본문 바로가기
KERD
논문KCI 등재

자일리톨 껌 저작에 의한 유치 우식증 예방효과 비교분석

Prevention of dental caries by xylitol gum in pre-school children during 12-months

남순현|김영진|송근배|최연희|한성근|손은영
대한소아치과학회 (The Korean Academy Of Pediatric Dentistry)|2004.06|대한소아치과학회지 (Journal of the Korean academy of pediatric dentistry)|제31권 제2호|pp. 159-168

1

조회

0

다운로드

11

인용

0

참고문헌

키워드

예방Prevention치아우식증Dental caries자일리톨솔비톨 껌Xylitol gumSorbitol gum
주제분류치의학

초록

자일리톨 껌 저작에 의해 어린이들의 유치우식증 예방효과를 평가하기 위하여 3개 어린이집에서 만 5-6세 어린이 123명을 최종 선정하였다. 자일리톨 껌을 씹는 군(42명), 솔비톨 껌을 씹는 군(42명) 그리고 아무런 조처도 취하지 않은 대조군(39명)으로 나누어 12개월 동안 하루 5회씩 껌을 저작하게 한 다음 구강검사와 우식활성 검사를 통해 유치우식증 예방효과를 비교 분석 하였다. 12개월 동안 대조군 어린이들에서는 dfs index가 5.19개면 증가하였고 솔비톨 군에서는 2.96개면이 증가한 반면 자일리톨 군에서는 2.62개면이 증가하여 대조군에 비해 자일리톨 군은 47.1%가 감소하였고 솔비톨 군에서는 43.6%가 감소한 것으로 나타났다. Dentocult-SM strip 검사 및 site strip 검사 결과 모두에서 대조군에 비해 자일리톨 껌과 솔비톨 껌을 씹은 군의 아동들에서 우식활성도가 공히 감소되었다. 따라서 본 연구와 같은 집중적인 자일리톨 껌의 저작 사업은 대상자들과 부모들의 사업에 대한 호응도가 높았고, 사업 시행이 다른 국책 구강보건사업에 비해 용이하였으며 특히 유치우식증 예방적인 측면에서 효과적인 것으로 나타났다.

Abstract

The effect of xylitol and sorbitol chewing gums on dental caries levels among 5-year old kindergarteners was investigated. Three kindergartens the operations of which were partly subsidized by municipal government of Daegu city, Korea, were chosen as the study sites. The child base of the kindergartens were considered demographically and ethnically similar, representing middle-income families. The subjects were examined at their own kindergarten by the two dentists. Participation in the program was voluntary. Over 12 months, 123 participants chewed xylitol chewing gums(X group; 42 subjects), sorbitol chewing gum(S group; 42 subjects), or did not receive chewing gum as a control group(C group; 39 subjects). Consumption of xylitol and sorbitol was 4.5 to 5.0 g/day/subject, consumed in five daily chewing episodes of 5 min. Oral examination, Dentocult-SM test and interproximal dental plaque collection were completed at baseline and 12 months later. The dmfs of group C increased 59.2%, but group S increased 33.4% and group X increased only 31.3% during 12 months study period. The caries prevention ratio was 47.1% at group X and 43.6% at group S. There also appeared the reduction of caries activity at group X(1.39), group S(1.50) than control group(1.79). Compared with groups S and C, there was a statistically significant reduction of S. mutans in interproximal plaque in group X. The results suggest that xylitol chewing gum can prevent dental caries of deciduous dentition, and may be a little more effective than a sorbitol-containing product in controlling some caries-associated parameters in kindergarten-age subjects.

참고문헌 (38)

