양산시 거주 14-16세 청소년의 치아우식증 상태에 대한 조사연구
Dental Caries Status of 14-16 Year Old Adolescents in Yangsan Area
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초록
소아치과 영역에서 영유아와 학령기 어린이에 대한 연구가 활발히 이루어지는 데에 반해, 청소년 구강상태에 대한 파악은부족한 실정이다. 본 연구는 청소년의 치아우식 상태와 그 기여요인을 평가하고, 치아우식 고위험군을 파악하며, 기존의 우식진단기준을 재평가해볼 목적으로 시행되었다. 양산시의 14-16세 청소년 1,371명을 대상으로 단일 검사자가 구강검진 및 설문조사를 시행하여 다음과 같은 결과를 얻었다. 평균 우식경험치지수(DMFT)는 WHO 기준에서 3.97, 이에 초기우식병소를 포함시킨 경우에는 4.79였고, 그 중 상위30%에 해당하는 고위험군은 각각 7.91, 8.47로 전체 평균치를 크게 상회했다. 예상 위험요인 중에서는 취침 직전 양치질을시행하는 습관의 경우에만 연관성을 나타냈다(p < 0.05). 본 조사대상의 우식경험도는 동일연령을 대상으로 한 선행조사에 비해 높은 결과를 보였으며, 초기우식병소와 우식 고위험군에 대한 보다 집중적인 이해가 요구될 것으로 판단된다.
Abstract
Although adolescents usually show peculiar aspects in oral health status, there have been not so many studiesabout it, while there have been innumerable studies for children. This study aimed at evaluating the prevalenceof dental caries of adolescents in Yangsan in Republic of Korea, detecting its contributing factors, and distinguishingthe high-risk group by epidemiological mass survey. Besides, the significance including early carieslesion in diagnosis criteria was assessed with minimal invasive concept. This survey was performed on 1,371 adolescents aged 14 to 16 in Yangsan as subject examinees by a singletrained examiner. The dental caries status was checked by oral examination at schools and questionnaire surveywas accompanied for some relevant risk factors. The data were analyzed to yield the results as follows:Regarding the caries experience, the DMFT score by WHO criteria with ECL including or not was 4.79 and3.97 respectively. In both the criteria, female showed higher values and that of high-risk group was almosttwice compared with whole examinees by Sic Index. About pit & fissure sealed rate, it revealed the tendency that the more sealed teeth, the lower DMFT values. Among the studied risk factors, only the habit of brushing before going to bed showed positive relationship (p <0.05).
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