The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

The dentists' perceptions and current prosthodontic treatment status for the disabled in Korea

치과의사의 장애인 보철 진료 실태와 인식

  • Shim, Su-Hyun (Department of Prosthodontics, School of Dentistry, Catholic University of Korea) ;
  • Kim, Seok-Gyu (Department of Prosthodontics, School of Dentistry, Catholic University of Korea) ;
  • Choi, Bohm (Department of Prosthodontics, School of Dentistry, Catholic University of Korea)
  • 심수현 (가톨릭대학교 치과보철학교실) ;
  • 김석규 (가톨릭대학교 치과보철학교실) ;
  • 최봄 (가톨릭대학교 치과보철학교실)
  • Published : 2009.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

Statement of problem: In spite of increasing dental treatment for the disabled, there was no collected data on prosthodontic treatment status and dentists' perceptions in Korea. Purpose: The purpose of this study was to research the dentists' perceptions about current prosthodontic treatment status for the disabled in Korea and to suggest public health policies for the disabled. Material and methods: Total of 68 dentists who have regularly treated the disabled were asked to fill questionnaires regarding prosthodontic treatment for the disabled. Results: 1. 45.6% of dentists felt the necessity of an esthetic prosthesis for the disabled. However, 54.3% of dentists reported the improvement of access to implant,orthodontic and esthetic treatment is needed. 2. Most (79.4%) of the dentists thought it is imperative for the government to support the disabled to maintain adequate oral health by providing at least 50% of charge in their prosthesis. Conclusion: Through this research, 97.1% of dentists answered that the current prosthodontic treatment status for the disabled in Korea is poor. This indicated the necessity of the financial support from the government for the disabled.

연구목적: 우리 사회가 선진화 됨에 따라 장애인과 장애인의 사회복지에 대한 관심이 점차 증가되고 있으며 장애인의 의료환경에 대한 연구도 차츰 늘어가고 있다. 하지만 그 동안 증가하는 장애인 치과 진료의 수요 및 관심에 비해 장애인 보철 진료에 대한 연구가 전무한 실정이었다. 본 연구는 치과의사가 바라본 현행 대한민국의 장애인 보철 진료 실태와 인식에 관해 조사하였다. 연구 재료 및 방법: 전국의 장애인 진료를 하는 치과 병의원 및 복지기관, 보건소의 치과의사 87명을 대상으로 총 11문항으로 구성된 설문지를 발송하여 68부의 유효한 설문지를 회수하여 통계 분석하였다. 결과 및 결론: 1. 조사 대상 치과의사 중 45.6%가 일반인과 마찬가지로 장애인에게도 심미보철 진료가 필요하다는 데에 긍정적으로 답변하여 시대의 흐름에 따라 과거 기능회복 위주였던 장애인 치과치료에서 점차 심미적인 고려가 필요함을 보여주었다. 2. 보철 진료의 이상적인 진료비 지불방식에 대한 조사결과 정부로부터의 재정지원이 필요하다는 의견이 79.4%를 차지하였고, 그 중 66.7%의 응답자가 그 규모를 일반보철 수가의 최소 50%이상을 정부가 지원하는 것이 적절하다고 응답했다. 현재 우리나라 장애인 보철 진료 실태에 관해 97.1%의 응답자들이 열악하다고 인식하고 있었다. 이러한 문제의 원인으로는 장애인의 협조도 부족 문제를 제외하면 재정적인 부분이 가장 컸다. 따라서 향후 정부의 장애인 보철 진료에 대한 현실적인 지원 방안이 마련되어야 할 것으로 생각된다.

