Risk indicators of dental caries experience of special schoolchildren in Seoul and Gyeonggi area

서울경기지역 특수학교 12-14세 아동의 치아우식증 위험요인에 관한 조사 연구

Kim, Young-Nam;Chung, Ki-Ho;Kwon, Ho-Keun
김영남;정기호;권호근

  • Published : 20030900

Abstract

The objective of this study is to investigate the risk indicators of dental caries experience of special schoolchildren in Seoul and Gyeonggi, A total of 883 handicapped children aged 12-14 were examined clinically and surveyed on the type and degree of handicap, income, and 4 oral health related characteristics. The results were as follows; 1. Mental retardation was the most frequent type of handicap of subjects and income is similar to that of general households. More than half of subjects have experienced preventive care or oral health education, and brushed their teeth by themselves. Only a few of handicapped children couldn't go dental clinic because of movability problem, but many children had manage problem in dental clinic. 2. DMFT index of subjects was lower than that of general schoolchildren by age and sex. But DT rate and MT rate were higher and FT rate was lower. 3. In a multivariated logistic regression analysis, 'income' was only related to DMFT >0 and 'income', 'age', 'type of handicap' , 'manage problem in dental clinic' were related to DT >0. Conclusively, dental caries experience in this special schoolchildren was lower than in general schoolchildren. But it was difficult for special schoolchildren to undergo dental treatment because of manage problem, so caries became worse easily. Therefore regular oral examination and refer system were very important for special schools and preventive care also needed.

Keywords

References

  1. Pollack BR, Shapiro S. Comparison of caries experience in mentally retarded and normal children. J Dent Res 1971;50(5):1364
  2. Palin T, Hausen H, Alvesalo L, Heinonen OP. Dental health of 9-10-year-old mentally retarded children in eastern Finland. Community Dent Oral EpidemioI 1982;10:86-90 https://doi.org/10.1111/j.1600-0528.1982.tb00369.x
  3. Kendall NP. Oral health of a group of noninstitutionalised mentally handicapped adults in the UK. Community Dent Oral Epidemiol 1991;19:357-9 https://doi.org/10.1111/j.1600-0528.1991.tb00187.x
  4. Creightion WE, Wells HB. Dental caries experience in institutionalized mongoloid and nonmongoloid children in North Carolina and Oregon. J Dent Res 1966;45:66-75 https://doi.org/10.1177/00220345660450013301
  5. Vyas Ha, Damle SG. Comparative study of oral health status of mentally sub-normal, physically handicapped, juvenile delinquents and normal children of Bombay. J Indian Soc Pedod Prev Dent 1991;9:13-6
  6. Gullikson JS. Oral findings of mentally retarded children. J Dent Child 1969;36:133-137
  7. Hinchliffe JE, Fairpo CG, Curzon MEJ. The dental condition of mentally handicapped adults attending adult training centres in Hull. Community Dental Health 1988;5:151-62
  8. Shmarak KL, Bernstein JE. Caries incidence among cerebral palsy children : a preliminary study. J Dent Child 1961;28:154-56
  9. Fishman SR, Young WO, HaleyJB, Sword C. The status of oral health in cerebral palsy children and their siblings. J Dent Child 1967;34:219-27
  10. Nielson SA. Caries among children with cerebral palsy. In Proceedings of the 9th Congress of the International Association of Dentistry for the Handicapped. 1988:87
  11. Stewart RE. Pediatric dentistry-scientific foundations and clinical practice. St Louis: C.V. Mosby;1981:841-2
  12. Lowe O, Lindemann R. Assessment of the autistic patient's dental needs and ability to undergo dental examination. J Dent Child 1985;52:29-35
  13. Swallow JN. The dental management of autistic children. Br Dent J 1969;126:128-31
  14. Kopel HM. The Autistic child in dental practice. J Dent Child 1985;53:29-35
  15. Shapira J. Oral health status and dental needs of and autistic population of children and young adults special care in dentistry. Special Care in Dentistry 1989;8:38-41
  16. 신영순, 이종갑. 뇌성마비 아동의 치아우식직증에 관한 통계학적 연구. 대한소아치과학회지 1977;4:45-52
  17. 최길라 정신지체 아동의 장애유형별 치아우식 험도 및 영향요인에 관한 조사연구 연세대학교 대학원 박사학위논문 1991
  18. 류영덕, 이긍호, 최영철 자폐인의 치아우식증에 관한 통계학적 연구 대한소아치과학회지1999;26(1):162-171
  19. 맹준남, 이광희, 김대업, 배상만 정신지체장애인과 정상인의 우식경험도 비교조사연구. 대한소아치과학회지 2000;27(2):202-206
  20. 한국구강보건의료연구원 장애인 구강보건 정책개발을 위한 기초연구 2002:6
  21. 보건복지부 2000 국민구강건강실태조사 2001
  22. 한국보건사회연구원 장애인복지팀. 2000년도 장애인 실태조사 결과보고 2001:19
  23. 통계청. 한국통계월보. 2000
  24. 건강사회를 위한 치과의사회 등 바람직한 장애우 치과진료체계와 지역사회중심재활의 접목. 장애우복지와 구강보건토론회 자료집. 2001:31