The effect of plaque control (tooth brushing instruction) for oral health improvement on periodontitis patients

치주질환자 구강관리능력 향상을 위한 치면세균막관리(잇솔질교육)에 관한 연구

  • 김설희 (호원대학교 치위생학과)
  • Received : 2011.03.07
  • Accepted : 2011.04.15
  • Published : 2011.04.30

Abstract

Objectives : The aim of the trial was to study the effect of plaque control(tooth brushing instruction) for oral health improvement on periodontitis patients. Methods : 30 patients(35~65 years) with advanced periodontal disease were subjected to a baseline examination including assessment of oral hygiene status(O'leary index), gingival condition(bleeding). the assessment were repeated after 2, 4, 6 weeks. cognitive, behavioral and clinical outcomes were assessed in the primary care setting by questionnaire and clinical oral examination. Results : The oral hygiene status expressed as the individual mean percentage of tooth surfaces with plaque 59.3% at baseline and 21.2% after 6 weeks(p<0.001). The gingival bleeding status expressed as the individual mean point of interdental papilla 3.8 at baseline and 1.9 after 6 weeks(p<0.001). Also, the patients self-assessment about correct tooth brushing behavior was 3.9(5-point likert scales), satisfaction of plan practices 4.1(5-point likert scales), efficacy of tooth brushing instruction 8.7(10-point likert scales). Patients wanted to continuous participation. Conclusions : A verification of effect after individualized oral health instruction and repeated dental plaque control represented to significance on plaque control score, oral care practice and oral health recognition. The important oral care step against periodontal disease is to establish good oral health habits. Also, oral health behavior recognition is more important for the practice of oral health. Therefore professional plaque control and tooth brushing instruction absolutely need in improving oral health.

Keywords

References

  1. 국민건강보험공단. 2008년 통계연보. 서울:국민건강보험공단;2009:580
  2. 김종배, 최유진, 백대일 외5인. 예방치학. 4차개정판. 서울:고문사;2009:294, 235, 90.
  3. Slots J, Jorgensen MG. Efficient antimicrobial treatment in periodontal maintenance care. J Am Dent Assoc. 2000;131(9):1293-304.
  4. 장기완. 전문가잇솔질에 의한 치면세균막관리. 대한치과의사협회지 2001;39(6):443-449.
  5. Clarkson JE, Young L, Ramsay CR, Bonner BC, Bonetti D. How to influence patient oral hygiene behavior effectively. J Dent Res 2009;88(10):933-7. https://doi.org/10.1177/0022034509345627
  6. 송근배, 나채환, 김정숙, 정성화. 치주수술 전후 구강보건행태 및 치주질환 인지도의 변화와 치주조직 임상지수와의 관계. 대한구강보건학회지 2002;26(1):101-115 .
  7. Stabholz A, Mann J, Berkey D. periodontal health and the role of the dental hygienist. Int Dent J 1998;48(1):50-55. https://doi.org/10.1111/j.1875-595X.1998.tb00694.x
  8. Badersten A, Nilveus R, Egelberg J. Effect nonsurgical periodontal therapy. J Clin Periodontol 1981;8(1):57-72. https://doi.org/10.1111/j.1600-051X.1981.tb02024.x
  9. 엄미란, 정동빈, 박덕영. 맞춤형 반복교육에 따른 치면세균막관리점수 개선 효과. 대한구강보건학회지 2009;33(1):10-18.
  10. Saxer UP, Yankell SL. Impact of improved toothbrushes on dental diseases. I. Quintessence Int 1997;28(8):513-25.
  11. Rustogi KN, Curtis JP, Volpe AR, Kemp JH, McCool JJ, Korn LR. Refinement of the Modified Navy Plaque Index to increase plaque scoring efficiency in gumline and interproximal tooth areas. J Clin Dent 1992;3(c):9-12.
  12. Cooper BR, Monson AL. Patient satisfaction in a restorative functions dental hygiene clinic. J Dent Educ 2008;72(12):1510-5.
  13. Ross CE, Wheaton B, Duff RS. Client satisfaction and the organization of medical practice: why time counts. J Health Soc Behav 1981;22(3):243-55. https://doi.org/10.2307/2136519
  14. 신원창, 강성귀, 김동기. 비외과적 방법에 의한 치주 질환 개선효과에 관한 연구. 대한구강보건학회지 2001;25(2):109-121.
  15. Jorgensen MG, Slots J. Antimicrobials in periodontal maintenance. J Dent Hyg. 2001;75(3):233-9.
  16. 이은주, 박은희. 성인의 자기구강건강인지 특성, 구강보건 행동인식 및 구강보건 실천의 연관성 연구. 대한구강보건학회지 2010;34(4):595-602.