Keywords

References

  1. World Health Organization. International classification of impairment,disabilities, and handicaps : a manual of classification rating to the consequences of disease . Geneva:WHO;1980;30-3
  2. World Health Organization. International classification of impairment, activities and participation : a manual dimension of disablement and health, beta-1 draft. Geneva: WHO;1997
  3. Byeon YC. A survey of the status for the disabled in Korea, 2005 Policy report NO.2006-04; 2005
  4. The institute for the right of the disabled. A survey of the oral health care status in home and dental needs of the disabled in Suseo. 2000;11-2
  5. Chung ET, Kim CY, Chung SC. A survey of the oral health and the dental needs of handicapped patients in Korea. J Korean Acad Dent Health 1988;12:47-78
  6. Onyeaso CO. Orthodontic treatment need of mentally handicapped children in Ibadan, Nigeria, according to the dental aesthetic index. J Dent Child 2003;70:159-63
  7. L$\acute{o}$pez-Jim$\acute{e}$nez J, Romero-Dom´$\acute{i}$nguez A, Gim$\acute{e}$nez-Prats MJ. Implants in handicapped patients. Med Oral 2003;8:288-93
  8. Choi CH. Dental services status of the disabled performed by dentists. J Korean Acad Dent Health 2003;27:59-71
  9. Gwon HG. The status of oral health and dental services in disabled people. Korean Institution of Oral Health 2003
  10. Ha SY, Lee KH, Kim DE, Park JS. Oral health care status in institutions and special schools for the disabled people in Korea. J Korean Acad Pediatric 2000;27:192-201
  11. Casamassimo PS, Seale NS, Ruehs K. General dentists' perceptions of educational and treatment issues affecting access to care for children with special health care needs. J Dent Educ 2004;68:23-8
  12. Shin DK, Jeong SH, Park JH, Choi YH, Song KB. A study of oral health status and it's related factors among disabled people in Korea.Korean Acad Dent Health 2007;31:248-62
  13. Bhansali S, Tripathi A, Tiwari SC, Singh SV. A study of the prosthodontic and oral health needs of an ageing psychiatric population. Gerodontology 2008;25:113-7 https://doi.org/10.1111/j.1741-2358.2007.00209.x
  14. Collado V, Faulks D, Hennequin M. A survey of the difficulties encountered during routine hygiene and health care by persons with special needs. Disabil Rehabil 2008;30:1047-54 https://doi.org/10.1080/09638280701616574
  15. Gabre P, Martinsson T, Gahnberg L. Longitudinal study of dental caries, tooth mortality and interproximal bone loss in adults with intellectual disability. Eur J Oral Sci 2001;109:20-6 https://doi.org/10.1034/j.1600-0722.2001.00965.x
  16. Hallberg U, Strandmark M, Klingberg G. Dental health professionals’ treatment of children with disabilities: a qualitative study. Acta Odontol Scand 2004;62:319-27 https://doi.org/10.1080/00016350410001810
  17. Klingberg G, Dahll$\ddot{o}$f G, Erlandsson AL, Grindefjord M, Hallstr$\ddot{o}$m-Stalin U, Koch G, Lundin SA. A survey of specialist paediatric dental services in Sweden: results from 2003, and trends since 1983. Int J Paediatr Dent 2006;16:89-94 https://doi.org/10.1111/j.1365-263X.2006.00703.x
  18. Kim MY, Lee KW, Moon HS, Chung MK. A study on the gratification of the patient in the dental hospital. J Korean Acad Prosthodont 2008;46:65-82
  19. Yang SB, Moon HS, Han DH, Lee HY, Chung MK. Oral health status and treatment need of institutionalized elderly patients. J Korean Acad Prosthodont 2008;46:455-69 https://doi.org/10.4047/jkap.2008.46.5.455

Cited by

  1. DIASTEMA CLOSURE TREATMENT DECISION FOR AN ADOLESCENT PATIENT WITH CEREBRAL PALSY vol.11, pp.1, 2015, https://doi.org/10.12655/KADH.2015.11.1.1
  2. 장애유형별 치과진료시 소요시간에 관한 비교연구 vol.10, pp.2, 2009, https://doi.org/10.12655/kadh.2014.10.2.78
  3. ANTERIOR ESTHETIC RESIN RESTORATION OF INTELLECTUALLY DISABLED CHILD WITH OLIGODONTIA : A CASE REPORT vol.12, pp.2, 2016, https://doi.org/10.12655/kadh.2016.12.2.66