The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
권호 표지
DOI QR코드

DOI QR Code

Current trends in orthodontic patients in private orthodontic clinics

교정전문치과에 내원한 부정교합환자의 최근 경향

  • Jung, Min-Ho (Department of Orthodontics, Seoul National University Dental Hospital)
  • 정민호 (서울대학교 치과병원 교정과)
  • Published : 2009.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The purposes of this study were to provide an epidemiologic data base related to the orthodontic treatment need and to know the changing trends about treatment modality of private orthodontic clinics. Methods: Distribution, trends and orthodontic treatment plan of malocclusion patients were investigated in 1,620 consecutive patients who had been visited and examined in 4 private orthodontic clinics located in Seoul from 2003-2006. Results: Percentage of male and female patients was 26.9% and 73.1% respectively Age distribution had shown that percentage of the patients above 13 years was 78.9%, and above 19 years was 59.0%. Average age of whole patients was 20.5 years. With regard to Angle classification, each percentage of Class I, Class II division 1, Class II division 2 and Class III malocclusion was 38.9%, 34.8%, 2.3% and 24.0%. The percentage of extraction cases(00.9%) outnumbered nonextraction cases(39.1%) and 46% of extraction cases were upper and lower 1st premolar extraction cases. Patients who had chose treatment with fixed appliance and orthognathic surgery was 10.2%. Conclusions: Because the high percentage of adult, Class II malocclusion and orthognathic surgery cases in patients of private orthodontic clinics were shown in this study, orthodontic education program and national health policy in Korea need reformation.

경제력의 향상과 식생활의 서구화, 사회적 인식의 변화 등으로 인하여 교정치료의 수요는 증가하고 내원하는 환자들의 부정교합의 양상도 점차 변화하고 있다. 본 연구는 개원한 교정치과에 내원하는 교정환자들의 역학적 자료를 제공함으로써 교정환자들의 특성과 요구를 파악하고 전공의들의 교육과정에 도움이 되고자 시행되었다. 이를 위하여 2003년부터 2006년까지 서울시내 교정전문치과 4곳에 내원하여 두부방사선계측사진과 모형분석 등 진단분석 과정을 거친 환자 1,620명을 대상으로 부정교합의 양상과 연령대, 발치빈도와 악교정 수술빈도 등을 조사 연구하였다. 조사 결과, 전체 교정환자들 중 남자는 26.9%, 여자는 73.1%로 여자가 많았다. 연령별 분포에서 만 13세 이후의 내원 환자는 78.9%, 만 19세 이후의 환자는 59.0%였으며, 평균연령은 20.5세였다. Angle 부정교합 분류별 분포는 Class I 부정교합이 38.9%, Class II div 1은 34.8%, Class II div 2는 2.3%, Class III 부정교합은 24.0%였다. 발치빈도의 경우 전체 교정환자들 중 발치환자가 60.9%, 비발치환자가 39.1%였으며, 발치를 시행한 환자 중 상하악 제1소구치를 발거한 경우가 46.0%를 차지하였다. 악교정수술환자의 비율은 10.2%였다. 교정치과에 내원하는 성인환자, II급 부정교합 환자와 악교정수술 환자의 비율이 높기 때문에, 이에 따라 교정교육과정과 보건정책에도 변화가 필요할 것으로 생각한다.

