• 한국치위생학회지
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• 제8권4호
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• pp.115-125
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• 2008

The purpose of this study was to examine the relationship between the Dentocult SM and LB scores of students and their DMF rate. The subjects in this study were 134 special school students in south Gyeong-sang province. After they were tested to find out their, they received tooth brushing education and preventive treatment. The test, education and treatment were all conducted from March 17 to April 9, 2008. Their oral state was checked and recorded by using a mirror and explorer, and then the data on oral state were analyzed to their DMFT, DT, FT and MT rates. All the collected data were analyzed with SPSS 15.0 for Windows program, and independent-samples t-test, one-way ANOVA and crosstabs analysis were implemented to see what differences their disability type, gender, Dentocult-SM scores and Dentocult-LB scores made. The findings of the study were as follows: 1. As for connections between disability type and DMFT rate, the students with mental retardation were similar to the other students in that regard. The mentally retarded students had higher DT and FT rates than the other students, and the MT rate of the latter was higher than that of the former. 2. Concerning the relationship of gender to DMFT and DT rates, the girls had larger DMFT and DT rates than the boys, and the FT and MT rates of the boys were higher than those of the girls. 3. As to links between Dentocult SM scores on the tongue and DMFT, the students whose bacteria was mildly activated had the highest DMFT rate, and the students who had a severely activated bacteria had the highest DT and FT rates. Those who had a moderately activated bacteria had the highest MT rate. 4.Regarding the connection of Dentocult SM scores on maxillyright molar to DMFT and DT rates, the students whose bacteria was severely activated had the highest DMFT and DT rates. Those who had no activated bacteria had the largest FT rate, and the students who had a mildly activated bacteria had the highest MT rate. 5.Regarding the connection of Dentocult SM scores on maxillyleft molar to DMFT and DT rates, the students whose bacteria was severely activated had the highest DMFT and DT rates. Those who had no activated bacteria had the largest FT rate, and the students who had a mildly activated bacteria had the largest MT rate. 6. Regarding the connection of Dentocult SM scores on mandibularright molar to DMFT and DT, FT rates, the students whose bacteria was severely activated had the highest DMFT and DT, FT rates. Those who had a moderately activated bacteria had the highest MT rate. 7. Regarding the connection of Dentocult SM scores on mandibularleft molar to DMFT and DT rates, the students whose bacteria was mildly activated had the highest DMFT and DT rates. Those who had no activated bacteria had the largest FT rate, and the students who had a moderately activated bacteria had the highest MT rate. 8. Regarding the connection of Dentocult LB scores to DMFT and DT rates, the students whose bacteria was severely activated had the highest DMFT and DT rates. Those who had no activated bacteria had a moderately FT rate, the students who had a mildly activated bacteria had a mildly MT rate.

• 치위생과학회지
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• 제18권2호
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• pp.97-104
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• 2018

본 연구는 유아의 구강건강 증진을 위한 우식예방효과를 알아보고자 우식위험이 높은 6세 유아를 대상으로 CRA에 따라 위험군을 분류하고 치아우식 예방을 위한 중재를 시행한 후 변화를 평가하였다. 사전에 부모 인터뷰(CRA 설문지)를 통해 선별된 최종 연구대상자 33명을 대상으로 첫 방문 시 구내검사, 타액분비율검사, 우식원인균검사, 산생성능검사를 실시하고 CRA 설문지에 따라 우식위험군을 분류하였다. 대상자들에게 4개월 간격으로 불소도포 및 구강보건교육 실시하고 1년 뒤 첫 방문 시와 동일하게 평가하였으며 다음과 같은 결과를 얻었다. 연구대상자의 우식위험군 분포는 초기에 중위험군이 18.2%, 고위험군이 39.4%, 초고위험군이 45.4%로 나타났으며 1년 후에는 중위험군이 6.1%, 고위험군이 39.4%, 초고위험군이 54.5%로 중위험군이 감소하고 초고위험군이 다소 증가한 것으로 나타났다. 중재 전후 dft index 평가 결과, 모든 위험군에서 중재 후 dft index가 증가하였으며, 군 간 유의한 차이가 있었다(p=0.001, p=0.008). Cariview score는 중위험군과 초고위험군에서 중재 후 Cariview score가 다소 감소한 것으로 나타났으나 중재 전후 군 간 유의한 차이는 없었다. 우식원인균 평가 결과, SM균은 모든 군에서 중재 후 ${\geq}10^5CFU/ml$ saliva가 감소한 것으로 나타났으며 LB균은 고위험군과 초고위험군에서 중재 후 전반적으로 균이 감소하는 양상을 보였다. 타액분비율에서는 우식위험군이 높아질수록 타액분비율이 낮아지는 양상을 보였으며 중재 전후 모두 우식위험군에 따라 유의한 차이가 있었다(p<0.001). 이상의 결과를 볼 때 정기적인 우식위험관리가 우식 고위험 아동들의 우식위험요소의 변화에 영향을 미치는 것을 확인할 수 있었으며, 관련된 후속 연구를 통해 국내 실정에 맞는 정기적인 우식위험관리 체계의 모색이 필요하다.