Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Current chewing difficulty according to dental prosthesis needs in Korean elderly

한국 노인의 보철 필요 상태에 따른 저작불편 조사

  • Kim, Tae-Heon (Dept. of Oral Anatomy and Neurobiology, School of Dentistry, Kyungpook University) ;
  • Jin, Hye-Jung (Department of Dental Hygiene, Dongeui University)
  • 김태헌 (경북대학교 치의학전문대학원 구강해부학교실) ;
  • 진혜정 (동의대학교 치위생학과)
  • Received : 2014.03.27
  • Accepted : 2014.07.10
  • Published : 2014.07.31
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Abstract

This study examined the relationship between the current chewing difficulty and the dental prosthesis needs of the elderly Koreans to improve their oral health status. A total of 1,177 subjects over 65 years who participated in the the Five Korea National Health and Nutrition Examination Survey were examined. An oral examination was conducted to determine the number of missing teeth and dental prosthesis required. A questionnaire was given to measure the sociodemographic characteristics, concerns about oral health, chewing ability and pronunciation ability. Statistical analysis was done using the SPSS 19.0 program. The percentage of the current chewing difficulty in Korean elderly was 42.9%. After adjusting for confounder variables, the odds ratio of the fixed prosthodontics needs were 1.22 (95% CI; 0.74 to 2.02), the odds ratio of partial denture needs were 2.47 (95% CI; 1.71 to 3.56) and the odds ratio of the full denture needs were 2.06 (95% CI; 0.73 to 5.81). The dental prosthesis needs were associated with the current chewing difficulty. Therefore, dental prosthesis support policy and public oral health promotion for the elderly is necessary.

이 연구는 우리나라 노인의 구강건강 개선을 위하여 현재 저작 불편 호소와 치과 보철 필요와의 관련성을 평가하고자 하였다. 연구대상자는 제5기 1차년도 국민건강영양조사에 참여한 65세 이상 노인 1,177명을 대상으로 조사를 실시하였다. 구강검사를 통하여 상실치아와 필요 보철 상태를 파악하였으며, 구조화된 설문도구를 이용하여 사회경제요인, 구강건강 관심도, 저작능력과 발음문제를 조사하였다. 수합된 자료는 SPSS 19.0 프로그램을 사용하여 분석하였다. 우리나라 노인의 42.9%는 저작 불편을 호소하였으며, 로지스틱 회귀분석을 통하여 혼란변수를 보정한 결과 고정 보철 필요 위험비는 1.22, 부분의치 필요 위험비는 2.47, 총의치 필요 위험비는 2.06이었다. 치과보철 필요는 저작 불편 호소와 관련이 있었다. 따라서 노인을 위한 치과 보철 정책과 구강건강증진의 뒷받침이 가장 필요하다.

Keywords

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