FACTORS AFFECTING MAXILLARY ANTERIOR TEETH CARIES IN PRESCHOOL CHILDREN

취학전 어린이의 상악 유전치 우식증과 관련 요인

  • Jong, Seung-Yol (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Lee, Kwang-Hee (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Ra, Ji-Young (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Lee, Dong-Jin (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • An, So-Youn (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Kim, Ji-Yeong (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Song, Ji-Hyun (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Kim, Yun-Hee (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
  • 정승열 (원광대학교 치과대학 소아치과학교실) ;
  • 이광희 (원광대학교 치과대학 소아치과학교실) ;
  • 라지영 (원광대학교 치과대학 소아치과학교실) ;
  • 이동진 (원광대학교 치과대학 소아치과학교실) ;
  • 안소연 (원광대학교 치과대학 소아치과학교실) ;
  • 김지영 (원광대학교 치과대학 소아치과학교실) ;
  • 송지현 (원광대학교 치과대학 소아치과학교실) ;
  • 김윤희 (원광대학교 치과대학 소아치과학교실)
  • Published : 2008.11.30

Abstract

The purpose of study was to investigate the etiologic factors of maxillary primary anterior caries. The subjects of study were 401 preschool children, 214 boys and 187 girls, from 36 to 71 months old of randomly selected seven nurseries in Iksan city. The prevalence of maxillary primary anterior teeth was cross-analyzed with gender, age, breast feeding or bottle feeding, length of feeding, sweet snack intake frequency, beginning of toothbrushing, and toothbrushing frequency per day. The prevalence was 43.0% in boys and 26.7% in girls, and there was significant association between the prevalence and gender in cross analysis(P<0.01). The prevalences of the shorter than 2 years of feeding group, the from 2 to 3 years group, and the longer than 3 years group were 31.0%, 43.2%, and 63.2%, respectively, and there was significant association between the prevalence and the length of feeding(P<0.01). Daily intake of sweet snacks had a significant association with the prevalence(P<0.05). There was no significant association between the prevalence and the variables of age, breast feeding or bottle feeding, beginning of toothbrushing, and toothbrushing frequency per day(P>0.05).

연구 목적은 상악 유전치 우식증의 발생 요인을 규명하기 위함이었다. 연구대상은 익산시 어린이집 중에서 무작위로 추출한 7개 어린이집의 36개월 이상 71개월 미만의 남아 214명, 여아 187명, 모두 401명이었다. 연구방법은 상악 유전치 우식증의 유병률을 조사하고, 성별, 연령, 모유 수유 또는 인공 수유, 수유 기간, 감미 간식 섭취 빈도, 칫솔질 시작 시기, 1일 칫솔질 횟수 등을 조사하여 상악 유전치 우식증과의 연관성을 분석하였다. 연구결과를 보면, 상악 유전치 우식증의 유병률은 남아에서 43.0%, 여아에서 26.7%로서 남아가 여아보다 유의하게 높았고(P<0.01), 수유 기간 2년 이하 군에서 31.0%, 2-3년 군에서 43.2%, 3년 이상 군에서 63.2%로서 수유 기간이 길어질수록 유의하게 증가하는 경향을 나타내었으며(P<0.01), 감미 간식을 매일 섭취하는 군에서 44.2%, 2-3일에 한 번 섭취하는 군에서 31.47%, 자주 섭취하지 않는 군에서 32.4%로서, 매일 섭취하는 경우에 상악 유전치 우식증과의 유의한 연관성이 있었다(P<0.05). 연령, 모유 수유 또는 인공 수유, 칫솔질 시작 시기, 1일 칫솔질 횟수에서는 상악 유전치 우식증과 유의한 연관성이 나타나지 않았다(P>0.05).

