합천군 치면열구전색사업의 영구치 우식증 예방효과
Caries preventive effects of a fissure sealant program in Habchon-gun, Korea
김선창, 백현동, 이선미, 김진범,
소속 상세정보
김선창 ( ) - 부산대학교 치과대학 예방치과학교실
백현동 ( ) - 경남정보대학 치위생과
이선미 ( ) - 부산대학교 구강생물공학연구소
김진범 ( ) - 부산대학교 치과대학 예방치과학교실 구강생물공학연구소
KMID : 0355420030270030471
Abstract
A clinic- and school-based fissure sealant program was initiated by the community health center in Habchon, Korea in 1996. Fissure sealants were applied limitedly to first molars of all 6-year olds, grade one of elementary schools in 1996. The program was expanded to more children annually by one grade. Children for sealants included all 6-10-year olds in grades one through five in 2000. The application of sealants was expanded to premolars besides molars. Children who lives close to health center or health sub-center visit the dental clinic of health center or sub-center by themselves for sealants. However, dentists and oral hygienists of health center or sub-center visits remote elementary schools and provide sealants at schools.
To evaluate the effectiveness of a clinic- and school-based fissure sealant program in Habchon-gun, dental examinations were conducted on 6-14-year old 1,957 children of elementary and middle schools in Habchon-gun and control group, 1,277 children in 2000. The surveyed data were-analyzed with SPSS statistical package.
The obtained results were as follows;
1. DMF rates were 7.5% at 6-year olds and 53.5% at 6- and 10-year olds benefited by the sealant program of
Habchon-gun Health Center. DMF rates in sealant group was lower than control group.
2. DMFT scores were 0.11 at 6-year olds, 1.33 at 10-year olds benefited by the sealant program of Habchon-gun Health Center. DMFT scores in sealant group was lower than control group.
3. The caries reduction rate from the sealant program was calculated as 56.0%, 31.4%, 43.1%, 28.9%, 30.4%
at 6-, 7-, 8-, 9- and 10-year olds respectively by the difference of MET scores between sealant group
and control group.
4. Percentage of children with sealants was 52.8% and 95.5% at 6- and 10-year olds respectively. Mean number of teeth with sealants was 0.83 and 5.06 at 6- and 10-year olds respectively.
5. The fissure sealant program of Habchon gun Health Center from 1996 to 2000 was evaluated to be effective to reduce dental caries on permanent teeth. These results substantiate that a significant reduction in dental caries can be achieved by the fissure sealant program.
키워드
우식증 예방;영구치우식경험자율;우식경험영구치지수;치면열구전색;dental caries prevention;DMF rate;DMFT index;fissure sealant
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