JKAOH Journal of Korean Academy of Oral Health

ISSN(Print) 1225-388X ISSN(Online) 2093-7784

Editorial 30 December 2024

To improve oral health equity

Jin-Bom Kim J Korean Acad Oral Health 2024; 48: 167-168

Original Article 30 December 2024

Comparison of wear on the surfaces of denture base resins based on the type and application angle of ultrasonic scaler tips

Eun-Sook Kang J Korean Acad Oral Health 2024; 48: 169-176
Objectives: This study aimed to evaluate the effect of different types and angulations of ultrasonic scaler tips on the surfaces of denture base resins.Methods: Heat-polymerized and computer-aided design/computer-aided manufacturing (CAD/CAM) denture base resin specimens were manufactured in rectangular shapes (60×10×3 mm) and divided into four groups. Stainless-steel and carbon scaler tips were applied at angles of 0° and 45° with 100 g of weight for 60 seconds, and the depth and volume of ...
Key Words: Abrasion, Denture base, Scaling, Ultrasonic

Original Article 30 December 2024

Exploring perceptions and cost factors home-based oral care interventions for older adults: a focus group study

Bo-Ram Shin, Se-Rim Jo, Jong-Hwa Jang J Korean Acad Oral Health 2024; 48: 177-185
Objectives: This qualitative study explores the perspectives of dental hygienists and examines factors influencing payment structures in a community home-based oral health care intervention program.Methods: Focus group interviews were conducted on October 26, 2023, in a quiet study room over 120 minutes. Intervention providers who participated in the older adults medical care integration support program were included in this study. Their ages ranged from 25 to 57 years, with experience in home-b...
Key Words: health care, Dental hygienist, Health care costs, Home care service, Oral health

Original Article 30 December 2024

An explanatory study on periodontal disease programs by public health centers in Korea

Na-Yeon Tak, Su-Jin Kim, Jae-In Ryu et al. J Korean Acad Oral Health 2024; 48: 186-191
Objectives: This study aimed to investigate the current status of periodontal disease programs implemented by public health centers in the Republic of Korea.Methods: An explanatory survey was conducted by the Ministry of Health and Welfare from October to November 2023. The survey focused on the periodontal programs and the implementation status across different stages. Distributed and collected via Google Forms, the survey targeted 196 oral health teams within public health centers in Korea. A ...
Key Words: Community health centers, Comprehensive health care, Noncommunicable diseases, Periodontal disease, Preventive health services

Original Article 30 December 2024

The effects of objective body type and subjective body image on self-perceived oral health by sex

Na-Yeon Tak, Han-A Cho J Korean Acad Oral Health 2024; 48: 192-200
Objectives: This study compares and analyzes the effects of objective body mass index (BMI) and subjective body image on self-perceived oral health among Korean adults based on sex differences.Methods: Raw data were obtained from the 7th (2016-2018), 8th (2019), and 9th (2022) Korea National Health and Nutrition Examination Surveys. The study included 24,817 adults, with objective body type and subjective body image as the independent variables and self-perceived oral health status as the depend...
Key Words: Body image, Body mass index, Obesity, Oral health

Original Article 30 December 2024

A delphi study on the feasibility of community-based oral function rehabilitation exercises and the dental hygienist workforce adequacy

Yong-Keum Choi, Hsiao-Ling Huang, Ji-Hye Yun J Korean Acad Oral Health 2024; 48: 201-209
Objectives: As community-oriented public health in oral healthcare for older adults becomes increasingly emphasized, research into community-based oral function rehabilitation interventions is emerging. This study examined the feasibility of community adoption of a previously developed oral function rehabilitation exercise program using an expert-crafted Delphi survey.Methods: An eight-expert panel was formed to develop a Delphi survey instrument and conduct a survey based on the results of prev...
Key Words: Aged, Deglutition disorders, Dental hygienists, Mastication, Oral health

Original Article 30 December 2024

Changes in activities of daily living according to oral function in Korean community-dwelling older adults: a follow-up study

