaled gas measurements, nasal gas measurements by oral malodor measuring devices, and salivary measurements to develop a treatment method that we prescribed to the patient. We conclude that oral health education, including correction of the patient's mismanaged oral-care methods and routines, could act as an alternative treatment method for patients with physiologic halitosis in Korea.
Diagnosis* ; Education ; Halitosis* ; Humans ; Korea ; Methods ; Mouth ; Oral Health ; Outpatients

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The erosive effect of commercial red ginseng beverages on bovine enamel surfaces.

Da Eun KIM ; Kyung Hee KIM ; Ae Ok KIM ; Seong Soog JEONG ; Choong Ho CHOI ; Suk Jin HONG

Journal of Korean Academy of Oral Health.2016;40(3):198-205. doi:10.11149/jkaoh.2016.40.3.198

OBJECTIVES: This study was conducted to investigate the influence of several commercial red ginseng beverages on the surface of healthy teeth and to confirm the anti-erosive effect of added calcium. METHODS: For the experimental group selection, the pH of red ginseng beverages on the market were measured and the mean pH was calculated. Beverages with the lowest pH (Dong Wha Hongsam Gold; red ginseng beverage group with pH 2.98), mid-level pH (Kwangdong Jin Hongsam Gold; red ginseng beverage group with pH 3.61), and the highest pH (Hongsam Han Ppuri; red ginseng beverage group with pH 5.34) were selected as the experimental groups. In order to confirm the anti-erosive effect of added calcium, we added 1% calcium to the product with the lowest pH (red ginseng beverage group with pH 2.98+1% Ca) and included the product in the experimental group. Jeju Samdasoo and Coca Cola were used as the negative and positive control groups, respectively. We soaked healthy bovine teeth samples in the selected six beverages for 1, 3, 5, 10, 15, and 30 minutes. The surface microhardness (VHN, Vickers hardness number) and the surface roughness (center line average roughness, Ra) of each sample were measured, and the surface features were observed with a scanning electron microscope (SEM). RESULTS: The change in the surface micro-hardness (△VHN) of teeth after 30 minutes of soaking in each beverage was the highest in the positive control group (60.99±8.99), followed by A (41.63±8.96), B (30.64±8.21), and the negative control group (―4.48±7.29) (P<0.05). No significant difference was observed in group C (―18.79±10.11) or D (―16.40±7.89). Surface roughness (Ra) exhibited significant differences between each group (P<0.05). Surface roughness (Ra) was high in A (102.88±26.34) and B (67.76±39.89), as well as in the positive control group (101.21±39.59). In contrast, C (30.80±28.49) and D (25.05±10.79) showed low surface roughness values similar to the negative control group (23.77±22.48). Following SEM examination, severe cracks were observed between the crystals in groups A and B; such characteristics were similar to those of the positive control group. CONCLUSIONS: Red ginseng beverages with low pH were shown to erode the surface of the teeth. When calcium was added to the red ginseng beverages, a decrease in tooth erosion was observed. Therefore, the possibility of tooth erosion should be considered when drinking red ginseng beverages. Furthermore, the addition of calcium to red ginseng beverages can be an alternative solution to suppress tooth erosion.
Beverages* ; Calcium ; Coca ; Cola ; Cytochrome P-450 CYP1A1 ; Dental Enamel* ; Drinking ; Hardness ; Hydrogen-Ion Concentration ; Panax* ; Tooth ; Tooth Erosion

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Factors affecting the job satisfaction of the dental hygienists working in dental clinics or dental hospitals in Busan, Gyeongnam, and Gyeongbuk.

Mi Ran PARK ; Jung Hwa LEE

Journal of Korean Academy of Oral Health.2016;40(3):190-197. doi:10.11149/jkaoh.2016.40.3.190

