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소아에서 치아 우식 경험과 새로운 치아 우식 활성 비색 검사

Correlation between Caries Experience and New Colorimetric Caries Activity Test in Children

  • 조성현 (연세대학교 치과대학 소아치과학교실) ;
  • 이효설 (연세대학교 치과대학 소아치과학교실) ;
  • 최병재 (연세대학교 치과대학 소아치과학교실) ;
  • 김백일 (연세대학교 치과대학 예방치과학교실) ;
  • 김성오 (연세대학교 치과대학 소아치과학교실) ;
  • 최형준 (연세대학교 치과대학 소아치과학교실)
  • Cho, Seonghyeon (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Lee, Hyoseol (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Choi, Byungjai (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Kim, Bakil (Department of Preventive Dentistry and Public Oral Health, College of Dentistry, Yonsei University) ;
  • Kim, Seongoh (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Choi, Hyungjun (Department of Pediatric Dentistry, College of Dentistry, Yonsei University)
  • 투고 : 2014.07.18
  • 심사 : 2014.11.06
  • 발행 : 2015.02.28

초록

새로운 우식 활성 비색 검사인 $Cariview^{(R)}$는 새로운 pH 지시약을 사용해서 치태 세균의 산 생산 능력을 더 잘 반영할 수 있다. 본 연구는 소아에서 $Cariview^{(R)}$와 치아 우식 경험(dmft index)과의 상관성을 평가하고, $Cariview^{(R)}$를 Dentocult $SM^{(R)}$과 비교할 목적으로 수행되었다. 만5세 이하 135명의 소아를 대상으로 dmft를 기록했으며, $Cariview^{(R)}$와 Dentocult $SM^{(R)}$ 두 가지 우식 활성 검사를 제조사 지시에 따라 시행하였다. 그 결과, $Cariview^{(R)}$는 소아의 치아 우식 경험과 중등도의 상관관계를 보였다(r = 0.43, p < 0.01). 치아 우식증 예측에 있어 $Cariview^{(R)}$는 민감도 68.8%, 특이도 69.2%, ROC 곡선 분석의 곡선하면적(AUC) 0.686으로 Dentocult $SM^{(R)}$에 비해 양호한 수치를 보였다. $Cariview^{(R)}$는 비협조적인 어린이에게도 시행이 쉽고 편리하며 시각적인 색상으로 나타나 구강위생교육 도구로서 가치가 있다.

A new colorimetric test ($Cariview^{(R)}$) using a new type of pH indicator can reflect the acidogenic potential of plaque bacteria. The objective of this study was to evaluate the correlation between $Cariview^{(R)}$ and the caries experience (measured through the dmft index) of children, and to compare $Cariview^{(R)}$ with Dentocult $SM^{(R)}$. Having obtained informed consent, 135 children less than 6 years old participated in the study. We examined their dmft index, and performed two caries activity tests ($Cariview^{(R)}$ and Dentocult $SM^{(R)}$) according to the manufacturers' instructions. In the results, $Cariview^{(R)}$ showed a moderate correlation with the dmft index (r = 0.43, p < 0.01). $Cariview^{(R)}$ showed a sensitivity of 68.8%, a specificity of 69.2%, and an area under curve of 0.686 in the ROC curve analysis. $Cariview^{(R)}$ had a significant correlation with the children's caries experience and had a slightly better explanatory ability than Dentocult $SM^{(R)}$. Furthermore, $Cariview^{(R)}$ was convenient and easy to use on uncooperative children, and also had an educational effect with its visual colors. It is suggested that $Cariview^{(R)}$ could be used clinically to identify the children susceptible to develop caries and to establish a preventive strategy.

키워드

참고문헌

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피인용 문헌

  1. Evaluation of Caries Status among Adolescents in Jeonju City with WHO Basic Methods, International Caries Detection and Assessment System II (ICDAS-II) vol.43, pp.4, 2016, https://doi.org/10.5933/JKAPD.2016.43.4.382
  2. Prevalence and Etiology of Molar Incisor Hypomineralization in Children Aged 8 - 9 Years vol.43, pp.4, 2016, https://doi.org/10.5933/JKAPD.2016.43.4.410
  3. Correlation of Caries Experience and Activity between Mothers and Their Children Using a Colorimetric Test vol.45, pp.2, 2018, https://doi.org/10.5933/JKAPD.2018.45.2.162