JOURNAL OF DENTAL HEALTH
Online ISSN : 2189-7379
Print ISSN : 0023-2831
ISSN-L : 0023-2831
Volume 55, Issue 2
Displaying 1-8 of 8 articles from this issue
SPECIAL ARTICLE
ORIGINAL ARTICLE
  • Masami YOSHIOKA, Nozomi YOKOYAMA, Makoto FUKUI, Masaaki YOKOYAMA, Shin ...
    2005 Volume 55 Issue 2 Pages 83-88
    Published: April 30, 2005
    Released on J-STAGE: March 23, 2018
    JOURNAL FREE ACCESS
    The aim of this study is to analyze the characteristics of patients suffering from malodor using organoleptic rating and questionnaires. Patients who were examined for halitosis at the Clinic of Preventive Dentistry, Tokushima University Medical and Dental Hospital, were classified into 4 groups based on the results of organoleptic measurement using plastic air bag. Aa group; obvious malodor beyond a socially acceptable level is neither perceived by dentists nor the patient. Ab group; obvious malodor is not perceived by dentists, although the patient complains of its existence. Ba group; obvious malodor is perceived by dentists only. Bb group; obvious malodor is perceived by both dentists and the patient. The profile of the Cornell Medical Index (CMI) Health Questionnaire and the questionnaire about a general attitudes toward halitosis were analyzed in each category. Patients in Ab group, who are supposed to have psychosomatic halitosis, showed a stronger tendency toward neurosis. More patients in the Ab group responded in the questionnaire that "I'm always anxious about malodor", and that "I feel malodor stronger than before", than in the other groups. Furthermore, patients in Aa and Ab group seemed to be interested in oral hygiene since many patients in these groups habitually used inter-dental brushing instruments daily. These results suggest that the sell-evaluation of breath by patients might provide useful information about the psychological conditions of patients.
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  • Hiroya GOTOUDA, Kyoko MIZUNO, Chieko TAGUCHI, Kazumune ARIKAWA, Seigo ...
    2005 Volume 55 Issue 2 Pages 89-94
    Published: April 30, 2005
    Released on J-STAGE: March 23, 2018
    JOURNAL FREE ACCESS
    MSB media are frequently used for counting and detection of mutans Streptococci. In recent years, improved MSB media have been developed by improving the demerits of existing MSB media (poor selectivity). In this study, we examined usefulness of improved MSB media for selectivity and the correlation between the levels of Streptococcus mutans and Streptococcus sobrinus in saliva and the prevalence of caries using improved MSB media and drew the following conclusions. 1. There were almost no differences in the ratio of the number of subjects positive for S. mutans and S. sobrinus in saliva when comparing the conventional medium with the improved medium. The improved medium was slightly superior to the conventional medium in terms of the mean count of detected microorganisms. On the other hand, the ratio of the number of subjects and the mean detection count for Non-MS microorganisms were significantly lower in the improved medium. When the numbers of microorganisms detected in the MSB medium and the improved MSB medium were compared, A positive correlation was noted for S. mutans and S. sobrinus. 2. A significant difference in the mean DMFT was observed depending on whether the percentages of S. mutans out of the total Streptococcus count was low or high. Significant differences were also observed in the mean DMFT between the groups in which S. sobrinus was detected and was not detected.
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  • Makoto KAWAMURA, Hisako SASAHARA, Hiromichi TOMITA, Hiroshi TAKAHASHI, ...