OBJECTIVES: This study was aimed at seeking an effective method of improving job satisfaction and practice performance of clinical dental hygienists by analyzing their job satisfaction factors. METHODS: Questionnaires were distributed to 210 clinical dental hygienists working at dental institutions in Busan, Gyeongnam, and Gyeongbuk, from the 25th of July through to the 30th of August, 2015, after receiving approval of the Institutional Review Board. The following conclusions were derived as a result of analyzing a total of 198 of the 210 questionnaires, 12 of which were excluded due to non-response or suspicious authenticity. RESULTS: Analysis of the job satisfaction according to the participants' general characteristics revealed significant differences in terms of marital status (P<0.001), age (P<0.001), education (P=0.002), income (P<0.001), and total work experience (P<0.001). Further, groups showing high scores on the internal marketing system, structural factors, communication system factors, and compensation factors had higher job satisfaction (P<0.01). Analysis of oral health education, a factor in the job satisfaction related to practice performance, was carried out by the high group. This led to high satisfaction with professional pride (P<0.01) and patient relationships (P<0.01). Preventive treatment, another factor in job satisfaction related to practice performance, led to high satisfaction with colleague relationships (P<0.05). The job satisfaction for medical cure cooperation tasks showed no significant differences. Administration and management tasks for high groups led to higher satisfaction with professional pride, ability to work, work environment, compensation, and patient relationships (P<0.01). CONCLUSIONS: These results show the need for an expansion in oral health education and preventive treatment tasks in order to ensure greater job satisfaction in dental hygienists. Additionally, the development of internal marketing systems within dental care institutions is necessary to further enhance and promote a sense of accomplishment at work.
Busan* ; Compensation and Redress ; Dental Care ; Dental Clinics* ; Dental Hygienists* ; Education ; Ethics Committees, Research ; Gyeongsangbuk-do* ; Humans ; Job Satisfaction* ; Marital Status ; Marketing ; Methods ; Oral Health

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Caries prediction using the caries activity test with a sulfisomidine mixture: a 3-year follow-up study.

Ja Young NA ; Sun Wha PARK ; Hyun Jeong JU ; In Ja KIM ; Heung Soo LEE

Journal of Korean Academy of Oral Health.2016;40(3):183-189. doi:10.11149/jkaoh.2016.40.3.183

OBJECTIVES: The purpose of this study was to evaluate the prediction validity of the caries activity test with a sulfisomidine mixture (SAHS test). METHODS: This longitudinal follow-up study was conducted for 3 years. The subjects were 155 elementary schoolchildren. Oral examination was performed by examining each tooth surface of the subjects. The number of teeth with new caries lesions was calculated by comparing between the baseline data of the initial oral examination and the results of the second oral examination performed after 3 years. The Dentocult SM test was used as the reference in the analysis of the caries prediction validity of the SAHS test. The items of the validity test for carries prediction were as follows: sensitivity, specificity, predictive value, and likelihood ratio. RESULTS: The correlation between new caries lesions and the SAHS test scores was greater than that between new caries lesions and the Dentocult SM test scores. The receiver-operating analysis revealed that the area under the curve of the SAHS test was higher than that of the Dentocult SM test. The caries prediction validity of the SAHS test (grade 12) was as follows: sensitivity, 0.71-0.70; specificity, 0.60-0.58; positive predictive value, 0.79-0.78; negative predictive value, 0.49 (screening criterion 5). The SAHS test scores were similar to or higher than the scores in the items of the Dentocult SM test. CONCLUSIONS: The SAHS test is considered useful for clinical applications.
Child ; Dental Caries ; Dental Caries Activity Tests ; Diagnosis, Oral ; Follow-Up Studies* ; Humans ; ROC Curve ; Sensitivity and Specificity ; Sulfisomidine* ; Tooth

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Association of sleep time, stress, and depression with the oral health status of Korean adolescents.

Jae Kyung MA ; Min Jeong CHO

Journal of Korean Academy of Oral Health.2016;40(3):178-182. doi:10.11149/jkaoh.2016.40.3.178

OBJECTIVES: This study aimed to assess the association between the stress or depression and oral health status of Korean adolescents. METHODS: The subjects were 1,180 participants of the Sixth Korea National Health and Nutrition Examination Survey (KNHANES), aged 12 to 18 years. All the collected data were analyzed by using the chi-square test, t test, analysis of variance, and multiple regression analysis with the SAS version 9.3 software. Multiple regression analysis was performed to analyze the relationship of stress or depression to oral health status, and 95% confidence intervals were computed. RESULTS: Cognitive stress and depression levels for >2 weeks correlated with permanent teeth caries index. In terms of cognitive status, oral health of "a little feeling" was poorer than that of "almost no feeling," with significant statistical difference (P<0.05). CONCLUSIONS: The present study provides further evidence to support the establishment of a school oral health clinic for adolescents and hopefully provide guidance in the planning for oral health education.
Adolescent* ; Depression* ; Education ; Humans ; Korea ; Nutrition Surveys ; Oral Health* ; Tooth

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Comparison of supplied amount of pit and fissure sealing on the first permanent molars by age and disparity of dental accessibility using National Health Insurance data.

