Journal of Korean Academy of Oral Health

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

Knowledge and practice levels on oral hygiene management of orthodontic patients with fixed appliances

고정성 치열교정장치 장착환자의 구강건강관리에 대한 지식 및 실천정도

Kim, Ji- Hee;Kang, Pock-Soo;Lee, Kyeong-Soo
김지희;강복수;이경수

  • Published : 2008.12.01
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Abstract

Objectives: The present study was designed to grasp the knowledge and practice levels of orthodontic patients on oral hygiene management and to analyze the correlations between such levels and the patients' general characteristics, orthodontic related characteristics. Methods: To achieve such objectives, this study conducted self administered questionnaires on 227 subjects, who were treated using fixed type orthodontic appliances at a total of five dental clinics and dental hospitals located in Ulsan Metropolitan City and Busan Metropolitan City, Republic of Korea, during a period from November 2007 through March 2008. Results: The adults of 19 years or older were significantly higher than the children and youngsters of 18 years or younger in terms of all of the oral health knowledge score(p<0.05) and the practicing rate of oral health management, and the day-to-day average use frequency and knowledge score of oral hygiene articles(p<0.01). Women were higher than men in terms of the day-to-day average use frequency of oral hygiene articles(p<0.01). The longer time is spent for one-time tooth brushing, the more oral hygiene articles were significantly used on the average a day(p<0.05). The group which started orthodontics at the age of 19 years or older was significantly higher than that which started at the age of 18 years or younger, in terms of the oral hygiene knowledge score, the practicing rate of oral hygiene management, and the day-to-day average use frequency and the oral hygiene knowledge score of oral hygiene articles(p<0.01). During an orthodontic period, a person with oral health education was significantly higher than a person without such experience in terms of the practicing rate of oral hygiene management, and the oral hygiene knowledge score of oral hygiene articles(p<0.05). Of oral hygiene articles, an orthodontic toothbrush and an interdental toothbrush accounted for 87.4% and 67% respectively in terms of user rate. Conclusions: Based on these results, it is necessary to prevent oral health problems that may occur during orthodontic treatment, by offering a thorough education and training on orthodontics, especially oral hygiene management to children and youngsters, the group that started orthodontic treatment at the age of 18 years or younger, and the persons who had no experience of oral health education among orthodontic patients.

Keywords

References

  1. 김종배, 최유진, 백대일, 신승철, 김동기. 임상예방치학. 서울: 이우사;1991.
  2. 문성현: 교정용 브라켓장착에 따른 구강위생 상태의 비교 연구[석사학위논문]. 광주:조선대학교 대학원;1994.
  3. Sadowsky C, Begole EA. Long-term effects of orthodontic treatment on periodontal health. Am J Orthod 1981;80(2): 156-172. https://doi.org/10.1016/0002-9416(81)90216-5
  4. Helm S, Peterson PE. Causal relation between malocclusion and caries. Act Odontal Scand 1989;47(4):217-221. https://doi.org/10.3109/00016358909007704
  5. 김미형: 고정성 치열교정 장착환자에서 전문적 구강위생관리가 구강위생에 미치는 효과에 관한 연구[석사학위논문]. 광주:조선대학교 대학원;1993.
  6. Balenseifen JW, Madonia JV. Study of dental plaque in orthodontic patients. J Dent Res 1970;49(2):320-324. https://doi.org/10.1177/00220345700490022101
  7. Smulow JB, Turesky SS, Hill RG. The effect of supragingival plaque removal on anaerobic bacteria deep periodontal pockets. J Am Dent Assoc 1983;107(5): 737-742. https://doi.org/10.14219/jada.archive.1983.0342
  8. Johnson A, Weaks M, Lescher N. Periodental health of orthodontic patients: The effects of intensified maintenance program. J Dent Res 1985;64:335.
  9. 김정숙: 중등학생의 구강보건에 대한 의식행태 조사연구[석사학위논문]. 대구:경산대학교 보건대학원;1998.
  10. 김종배, 백대일, 문혁수, 김현덕, 진보형, 최유진 외 11인. 임상예방치학. 4판. 서울:고문사;2005:97-174.
  11. 김택수, 김선미, 정연화, 조평규. 치과교정학. 1판. 서울:고문사;2007:159-169.
  12. Kessler M. Interrelationships between orthodontics and periodontics. Am J Orthod 1976;70(2):154-172. https://doi.org/10.1016/S0002-9416(76)90316-X
  13. Adams RJ. The effects of fixed orthodontic appliances on the cariogenecity, quantity and microscopic morphology of oral lactobacilli. J Oral Med 1967; 22(3):88-99.
  14. Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod 1982;81(2):93-98. https://doi.org/10.1016/0002-9416(82)90032-X
  15. Diedrich P. Enamel alterations from bracket bonding and debonding: A study with the scanning electron microscope. Am J Orthod 1981;79(5):500-522. https://doi.org/10.1016/S0002-9416(81)90462-0
  16. Bloom RH, Brown LR Jr. A study of the effects of orthodontic appliances on the oral microbial flora. Oral Surg Oral Med Oral Pathol 1964;17:658-667. https://doi.org/10.1016/0030-4220(64)90373-1
  17. Alstad S, Zachrisson BU. Longitudinal study of periodontal conditions associated with orthodontic treatment in adolescents. AM J Orthod 1979;76(3):277-286. https://doi.org/10.1016/0002-9416(79)90024-1
  18. Yeung SC, Howell S, Fahey P. Oral hygiene program for orthodontic patients. Am J Orthod Dentofacial Orthop 1989;96(3):208-213. https://doi.org/10.1016/0889-5406(89)90457-5
  19. Feliu JL. Long-term benefits of orthodontic treatment on oral hygiene. Am J Orthod 1982;82(6):473-477. https://doi.org/10.1016/0002-9416(82)90315-3