칫솔두부크기와 짜는 방법에 따른 일회 세치제 사용량 조사

A Survey on the Amount used of Toothpaste According to the Size of Head of Toothbrush and Squeezing Method

  • 배수명 (혜전대학 치위생과) ;
  • 류다영 (혜전대학 치위생과) ;
  • 김희경 (강릉대학교 치과대학 예방치학교실)
  • Bae, Soo-Myung (Department of Dental hygiene, Hae-jeon College) ;
  • Ryu, Da-Young (Department of Dental hygiene, Hae-jeon College) ;
  • Kim, Hee-Kyoung (Department of Preventive and Public Health Dentistry, College of Dentistry, Kangneung-wonju National University)
  • 투고 : 2010.11.10
  • 심사 : 2010.12.13
  • 발행 : 2010.12.31

초록

본 연구는 과량의 불소세치제 사용을 예방하기 위하여 만3~6세 아동의 불소세치제 사용량을 비교 평가하고자 충남 홍성군에 위치한 어린이집 5곳의 84명을 대상으로 칫솔두부크기와 세치제 짜는 방법에 따른 세치제량을 비교하였고, 실제적으로 어린이를 대상으로 구강보건교육을 시행하고 있는 구강보건교육자인 치위생과 학생 141명을 대상으로 콩알크기(pea-size)로 짜는 방법과, 소량의 세치제를 묻히는(smear) 방법으로 짠 세치제 양을 비교하여 다음과 같은 결과를 얻었다. 1. 어린이용 칫솔에 짠 불소세치제의 양은 0.29 g이었고, 성인용 칫솔에 짠 불소세치제의 양 은 0.34 g으로 유의한 차이가 나타나 작은 크기의 칫솔로 짰을 때 더 적은양의 세치제를 사용하는 것으로 조사되었다(p<0.05). 2. 3-6세 아동이 평소 통상적으로 짜는 방법대로 짠 양이 0.31 g이었고, 콩알크기(pea-size)로 짠 양이 0.21 g이었으며, 소량의 세치제를 묻히는(smear) 방법을 이용하여 짠 양은 0.26 g으로 조사되어, 평소 통상적으로 짜는 방법보다 콩알크기(pea-size)로 짜는 방법이나 소량의 세치제를 묻히는(smear) 방법을 이용하면 더 적은양의 불소세치제를 사용할 수 있는 것으로 조사되었다(p<0.05). 3. 치위생과 학생들을 조사한 결과 콩알크기(pea-size)로 짰을 때의 양은 0.23 g이었고, smear 방법을 이용했을 때는 0.15 g으로 조사되어, 소량의 세치제를 묻히는(smear) 방법을 이용했을 때 더 적은 양의 불소세치제를 사용하는 것으로 조사되었다(p<0.05). 4. 아동과 치위생과 학생들의 세치제 짜는 방법에 따라 차이가 있는지 조사한 결과 콩알크기(pea-size)로 짰을 때는 두 집단 간의 차이가 없었으나(p>0.05), 소량의 세치제를 묻히는(smear)방법으로 짰을 때는 치위생과 학생들이 더 적은양의 불소세치제를 사용하는 것으로 조사되었다(p<0.05) 5. 두부가 작은 칫솔을 사용하면 불소세치제 사용량을 감소시킬 수 있으며, 콩알크기(pea-size)로 짜는 방법과 소량의 세치제를 묻히는(smear) 방법은 불소세치제 사용량의 감소로 부주의한 불소 섭취를 최소화할 수 있어 어린이에게 추천할 수 있다.

The purpose of this study was to prevent excessive use of fluorine toothpaste. To comparatively evaluate the amount used of the fluorine toothpaste in children from 3 to 6 years old, the toothpaste amount was compared according to toothbrush size and toothpaste squeezing method targeting 84 children in 5 child care centers where were located in Hongseong-gun, Chungnam. The toothpaste amount was compared with a method of squeezing to pea-size and a method of smear on toothbrush, targeting 141 students for the Dept. of Dental Hygiene, who are actually carrying out oral health education to targeting children. The statistical analysis was used SPSS 14.0 K for Windows program(Copyright(c) SPSS Inc.). The following results were obtained. 1. The amount of fluorine toothpaste squeezed on toothbrush for children was 0.29 g. The amount of fluorine toothpaste squeezed on toothbrush for adults was 0.34 g. It was surveyed to use the less amount of toothpaste when squeezing to smaller toothbrush (p<0.05). 2. The amount that children aged 3-6 squeezed as the method of squeezing commonly at ordinary times was 0.31g. The amount that was squeezing to pea-size was 0.21 g. The amount that was squeezed by using smear method was measured to be 0.26g. Less amount of fluorine toothpaste was used with the method of squeezing to pea-size and smear method rather than a method of squeezing commonly at ordinary times(p<0.05). 3. As a result of surveying the students of the department of dental hygiene, the amount of having squeezed to pea- size was 0.23 g. It was surveyed to be 0.15 g when having used the smear method. Thus, it was surveyed to use the less amount of toothpaste when using the smear method(p<0.05). 4. Using smaller toothbrush, the amount used of fluorine toothpaste can be reduced. Both smear method and the method of squeezing to pea-size are available for minimizing careless fluorine intake by less used amount of fluorine toothpaste.

