우식위험평가에 의한 우식 고위험 유아의 치아우식 관리
Caries Management of High-Risk Children by Caries Risk Assessment
0
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
The purpose of this study was to classify risk groups according to Caries Risk Assessment (CRA) and to investigate the effect of caries prevention program after 1 year of caries prevention intervention program in 6-year-old infants with high caries risk. The subjects were selected based on responses to CRA questionnaires. At the first visit, oral examination, Cariview, bacteria and saliva flow test were performed. The caries risk group was classified accordingly. The subjects were given fluoride application and oral health education every four months and evaluated the same as the first visit after 1 year. As a result of classifying the risk level according to CRA, more than 80% of the subjects were in the high or extreme high risk. The dft index was increased in all risk groups after the intervention. There was a significant difference between the before and after intervention (p＜0.05). The Cariview score showed a slight decrease after the intervention in the moderate and high risk groups. As a result of the evaluation of bacteria test, Streptococcus mutans were decreased to ≥105 CFU/ml saliva after intervention in all groups. Lactobacilli were decreased after intervention in high risk and extreme high risk groups. As a result of saliva flow, there was significant difference between caries risk groups before and after intervention (p＜0.05). In conclusion, regular caries management has been shown to influence caries risk factors in high-caries risk children. Also, it is necessary to find out periodical dental risk management system which is suitable for domestic situation through the related studies.
Abstract
The purpose of this study was to classify risk groups according to Caries Risk Assessment (CRA) and to investigate the effect of caries prevention program after 1 year of caries prevention intervention program in 6-year-old infants with high caries risk. The subjects were selected based on responses to CRA questionnaires. At the first visit, oral examination, Cariview, bacteria and saliva flow test were performed. The caries risk group was classified accordingly. The subjects were given fluoride application and oral health education every four months and evaluated the same as the first visit after 1 year. As a result of classifying the risk level according to CRA, more than 80% of the subjects were in the high or extreme high risk. The dft index was increased in all risk groups after the intervention. There was a significant difference between the before and after intervention (p＜0.05). The Cariview score showed a slight decrease after the intervention in the moderate and high risk groups. As a result of the evaluation of bacteria test, Streptococcus mutans were decreased to ≥105 CFU/ml saliva after intervention in all groups. Lactobacilli were decreased after intervention in high risk and extreme high risk groups. As a result of saliva flow, there was significant difference between caries risk groups before and after intervention (p＜0.05). In conclusion, regular caries management has been shown to influence caries risk factors in high-caries risk children. Also, it is necessary to find out periodical dental risk management system which is suitable for domestic situation through the related studies.
참고문헌 (24)
- 이광희, "익산시 취학전 어린이의 중증 유아기 우식증 유병률과 위험요인", 대한소아치과학회지, 30(4), pp.13~ (2003), 대한소아치과학회
- 이광희, "영유아의 구강위생관리방법 개선에 관한 연구", 대한소아치과학회지, 34(2), pp.264~272 (2007), 대한소아치과학회
- 김재곤, "어린이의 식기습관과 치아우식발생과의 상관관계에 관한 연구", 대한소아치과학회지, 28(2), pp.271~280 (2001), 대한소아치과학회
- Ahn YS, "A study on preschool teachers’ oral health knowledge and behaviors in Sung-nam city", J Dent Hyg Sci, 1, pp.13~21 (2001)
- Ministry of Health & Welfare, "Korean children's oral health survey", pp.123~124 (2015), Ministry of Health & Welfare Publishing
- National Health Insurance Service, "National health screening statistical yearbook", pp.638~639 (2016), National Health Insurance Service Publishing
- Ramos-Gomez FJ, "Pediatric dental care: prevention and management protocols based on caries risk assessment", J Calif Dent Assoc, 38, pp.746~761 (2010)
- Ramos-Gomez F, "Caries risk assessment, prevention, and management in pediatric dental care", Gen Dent, 58, pp.505~517 (2010)
- 김백일, "우식위험도평가에 근거한 한국형 치아우식증 관리 모델", 대한치과의사협회지, 52(8), pp.456~463 (2014), 대한치과의사협회[DOI]
- 조영식, "우식위험도 평가에 근거한 치아우식증 관리(CAMBRA)의 이론적 배경 및 발전 과정", 대한치과의사협회지, 52(8), pp.464~471 (2014), 대한치과의사협회[DOI]
- Walsh MM, "Dental hygiene: theory and practice", pp.289~293 (2010), Saunders
- Jeon ES, "Antimicrobial activity of streptococcus mutans by herbal medicine extracts", J Dent Hyg Sci, 2, pp.31~38 (2002)
- 정은하, "치태의 산생성 능력을 이용한 새로운 우식활성검사법의 임상적 활용 가능성 평가", 대한구강보건학회지, 38(2), pp.77~81 (2014), 대한예방치과·구강보건학회
- Francisco Ramos-Gomez, "소아치과의 새로운 비전 우식 없는 건강한 치아를 보존하기 위해: 소아치과에서의 CAMBRA 사용", 대한소아치과학회지, 40(1), pp.72~81 (2013), 대한소아치과학회
- Ramos-Gomez FJ, "Caries risk assessment appropriate for the age 1 visit (infants and toddlers)", J Calif Dent Assoc, 35, pp.687~702 (2007)
- Kwon HK, "Primary preventive dentistry", pp.264~279 (2006), DaehanNarae Publishing
- 김한나, "비타민 및 무기질 섭취와 유치우식과의 관련성", 치위생과학회지, 14(3), pp.371~378 (2014), 한국치위생과학회
- Van Houte J, "The final pH of bacteria comprising the predominant flora on sound and carious human root and enamel surfaces", J Dent Res, 75, pp.1008~1014 (1996)[DOI]
- Sansone C, "The association of mutans streptococci and non-mutans streptococci capable of acidogenesis at a low pH with dental caries on enamel and root surfaces", J Dent Res, 72, pp.508~516 (1993)[DOI]
- Lingstrom P, "The pH of dental plaque in its relation to early enamel caries and dental plaque flora in humans", J Dent Res, 79, pp.770~777 (2000)[DOI]
- Bae WJ, "The effect of topical fluoride application on the number of salivary streptococcus mutans in orthodontic patients", Korean J Orthod, 24, pp.181~192 (1994)
- 조민정, "일개 대학 치위생과 대학생들의 TDC(Total Dental Care) 인턴십프로그램의 운영효과", 한국치위생학회지, 14(2), pp.147~154 (2014), 한국치위생학회[DOI]
- 김영신, "타액 우식 관련 검사와 치아 우식 경험과의 관계에대한 연구", 대한소아치과학회지, 32(1), pp.67~74 (2005), 대한소아치과학회
- 이동현, "치아우식 고위험군 환자에서 우식위험평가를 활용한 치아우식증 관리: 증례보고", 대한치과재료학회지, 43(3), pp.231~238 (2016), 대한치과재료학회[DOI]