DOI QR코드

DOI QR Code

양산시 거주 청소년의 치과치료 필요도에 대한 조사연구

An Epidemiological Study on the Dental Treatment Needs of Adolescents in Yangsan

  • 권민석 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 신종현 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김지연 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김신 (부산대학교 치의학전문대학원 소아치과학교실)
  • Kwon, Minsuk (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Shin, Jonghyun (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 : 2015.09.23
  • 심사 : 2015.12.01
  • 발행 : 2016.11.30

초록

청소년기 구강건강 상태를 파악하고 그에 따른 치과치료 필요도를 평가할 목적으로, 양산시 소재 중고등학교에 재학중인 14-17세 청소년 2,062명을 대상으로 임상검사 및 설문조사를 시행하여 다음과 같은 결론을 얻었다. 치아우식증의 치료필요도는 66.7%, 치아침식증의 치료필요도는 27.8%, Molar incisor hypomineralization(MIH)의 치료필요도는 14.7%였다. 부정교합은 양호한 교합 군 67.8, 치료 불필요 군 19.7%, 약간의 치료가 필요한 군 6.8%, 치료가 반드시 필요한 군 4.5%, 가장 심한 부정교합 군 1.1%로 나타났고, 치료필요도는 12.5%였다. 치주질환은 71.2%의 유병률을 보였고, 치료 필요도도 이와 동일한 71.2%였다. 측두하악장애는 무증상 군 67.1%, 경미한 증상 군 13.4%, 심한 증상 군 19.5%의 분포를 보였으며, 치료필요도는 20.6%로 나타났다. 가장 높은 치료 필요도를 보인 질환은 치주질환이었고, 뒤를 이어 치아우식증, 치아침식증, MIH, 측두하악장애, 부정교합의 순으로 나타났다. 본 연구 결과를 통해 청소년의 전반적 구강건강상태 및 치과치료 필요도를 파악할 수 있었고, 이는 우리나라 청소년 구강건강 증진을 위한 계획수립에 있어서 기초자료로서 기여하게 되기를 기대되는 바이다.

To evaluate the oral health status and to assess the resultant dental treatment needs in adolescents, 2,062 adolescents aged 14-17 years attending middle and high schools in Yangsan were surveyed by clinical examination and questionnaires. The obtained results were as follows. In the dental caries examination based on WHO criteria, the treatment needs of 66.7% of the subjects were determined. Assessment of dental erosion by the VEDE system indicated the treatment needs in 27.8% of the subjects, while MIH examination based on EAPD criteria indicated the treatment needs in 14.7%. Assessment of malocclusion using the occlusal index showed good occlusion in 67.8%, no need for treatment in 19.7%, slight need for treatment in 6.8%, definite need for treatment in 4.5%, and worst occlusion in 1.1% of the subjects, showing 12.5% of average treatment need. The prevalence and treatment need for periodontal disease was found to be 71.2% by CPITN assessments. The assessment of temporomandibular disorders by Helkimo's anamnestic index showed no symptoms in 67.1%, mild symptoms in 13.4%, and severe symptoms in 19.5% of the examinees. The overall treatment need of TMD was 20.6%. Periodontal diseases were ranked the highest in treatment need, followed by dental caries, dental erosion, MIH, TMD, and malocclusion in order. The results of this study indicated the overall status of adolescents'oral health and dental treatment needs. These might hopefully provide fundamental data and contribute to establishing promotional projects for adolescent oral health in Korea.

