대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제50권3호
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  • Pages.239-251
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  • 2023
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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치과의사를 위한 노이즈 필터링 이어플러그의 청력 보호 효과에 관한 연구

A Study on the Hearing Protection Effect of Noise-Filtering Earplugs for Dentists

  • 조다영 (연세대학교 치과대학 소아치과학교실) ;
  • 김익환 (연세대학교 치과대학 소아치과학교실) ;
  • 이태양 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 신승호 (연세대학교 의과대학 용인세브란스병원 이비인후과학교실) ;
  • 정진세 (연세대학교 의과대학 이비인후과학교실) ;
  • 박원서 (연세대학교 치과대학 통합치의학과 및 디지털헬스케어혁신연구소) ;
  • 송제선 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소)
  • Dayoung Cho (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Ikhwan Kim (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Taeyang Lee (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Seungho Shin (Department of Otorhinolaryngology, Yongin Severance Hospital, College of Medicine, Yonsei University) ;
  • Jinsei Jung (Department of Otorhinolaryngology, College of Medicine, Yonsei University) ;
  • Wonse Park (Department of Advanced General Dentistry and Institute for Innovation in Digital Healthcare, College of Dentistry, Yonsei University) ;
  • Je Seon Song (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University)
  • 투고 : 2023.03.30
  • 심사 : 2023.05.25
  • 발행 : 2023.08.31
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초록

이 연구는 소음이 유발되는 진료 시 노이즈 필터링 기능이 있는 이어플러그를 착용하고 업무를 시행하여 노이즈 필터링 이어플러그가 치과의사의 청력에 미칠 수 있는 영향에 대해 조사하였다. 연구 대상자의 청력을 평가하기 위해 순음 청력 검사와 변조이음향방사 검사를 첫 내원 시와 1년 후 측정하였다. 연구 결과, 이어플러그를 착용하지 않은 군에 비해 이어플러그를 착용한 군의 순음 청력 역치 평균값이 유의미하게 감소하여 청력이 호전되는 모습을 보였다. 그러나 변조이음향검사의 신호대잡음비는 유의미한 차이를 보이지 않았다. 이러한 결과는 노이즈 필터링 이어플러그가 청력 손실을 예방하는 데 일부 효과적일 수 있다는 것을 보여준다. 그러나 1년간의 관찰 기간은 청력 변화를 충분히 확인하기에 어려울 수 있으므로, 추적 기간을 늘린 후속 연구가 필요할 것으로 보인다.

The aim of this study is to evaluate the effect of noise-filtering earplugs on the hearing ability of dentists wearing them during noise-induced dental procedures. Pure tone audiometry and distortion product otoacoustic emission (DPOAE) tests were conducted at the initial visit and 1 year later to evaluate the hearing ability of the participants. As a result of the study, the pure tone average of the group wearing earplugs decreased significantly compared to the group not wearing earplugs, indicating an improvement in hearing. However, the signal-to-noise ratio of the DPOAE tests did not show a significant difference. These findings suggest that noise-filtering earplugs may have some effectiveness in preventing hearing loss. However, since the 1-year observation period may not be adequate to identify changes in hearing, a follow-up study with an extended follow-up period is necessary.

키워드

과제정보

This study was funded by the Ministry of Health and Welfare of the Republic of Korea with grant no. HI20C1055.

