Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on the Status of Dental Trauma in 14 - 16 Year-Old Adolescents in Yangsan

양산시 14~16세 청소년의 전치부 외상 상태에 대한 조사연구

  • Kim, Jongsoo (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Kim, Hyungjun (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Kim, Jiyeon (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Jeong, Taesung (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Kim, Shin (Department of Pediatric Dentistry, College of Dentistry, Pusan National University)
  • 김종수 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김형준 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김지연 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김신 (부산대학교 치의학전문대학원 소아치과학교실)
  • Received : 2014.02.20
  • Accepted : 2014.06.12
  • Published : 2014.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

The number of reported traumatic injuries has been increasing in recent years, particularly that of dental trauma in children and adolescents. While the risks associated with dental trauma in this population have been increasingly realized, domestic reports on this issue seem to be insufficient. The purpose of this study was to investigate the prevalence of dental trauma and to evaluate the relevant risk factors and the level of self-recognition. 1,371 adolescents attending middle schools at Yangsan were surveyed via clinical examination and questionnaire; the results were as follows: According to the clinical examination, the overall prevalence of dental trauma was 16.8% with preponderance of males (19.2%) compared to females (13.7%) (p < 0.05). The average number of injured teeth per adolescent with a history of trauma was 1.34. Comparing the prevalence, maxillary central incisors and enamel fracture occupied the highest ranks by tooth type and mode of trauma, respectively. Class II division 1 malocclusion and overjet exceeding 8.0 mm were identified as significant risk factors (p < 0.05). The degree of self-recognition of dental trauma showed a low coincidence rate compared with results of the clinical examination. Males expressed a higher level of satisfaction toward the results of treatment for dental trauma than females (p < 0.05).

치아외상은 현대사회에서 점차 증가하고 있으며 특히 어린이와 청소년에서 빈발한다. 그러나 치아외상의 위험성이 부각되고 있는 것에 반해, 이에 대한 국내 연구는 미미한 실정이다. 본 연구는 청소년의 치아 외상 유병률을 조사하고 위험요인을 평가하며 외상에 대한 주관적 인지정도를 파악할 목적으로 시행되었다. 양산시 소재 중학교에 재학중인 청소년 1,371명을 대상으로 임상검사 및 설문조사를 실시하여 다음과 같은 결과를 얻었다. 임상검사 상 치아 외상 유병률은 16.8%로 남자(19.2%)가 여자(13.7%)에 비해 높게 나타났고(p < 0.05), 외상 병력이 있는 사람의 일인 당 평균 외상 치아 수는 1.34개였다. 치종 별로는 상악 중절치에서, 외상의 유형에 따른 분류에서는 법랑질 파절에서 가장 높은 비중을 보였다. Class II division 1과 8.0 mm 이상의 수평피개가 외상의 위험요인으로 판단되었다(p < 0.05). 설문조사로 드러난 본인의 외상 인지도는 임상 검사의 결과와 일치하지 않았고, 치아 외상으로 인한 치료 결과에 대하여 남자가 더 높은 만족도를 나타냈다(p < 0.05).

