Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Retrospective Study of Infants who Visited Pediatric Dentistry

소아치과에 내원한 영아들에 대한 후향적 연구

  • Oh, Yearang (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Lee, Koeun (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Kim, Misun (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Nam, Okhyung (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Choi, Sungchul (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Kim, Kwangchul (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Hwang, Jiyoung (Department of Preventive and Public Health Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Lee, Hyo-seol (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital)
  • 오예랑 (경희대학교 치과병원 소아치과) ;
  • 이고은 (경희대학교 치과병원 소아치과) ;
  • 김미선 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 남옥형 (경희대학교 치과병원 소아치과) ;
  • 최성철 (경희대학교 치과병원 소아치과) ;
  • 김광철 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 황지영 (강릉원주대학교 치과대학 예방치학교실 및 구강과학연구소) ;
  • 이효설 (경희대학교 치과병원 소아치과)
  • Received : 2019.10.11
  • Accepted : 2019.11.04
  • Published : 2020.05.31
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Abstract

The first dental visit is recommended at the time of the eruption of the first tooth and no later than 12 months of age. However, even before the age of 1, children can visit the dental hospital for various reasons. The purpose of this study was to analyze the reasons for the dental visit of infant. From January 2006 to December 2015, medical records of infants who visited the Department of Pediatric Dentistry of Kyung Hee University were analyzed. The total number of patients was 419 (238 males and 181 females). The reasons for the dental visits were trauma (47.5%), natal/neonatal tooth (19.8%), dental caries (8.1%), teething problem (4.3%), abnormal frenum (3.6%), soft tissue swelling (3.6%), Bohn's nodule (3.3%), cleft lip and palate (2.9%), gingival neoplasm (1.9%), tongue ulceration (1.7%), oral examination (1.4%), enamel hypoplasia (1.2%) and abnormal temporomandibular joint sound (0.7%). According to this study, there were various oral diseases that could occur in infants. Since infants are usually cared by caregivers, pediatricians, and obstetricians, education of oral diseases of infants is needed to manage the oral symptoms properly.

첫 치과 내원 시기는 치아가 처음으로 맹출 하는 시기나 늦어도 12개월 이내가 추천된다. 추천 시기 이전에도 영아들은 여러가지 이유로 치과에 내원할 수 있지만, 이와 관련된 연구는 거의 찾아보기 어렵다. 이 연구의 목적은 치과에 내원한 영아들의 인구학적특성 및 치과적 특성을 알아보는 것이다. 2006년 1월부터 2015년 12월까지 경희대학교 치과병원 소아치과에 내원한 1세 미만의 영아 419명의 의무기록을 수집하고 분석하였다. 내원 원인의 빈도는 치아 외상(47.5%), 선천치/신생치(19.8%), 치아 우식(8.1%), 유치 맹출과 관련된 문제들(4.3%), 소대 이상(3.6%), 연조직 부종(3.6%), Bohn's nodule(3.3%), 구순구개열(2.9%), 치은신생물(1.9%), 혀의 궤양(1.7%), 구강 검진(1.4%), 법랑질형성이상(1.2%), 턱관절에서의 비정상적인 소리(0.7%) 순이었다. 이번 연구를 통해 실제로 영아의 건강에 해를 끼칠 수 있는 구강 질환들에 대해 확인하였다. 이러한 구강 증상들은 주로 영아와 접할 기회가 많은 소아청소년과 의사나 산부인과 의사에 의해 발견이 되기 쉬우므로, 구강 질환이 적절하게 관리될 수 있도록 이들을 대상으로 한 교육이 필요할 것으로 생각된다.

Keywords

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