Journal of Korean Academy of Oral Health

The Korean Academy of Preventive Dentistry and Oral Health (대한예방치과·구강보건학회)
권호 표지

Dental services status of the disabled performed by dentists

치과의사의 장애인 치과진료실태에 관한 조사 연구

Choi, Choong-Ho
최충호

  • Published : 20030300
⟨ Previous Next ⟩

Abstract

The purpose of this study were to prepare baseline data for developing and implementing oral health policies in disabled people. So it was studied that dental services status of the disabled performed by dentists. Dentists' recognition about the dental treatment of the disabled was investigated, and professional, institutional, and social problems were analyzed. Survey was performed in 10,493 dentists with questionnaire by mailing method. The returned rate of answer was 5.0%. The questionnaire contained dental treatment experience for the disabled, what are the desirable dental treatment for the disabled, the difficulty and the method to solve the problem when dentists treat the disabled, the demand of oral health education in relation to dental treatment of the disabled. The obtained results were as follows;1. The characteristic of the respondents and dental treatment experience for the disabled; Respondents had a more rates in male(77.2%), under 40 years old(60.6%), 5-9 years of dental practitioner(40.2%), a large city(60.3%) and dental clinic by oneself(87.1%). Many respondents had concern about dental treatment for the disabled(77.2%) and they had a experience of dental treatment for the disabled(94.0%). The dentists who treat the disabled days was 47.7%. The dentists who want to participate with network for treating disabled was 63.6%. 2. Desirable dental treatment type for the disabled; Many dentists treated disabled patients in their clinic(past: 62.2%, present: 46.5%). So they want to treat the disabled in specialized institute(42.5%). It needs more acceptable conditions - like support system for the cost and time consuming problem for the disabled. 3. The problems and the solutions of the disabled's dental health; The difficulty of cooperation and insufficiency of specialty or confidence was main problems. So they needed treating equipment for the disabled and improvement of specialty, Decreased ability of disabled's dental health management(52,4%) was main problem to promote the disabled's dental health, The suggested solutions were the obligation of facilities for disabled's dental treatment in new dental service institute(34,1%) and the improvement of social recognition for the disabled(22,1%). 4. The need and experience of education for disabled's dental treatment; The dentists who had the experience of education were 41%. They received the information in dental college(19.7%),books(8.3%), graduate or training course(6.8%), small group study(2.9%) and education for dental practitioners(1.5%). The needs of education were understanding of the disabled(32.7%), behavior control therapy(30.4%), changing of treatment method according to the degree of disabled(25.8%) and the education for emergency situation(5.9%).

Keywords

References

  1. 한국보건사회연구원 장애인복지팀. 2000년도 장애인 실태조사 결과보고. 2001
  2. 장애인복지법. 1988
  3. 장애인복지법 개정법률. 1990
  4. 한국구강보건의료연구원. 장애인 구강보건 정책개발을 위한 기초연구. 2002
  5. 구강보건법. 2000
  6. 대한치과의사협회. 치협, 장애인 진료 사업 앞장서. 대한치과의사협회지 2000;38(12):1153-1154
  7. Norman OH, Arden GC. Primary preventive dentistry. 3rd ed, CT/san Mateot CA): Appleton & Lange;1991:439-463
  8. 대한치과의사협회. 전국 장애인 치과진료망. 대한치과의사협회지 2000;38(12):1155-1158
  9. 대한치과의사협회. 2002 회원명부. 대한치과의사협회;2002:11-527
  10. 연세대학교 보건대학원. 연구방법론 강의록. 서울: 연세대학교 보건대학원;1995:116-121
  11. 최길라. 우리나라 치과진료기관의 장애인 진료실태 및 문제점에 대한 조사연구. 대한치과의사협회지 2000;38(12):1159-1162
  12. Miller JB,Taylor PP. A survey of the oral health of a group of orthopedically handi-capped children. J Dent Child 1970;37: 331-343
  13. Album MM, Krogman WM, Baker D, Colwell PH. An evaluation of the dental profile of neuromuscular deficient patients: A pilot study. J Dent Child 1964;31:204-227
  14. Shmarak KL, BernsteinJE. Caries incidence among cerebral palsy children. J Dent Child 1961;28:154-156
  15. Cohen MM, Winer RA. Dental and facial characteristics in Down's syndrome. J Dent Res 1965;44:197-208 https://doi.org/10.1177/00220345650440011601
  16. Butts JE. Dental status of mentally retarded children. J Public Health Dent 1967;27:195-211 https://doi.org/10.1111/j.1752-7325.1967.tb03914.x
  17. SwallowJN. Dental disease in cerebral palsied children. Deve Med Child Neurol 1968;10:180-189
  18. Cohen MM, et al, Oral aspects of Mongolism. Part 1. Periodontal disease. Oral Surg 1961;14:92-107
  19. Magnusson G, De Val R. Oral conditions in a group of children with cerebral palsy. Odont Rev 1963;14(4):385-402
  20. Cutreess 1W. Periodontal disease and oral hygiene in Trisomy 21. Arch Oral Biol 1971;16:1345-1355 https://doi.org/10.1016/0003-9969(71)90036-7
  21. Swallow JN. Dental disease in handicapped children: An epidemiological study. Isr J Dent Med 1972;21:41-51
  22. Murray JJ & McLeod JP. Dental conditions of severely subnormal children in three London boroughs. Br Dent J 1973;134(1):380-385
  23. 이선호. 심신장애자의 치과질환 실태보고. 대한소아치과학회지 1983;10(1):13-23
  24. 정의태, 김종열, 정성철. 한국 심신장애자들의 구강보건 실태 및 구강보건 의료수용에 관한 조사연구. 대한구강보건학회지 1988;12(1):47-78
  25. 이현주. 장애인의 구강보건실태 조사보고. 경희대학교 대학원 석사학위논문. 1991
  26. 맹준남, 이광희, 김대업, 배상만. 정신지체장애인과 정상인의 우식경험도 비교조사연구. 대한소아치과학회지 2000;27(2):202-206
  27. 최길라. 정신지체 아동의 장애유형별 치아우식경험도 및 영향요인에 관한 조사연구. 연세대학교 대학원 석사학위논문. 1991
  28. 김선미, 양규호. 심신장애자의 구강상태에 관한 역학조사. 대한소아치과학회지 1998:25(2):442-449