Keywords

References

  1. Kaste LM, Selwitz RH, Oldakowski RJ, et al. : Coronal caries in the primary and permanent dentition of children and adolescents 1-17 years of age: United States, 1988-91. J Dent Res, 75:631?641, 1996.
  2. 이종선, 이광희, 김대업 : 치아별 우식경험도로 본 유치열의 우식패턴에 관한 연구. 대한소아치과학회지, 26:1-13, 1999.
  3. 이광희 : 우유병 우식증을 경험한 아동의 우식유병률과 우식활성에 관한 연구. 대한소아치과학회지, 26:25-31, 1999.
  4. 대한소아치과학회 편저 : 소아.청소년치과학, 제4판, 신흥인터내셔날, 서울, 154-155, 2007.
  5. Proceedings of the Conference on Early Childhood Caries. Bethesda, Maryland, USA, 1997. In Community Dent Oral Epidemiol, 26(1 Suppl):1-119, 1998. https://doi.org/10.1111/j.1600-0528.1998.tb01916.x
  6. Drury TF, Horowitz AM, Ismail AI, et al. : Diagnosing and reporting early childhood caries for research purposes. J Public Health Dent, 59:192-197, 1999. https://doi.org/10.1111/j.1752-7325.1999.tb03268.x
  7. Ismail AI, Sohn W : A systematic review of clinical diagnostic criteria of early childhood caries. J Public Health Dent, 59:171-191, 1999. https://doi.org/10.1111/j.1752-7325.1999.tb03267.x
  8. Marino RV, Bomze K, Scholl TO, et al. : Nursing bottle caries: characteristics of children at risk. Clin Pediatr, 28:129-131, 1989. https://doi.org/10.1177/000992288902800305
  9. Hallett KB, O'Rourke PK : Pattern and severity of early childhood caries. Community Dent Oral Epidemiol, 34:25-35, 2006. https://doi.org/10.1111/j.1600-0528.2006.00246.x
  10. Berkowitz RJ, Turner J, Green P : Maternal salivary levels of Streptococcus mutans and primary oral infection in infants. Arch Oral Biol, 26:147-149, 1981. https://doi.org/10.1016/0003-9969(81)90086-8
  11. Berkowitz R : Etiology of nursing caries: a microbiologic perspective. J Public Health Dent, 56:51-54, 1996. https://doi.org/10.1111/j.1752-7325.1996.tb02395.x
  12. 이광희 : 익산시 취학 전 어린이의 중증 유아기 우식증 유병률과 위험요인. 대한소아치과학회지, 30:678-683, 2003.
  13. 유래관, 이광희, 라지영 등 : 익산시 취학전 어린이의 중증 유아기 우식증 유병률과 섭식습관. 대한소아치과학회지, 34:383-389, 2007.
  14. Johnsen DC, Schultz DW, Schubot DB, et al. : Caries patterns in Head Start children in a fluoridated community. J Public Health Dent, 44:61?66, 1984. https://doi.org/10.1111/j.1752-7325.1984.tb03049.x
  15. Saravanan S, Madivanan I, Subashini B, et al. : Prevalence pattern of dental caries in the primary dentition among school children. Indian J Dent Res, 16:140-146, 2005. https://doi.org/10.4103/0970-9290.29907
  16. Infante PF, Gillespie GM : Dental caries experience in the deciduous dentition of rural Guatemalan Children ages 6 months to 7 years. J Dent Res, 55:951-957, 1976. https://doi.org/10.1177/00220345760550064501
  17. Zerfowski M, Koch MJ, Niekush U, et al. : Caries prevalence and treatment needs of 7 to 10-year-old schoolchildren in southwestern Germany. Community Dent Oral Epidemiol, 25:348-351, 1997. https://doi.org/10.1111/j.1600-0528.1997.tb00953.x
  18. Graves RC, Bohannan LEVI, Disney JA, et al. : Recent dental caries and treatment patterns in U.S. Children. J Public Health Dent, 46:23-29, 1986. https://doi.org/10.1111/j.1752-7325.1986.tb03088.x
  19. Hallett KB, O'Rourke PK : Pattern and severity of early childhood caries. Community Dent Oral Epidemiol, 34:25-35, 2006. https://doi.org/10.1111/j.1600-0528.2006.00246.x
  20. Douglass JM, Tinanoff N, Tang JMW, et al. : Dental caries patterns and oral health behaviors in Arizona infants and toddlers. Community Dent Oral Epidemiol, 29:14?22, 2001. https://doi.org/10.1034/j.1600-0528.2001.00004.x
  21. Creedon MI, O'Mullane DM : Factors affecting caries levels amongst 5-year-old children in County Kerry, Ireland. Community Dent Health, 18:72-78, 2001.
  22. O'Sullivan DM, Tinanoff N : Maxillary anterior caries associated with increased caries risk in other primary teeth. J Dent Res, 72:1577-1580, 1993. https://doi.org/10.1177/00220345930720120801
  23. O'Sullivan DM, Tinanoff N : The association of early dental caries patterns with caries incidence in preschool children. J Public Health Dent, 56:81-83, 1996. https://doi.org/10.1111/j.1752-7325.1996.tb02401.x