Jeong-Eun Kim, Youn-Hee Choi J Korean Acad Oral Health 2024; 48: 210-215
Objectives: This study aimed to investigate the relationship between oral function and activities of daily living among older adults in Korea. Specifically, it examines how changes in oral health over time impact the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scores using longitudinal data from the Korean Social Life, Health, and Aging Project (KSHAP). This study aims to identify the oral functions that significantly affect these abilities, thereby contri...
Key Words: Elderly health, Oral function, Physical activities, Physical functions

Review Article 30 December 2024

Study on the plaque removal efficacy of single-tufted toothbrush: scoping review

Youngjin Lee, Bhumgey David Lee, Bo-Hyoung Jin J Korean Acad Oral Health 2024; 48: 216-222
Objectives: This study aims to evaluate the efficacy of single-tuft toothbrushes in removing dental plaque, particularly in areas that are difficult to reach using conventional toothbrushes. The study also explores the current level of awareness and usage of these brushes, and it identifies gaps in research and education regarding their application.Methods: A scoping review was conducted using the framework proposed by Arksey and O’Malley and guidelines by Peters et al. Databases including Pub...
Key Words: Dental biofilm, Dental plaque, End-tuft toothbrush, Scoping review, Single-tufted toothbrush

December 30, 2024Current Issue Vol. 48 No. 4

    December, 2024 | Volume 48, No. 4
  • Editorial 2024-12-30

  • Original Article 2024-12-30

    Comparison of wear on the surfaces of denture base resins based on the type and application angle of ultrasonic scaler tips

    Eun-Sook Kang

    Abstract : Objectives: This study aimed to evaluate the effect of different types and angulations of ultrasonic scaler tips on the surfaces of denture base resins.Methods: Heat-polymerized and computer-aided design/computer-aided manufacturing (CAD/CAM) denture base resin specimens were manufactured in rectangular shapes (60×10×3 mm) and divided into four groups. Stainless-steel and carbon scaler tips were applied at angles of 0° and 45° with 100 g of weight for 60 seconds, and the depth and volume of the surface defects were compared.Results: Stainless-steel tips with a 45° angle showed a larger defect depth and volume than stainless- steel tips with a 0° angle and carbon tips with a 0° angle (P<0.001). No result was observed when using carbon tips with a 45° angle because the scaler tip broke during the experiment. No significant differences were observed between the heat-cured and CAD/CAM resins at 0° angles.Conclusions: Within the limits of this study, as the angle of the scaler tip increased, the depth and volume of the defect increased. And, when the angle was 0°, no significant differences were observed between the effects of the stainless-steel and carbon tips.

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  • Original Article 2024-12-30

    Exploring perceptions and cost factors home-based oral care interventions for older adults: a focus group study

    Bo-Ram Shin , Se-Rim Jo , Jong-Hwa Jang

    Abstract : Objectives: This qualitative study explores the perspectives of dental hygienists and examines factors influencing payment structures in a community home-based oral health care intervention program.Methods: Focus group interviews were conducted on October 26, 2023, in a quiet study room over 120 minutes. Intervention providers who participated in the older adults medical care integration support program were included in this study. Their ages ranged from 25 to 57 years, with experience in home-based oral healthcare spanning from 1.5 to 5 years. Voice recordings of the interviews were transcribed using Clova Note and Naver’s AI transcription tool. Subsequently, the ‘Word Cloud Generator 3.7’ program was employed to extract, visualize, and analyze frequently mentioned words and key concepts from the responses.Results: Semantic analysis identified 61 significant keywords and 10 subcategories, categorized into four main themes: ‘oral health challenges in the elderly,’ ‘work system of home-based dental hygienists,’ ‘needs and realities of home-based oral care,’ and ‘payment and compensation frameworks.’Conclusions: To address the demands of a super-aging society, it is imperative to establish a standardized oral healthcare cost system for home-based interventions, supported by clear laws and regulations.

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  • Original Article 2024-12-30

    An explanatory study on periodontal disease programs by public health centers in Korea

    Na-Yeon Tak , Su-Jin Kim , Jae-In Ryu et al.

