Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
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Comparison of the oral health status before and after preventive scaling using the provision of national health insurance: The 5th-6th Korea National Health and Nutrition Examination Survey

예방적인 스케일링의 건강보험적용 시기에 따른 치과 의료기관 이용과 구강건강상태 전·후 차이 비교 :국민건강영양조사 제5기와 제6기 자료를 활용하여

  • 강현경 (신라대학교 치위생학과) ;
  • 김유린 (신라대학교 치위생학과)
  • Received : 2019.07.23
  • Accepted : 2019.08.26
  • Published : 2019.10.30
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Abstract

Objectives: The purpose of this study was to compare the oral health statuses pre- and post-insurance using the $5^{th}$ and $6^{th}$ National Health and Nutrition Examination Survey data to confirm the effect of scaling insurance after a year. Methods: Data were analyzed using IBM SPSS ver. 21.0 (IBM Co., Armonk, NY, USA). The four years were integrated, and a composite sample analysis was performed. A total of 26,990 people were included in the study before applying for scaling insurance (14,343 persons) or after receiving scaling insurance (12,647 persons). A chi-squared test was performed to compare the demographic characteristics and oral health status of the subjects. The significance level of the statistical test was 0.05. Results: The proportion of patients without implants was high before the provision of scaling insurance once a year, however, the proportion of patients with one or more implants was high (p<0.05) after the provision of scaling insurance once a year. Hemorrhagic periodontal tissues and tartar formation in periodontal tissues were highly prevalent before the provision of scaling insurance once a year, however, healthy periodontal tissues and formation of periodontal pockets were highly prevalent (p<0.05) after the provision of scaling insurance once a year. The decay, missing, and filled teeth index scores were higher before the provision of scaling insurance once a year (p<0.05). Conclusions: The aforementioned results showed that scaling once a year helps prevent or treat periodontal disease. In addition, we confirmed the effect of prevention on periodontal disease and dental caries, therefore, we expect it to develop into a stable policy.

Keywords

References

  1. Petersen PE, Ogawa H. The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontol 2000 2012;60(1):15-39. https://doi.org/10.1111/j.1600-0757.2011.00425.x
  2. Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI world dental federation opens the door to a universal definition of oral health. J Public Health Dent 2017;77(1):3-5. https://doi.org/10.1111/jphd.12213
  3. Healthcare Bigdata Hub [Internet]. Many frequency disease statistics. [cited 2019 July 18]. Available from: http://opendata.hira.or.kr/op/opc/olapHifrqSickInfo.do.
  4. Healthcare Bigdata Hub [Internet]. Medical practice (examination / surgery, etc.) statistics. [cited 2019 July 18]. Available from: http://opendata.hira.or.kr/op/opc/olapDiagBhvInfo.do.
  5. Healthy People. Healthy people 2020 [Internet]. Topics & objectives. [cited 2019 July 18]. Available from: https://www.healthypeople.gov/2020/topics-objectives/topic/oral-health/objectives.
  6. Ministry of health and welfare [Internet]. Health Plan 2020 4th. [cited 2019 July 18]. Available from: https://www.khealth.or.kr/board/view?linkId=559205&menuId=MENU00828.
  7. Lee MS, Im HJ. The factors of oral health beliefs on scaling performance by national health insurance coverage in consumers. J Korean Soc Dent Hyg 2015;15(1):31-8. https://doi.org/10.13065/jksdh.2015.15.01.31
  8. Lee YM. Health policy for the people. J Korean Med Assoc 2017;60(4):286-8. https://doi.org/10.5124/jkma.2017.60.4.286
  9. Kang HJ. Policy directions for the national health insurance for 2017: Harmonizing equity and efficiency through innovation. Health and Welfare Forum 2017;243(1):18-28.
  10. Lee HS, Lee KH. Recognition about national health insurance of dental scaling in industry accident injury patients. J Korean Soc Dent Hyg 2013;13(4):561-8. https://doi.org/10.13065/iksdh.2013.13.4.561
  11. Kim YG, Ham MD. Oral microbiology. 5th ed. Seoul: Komoonsa; 2001: 320-5.
  12. Martins-Junior PA, Vieira-Andrade RG, Correa-Faria P, Oliveira-Ferreira F, Marques LS, Ramos-Jorge ML. Impact of early childhood caries on the oral health-related quality of life of preschool children and their parents. Caries Res 2013;47(3):211-8. https://doi.org/10.1159/000345534
  13. Lee BH. Reasons for extraction of permanent teeth in private dental clinics. J Dent Hyg Sci 2008;8(1):1-6.
  14. Kim BO, Kim SA, Kim YJ, Seo EJ, Shim HS, Yang JS, et al. Periodontology. 2nd ed. Seoul: Daehannarae; 2009: 47-9.
  15. Jang YE, Son KJ, Kim CB, Kim NH. Comparison of scaling rate data of Community Health Survey and National Health Insurance Service. J Korean Acad Oral Health 2019;43(1):26-32. https://doi.org/10.11149/jkaoh.2019.43.1.26
  16. Go EJ. Survey of recognition on periodontal health inpatients of some dental clinics in Geoje. J Dent Hyg Sci 2009;9(2):203-10.
  17. Ju OJ, Kang EJ, Woo SH, Lee AJ, Lee HJ, Park MY. Recognition between laypersons and dental hygienists on expansion of health insurance of scaling. J Korean Soc Dent Hyg 2014;14(3):431-8. https://doi.org/10.13065/jksdh.2014.14.03.431
  18. Jung JY, Lim MH. Awareness and satisfaction toward health insurance coverage of scaling. J Korean Soc Dent Hyg 2015;15(6):1107-16. https://doi.org/10.13065/jksdh.2015.15.06.1107
  19. Landry RG, Jean M. Periodontal screening and recording (PSR) Index: precursors, utility and limitations in a clinical setting. Int Dent J 2002;52(1):35-40. https://doi.org/10.1111/ j.1875-595X.2002.tb00595.x
  20. Jung SH. Dental utilization and expenditures in Korea Health Panel Survey, 2008-2011. J Korean Dent Assoc 2014;52(5):291-301.
  21. Park HJ, Lee JH, Kim TI. Analysis of periodontal health related factors by using data mining method. J Korean Soc School Health Edu 2013;14(3):15-26.
  22. Park HJ, Lee JH. The effect of socioeconomic status, oral health consciousness and behaviors on the periodontal-health disparities among Korean adults. Korean J Health Edu Promotion 2010;27(1):61-6.
  23. Yun SH, Suh CJ. The effects of the scaling health insurance coverage expansion policy on the use of dental services among patients with gingivitis and periodontal diseases. J Health Economics 2016;22(2):143-62.