국민건강보험공단 표본코호트 DB를 이용한 스케일링 보험급여화 전후 실태조사

Evaluation of national health insurance coverage of periodontal scaling: A nationwide cohort study in Korea

  • 김영택 (국민건강보험공단 일산병원 치주과) ;
  • 이재홍 (국민건강보험공단 일산병원 치주과) ;
  • 권혜인 (국민건강보험공단 일산병원 치주과) ;
  • 이중석 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 최정규 (국민건강보험공단 일산병원 연구소 정책연구부) ;
  • 김동욱 (국민건강보험공단 일산병원 연구소 정책연구부) ;
  • 최성호 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소)
  • Kim, Young-Taek (Department of Periodontology, Ilsan Hospital, National Health Insurance Service) ;
  • Lee, Jae-Hong (Department of Periodontology, Ilsan Hospital, National Health Insurance Service) ;
  • Kweon, Helen Hye-In (Department of Periodontology, Ilsan Hospital, National Health Insurance Service) ;
  • Lee, Jung-Seok (Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University) ;
  • Choi, Jung-Kyu (Department of Policy Research Affairs, Ilsan Hospital, National Health Insurance Service) ;
  • Kim, Dong-Wook (Department of Policy Research Affairs, Ilsan Hospital, National Health Insurance Service) ;
  • Choi, Seong-Ho (Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University)
  • 투고 : 2016.05.12
  • 심사 : 2016.06.20
  • 발행 : 2016.08.01

초록

The aim of this study was to evaluate the effect of national health insurance coverage of periodontal scaling using the National Health Insurance Service-National Sample Cohort for 2009-2013. After the enforcement of periodontal scaling covered by national health insurance, the number of patients diagnosed with periodontal disease and received treatment, has increased from 35,234 to 99,576 people in the last 4 years. Further, the number of patients who received the treatment of periodontal disease more than once, have also increased to around 69% in 2013 when compared to 2012. Moreover, the number of patients receiving periodontal scaling has been steadily increasing every year. Among the patients who visited hospital for periodontal disease, there has been an increase of 280%. As a result, continuous public relations and long-term research on the effect of periodontal scaling as a prophylactic treatment is necessary.