참고문헌

  1. Occupational Safety and Health Administration : Hearing conservation. Available from URL: https://www.osha.gov/sites/default/files/publications/osha3074.pdf (Accessed on August 4, 2023).
  2. National Institutes of Health : Noise and hearing loss. Consens Statement, 8:1-24, 1990.
  3. Orgler G, Brownson P, Brubaker W, Crane D, Glorig A, Hatfield T, Hanson R, Holthouser M, Ligo R, Markham T : American occupational medicine association noise and hearing conservation committee guidelines for the conduct of an occupational hearing conservation program. J Occup Med, 29:981-982, 1987.
  4. Nelson DI, Nelson RY, Concha-Barrientos M, Fingerhut M : The global burden of occupational noise-induced hearing loss. Am J Ind Med, 48:446-458, 2005. https://doi.org/10.1002/ajim.20223
  5. Korea Occupational Safty & Healty Agency : Occupational safty & health guideline noise and hearing conservation. Available from URL: https://kosha.or.kr/kosha/data/healthPromotionMediaData.do?mode=download&articleNo=241319&attachNo=117969 (Accessed on March 30, 2023).
  6. Cho H, Kim I, Cho S, Song JS, Lee J : Assessment of Dental Noise Environment of a Pediatric Dentist. J Korean Acad Pediatr Dent, 48:209-220, 2021. https://doi.org/10.5933/JKAPD.2021.48.2.209
  7. Kwon B, Lee J, Kim S, Jeong T : The assessment of noise in the pediatric dental clinics. J Korean Acad Pediatr Dent, 39:267-272, 2012. https://doi.org/10.5933/JKAPD.2012.39.3.267
  8. Jain D, Beniwal P : Review paper on noise cancellation using adaptive filters. Int J Eng Res Technol, 11:241-244, 2022.
  9. Ji Y, Lee K, Park Y : Secondary Path Estimation Algorithm Based on Residual Music Canceller for Noise Cancelling Headphone. J Acoust Soc Korea, 34:377-382, 2015. https://doi.org/10.7776/ASK.2015.34.5.377
  10. Lo AHC, McPherson B : Hearing screening for school children: utility of noise-cancelling headphones. BMC Ear Nose Throat Disord, 13:6, 2013.
  11. Mizukoshi F, Takahashi H : Acoustic notch filtering earmuff utilizing Helmholtz resonator arrays. PLoS One, 16:e0258842, 2021.
  12. Ji DH, Choi MS : Characteristics of noise radiated at dental clinic. J Korean Soc Environ Eng, 31:1123-1128, 2009.
  13. Ramsey R, Greenough J, Breeze J : Noise-induced hearing loss in the military dental setting: a UK legislative perspective. BMJ Mil Health, 166:E53-E56, 2020. https://doi.org/10.1136/jramc-2018-001150
  14. Al-Rawi NH, Al Nuaimi AS, Sadiqi A, Azaiah E, Ezzeddine D, Ghunaim Q, Abbas Z : Occupational noise-induced hearing loss among dental professionals. Quintessence Int, 50:245-250, 2019.
  15. Faul F, Erdfelder E, Buchner A, Lang AG : Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods, 41:1149-1160, 2009. https://doi.org/10.3758/BRM.41.4.1149
  16. Min MS, You SW : Basic consideration for pure tone adiometry. Korean J Clin Lab Sci, 33:266-271, 2001.
  17. Humes LE : The World Health Organization's hearing-impairment grading system: an evaluation for unaided communication in age-related hearing loss. Int J Audiol, 58:12-20, 2019. https://doi.org/10.1080/14992027.2018.1518598
  18. Hong SH : Otoacoustic emissions. J Clin Otolaryngol, 19:25-35, 2008. https://doi.org/10.35420/jcohns.2008.19.1.25
  19. Lee JS, Hong SM, Hong Sj, Park IS, Kim YB, Shim MG, Keum BR : Comparison of Distoration Product Otoacoustic Emissions following Stimulus Intensity of Auditory Brainstem Response Test. Audiol Speech Res, 11:302-309, 2015. https://doi.org/10.21848/audiol.2015.11.4.302
