• 제목/요약/키워드: caries prevalence

검색결과 136건 처리시간 0.029초

국민건강영양조사 구강검사 개요 (Data resource profile: oral examination of the Korea National Health and Nutrition Examination Survey)

  • 우경지;이혜린;김윤정;김혜진;박덕영;김진범;오경원;최연희
    • Journal of Korean Academy of Oral Health
    • /
    • 제42권4호
    • /
    • pp.101-108
    • /
    • 2018
  • Objectives: The Korea National Health and Nutrition Examination Survey (KNHANES) is a national surveillance system that has been assessing the health and nutritional status of Koreans since 1998. Based on the National Health Promotion Act, the surveys have been conducted by the Korea Centers for Disease Control and Prevention (KCDC). Methods: An oral examination as part of The National Health and Nutrition Examination was proposed to calculate the sample design and survey participation. The surveying system was presented by classifying the measurement environment, screening, and survey items by year, and the merits and limitations of using the data were suggested by examining the status of survey quality management and the process of disclosing raw data. Results: This nationally representative cross-sectional survey samples approximately 10,000 individuals each year and collects information on oral examinations and oral health interviews. Data for the oral health component of KNHANES was obtained to assess the oral health status of Koreans and determine the prevalence of dental caries and periodontitis. The oral health data quality control of KNHANES was composed of three parts: "Education Program" and "Field Training Program" for quality control of oral health examiners (dentists) by the professional academy, and "Data management" by the KCDC. After completion of the three-step data check, the indicators of dental caries, periodontal disease, and oral health behavior were published in the National Health Statistics. Conclusions: To achieve the goals of oral health indicators, we will continue to monitor so that we can use it as basic data for oral policies and carry out various linkage analyses related to oral diseases.

프래더-윌리 증후군을 가진 46개월 소아의 치과치료 : 증례보고 (DENTAL MANAGEMENT OF A 46-MONTH-OLD CHILD WITH PRADER-WILLI SYNDROME : A CASE REPORT)

  • 최경화;김미선;남옥형;이효설;최성철;김광철
    • 대한장애인치과학회지
    • /
    • 제15권1호
    • /
    • pp.29-34
    • /
    • 2019
  • 프래더윌리 증후군과 심장수술 병력을 가진 4세 환아가 외상으로 본과에 내원하였으며 임상검사결과 다발성 우식증과 상악 좌측 유전치의 측방탈구기 관찰되었다. 내원 당일 예방적 항생제 복용 하에서 측방탈구치아를 발치하였고, 구강내의 우식증은 약 4개월에 걸쳐 외래 하에서 보호안정장치 하에서 안정적으로 치료하였다.

A comparative study of cone-beam computed tomography and digital panoramic radiography for detecting pulp stones

  • Tassoker, Melek;Magat, Guldane;Sener, Sevgi
    • Imaging Science in Dentistry
    • /
    • 제48권3호
    • /
    • pp.201-212
    • /
    • 2018
  • Purpose: The aim of this study was to compare cone-beam computed tomography (CBCT) and digital panoramic radiography (DPR) for the detection of pulp stones. Materials and Methods: DPR and CBCT images of 202 patients were randomly selected from the database of our department. All teeth were evaluated in sagittal, axial, and coronal sections in CBCT images. The systemic condition of patients, the presence of pulp stones, the location of the tooth, the group of teeth, and the presence and depth of caries and restorations were recorded. The presence of pulp stones in molar teeth was compared between DPR and CBCT images. Results: Pulp stones were identified in 105 (52.0%) of the 202 subjects and in 434 (7.7%) of the 5,656 teeth examined. The prevalence of pulp stones was similar between the sexes and across various tooth locations and groups of teeth (P>.05). A positive correlation was observed between age and the number of pulp stones(${\rho}=0.277$, P<.01). Pulp stones were found significantly more often in restored or carious teeth (P<.001). CBCT and DPR showed a significant difference in the detection of pulp stones(P<.001), which were seen more often on DPR than on CBCT. Conclusion: DPR, as a 2D imaging system, has inherent limitations leading to the misinterpretation of pulp stones. Restored and carious teeth should be carefully examined for the presence of pulp stones. CBCT imaging is recommended for a definitive assessment in cases where there is a suspicion of a pulp stone on DPR.