키워드

과제정보

연구 과제 주관 기관 : 국민건강보험공단

참고문헌

  1. National Health Insurance Statistical Yearbook. National Health Insurance Service 2013:373.
  2. Petersen PE, Ogawa H. The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontol 2000 2012;60(1):15-39. https://doi.org/10.1111/j.1600-0757.2011.00425.x
  3. Petersen PE. World Health Organization global policy for improvement of oral health--World Health Assembly 2007. Int Dent J 2008;58(3):115-121. https://doi.org/10.1111/j.1875-595X.2008.tb00185.x
  4. FDI World Dental Federation. FDI policy statement on oral infection/ inflammation as a risk factor for systemic diseases. Int Dent J 2013b; 63:289-290. https://doi.org/10.1111/idj.12080
  5. Gil-Montoya JA, de Mello ALF, Barrios R, Gonzalez- Moles MA, Bravo M. Oral health in the elderly patient and its impact on general well-being: a nonsystematic review. Clin Interv Aging 2015;10.
  6. Lee JH, Lee JS, Park JY, Choi JK, Kim DW, Kim YT, Choi SH. Association of Lifestyle-Related Comorbidities With Periodontitis: A Nationwide Cohort Study in Korea. Medicine (Baltimore) 2015;94(37):e1567. https://doi.org/10.1097/MD.0000000000001567
  7. Taylor GW, Borgnakke WS. Periodontal disease: associations with diabetes, glycemic control and complications. Oral Dis 2008;14(3):191-203. https://doi.org/10.1111/j.1601-0825.2008.01442.x
  8. Al-Zahrani MS, Bissada NF, Borawskit EA. Obesity and periodontal disease in young, middle-aged, and older adults. J Periodontol 2003;74(5):610-615. https://doi.org/10.1902/jop.2003.74.5.610
  9. Tonetti MS, D'Aiuto F, Nibali L, Donald A, Storry C, Parkar M, Suvan J, Hingorani AD, Vallance P, Deanfield J. Treatment of periodontitis and endothelial function. N Engl J Med 2007;356(9):911-920. https://doi.org/10.1056/NEJMoa063186
  10. Sanz M, D'Aiuto F, Deanfield J, Fernandez-Aviles F. European workshop in periodontal health and cardiovascular disease-scientific evidence on the association between periodontal and cardiovascular diseases: a review of the literature. Eur Heart J Suppl 2010;12(B):B3-B12. https://doi.org/10.1093/eurheartj/suq003
  11. Tsao CW, Liu CY, Cha TL, Wu ST, Chen SC, Hsu CY. Exploration of the association between chronic periodontal disease and erectile dysfunction from a population-based view point. Andrologia 2015;47(5):513-518. https://doi.org/10.1111/and.12294
  12. Cugini MA, Haffajee AD, Smith C, Kent RL, Jr., Socransky SS. The effect of scaling and root planing on the clinical and microbiological parameters of periodontal diseases: 12-month results. J Clin Periodontol 2000;27(1):30-36. https://doi.org/10.1034/j.1600-051x.2000.027001030.x
  13. Haffajee AD, Cugini MA, Dibart S, Smith C, Kent RL, Jr., Socransky SS. The effect of SRP on the clinical and microbiological parameters of periodontal diseases. J Clin Periodontol 1997;24(5):324-334. https://doi.org/10.1111/j.1600-051X.1997.tb00765.x
  14. Dahlen G, Lindhe J, Sato K, Hanamura H, Okamoto H. The effect of supragingival plaque control on the subgingival microbiota in subjects with periodontal disease. J Clin Periodontol 1992;19(10):802-809. https://doi.org/10.1111/j.1600-051X.1992.tb02174.x
  15. Ximenez-Fyvie LA, Haffajee AD, Som S, Thompson M, Torresyap G, Socransky SS. The effect of repeated professional supragingival plaque removal on the composition of the supra- and subgingival microbiota. J Clin Periodontol 2000;27(9):637-647. https://doi.org/10.1034/j.1600-051x.2000.027009637.x
  16. Ogawa H, Yoshihara A, Hirotomi T, Ando Y, Miyazaki H. Risk factors for periodontal disease progression among elderly people. J Clin Periodontol 2002;29(7):592-597. https://doi.org/10.1034/j.1600-051X.2002.290702.x
  17. Hirotomi T, Yoshihara A, Yano M, Ando Y, Miyazaki H. Longitudinal study on periodontal conditions in healthy elderly people in Japan. Community Dent Oral Epidemiol 2002;30(6):409-417. https://doi.org/10.1034/j.1600-0528.2002.00005.x
  18. Lee MY, Chang SJ, Kim CB, Chung WG, Choi EM, Kim NH. Community periodontal treatment needs in South Korea. Int J Dent Hyg 2015;13(4):254-260. https://doi.org/10.1111/idh.12102
  19. Axelsson P, Lindhe J. The significance of maintenance care in the treatment of periodontal disease. J Clin Periodontol 1981;8(4):281-294. https://doi.org/10.1111/j.1600-051X.1981.tb02039.x
  20. Al-Shammari KF, Al-Khabbaz AK, Al-Ansari JM, Neiva R, Wang HL. Risk indicators for tooth loss due to periodontal disease. J Periodontol 2005;76(11):1910-1918. https://doi.org/10.1902/jop.2005.76.11.1910
  21. Stewart R, West M. Increasing Evidence for an Association Between Periodontitis and Cardiovascular Disease. Circulation 2016;133(6):549-551. https://doi.org/10.1161/CIRCULATIONAHA.115.020869
  22. Kodovazenitis G, Pitsavos C, Papadimitriou L, Vrotsos IA, Stefanadis C, Madianos PN. Association between periodontitis and acute myocardial infarction: a case-control study of a nondiabetic population. J Periodontal Res 2014;49(2):246-252. https://doi.org/10.1111/jre.12101
  23. Michaud DS, Joshipura K, Giovannucci E, Fuchs CS. A prospective study of periodontal disease and pancreatic cancer in US male health professionals. J Natl Cancer Inst 2007;99(2):171-175. https://doi.org/10.1093/jnci/djk021