Jin Sun CHOI ; Deok Young PARK

Journal of Korean Academy of Oral Health.2016;40(3):171-177. doi:10.11149/jkaoh.2016.40.3.171

OBJECTIVES: The purpose of this study was to review the supplied amount of pit and fissure sealing (PFS) by age and dental accessibility of children after PFS was included in the list of treatments covered by National Health Insurance (NHI). METHODS: The comparison period was selected by considering the availability of data and the initiated time of PFS inclusion into NHI. The selected data period after inclusion was 2010-2012. Data were collected from the NHI database. To categorize the areas by high and low dental accessibility, the number of dental institutions was standardized by population per width of area. RESULTS: Supplied amount of PFS to the first permanent molars in children aged 6 to 8 years constituted to about 70% of the total supplied amount during 2010-2012. However, this supplied amount was less than 8% of the total number of the first permanent molars in that age group. Number of supplied PFS for ages 6 to 8 years was 8.4% and 6.3% of the total number of first permanent molars for high and low dental accessibility areas, respectively. CONCLUSIONS: Although PFS supply was increased after inclusion in NHI coverage, it is still insufficient to reduce the decayed-missing-filled teeth (DMFT) index effectively. To increase the supplied amount of PFS and to reduce inequality of supply between areas of high and low dental accessibility, strengthening of and focus on education related to PFS, reduced out-of-pocket expenditure, and advocacy are needed for appropriate target age groups and areas.
Child ; Education ; Health Expenditures ; Humans ; Molar* ; National Health Programs* ; Socioeconomic Factors ; Tooth

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The relationship of quality of health-related life with the status of oral health in adults.

Ye Hwang KIM ; Jung Hwa LEE

Journal of Korean Academy of Oral Health.2016;40(3):165-170. doi:10.11149/jkaoh.2016.40.3.165

OBJECTIVES: The purpose of this study was to use the components of the European Quality of Life-5 dimension (EQ-5D) scale to investigate the oral health status and health-related quality of life of adults in order to collect basic data on how to improve quality of life. METHODS: This study was conducted in 2014. Data from the 6th Korean National Health and Nutrition Examination Survey (sixth term; 2 years) were analyzed by utilizing the raw information from the disease management headquarters. The 2,805 subjects were 19 to 59-year-old adults who were not missing values of the main missing value of oral health status in variables and the EQ-5D. Statistical analysis was performed by frequency analysis and chi-squared (χ2) and t-tests. Analysis of variance was performed using multiple regression analysis. The significance level was determined to be 0.05. RESULTS: Dental pain and mobility (P<0.005), pain and discomfort (P<0.005), chewing problems and speaking discomfort, anxiety and depression (P<0.05), subjective oral health awareness, mobility (P<0.001), self-care (P<0.05), usual activities (P<0.05), pain and discomfort (P<0.005) were significantly related. In the effect on the components of the EQ-5D by logistic regression analysis, gender, age, education level, household income, chewing problems, and periodontal disease prevalence were significant variables in the quality of health-related life. CONCLUSIONS: The results showed that oral health status significantly influenced the quality of life in adults. Through the recognition of the impact of oral health on health-related quality of life, we expect that the data from this study will help promote the development of oral health and oral health education programs for the maintenance and promotion of adult health.
Adult* ; Anxiety ; Depression ; Disease Management ; Education ; Family Characteristics ; Humans ; Logistic Models ; Mastication ; Middle Aged ; Nutrition Surveys ; Oral Health* ; Periodontal Diseases ; Prevalence ; Quality of Life ; Self Care

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Residents' opinions on the introduction of water fluoridation program in the district of Namdong water treatment plant, Incheon Metropolitan City.

Se Yeon KIM ; Tae Gyu HA ; Sung Min KANG ; Jung Ha LEE ; Seung Hwa JUNG ; Jin Bom KIM

Journal of Korean Academy of Oral Health.2016;40(3):158-164. doi:10.11149/jkaoh.2016.40.3.158

OBJECTIVES: This study details a survey taken to ascertain the residents' opinions on the introduction of a community water fluoridation program (WFP) at the water treatment plant in the district of Namdong, Incheon Metropolitan City. METHODS: This cross-sectional study was conducted by a specialized institution and was based on a public opinion poll. The views of 1,000 adults who had lived in the district where tap water was supplied by the Namdong water treatment plant, Incheon were collected over a 1-year period. The dependent variable was the assent of the WFP. The independent variables were demographic and socioeconomic characteristics (sex, age, education, residence period, and income), awareness of WFP, drinking and cooking water, and decisional organization of WFP introduction. Statistical analysis was performed using chi-squared test with SPSS statistics 23.0 (SPSS Inc., Chicago, IL, USA). Variables related to the approval of the WFP were analyzed using a multivariate logistic regression model. One hundred and twenty-seven respondents who selected 'doesn't matter' were excluded. The significance level was set at α=0.05. RESULTS: The responses citing approval for the introduction of WFP comprised 58.7%, while the 'dissent' group accounted for 28.6%, and 12.7% stated that it does not matter. Respondents citing approval who were in the age group beyond fifties accounted for 66.0%; further, 67.6% of respondents aware of the WFP were in favor of the approval for WFP introduction. The decision to undertake water fluoridation was favored by the Regional Head and city council. There were no significant differences in the assent of WFP based on the respondents' sex, education level, job, and drinking and cooking water. The strongest correlation was observed between the awareness of WFP and the approval rate for WFP. CONCLUSIONS: To promote the introduction of WFP, active measures are required for educating people regarding effectiveness of caries prevention and safety of WFP.
Adult ; Cooking ; Cross-Sectional Studies ; Drinking ; Education ; Fluoridation* ; Fluorides ; Head ; Humans ; Incheon* ; Logistic Models ; Plants* ; Public Opinion ; Surveys and Questionnaires ; Water Purification* ; Water*

