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소아, 정소년기 교정 환자의 음파 칫솔과 일반 칫솔의치태 제거 효과 비교

Comparison of plaque removal efficiency of sonic and manualtoothbrush in young orthodontic patiens

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본 연구의 목적은 소아•청소년기 교정환자에 있어서 음파 칫솔과 일반 칫솔의 치태 제거 효과를 비교하는 것이다. 삼성서울병원 소아치과에서 고정식 교정 장치 치료를 받는 건강한 소아•청소년 환자 21명 (여자: 10명, 평균나이 14.57±2.28년; 남자: 11명, 평균나이 13.04±1.55년)을 대상으로 음파 칫솔(Sonicare, Optiva Corp., 미국)과 교정용 일반 칫솔(Orthocare, Tomy International Inc., 일본)을 사용하여 총 4회의 내원 시 각각 2회씩 회당 2분간 칫솔질을 하도록 하였다. 칫솔질 전과 후의 치태지수를 Ainamo와 Bay의 Visible Plaque Index를 변형한 방법으로 측정하여 그 전후 차이를 비교하였다. 음파 칫솔이 61.79%(±7.95%), 일반 칫솔은 69.19%(±10.08%)의 치태 감소율을 나타내어 통계학적으로 유의한 차이를 보였다(p<0.05). 음파 칫솔의 경우 남자에서 63.07%(±8.64%), 여자에서 60.39%(±7.30%)의 치태 감소율을 나타냈고(p>0.05), 일반 칫솔의 경우 남자에서 69.33%(±10.14%), 여자에서 69.03%(±10.55%)의 치태 감소율을 나타내어 통계학적으로 유의한 차이는 보이지 않았다(p>0.05). 연령에 따른 치태 제거 효과는 실험 대상자들의 연령범위에서 통계학적으로 유의할만한 연관성이 없었으며 (p>0.05), 음파 칫솔의 경우와 일반 칫솔의 경우에도 통계학적으로 유의할 만한 연관성이 없었다(p>0.05). 본 연구에서, 고정식 교정 장치를 부착한 소아•청소년기 환자에서 일반 칫솔의 치태 제거 효과가 음파 칫솔의 치태 제거 효과보다 컸다(p<0.05).

Abstract

The aim of this study was to compare the efficiency of sonic and manual toothbrush in decreasing plaque accumulation in young orthodontic patients. Twenty one healthy orthodontic patients attending department of pediatric dentistry at Samsung Medical Center were chosen for the study. The subjects were randomly assigned to either sonic or manual toothbrush and instructed to brush for 2 minutes. Plaque score was assessed with the modified Visible Plaque Index (VPI) before and after brushing. Each brush was repeated twice. A mean plaque reduction of sonic toothbrush was 61.79%(±7.95) compared to 69.19%(±10.08) of manual toothbrush(p<0.05). With the sonic toothbrush, male presented a mean plaque reduction of 63.07%(±8.64) while female presented 60.39%(±7.30). For manual toothbrush, male presented 69.33%(±10.14) and female presented 69.03%(±10.55) reduction of plaque accumulation(p>0.05). There was no statistically significant correlation between age and plaque removal efficacy in this study(p>0.05). Manual toothbrush was significantly more efficient in removing plaque than the sonic toothbrush in young fixed orthodontic patients.

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