Cariogenic Activity in Saliva of Korean Head and Neck Cancer Patients

  • Lim, Hae-Soon;Chung, Kyung-Yi;Kim, Ae-Ok;Kim, Mi-Ran;Kim, Youn-Shin;Kang, Mi-Sun;Hong, Jeong-Won;Jung, Ji-Yeon;Park, Ji-Il;Lee, Guem-Sug
    • International Journal of Oral Biology
    • /
    • 제39권2호
    • /
    • pp.57-63
    • /
    • 2014
  • The purpose of this study is to evaluate salivary flow rate, salivary pH, and cariogenic activity using unstimulated saliva of the head and neck cancer patients. Twenty three cancer patients (19 males, 4 females) who had undergone chemotherapy and radiation therapy and twenty four healthy volunteers (14 males, 10 females) as a control were included. Salivary flow rate, salivary pH, and cariogenic activity using unstimulated saliva were examined. Compared to saliva of the control group, salivary flow rate (p<0.001) and salivary pH (p<0.001) were significantly lower in head and neck cancer patients. The colony counts of Lactobacilli was higher in head and neck cancer patients (p<0.05) than in control group. These salivary factors and cariogenic activity can increase the prevalence of dental caries in head and neck cancer patients.

중학교 체질검사 실태에 관한 연구 (A study on physical examination of middle school students)

  • 박성희
    • 한국학교보건학회지
    • /
    • 제14권1호
    • /
    • pp.131-143
    • /
    • 2001
  • The primary aim of this dissertation is to contribute to the improvement of methods in physical examination by providing quality information for the current school system and advice for improving status. Present status, controversial points and possible remedies in physical examination were analyzed on a frequency and percentage basis. An $x^2$-test was used to verify the statistics between the results from the examination and each variable. In case of multiple categories of variables, an $x^2$ cs was adopted. Chronological data as well as both total and sampling physical examination data verified the statistics using an $x^2$-test. This thesis is based both on the data from middle school health care specialists in Gyunggi Province and on the analysis of physical examinations reported from local schools to the municipal education agency from 1997 to 1999. The results of the study are as follows: First, according to the survey, only 29.0% of the total schools had their school doctors examine all the students while most of the educational institutions failed to implement the whole process of physical examination on the list. It also turned out that the more students the schools have, the lower the rate of implementation of physical examination by school doctors(p=0.014). Second, the average time a school doctor spends for checkup turned out to be approximately 1.7 minutes per student This means that the quality of the physical examination is not guaranteed in the process. Third, 47.7% of those surveryed say that a dental examination was performed, each taking 21.24 seconds on average. In addition, it shows that some 31.5% wanted to have a task force team for dental checkups at the local health center. Given the fact that dental caries among students is progressively on the rise, the dental health centers that are now set up in some elementary schools should be expanded to cover the whole educational institution in order to raise awareness of the importance of dental care. Fourth, 48.5% of those surveyed say that a comprehensive physical examination should be adopted to promote the health of high schoolers. Since it takes a lot of public funds to implement a comprehensive method, it is essential to make sure that in-depth studies should be based on the frequency and methods of physical examination. Fifth, regarding such diseases among 3rd year middle school students in 1999, statistics shows that there was a slight difference in the prevalence rate of color blindness, and allergic diseases for male students ; and color blindness, hearing disturbance and allergic disease for female students. For those items, however, it is too little to say that there is a significant difference and accordingly it is assumed to be a problem of the measuring process. Sixth, the result of analysis on the sample physical examination and the total physical examination of the year 1999 shows as follows: For male students in the 3rd year of middle school, a slight difference appeared to those students in 11 items including eye problems and eye disease, otitis media, tonsillar hypertrophy, spinal shape, respiratory urinary allergic disease and other abnormal diseases(p<0.05). Particularly, the prevalence rate between students with and without disease was shown to be two times more in the following: eye problems, otitis media, tonsill hypertrophy, allergic diseases, etc. For female students in the 3rd year, prevalence rate showed little difference in 14 items(p<0.05). For items including eye problem, otitis media, tonsill hypertrophy, allergic disease, etc. it was shown that the rate was two times more between students with and without diseases. Physical examinations under the current school system are not producing any fundamental results for the health of the students. Methods and results are not trustworthy. Accordingly, a drastic overhaul of the current practices is needed in frequency, methods and items on the list in order to promote the health of the students. Cost-benefit studies as well as political considerations to ensure the development of efficient methods for physical examination are urgently needed at this moment.

