Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

Analysis of Composite Resin Treatment Pattern Changes After the Insurance Coverage

급여화 이후 복합 레진 수복 치료 패턴 변화 분석

  • Jo, Sangmi (Department of Pediatric Dentistry, Kyung Hee University, Dental Hospital at Gangdong) ;
  • Lee, Koeun (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Nam, Okhyung (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Lee, Hyo-seol (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Choi, Sungchul (Department of Pediatric Dentistry, Kyung Hee University Dental Hospital) ;
  • Kim, Kwangchul (Department of Pediatric Dentistry, Kyung Hee University, Dental Hospital at Gangdong) ;
  • Kim, Misun (Department of Pediatric Dentistry, Kyung Hee University, Dental Hospital at Gangdong)
  • 조상미 (강동경희대학교병원 치과병원 소아치과) ;
  • 이고은 (경희대학교 치과병원 소아치과) ;
  • 남옥형 (경희대학교 치과병원 소아치과) ;
  • 이효설 (경희대학교 치과병원 소아치과) ;
  • 최성철 (경희대학교 치과병원 소아치과) ;
  • 김광철 (강동경희대학교병원 치과병원 소아치과) ;
  • 김미선 (강동경희대학교병원 치과병원 소아치과)
  • Received : 2020.11.03
  • Accepted : 2020.11.24
  • Published : 2021.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Since January 2019, insurance coverage for caries treatment of permanent teeth using composite resin in children aged 12 and under has started in South Korea. The purpose of this study was to compare the pattern of permanent molar composite resin restoration aged 12 and under before and after the insurance coverage from January 2009 to March 2020 in the Department of Pediatric Dentistry at Kyung Hee University Dental Hospital at Gangdong. Since the insurance coverage was started in 2019, the frequency of permanent molar composite resin restoration aged 12 and under has increased more than twice. There was a significant change in frequency of resin restoration by shape of cavity comparing before and after the insurance coverage, whereas there was no significant difference in changes by patient age, gender and position of tooth. As accessibility to the permanent tooth composite resin restoration is increased by the insurance coverage, which shows a fair survival rate, it is expected that it could be able to secure oral health in the early permanent dentition aged 12 and under.

대한민국에서 2019년 1월부터 만 12세 이하 어린이에 대한 우식 영구치 복합 레진 수복 치료가 급여화 되었다. 이 연구의 목적은 2009년 1월부터 2020년 3월까지 급여화 적용 전후의 강동 경희 치과대학병원에서의 만 12세 이하 영구치 복합 레진 치료 패턴을 분석하는 것이다. 급여화가 시작된 2019년에 만 12세 이하 어린이 대구치 복합 레진 수복량은 2배 이상 증가하였다. 급여화 전후 치료 나이, 성별, 치아의 위치에는 유의한 변화가 없었으나 와동의 형태에서 유의한 변화가 관찰되었다. 수용할 만한 생존율을 보이는 영구치 복합 레진 수복에 대한 접근성이 급여화로 증가함에 따라, 만 12세 이하 어린이의 초기 영구치열에서의 구강 건강이 증진될 것으로 보인다.

Keywords

References

  1. Fuks AB : The use of amalgam in pediatric dentistry. Pediatr Dent, 24:448, 2002.
  2. Brunthaler A, Konig F, Schedle A, et al . : Longevity of direct resin composite restorations in posterior teeth: a review. Clin Oral Investig, 7:63-70, 2003. https://doi.org/10.1007/s00784-003-0206-7
  3. Ekstrand J, Bjorkman L, Edlund C, SandborghEnglund G : Toxicological aspects on the release and systemic uptake of mercury from dental amalgam. Eur J Oral Sci, 106:678-686, 1998. https://doi.org/10.1046/j.0909-8836.1998.eos10602ii03.x
  4. Hickel R, Manhart J : Longevity of restorations in posterior teeth and reasons for failure. J Adhes Dent, 3:45-64, 2001.
  5. Mair LH : Ten-year clinical assessment of three posterior resin composites and two amalgams. Quintessence Int, 29:483-490, 1998.
  6. EIMowafy O, Lewis D, Benmergui C, Levinton C : Meta-analysis on long-term clinical performance of posterior composite restorations. J Dent, 22:33-43, 1994. https://doi.org/10.1016/0300-5712(94)90143-0
  7. Correa MB, Peres MA, Demarco FF, et al . : Do socioeconomic determinants affect the quality of posterior dental restorations? A multilevel approach. J Dent, 41:960-967, 2013. https://doi.org/10.1016/j.jdent.2013.02.010
  8. Sharif MO, Catleugh M, Brunton P, et al . : Replacement versus repair of defective restorations in adults: resin composite. Cochrane Database Syst Rev, 2014:Cd005971, 2014.
  9. Alves L, Zenkner J, Maltz M, et al . : Eruption stage of permanent molars and occlusal caries activity/arrest. J Dent Res , 93:114-119, 2014.
  10. Eklund SA, Ismail AI : Time of development of occlusal and proximal lesions: implications for fissure sealants. J Public Health Dent, 46:114-121, 1986. https://doi.org/10.1111/j.1752-7325.1986.tb03119.x
  11. Chestnutt IG, Schafer F, Jacobson AP, Stephen KW : Incremental susceptibility of individual tooth surfaces to dental caries in Scottish adolescents. Community Dent Oral Epidemiol , 24:11-16, 1996. https://doi.org/10.1111/j.1600-0528.1996.tb00804.x
  12. Hurst D : Amalgam or composite fillings-which material lasts longer? Evid Based Dent, 15:50-51, 2014. https://doi.org/10.1038/sj.ebd.6401026
  13. Burke F, Wilson N, Cheung S, Mjor I : Influence of patient factors on age of restorations at failure and reasons for their placement and replacement. J Dent, 29:317-324, 2001. https://doi.org/10.1016/S0300-5712(01)00022-7
  14. Forss H, Widstrom E : The post-amalgam era: a selection of materials and their longevity in the primary and young permanent dentitions. Int J Paediatr Dent , 13:158-164, 2003. https://doi.org/10.1046/j.1365-263X.2003.00453.x
  15. van Dijken JW, Lindberg A : Clinical effectiveness of a low-shrinkage resin composite: a five-year evaluation. J Adhes Dent, 11:143-148, 2009.
  16. Demarco FF, Correa MB, Opdam NJ, et al . : Longevity of posterior composite restorations: not only a matter of materials. Dent Mater, 28:87-101, 2012. https://doi.org/10.1016/j.dental.2011.09.003