Keywords

References

  1. Surh CH. Study on patient distribution in orthodontics. J Korean Dent Assoc 1977;15:745-8
  2. Oh YJ, Ryu YK. A study of types and distribution of patients in the department of orthodontics, infirmary of Dental College, Y-University. Korean J Orthod 1983;13:63-72
  3. Yang WS. The study on the orthodontic patients who visited department of orthodontics Seoul National University Hospital. Taehan Chikkwa Uisa Hyophoe Chi 1990;28:811-21
  4. Yang WS. The study on the orthodontic patients who visited department of orthodontics Seoul National University Hospital during last 10 years (1985-1994). Korean J Orthod 1995;25:497-509
  5. Baik HS, Kim KH, Park Y. The distribution and trends in malocclusion patients - A 10 year study of 2155 patients from YDSH. Korean J Orthod 1995;25:87-100
  6. Im DH, Kim TW, Nahm DS, Chang YI. Current trends in orthodontic patients in Seoul National University Dental Hospital. Korean J Orthod 2003;33:63-72
  7. Bollen AM, Cunha-Cruz J, Hujoel PP. Secular trends in preadult orthodontic care in the United States: 1942-2002. Am J Orthod Dentofac Orthop 2007;132:579-85 https://doi.org/10.1016/j.ajodo.2006.01.036
  8. Yoo YK, Kim NI, Lee HK. A study on the prevalence of malocclusion in 2,378 Yonsei University Students. Korean J Orthod 1971;2:35-40
  9. Kang HK, Ryu YK. A study on the prevalence of malocclusion of Yonsei University students in 1991. Korean J Orthod 1992;22:691-701
  10. Lew KK, Foong WC, Loh E. Malocclusion prevalence in an ethnic Chinese population. Aust Dent J 1993;38:442-9 https://doi.org/10.1111/j.1834-7819.1993.tb04759.x
  11. Onyeaso CO. Prevalence of malocclusion among adolescents in Ibadan, Nigeria. Am J Orthod Dentofac Orthop 2004;126:604-7 https://doi.org/10.1016/j.ajodo.2003.07.012
  12. Tulloch JF, Shaw WC, Underhill C, Smith A, Jones G, Jones M. A comparison of attitudes towards orthodontic treatment in British and American communities. Am J Orthod 1984;85:253-9 https://doi.org/10.1016/0002-9416(84)90064-2
  13. Hsieh TJ, Pinskaya Y, Roberts WE. Assessment of orthodontic treatment outcomes: early treatment versus late treatment. Angle Orthod 2005;75:162-70
  14. Vanarsdall RL Jr, Musich DR. Adult interdiciplinary therapy:diagnosis and treatment. In: Graber TM, Vanarsdall RL Jr, Vig KWL editors. Orthodontics: Current principles and techniques. Philadelphia: Elsevier; 2005. p. 937-92
  15. Harrison JE, O'Brien KD, Worthington HV. Orthodontic treatment for prominent upper front teeth in children. Cochrane Database Syst Rev 2007;3:CD003452. Review
  16. Harrison JE, Ashby D. Orthodontic treatment for posterior crossbites. Cochrane Database Syst Rev 2001;1:CD000979. Review https://doi.org/10.1002/14651858.CD000979
  17. Brunelle JA, Bhat M, Lipton JA. Prevalence and distribution of selected occlusal characteristics in the US population, 1988-1991. J Dent Res 1996;75:706-13 https://doi.org/10.1177/002203459607502S10
  18. Proffit WR, Fields HW Jr, Moray LJ. Prevalence of malocclusion and orthodontic treatment need in the United States: estimates from the NHANES III survey. Int J Adult Orthodon Orthognath Surg 1998;13:97-106
  19. El-Mangoury NH, Mostafa YA. Epidemiologic panorama of dental occlusion. Angle Orthod 1990;60;207-14
  20. Lee SJ, Suhr CH. Recognition of malocclusion and orthodontic treatment need of 7-18 year-old Korean adolescent. Korean J Orthod 1994;24:367-94
  21. Gok DB, Kyung HM, Kwon OW, Sung JH. The distribution and trend of malocclusion patients visited at Department of Orthodontics. Korean J Orthod 1989;19:35-48
  22. Suhr JH. Study on malocclusion distribution in orthodontic department. J Korean Dent Assoc 1981;19:1027-31
  23. Lim HJ, Ko KT, Hwang HS. Esthetic impact of premolar extraction and nonextraction treatments on Korean borderline patients. Am J Orthod Dentofac Orthop 2008;133:524-31 https://doi.org/10.1016/j.ajodo.2006.04.051
  24. Musich DR. Orthodontic aspects of orthognathic surgery. In: Graber TM, Vanarsdall RL Jr, Vig KWL editors. Orthodontics: Current principles and techniques. Philadelphia: Elsevier; 2005. p. 996.

