DOI QR코드

DOI QR Code

양산시 청소년의 부정교합 유병률 및 관련 자존감 조사

The Prevalence of Malocclusion and Related Self-Esteem of Adolescents in Yangsan

  • 류현정 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김형준 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김지연 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김신 (부산대학교 치의학전문대학원 소아치과학교실)
  • Ryu, Hyunjung (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Hyungjun (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Jeong, Taesung (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Jiyeon (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Shin (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
  • 투고 : 2013.10.18
  • 심사 : 2013.11.08
  • 발행 : 2013.11.29

초록

본 연구는 청소년을 대상으로 부정교합 요소들의 유병률을 조사하고 각 요소와 자존감의 연관성을 평가할 목적으로 시행되었다. 양산시 소재 3개 중학교에 재학 중인 1,380명을 대상으로 부정교합 요소별 유병률과 자존감 상태를 조사 분석하여 다음과 같은 결과를 얻었다. Angle 분류에 의한 제1대구치 관계는 I, II 및 III급 교합이 각각 69.0%, 19.4%, 10.6%로 나타났다. 수평피개는 정상 86.9%, 반대교합 5.6%, 큰 수평피개 6.6%, 극심히 큰 수평피개 0.8%로 나타났다. 수직피개는 정상 94.1%, 과개교합 4.7%, 개방교합 1.2%였다. 정중선 불일치는 0~1 mm는 98.2%, 2~4 mm는 1.4%, 5 mm 이상은 0.4%였다. 총생은 상, 하악에 총생이 있는 경우가 각각 9.6%, 14.1%, 양악 모두의 경우가 24.1%였으며, 치간공극은 상, 하악에만 있는 경우가 각각 3.0%, 2.4%, 양악 모두의 경우는 1.7%였다. 부정교합 요소별 자존감의 차이는 여자의 경우, 반대교합과 개방교합 그룹에서 자존감 지수가 낮은 값을 보였다(p < 0.05).

For the purpose of evaluating the prevalence of malocclusion and self-esteem in adolescents, 1,380 middle-school students in the Yangsan area were surveyed by oral examination and questionnaires and the obtained results were as follows: The distribution of 1st molar occlusion by Angle's classification was 69.0, 19.4, 10.6% for Class I, II and III respectively. In the horizontal relationship, the prevalence of normal overjet and crossbite was 86.9% and 5.6% respectively whereas larger and extremely larger overjet was found in 6.6% and 0.8%. In the vertical relationship of anterior teeth, normal, deep overbite and openbite was shown in 94.1%, 4.7%, and 1.2%. For the midline discrepancy, the distribution of groups with 0~1 mm, 2~4 mm and over 5 mm was 98.2%, 1.4%, and 0.4%. Crowding only in the maxilla was found in 9.6%, while that only in the mandible and in both arches was 14.1% and 24.1% respectively. Spacing only in the maxilla was seen in 3.0%, while that only in the mandible and in both arches was 2.4% and 1.7% respectively. Significant difference in self-esteem was revealed in female and malocclusion groups of crossbite and openbite(p < 0.05).