키워드

참고문헌

  1. Adair SM et al.: Recommendations for using fluoride to prevent and control dental caries in the US. Atlanta (TX): Dept of health and Human Services (US), office of Centers for Disease Control and Prevention, 2001.
  2. Margoils HC, Moreno EC: Physicochemical perspectives on the cariostatic mechanism of systemic and topical fluorides. J Dent Res 69(Spec Iss): 606-613, 1990. https://doi.org/10.1177/00220345900690S119
  3. Ten Cate JM: In vitro studies on the effects of fluoride on deand remineralization. J Dent Res 69(Spec Iss): 614-619, 1990. https://doi.org/10.1177/00220345900690S120
  4. Nadanovsky P: Sugar consumption and dental caries. Br Dent J 177(8): 280-281, 1994. https://doi.org/10.1038/sj.bdj.4808586
  5. Hong L et al.: Timing of fluoride intake in relation to development of fluorosis on maxillary cental incisors. Community Dent Oral Epidemiol 34(4): 299-309, 2006. https://doi.org/10.1111/j.1600-0528.2006.00281.x
  6. Mascarenhas AK, Burt BA: Fluorosis risk from early exposure to fluoride toothpaste. Community Dent Oral Epidemiol 26(4):241-248, 1998. https://doi.org/10.1111/j.1600-0528.1998.tb01957.x
  7. Pendrys DG, Katz RV: Risk factors for enamel fluorosis in optimally fluoridated children born after the U.S. manufacturers' decision to reduce the fluoride concentration of infant formula. Am J Epidemiol 148(10): 967-973, 1998. https://doi.org/10.1093/oxfordjournals.aje.a009573
  8. Warren JJ, Levy SM: A review of fluoride dentifrice related to dental fluorosis. Pediatric Dent 21(1): 265-271, 1999.
  9. Naccache H et al.: Factors affecting the ingestion of fluoride dentifrice by children. Public Health Dent 52(4): 222-6, 1992. https://doi.org/10.1111/j.1752-7325.1992.tb02277.x
  10. Barnhart WE et al.: Dentifrice usage and ingestion among four age groups. J Dent Res 53(6): 1317-1322, 1974. https://doi.org/10.1177/00220345740530060301
  11. 대한소아치과학회. 어린이 구강건강관리. 5, 2008, [online] http:/ /www.kapd, org.
  12. Rock Wp: Young children and fluoride toothpaste. Br Dent J 177(1): 17-20, 1994. https://doi.org/10.1038/sj.bdj.4808490
  13. Bertley EM, Ellwood RP, Davies RM: Factors influencing the amount of fluoride toothpaste applied by the mothers of young children. Birt Dent J 183(11-12): 412-414, 1997. https://doi.org/10.1038/sj.bdj.4809522
  14. 손정희, 마득상: 세치제 구경크기와 짜는 방법에 따른 만 3-5세 아동의 일회 세치제 사용량 조사. 대한구강보건학회지 34(2): 134-138, 2010.
  15. 김희경, 배수명: 세치제를 짜는 방법에 따른 사용량 조사. 치위생과학회지 8(2): 103-107, 2008.
  16. Naccache H et al.: Variability in the Ingestion of Toothpaste by Preschool Children. Caries Res 24(5): 359-363, 1990. https://doi.org/10.1159/000261296
  17. Levy SM, Maurice TJ, Jakobsen JR: Dentifrice use among preschool children. JADA 124(9): 57-60, 1993.
  18. Adair SM, Piscitelli WP, McKnight-Hanes C: Comparison of the use of a child and an adult dentifrice by a sample of preschool children. Pediatr Dent 19(2): 99-103, 1997.
  19. World Health Organization: Fluorides and Oral Health. Technical Report Series, 846. Geneva: WHO, 1994.