고정식 교정장치 장착환자에서 슬림모 칫솔과 V형 교정칫솔 간의 구강위생관리 효과 비교
Comparison of slim bristled and V-shaped orthodontic toothbrushes in patients with fixed orthodontic appliances
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본 연구는 고정식 교정장치 장착환자에서 V형 교정칫솔과 비교하여 슬림모 칫솔의 구강위생관리 효과를 평가해보기 위해 시행되었다. 고정식 교정장치를 장착하여 치료를 받고 있는 환자 34명(평균연령 21.9 ± 7.5세)을 대상으로 무작위로 슬림모 칫솔(Nano silver slim care.34TM, Aiio, Seoul, Korea)을 사용한 군과 V형 교정칫솔(Oral-B Laboratories Ltd., P&G Korea, Seoul, Korea)을 사용한 군으로 구분한 후 연구시작 시(Baseline), 2주 후, 4주 후 및 6주 후에 걸쳐서 하나의 칫솔을 교환하지 않고 변형 바스법으로 하루 2회 2분씩 닦도록 하여 치태지수, 치은염지수 및 치은출혈지수를 측정하고 비교 분석하였다. 연구 결과 6주간의 실험기간에 걸쳐 슬림모 칫솔군과 V형 교정칫솔군 간에 치태지수, 치은염지수 및 치은출혈지수 모두 통계적으로 유의한 차이를 보이지 않았다. 실험시기에 따른 변화에 대해서 두 칫솔군 모두 치태지수와 치은염지수는 연구시작 시를 기점으로 점차적으로 감소하여 4주 후에 저점을 보이고 6주 후에는 다시 상승하였고, 치은출혈지수의 경우는 V형 교정칫솔군의 경우 2주 후에 최저점을 보이다가 4주 후와 6주 후에는 점차적으로 상승하는 양상을 보인 반면 슬림모 치솔군의 경우 연구시작 시부터 6주 후까지 점차적으로 감소하는 양상을 보였다. 연령에 따른 두 칫솔군 간의 구강위생 관리 효과 비교에서 슬림모 칫솔군은 치태지수와 치은염지수에서 20대가 10대에 비해 통계적으로 유의하게 작은 수치를 보였다 (p ＜ 0.013). 이상의 연구 결과로 고정식 교정장치로 치료받는 환자에서 두 칫솔 모두 구강위생관리에 동일하게 효과적이었으나 20대 이상의 성인 교정환자에서 슬림모 칫솔이 V형 교정칫솔보다 치태제거 효과가 더 우수함을 보여 도움이 될 수 있음을 시사하였다.
Abstract
Objective: The purpose of this study was to evaluate the efficacy of a slim bristled toothbrush compared with a V-shaped orthodontic toothbrush in patients with fixed orthodontic appliances. Methods: Thirty four orthodontic patients receiving edgewise treatment were randomly assigned to two groups, a slim bristled toothbrush (Nano silver slim care) and a V-shaped toothbrush (Oral-B). Plaque index, gingival index and bleeding index were recorded at the beginning of the study (baseline), 2 weeks, 4 weeks and 6 weeks after new toothbrushes were supplied and the results were analyzed statistically. Results: No statistically significant differences were found for plaque index, gingival index and bleeding index between toothbrush groups during the 6 weeks. Plaque and gingival indices were decreased at 2 weeks and 4 weeks but increased at 6 weeks in both toothbrush groups. Bleeding index in the V-shaped toothbrush group showed the lowest value at 2 weeks then increased at 4 weeks and 6 weeks but in the slim bristled toothbrush group decreased from 2 weeks through 6 weeks to under baseline levels. Patients in their twenties had significantly lower values than teenagers in the slim bristled toothbrush group (p ＜ 0.013). Conclusions: The results would suggest that both of the toothbrushes are equally effective but the use of a slim bristled toothbrush may be of benefit in promoting gingival health for fixed orthodontic appliance patients in their twenties and over.