Cited by

  1. Light emitting diode를 이용한 광중합 시 금합금과 교정용 금속 브라켓의 전단접착강도 vol.40, pp.1, 2009, https://doi.org/10.4041/kjod.2010.40.1.27
  2. The effects of primer precuring on the shear bond strength between gold alloy surfaces and metal brackets vol.34, pp.1, 2009, https://doi.org/10.1093/ejo/cjq163
  3. 청소년의 교정치료 희망여부에 따른 외모인식도와 외모 만족도 및 자아존중감 비교 vol.13, pp.6, 2009, https://doi.org/10.13065/jksdh.2013.13.06.1063
  4. 한국 치위생과 학생의 치열궁 크기 및 형태와 교합 vol.14, pp.3, 2009, https://doi.org/10.17135/jdhs.2014.14.3.390
  5. 전남대학교 치과병원 소아치과를 내원한 교정환자의 분포양상에 대한 연구 vol.42, pp.2, 2015, https://doi.org/10.5933/jkapd.2015.42.2.136
  6. Treatment for Class II Division I Malocclusion Using Cervical Headgear and Hotz Appliance: A Case Report vol.43, pp.1, 2009, https://doi.org/10.5933/jkapd.2016.43.1.70
  7. 교정환자의 의료서비스 질 만족과 가치만족이 재이용의사에 미치는 영향 vol.16, pp.2, 2016, https://doi.org/10.13065/jksdh.2016.16.02.329
  8. 부정교합을 가진 일부 중·고등학생들의 교정치료 여부에 따른 구강건강관련 삶의 질 및 행복감과 관련성 vol.42, pp.2, 2009, https://doi.org/10.5393/jamch.2017.42.2.069
  9. 부정교합 종류에 따른 교정치료의 인식과 구강건강영향지수(OHIP-14) vol.18, pp.12, 2009, https://doi.org/10.5762/kais.2017.18.12.434
  10. Digital Thickness Measurement of a Transparent Plastic Orthodontic Device vol.72, pp.10, 2009, https://doi.org/10.3938/jkps.72.1129
  11. 교정환자의 구강건강영향지수, 자아존중감 및 신체상에 관한 연구 vol.8, pp.4, 2009, https://doi.org/10.22156/cs4smb.2018.8.4.001
  12. 교정치과 내원 환자들의 치료병원 결정요인 및 치료 만족도에 관한 연구-20대 연령층을 대상으로 vol.18, pp.5, 2009, https://doi.org/10.13065/jksdh.20180064
  13. 교정치과에서의 손 위생과 건강신념간의 융합 연구 vol.9, pp.12, 2018, https://doi.org/10.15207/jkcs.2018.9.12.115
  14. Estimation of the prevalence of malocclusion on the basis of nationwide oral health examinations of pre-adolescent and adolescent students during 2012-2017 vol.50, pp.3, 2009, https://doi.org/10.4041/kjod.2020.50.3.197
  15. 교정환자의 교정치료 결정요인 vol.42, pp.2, 2020, https://doi.org/10.14347/kadt.2020.42.2.187
  16. Comparative Analysis of Stress in the Periodontal Ligament and Center of Rotation in the Tooth after Orthodontic Treatment Depending on Clear Aligner Thickness—Finite Element Analysis Study vol.14, pp.2, 2009, https://doi.org/10.3390/ma14020324
  17. Efficient Design of a Clear Aligner Attachment to Induce Bodily Tooth Movement in Orthodontic Treatment Using Finite Element Analysis vol.14, pp.17, 2009, https://doi.org/10.3390/ma14174926