노인에서 전문가잇솔질과 치간잇솔 사용교육의 치주건강증진 효과
Promotion of periodontal health through professional toothbrushing and education on the use of the interdental brush in the elderly
조문미, 이용환, 김진범, 이정화,
소속 상세정보
조문미 ( Cho Mun-Mi ) - 동의대학교 치위생학과
이용환 ( Lee Yong-Hwan ) - 고신대학교 보건대학원
김진범 ( Kim Jin-Bom ) - 부산대학교 치의학전문대학원 예방치과학교실
이정화 ( Lee Jung-Hwa ) - 동의대학교 치위생학과
KMID : 0355420130370030132
Abstract
노인을 대상으로 전문가잇솔질과 치간잇솔 사용교육을 실시하여 치주건강증진 효과를 알아보기 위하여 관련 지수를 측정하였다. 2011년 6월부터 2011년 8월까지 부산광역시에 소재한 1개종합병원에서 연구에 동의한 100명 중 4차 내원까지 완수한 87명을 연구대상으로 하였다. 치은출혈지수는 시행 전 1.65점, 시행 1주일 후 1.25점, 시행2주일 후 0.88점, 시행 3주일 후 0.65점이었고, 구강위생관리능력지수는 시행 전 2.90점, 시행 1주일 후 2.79점, 시행 2주일 후2.77점, 시행 3주일 후 2.76점으로 시행 전보다 시행 후에 유의하게 개선되었다(P<0.001). 노인의 일반적 특성 연령, 흡연 여부, 만성질환 유무에 관계없이 시행 후 치은출혈지수와 치면세균막지수가 유의하게 개선되었다(P<0.001). 노인을 대상으로 치간잇솔 사용교육과 더불어 전문가잇솔질을 반복 시행하면 만성질환 보유여부와 관계없이 치주건강을 증진할 수 있으므로 효과적인 구강건강관리를 위해서 정기적으로 장기간 전문가관리와 함께 자가관리 교육을 할 필요가 있다.
Objectives: This study is intended to evaluate the effects of promotion of periodontal health in the elderly, through professional toothbrushing and education on the use of the interdental brush, using the Gingival Bleeding Index and the Patient Hygiene Performance Index (PHP index).
Methods: The study was conducted on 87 participants, who had given the informed consent to participate in the study at a general hospital ‘B’ in Busan from June to August, 2011. After assessing the general health condition and the medical history of the participants, the Watanabe toothbrushing method was used for professional toothbrushing on four different visits, along with imparting of education on the use of the interdental brush for self-management. The periodontal health of the participants was assessed based on the extent of gingival bleeding, by using the Gingival Bleeding Index, and the degree of plaque accumulation, by using the Patient Hygiene Performance Index. The data thus obtained was analyzed using Statistical Analysis Systems (SAS) (ver 9.13), followed by frequency analysis, analysis of variance (ANOVA), and the mixed effect model.
Results: The average gingival bleeding index was 1.65 at the commencement of the study and 1.25, 0.88, and 0.65, after the first, second and third trial, respectively. The PHP index of dental plaque was 2.90 prior to commencement of the study, 2.79, 2.77, and 2.76 after the first, second, and third trials, respectively, thus significantly improving with every successive visit. Gingival bleeding index and PHP index significantly reduced with every visit, regardless of age, smoking habits, or systemic chronic diseases such as diabetes, hypertension, central nervous system or cardiovascular diseases.
Conclusions: Education on the use of the interdental brush and professional tooth brushing promotes periodontal health, regardless of the chronic diseases seen in the elderly. Education on self-management of oral health, along with professional care at regular intervals should be recommended to effectively maintain periodontal health in the elderly.
키워드
Dental plaque; Education; Gingival bleeding; Interdental brush; Periodontal health; Professional toothbrushing
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