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Effect of an educational tooth-brushing program using priming in an elderly population with dementia residing in nursing homes.

Gwi Ryung SON HONG ; Jung Soo WOO

Journal of Korean Academy of Oral Health.2016;40(3):149-157. doi:10.11149/jkaoh.2016.40.3.149

OBJECTIVES: The purpose of this study was to examine the effect of an educational program using priming on oral health, and dental plaque, and gingival bleeding indices in an elderly population with dementia (EWD) residing in nursing homes. METHODS: A pretest and posttest were conducted with a nonequivalent control group. In total, 40 participants from an EWD had the following characteristics: 1) they were aged >65 years, 2) they scored <23 points on the MMSE-DS, 3) they were able to communicate, 4) they were able to hold a toothbrush and brush his or her teeth by themselves, and 5) they had no periodontal treatment for the last 3 months. Through random sampling, participants were assigned into either the experimental (n=20) or control group (n=20). The educational program consisted of twelve 30-minute sessions (twice per week for 6 weeks). The control group was demonstrated the standard tooth-brushing method by the facility during the study period. RESULTS: There were no significant differences in demographics or main variables at pretest. The experimental group showed significant differences in the subjective oral health condition, as compared to the control group. The experimental group showed an increase in the level of tooth-brushing effort (t=―8.816, P<.001) and higher scores of self-evaluative dental health status (P<.001) as compared to the control group. The experimental group showed a reduced plaque index (t=11.179, P<.001) and gingival bleeding index (t=5.812, P<.001) compared to the control group. Additionally, the experimental group showed significant differences in changes of plaque index and gingival bleeding index between the pretest and posttest. CONCLUSIONS: An interventional program on tooth brushing with priming effectively improved dental health, plaque index, and gingival bleeding index in EWDs residing in nursing homes. Direct care providers should understand the remaining abilities of EWDs and carry out priming when providing care to them.
Aged* ; Dementia* ; Demography ; Dental Plaque ; Educational Measurement ; Hemorrhage ; Humans ; Memory ; Methods ; Nursing Homes* ; Nursing* ; Oral Health ; Repetition Priming ; Tooth

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Anticancer effect of mastic on human oral cancer cells.

Ji Hye KIM ; Jung Hyuck CHOI ; Youn Sook JUNG ; Min Jeong CHO ; Young Eun LEE ; Dong Ok PARK ; Keun Bae SONG

Journal of Korean Academy of Oral Health.2016;40(3):143-148. doi:10.11149/jkaoh.2016.40.3.143

OBJECTIVES: Mastic is a resinous extract from the stem and main leaves of Pistacia lentiscus, grown only in the Chios island of Greece. Mastic has antibacterial, anti-inflammatory, anticancer, and anti-ulcer activities. Although mastic has been widely studied, its inhibitory effect against cancer cells, especially oral cancer cells, has not been elucidated. The purpose of this study was to assess the anticancer effects of mastic on human oral cancer YD-10B cells. METHODS: YD-10B cells were cultured in 0, 1, 2, 5, and 10 µg/mL mastic for 24 h. Cell count, viability, morphology, colony-forming assay, and DAPI staining were analyzed. RESULTS: Mastic treatment of YD-10B cells resulted in a dose-dependent inhibition of cell growth, and almost all the cells in the 10 µg/mL culture were dead (P<0.05). Mastic treatment induced a morphological change and nuclear fragmentation in the YD-10B cells, and inhibited colony formation of YD-10B cells in a dose-dependent manner. CONCLUSIONS: These results indicate that mastic exhibited anticancer effects on the YD-10B cells through changes in cell morphology and apoptosis.
Apoptosis ; Cell Count ; Greece ; Humans* ; Mouth Neoplasms* ; Pistacia

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