DOI QR코드

DOI QR Code

A Trend of Treatment in Department of Pediatric Dentistry for 10 Years

최근 10년간 단국대학교 치과병원 소아치과의 진료 경향

  • Kim, Hyewon (Department of Pediatric Dentistry, College of Dentistry, Dankook University) ;
  • Kim, Jongbin (Department of Pediatric Dentistry, College of Dentistry, Dankook University)
  • 김혜원 (단국대학교 치과대학 소아치과학교실) ;
  • 김종빈 (단국대학교 치과대학 소아치과학교실)
  • Received : 2019.05.23
  • Accepted : 2019.06.14
  • Published : 2019.08.31

Abstract

The purpose of this study is to analyze the changes in patient distribution and practice pattern resulted from changes of socioeconomic circumstances. From January 2008 to December 2017, information about patient distribution and practice pattern was collected and reviewed. Both the number of new patients and revisiting patients increased. The average age of new patients showed a declining trend. Children aged between 0 and 6 had the majority. In case of restorative treatment, the use of composite resin decreased, whereas resin modified glass ionomer increased. As to pulp treatment of primary tooth, the proportion of pulpectomy increased significantly, but decreased in pulpotomy. The results showed an increase in the treatments under sedation and general anesthesia and with the use of midazolam and nitric oxide increased after 2014.

이 연구의 목적은 변화하는 사회경제적 환경에 따른 소아치과의 환자 분포와 진료 양상 변화를 파악하는 데 있다. 2008년 1월부터 2017년 12월까지 단국대학교 치과병원 소아치과의 환자분포와 진료 현황에 대한 정보를 분석하였다. 초진 환자 수와 재진 환자 수 모두 증가하였다. 초진 환자의 평균 연령은 감소하는 추세를 보였고, 만 0 - 6세 학령기 전 환아가 다수를 차지했다. 수복치료의 경우 복합레진 수복은 감소하였고, 레진강화형 글라스아이오노머 수복은 증가하였다. 유치에서의 치수절제술 시행 비율은 크게 증가하였으나 치수절단술 시행 비율은 감소하였다. 전신마취, 진정법 하 치과치료 시행 수는 증가하는 추세를 보였다. 진정법의 경우 2014년 이후로 꾸준히 미다졸람 근육주사 하 치과치료가 증가하였다.