키워드

참고문헌

  1. Jhang JH, Ko JH : Adolescent's stress and mental health : Hope as a moderator. Korean J Youth Couns, 18:101-116, 2010.
  2. Waldman HB, Perlman SP : Dental needs assessment and access to care for adolescents. Dent Clin Am, 50:1-16, 2006. https://doi.org/10.1016/j.cden.2005.09.002
  3. Lim CY, Ju HJ, Lee HS, et al. : Relationship between restricted activity due to oral disease and oral health behaviors among adolescents. J Korean Acad Oral health, 37:73-80, 2013. https://doi.org/10.11149/jkaoh.2013.37.2.73
  4. Bee H, Boyd D : The developing child, 11th ed. Pearson, Boston, 2006.
  5. Seo BK, Seo JK, Ahn HS, et al. : Pediatrics, 10th ed. Mirae N, Seoul, 44-49, 2012.
  6. Studen Pavlovich, Ranalli : Adolescent oral health. Dental clinics of north america, 50:xi-xii, 2006.
  7. Lussi A : Dental erosion clinical diagnosis and case history taking. Eur J Oral Sci, 104:191-198, 1996. https://doi.org/10.1111/j.1600-0722.1996.tb00067.x
  8. Shin JH, Ahn UJ, Kim S, et al. : The prevalence of molar incisor hypomineralization and status of first molars in primary school children. J Korean Acad Pediatr Dent, 37:179-185.
  9. Weerheijm KL, Duggal M, Hallonsten AL, et al. : Judgement criteria for Molar Incisor Hypomineralisation (MIH) in epidemiologic studies: a summary of the European meeting on MIH held in Athens, 2003. Eur J Paediatr Dent, 4:110-113, 2003.
  10. Summer CJ : The occlusal index: a system for indentifying and scoring occlusal disorders. Am J Orthod, 59:552-567, 1971. https://doi.org/10.1016/0002-9416(71)90002-9
  11. Helkimo M : Studies of function and dysfunction of the masticatory system II Index for anamnestic and clinical dysfunction and occlusal state. Swedish Dental J, 67:101-121, 1974.
  12. Petersen PE : The World oral health report 2003: continuous improvement of oral health in the 21st century-the approach of the WHO oral health programme. Community Dent Oral Epidemiol, 3-23, 2003.
  13. Filstrup SL, Briskie D, Inglehart MR, et al. : Early childhood caries and quality of life: child and parent perspectives. Pediatr Dent, 25:431-440, 2003.
  14. Low W, Tan S, Schwartz S : The effect of severe caries on the quality of life in young children. Pediatr Dent, 21:325-326, 1999.
  15. Adulyanon S, Wourapukjaru J, Sheiham A : Oral impacts affecting daily performance in a low dental disease Thai population. Community Dent oral Epidemiol, 24:385-389, 1996. https://doi.org/10.1111/j.1600-0528.1996.tb00884.x
  16. Yarcheski A, mahon NE : A casual model of positive health practice: The relationship between approach and relication. Nurs Res, 38:88-93, 1989.
  17. Fardy PS, White RE, McDermott MH, et al. : Health promotion in minority adolescents: A health people 2000 pilot study. J Cardiopulm Rehabil, 15:65-72, 1995.
  18. Chung MK, Lee CY, Chang HJ : Oral status of geriatric patients, and their demand and satisfaction in prosthodontic treatment. J Korean Acad Prosthodont, 39:323-335, 2001.
  19. Yang SB, Moon HS, Chung MK, et al. : Oral health status and treatment need of institutionalized elderly patients. J Kor Acad Prosthodont, 46:455-469, 2008. https://doi.org/10.4047/jkap.2008.46.5.455
  20. Park TJ, Kho HS : Oral health status and dental treatment need of liver transplant candidates. Korean J Oral Med, 34:1-9, 2009.
  21. Chantel Ramraj, Amir Azarpazhooh, Carlos Quinonez, et al. : Dental treatment needs in the canadian population: analysis of a nationwide crosssectional survey. BMC Oral Health, 12:46-54, 2012. https://doi.org/10.1186/1472-6831-12-46
