치은염과 치석보유 상태를 중심으로 한 12세 아동들의 치주상태와 관련 요인
Elucidating the relationship of gingivitis and dental calculus with the periodontal health of 12-year-old children
이정하, 김세연, 김지수, 변민지, 전은주, 김한나, 김진범,
소속 상세정보
이정하 ( Lee Jung-Ha ) - 부산대학교 치의학전문대학원 예방과사회치의학교실
김세연 ( Kim Se-Yeon ) - 부산대학교 치의학전문대학원 예방과사회치의학교실
김지수 ( Kim Ji-Soo ) - 부산대학교 치의학전문대학원 예방과사회치의학교실
변민지 ( Byon Min-Ji ) - 부산대학교 치의학전문대학원 예방과사회치의학교실
전은주 ( Jun Eun-Joo ) - 부산대학교 치의학전문대학원 예방과사회치의학교실
김한나 ( Kim Han-Na ) - 청주대학교 보건의료과학대학 치위생학과
김진범 ( Kim Jin-Bom ) - 부산대학교 치의학전문대학원 예방과사회치의학교실
Abstract
Objectives: This study aimed to investigate factors related to the periodontal health of 12-year-old children.
Methods: In 2015, the Korean Children’s Oral Health Survey from the Ministry of Health & Social Welfare conducted a nationwide representative sample comprised of 23,702 12-year-old children. The calibration-trained dentists examined the gingivitis and dental calculus of the children taking into consideration of the Loe and Silness gingival index to diagnose gingivitis with a modified gingivitis scale. We used questionnaires to collect data from the children on dental treatments, the experience of dental pain and gingival bleeding, self-perceived oral health, and oral health behaviors. Data were analyzed using a complex samples Chi-square test, general linear model, and logistic regression. Significance was determined at P <0.05.
Results: The prevalence of gingivitis was higher among males (OR 1.57), among children with poor perception (OR 1.19), dental calculus (OR 3.68), or gingival bleeding experience (OR 2.00), and among children not using dental floss (OR 1.69) or tongue cleaner (OR 1.90). The prevalence of dental calculus was higher among children with gingivitis (OR 3.82) and among children who had not visited a dental clinic in the preceding year (OR 1.31). However, dental calculus was lower among children with a higher frequency of daily toothbrushing (OR 0.75), intake of cariogenic foods (OR 0.90), or a higher DMFT index (OR 0.91).
Conclusions: Children with dental calculus and gingival bleeding who did not visit a dental clinic in the preceding year also had a higher prevalence of gingivitis and dental calculus. The prevalence of children’s dental calculus was lower among children with a high frequency of daily toothbrushing.
키워드
Dental calculus; Gingival bleeding; Gingivitis; Oral health behavior; Oral hygiene device; Periodontal health
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