Keywords

References

  1. Choi EJ, Jung TR, Kim CC, Kim YJ : The changes in practice pattern and patient distribution for last 5 years (2000-2005) in the department of pediatric dentistry at Seoul national university dental hospital. J Korean Acad Pediatr Dent, 33:673-677, 2006.
  2. Son YJ, Hyun HK, Jang KT, et al. : The changes in practice patterns for the last 8 years (2001-2008) in the department of pediatric dentistry, Seoul national university dental hospital. J Korean Acad Pediatr Dent, 37:97-101, 2010.
  3. Seo MK, Song JS, Kim YJ, et al. : Chronological Trends in Practice Pattern of Department of Pediatric Dentistry : 2006 - 2015. J Korean Acad Pediatr Dent, 45:215-224, 2018.
  4. Son JM, Kim SM, Choi NK : A study on the changes in patient distribution and practice pattern for last 8 years in the department of pediatric dentistry of Chonnam national university dental hospital. J Korean Acad Pediatr Dent, 39:373-382, 2012.
  5. Kang CM, Lee HS, Lee JH, et al. : The distribution of patients and treatment trends in the department of pediatric dentistry, Yonsei university dental hospital for last 5 years. J Korean Acad Pediatr Dent, 41:134-144, 2014.
  6. Kim HN, Lee NY, Lee SH : A study on the changes of patient distribution and treatment pattern for the last 5 years in pediatric dental practice of Gwangju. J Korean Acad Pediatr Dent, 39:348-356, 2012.
  7. Park CH, Shin JS, Kim JS, Kim JB : A retrospective statistical study on sedation cases in department of pediatric dentistry at Dankook university dental hospital for 5 years. J Korean Acad Pediatr Dent, 45:75-81, 2018.
  8. Kim YK, Kim JS : A study on healthcare institution selection of healthcare consumers using theory of consumption values: focusing on relations among clinics or small sized hospitals, general hospitals, and large-sized hospitals. J Korean Soc Qual Manag, 37:71-86, 2009.
  9. Kim HJ, Hyun HK, Kim CC, et al. : A study of new-patient distribution and the motives for visiting in the department of pediatric dentistry at Seoul national university dental hospital. J Korean Acad Pediatr Dent, 38:25-32, 2011.
  10. Statistic Korea : Korean Statistical Information Service. Available from URL: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B81A21&conn_path=I3 (Accessed on January 30, 2019).
  11. Statistic Korea : Korean Statistical Information Service. Available from URL: http://kosis.kr/statHtml/statHtml.do?or gId=101&tblId=DT_1YL20621&conn_path=I3 (Accessed on January 30, 2019).
  12. Lee H, Kim JG, Lee DW, Yang YM : Knowledge and attitude of parents of preschool children about early childhood caries and dental caries prevention. J Korean Acad Pediatr Dent, 45:407-417, 2018.
  13. National Health Insurance Service : 2008 National Health Screening Statistical Yearbook. Available from URL: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=F3328 (Accessed on February 13, 2019).
  14. National Health Insurance Service : 2009 National Health Screening Statistical Yearbook. Available from URL: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=F3328 (Accessed on February 13, 2019).
  15. National Health Insurance Service : 2010 National Health Screening Statistical Yearbook. Available from URL: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=F3328 (Accessed on February 13, 2019).
  16. National Health Insurance Service : 2011 National Health Screening Statistical Yearbook. Available from URL: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=F3328 (Accessed on February 13, 2019).
  17. National Health Insurance Service : 2012 National Health Screening Statistical Yearbook. Available from URL: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=F3328 (Accessed on February 13, 2019).
  18. National Health Insurance Service : 2013 National Health Screening Statistical Yearbook. Available from URL: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=F3328 (Accessed on February 13, 2019).
  19. National Health Insurance Service : 2014 National Health Screening Statistical Yearbook. Available from URL: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=F3328 (Accessed on February 13, 2019).
  20. National Health Insurance Service : 2015 National Health Screening Statistical Yearbook. Available from URL: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=F3328 (Accessed on February 13, 2019).
  21. National Health Insurance Service : 2016 National Health Screening Statistical Yearbook. Available from URL: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=F3328 (Accessed on February 13, 2019).
  22. National Health Insurance Service : 2017 National Health Screening Statistical Yearbook. Available from URL: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=F3328 (Accessed on February 13, 2019).
  23. Kim MJ, Shun YK, Shim YS : A study of parental knowledge and attitude about infant oral health care. J Korean Acad Pediatr Dent, 27:292-299, 2000.
  24. Minami M, Abe S, Watanabe S, et al. : A five-year survey of actual status of patients making then first visit to pediatric dentistry clinic of a university (1997-2001). Jpn J Pediatr Dent, 42:81-86, 2004.
  25. American Academy of Pediatric Dentistry. Clinical Affairs Committee - Restorative Dentistry Subcommittee : Guideline on pediatric restorative dentistry. Pediatr Dent, 34:173-180, 2012.
  26. Waggoner WF : Restoring Primary Anterior Teeth: Updated for 2014. Pediatr Dent, 37:163-170, 2015.
  27. Lee JM, Lee HS, Choi SC, et al. : Three dimensional analysis of primary maxillary central and lateral anterior zirconia crown. J Korean Acad Pediatr Dent, 43:176-186, 2016.
  28. Casas MJ, Layug MA, Judd PL, et al. : Two-year outcomes of primary molar ferric sulfate pulpotomy and root canal therapy. Pediatr Dent, 25:97-102, 2003.
  29. Casas MJ, Kenny DJ, Johnston DH, Judd PL : Long-term outcomes of primary molar ferric sulfate pulpotomy and root canal therapy. Pediatr Dent, 26:44-48, 2004.
  30. Rudie MN, Milano MM, Roberts MW, Divaris K : Trends and characteristics of pediatric dentistry patients treated under general anesthesia. J Clin Pediatr Dent, 42:303-306, 2018. https://doi.org/10.17796/1053-4628-42.4.12
  31. Wilson S, Alcaino EA : Survey on sedation in paediatric dentistry: a global perspective. Int J Paediatr Dent, 21:321-332, 2011. https://doi.org/10.1111/j.1365-263X.2011.01127.x
  32. Yang YM, Shin TJ, Jeong TS, et al. : Survery of sedation practices by pediatric dentists. J Korean Acad Pediatr Dent, 41:257-265, 2014.
  33. Lee KE, Song JS, Choi HJ, et al. : The changes of sedation in the department of pediatric dentistry. J Korean Acad Pediatr Dent, 45:154-161, 2018.
  34. Han JH, Song JS, Lee SH, et al. : A study on treatment under general anesthesia in pediatric dentistry at Seoul national university dental hospital. J Korean Acad Pediatr Dent, 45:170-178, 2018.
  35. Houpt M : Project USAP 2000 - use of sedative agents by pediatric dentistry: a 15-year follow-up survey. Pediatr Dent, 24:289-294, 2002.
  36. Wilson S, Houpt M : Project USAP 2010: use of sedative agents in pediatric dentistry-a 25-year follow-up survey. Pediatr Dent, 38:127-133, 2016.
  37. Choi JS, Park DY, Jung SH : The relationship between pit and fissure sealant experience and the socio-economic factors of adolescents before and after coverage by National Health Insurance. J Korean Acad Oral Health, 41:116-121, 2017. https://doi.org/10.11149/jkaoh.2017.41.2.116