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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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본 연구는 발포형 비타민 C를 이용한 구강세정 및 복용 행위가 대상자들의 구강건강상태와 구강환경상태의 변화를 알아보고 구강건강상태 및 구강 환경상태에 따른 구강내 치주질환 유발 세균 수의 변화에 미치는 영향에 대해 파악하고자 시행하였다. 동의대학교 생명윤리위원회의 IRB 승인 후 2018년 9월 13일부터 2018년 11월 30일까지 B시 D대학교 임상치위생학실습실 내 방문자 중 치위생과정에 근거하여 프로그램에 참여한 실험군 24명 대조군 21명 최종 45명을 선별하여 수행하였으며 다음과 같은 결론을 얻었다.
1. 대상자들 중 발포형 비타민 C를 이용하여 구강세정 및 섭취를 한 실험군과 발포형 비타민 C를 이용하지 않은 대조군 모두 실험전과 실험 후 구강 내 치주질환 유발균의 수는 감소하였다.
2. 대상자들의 구강건강상태에 따른 치주질환 유발균 수의 변화에서 실험군과 대조군에서 실험 전과 실험 후 구강 내 치주질환 유발균 수는 모두 감소하였지만 실험군에서 Aa & Red Complex에서 BOP 수치가 평균 이하, CAL이 평균 이상, DMFT가 평균 이하일 때 유의하게 나타났으며, Orange Complex에서는 CAL이 평균 이상, DMFT가 평균 이하일 때 유의하게 나타났고, 대조군에서는 Orange Complex에서 DMFT가 평균 이하에서 유의하게 나타났다.
3. 대상자들의 구강건강상태에 따른 구강환경상태변화에서 실험군의 구취의 정도에 따른 BOP와 CAL, CAL에 따른 구강 내 치주질환 유발균수의 변화에서 유의하였다.
4. 대상자들의 구강환경상태에 따른 치주질환 세균 변화는 Aa & Red Complex에서는 실험군의 구강 내 ATP검사에서 유의하게 나타났으며 대조군에서는 O’leary Index에서 유의하게 나타났다. Orange Complex는 실험군의 ATP 검사에서 유의하게 나타났다.
본 연구결과를 종합적으로 분석한 결과 치위생과정에 근거한 구강건강관리 프로그램이 구강내 치주질환 유발 세균 수를 감소시키나 구강내 치주질환 유발균의 감소에 발포형 비타민 C 세정 및 복용이 이루어진 실험군에서 구강 내 치주질환 유발균 수의 감소가 유의하게 나타나 구강건강을 위한 비타민 C 세정 및 섭취뿐만 아니라 더불어 치위생과정 근거 기반 수행이 이루어졌을 시 효과가 더 명확히 나타난다 하겠다.
1. 대상자들 중 발포형 비타민 C를 이용하여 구강세정 및 섭취를 한 실험군과 발포형 비타민 C를 이용하지 않은 대조군 모두 실험전과 실험 후 구강 내 치주질환 유발균의 수는 감소하였다.
2. 대상자들의 구강건강상태에 따른 치주질환 유발균 수의 변화에서 실험군과 대조군에서 실험 전과 실험 후 구강 내 치주질환 유발균 수는 모두 감소하였지만 실험군에서 Aa & Red Complex에서 BOP 수치가 평균 이하, CAL이 평균 이상, DMFT가 평균 이하일 때 유의하게 나타났으며, Orange Complex에서는 CAL이 평균 이상, DMFT가 평균 이하일 때 유의하게 나타났고, 대조군에서는 Orange Complex에서 DMFT가 평균 이하에서 유의하게 나타났다.
3. 대상자들의 구강건강상태에 따른 구강환경상태변화에서 실험군의 구취의 정도에 따른 BOP와 CAL, CAL에 따른 구강 내 치주질환 유발균수의 변화에서 유의하였다.
4. 대상자들의 구강환경상태에 따른 치주질환 세균 변화는 Aa & Red Complex에서는 실험군의 구강 내 ATP검사에서 유의하게 나타났으며 대조군에서는 O’leary Index에서 유의하게 나타났다. Orange Complex는 실험군의 ATP 검사에서 유의하게 나타났다.
본 연구결과를 종합적으로 분석한 결과 치위생과정에 근거한 구강건강관리 프로그램이 구강내 치주질환 유발 세균 수를 감소시키나 구강내 치주질환 유발균의 감소에 발포형 비타민 C 세정 및 복용이 이루어진 실험군에서 구강 내 치주질환 유발균 수의 감소가 유의하게 나타나 구강건강을 위한 비타민 C 세정 및 섭취뿐만 아니라 더불어 치위생과정 근거 기반 수행이 이루어졌을 시 효과가 더 명확히 나타난다 하겠다.
목차
I. 서론····························································································································11. 연구의 필요성·······································································································12. 연구의 목적 ···········································································································4Ⅱ. 이론적 배경·········································································································51. 치주질환 관리·······································································································51) 치주질환 ················································································································52) 치위생 과정 ·········································································································62. 구강세정제·············································································································63. 비타민 C ················································································································8Ⅲ. 연구대상 및 방법·································································································91. 연구설계 ·················································································································92. 연구대상 ···············································································································113. 연구도구 및 재료·······························································································121) 발포형 비타민 C ······························································································122) 구강내 오염도검사 ···························································································133) 구강미생물검사 ·································································································134) Saliva Check Buffer Kit ···············································································144) 치면착색제·········································································································153. 자료수집절차·······································································································161) 구강내 오염도 검사(ATP 측정) ···································································162) 치은구액 채취···································································································163) 치주질환 유발균 분류 ·····················································································174) 타액량, 타액pH와 완충능 검사 ····································································175) 치면세균막지수(O’leary), 치석부착량(CAL), 치은출혈지수(BOP),우식경험영구치율(DMFT Index) ································································186) 설문조사 ·············································································································194. 분석방법 ···············································································································20Ⅳ. 연구결과 ···············································································································211. 일반적 특성 ·········································································································212. 대상자의 구강보건 지식···················································································223. 대상자의 구강보건 실천···················································································244. 대상자의 구강보건 특성···················································································265. 대상자의 구강세정제 사용 여부 ·····································································286. 대상자의 비타민 복용 여부·············································································307. 대상자의 당 섭취 행태·····················································································328. 대상자의 구강건강상태·····················································································339. 대상자의 구강환경상태·····················································································3410. 대상자의 구강건강상태에 따른 치주질환 유발균의 변화······················· 3511. 대상자의 구강건강상태에 따른 구강환경상태변화···································3712. 대상자의 구강환경상태에 따른 치주질환 유발균의 변화······················· 4013. 구강 세정제 사용 및 비타민 복용 유무에 따른 치주질환 유발균 변화······························································································································4314. 실험군의 비타민 세정 후 만족도 조사·······················································4515. 구강건강 및 환경상태, 치주질환 유발균 수와 관련성·································47Ⅴ. 고찰·······················································································································58Ⅵ. 결론 및 제언·······································································································53참고문헌······················································································································55ABSTRACT ···············································································································62
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