소아치과의사의 치과 소음 환경에 대한 평가
Assessment of Dental Noise Environment of a Pediatric Dentist
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
소음은 불쾌감과 신체적 변화를 일으키는 원치 않는 소리로 정의된다. 이 연구는 진료실 환경에서 발생하는 소음의 강도를 평가하고 소아치과의사의 소음환경을 조사하기 위해 시행되었다. 사람의 양측 귀 형태를 재현한 마이크와 휴대용 소음계를 활용하여 소음을녹음하고 소음의 강도를 계산하였다. 한국 고용노동부 산하 안전보건공단의 소음 측정 규정에 따라 시행하여 다음과 같은 결과를 얻었다. 16일 간 시행한 결과 8시간-가중평균소음수준은 최고 58.54 dBA, 최저 33.97 dBA, 평균 49.33 dBA로 측정되었으며 누적소음노출량은 최고 1.28%, 최저 0.04%, 평균0.49%로 측정되었다. 이는 한국 안전보건공단의 기준치인 85 dBA에 미치지 못하는 값이다. 협조도와 술식에 따른 환자별 최고 소음수준을 비교하였을 때 치수치료 군과 Frankel grade 1등급 군이 가장 높았다. 소아치과의사의 소음환경은 한국 안전보건공단이 제시한 근로자의 작업환경 기준에는 미치지 못했지만 소아치과 진료실의 환경을고려한 새로운 기준을 마련하여 소음 환경을 재평가할 필요가 있다.
Abstract
The noise is defined as unwanted sound that causes discomfort and physical changes. This study was conducted to evaluate intensity of noise in the pediatric dental clinic and to investigate noise environment of a pediatric dentist. Human ear shaped microphone and mobile noise level meter were used for recording noise and calculating intensity of noise. By recording according to the method specified by Korea Occupational Safety and Health Agency (KOSHA) of Korea Ministry of labor and employment, the following results were obtained. For 16 experimental days, 8 hour time weighted average (8hr-TWA) was 49.33 dBA (A-weighted deci-Bell) on daily average with maximum 58.54 dBA and minimum 33.97 dBA. And Dose was 0.49% on daily average with maximum 1.28%, minimum 0.04%. These values are less than criteria of KOSHA standard (85 dBA, 100%). Comparing the highest noise level for each patient, pulp therapy group and Frankel grade I group were the highest. The intensity of dental noise of pediatric dental clinic didn’t meet standard of KOSHA. It is necessary to re-evaluate noise environment by establishing new standards considering environment of pediatric dental clinic.
참고문헌 (39)
- "noise"[URL]
- Otorhinolaryngology-head and neck surgery, "Korean Society of Otorhinolaryngology-Head and Neck Surgery", pp.617~619 (2018), Koonja publications
- Millar JD, "Screening and monitoring : tools for prevention", J Occup Med, 28, pp.544~546 (1986)
- "Noise-Induced Hearing Loss"[URL]
- "Occupational noise exposure"[URL]
- "Occupational Noise Exposure"[URL]
- 권보민, "소아치과 진료실에서 발생하는 소음 평가", 대한소아치과학회지, 39(3), pp.267~272 (2012), 대한소아치과학회[DOI]
- Jadid K, "Assessment of noise exposures in a pediatric dentistry residency clinic", Pediatr Dent, 33, pp.343~348 (2011)
- Merrell HB, "Noise pollution and hearing loss in the dental office", Dent Assist J, 61, pp.6~9 (1992)
- Alabdulwahhab BM, "Hearing loss and its association with occupational noise exposure among Saudi dentists : a cross-sectional study", BDJ Open, 2, pp.16006~ (2016)
- Muppa R, "Comparison of anxiety levels associated with noise in the dental clinic among children of age group 6-15 years", Noise Health, 15, pp.190~193 (2013)
- Elmehdi HM, "Assessing acoustic noise levels in dental clinics and its link to dental anxiety and fear among UAE population", Compress Air, 87, pp.14~ (2010)
- Konkani A, "Noise in hospital intensive care units-a critical review of a critical topic", J Crit Care, 27, pp.522~ (2012)
- "Rules on Occupational Safety and Health Standards"[URL]
- "Notification on work environment measurement and quality control, etc"[URL]
- 심현준, "소음성 난청", Hanyang Medical Reviews, 35(2), pp.84~91 (2015), 한양대학교 의과대학[DOI]
- Phaneuf R, "An epidemiological perspective of the causes of hearing loss among industrial workers", J Otolaryngol, 19, pp.31~40 (1990)
- "Sixth European working conditions survey:2015"[URL]
- Kim K, "Noise induced hearing loss in Korea", Audiol Speech Res, 12, pp.S17~S20 (2016)
- Garner G, "Noise induced hearing loss in the dental environment : An audiologist’s perspective", J Georgia Dent Assoc, 15, pp.9~17 (2002)
- Von Krammer R, "High speed equipment and dentists'health", J Prosthet Dent, 19, pp.46~50 (1968)
- Kilpatrick HC, "Decibel ratings of dental office sounds", J Prosthet Dent, 45, pp.175~178 (1981)
- 모승한, "귀 모형을 이용한 치과 핸드피스에 대한 소음 저감 장치의 효과 분석", 대한소아치과학회지, 47(1), pp.62~69 (2020), 대한소아치과학회[DOI]
- Lehto TU, "Hearing of dentists in the long run : a 15-year follow-up study", Community Dent Oral Epidemiol, 17, pp.207~211 (1989)
- Wilson JD, "Effects of occupational ultrasonic noise exposure on hearing of dental hygienists : a pilot study", J Dent Hyg, 76, pp.262~269 (2002)
- Jokitulppo J, "Estimated leisure-time noise exposure and hearing symptoms in a finish urban adult population", Noise Health, 5, pp.53~62 (2003)
- Coles RR, "Noise-induced hearing loss and the dentist", Br Dent J, 159, pp.209~218 (1985)
- Willershausen B, "Hearing assessment in dental practitioners and other academic professionals from an urban setting", Head Face Med, 10, pp.1~ (2014)
- Bahannan S, "Noise level of dental handpieces and laboratory engines", J Prosthet Dent, 70, pp.356~360 (1993)
- Rahko AA, "High-frequency hearing of dental personnel", Community Dent Oral Epidemiol, 16, pp.268~270 (1988)
- Man A, "Effect of turbine dental drill noise on dentists' hearing", Isr J Med Sci, 18, pp.475~477 (1982)
- Prabhakar M, "Is Noise From Suctioning Harmful to Surgeons' Hearing?", J Oral Maxillofac Surg, 77, pp.1346~1350 (2019)
- Forman-Franco B, "High-speed drill noise and hearing : audiometric survey of 70 dentists", J Am Dent Assoc, 97, pp.479~482 (1978)
- Szymanska J, "Work-related noise hazards in the dental surgery", Ann Agric Environ Med, 7, pp.67~70 (2000)
- Zubick HH, "Hearing loss and the high speed dental handpiece", Am J Public Health, 70, pp.633~635 (1980)
- 이동욱, "설문지를 통한 소음성난청에 대한 인식 조사 및 분석", 한국음향학회지, 34(4), pp.274~281 (2015), 한국음향학회
- Rapp GW, "Some physiologic responses to high-speed handpiece noises", Dent Dig, 77, pp.136~140 (1971)
- Recio A, "Road traffic noise effects on cardiovascular, respiratory, and metabolic health : An integrative model of biological mechanisms", Environ Res, 146, pp.359~370 (2016)
- Berglund B, "World Health Organization : Guidelines for community noise", ~ (1999)