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러버댐에 대한 소아, 청소년 및 보호자에 대한 선호도 조사

Survey on Preferences Regarding Rubber Dams in Children, Adolescents and Parents

  • 정한글 (조선대학교 치과대학 소아치과학교실) ;
  • 이난영 (조선대학교 치과대학 소아치과학교실) ;
  • 이상호 (조선대학교 치과대학 소아치과학교실)
  • Jeong, Hankeul (Department of Pediatric Dentistry, School of Dentistry, Chosun University) ;
  • Lee, Nanyoung (Department of Pediatric Dentistry, School of Dentistry, Chosun University) ;
  • Lee, Sangho (Department of Pediatric Dentistry, School of Dentistry, Chosun University)
  • 투고 : 2015.08.06
  • 심사 : 2015.09.22
  • 발행 : 2016.02.29

초록

러버댐 방습은 환자와 술자를 보호하고 양질의 치료 결과를 얻기 위해 소아, 청소년 환자 치료 시 매우 유용하게 사용되고 있는 술식으로 다양한 장점을 가지고 있으나, 일부 환자들은 이에 불편감을 호소하기도 한다. 본 연구는 러버댐 방습에 대한 환자 및 보호자들의 선호도와 그에 미칠 수 있는 요인들에 대해 알아보기 위하여 계획되었다. 비진정치료 하에 ${\bigcirc}{\bigcirc}$대학교 치과병원 소아치과, 보존과, 일차외래에 내원하여 러버댐을 착용하에 치료를 받은 4-18세 환자들을 대상으로 작성된 설문지를 전자 차트 기록을 통하여 취합하였다. 환아들은 러버댐 방습에 대해 긍정적으로 생각하는 경향을 보였고, 치과 치료에 대해 긍정적으로 생각하는 그룹이 러버댐 방습에 대해서도 더 긍정적으로 생각하는 것으로 나타났다. 치료 시간이 짧은 그룹, 러버댐 방습에 대한 지식 및 경험이 있는 그룹에서 러버댐 방습에 대한 태도가 더 긍정적인 것으로 나타났으며(p < 0.05), 성별, 나이, 치료 내용, 마취 여부, 치료 부위, 술자 요인에 대해서는 유의한 차이가 관찰되지 않았다(p > 0.05).

The use of a rubber dam is a useful technique for protecting patients and operators, producing good results when treating children and adolescent patients. Despite its many advantages, some children and adolescent patients have negative feelings and sometimes express its discomfort. The purpose of this study was to evaluate the patients' preferences for rubber dam use and the associated factors that may affect it. A survey was conducted targeting patients aged 4-18 years old who visited the pediatric dental clinic, the restorative dental clinic, or the student treatment dental clinic of ${\bigcirc}{\bigcirc}$ University Dental Hospital, and were treated using a rubber dam without sedation. We collected questionnaires through electronic medical records. Most children and adolescent patients showed positive attitudes towards using rubber dams. The group with a short treatment time and the group with past knowledge or experience of rubber dam use showed more positive attitudes towards rubber dams (p < 0.05), while no significant difference was found among factors such as gender, age, procedure, anesthetics, treatment site, and operator (p > 0.05).

키워드

참고문헌

  1. Abrams RA, Drake CW, Segal H : Dr. Sandford C Barnum and the invention of rubber dam. Gen Dent, 30:320-322, 1982.
  2. Ganss C, Klimek J, Gleim A : One year clinical evaluation of the retention and quality of two fluoride releasing sealants. Clin Oral Investig, 3:188-193, 1999. https://doi.org/10.1007/s007840050100
  3. Lambriandis T, Beltaes P : Accidental swallowing of endodontic instruments. Endod Dent Traumatol, 12:301-304, 1996. https://doi.org/10.1111/j.1600-9657.1996.tb00532.x
  4. Berglund A, Molin M : Mercury levels in plasma and urine after removal of all amalgam restorations - the effect of using rubber dam. Dent Mater, 13:297-304, 1997. https://doi.org/10.1016/S0109-5641(97)80099-1
  5. Cochran MA, Miller CH, Sheldrake MA : The efficacy of rubber dam as a barrier to the spread of microorganisms during dental treatment. J Am Dent Assoc, 119:141-144, 1989. https://doi.org/10.14219/jada.archive.1989.0131
  6. Lygidakis NA, Oulis KI, Christodoulidis A : Evaluation of fissure sealants retention following four different isolation and surface preparation techniques - four years clinical trial. J Clin Pediatr Dent, 19:23-25, 1994.
  7. Ammann P, Kolb A, Lussi A, Seemann R : Influence of rubber dam on objective and subjective parameters of stress during dental treatment of children and adolescents - a randomized controlled clinical pilot study. Int J Paediatr Dent, 23:110-115, 2013. https://doi.org/10.1111/j.1365-263X.2012.01232.x
  8. European Society of Endodontology : Quality guidelines for endodontic treatment; consensus report of the European Society of Endodontology. Int Endod J, 39:921-930, 2006. https://doi.org/10.1111/j.1365-2591.2006.01180.x
  9. Korean academy of pediatric dentistry : Pediatric dentistry, 5th ed. Yenang, Inc, Seoul, p341-343, 2014.
  10. Whitworth JM, Seccombe GV, Shoker K, Steele JG : Use of rubber dam and irrigant selection in UK general dental practice. Int Endod J, 33:435-441, 2009.
  11. McKay A, Farman M, Rodd H, Zaitoun H : Pediatric dental patients'attitudes to rubber dam. J Clin Pediatr Dent, 38:139-141, 2013. https://doi.org/10.17796/jcpd.38.2.k73701728rh8u182
  12. Yi SH, Kim JB, Jang KT, Kim CC : A case study of various clinical application of the rubber dam in pediatric dentistry. J Korean Acad Pediatr Dent, 24:549-555, 1997.
  13. Park MR, Mah YJ, Ahn BD : Study on adatability of rubber dam clamps on primary second molars in korean children. J Korean Acad Pediatr Dent, 40:98-105, 2013. https://doi.org/10.5933/JKAPD.2013.40.2.98
  14. Stewardson DA, McHugh ES : Patients'attitudes to rubber dam. Int Endod J, 35:812-819, 2002. https://doi.org/10.1046/j.1365-2591.2002.00571.x
  15. Filipovic J, Jukic S, Anic I, et al. : Patient's attitude to rubber dam use. Acta Stomatol Croat, 38:319-322, 2004.
  16. Masaoka Y, Homma I : The effect of anticipatory anxiety on breathing and metabolism in humans. Respir Physiol, 128:171-177, 2001. https://doi.org/10.1016/S0034-5687(01)00278-X
  17. Massot B, Balteneck N, McAdams E, et al. : Objective evaluation of stress with the blind by the monitoring of autonomic nervous system activity. Conf Proc IEEE Eng Med Biol Soc, 1429-1432, 2010.
  18. Hayashi N, Someya N, Fukuba Y, et al. : Vascular responses to fear-induced stress in humans. Physiol Behav, 98:441-446, 2009. https://doi.org/10.1016/j.physbeh.2009.07.008
  19. Cuthbert MI, Melamed BG : A screening device - children at risk for dental fears and management problems. ASDC J Dent Child, 49:432-436, 1982.
  20. Castro FLA, Reges RV, Bruno KF, et al. : Improving patient care: alternative rubber dam isolation methods. Rev Odontol Bras Central, 21:538-542, 2012.

피인용 문헌

  1. A Survey of Guardian’s Attitudes toward Behavior Guidance Techniques vol.44, pp.4, 2017, https://doi.org/10.5933/JKAPD.2017.44.4.427