유치열 치아우식증의 구강내 대칭도

DEGREE OF SYMMETRY OF DENTAL CARIES IN PRIMARY DENTITION

  • 이광희 (원광대학교 치과대학 소아치과학교실) ;
  • 라지영 (원광대학교 치과대학 소아치과학교실) ;
  • 안소연 (원광대학교 치과대학 소아치과학교실) ;
  • 김윤희 (원광대학교 치과대학 소아치과학교실)
  • Lee, Kwang-Hee (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • La, Ji-Young (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • An, So-Youn (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Kim, Yun-Hee (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
  • 투고 : 2010.08.30
  • 심사 : 2010.11.04
  • 발행 : 2010.11.30

초록

유치열의 우식 패턴에 관한 연구의 일환으로 유치열 치아우식증의 구강내 대칭도를 조사하였다. 36개월 이상 71개월 이하 어린이의 치면별 우식경험을 조사한 자료를 분석하였다. 좌우 유치 dmfs 간 피어슨 상관계수는 0.558(상악 유견치) ~ 0.847(상악 유중절치)이었고, 전체에서 0.905이었으며, 모두 유의하였다(P<0.01). 좌우 값 간의 차이는 대부분 유의하지 않았다(P>0.05). 상하 유치 dmfs 간 피어슨 상관계수는 0.150(우측 유측절치) ~ 0.506(우측 제1유구치)이었고, 전체에서 0.680이었으며, 모두 유의하였다(P<0.01). 상하 값 간의 차이는 대부분 유의하였다(P<0.05). 우식경험이 있는 경우 중에서 양측성으로 있는 경우의 백분율은 유치가 34.0%(상악 유견치) ~ 80.1%(상악 유중절치)이었고, 치면은 상악 유중절치가 53.9%(원심면) ~ 84.9%(근심면), 상악 유측절치가 45.8%(근심면) ~ 68.0%(협면), 상악 제1유구치가 34.1%(근심면) ~ 45.0%(교합면), 상악 제2유구치가 20.7%(원심면) ~ 48.0%(교합면), 하악 제1유구치가 34.4%(협면) ~ 58.1%(교합면), 하악 제2유구치가 29.7%(원심면) ~ 61.4%(교합면)이었다.

This study was one of the caries pattern studies. The purpose was to investigate the degree of intraoral symmetry of dental caries in the primary dentition. The dmfs data from children aged 36 to 71 months were analyzed. Pearson correlation coefficients between right teeth and left teeth were from 0.558 (upper canines) to 0.847 (upper central incisors) and 0.905 in total (P<0.01). Differences between right teeth and left teeth were mostly not significant (P>0.05). Pearson correlation coefficients between upper teeth and lower teeth were from 0.150 (right lateral incisors) to 0.506 (right first molars) and 0.680 in total (P<0.01). Differences between upper teeth and lower teeth were mostly significant (P<0.05). Percentages of bilateral caries experience cases per cases having caries experience were from 34.0% (upper canines) to 80.1% (upper central incisors), and from 53.9% (distal) to 84.9% (mesial) in upper central incisors, from 34.1% (mesial) to 45.0% (occlusal) in upper first molars, from 20.7% (distal) to 48.0% (occlusal) in upper second molars, from 34.4% (buccal) to 58.1% (occlusal) in lower first molars, and from 29.7% (distal) to 61.4% (occlusal) in lower second molars, respectively.

