Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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A SURVEY OF PEDIATRICIANS REGARDING INFANT ORAL HEALTH CARE

소아청소년과의사의 영유아기 구강건강 관리에 대한 인식도 조사

  • Ju, Tae-Joon (Department of pediatric dentistry, College of dentistry, Kangnung-Wonju national university) ;
  • Park, Ho-Won (Department of pediatric dentistry, College of dentistry, Kangnung-Wonju national university) ;
  • Lee, Ju-Hyun (Department of pediatric dentistry, College of dentistry, Kangnung-Wonju national university) ;
  • Seo, Hyun-Woo (Department of pediatric dentistry, College of dentistry, Kangnung-Wonju national university)
  • 주태준 (강릉.원주 대학교 치과대학 소아치과학교실) ;
  • 박호원 (강릉.원주 대학교 치과대학 소아치과학교실) ;
  • 이주현 (강릉.원주 대학교 치과대학 소아치과학교실) ;
  • 서현우 (강릉.원주 대학교 치과대학 소아치과학교실)
  • Published : 2009.08.31
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Abstract

For prevention of ECC, the Korean Academy Of Pediatric Dentistry(KAPD) advocate that Children should be seen as early as 6 months of age after the first tooth erupts, or 12 months of age. Pediatrics have increased access to new mothers and children 6 to 12 months while dentists does not see young children unless there are urgent problems. Therefore, they have an opportunity to impact infant oral health care. This study's purpose was to examine pediatricians' awareness and experience about infant oral health care. For the study, we surveyed of 150 pediatricians in korea. The survey comprised 10 questions related to infant oral health care and the recommended age a child go for their first dental visit. The results were as follows: 1. Most respondents had been referred children to a dentist for treating ECC and more than half of respondents reported that they did not do oral examination in their practice. 2. The majority of surveyed pediatricians are not advising patients to see the dentist by 1 year of age. 3. The surveyed pediatrician's awareness of infant oral health care is insufficient. The oral health education should be reinforced. 4. There is a need for increased infant oral health care education in the medical and dental communities.

국민건강보험공단에서 실시하는 영유아 건강검진은 5회의 일반검진과 2회의 구강검진으로 구성되어 있다. 하지만 9개월 영유아 건강검진 시 구강건강 상담 및 교육은 일반의사가 담당하도록 되어 있어 이를 주로 담당하게 될 소아청소년과의사의 구강건강 상담 항목에 대한 지식이 필요한 상황이다. 이번 조사의 목적은 소아청소년과 전문의나 전공의를 대상으로 영유아기 구강건강교육에 대한 인식도를 알아보는 것으로 150명의 설문을 분석해 다음과 같은 결론을 얻었다. 1. 조사 대상자의 대부분은 유아기우식증으로 인한 치과 의뢰 경험이 있었고, 절반 이상의 응답자는 영유아 환자에 대해 구강검사를 시행하지 않고 있었다. 2. 조사 대상 소아청소년과의사들의 첫 치과방문 시기에 관한 적절한 인식도가 확립되지 않았다. 3. 영유아 건강검진 중 구강건강 교육 항목에 대한 인지도가 전반적으로 부족하였다. 이에 대한 교육의 강화가 필요하다. 4. 영유아 구강질환 예방을 위한 의과계의 관심과 더불어 치과계와의 협조가 필요하리라 생각 된다.

