대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제46권3호
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  • Pages.301-309
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  • 2019
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  • 1226-8496(pISSN)
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  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
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정량광형광기를 이용한 어린이의 구강건강관리교육 효과

Effectiveness of Oral Health Education Program using Home-using Portable Device for Children

  • 이정상 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김신 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 신종현 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 이은경 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김지연 (부산대학교 치의학전문대학원 소아치과학교실)
  • Lee, Jeongsang (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Kim, Shin (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Jeong, Taesung (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Shin, Jonghyun (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Lee, Eungyung (Department of Pediatric Dentistry, College of Dentistry, Pusan National University) ;
  • Kim, Jiyeon (Department of Pediatric Dentistry, College of Dentistry, Pusan National University)
  • 투고 : 2019.02.26
  • 심사 : 2019.04.10
  • 발행 : 2019.08.31
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초록

이 연구에서는 휴대용 정량광형광기인 Q-scan을 이용한 구강관리교육이 어린이가 구강관리를 하는데 있어서 얼마나 효과적인 지를 평가하였다. 6 - 12세의 어린이 중 치아우식위험도 검사결과 중위험 또는 고위험도로 분류된 58명을 대상으로 하였다. 대상자들을 Q-scan 사용군(I군)과 대조군(II군)의 두 군으로 나누고, Qray-cam을 이용하여 simple plaque score (SPS)를 평가한 뒤, 동일한 구강관리교육을 시행하였다. I군에게는 추가적으로 Q-scan을 매일 사용하게 하였다. 한 달 뒤 두 군 모두 SPS와 Cariview score를 재평가하였다. 두 군 모두 구강관리교육 후 Cariview score 및 SPS의 유의한 감소가 있었다(p < 0.001). 두 군 간의 변화된 Cariview score 차이는 유의하였고(p = 0.022), I군에서 II군 대비 감소폭이 더 컸으며, SPS 차이는 유의하지 않았다(p = 0.937). 어린이의 구강위생상태를 개선시키는 것은 기존의 구강관리교육만으로도 효과적이었다고 볼 수 있으나, 가정에서 휴대용 정량광형광기를 추가로 사용하는 것은 구강관리에 대한 어린이들의 행동변화를 유도하는 데에 도움을 주므로 더 효과적인 방법으로 볼 수 있다.

This study was performed to determine the effectiveness of oral health education program with a home-using portable device according to the individual oral health status in children. 58 children who were 6 - 12 years old were included in this study. All subjects were affiliated to moderate or high caries risk group based on caries risk test. They were divided into 2 groups: (I) home-using portable device group (II) control group. Both groups were evaluated with simple plaque score (SPS) using camera type quantitative light-induced fluorescence device and educated with identical oral health education methods. Subjects in group I were demanded to use a home-using portable device. After 1 month, both groups were re-evaluated. Cariview score that can reflect the acidogenic potential of plaque bacteria was statistically reduced in both groups (p < 0.001). There was a statistically significant difference between two groups in the change of Cariview score (p = 0.022). In group I, the decrease was larger than that in group II. There was no statistically significant difference in the change of SPS (p = 0.937). Oral health education improved oral hygiene status in children. However, this study confirmed that it was much more effective to improve oral health status in children with a home-using portable device in their daily oral hygiene care.