키워드

참고문헌

  1. Kaste LM, Selwitz RH, Oldakowski RJ, et al. : Coronal caries in the primary and permanent dentition of children and adolescents 1-17 years of age: United States, 1988-91. J Dent Res, 75:631-641, 1996.
  2. Batchelor PA, Sheiham A : Grouping of tooth surfaces by susceptibility to caries: a study in 5-16 year-old children. BMC Oral Health, 4:2, 2004. https://doi.org/10.1186/1472-6831-4-2
  3. Johnsen D, Schechner T, Gerstenmaier J : Proportional changes in caries patterns from early to late primary dentition. J Public Health Dent, 47:5-9, 1987. https://doi.org/10.1111/j.1752-7325.1987.tb01951.x
  4. Johnsen DC, Schubot D, Bhat M, Jones PK : Caries pattern identification in primary dentition: a comparison of clinician assignment and clinical analysis groupings. Pediatr Dent, 15:113-115, 1993.
  5. Greenwell AL, Johnson D, DiSantis TA, et al. : Longitudinal evaluation of caries patterns from the primary to the mixed dentition. Pediatr Dent, 12:278-282, 1990.
  6. O'Sullivan DM, Tinanoff N : Maxillary anterior caries associated with increased caries risk in other primary teeth. J Dent Res, 72:1577-1580, 1993. https://doi.org/10.1177/00220345930720120801
  7. Veerkamp JSJ, Weeheijm KL : Nursing-bottle caries: the importance of a developmental perspective. J Dent Child, 62:381-386, 1995.
  8. O'Sullivan DM, Tinanoff N : The association of early dental caries patterns with caries incidence in preschool children. J Public Health Dent, 56:81-83, 1996. https://doi.org/10.1111/j.1752-7325.1996.tb02401.x
  9. Milnes AR : Description and epidemiology of nursing caries. J Public Health Dent, 56:38-50, 1996. https://doi.org/10.1111/j.1752-7325.1996.tb02394.x
  10. Ismail A, Sohn W : A systemic review of clinical diagnostic criteria of early childhood caries. J Public Health Dent, 59:171-191, 1999. https://doi.org/10.1111/j.1752-7325.1999.tb03267.x
  11. Seow W : Biological mechanisms of early childhood caries. Community Dent Oral Epidemol, 26:8-27, 1998. https://doi.org/10.1111/j.1600-0528.1998.tb02090.x
  12. Psoter WJ, Zhang H, Pendrys DG, et al. : Classification of dental caries patterns in the primary dentition: a multidimensional scaling analysis. Community Dent Oral Epidemiol, 31:231-238, 2003. https://doi.org/10.1034/j.1600-0528.2003.00044.x
  13. 이종선, 이광희, 김대업 : 치아별 우식경험도로 본 유치열의 우식패턴에 관한 연구. 대한소아치과학회지, 26:1-13, 1999.
  14. 정승열, 이광희, 라지영 등 : 군집분석과 다차원척도법으로 본 유치열의 우식패턴. 대한소아치과학회지 37:159-167, 2010.
  15. 이언 스튜어트 저, 김동광 역 : 자연의 패턴, 사이언스북스, 133-163, 2005.
  16. Berman DS, Slack GL : Dental caries in English school children: a longitudinal study. Br Dent J, 133:529-538, 1972. https://doi.org/10.1038/sj.bdj.4802944
  17. Wood PF : Asymmetry of caries attack on the occlusal surfaces of first permanent molar teeth. Aust Dent J, 30:123-127, 1985. https://doi.org/10.1111/j.1834-7819.1985.tb05355.x
  18. Hujoel PP, Lamont RJ, DeRouen TA, et al. : Within-subject coronal caries distribution patterns: an evaluation of randomness with respect to the midline. J Dent Res, 73:1575-1580, 1994.
  19. Vanobbergen J, Lesaffre E, Garcia-Zattera M, et al. : Caries patterns in primary dentition in 3-, 5- and 7-year-old children: spatial correlation and preventive consequences. Caries Res, 41:16-25, 2007. https://doi.org/10.1159/000096101
  20. Burnside G, Pine CM, Williamson PR : Modelling the bilateral symmetry of caries incidence. Caries Res, 42:291-296, 2008. https://doi.org/10.1159/000148161
  21. Lewsey JD, Thomson WM : The utility of the zeroinflated Poisson and zero-inflated negative binomial models: a case study of cross-sectional and longitudinal DMF data examining the effect of socio-economic status. Community Dent Oral Epidemiol, 32:183-189, 2004. https://doi.org/10.1111/j.1600-0528.2004.00155.x
  22. 임아경, 오만숙 : 영과잉 포아송 회귀모형에 대한 베이지안 추론: 구강위생자료에의 적용. 응용통계연구, 19:505-519, 2006. https://doi.org/10.5351/KJAS.2006.19.3.505