교정장치를 부착한 환자에서 표준진료지침의 구강위생관리능력 개선효과
The application of critical pathway on oral hygiene management of patients with fixed orthodontic appliance
손우성, 김진범, 김용일, 송효경,
소속 상세정보
손우성 ( Son Woo-Sung ) - 부산대학교 치의학전문대학원 교정학교실
김진범 ( Kim Jin-Bom ) - 부산대학교 치의학전문대학원 예방치과학교실
김용일 ( Kim Yong-Il ) - 부산대학교 치의학전문대학원 교정학교실
송효경 ( Song Hyo-Kyung ) - 부산대학교 치의학전문대학원 교정학교실
KMID : 0355420100340020150
Abstract
Objectives. The purpose of this study is to evaluate the effect of the oral hygiene education using the newly designed clinical pathway improving the oral hygiene capability of patients with fixed orthodontic appliance to manage oral hygiene.
Methods. The study was conducted on patients beginning orthodontic therapy with fixed orthodontic appliance in Department of Orthodontics, P University Hospital. We applied the newly designed critical pathway on test group (each twenty male/female patients in their teens and twenties) and regular oral hygiene education on control group (each twenty male/female patients in their teens and twenties) and evaluated their capability of oral hygiene management by plaque index and gingival bleeding index. We also evaluated it by age, gender, and period of attaching orthodontic appliance. Independnet t-test and ANOVA were used for statistical analysis.
Results. The plaque indices of the test group were lower than those of the control group one, two, three month after bonding the brackets. There were no significant differences in the gingival bleeding indices between test and control group one, two, three month after bonding the brackets. At one month after bonding the brackets, the plaque indices decreased greatly, but 3 months later, the plaque indices became similar to those before orthodontic treatment.
Conclusions. Education of oral hygiene management with critical pathway is more effective than the traditional method for the reduction of dental plaque. Education is necessary every 3 months to maintain the oral hygiene abilities continuously.
키워드
고정성 교정 장치; 치면세균막지수; 치은출혈지수; 표준진료지침
clinical pathway; dental plaque index; fixed orthodontic appliance; gingival bleeding index
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