수도권지역 성인에서 구취와 치주상태의 관련성
Relation of oral malodor and periodontal status among adults in metropolitan area
한경순, 김영남, 양승경, 배광학,
소속 상세정보
한경순 ( Han Gyeong-Soon ) - 가천의과학대학교 치위생과
김영남 ( Kim Young-Nam ) - 경복대학 치위생과
양승경 ( Yang Seung-Kyeong ) - 대구산업정보대학 치위생과
배광학 ( Bae Kwang-Hak ) - 서울대학교 치의학대학원 예방치학교실
KMID : 0355420100340010050
Abstract
Objectives: Oral malodor originates from VSC from amino acid metabolism by bacteria. Many patients with periodontitis have oral malodor and we therefore tested the relationship between oral malodor and periodontal status.
Methods: A total of 138 adults were investigated using the O’Leary index, L?e & Silness index, formation of periodontal pocket depth, amount of loss for interproximal bone and missing tooth. And measuring the malodor by use of Oral Chroma volatile sulfur compounds. Data were analyzed with a t-test, one-way of variance and multiple regression using SPSS 12.0.
Results: A higher O’Leary plaque index produced higher levels of dimethyl sulfide (p＜0.01). Gingivitis, also tended to increase the concentration of hydrogen sulfide (p=0.095). Deeper periodontal pocket depth (＜4 mm, 4∼5 mm, ≥6 mm), also increased the concentration of hydrogen sulfide (p＜0.05). Methyl mercaptan levels also tended to increase hydrogen sulfide levels (p=0.188). Higher interproximal bone loss (＜50 mm, 50-80 mm, ≥80 mm) increase levels of methyl mercaptan (p=0.05), which was also higher in the missing tooth group than the non-missing tooth group (p＜0.01). For total VSC concentration, a higher loss of interproximal bone increased the risk of halitosis (p＜0.05).
Conclusions: Blocking VSC generation in the periodontal pocket by periodontal therapy could vicious circle of periodontal disease and oral malodor.
키워드
구취;치주상태
oral malodor;periodontal disease
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