참고문헌 (36)
- Loe H, "Experimental gingivitis in man", J Periodontol, 36, pp.177~187 (1965)
- Lindhe J, "Plaque induced periodontal disease in beagle dogs. A 4-year clinical, roentgenographical and histometrical study", J Periodontal Res, 10, pp.243~255 (1975)
- Suomi JD, "Oral hygiene and periodontal disease in an adult population in the United States", J Periodontol, 43, pp.677~681 (1972)
- Zachrisson BU, "Cause and prevention of injuries to teeth and supporting structures during orthodontic treatment", Am J Orthod, 69, pp.285~300 (1976)
- Lundström F, "Effect of oral hygiene education on children with and without subsequent orthodontic treatment", Scand J Dent Res, 88, pp.53~59 (1980)
- Boyd RL, "Longitudinal evaluation of a system for self-monitoring plaque control effectiveness in orthodontic patients", J Clin Periodontol, 10, pp.380~388 (1983)
- Emad Ahmad Hussein, "Investigation of bacteremia after toothbrushing in orthodontic patients", 대한치과교정학회지, 39(3), pp.177~184 (2009), 대한치과교정학회
- 유진경, "다양한 교정용 브라켓 원재료에 부착하는 mutans streptococci 양의 비교분석", 대한치과교정학회지, 39(2), pp.105~111 (2009), 대한치과교정학회
- Zachrisson S, "Gingival condition associated with orthodontic treatment", Angle Orthod, 42, pp.26~34 (1972)
- Diamanti-Kipioti A, "Clinical and microbiological effects of fixed orthodontic appliances", J Clin Periodontol, 14, pp.326~333 (1987)
- Atack NE, "Periodontal and microbiological changes associated with the placement of orthodontic appliances. A review", J Periodontol, 67, pp.78~85 (1996)
- Gorelick L, "Incidence of white spot formation after bonding and banding", Am J Orthod, 81, pp.93~98 (1982)
- Mitchell L, "Decalcification during orthodontic treatment with fixed appliances--an overview", Br J Orthod, 19, pp.199~205 (1992)
- Finkelstein P, "The clinical quantitative assessment of the mechanical cleaning efficiency of toothbrushes", Clin Prev Dent, 6, pp.7~12 (1984)
- De La Rosa M, "Plaque growth and removal with daily toothbrushing", J Periodontol, 50, pp.661~664 (1979)
- Kilicoglu H, "Comparison of the effectiveness of two types of toothbrushes on the oral hygiene of patients undergoing orthodontic treatment with fixed appliances", Am J Orthod Dentofacial Orthop, 111, pp.591~594 (1997)
- Rafe Z, "Comparative study of 3 types of toothbrushes in patients with fixed orthodontic appliances", Am J Orthod Dentofacial Orthop, 130, pp.92~95 (2006)
- Boyd RL, "Effect of rotary electric toothbrush versus manual toothbrush on periodontal status during orthodontic treatment", Am J Orthod Dentofacial Orthop, 96, pp.342~347 (1989)
- Wilcoxon DB, "The effectiveness of a counterrotational-action power toothbrush on plaque control in orthodontic patients", Am J Orthod Dentofacial Orthop, 99, pp.7~14 (1991)
- Trimpeneers LM, "Effect of electric toothbrushes versus manual toothbrushes on removal of plaque and periodontal status during orthodontic treatment", Am J Orthod Dentofacial Orthop, 111, pp.492~497 (1997)
- Ho HP, "Effectiveness of the Sonicare sonic toothbrush on reduction of plaque, gingivitis, probing pocket depth and subgingival bacteria in adolescent orthodontic patients", J Clin Dent, 8, pp.15~19 (1997)
- Clerehugh V, "A practice-based randomised controlled trial of the efficacy of an electric and a manual toothbrush on gingival health in patients with fixed orthodontic appliances", J Dent, 26, pp.633~639 (1998)
- 박창헌, "고정식 교정 환자에서 전동치솔 효과에 관한 연구", 대한치과교정학회지, 34(4), pp.363~370 (2004), 대한치과교정학회
- 박성준, "고정식 교정환자에서 치주건강 유지에 대한 전동치솔의 효과", 대한치과교정학회지, 35(4), pp.286~294 (2005), 대한치과교정학회
- 차경석, "고정식 교정장치 부착환자에서 음파칫솔의 치면세균막 제거 효과에 관한 연구", 대한치과교정학회지, 34(2), pp.189~196 (2004), 대한치과교정학회
- Jackson CL, "Comparison between electric toothbrushing and manual toothbrushing, with and without oral irrigation, for oral hygiene of orthodontic patients", Am J Orthod Dentofacial Orthop, 99, pp.15~20 (1991)
- Heasman P, "Comparative study of electric and manual toothbrushes in patients with fixed orthodontic appliances", Am J Orthod Dentofacial Orthop, 114, pp.45~49 (1998)
- Hickman J, "Powered vs manual toothbrushing in fixed appliance patients: a short term randomized clinical trial", Angle Orthod, 72, pp.135~140 (2002)
- Womack WR, "Comparative cleansing efficiency of an electric and a manual toothbrush in orthodontic patients", Angle Orthod, 38, pp.256~267 (1968)
- Kaklamanos EG, "Meta-analysis on the effectiveness of powered toothbrushes for orthodontic patients", Am J Orthod Dentofacial Orthop, 133, pp.187.e1~187.e14 (2008)
- Wilkins EM, "Periodontal and dental indices, in Clinical practice of the dental hygienist", pp.273~283 (1976), Lea & Febiger
- Lobene RR, "A modified gingival index for use in clinical trials", Clin Prev Dent, 8, pp.3~6 (1986)
- Thienpont V, "Comparative study of 2 electric and 2 manual toothbrushes in patients with fixed orthodontic appliances", Am J Orthod Dentofacial Orthop, 120, pp.353~360 (2001)
- Hwang CJ, "Analysis of characteristics of medical accidents and disputes in orthodontic area", Korean J Orthod, 29, pp.1~15 (1999)
- Heintze SD, "Oral health for the orthodontic patient", pp.65~87 (1999), Quintessence Publishing
- Gettinger G, "Anerud A, Boysen H, et al. The use of six selected teeth in population measures of periodontal status", J Periodontol, 54, pp.155~159 (1983)