교정전문치과에 내원한 부정교합환자의 최근 경향
Current trends in orthodontic patients in private orthodontic clinics
1
조회
0
다운로드
24
인용
0
참고문헌
키워드
초록
경제력의 향상과 식생활의 서구화, 사회적 인식의 변화 등으로 인하여 교정치료의 수요는 증가하고 내원하는 환자들의 부정교합의 양상도 점차 변화하고 있다. 본 연구는 개원한 교정치과에 내원하는 교정환자들의 역학적 자료를 제공함으로써 교정환자들의 특성과 요구를 파악하고 전공의들의 교육과정에 도움이 되고자 시행되었다. 이를 위하여 2003년부터 2006년까지 서울시내 교정전문치과 4곳에 내원하여 두부방사선계측사진과 모형분석 등 진단분석 과정을 거친 환자 1,620명을 대상으로 부정교합의 양상과 연령대, 발치빈도와 악교정 수술빈도 등을 조사 연구하였다. 조사 결과, 전체 교정환자들 중 남자는 26.9%, 여자는 73.1%로 여자가 많았다. 연령별 분포에서 만 13세 이후의 내원 환자는 78.9%, 만 19세 이후의 환자는 59.0%였으며, 평균연령은 20.5세였다. Angle 부정교합 분류별 분포는 Class I 부정교합이 38.9%, Class II div 1은 34.8%, Class II div 2는 2.3%, Class III 부정교합은 24.0%였다. 발치빈도의 경우 전체 교정환자들 중 발치환자가 60.9%, 비발치환자가 39.1%였으며, 발치를 시행한 환자 중 상하악 제1소구치를 발거한 경우가 46.0%를 차지하였다. 악교정수술환자의 비율은 10.2%였다. 교정치과에 내원하는 성인환자, II급 부정교합 환자와 악교정수술 환자의 비율이 높기 때문에, 이에 따라 교정교육과정과 보건정책에도 변화가 필요할 것으로 생각한다.
Abstract
Objective: The purposes of this study were to provide an epidemiologic data base related to the orthodontic treatment need and to know the changing trends about treatment modality of private orthodontic clinics. Methods: Distribution, trends and orthodontic treatment plan of malocclusion patients were investigated in 1,620 consecutive patients who had been visited and examined in 4 private orthodontic clinics located in Seoul from 2003 - 2006. Results: Percentage of male and female patients was 26.9% and 73.1% respectively. Age distribution had shown that percentage of the patients above 13 years was 78.9%, and above 19 years was 59.0%. Average age of whole patients was 20.5 years. With regard to Angle classification, each percentage of Class I, Class II division 1, Class II division 2 and Class III malocclusion was 38.9%, 34.8%, 2.3% and 24.0%. The percentage of extraction cases (60.9%) outnumbered nonextraction cases (39.1%) and 46% of extraction cases were upper and lower 1st premolar extraction cases. Patients who had chose treatment with fixed appliance and orthognathic surgery was 10.2%. Conclusions: Because the high percentage of adult, Class II malocclusion and orthognathic surgery cases in patients of private orthodontic clinics were shown in this study, orthodontic education program and national health policy in Korea need reformation.
참고문헌 (24)
- Surh CH, "Study on patient distribution in orthodontics", J Korean Dent Assoc, 15, pp.745~748 (1977)
- Oh YJ, "A study of types and distribution of patients in the department of orthodontics, infirmary of Dental College, Y-University", Korean J Orthod, 13, pp.63~72 (1983)
- Yang WS, "The study on the orthodontic patients who visited department of orthodontics Seoul National University Hospital", Taehan Chikkwa Uisa Hyophoe Chi, 28, pp.811~821 (1990)
- Yang WS, "The study on the orthodontic patients who visited department of orthodontics Seoul National University Hospital during last 10 years (1985-1994)", Korean J Orthod, 25, pp.497~509 (1995)
- Baik HS, "The distribution and trends in malocclusion patients - A 10 year study of 2155 patients from YDSH", Korean J Orthod, 25, pp.87~100 (1995)
- 임동혁, "서울대학교 치과병원 교정과에 내원한 부정교합 환자의 최근 경향", 대한치과교정학회지, 33(1), pp.63~72 (2003), 대한치과교정학회
- Bollen AM, "Secular trends in preadult orthodontic care in the United States: 1942-2002", Am J Orthod Dentofac Orthop, 132, pp.579~585 (2007)
- Yoo YK, "A study on the prevalence of malocclusion in 2,378 Yonsei University Students", Korean J Orthod, 2, pp.35~40 (1971)
- Kang HK, "A study on the prevalence of malocclusion of Yonsei University students in 1991", Korean J Orthod, 22, pp.691~701 (1992)
- Lew KK, "Malocclusion prevalence in an ethnic Chinese population", Aust Dent J, 38, pp.442~449 (1993)
- Onyeaso CO, "Prevalence of malocclusion among adolescents in Ibadan, Nigeria", Am J Orthod Dentofac Orthop, 126, pp.604~607 (2004)
- Tulloch JF, "A comparison of attitudes towards orthodontic treatment in British and American communities", Am J Orthod, 85, pp.253~259 (1984)
- Hsieh TJ, "Assessment of orthodontic treatment outcomes: early treatment versus late treatment", Angle Orthod, 75, pp.162~170 (2005)
- Vanarsdall RL Jr, "Adult interdiciplinary therapy: diagnosis and treatment, in Orthodontics: Current principles and techniques", pp.937~992 (2005), Elsevier
- Harrison JE, "Orthodontic treatment for prominent upper front teeth in children", Cochrane Database Syst Rev, 3, pp.CD003452~ (2007)
- Harrison JE, "Orthodontic treatment for posterior crossbites", Cochrane Database Syst Rev, 1, pp.CD000979~ (2001)
- Brunelle JA, "Prevalence and distribution of selected occlusal characteristics in the US population, 1988-1991", J Dent Res, 75, pp.706~713 (1996)
- Proffit WR, "Prevalence of malocclusion and orthodontic treatment need in the United States: estimates from the NHANES III survey", Int J Adult Orthodon Orthognath Surg, 13, pp.97~106 (1998)
- El-Mangoury NH, "Epidemiologic panorama of dental occlusion", Angle Orthod, 60, pp.207~214 (1990)
- Lee SJ, "Recognition of malocclusion and orthodontic treatment need of 7-18 year-old Korean adolescent", Korean J Orthod, 24, pp.367~394 (1994)
- Gok DB, "The distribution and trend of malocclusion patients visited at Department of Orthodontics", Korean J Orthod, 19, pp.35~48 (1989)
- Suhr JH, "Study on malocclusion distribution in orthodontic department", J Korean Dent Assoc, 19, pp.1027~1031 (1981)
- Lim HJ, "Esthetic impact of premolar extraction and nonextraction treatments on Korean borderline patients", Am J Orthod Dentofac Orthop, 133, pp.524~531 (2008)
- Musich DR, "Orthodontic aspects of orthognathic surgery, in Orthodontics: Current principles and techniques", pp.996~ (2005), Elsevier