Keywords

References

  1. Drury TF, Horowitz AM, Ismail AI, et al. : Diagnosing and reporting early childhood caries for research purposes. J Public Health Dent, 59:192-197, 1999. https://doi.org/10.1111/j.1752-7325.1999.tb03268.x
  2. 김정욱, 진보형, 김영재 등 : 영유아 건강검진 매뉴얼 중 구강검진 매뉴 얼. 국민건강보험공단, 182-213, 2007.
  3. Tsubouchi J, Tsubouchi M, Maynard RJ, et al. : A study of dental caries and risk factors among Native American infants. ASDC J Dent Child, 62:283-287, 1995.
  4. 2000년도 국민구강건강실태조사 보고서 : 보건복지부, 43-46, 2000.
  5. 2003년도 국민구강건강실태조사 보고서 : 보건복지부, 17-20, 2004.
  6. 2006년도 국민구강건강실태조사 보고서 : 보건복지부, 13-14, 2007.
  7. Ayhan H, Suskan E, Yildirim SJ : The effect of nursing or rampant caries on height, body weight and head circumference. Clin Pediatr Dent, 20:209-212, 1996.
  8. Grindefjord M, Dahllof G, Modeer T : Caries development in children from 2.5 to 3.5 years of age: A longitudinal study. Caries Res, 29:449-454, 1995. https://doi.org/10.1159/000262113
  9. American Academy of Pediatrics : Recommendations for Preventive Pediatric Health Care. Pediatrics, 105:645-646, 2000. https://doi.org/10.1542/peds.105.3.645
  10. Nowak AJ, Casamassimo PS : Using anticipatory guidance to provide early dental intervention. J Am Dent Assoc, 126:1156-1163, 1995.
  11. Nainar SM : Longitudinal analysis of dental services provided to urban low-income (Medicaid) preschool children seeking initial dental care. ASDC J Dent Child, 65:339-343, 1998.
  12. Savage MF, Lee JY, Kotch JB, et al. : Early preventive dental visits: effects on subsequent utilization and costs. Pediatrics, 114:418-423, 2004. https://doi.org/10.1542/peds.2003-0469-F
  13. American Academy of Pediatric Dentistry : 2008-09 Definitions, Oral Health Policies, and Clinical Guidelines. Pediatr Dent, 29:22-23, 2007.
  14. American Academy of Pediatric Dentistry : Infant oral health care. Pediatr Dent, 28:73-76, 2007.
  15. American Academy of Pediatric Dentistry : Periodicity of examination, preventative dental services, anticipatory guidance, and oral treatment for children. Pediatr Dent, 28:89-91, 2007.
  16. 박진아, 마득상, 박덕영 등 : 강릉시 5세 아동의 "조기 유아기 우식증" 관련 추정요인의 기술 역학적 연구. 대한소아치과학회지, 29:226-236, 2002.
  17. American Academy of Pediatric Dentistry : Use of a caries-risk assessment tool (CAT) for infants, children, and adolescents. Pediatr Dent, 28:24-28, 2007.
  18. Ismail AI, Nainar SM, Sohn W : Children's first dental visit: Attitudes of practices of US pediatricians and family physicians. Pediatr Dent, 25:425-430, 2003.
  19. 문진수, 김재영, 양혜란 등 : 영양 교육, 영유아 건강검진 매뉴얼, 64-83, 2007.
  20. Edelstein BL, Manski RJ, Moeller JF : Pediatric visits during 1996: An analysis of the Federal Medical Expenditure Panel Survey. Pediatr Dent, 22:17-20, 2000.
  21. 대한소아치과학회 : 소아청소년치과학. 신흥인터내셔널, 서울, 154-158, 2007.
  22. American Academy of Pediatric Dentistry : The AAPD Foundation and Oral-B Checkup on Children's Oral Health Study. 'Gallup & Robinson Inc, New Jersey, 25-26, 2002.
  23. American Academy of Pediatrics : Oral health risk assessment timing and establishment of a dental home. Pediatrics, 111:1113-1116, 2003. https://doi.org/10.1542/peds.111.5.1113
  24. Brickhouse TH, Unkel JH, Kancitis I : Infant oral health care: a survey of general dentists, pediatric dentists, and pediatricians in Virginia. Pediatr Dent, 30:147-153, 2008.
  25. Lewis CW, Grossman DC, Domoto PK, et al. : The role of the pediatrician in the oral health of children: A national survey. Pediatrics, 106:1475-1476, 2000.
  26. Serwint JR, Mungo R, Negrete VF, et al. : Childrearing practices and nursing caries. Pediatrics, 92:233-237, 1993.
  27. Beltran ED, Malvitz DM, Eklund SA : Validity of two methods for assessing oral health status of populations. J Public Health Dent, 57:206-214, 1997. https://doi.org/10.1111/j.1752-7325.1997.tb02977.x
  28. Pierce KM, Rozier RG, Vann WF : Accuracy of pediatric primary care providers’screening and referral for early childhood caries. Pediatrics, 109:950-951, 2002.
  29. Bottenberg P, Van Melckebeke L, Louckx F, et al. : Knowledge of Flemish paediatricians about children's oral health - results of a survey. Acta Paediatr, 97:959-963, 2008. https://doi.org/10.1111/j.1651-2227.2008.00827.x
  30. Schafer TE, Adair SM : Prevention of dental disease: the role of the pediatrician. Pediatr Clin N Am, 47:1021-1042, 2000. https://doi.org/10.1016/S0031-3955(05)70256-X
  31. Sonis A, Zaragoza S : Dental health for the pediatrician. Cur Opin Pediatrics, 13:289-295, 2001. https://doi.org/10.1097/00008480-200106000-00013
  32. Hong L, Levy SM, Warren JJ, et al. : Fluoride intake levels in relation to fluorosis development in permanent maxillary central incisors and first molars. Caries Res, 40:494-500, 2006. https://doi.org/10.1159/000095648
  33. Ismail AI, Messer JG : The risk of fluorosis in students exposed to a higher than optimal concentration of fluoride in well water. J Public Healtht, 6:22-27, 1996.
  34. Evans RW, Stamm BW : An epidemiologic estimate of the critical period during which human maxillary central incisors are most susceptible to fluorosis. J Public Health Dent, 51:251-259, 1991. https://doi.org/10.1111/j.1752-7325.1991.tb02223.x
  35. American Academy of Pediatrics : Breastfeeding and the Use of Human Milk, Pediatrics, 115:496-506, 2005. https://doi.org/10.1542/peds.2004-2491