양산시 거주 청소년의 치과치료 필요도에 대한 조사연구
An Epidemiological Study on the Dental Treatment Needs of Adolescents in Yangsan
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
청소년기 구강건강 상태를 파악하고 그에 따른 치과치료 필요도를 평가할 목적으로, 양산시 소재 중고등학교에 재학중인14-17세 청소년 2,062명을 대상으로 임상검사 및 설문조사를 시행하여 다음과 같은 결론을 얻었다. 치아우식증의 치료필요도는 66.7%, 치아침식증의 치료필요도는 27.8%, Molar incisor hypomineralization(MIH)의치료필요도는 14.7%였다. 부정교합은 양호한 교합 군 67.8, 치료 불필요 군 19.7%, 약간의 치료가 필요한 군 6.8%, 치료가 반드시 필요한 군 4.5%, 가장 심한 부정교합 군 1.1%로 나타났고, 치료필요도는 12.5%였다. 치주질환은 71.2%의 유병률을 보였고, 치료 필요도도 이와 동일한 71.2%였다. 측두하악장애는 무증상 군 67.1%, 경미한 증상 군 13.4%, 심한 증상 군 19.5%의 분포를 보였으며, 치료필요도는 20.6%로 나타났다. 가장 높은 치료 필요도를 보인 질환은 치주질환이었고, 뒤를 이어 치아우식증, 치아침식증, MIH, 측두하악장애, 부정교합의 순으로 나타났다. 본 연구 결과를 통해 청소년의 전반적 구강건강상태 및 치과치료 필요도를 파악할 수 있었고, 이는 우리나라 청소년 구강건강 증진을 위한 계획수립에 있어서 기초자료로서 기여하게 되기를 기대되는 바이다.
Abstract
To evaluate the oral health status and to assess the resultant dental treatment needs in adolescents, 2,062 adolescents aged 14-17 years attending middle and high schools in Yangsan were surveyed by clinical examination and questionnaires. The obtained results were as follows. In the dental caries examination based on WHO criteria, the treatment needs of 66.7% of the subjects were determined. Assessment of dental erosion by the VEDE system indicated the treatment needs in 27.8% of the subjects, while MIH examination based on EAPD criteria indicated the treatment needs in 14.7%. Assessment of malocclusion using the occlusal index showed good occlusion in 67.8%, no need for treatment in 19.7%, slight need for treatment in 6.8%, definite need for treatment in 4.5%, and worst occlusion in 1.1% of the subjects, showing 12.5% of average treatment need. The prevalence and treatment need for periodontal disease was found to be 71.2% by CPITN assessments. The assessment of temporomandibular disorders by Helkimo’s anamnestic index showed no symptoms in 67.1%, mild symptoms in 13.4%, and severe symptoms in 19.5% of the examinees. The overall treatment need of TMD was 20.6%. Periodontal diseases were ranked the highest in treatment need, followed by dental caries, dental erosion, MIH, TMD, and malocclusion in order. The results of this study indicated the overall status of adolescents’oral health and dental treatment needs. These might hopefully provide fundamental data and contribute to establishing promotional projects for adolescent oral health in Korea.
참고문헌 (44)
- 장정현, "청소년의 스트레스와 정신건강: 희망의 조절효과", 청소년상담연구, 18(2), pp.101~116 (2010), 한국청소년상담복지개발원
- Waldman HB, "Dental needs assessment and access to care for adolescents", Dent Clin Am, 50, pp.1~16 (2006)
- 임차영, "우리나라 일부 청소년의 구강질환으로 인한 활동제한실태 및 구강보건행태와의 연관성", 대한구강보건학회지, 37(2), pp.73~80 (2013), 대한예방치과·구강보건학회[DOI]
- Bee H, "The developing child" (2006), Pearson
- Seo BK, "Pediatrics", pp.44~49 (2012), Mirae N
- Studen Pavlovich, "Adolescent oral health", Dental clinics of north america, 50, pp.xi~xii (2006)
- Lussi A, "Dental erosion clinical diagnosis and case history taking", Eur J Oral Sci, 104, pp.191~198 (1996)
- 신종현, "초등학생의 Molar Incisor Hypomineralization 유병률과 제1대구치 치아우식증 및 수복상태 조사", 대한소아치과학회지, 37(2), pp.179~185 (2010), 대한소아치과학회
- Weerheijm KL, "Judgement criteria for Molar Incisor Hypomineralisation (MIH) in epidemiologic studies: a summary of the European meeting on MIH held in Athens, 2003", Eur J Paediatr Dent, 4, pp.110~113 (2003)
- Summer CJ, "The occlusal index: a system for indentifying and scoring occlusal disorders", Am J Orthod, 59, pp.552~567 (1971)
- Helkimo M, "Studies of function and dysfunction of the masticatory system Ⅱ Index for anamnestic and clinical dysfunction and occlusal state", Swedish Dental J, 67, pp.101~121 (1974)
- Petersen PE, "The World oral health report 2003:continuous improvement of oral health in the 21stcentury-the approach of the WHO oral health programme", Community Dent Oral Epidemiol, pp.3~23 (2003)
