The 5th year appraisal for effectiveness of school-based oral health program in Daegu, Korea

대구광역시 일부초등학교 구강보건실 운영 5년차 효과평가

Park, Ji-Hye;Ahn, Sang-Hun;Jeong, Seong-Hwa;Choi, Youn-Hee;Song, Keun-Bae
박지혜;안상헌;정성화;최연희;송근배

  • Published : 20090600

Abstract

Objectives: The purpose of this study was to evaluate the long term effect of school-based oral health program on decrease of dental caries among elementary school children. Methods: The subjects of this study were total 994 students of two(one case and the other control) elementary school in Deagu, Korea. They had received school-based oral health programs more than one year since 2004. This school-based oral health program included regular oral examination, fluoride mouthrinsing, pit-and-fissure sealing, APF gel application, tooth brushing instruction and chewing the xylitol tablet. The subjects’ oral health status were examined by calibrated a dentist every year from 2004 to 2008. Results: The change of DMFT index of $1^{st}$ grade to $6^{th}$ grade experimental group was 0.00, 0.10, 0.40, 0.44, 0.58 and 0.86 respectively. It was significantly different except $3^{th}$ grade when it compare with control group. The prevention rate of permanent teeth of $1^{st}$ grade to $6^{th}$ grade case group was 100.0%, 77.8%, 35.5%, 66.4%, 44.2% and 50.9% respectively and the mean was 60.8%. Conclusions: This study partially showed effect of school-based oral health programs including xylitol tablet application on decrements of dental caries. This programs should be expanded widely among elementary school in Korea.

Keywords

References

  1. 김시경. 어린이 가공식품의 당 함유 현황과 관리방안. [석사학위논문]. 서울:덕성여자대학교 대학원;2007:42-43
  2. Touger-Decker R, van Loveren C. Sugar and dental caries. Am J Clin Nutr 2003;78(4):881-892
  3. Ohara S, Kawaguchi Y, Shinada K, Sasaki Y. Evaluation of school-based dental health activities including fluoride mouth rinsing in Hiraizumi, Japan. J Med Dent Sci 2000;47(2):133-141
  4. 보건복지부. 2008년 구강보건사업기본계획. 서울:보건복지부;2008:5
  5. 국민건강보험공단. 2006년 건강보험통계연보. 서울:국민건강보험공단;2006:542
  6. 보건복지부. 2007년도 구강보건사업안내. 서울:보건복지부;2007:48
  7. 신승철, 조응휘, 서현석. 학교계속구강건강관리 사업의 사례 연구 및 확대 방안에 관한 연구. 대한구강보건학회지 2000;24(2):185-203
  8. 홍지원, 이승우, 박덕영, 마득상. 강릉시 초등학교구강보건사업 평가연구. 대한구강보건학회지 2000;24(4):411-420
  9. 강승훈, 김명섭, 이선미, 배광학, 오막엽. 학교구강보건실 계속구강건강관리사업 효과 평가. 대한구강보건학회지 2006;30(3):231-242
  10. 최혜영, 홍석진, 최충호. 광주지역 학교구강보건실 계속구강 건강관리사업의 치아우식증 예방 효과. 대한구강보건학회지 2007;31(4):510-520
  11. 이정화, 김진범, 배광학, 권현숙, 박정란, 박정희 외 1인. 학교계속구강건강관리사업 운영기간에 따른 대상자의 구강보건지식 및 태도. 대한구강보건학회지 2008;32(1):115-126
  12. Kobayashi S, Kishi H, Yoshihara A, Horii K, Tsutsui A, Himeno T et al. Treatment and posttreatment effects of fluoride mouthrinsing after 17 years. J Public Health Dent 1995;55(4):229-233 https://doi.org/10.1111/j.1752-7325.1995.tb02374.x
  13. Petersen PE, Razanamihaja N. Carbamide-containing polyol chewing gum and prevention of dental caries in schoolchildren in Madagascar. Int Dent J 1999;49(4):226-230 https://doi.org/10.1111/j.1875-595X.1999.tb00526.x
  14. 장기완, 김진범. 세계보건기구가 권장하는 구강건강조사법. 서울:고문사;2000:50-58
  15. 최승혁, 조현진, 이선미, 배광학, 오막엽, 김진범. 창원시 구강보건사업의 치아우식예방효과 평가. 대한구강보건학회지 2007;31(4):521-533
  16. 서은주, 김동기, 양정승. 광주광역시 일부 초등학교 계속구강건강관리사업에 따른 치아우식예방효과. 대한구강보건학회지 2005;29(4):506-515
  17. Honkala E, Honkala S, Shyama M, Al-Mutawa SA. Field trial on caries prevention with xylitol candies among disabled school students. Caries Res 2006;40(6):508-513 https://doi.org/10.1159/000095650
  18. Holgerson PL, Sjostrom I, Stecksen-Blicks C, Twetman S. Dental plaque formation and salivary mutans streptococci in schoolchildren after use of xylitol-containing chewing gum. Int J Paediatr Dent 2007;17(2):79-85 https://doi.org/10.1111/j.1365-263X.2006.00808.x
  19. Ly KA, Riedy CA, Milgrom P, Rothen M, Roberts MC, Zhou L. Xylitol gummy bear snacks: a school-based randomized clinical trial. BMC Oral Health 2008;25(8):20-31
  20. 박지혜, 정성화, 송근배. 대구광역시 초등학교 구강보건실 시범운영의 효과평가. 한국보건교육건강증진학회지 2008;25(1):71-81