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Denture wearers' recognition for their oral health status, denture cleansing methods, and insurance health system

의치사용자의 구강건강, 의치관리 및 의치건강보험 인식에 대한 실태 조사

  • Kim, Sunjai (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University) ;
  • Kim, Seong-Kyun (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Noh, Kwantae (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Ahn, Su-Jin (Department of Biomaterials & Prosthodontics, Kyung Hee University Dental Hospital at Gangdong) ;
  • Baik, Sang-Hyun (S-Plant Dental Hospital) ;
  • Kim, Jee-Hwan (Department of Prosthodonitcs, College of Dentistry, Yonsei University) ;
  • Yoo, Dong-Ki (Yoo's Dental Clinic) ;
  • Kim, Kyoung-Rok (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University) ;
  • Kwon, Kung-Rock (Department of Prosthodontics, School of Dentistry, Kyung Hee University)
  • 김선재 (연세대학교 강남세브란스치과병원 치과보철과) ;
  • 김성균 (서울대학교 치의학대학원 치과보철학교실) ;
  • 노관태 (경희대학교 치의학전문대학원 치과보철학교실) ;
  • 안수진 (강동경희대학교 치과병원 생체재료 보철과) ;
  • 백상현 (에스플란트치과병원) ;
  • 김지환 (연세대학교 치과대학 치과보철학교실) ;
  • 유동기 (유동기 치과의원) ;
  • 김경록 (연세대학교 강남세브란스치과병원 치과보철과) ;
  • 권긍록 (경희대학교 치의학전문대학원 치과보철학교실)
  • Received : 2018.10.15
  • Accepted : 2018.10.19
  • Published : 2018.10.31

Abstract

Purpose: The aim of the present investigation was to understand the incidence, prevalence of denture stomatitis in denture wearers, who were over 60 years old, and use the results for a fundamental data to promote public awareness about denture stomatitis and its education tools. Materials and methods: From August 21 to September 8 2017, 500 denture wearers, who were more than 60 years old in Seoul and 4 other metropolitan cities (Busan, Daegu, Gwangju, and Daejeon), received questionnaires. The questionnaires included denture wearers' demographic distributions, specific dental treatment experiences, discomforts with current dentures, their oral health conditions, and the method of denture cleansing. Results: Thirty-two percent of 500 denture wearers responded that they have healthy oral conditions. Two hundred and eight respondents (41.6%) were aware of denture stomatitis. Only 131 (26.2%) were informed about the removable denture covered by national health insurance and 327 (65.4%) of denture wearers were using the improper denture cleansing methods. Conclusion: A large number of denture wearers still do not recognize the importance of proper treatment for denture stomatitis, insurance covered denture treatments, and adequate denture cleansing methods.

목적: 60세 이상의 의치사용자를 대상으로 구강 건강 상태, 의치 사용 및 관리 실태를 파악하여 올바른 의치 사용과 관리 중요성의 대국민 홍보 및 인식 제고를 위한 기초 자료로 활용하는 것이다. 대상 및 방법: 의치사용자의 구강건강상태, 의치성 구내염 현황 및 의치관리상태에 대해 2017년 8월 21일부터 9월 8일까지 서울 및 4대 광역시(부산, 대구, 광주, 대전)에서 60세 이상 남녀 중 현재 의치(총의치, 국소의치)를 사용하고 있는 자를 500명을 대상으로 조사하였다. 연구는 각 항목들에 대해 개별 면접 조사를 시행하였으며, 사용된 조사 항목은 응답자의 특성 8문항, 틀니 사용 현황 및 불편 경험 6문항, 구강 건강 상태(의치성 구내염 여부) 12문항, 틀니 관리 현황 7문항으로 구성되었다. 결과: 연구대상 의치사용자 중 161명(32.2%)은 본인의 구강 상태가 건강한 편으로 인식하고 있었고, 111명(22.2%)은 보통이라고 인식하고 있었다. 의치성 구내염은 208명(41.6%)에서 인지하고 있었다. 의치건강보험제도에 대해서는 조사대상자의 26.2%(131명)만이 인지하고 있었으며, 조사대상자의 65.4%(327명)의 의치사용자가 잘못된 의치 관리 방법을 사용하고 있었다. 결론: 본 연구에 따르면 의치사용자의 많은 수가 구강건강, 의치관리 및 의치건강보험에 대한 올바른 인식이 부족함을 알 수 있다.

Keywords

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