  • PDF

제 2근심협측근관이 존재하는 상악유구치의 치험례 (THE SECOND MESIOBUCCAL CANAL OF UPPER PRIMARY MOLAR : CASE REPORT)

  • 김창기;홍성수;고승백;이창섭;이상호
    • 대한소아치과학회지
    • /
    • 제29권2호
    • /
    • pp.139-145
    • /
    • 2002
  • 유치에서는 영구치에 비해 법랑질의 두께가 얇고 약하며 상대적으로 큰 치수강으로 인하여 단시간에 치아우식증이 치수까지 이환되며, 외상 또는 치과치료 중 갑작스런 움직임으로 인하여 치수가 노출되는 경우가 빈번하다. 이러한 이유로 어린이에서의 치수처치는 필수적이며, 유치에서 치수치료의 목적은 감염된 치수조직을 제거하여 동통을 완화시키는 것 이외에도 크게는 치열궁을 보존하여 저작기능을 보호하고, 미래의 영구치열이 적절한 교합관계를 이루게 하는데 있다. 유치열에서 성공적인 치수치료를 위해서는 유치 치수의 형태, 유치 근관의 해부학적 형태, 치근형성, 그리고 유치 치근의 흡수와 관련된 특별한 문제점들에 대한 이해를 필요로 한다. 상악 대구치와 마찬가지로 상악 유구치의 근심 치근이 형태에 있어서 가장 큰 변이를 보인다고 알려져 있으며, 이 치근 내에 존재하는 모든 근관을 처치하지 못한다면 결국 치수치료는 실패할 것이다. 본 증례는 근관치료 중이거나 후에 지속적인 동통이나 근관 내 출혈이 지속되는 경우에서 상악 유구치의 근심협측치근의 제 2근심협측근관을 발견하고 처치한 후 임상증상 및 동통이 사라지고, 양호한 예후를 보였다. 또한 발거된 상악 유구치를 대상으로 한 조사 결과 상악 제 1유구치는 35개 증 8개(22.8%), 상악 제 2유구치는 33개 중 22개(66.6%)의 치아에서 제 2근심협측근관이 발견되었으며. 이는 상악 유구치의 근심협측치근 내에 두 개의 근관이 존재할 가능성이 높다는 것을 의미한다.

  • PDF

뇌종양과 연관된 수두증(hydrocephalus) 환자의 전신마취 하 치과치료 (DENTAL TREATMENT IN A PATIENT WITH HYDROCEPHALUS ASSOCIATED BRAIN TUMOR UNDER GENERAL ANESTHESIA)

  • 한정화;송지수;신터전;현홍근;김영재;김정욱;장기택;이상훈
    • 대한장애인치과학회지
    • /
    • 제13권2호
    • /
    • pp.86-90
    • /
    • 2017
  • 수두증은 뇌척수액이 비정상적으로 축적되는 질환으로, 뇌발달의 장애를 일으켜, 정신지체를 나타낼 수 있다. 정신 지체에 의하여 치과치료시 양호한 협조도를 얻을 수 없고, 적절한 구강위생관리가 어려워 본 증례에서와 같이 다발성 우식증이 있는 경우, 전신마취가 효율적이고 안전한 행동조절 방법으로 선택될 수 있다. 본 증례는 뇌종양에 의한 수두증인 4세 0개월 남아로, 전신마취 하에 과잉치를 발견하고 정확한 치아우식증에 대한 진단을 할 수 있었으며, 안전하고 효율적으로 과잉치 발거와 다발성 치아우식증 치료를 한번에 치료하였다. 수두증 환자의 전신상태에 대해 충분히 이해하고, 적절한 술전 평가가 진행된다면, 협조도가 부족한 수두증 환자에서 전신마취가 효율적인 행동조절 방법이 될 수 있을 것으로 생각된다.