  20. Gorga MP, Dierking DM, Johnson TA, Beauchaine KL, Garner CA, Neely ST : A validation and potential clinical application of multivariate analyses of distortion-product otoacoustic emission data. Ear Hear, 26:593-607, 2005. https://doi.org/10.1097/01.aud.0000188108.08713.6c
  21. Nassiri P, Zare S, Monazzam MR, Pourbakht A, Azam K, Golmohammadi T : Modeling signal-to-noise ratio of otoacoustic emissions in workers exposed to different industrial noise levels. Noise Health, 18:391-398, 2016. https://doi.org/10.4103/1463-1741.174358
  22. Villavisanis DF, Berson ER, Lauer AM, Cosetti MK, Schrode KM : Sex-based differences in hearing loss: perspectives from non-clinical research to clinical outcomes. Otol Neurotol, 41:290-298, 2020. https://doi.org/10.1097/MAO.0000000000002507
  23. Wang Q, Wang X, Yang L, Han K, Huang Z, Wu H : Sex differences in noise-induced hearing loss: a cross-sectional study in China. Biol Sex Differ, 12:24, 2021.
  24. Nolan LS : Age-related hearing loss: Why we need to think about sex as a biological variable. J Neurosci Res, 98:1705-1720, 2020. https://doi.org/10.1002/jnr.24647
  25. Shetty R, Shoukath S, Shetty SK, Dandekeri S, Shetty NH, Ragher M : Hearing assessment of dental personnel: a cross-sectional exploratory study. J Pharm Bioallied Sci, 12(Suppl 1):S488-S494, 2020. https://doi.org/10.4103/jpbs.JPBS_145_20
  26. de Oliveira Goncalves CG, Marques JM, Ribas A, de Lacerda ABM, Lobato DCB, Costa GL, Goncalves GA : Caracterization from hearing thresholds from dentists in a poulation from Curitiba city/PR, Brazil. Int Arch Otorhinolaryngol, 16:32-38, 2012.
  27. Shuster BZ, Depireux DA, Mong JA, Hertzano R : Sex differences in hearing: Probing the role of estrogen signaling. J Acoust Soc Am, 145:3656, 2019.
  28. Bali N, Acharya S, Anup N : An assessment of the effect of sound produced in a dental clinic on the hearing of dentists. Oral Health Prev Dent, 5:187-191, 2007.
  29. Zubick HH, Tolentino AT, Boffa J : Hearing loss and the high speed dental handpiece. Am J Public Health, 70:633-635, 1980. https://doi.org/10.2105/AJPH.70.6.633
  30. Shi L, Liu K, Wang H, Zhang Y, Hong Z, Wang M, Wang X, Jiang X, Yang S : Noise induced reversible changes of cochlear ribbon synapses contribute to temporary hearing loss in mice. Acta Otolaryngol, 135:1093-1102, 2015. https://doi.org/10.3109/00016489.2015.1061699
  31. Medina-Garin DR, Dia A, Bedubourg G, Deparis X, Berger F, Michel R : Acute acoustic trauma in the French armed forces during 2007-2014. Noise Health, 18:297-302, 2016. https://doi.org/10.4103/1463-1741.195802
  32. Centers for Disease Control and Prevention : What Noises Cause Hearing Loss? Available from URL: https://www.cdc.gov/nceh/hearing_loss/what_noises_cause_hearing_loss.html (Accessed on May 14, 2023).
  33. Babisch W : Stress hormones in the research on cardiovascular effects of noise. Noise Health, 5:1-11, 2003.
  34. Babisch W : The noise/stress concept, risk assessment and research needs. Noise Health, 4:1-11, 2002.
  35. Hahad O, Prochaska JH, Daiber A, Muenzel T : Environmental noise-induced effects on stress hormones, oxidative stress, and vascular dysfunction: key factors in the relationship between cerebrocardiovascular and psychological disorders. Oxid Med Cell Longev, 2019:4623109, 2019.