키워드

참고문헌

  1. Yeon MH : A Study of the Counseling Approach to Facilitate the Developmental Tasks of Youth. J of Educ Res and Develop, 7:171-193, 1985.
  2. Rosenberg M : The association between self-esteem and anxiety. J Psychiatr Res, 1:135-152, 1962. https://doi.org/10.1016/0022-3956(62)90004-3
  3. Lee CS : Influences of Home Environment, School Environment and Self-esteem on Adolescent’s Egoidentity in Cheju. J of College of Educ, 2:109-138, 2000.
  4. Park BN, Kang HL, Shin MK : The impact of appearance stress and peer-relation on self-esteem of middle school students in an Area. J Korea Society Health Inform and Stat, 37:25-36, 2012.
  5. Koh MS : Influence of parent's child rearing attitudes on family cohesion and self-esteem in adolescents. J Korean Acad Child Health Nurs, 3:195-202, 2010. https://doi.org/10.4094/jkachn.2010.16.3.195
  6. A social survey(2012) : Worry problem of adolescents. Assesment service. Available from URL: http://kostat.go.kr/wnsearch/search.jsp(Assessed on August 3, 2013)
  7. Jenny J : A social perspective on need and demand for orthodontic treatment. Int Dent J, 25:248-256,1975.
  8. Show WC, Meek SC, Jones DS : Nicknames, teasing, harassment and the salience of dental feature among school children. Br J Orthod, 7:75-80, 1980. https://doi.org/10.1179/bjo.7.2.75
  9. Denise N, Max DP, Lydia MF : Self-esteem and depression in patients presenting angle class III malocclusion submitted for orthognathic surgery. Med Oral Patral Oral Cir Bucal, 13:48-51, 2008.
  10. Lee SJ, Seo JH : Recognition of malocclusion and orthodontic treatment need of 7-18 year-old Korean adolescent. Korean J Orthod, 24:367-394, 1994.
  11. Song KW, Kim JT : Prevalence and severity of malocclusion in children 13 to 15 years of age living in Seoul. J Korean Acad Pediatr Dent, 11:121-130, 1984.
  12. Shur CH, Nahm DS, Chang YL : Epidemiologic study of the prevalence of malocclusion in Korean. Korean J Orthod, 14:33-37, 1984.
  13. Kang HK, Ryu YK : A study on the prevalence of malocclusion of Yonsei university students in 1991. Korean J Orthod, 22:691-701, 1992.
  14. Baik HS, Kim KH, Park Y : The distribution and trends in malocclusion patients. Korean J Orthod, 25:87-100, 1995.
  15. Yu HS, Ryu YK, Lee JY : A study on the distributions and trends in malocclusion patients from department of orthodontics, college of dentistry, Yonsei university. Korean J Orthod, 29:267-276, 1999.
  16. Gok DB, Kyung HM, Kwon OW et al. : The distribution and trend of malocclusion patients visited at department of orthodontics. Korean J Orthod, 19:35-48, 1989.
  17. Im DH, Kim TW, Nahm DS, et al. : Current trends in orthodontic patients in Seoul national university dental hospital. Korean J Orthod, 33:63-72, 2003.
  18. Hwang MS, Kim KW, Yoon YJ : An epidemiologic study on the orthodontic patients who visited departement of orthodontics, Chosun university dental hospital last 10 years(1990-1999). Oral Biol Res, 24:57-85, 2000.
  19. Jung MH : Effects of malocclusion and orthodontic treatment on the self-esteem of adolescents. Korean J Orthod, 37:56-64, 2007.
  20. Jung MH, Heo W, Baek SH : Effects of malocclusion on the self-esteem of female university students. Korean J Orthod, 38:388-396, 2008. https://doi.org/10.4041/kjod.2008.38.96.388
  21. Little RM : The irregularity index : a quantitative score of :mandibular anterior alignment. Am J Orthod, 68:554-563, 1975. https://doi.org/10.1016/0002-9416(75)90086-X
  22. Ben-Tovim, Walker MK : The development of the Ben-Tovim walker body attitudes questionnaire (BAQ), a new measure of women’s attitudes toward their own bodies. Psychol Med, 21:775-784, 1991. https://doi.org/10.1017/S0033291700022406
  23. Jang SC : Relationships between High School Students Appearance Satisfaction and Self-esteem and School-related Adjustment. J of Youth Stud, 11:115-133, 2004.
  24. Van der GP, Oosterveld P, Van Heck G et al. : Smile attractiveness. Self-perception and influence on personality. Angle Orthod, 77:759-765, 2007. https://doi.org/10.2319/082606-349
  25. Dann C 4th, Philips C, Broder HL et al. : Self-concept, Class II malocclusion, and early treatment. Angle Orthod, 65:411-416, 1995.
  26. O'Brien K, Wright J, Conboy F et al. : Effectiveness of early orthodontic treatment with the Twin-block appliance: A multicenter, randomized, controlled trial. Part 2: Psychosocial effects. Am J Orthod Dentofacial Orthop, 124:488-495, 2003. https://doi.org/10.1016/j.ajodo.2003.06.001
  27. Shaw WC : The influence of children's dentofacial appearance on their social attractiveness as judged by peers and lay adults. Am J Orthod, 79:399-415, 1981. https://doi.org/10.1016/0002-9416(81)90382-1
  28. Helm S, Kreiborg S, Solow B : Psychosocial implications of malocclusion: a 15-year follow-up study in 30-year-old Danes. Am J Orthod, 87:110-118, 1985. https://doi.org/10.1016/0002-9416(85)90020-X
  29. Koo YH, Hyun HK, Kim CC, et al. : Characteristics of orthodontic patients in department of pediatric dentistry, Seoul National University Dental Hospital. J Korean Acad Pediatr Dent, 36:550-555, 2009.
  30. Kim SH, Yang GH : Cephalometric study of Class III malocclusion pattern of growing children in Korea. J Korean Acad Pediatr Dent, 22:216-230, 1995.
  31. Holmes A : The subjective need and demand for orthodontic treatment. Br J Orthod, 19:287-297, 1992. https://doi.org/10.1179/bjo.19.4.287
  32. Rebeka G, Sliva, David S, et al. : Prevalence of malocclusion among Latino adolescents. Am J Orthod Dentofac Orthop, 119:313-315, 2001. https://doi.org/10.1067/mod.2001.110985
  33. Jung JH, Oh SC : Assessment of perception to esthetics of upper anterior teeth. J Korean Acad Prosthodont, 41:640-655, 2003.