일부 지역사회 아동에서 구강건강 위험도 평가항목의 유용성 평가
Evaluation of the validity of the oral health risk assessment model based on the care pathway to children
류재인, 김용진, 박주현, 김현주, 김종애, 정종일, 김철신, 정세환,
소속 상세정보
류재인 ( Ryu Jae-In ) - 신구대학 치위생과
김용진 ( Kim Yong-Jin ) - 건강사회를위한치과의사회
박주현 ( Park Joo-Hyun ) - 건강사회를위한치과의사회
김현주 ( Kim Hyun-Joo ) - 건강사회를위한치과의사회
김종애 ( Kim Jong-Ae ) - 건강사회를위한치과의사회
정종일 ( Jung Jong-Il ) - 건강사회를위한치과의사회
김철신 ( Kim Chul-Shin ) - 건강사회를위한치과의사회
정세환 ( Jung Se-Hwan ) - 강릉원주대학교 치과대학 예방치학교실
KMID : 0355420110350020206
Abstract
Objective: This study aimed to apply an oral health assessment model based on the care pathway to children and evaluate the validity of the risk assessment components in the model with regards to the oral health status of objective and subjective.
Methods: 168 children from 8 community children centers in J district, S city, Gyeonggi-do participated in this study, while three dropped out. Finally, 165 children were selected as the study subjects (98.2% response rate). The oral health assessment form was adopted from the report of ‘preliminary study of Primary Care Dentist System for Children (I)’. The independent variables were oral health risk assessment components and the dependent variables were df index, DMFT index, active dental caries in permanents teeth, gingival health status, and perceived oral health condition. Mann-Whitney test was used for the first two variables due to nonparametric distribution and chi-squared test was used for the last three.
Results: There were significant mean differences for both dft index and DMFT index for the oral health risk assessments. DMFT index showed differences in 7 components of oral health risk assessment compared to the dft index, which did in 3 components. The existence of active dental caries in permanents teeth was statistically different in 5 oral health risk assessment components, the gingival unhealthy condition for 4 components, and perceived oral unhealthy condition for 1 component.
Conclusions: ‘High caries in mother and siblings’ in social history, ‘new lesions since last check-up’, ‘premature extractions due tobcaries’, ‘heavily restored dentition’ in caries experience, ‘evidence of gingivitis’, ‘poor level of oral hygiene’, ‘plaque retaining factors’ in periodontal disease experience/plaque showed statistically significant differences, whereas the other components did not.
키워드
구강건강 위험도 평가; 지역아동센터; 진료경로 개념
care pathway; community children center; oral health risk assessment
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