  1. "The Role of sucrose and other and sugars in the development of dental caries:a review", 22, pp.363~386 (1972)
  2. "The effect of chewing xylitol gum on the plaque and saliva levels of Streptococcus mutans", 108, pp.587~592 (1984)
  3. "Collaborative WHO xylitol field studies in Hungary Three-year caries activity in institutionalized children", ba(czy j), pp.327~347 (1985)
  4. "Collaborative WHO xylitol field studies in French Polynesia", pp.55~62 (1988)
  5. "Oral biochemical status and depression of Streptococcus mutans in children during 24- to 36-month use of xylitol chewing gum", 23, pp.261~267 (1989)
  6. "Correlation between caries incidence and frequency of chewing gum sweetened with sucrose or xylitol", 85, pp.21~24 (1989)
  7. "Xylitol chewing gum in caries prevention:a field study in children", 117, pp.315~320 (1988)
  8. "The long term effect of xylitol chewing gum in the prevention of dental caries:a follow up 5 years after termination of a prevention program", 27, pp.495~498 (1993)
  9. "Xylitol chewing gum and caries rate:a 40-month cohort study", 74, pp.1904~1913 (1995)
  10. "Sugar substitutes,chewing gum and dental caries- a review", 184, pp.29~32 (1998)
  11. "An intermediate report on the effect of sucrose fructose and xylitol diets on the caries incidence in man", pp.383~412 (1974)
  12. "An intermediate report on the effect of sucrose fructose and xylitol diets on the numbers of salivary lactobacilli", pp.423~433 (1974)
  13. "Turku sugar studies XVIII:Incidence of dental caries in relation to 1-year consumption of xylitol chewing gum", 33, pp.269~278 (1975)
  14. "Final report on the effect of sucrose fructose and xylitol diets on the caries incidence in man", pp.179~216 (1976)
  15. "Turku sugar studies XX:Microbiological findings and plaque index values in relation to 1-year use of xylitol chewing gum", 34, pp.381~196 (1976)
  16. "fructose- and sucrose-induced physico-chemical changes in saliva", pp.397~403 (1976)
  17. "Effects of 3 months frequent consumption of hydrogenated starch hydrolysate", pp.103~115 (1979)
  18. "The effect of chewing xylitol gum on the plaque and saliva levels of Streptococcus mutans", 108, pp.587~592 (1984)
  19. "Influence of extraoral xylitol and sucrose dippings on enamel demineralization in vivo", 22, pp.165~175 (1988)
  20. "Perspectives on xylitol-induced oral effects", 87, pp.217~229 (1991)
  21. "Long-term xylitol consumption and mutans streptococci plaque and saliva", 25, pp.153~157 (1991)
  22. "Properties of whole saliva and dental plaque in relation to 40-month consumption of chewing gums containing xylitol,sorbitol of sucrose", 30, pp.180~188 (1996)
  23. "Effects of xylitol,xylitol-sorbitol,and placebo chewing gum on the plaque of habitual xylitol consumers", 105, pp.170~177 (1997)
  24. "Influence of maternal xylitol consumption on acquisition of mutans streptococci by infants", 79, pp.882~887 (2000)
  25. "Caries prevalence and salivary mutans streptococci in 0-2-year old children in Japan", 19, pp.151~154 (1991)
  26. "국민구강건강실태조사", pp.43~74 (2000), 보건복지부
  27. "Xylitol candies in caries prevention:results of a field study in Estonian children", 28, pp.218~224 (2000)
  28. "A descriptive report of the effects of a 16-months xylitol chewing-gum programme subsequent to a 40-month sucrose gum programme", 32, pp.107~112 (1998)
  29. "Sealants and xylitol chewing gum are equal in caries prevention", 58, pp.279~284 (2000)
  30. "A new method for estimation of mutans Streptococci in human saliva", 68, pp.468~471 (1989)
  31. "Support for and implications of the specific plaque hypothesis", 93, pp.96~104 (1985)
  32. "Role of Streptococcus mutans in human dental decay", 50, pp.353~380 (1986)
  33. "Effect of mechanical and chemical plaque control measures on oral microflora in schoolchildren", 10, pp.111~116 (1982)
  34. "Streptococcus mutans in saliva:Intra-individual variations and relation to the number of colonized sites", 42, pp.157~163 (1984)
  35. "Use of strip mutans test in the assessment of caries risk in a group of preschool children", 4, pp.245~250 (1994)
  36. "Prevention of dental caries by xyiltol-issues related to health claims", pp.167~192 (1993), CRC Press
  37. "Cariologic aspects of xylitol and its use in chewing gum:a review", 52, pp.116~127 (1994)
  38. "Xyiltol: a review of its action on mutans streptococci and dental caries-its clinical significance", 45, pp.77~92 (1995)

관련 논문AI추천

혼합치열기 어린이에서 mutans streptococci에 대한 자일리톨 껌의 항균효과에 관한 연구박재홍대한소아치과학회 · 대한소아치과학회지2007 · 제34권 제4호Effect of xylitol on dental caries prevention : a literature review송근배, 이영은, 조민정, 최연희, Ji-Hye Kim한국치위생학회 · 한국치위생학회지2019 · 제19권 제4호자일리톨과 소르비톨 양치가 우식활성도에 미치는 영향사공준, 이승훈한국치위생학회 · 한국치위생학회지2015 · 제15권 제2호치아우식증 예방을 위한 모범 유치원 구강건강관리프로그램 효과- 인천 일부지역 유치원을 중심으로안세연, 한수진, 황윤숙한국치위생과학회 · 치위생과학회지2013 · 제13권 제4호자일리톨의 Streptococcus mutans 억제 효과김주원한국치위생과학회 · 치위생과학회지2010 · 제10권 제2호자일리톨의 효과 및 활용방법에 대한 고찰신경희, 안용순한국치위생학회 · 한국치위생학회지2010 · 제10권 제6호

이 간행물의 다른 논문 (23건)

Rett syndrome 환자의 제증상에 관한 증례보고박성진, 이광희, 김대업pp. 131-135유치의 이중치와 계승영구치의 발육에 관한 연구이광희, 김대업, 라지영pp. 136-143콤퍼머의 NaOH 용액 내에서의 화학적 분해박미란, 이영준, 김선미, 최남기, 양규호pp. 144-152제 2유구치 기성금관 수복에 따른 제 1대구치의 의원성 손상정태성, 배익현, 김신pp. 153-158함치성 낭의 임상적 및 방사선적 특성박성연, 남동우, 김영진, 남순현, 김현정pp. 169-179
원문 보기