Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지

THREE-YEAR LONGITUDINAL STUDY ON THE PREDICTABILITY OF THE RELATED FACTORS OF THE CARIES INCIDENCE ACCORDING TO THE DURATION

예측기간에 따른 영구치 우식발생 연관 요인의 예측능 평가

  • Kim, Sung-Ki (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Jin-Bom (Department of Preventive and Community Dentistry, School of Dentistry, Pusan National University) ;
  • Bae, Kwang-Hak (Department of Preventive and Public Health Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Shin (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Jeong, Tae-Sung (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
  • 김성기 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김진범 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 배광학 (서울대학교 치의학전문대학원 예방치학교실) ;
  • 김신 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실)
  • Received : 2010.08.15
  • Accepted : 2010.10.19
  • Published : 2010.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to analyse the stability and validity of the related factors to the caries incidence according to the duration. The subjects were 249 elementary school students. Among them, the number of male students was 137 (55.0%). In the first year, all subjects gave the responses of the questionnaire composed of demographic variables and oral heath behaviors. They also received oral examination and tests of Dentocult SM and Dentocult LB. In the 2nd-4th year, they received second oral examination for the assessment of caries incidence on permanent teeth. The relation of oral health-related factors with caries incidence was analyzed by chi square method and adjusted Relative Risk (RR). In the caries incidence rate for 1 year, those who had 2 or higher score of dentocult LB was 2.3 times higher than those who had 1 or lower. The caries incidence rate for 2 years was highly associated with caries on deciduous molars and dentocult LB. The caries on deciduous molars showed strong association with the caries incidence for 3 years. It was suggested that the association between the caries incidence and the related factors was different according to the duration. Therefore, dentists could need to consider the visiting period in the education of the risk factors of dental caries.

영구치 우식발생에 작용하는 다양한 요인들의 예측기간에 따른 예측인자로서의 타당성과 안정성을 평가하기 위하여, 부산광역시 D 초등학교 1학년 남녀 학생 249명을 대상으로 연구 1차년도에는 3년간 추적 조사할 우식발생 관련 요인의 확인을 위하여 대상자의 유구치 우식상태, 구강건강관리행위, 인구통계학적 변수, 타액과 구내미생물의 특성에 대하여 조사하였고, 연구 2-4차년도에는 각각 대상자의 1-3년간 영구치 우식발생 여부를 조사하여 다음과 같은 결론을 얻었다. 1. 1년간 영구치 우식발생은 Dentocult LB 판정결과가 2도 이상인 학생이 1도 이하인 학생에 비하여 2.3배 높았다. 2. 2년간 영구치 우식발생은 우식경험유구치면수가 0개인 학생에 비하여 1-10개인 학생이 5.2배, 11개 이상인 학생이 6.3배 높았다. 3. 2년간 영구치 우식발생은 Dentocult LB 판정결과가 2도 이상인 학생이 1도 이하인 학생에 비하여 2.3배 높았다(p=0.036). 4. 3년간 영구치 우식발생은 우식경험유구치면수가 0개인 학생에 비하여 1-10개인 학생이 3.9배, 11개 이상인 학생이 8.5배 높았다.