  22. Janice FB, Colleen EH, Sarah CR : Oral health need and access to dental services: Evidence from the national survey of children's health, 2007. Matern Child Health J, 16:S27-34, 2012. https://doi.org/10.1007/s10995-012-0992-0
  23. Jackson D : Measuring restorative dental care in communities. Br Dent J, 134:385-388, 1973. https://doi.org/10.1038/sj.bdj.4803007
  24. Abdul RB, Chrysoula O, Andreas GS, et al. : Dental health, received care, and treatment needs in 11-to 13-year-old children with immigrant background in Hidelberg, Germany. Int J Paediatr Dent, 17:364-370, 2007. https://doi.org/10.1111/j.1365-263X.2007.00846.x
  25. Ten Cate JM, Imfeld T : Dental erosion, summary. Eur J Oral Sci, 104:241-244, 1996. https://doi.org/10.1111/j.1600-0722.1996.tb00073.x
  26. Shaw L, Al-Dlaigan YH : Childhood asthma and dental erosion. ASDC J Dent Child, 67:102-106, 2000.
  27. Hooper S, Hughes J, Addy M, et al. : A clinical study in situ to assess the effect of a food approved polymer on the erosion potential of drinks. J Dent, 35:541-546, 2007. https://doi.org/10.1016/j.jdent.2007.03.001
  28. Jaeggi T, Gruninger A, Lussi A : Restorative therapy of erosion. Monogr Oral Sci, 20:200-214, 2006. https://doi.org/10.1159/000093364
  29. Weerheijm KL, Jalevik B, Alaluusua S : Molar-Incisor Hypomineralisation. Caries Res, 35:390-391, 2001. https://doi.org/10.1159/000047479
  30. Kotsanos N, Kaklamanos EG, Arapostathis K : Treatment management of first molars in children with Molar-incisor hypomineralisation. Eur J Paediatr Dent, 12:179-184, 2005.
  31. Foster H, Fitzgerald J : Dental disease in children with chronic ilness. Arch Dis Child, 90:703-708, 2005. https://doi.org/10.1136/adc.2004.058065
  32. Dietrich G, Sperling S, Hetzer G : Molar Incisor Hypomineralisation in a group of children and adolescents living in Germany. Eur J Paediatr Dent, 3:133-137, 2003.
  33. Cho CH, Kang DH, Chang KW : Dental Aesthetic Index(DAI) of 12 year-old Korean Adolescent. J Korean Acad Health, 18:103-118, 1994.
  34. Kim YS, Lee CW, Chang KW : Dental Aesthetic Index(DAI) of adolescent in Chollabukdo-Province, Korea, J Korean Acad Health, 26:303-312, 2002.
  35. 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.
  36. Epidemiology Etiology and Prevention of Periodontal Disease. W.H.O. Tech. Report Series 621, Geneva 1978.
  37. Schour I, Massler M : Survey of gingival disease using the PMA index. J Dent Res, 27:733-734, 1948.
  38. Russel AL : A system of classification and scoring for prevalence survey of periodontal disease. J Dent Res, 35:350-352, 1956. https://doi.org/10.1177/00220345560350030401
  39. Ramfjord SP : Indices for prevalence and incidence of periodontal disease. J Periodont, 30:51-55, 1959. https://doi.org/10.1902/jop.1959.30.1.51
  40. Magnusson T, Egermark-Eriksson I, Carlsson GE : Five year longitudinal study of signsn and symptoms of mandibular dysfunction in adolescents. J Craniomandibular Prac, 4:338-344, 1986.
  41. Okeson JP : Management of temporomandibular disorders and occlusion, 3rd ed. Mosby, St. Louis, 1993.
  42. Wanman A, Agerberg G : Two-year longitudinal study of symptoms of mandibular dysfunction in adolescents. Acta Odontol Scand, 44:321-331, 1986. https://doi.org/10.3109/00016358609094342
  43. Agerberg G, Bergenholtz A : Craniomandibular disorders in adult populations of West Bothnia, Sweden. Acta Odontol Scand, 47:129-140, 1989. https://doi.org/10.3109/00016358909007693
  44. Ohno H, Morinushi T, Ogura T : Comparative subjective evaluation and prevalence study of TMJ disfunction syndrome in Japanese adolescents based on clinical examination. Community Dent Oral Epidemiol, 16:122-126, 1988. https://doi.org/10.1111/j.1600-0528.1988.tb01857.x