Comparison of Dental Biofilm Reduction between Rolling Method and Modified Stillman Method

회전법과 변형스틸맨법의 치면세균막 감소 효과 비교

  • 한예슬 (남서울대학교 치위생학과) ;
  • 임순연 (남서울대학교 치위생학과) ;
  • 조영식 (남서울대학교 치위생학과)
  • Published : 2012.12.31

Abstract

The purpose of this study was to use basic data of dental hygiene curriculum by comparing the rolling method and modified stillman method. Plaque measurement method, Q-ray examination of the clinical utilization value shall review. True experimental design is randomized controlled trial to the intervention group and the control group. Measurements are plaque control record (PCR; O'Leary index) measurements and Quantitative Light induced fluorescnece Digital (QLFD) shooting as a pre-test was conducted. Intervention group is modified stillman method, control group is rolling method. Intervention after 5 weeks, PCR measurement and QLFD shooting was carried out as a post-test. Rolling method and modified stillman method plaque reduction did not differ. Intervention before and after the results of the comparison showed reduced plaque score after brushing law education. Also, Plaque reduction differences were more pronounced modified stillman method than rolling method. PCR and QLFD values of the correlation was not confirmed but SPS Score and the lower value of the ${\Delta}R$ value of the correlation. Plaque of maturity tooth that are not observed visually.

본 연구는 회전법과 변형 스틸맨법간의 치면세균막 감소효과를 비교하기 위하여 천안 소재 대학교 31명의 대학생을 대상으로 무작위 배정한 순수실험을 설계하여 치면세균막 관리프로그램을 시행한 결과 다음과 같은 결과를 얻었다. 1. 중재 전후에 따른 각 잇솔질의 치면세균막 관리를 비교한 결과 중재 전에 측정한 SPS Score와 ${\Delta}R30$에서 두 잇솔질 방법간의 차이는 나타났으나(p<0.05), 나머지 측정값들과 중재 후의 측정값에서 유의한 관련성을 보이지 않았다(p>0.05). 2. 각 잇솔질 방법에 따른 중재 전 후의 치면세균막 관리를 비교한 결과 PCR, QLF-PCR, ${\Delta}R30$, ${\Delta}R60$에서 회전법과 변형 스틸맨법 집단은 통계적으로 유의한 차이가 있었다(p<0.05). 또한, 회전법보다 변형 스틸맨법 집단에서 치면세균막 지수는 더 큰 감소를 보였고, 잇솔질 교육 중재를 실행한 후 치면세균막 지수가 감소하는 것으로 나타났다. 3. PCR과 QLFD 촬영 측정값의 관계에서 PCR과 육안검사 QLF-PCR의 관계, SPS Score와 그 하위 척도 ${\Delta}R$값들의 상관관계는 보였으나, PCR와 QLF값의 상관관계는 보이지 않았다. 이상의 결과를 종합해보면, 회전법과 변형스틸맨법의 치면세균막 관리 효과는 통계적으로 유의하지 않았으나, 회전법보다 변형 스틸맨법 집단에서 치면세균막 감소차이는 더 큰 것으로 확인되었고, 잇솔질 교육을 실행함으로써 치면세균막 지수가 감소하는 것으로 나타났다.