Keywords

References

  1. Eilert Petersson E, L Schelp : An epidemiological study of non-fatal pedestrian injuries. Safety Science, 29:125-141, 1998. https://doi.org/10.1016/S0925-7535(98)00014-9
  2. Eilert-Petersson E, Andersson L, Sorensen S : Traumatic oral vs non-oral injuries. Swed Dent J, 21:55-68, 1997.
  3. Kaste LM, Gift HC, Bhat M, et al. : Prevalence of incisor trauma in persons 6 to 50 years of age:United States, 1988-1991. J Dent Res, 75:696-705, 1996. https://doi.org/10.1177/002203459607502S09
  4. Todd JE, Dodd T : Children's dental health in the United Kingdom 1983. HMSO, London, 1985.
  5. Andreasen JO, Andreasen FM : Dental traumatology : quo vadis, Endod Dent Traumatol, 6:78-80, 1990. https://doi.org/10.1111/j.1600-9657.1990.tb00395.x
  6. Andreasen JO, Andreasen FM, Andersson L : Textbook and Color Atlas of Traumatic Injuries to the Teeth, 4th ed. Blackwell-Munksgaard, Oxford, United Kingdom, 2007.
  7. Marcenes W, al Beiruti N, Tayfour D, et al. : Epidemiology of traumatic injuries to the permanent incisors of 9-12-year-old school children in Damascus, Syria. Endod Dent Traumatol, 15:117-123, 1999. https://doi.org/10.1111/j.1600-9657.1999.tb00767.x
  8. Birgen N, Inanici MA, Aliustaog lu S : The forensic evaluation of dental injuries in Istanbul, Turkey. Forensic Sci Int, 106:37-43, 1999. https://doi.org/10.1016/S0379-0738(99)00184-X
  9. Soriano EP, Caldos Jr AF, Amourium Filho HA, et al. : Prevalence and risk factors related to traumatic dental injuries in Brazilian school children. Dent Traumatol, 23:232-240, 2007. https://doi.org/10.1111/j.1600-9657.2005.00426.x
  10. Cortes MIS, Marcenes W, Sheiham A : Impact of traumatic injuries to the permanent teeth on the oral health-related qualithy of life in 12-14-year old children. Communit Dent Oral Epidemiol, 30:193-198, 2002. https://doi.org/10.1034/j.1600-0528.2002.300305.x
  11. Jennifer L Vlok, Emily MW, Bernadette KD, et al. : Young people’s perceptions of photographs of dental trauma. Dent Traumatol, 27:109-112, 2011. https://doi.org/10.1111/j.1600-9657.2010.00969.x
  12. World health organization : Oral health survey basic methods. 4th ed. WHO, Geneva, 1997.
  13. York AH, Hunter RM, Newton BJ, et al. : Dental injuries in 11- to 13 year-old children. N Z Dent J, 74:218-220, 1978.
  14. Heo SK, Choi NK, Park JI : A retrospective study of the traumatic injuries in the primary and permanent teeth. J Korean Acad Pediatr Dent, 35:642-651, 2008.
  15. Glendor U, Halling A, Andersson L, et al. : Incidence of truamatic tooth injuries in children and adolescents in the county of Vastmanland, Sweden. Swed Dent J, 20:15-28, 1996.
  16. Borum MK, Andreasen JO : Therapeutic and economic implications of traumatic dental injuries in Denmark: an estimate based on 7549 patients treated at a major trauma centre. Int J Paediatr Dent, 11:249-258, 2001.
  17. Marcenes W, Murray S : Changes in prevalence and treatment need for traumatic dental injuries among 14-year-old children in Newham, London: a deprived area. Community Dent Health, 19:104-108, 2002.
  18. O'Brien M : Children's Dental Health in the United Kingdom 1993. HMSO, London, 1994.
  19. Skaare AB, Jacobsen I : Dental injuries in Norwegians aged 7-18 years. Dent Traumatol, 19:67-71, 2003. https://doi.org/10.1034/j.1600-9657.2003.00133.x
  20. Baldava P, Anup N : Risk factors for traumatic dental injuries in an adolescent male population in India. J Contemp Dent Pract, 8:35-42, 2007.
  21. Nik-Hussein NN : Traumatic injuries to anterior teeth among school children in Malaysia. Dent Traumatol, 17:149-152, 2001. https://doi.org/10.1034/j.1600-9657.2001.170402.x
  22. Bastone Eb, Freer TJ, McNamara JR : Epidemiology of dental trauma-a review of literature. Aust Dent J, 45:2-9, 2000. https://doi.org/10.1111/j.1834-7819.2000.tb00234.x
  23. Rai SB, Munshi AK: Traumatic injuries to the anterior teeth among South Kanara school children-a prevalence study. J Indian Soc Pedod Prev Dent, 16:44-51, 1998.
  24. Wood EB, Freer TJ : A survey of dental and oral trauma in south-east Queensland during 1998. Aust Dent J, 47:142-146, 2002. https://doi.org/10.1111/j.1834-7819.2002.tb00318.x
  25. Traebert J, Peres MA, Blank V, et al. : Prevalence of traumatic dental injury and associated factors among 12-year-old school children in Florianopolis, Brazil. Dent Traumatol, 19:15-18, 2003. https://doi.org/10.1034/j.1600-9657.2003.00138.x
  26. Gabris K, Tarjan I, Rozsa N : Dental trauma in children presenting for treatment at the department of dentistry for children and orthodontics, Budapest, 1985-1999. Dent Traumatol, 17:103-108, 2001. https://doi.org/10.1034/j.1600-9657.2001.017003103.x
  27. Delattre JP, Resmond-Richard F, Allanche C, et al. : Dental injuries among schoolchildren aged from 6 to 15, in Rennes(France). Endod Dent Traumatol, 11:186-188, 1995. https://doi.org/10.1111/j.1600-9657.1995.tb00485.x
  28. Baik BJ, Yang YM, Kim JG, et al. : An investigation of traumatic dental injuries in children. J Korean Acad Pediatr Dent, 28:600-611, 2001.
  29. DiAngelis AJ, Andreasen JO, Ebeleseder KA, et al. : International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol, 28:2-12, 2012. https://doi.org/10.1111/j.1600-9657.2011.01103.x
  30. Chung CH, Lee JH, Choi BJ, et al. : Traumatic injuries to the upper incisors in primary and mixed dentition. J Korean Acad Pediatr Dent, 31:290-298, 2004.
  31. Garcia-Godoy F, Garcia-Godoy FM : Reasons for seeking treatment after traumatic dental injuries. Endod dent traumatol, 5:180-181, 1989. https://doi.org/10.1111/j.1600-9657.1989.tb00356.x
  32. Nquyen QV, Bezemer PD, Prahl-Andrsen B, et al. : A systemic review of the relationship between overjet size and traumatic dental injuries. Eur J Orthod, 21:503-515, 1999. https://doi.org/10.1093/ejo/21.5.503
  33. Hamdan MA, Rock AW : A study comparing the prevalence and distribution of traumatic dental injureis among 10-12 year old children in an urban and in a rural area of Jordan. Int J Paediatr Dent, 5:237-241, 1995. https://doi.org/10.1111/j.1365-263X.1995.tb00185.x
  34. Malmgren B, Andreasen JO, Flores MT, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol, 28:174-182, 2012. https://doi.org/10.1111/j.1600-9657.2012.01146.x
  35. World Health Organization : Health Promoting Schools: A Healthy Setting for Living, Learning and Working. WHO, Geneva, 1998.
  36. Choi SC, Park JH, Lee KH : A study of the traumatic injuries in the primary dentition. J Korean Acad Pediatr Dent, 30:618-625, 2003.