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Characteristics of Orthodontic Patients in Department of Pediatric Dentistry, Chonnam National University Dental Hospital

전남대학교 치과병원 소아치과를 내원한 교정환자의 분포양상에 대한 연구

  • Cho, Yongjae (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Kim, Seonmi (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Choi, Namki (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University)
  • 조용제 (전남대학교 치과대학 소아치과학교실) ;
  • 김선미 (전남대학교 치과대학 소아치과학교실) ;
  • 최남기 (전남대학교 치과대학 소아치과학교실)
  • Received : 2014.10.02
  • Accepted : 2014.12.29
  • Published : 2015.05.31

Abstract

Interest in orthodontic treatment has increased. Consequently, the percentage of the orthodontic treatment in pediatric dentistry has also increased. Given this background, the purpose of this study was to analyze the characteristics and the trends of pediatric orthodontic patients of Chonnam National University Dental hospital. A total of 670 patients (349 male, 321 female) diagnosed with orthodontic problems during the period from January 1st, 2004 to December 31st, 2014, were analyzed. The number of pediatric orthodontic patients was high in January, February, July and August. When it comes to age, the percentage of the patients who were eighty-years old accounted for the largest age group with 19.6%, followed by seven-year, nine-year, ten-year, eleven-year, and six-year old age groups. Skeletal class 1 accounted for 48.1% of the total cases, followed by class 2 (28.7%) and class 3 (23.3%). Mesofacial type accounted for 65% of the total cases, followed by dolichofacial type (19.3%) and brachyfacial type (15.8%). The period of the first phase orthodontic treatment was steadily shortened from 30.4 months in 2004 to 11.5 months in 2013. The result of this study is expected to provide information of the pediatric orthodontic patients.

과거에 비해 교정치료에 대한 일반인의 관심이 증가하고 소아청소년기에 교정치료를 시작하는 경우가 증가하고 있으며 소아치과에서 교정치료가 차지하는 비율 또한 증가하는 추세이다. 이러한 변화에 맞추어 소아치과에 내원하는 교정환자의 분포양상을 파악하고 치료의 경향을 알아보기 위하여 본 연구를 시행하였다. 2004년 1월 1일부터 2013년 12월 31일까지 10년간 전남대학교 치과병원 소아치과에 내원하여 교정 진단을 받은 670명의 환자(남자 349명, 여자 321명)를 대상으로 조사를 진행하였으며 다음과 같은 결과를 얻었다. 연도별 교정환자 수가 불규칙한 증감추세를 보였으며, 월별 분포에서 방학인 1, 2, 7, 8월에 많았다. 연령별 교정환자 수는 8세가 19.6%로 가장 많았고 7세, 9세, 10세, 11세, 6세 순서로 나타났다. 수평적 골격형태에 따른 분포는 골격성 1급 형태가 48.1%로 가장 많았고 2급(28.7%), 3급(23.2%) 순서로 나타났다. 수직적 골격형태는 mesofacial type이 65%로 가장 많았고 dolichofacial type(19.3%), brachyfacial type(15.8%) 순서로 나타났다. 1차 교정치료 기간이 2004년(30.4개월)부터 2013년(11.5개월)까지 지속적으로 감소하였다.

Keywords

References

  1. Choi EJ, Jung TR, Kim CC, Kim YJ : The changes in practice pattern and patient distribution for the last 5 years (2000-2005) in the department of pediatric dentistry at seoul national university dental hospital. J Korean Acad Pediatr Dent, 33:673-677, 2006.
  2. Son YJ, Hyun HK, Kim YJ, Kim JY : The changes in practice patterns for the last 8 years (2001-2008) in the department of pediatric dentistry, seoul national university dental hospital. J Korean Acad Pediatr Dent, 37:97-101, 2010.
  3. Son JM, Kim SM, Choi NK : A study on the changes in patient distribution and practice pattern for last 8 years in the department of pediatric dentistry of chonnam national university dental hospital. J Korean Acad Pediatr Dent, 39:373-382, 2012. https://doi.org/10.5933/JKAPD.2012.39.4.373
  4. Ko YH, Baik BJ, Kim JG, Yang YM : A research on the evaluation of the new patients for the last 8 years in department of pediatric dentistry of chonbuk university. J Korean Acad Pediatr Dent, 34:292-298, 2007.
  5. Jung MH : Current trends in orthodontic patients in private orthodontic clinics. Korean J Orthod, 39:36-42, 2009. https://doi.org/10.4041/kjod.2009.39.1.36
  6. 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.
  7. Kang TS, Choi BJ, Choi HJ et al. : Timing and sequence of eruption of permanent teeth in a sample of children from yonsei dental hospital. J Korean Acad Pediatr Dent, 32:693-702, 2005.
  8. Yang KH, Choi NK : The study on the orthodontic patients who visited department of pediatric dentistry, chonnam national university hospital. J Korean Acad Pediatr Dent, 27:113-121, 2000.
  9. Kim JC, Jung BA : A study on the prevalence of malocclusion in the freshman of chonnam university. Korean J Phys Anthropol, 6:273-281, 1993. https://doi.org/10.11637/kjpa.1993.6.2.273
  10. Baccetti T, Tollaro I : A retrospective comparison of functional appliance treatment of Class III malocclusions in the deciduous and mixed dentitions. Eur J Orthod, 20:309-317, 1998. https://doi.org/10.1093/ejo/20.3.309
  11. Kapust AJ, Sinclair PM, Turley PK : Cephalometric effects of face mask/expansion therapy in Class III children: a comparison of three age groups. Am J Orthod Dentofacial Orthop, 113:204-212, 1998. https://doi.org/10.1016/S0889-5406(98)70141-6
  12. Sakamoto T : Effective timing for the application of orthopedic force in the skeletal class III malocclusion. Am J Orthod, 80:411-416, 1981. https://doi.org/10.1016/0002-9416(81)90175-5
  13. Kama JD, Ozer T, Baran S : Orthodontic and orthopaedic changes associated with treatment in subjects with Class III malocclusions. Eur J Orthod, 28:496-502, 2006. https://doi.org/10.1093/ejo/cjl011
  14. Proffit WR : The timing of early treatment: an overview. Am J Orthod Dentofacial Orthop, 129:S47-49, 2006. https://doi.org/10.1016/j.ajodo.2005.09.014
  15. Dolce C, McGorray SP, Wheeler TT : Timing of Class II treatment: skeletal changes comparing 1-phase and 2-phase treatment. Am J Orthod Dentofacial Orthop, 132:481-489, 2007. https://doi.org/10.1016/j.ajodo.2005.08.046
  16. Cancado RH, Pinzan A, Canuto CE : Occlusal outcomes and efficiency of 1- and 2-phase protocols in the treatment of Class II Division 1 malocclusion. Am J Orthod Dentofacial Orthop, 133:245-253, 2008. https://doi.org/10.1016/j.ajodo.2006.03.042
  17. von Bremen J, Pancherz H : Efficiency of early and late Class II Division 1 treatment. Am J Orthod Dentofacial Orthop, 121:31-37, 2002. https://doi.org/10.1067/mod.2002.120016
  18. Tulloch JF, Phillips C, Proffit WR : Benefit of early Class II treatment: progress report of a two-phase randomized clinical trial. Am J Orthod Dentofacial Orthop, 113:62-72, 1998. https://doi.org/10.1016/S0889-5406(98)70277-X
  19. O'Brien K : Is early treatment for Class II malocclusion effective? Results from a randomized controlled trial. Am J Orthod Dentofacial Orthop, 129:S64-65, 2006. https://doi.org/10.1016/j.ajodo.2005.09.016