    Abstract : Objectives: This study aimed to investigate the current status of periodontal disease programs implemented by public health centers in the Republic of Korea.Methods: An explanatory survey was conducted by the Ministry of Health and Welfare from October to November 2023. The survey focused on the periodontal programs and the implementation status across different stages. Distributed and collected via Google Forms, the survey targeted 196 oral health teams within public health centers in Korea. A total of 109 public health centers responded to the study questionnaire, yielding a participation rate of 55.6%. Data were analyzed using IBM SPSS Statistics for Windows, version 26.Results: A majority of periodontal disease programs were implemented exclusively by oral health teams, with a rate of 33.0%. The implementation rate of collaboration with home-visiting health teams was 17.4% and with other teams was 10.1%. The implementation rates of periodontal management across stages were as follows: 11.9% for periodontal examination, 18.3% for periodontal treatment, and 11.9% for sustainable periodontal care.Conclusions: Periodontal disease programs are predominantly conducted by oral health teams with limited collaboration across other health teams. Additionally, periodontal management activities, such as examinations and treatments, remain insufficient. Integration between oral health teams and other health teams within public health centers or private dental clinics should be improved.

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  • Original Article 2024-12-30

    The effects of objective body type and subjective body image on self-perceived oral health by sex

    Na-Yeon Tak , Han-A Cho

    Abstract : Objectives: This study compares and analyzes the effects of objective body mass index (BMI) and subjective body image on self-perceived oral health among Korean adults based on sex differences.Methods: Raw data were obtained from the 7th (2016-2018), 8th (2019), and 9th (2022) Korea National Health and Nutrition Examination Surveys. The study included 24,817 adults, with objective body type and subjective body image as the independent variables and self-perceived oral health status as the dependent variable. The results were analyzed by sex using complex sample logistic regression analysis with IBM SPSS Statistics.Results: An analysis of the impact of objective body type on poor self-perceived oral health status showed no significant difference for males, whereas the odds ratio was significant for females, with objective obesity at 1.167 (P<0.001). An analysis of the effect of subjective body image on poor self-perceived oral health status revealed that the odds ratio was significant for males with subjective obesity (OR 1.482, P<0.001). For females, the odds ratio was 1.225 for subjective overweight and 1.379 for subjective obesity, indicating that females were significantly more likely to perceive their oral health as poor (P<0.001).Conclusions: Both males and females were more influenced by subjective body image than objective body type, and females were more sensitive than males to the impact of body type on their self-perceived oral health status. Although males were generally less sensitive about their body type, they were more likely than females to perceive their oral health negatively.

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  • Original Article 2024-12-30

    A delphi study on the feasibility of community-based oral function rehabilitation exercises and the dental hygienist workforce adequacy

    Yong-Keum Choi , Hsiao-Ling Huang , Ji-Hye Yun

    Abstract : Objectives: As community-oriented public health in oral healthcare for older adults becomes increasingly emphasized, research into community-based oral function rehabilitation interventions is emerging. This study examined the feasibility of community adoption of a previously developed oral function rehabilitation exercise program using an expert-crafted Delphi survey.Methods: An eight-expert panel was formed to develop a Delphi survey instrument and conduct a survey based on the results of previous studies. To test the community applicability of oral function rehabilitation exercises derived from this systematic review, we asked questions related to ‘independent performance’, ‘education applicability for caregivers’, ‘facility program applicability’, ‘intervention methods’, and ‘outcome indicators’.Results: Except for ‘pharyngeal exercise’ and ‘salivation exercise’, the five main exercises met the validity criteria for ‘independent performance’, ‘education applicability for caregivers’, and ‘facility program applicability’. The validity of dental hygienists as intervention providers obtained consensus from the experts with a CVR value of 0.75 or higher, an agreement of 0.75-0.85, and a convergence of 0.5.Conclusions: The application of oral function rehabilitation exercises in a community setting is feasible, and the dental community should be willing to promote it so that it can be provided to many community-dwelling older adults in the future. In addition, the use of dental hygienists as intervention providers is appropriate. However, their training as intervention providers for oral function rehabilitation exercises may need to be strengthened.