    2005 Volume 55 Issue 2 Pages 95-99
    Published: April 30, 2005
    Released on J-STAGE: March 23, 2018
    JOURNAL FREE ACCESS
    The aim of this study was to make an environmental/behavioral assessment at the community level regarding causal relationships among health-related factors in order to make the job of the health professional easier. Guardians of 18-month-old children were asked to complete a questionnaire regarding 7 oral health compo-nents ('environment', 'reinforcing factors', 'enabling factors', 'predisposing factors', 'dental health behavior', 'oral health' and 'Quality of Life (QOL)') on the basis of the PRECEDE-PROCEED model. Figure 1 (causal chain) shows that 'QOL' consisting of 'oral quality of life' and 'physical and appearance conditioning behavior' would be improved by strengthening 'dental health behavior' and/or 'predisposing factors'. In this study, the X^2 test was used to clarify differences between two areas (A-area: 620 guardians, B-area: 218 guardians). Of great significance was a finding that 47% of guardians in B answered that they have never had instructions on tooth brushing by a dental professional, in contrast with 26% of guardians in A (p<0.01). Nearly one half of the guardians in A answered that public sectors were encouraging dental health education for everyone, while 27% of guardians in B answered this way. Significant differences between the two areas were found for all items of 'reinforcing factors', and in each case, more guardians in A reported 'reinforced' behavior than guardians in B. Only a minority reported use of dental floss (A-area; 19%, B-area; 13%, p<0.05). Differences between the two areas' assessment of other items were small or not significant except 'use of dental floss'. These findings suggest that the causal relationships studied are important considerations when planning dental health education or other interventions at the community level.
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  • Satoru HARESAKU, Chuken RYU, Takashi HANIOKA
    2005 Volume 55 Issue 2 Pages 100-108
    Published: April 30, 2005
    Released on J-STAGE: March 23, 2018
    JOURNAL FREE ACCESS
    Smoking behavior, knowledge and attitudes of dental students towards smoking and health were surveyed in the dental college using a self-administered questionnaire. Furthermore, the effect of implementation of a no-smoking policy in all facilities in the college was examined. The smoking rate of 580 students was 35%. Many (63%) smokers started smoking after 18 years old. Many (55%) smokers had already made attempts to quit smoking. Many (about 60%) students were non smoking because smoking was harmful to health. Most (82%) non-smokers considered smoking harmful although less (59%) current-smokers did. Almost all students (more than 90%) recognized smoking as a major cause of lung cancer. However, No more than half of the students saw smoking as a cause of oral diseases. Many (69%) students were concerned with advising patients who had a smoking-related disease, but a few (18%) accepted a preventive role in advising patients. There were many (about 55-70%) students who made critical statements about of patient's smoking and public health measures of smoking control which had not been enforced. Many students (about 60-70%) agreed with the no-smoking policy all facilities. However, few changes in smoking behavior, knowledge and attitudes towards smoking and health were observed from before to after the implementation of the no-smoking policy. The rapid enactment of public health measures for tobacco control in Japan could urge dental education regarding the health effects smoking, and the implementation of no-smoking policles in facilities and grounds in colleges in the future.
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REPORT
  • Akihiro YOSHIHARA, Syojiro KATAOKA, Kaname NONO, Kazuhiko MINETA, Yuki ...
    2005 Volume 55 Issue 2 Pages 113-117
    Published: April 30, 2005
    Released on J-STAGE: March 23, 2018
    JOURNAL FREE ACCESS
    To develop the cooperation between public schools and dental clinics, the "8020 Improvement Project" has been conducted since 2000 in Niigata Prefecture. The purpose of this survey was to report the project usefulness according to its baseline data. The "8020 Improvement Project" was established to make a new system to frame the cooperation between public schools and dental clinics. Elementary and junior high school students in all 110 cities, towns, and villages, except for one town, in Niigata Prefecture participated in the project. The number of subjects in the survey was 138,536 elementary school students and 77,082 junior high school students. Suggestions for preventive treatment at dental clinics using a standardised method were given if CO observation teeth or gingivitis were discovered at regular dental examinations. The percentages of children with CO observation teeth were 12.2% of all elementary school students (ESS) and 19.1% of all junior high school students (JSS). Among the children who were given suggestions for preventive treatment, 55.6% of the ESS and 36.3% of the JSS consulted dental clinics. Pit and fissure sealant was applied to 38.8% of the ESS and 36.3% of the JSS at dental clinics. On the other hand, the percentages of children who were given suggestions for preventive treatment for gingivitis were 3.0% of the ESS and 5.9% of the JSS. Among the children who were given suggestions for preventive treatment, 54.6% of the ESS and 30.8% of the JSS consulted dental clinics. 43.2% of the ESS and 51.0% of the JSS were treated for calculus removal following scaling. In addition, oral hygiene instruction was given to 51.2% of the ESS and 56.5% of the JSS. These findings suggest that the "8020 Improvement Project" is very useful for the cooperation between public schools and dental clinics. This is the one good way to improve dental health in communities.
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