양산시 14~16세 청소년의 전치부 외상 상태에 대한 조사연구
A Study on the Status of Dental Trauma in 14 - 16 Year-Old Adolescents in Yangsan
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초록
치아외상은 현대사회에서 점차 증가하고 있으며 특히 어린이와 청소년에서 빈발한다. 그러나 치아외상의 위험성이 부각되고 있는 것에 반해, 이에 대한 국내 연구는 미미한 실정이다. 본 연구는 청소년의 치아 외상 유병률을 조사하고 위험요인을평가하며 외상에 대한 주관적 인지정도를 파악할 목적으로 시행되었다. 양산시 소재 중학교에 재학중인 청소년 1,371명을대상으로 임상검사 및 설문조사를 실시하여 다음과 같은 결과를 얻었다. 임상검사 상 치아 외상 유병률은 16.8%로 남자(19.2%)가 여자(13.7%)에 비해 높게 나타났고(p < 0.05), 외상 병력이있는 사람의 일인 당 평균 외상 치아 수는 1.34개였다. 치종 별로는 상악 중절치에서, 외상의 유형에 따른 분류에서는 법랑질파절에서 가장 높은 비중을 보였다. Class II division 1과 8.0 mm 이상의 수평피개가 외상의 위험요인으로 판단되었다(p < 0.05). 설문조사로 드러난 본인의 외상 인지도는 임상 검사의 결과와 일치하지 않았고, 치아 외상으로 인한 치료 결과에 대하여 남자가 더 높은 만족도를 나타냈다(p < 0.05).
Abstract
The number of reported traumatic injuries has been increasing in recent years, particularly that of dentaltrauma in children and adolescents. While the risks associated with dental trauma in this population have beenincreasingly realized, domestic reports on this issue seem to be insufficient. The purpose of this study was to investigate the prevalence of dental trauma and to evaluate the relevant riskfactors and the level of self-recognition. 1,371 adolescents attending middle schools at Yangsan were surveyedvia clinical examination and questionnaire; the results were as follows:According to the clinical examination, the overall prevalence of dental trauma was 16.8% with preponderanceof males (19.2%) compared to females (13.7%) (p < 0.05). The average number of injured teeth per adolescentwith a history of trauma was 1.34. Comparing the prevalence, maxillary central incisors and enamel fractureoccupied the highest ranks by tooth type and mode of trauma, respectively. Class II division 1 malocclusion andoverjet exceeding 8.0 mm were identified as significant risk factors (p < 0.05). The degree of self-recognition ofdental trauma showed a low coincidence rate compared with results of the clinical examination. Males expresseda higher level of satisfaction toward the results of treatment for dental trauma than females (p < 0.05).
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