Keywords

References

  1. 김종배, 백대일, 문혁수, 마득상: 한국의 발치원인비중에 관한 조사연구. 대한구강보건학회지, 19:17-28, 1995.
  2. 한국구강보건협회: 한국인 구강질환에 관한 역학조사보고. 1972.
  3. 국민구강보건연구소: 1995년 국민구강건강조사보고. 1995.
  4. 보건복지부: 2000년도 국민구강건강실태조사. 2001.
  5. 보건복지부: 2003년도 국민구강건강실태조사. 2004.
  6. 보건복지부: 2006년도 국민구강건강실태조사. 2007.
  7. 보건복지부 구강보건사업지원단: 국민건강증진종합계획 2010 수정, 보완을 위한 구강보건분과포럼 자료집. 2005.
  8. Heller KE, Reed SG, Bruner FW, et al.: Longitudinal evaluation of sealing molars with and without incipient dental caries in a public health program. J Public Health Dent, 55:148-153, 1995. https://doi.org/10.1111/j.1752-7325.1995.tb02358.x
  9. Leverett DH, Handelman SL, Brenner CM, Iker HP: Use of sealants in the prevention and early treatment of carious lesions: cost analysis. J Am Dent Assoc, 106:39-42, 1983.
  10. Weintraub JA, Stearns SC, Burt BA, et al.: A retro spective analysis of the cost-effectiveness of dental sealants in a children's health center. Soc Sci Med, 36:1483-1493, 1993. https://doi.org/10.1016/0277-9536(93)90390-P
  11. Beck JD, Kohout F, Hunt RJ: Identification of high caries risk adults: attitudes, social factors and diseases. Int Dent J, 38:231-238, 1988.
  12. Helderman WH, Mulder J, van'T Hof MA, Truin GJ: Validation of a Swiss method of caries prediction in Dutch children. Community Dent Oral Epidemiol, 29:341-345, 2001. https://doi.org/10.1034/j.1600-0528.2001.290503.x
  13. Graves RC, Disney JA, Beck JD, et al.: The University of North Carolina caries risk assessment study: caries increments of misclassified children. Community Dent Oral Epidemiol, 20:169-174, 1992. https://doi.org/10.1111/j.1600-0528.1992.tb01710.x
  14. Vanobbergen J, Martens L, Lesaffre E, et al.: The value of a baseline caries risk assessment model in the primary dentition for the prediction of caries incidence in the permanent dentition. Caries Res, 35:442-450, 2001. https://doi.org/10.1159/000047488
  15. Zickert I, Emilson CG, Krasse B: Streptococcus mutans, lactobacilli and dental health in 13-14- year-old Swedish children. Community Dent Oral Epidemiol, 10:77-81, 1982. https://doi.org/10.1111/j.1600-0528.1982.tb00367.x
  16. 진보형, 문혁수, 백대일, 김종배: 6세 아동의 1년후 우식경험영구치면수 증가여부 예측모형개발에 관한 연구. 대한구강보건학회지, 16:429-451, 1992.
  17. 박덕영, 문혁수, 김종배: 6세 아동에서 2년후 우식경험 영구치면수 증가여부를 예측하는 모형의 개발에 관한 연구. 대한구강보건학회지, 17:240-267, 1993.
  18. 박덕영, 문혁수, 김종배, 백대일: 초등학생 치아우식발생 예측모형 개발에 관한 연구. 서울치대논문집, 21:70-92, 1997.
  19. 김경희, 이흥수, 김수남: 비색산 생성도분급법을 이용한 우식원세균활성도검사의 치아우식발생예측 타당도에 관한 연구. 대한구강보건학회지, 24:421-440, 2000.
  20. 권호근, 김백일, 이영희, 등: 로지스틱 다중회귀분석에 의한 초등학교 학생들의 치아우식증 발생 위험 요인에 대한 연구. 대한구강보건학회지, 21:1-22, 1997.
  21. 배광학, 전은주, 신동혁, 등: 유치우식증 발생과 우식활성 검사 결과의 상관성. 산업구강보건학술지, 13:65-76, 2004.
  22. 나수정, 신희재, 신준혁, 등: 유치우식경험도와 영구치우식 경험도 간의 상관관계 분석. 대한구강보건학회지, 28:211-228, 2004.
  23. Soderholm G, Birkhed D: Caries predicting factors in adult patients participating in a dental health program. Community Dent Oral Epidemiol, 16:374-377, 1988. https://doi.org/10.1111/j.1600-0528.1988.tb00585.x
  24. 노희진, 최충호, 손우성: 청소년의 구강보건행태와 구강보건교육횟수의 연관성. 대한구강보건학회지, 32:203-213, 2008.
  25. Helfenstein U, Steiner M, Marthaler TM: Caries prediction on the basis of past caries including precavity lesions. Caries Res, 25:372-376, 1991. https://doi.org/10.1159/000261394
  26. Emilson CG, Krasse B: Support for and implications of the specific plaque hypothesis. Scand J Dent Res, 93:96-104, 1985.
  27. Loesche WJ: Role of Streptococcus mutans in human dental decay. Microbiol Rev, 50:353-380, 1986.
  28. Fitzgerald RJ, Fitzgerald DB, Adams BO, Duany LF: Cariogenicity of human oral lactobacilli in hamsters. J Dent Res, 59:832-837, 1980. https://doi.org/10.1177/00220345800590051501
  29. Klock B, Krasse B: A comparison between different methods for prediction of caries activity. Scand J Dent Res, 87:129-139, 1979.
  30. Jensen B, Bratthall D: A new method for the estimation of mutans streptococci in human saliva. J Dent Res, 68:468-471, 1989. https://doi.org/10.1177/00220345890680030601
  31. Larmas M: A new dip-slide method for the counting of salivary lactobacilli. Proc Finn Dent Soc, 71:31- 35, 1975.
  32. Jigjid B, Ueno M, Shinada K, Kawaguchi Y: Early childhood caries and related risk factors in Mongolian children. Community Dent Health, 26: 121-128, 2009.
  33. Shi S, Deng Q, Hayashi Y, et al. A follow-up study on three caries activity tests. J Clin Pediatr Dent, 27:359-364, 2003.
  34. Zukanovic A, Muratbegovic A, Kobaslija S, et al.: Relationships between socioeconomic backgrounds, caries associated microflora and caries experience in 12-year-olds in Bosnia and Herzegovina in 2004. Eur J Paediatr Dent, 9:118-124, 2008.