- Filstrup SL, "Early childhood caries and quality of life: child and parent perspectives", Pediatr Dent, 25, pp.431~440 (2003)
- Low W, "The effect of severe caries on the quality of life in young children", Pediatr Dent, 21, pp.325~326 (1999)
- Adulyanon S, "Oral impacts affecting daily performance in a low dental disease Thai population", Community Dent oral Epidemiol, 24, pp.385~389 (1996)
- Yarcheski A, "A casual model of positive health practice: The relationship between approach and relication", Nurs Res, 38, pp.88~93 (1989)
- Fardy PS, "Health promotion in minority adolescents: A health people 2000 pilot study", J Cardiopulm Rehabil, 15, pp.65~72 (1995)
- Chung MK, "Oral status of geriatric patients, and their demand and satisfaction in prosthodontic treatment", J Korean Acad Prosthodont, 39, pp.323~335 (2001)
- 양순봉, "노인요양시설에 있는 노인환자의 구강실태 및 치료수요도", 대한치과보철학회지, 46(5), pp.455~469 (2008), 대한치과보철학회
- 박태준, "간 이식 예정 환자의 구강건강상태 및 치과치료 요구도에 관한 연구", Journal of Oral Medicine and Pain, 34(1), pp.1~9 (2009), 대한안면통증∙구강내과학회
- Chantel Ramraj, "Dental treatment needs in the canadian population: analysis of a nationwide crosssectional survey", BMC Oral Health, 12, pp.46~54 (2012)
- Janice FB, "Oral health need and access to dental services: Evidence from the national survey of children’s health, 2007", Matern Child Health J, 16, pp.S27~S34 (2012)
- Jackson D, "Measuring restorative dental care in communities", Br Dent J, 134, pp.385~388 (1973)
- Abdul RB, "Dental health, received care, and treatment needs in 11-to 13-year-old children with immigrant background in Hidelberg, Germany", Int J Paediatr Dent, 17, pp.364~370 (2007)
- Ten Cate JM, "Dental erosion, summary", Eur J Oral Sci, 104, pp.241~244 (1996)
- Shaw L, "Childhood asthma and dental erosion", ASDC J Dent Child, 67, pp.102~106 (2000)
- Hooper S, "A clinical study in situ to assess the effect of a food approved polymer on the erosion potential of drinks", J Dent, 35, pp.541~546 (2007)
- Jaeggi T, "Restorative therapy of erosion", Monogr Oral Sci, 20, pp.200~214 (2006)
- Weerheijm KL, "Molar-Incisor Hypomineralisation", Caries Res, 35, pp.390~391 (2001)
- Kotsanos N, "Treatment management of first molars in children with Molar-incisor hypomineralisation", Eur J Paediatr Dent, 12, pp.179~184 (2005)
- Foster H, "Dental disease in children with chronic ilness", Arch Dis Child, 90, pp.703~708 (2005)
- Dietrich G, "Molar Incisor Hypomineralisation in a group of children and adolescents living in Germany", Eur J Paediatr Dent, 3, pp.133~137 (2003)
- Cho CH, "Dental Aesthetic Index(DAI) of 12 year-old Korean Adolescent", J Korean Acad Health, 18, pp.103~118 (1994)
- 김영삼, "전라북도 청소년의 치열심시 지수 (DAI)", 대한구강보건학회지, 26(3), pp.303~312 (2002), 대한예방치과·구강보건학회
- 구용한, "서울대학교치과병원 소아치과를 내원한 교정환자의 분포양상에 대한 연구", 대한소아치과학회지, 36(4), pp.550~555 (2009), 대한소아치과학회
- Epidemiology Etiology and Prevention of Periodontal Disease, , W.H.O, ~, pp.Report Series 621 (1978)
- Schour I, "Survey of gingival disease using the PMA index", J Dent Res, 27, pp.733~734 (1948)
- Russel AL, "A system of classification and scoring for prevalence survey of periodontal disease", J Dent Res, 35, pp.350~352 (1956)
- Ramfjord SP, "Indices for prevalence and incidence of periodontal disease", J Periodont, 30, pp.51~55 (1959)
- Magnusson T, "Five year longitudinal study of signsn and symptoms of mandibular dysfunction in adolescents", JCraniomandibular Prac, 4, pp.338~344 (1986)
- Okeson JP, "Management of temporomandibular disorders and occlusion" (1993), Mosby
- Wanman A, "Two-year longitudinal study of symptoms of mandibular dysfunction in adolescents", Acta Odontol Scand, 44, pp.321~331 (1986)
- Agerberg G, "Craniomandibular disorders in adult populations of West Bothnia, Sweden", Acta Odontol Scand, 47, pp.129~140 (1989)
- Ohno H, "Comparative subjective evaluation and prevalence study of TMJ disfunction syndrome in Japanese adolescents based on clinical examination", Community Dent Oral Epidemiol, 16, pp.122~126 (1988)