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  • Original Article 2024-12-30

    Changes in activities of daily living according to oral function in Korean community-dwelling older adults: a follow-up study

    Jeong-Eun Kim , Youn-Hee Choi

    Abstract : Objectives: This study aimed to investigate the relationship between oral function and activities of daily living among older adults in Korea. Specifically, it examines how changes in oral health over time impact the Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) scores using longitudinal data from the Korean Social Life, Health, and Aging Project (KSHAP). This study aims to identify the oral functions that significantly affect these abilities, thereby contributing to strategies for maintaining healthy aging.Methods: Data from the KSHAP Cohort K (Wave 4 in 2016 and Wave 5 in 2019) were analyzed. A total of 454 participants were included, after excluding those with incomplete data. Oral function was assessed using subjective self-reported measures of chewing and swallowing abilities, and salivary function. ADL and IADL were evaluated using Korean-specific tools (K-ADL and K-IADL, respectively), with higher scores indicating greater dependency. Statistical analyses included crosstabulations, independent t-tests, and generalized estimating equations (GEE) to assess the relationship between oral function and changes in ADL/IADL over time, with adjustments for covariates such as age, gender, socioeconomic status, and comorbidities.Results: Significant differences in ADL and IADL limitations were observed based on oral function. Participants with fewer teeth (0-10) were more likely to experience functional limitations than those with more teeth (21-32). Regression analyses using GEE revealed that difficulty in chewing (B=0.067, P=0.044) and swallowing (B=0.445, P<0.001) were associated with increased ADL dependency. For IADL, swallowing difficulty moderately affected dependency (B=0.234, P=0.003). These findings suggest that ADL limitations are more closely associated with oral function than are IADL limitations, highlighting the physiological importance of basic oral functions, such as chewing and swallowing, in daily activities.Conclusions: This study demonstrates that oral health plays a critical role in maintaining activities of daily living among older adults, with ADL being more affected than IADL. A decline in oral function, particularly in chewing and swallowing, is associated with greater dependency over time. These findings underscore the need for targeted oral health management strategies to support functional independence and the overall quality of life in older populations. Future research should explore the bidirectional causality and broader demographic representations to further substantiate these results.

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  • Review Article 2024-12-30

    Study on the plaque removal efficacy of single-tufted toothbrush: scoping review

    Youngjin Lee , Bhumgey David Lee , Bo-Hyoung Jin

    Abstract : Objectives: This study aims to evaluate the efficacy of single-tuft toothbrushes in removing dental plaque, particularly in areas that are difficult to reach using conventional toothbrushes. The study also explores the current level of awareness and usage of these brushes, and it identifies gaps in research and education regarding their application.Methods: A scoping review was conducted using the framework proposed by Arksey and O’Malley and guidelines by Peters et al. Databases including PubMed, Scopus, and Korean academic repositories were searched using keywords like “single-tuft toothbrush” and “end-tuft toothbrush.” A total of 403 articles were initially identified, with 9 studies meeting the inclusion criteria. These studies included 8 randomized controlled trials and 1 in-vitro experiment, focusing on the effectiveness of single-tuft toothbrushes in various contexts.Results: Single-tuft toothbrushes demonstrated superior plaque removal in challenging areas, such as interproximal surfaces of molars, lingual surfaces, and around orthodontic appliances. In combination with conventional toothbrushes, they showed significantly better results compared to conventional tools alone. However, they did not consistently outperform other interdental cleaning devices like floss or interdental brushes across all metrics. User satisfaction with single-tuft toothbrushes was high, especially among orthodontic patients, although their usage rate was significantly lower due to limited awareness and accessibility.Conclusions: Single-tuft toothbrushes are highly effective as adjuncts to conventional oral hygiene tools, particularly in managing hard-to-reach areas. However, their overall efficacy in replacing other oral hygiene tools is limited. To maximize their potential, increased public awareness, improved accessibility, and targeted education programs are needed. Further research should explore their role in specific patient populations, such as those with orthodontic appliances or implant restorations.

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JKAOH Journal of Korean Academy of Oral Health
ISSN(Print) 1225-388X ISSN(Online) 2093-7784