치위생과학회지 (Journal of dental hygiene science)
- 제7권3호
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- Pages.179-185
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- 2007
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- 1598-4478(pISSN)
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- 2233-7679(eISSN)
계열별 남자고등학생의 학교생활스트레스와 측두하악장애에 관한 연구
A Study on the Temporomandibular Joint Disorder and School Life Stress of High School Student by Department
- Lee, Jung-Hwa (Department of Dental Hygiene, Pohang1 college) ;
- Choi, Jung-Mi (Department of Dental Hygiene, Busan Info-Tech college)
- 투고 : 2007.08.24
- 심사 : 2007.09.18
- 발행 : 2007.09.30
초록
본 연구는 대구광역시에 소재한 인문계, 실업계 남자 고등학생들을 대상으로 청소년기의 측두하악장애 유병실태와 기여요인, 악안면외상 경험과 관리 실태, 고교별 측두하악장애와 학교생활에서의 스트레스와의 관계를 관찰함으로서 측두하악장애의 예방과 치료에 있어 적절한 인식과 구강보건교육프로그램개발에 필요한 기초 자료를 마련하고자 본 연구를 시도하여 다음과 같은 결과를 얻었다. 1. 남자고등학생에서 측두하악장애의 유병률은 61.8%에서 관절잡음을 경험하였고, 관절탈구 6.9%, 저작시동통 47.5%, 비저작시동통 29.8%, 개구장애 11.3%, 두통이 40.4%로 나타났다. 2. 측두하악장애를 일으키는 기여요인에서 관절잡음은 이악물기, 입술 뺨깨물기, 저작시동통에서는 이악물기, 이갈이, 편측저작, 과잉저작, 입술 뺨깨물기, 모로취침 등이 유의한 차이를 보였다(P < 0.01). 비저작시동통은 이악물기, 이갈이, 편측저작, 입술 뺨깨물기 개구장애는 이악물기, 이갈이, 모로취침에서 통계적으로 유의한 차이를 보였다(P < 0.01). 두통은 모로취침을 제외한 나머지 항목에 대한 악습관이 측두하악장애의 기여요인으로 나타났다(P < 0.01, P < 0.05). 3. 측두하악장애를 일으킬 수 있는 악안면외상 경험률은 인문계고 19.6%, 실업계고 13.4%였고, 외상 요인으로 인문계고는 운동 26.8%, 기타 24.4%, 넘어짐 19.5%순이였으며, 실업계고는 운동 44.4%, 넘어짐 22.2%, 기타 14.9%순이었다. 치료경험은 인문계고 있다 2.9%, 실업계고 5.0%로 나타났으며 치료기관으로는 인문계고 치과 50%, 정형외과 50%, 실업계고 정형외과 40%, 한의원 30%, 치과 30%로 나타났다. 4. 측두하악장애는 학년별, 학력수준별 유의한 차이는 없었고, 인문계고와 실업계고의 측두하악장애 정도에서 저작시동통, 비저작시동통은 유의한 차이를 보였다(P < 0.01). 5. 고교별 학교에서의 스트레스를 비교해보면 성적 및 학업문제로 인해 인문계고
The purpose of this study targeted on high school student in the department of liberal arts, industry in Daegu metropolitan city, is to get basic data necessary for the development of dental educational program, to discern prevention and treatment of temporomandibular joint disorder by observing the situation temporomandibular joint disorder and contribution element, of relationship of school life stress The results are as follows.: 1. The percentage of occurring temporomandibular joint disorder in the high school resulted in a joint noise at 61.8% and joint dislocation 6.9%, sharp pain 47.5% at time of chewing. 29.8% at the time of the non-chewing, lockjaw 11.3%, a headache appeared at 40.4%.2. In the contribution factor of occurring temporomandibular joint disorder, the cause of joint noise was the clench one's teeth, lip and cheek clench, For the pain at the time of chewing clench one's teeth, one side chewing, over-chewing, lip clench, sideways sleeping showed the difference. (P < 0.01) For the pain at the time of non-chewing, clench one's teeth, bruxism, one side chewing, lip and cheek clench were similar, and for the lockjaw, clench one's teeth, bruxism, sideways sleeping showed the difference. The plum evil thing period at time of the fault writing that statistically showed the difference. For the headache, the contribution factors were the all bad habits mentioned above excluding one side sleeping.(P < 0.01, P < 0.05). 3. The rate of experiencing temporomandibular joint disorder by oral and maxillofacia was 13.4% in industrial department, and 19.6% in liberal arts. And for the factor of wound was that exercise 26.8%, others 24.4%, fall-down 19.5%. And for the industrial, exercise 44.4%, fall-down 22.2%, others 14.9%. The treatment experience appeared at 5.0% in industrial department, 2.9% in liberal arts. And for the medical institutions, liberal arts were dental clinic 50%, orthopedics 50%, and the industrial department orthopedics 40%, oriental medicine clinic 30%, dental clinic 30%. 4. In case of temporomandibular joint disorder, there were no difference by grades or educational background. And at the time of chewing or non-chewing showed similar difference.(P < 0.01). 5. Compared to stress in the high school, it generally showed higher in liberal arts than in industrial department due to school record. Its scope was