전신마취를 이용한 장애인의 보철치료 : 증례보고 (PROSTHETIC DENTISTRY PROCEDURES OF PERSONS WITH DISABILITIES UNDER GENERAL ANESTHESIA : A CASE REPORT)

  • 이정옥;이긍호;최영철
    • 대한소아치과학회지
    • /
    • 제27권1호
    • /
    • pp.146-150
    • /
    • 2000
  • 장애인은 일반적으로 구강관리에 대한 인식과 수행능력의 부족으로 구강위생상태가 불량하며, 치과질환의 발생빈도가 높고 그 정도가심한 편이다. 장애인의 치과치료시 많은 어려움이 따르는 행동조절은 장애의 종류와 정도에 따라 심리적 물리적, 약물적 방법 및 전신마취 등을 선택할 수 있으나, 여러 가지 이유로 인하여 일반적인 방법으로 치료가 불가능할 경우 전신마취를 이용하게 된다. 장애인 환자에 있어서 보철치료는 정상인에서와 다를 바가 없으나 장애정도에 따라 치과의사의 세심한 주의가 필요하며, 수복후에도 철저한 구강위생관리를 위해 환자 스스로나 보호자의 각별한 노력이 요구된다. 본 증례는 경도의 장애를 가지고 있으나 치과치료에 대한 불안과 공포가 심하고, 다수치아의 수복을 위하여 장시간의 치과 치료가 요구된 경우로서 전신마취를 이용한 보존 외과적 처치 및 보철치료를 시행하여 비교적 양호한 결과를 얻었다.

  • PDF

자생 및 약용 식물의 Streptococcus mutans항균 활성의 검색 (Screening of Antibacterial Agent Against Streptococcus mutans from Natural and Medicinal Plants,)

  • 김건우;백정규;장영욱;금은주;권윤숙;김홍주;손호용
    • 생명과학회지
    • /
    • 제15권5호
    • /
    • pp.715-725
    • /
    • 2005
  • 식용 및 약용 식물 215 종의 천연물로부터 추출부위를 달리한 메탄올 추출물 309 종을 조제하였으며, 안전성이 우수한 천연물 충치예방 및 치료제 개발을 목표로 309종의 추출물의 S. mutans JC-2에 대한 항균 활성을 평가하였다. 항균활성은 96 well microtiter method에 의한 생육저해능 측정 및 disk paper method에 의한 생육저지환 크기를 측정하여 평가하였으며, 그 결과 가죽나무(가지), 곰딸기(열매), 독활(잎), 상수리나무(잎), 여뀌(전초), 작약(종자), 짚신나물(뿌리) 추출물에서 강한 활성을 확인하였다. 상기 7종 천연물의 최소 생육저지농도(MIC)를 측정하여 항균 활성을 비교한 결과, 여뀌, 상수리나무, 가죽나무 추출물이 $25\∼30{\mu}g/ml $의 농도에서 생육을 완전히 억제하였다 이러한 결과는 항균력이 우수한 천연물로부터 새로운 충치 예방 및 치료제 개발이 가능함을 제시한다

1급 지적장애 환자에서 임플란트와 단일 구조 지르코니아를 이용한 완전구강회복 증례 (Full mouth rehabilitation of edentulous patient with intellectual disability using implants and monolithic zirconia)

  • 정기원;김성훈;한중석;여인성;윤형인
    • 대한치과보철학회지
    • /
    • 제55권2호
    • /
    • pp.156-163
    • /
    • 2017
  • 1급 지적장애는 일상 생활과 사회 생활의 적응이 현저하게 곤란하여 일생 동안 타인의 보호가 필요한 사람으로 보통 불량한 구강환경을 가지며 치아 우식, 치근단 염증 및 다수의 치아 결손을 보여 적절한 보철적 회복을 필요로 한다. 다수의 치아가 결손된 지적장애 환자의 경우 가철성 보철물의 안정, 유지와 관리가 어렵기 때문에 고정성 보철이 필요하며 임플란트 치료가 유일한 방법이다. 본 증례는 1급 지적장애인 45세 남성환자로 불량한 구강환경으로 인해 대부분의 치아가 상실되어 저작기능 회복을 위해 내원하였으며 임플란트 및 생체친화적이고 강한 강도의 단일 구조 지르코니아를 이용한 고정성 보철물로 최종 수복하였다. 이상의 치료과정 결과 심미적, 기능적으로 만족할 만한 결과를 얻을 수 있었기에 보고하는 바이다.