  36. van Kempen EE, Kruize H, Boshuizen HC, Ameling CB, Staatsen BA, de Hollander AE : The association between noise exposure and blood pressure and ischemic heart disease: a meta-analysis. Environ Health Perspect, 110:307-317, 2002. https://doi.org/10.1289/ehp.02110307
  37. Hahad O, Kroller-Schon S, Daiber A, Munzel T : The cardiovascular effects of noise. Dtsch Arztebl Int, 116: 245-250, 2019. https://doi.org/10.3238/arztebl.2019.0245
  38. Munzel T, Gori T, Babisch W, Basner M : Cardiovascular Effects of Environmental Noise Exposure. Eur Heart J, 35:829-836, 2014. https://doi.org/10.1093/eurheartj/ehu030
  39. Munzel T, Schmidt FP, Steven S, Herzog J, Daiber A, Sorensen M : Environmental noise and the cardiovascular system. J Am Coll Cardiol, 71:688-697, 2018. https://doi.org/10.1016/j.jacc.2017.12.015
  40. Kim S, Jarng S, Shin J, Yeo C, Han Y, Lee J : Ageand Gender- Specific Reference Levels for Hearing Thresholds of Normal Aging in Korean. J Acoust Soc Korea, 24:353-357, 2005.
  41. Kujawa SG, Liberman MC : Acceleration of age-related hearing loss by early noise exposure: evidence of a misspent youth. J Neurosci, 26:2115-2123, 2006. https://doi.org/10.1523/JNEUROSCI.4985-05.2006
  42. Fernandez KA, Jeffers PW, Lall K, Liberman MC, Kujawa SG : Aging after noise exposure: acceleration of cochlear synaptopathy in "recovered" ears. J Neurosci, 35:7509-7520, 2015. https://doi.org/10.1523/JNEUROSCI.5138-14.2015
  43. Fetoni AR, Picciotti PM, Paludetti G, Troiani D : Pathogenesis of presbycusis in animal models: a review. Exp Gerontol, 46:413-425, 2011. https://doi.org/10.1016/j.exger.2010.12.003
  44. Wang J, Puel JL : Presbycusis: an update on cochlear mechanisms and therapies. J Clin Med, 9:218, 2020.
  45. Fetoni AR, Pisani A, Rolesi R, Paciello F, Viziano A, Moleti A, Sisto R, Troiani D, Paludetti G, Grassi C : Early noise-induced hearing loss accelerates presbycusis altering aging processes in the cochlea. Front Aging Neurosci, 14:803973, 2022.
  46. Keppler H, Ingeborg D, Sofie D, Bart V : The effects of a hearing education program on recreational noise exposure, attitudes and beliefs toward noise, hearing loss, and hearing protector devices in young adults. Noise Health, 17:253-262, 2015. https://doi.org/10.4103/1463-1741.165028
  47. Ding T, Yan A, Liu K : What is noise-induced hearing loss? Br J Hosp Med, 80:525-529, 2019. https://doi.org/10.12968/hmed.2019.80.9.525
  48. Tikka C, Verbeek JH, Kateman E, Morata TC, Dreschler WA, Ferrite S : Interventions to prevent occupational noise-induced hearing loss. Cochrane Database Syst Rev, 7:CD006396, 2017.
  49. Mohan KM, Chopra A, Guddattu V, Singh S, Upasana K : Should dentists mandatorily wear ear protection device to prevent occupational noise-induced hearing loss? A randomized case-control study. J Int Soc Prev Community Dent, 12:513-523, 2022. https://doi.org/10.4103/jispcd.JISPCD_28_22
  50. Kalyani V, Jadam K, Padonia K, Gupta E, Kalyani VL : Different Types of Active Universal Filters And Their Various Applications. J Manage Eng Inform Technol, 3:48-51, 2016.
  51. Valimaki V, Reiss JD : All about audio equalization: Solutions and frontiers. Appl Sci, 6:129, 2016.
  52. Ji DH, Choi MS : The Noise Characteristics and Appropriate Talk Distance in Dental Clinic. J Korea Acad Indust Coop Soc, 14:2516-2523, 2013. https://doi.org/10.5762/KAIS.2013.14.5.2516