키워드

참고문헌

  1. Sandstrom A, Cressey J, Stecksen-Blicks C : Toothbrushing behaviour in 6-12 year olds. Int J of Pediatr Dent, 21:43-49, 2011. https://doi.org/10.1111/j.1365-263X.2010.01080.x
  2. Kang BH, Park SN, Sohng KY, Moon JS : Effect of a toothbrushing education program on oral health of preschool children. J Korean Acad Nurs, 38:914-922, 2008. https://doi.org/10.4040/jkan.2008.38.6.914
  3. American Academy of Pediatric Dentistry : Clinical guideline on infant oral health care. Pediatr Dent, 26:67-70, 2004.
  4. Borges-Yanez SA, Castrejon-Perez RC, Camacho MEI : Effect of a School-Based Supervised Tooth Brushing Program In Mexico City: A Cluster Randomized Intervention. J Clin Pediatr Dent, 41:204-213, 2017. https://doi.org/10.17796/1053-4628-41.3.204
  5. Qureshi A, Saadat S, Qureshi H : Effectiveness of guided tooth brushing program for children with visual impairments-a randomized controlled trial. Biomed Res, 28:1483-1486, 2017.
  6. Machale P, Hegde-Shetiya S, Kakade S, et al. : Effect of using an intra-oral camera as a reinforcement tool for plaque control in a supervised toothbrushing program: An interventional study. J Indian Assoc Public Health Dent, 14:110-115, 2016. https://doi.org/10.4103/2319-5932.183807
  7. Furusawa M, Takahashi J, Yatabe K, et al. : Effectiveness of dental checkups incorporating tooth brushing instruction. Bull Tokyo Dent Coll, 52:129-133, 2011. https://doi.org/10.2209/tdcpublication.52.129
  8. Walsh MM : Effects of school-based dental health education on knowledge, attitudes and behavior of adolescents in San Francisco. Community Dent and Oral Epidemiol, 13:143-147, 1985. https://doi.org/10.1111/j.1600-0528.1985.tb00430.x
  9. Hart EJ, Behr MT : The effects of educational intervention & parental support on dental health. J Sch Health, 50:572-576, 1980. https://doi.org/10.1111/j.1746-1561.1980.tb02059.x
  10. Lachapelle D, Desaulniers G, Bujold N : Dental health education for adolescents: assessing attitude and knowledge following two educational approaches. Can J Public Health, 80:339-344, 1989.
  11. Stolpe JR, Mecklenburg RE, Lathrop RL : The effectiveness of an educational program on oral health in schools for improving the application of knowledge. J Public Health Dent, 31:48-59, 1971. https://doi.org/10.1111/j.1752-7325.1971.tb00586.x
  12. Khudanov B, Jung HI, Kim BI, et al. : Effect of an oral health education program based on the use of quantitative lightinduced fluorescence technology in Uzbekistan adolescents. Photodiagnosis Photodyn Ther, 21:379-384, 2018. https://doi.org/10.1016/j.pdpdt.2018.01.012
  13. Cho SH, Lee HS, Choi HJ, et al. : Correlation between caries experience and new colorimetric caries activity test in children. J Korean Acad Pediatr Dent, 42:30-37, 2015.
  14. Hwang HR, Cho YS, Kim BI : Assessment of clinical applicability of a new plaque scoring system using quantitative light-induced fluorescence-digital. J Dent Hyg Science, 14:150-157, 2014.
  15. Kim BI : QLF concept and clinical implementation. J Korean Dent Assoc, 49:443-450, 2011.
  16. Kasila K, Poskiparta M, Kettunen T, Pietila I : Oral health counselling in changing schoolchildren's oral hygiene habits: a qualitative study. Community Dent Oral Epidemiol, 34:419-428, 2006. https://doi.org/10.1111/j.1600-0528.2006.00288.x
  17. Block PL, Lobene RR, Derdivanis JP : A two-tone dye test for dental plaque. J Periodontol, 43:423-426, 1972. https://doi.org/10.1902/jop.1972.43.7.423
  18. Gallagher IH, Fussell SJ, Cutress TW : Mechanism of action of a two-tone plaque disclosing agent. J Periodontol, 48:395-396, 1977. https://doi.org/10.1902/jop.1977.48.7.395
  19. Lim LP, Tay FB, Waite IM, Cornick DE : A comparison of 4 techniques for clinical detection of early plaque formed during different dietary regimes. J Clin Periodontol, 13:658-665, 1986. https://doi.org/10.1111/j.1600-051X.1986.tb00862.x
  20. Han SY, Kim BR, Kim BI, et al. : Assessing the use of quantitative light-induced fluorescence-digital as a clinical plaque assessment. Photodiagnosis Photodyn Ther, 13:34-39, 2016. https://doi.org/10.1016/j.pdpdt.2015.12.002
  21. Kim YS, Lee ES, Kwon HK, Kim BI : Monitoring the maturation process of a dental microcosm biofilm using the Quantitative Light-induced Fluorescence-Digital (QLF-D). J Dent, 42:691-696, 2014. https://doi.org/10.1016/j.jdent.2014.03.006
  22. Uttamlal M, Holmes-Smith AS : The excitation wavelength dependent fluorescence of porphyrins. Chemical Physics Letters, 454:223-228, 2008. https://doi.org/10.1016/j.cplett.2008.02.012
  23. Konig K, Flemming G, Hibst R : Laser-induced autoflyorescence spectroscpoy of dental caries. Cell Mol Biol, 44:1293-1300, 1998.
  24. Lee SR, Kim JH, Huh SY : Comparative study of dental plaque reduction according to various mouthwashes using quantitative light Induced fluorescence-digital. J Dent Hyg Science, 13:434-439, 2013.
  25. Takahashi N, Nyvad B : Caries ecology revisited: microbial dynamics and the caries process. Caries Res, 42:409-418, 2008. https://doi.org/10.1159/000159604
  26. Kim ES, Lee ES, Kim BI, et al. : A new screening method to detect proximal dental caries using fluorescence imaging. Photodiagnosis Photodyn Ther, 20:257-262, 2017. https://doi.org/10.1016/j.pdpdt.2017.10.009
  27. Jung EH, Lee ES, Kim BI, et al. : Assessing the clinical validity of a new caries activity test using dental plaque acidogenicity. J Korean Acad Oral Health, 38:77-81, 2014. https://doi.org/10.11149/jkaoh.2014.38.2.77
  28. Lee JY : Effects of a video oriented oral health education program on toothbrushing behavior and plaque control ability for lower grade elementary school children. Graduate School of Inje University, 2018.
  29. Shenoy RP, Sequeira PS : Effectiveness of a school dental education program in improving oral health knowledge and oral hygiene practices and status of 12 to 13-year-old school children. Indian J Dent Res, 21:253-259, 2010. https://doi.org/10.4103/0970-9290.66652
  30. Yeo AN, Lee SY : The convergent effects of oral health education feedback using QraycamTM. J Korea Converg Soc, 8(3):63-70, 2017. https://doi.org/10.15207/JKCS.2017.8.3.063