Keywords

References

  1. Kim JB, Baek DI, Sin SC, Kim DG, Park DY, Jin BH: Public health dentistry. 6th ed. Komoonsa, Seoul, pp.29-31, 2009.
  2. Kim JB, Choi YJ, Baek DI, et al.: Preventive dentistry. 4th ed. Komoonsa, Seoul, pp.3-6, 282-287, 2009.
  3. Suomi JD, Doyle J: Oral hygiene and periodontal disease in an adult population in the United States. J Periodontol 43: 677-681, 1972. https://doi.org/10.1902/jop.1972.43.11.677
  4. Hancook EB, Newell DH: Preventive strategies and supportive treatment. Periodontol 25: 59-76, 2001. https://doi.org/10.1034/j.1600-0757.2001.22250105.x
  5. Haffajee AD, Arguello EI, Ximenez-Fyvie LA, Socransky SS: Controlling the plaque biofilm. J Int Dent 53: 191-199, 2003. https://doi.org/10.1111/j.1875-595X.2003.tb00770.x
  6. Park DY: Study on the improvement teaching methods plaque management by tooth plaque index analysis. J Nature Science 16: 67-82, 2000.
  7. Choi YG: Evaluation of educational effectiveness on rolling method and bass' method at the degree of difficulty. Unpublished master's thesis, Gangneung University, Gangneung, 2007.
  8. Wilkins EM: Clinical practice of the dental hygienist. 11th. LWW, philadelphia, pp.312-321, 394-396, 2010.
  9. Cho GS: Study on the dental health service for primary school students. Unpublished master's thesis, Dongeui University, Busan, 2003.
  10. Ann JG, Kim JB: An experimental study on the effects of the toothbrushing instructional methods. J Korean Acad Oral Health 9: 127-133, 1988.
  11. Lee SS, Baek DI, Kim JB: A study on the effects of the toothbrushing instruction method in dental health education. J Korean Acad Oral Health 14: 233-242, 1990.
  12. Kim EM: Comparison of toothbrushing methods for efficacy in plaque removal. Unpublished master's thesis, Sunchon University, Suncheon, 2001.
  13. Kim BI: Textbook of oral care products. Charmyun, Seoul, pp.32-35, 2010.
  14. Becker W, Becker BE, Berg LE: Periodontal treatment without maintenance. J Periodontol 55: 505-509, 1984. https://doi.org/10.1902/jop.1984.55.9.505
  15. Wilson TG, Glover ME, Schoen J, Baus C, Jacobs T: Compliance with maintenance therapy in a private periodontal practice. J Periodontol 55: 468-473, 1984. https://doi.org/10.1902/jop.1984.55.8.468
  16. Ramfjord SP, Morrison EC, Burgett FG, et al.: Oral hygiene and maintenance of periodontal support. J Periodontol 53: 26-30, 1982. https://doi.org/10.1902/jop.1982.53.1.26
  17. Shin SC, Seo HS, Ryu H, Jang YS, Byeon GY: Disclosing effect of dental plaque by sue of red-plaque tablets. J Korean Acad Dent Health 27: 87-95, 2003.
  18. Starr CB, Langenderfer WR: Use of a caries-disclosing agent to improve dental residents' ability to detect caries. Oper Dent 18: 110-114, 1993.
  19. Lang NP, Ostergaard E, Loe H: Afluorescent plaque disclosing agent. J Periodontol 7: 59-67, 1972. https://doi.org/10.1111/j.1600-0765.1972.tb00632.x
  20. Yoo JM: Clinical study on the comparison of various types of the dental plaque indices. Unpublished master's thesis, Dankook University, Cheonan, 2007.
  21. Kim BI: QLF Concept and clinical implementation. J Korea Dent Assoc 49: 443-450, 2011.
  22. Waller E, Daelen CJ, Veen MH: Application of $QLF^{TM}$ for diagnosis and quality assessment in clinical practice. Netherlands, 2012.
  23. Bergenholtz A: Role of brushing technique and toothbrush design in plaque removal. Scand J Dent Res 92: 344-351, 1984.
  24. Kremers V, Lampert F: Vergleichende klinische untersuchungen zwrier zahnputz-methoden-roll and bass-technik. Dtsch Zahnarztl Z 33: 58-60, 1978.
  25. Gibson JA: Plaque removal by the bass and roll brushing techniques. J Perioontal 48: 456-459, 1997.
  26. Bass CC: An effective method of personal oral hygiene. J La Sate Med Soc 106: 100-110, 1954.
  27. Chang KW, Kim JB: An experimental study on the effects of the toothbrushing instructional methods. J Korean Acad Oral Health 11: 85-98, 1987.