Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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NEW VISIONS IN PEDIATRIC DENTISTRY - KEEPING HEALTHY TEETH CARIES FREE: PEDIATRIC CAMBRA PROTOCOLS

소아치과의 새로운 비전 - 우식 없는 건강한 치아를 보존하기 위해: 소아치과에서의 CAMBRA 사용

  • ;
  • 김영재 (서울대학교 치의학대학원) ;
  • ;
  • Received : 2013.02.05
  • Accepted : 2013.02.15
  • Published : 2013.02.28
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Abstract

Early childhood caries prevalence has increased significantly in children ages 2~5 years. ECC disproportionately affects lower socioeconomic and minority groups, is a predictor for future decay, but is preventable and manageable. Caries risk assessment systematically derives a patient's caries risk and is important during an infant oral health visit beginning at age 1. Information obtained through a risk assessment can guide a disease management care path tailored to an individual's age and risk to effectively treat and manage one's caries disease process.

최근 2세에서 5세 사이 소아의 우식 발생율이 상당히 증가하고 있다. 유아기우식증(Early Childhood Caries)은 향후 영구치의 우식 발생 가능성에 대한 예측인자이며 사회 저소득층과 다문화 가정 자녀에서 특히 발생빈도가 높은데, 이는 충분히 예방과 관리가 가능하다. 만1세때부터 정기적으로 치과를 방문하고 이 때 우식위험도를 체계적으로 평가하여 환자들에게 맞춤형 예방 전략을 제시할 수 있기 때문이다. 유아기우식증의 예방을 위한 CAMBRA (Caries Management by Risk Assessment)에 대해 가장 최신의 개념과 사용법을 소개하고자 한다. 소아치과의사는 CAMBRA를 통해 개개인의 위험인자를 분석하여 연령에 따른 적절한 예방법을 수립하고 향후 우식 발생시 치료방향의 지침을 정하게 된다.

Keywords

References

  1. Dye BA, Arevalo O, Vargas CM : Trends in pediatric dental caries by poverty status in the United States, 1988-1997 and 1994-2004. Int J Paediatric Dent 20:132-43 2010. https://doi.org/10.1111/j.1365-263X.2009.01029.x
  2. Dental Health Foundation : The 2006 oral health needs assessment of children. Dentalhealthfoundation. org/images/lib_PDF/dhf_2006_report.pdf. Accessed Aug. 8, 2011
  3. Ramos-Gomez FJ, Crystal YO, et al. : Pediatric dental care: prevention and management protocols based on caries risk assessment. J Calif Dent Assoc 38:790, 2010.
  4. Child and Adolescent Health Measurement Initiative : 2007 National Survey of Children's Health, Data Resource Center for Child and Adolescent Health. nschdata.org. Accessed Aug. 8, 2011.
  5. American Academy of Pediatric Dentistry. Policy on the dental home. AAPD Reference Manual 31:22-3.
  6. Gajendra S, Kumar JV : Oral health and pregnancy: a review. NY State Dent J 70:40-4, 2004.
  7. Fine A, Kotelchuck M, Rethink. MCH : The life course model as an organized framework concept paper. U.S. Department of Health and Human Services Health Resources and Services Administration Maternal and Child Health Bureau, November 2010, version 1.1.
  8. Twetman S : Prevention of early childhood caries (ECC)-review of literature published 1998-2007. Eur Arch Paedtr Dent 9:12-8, 2008. https://doi.org/10.1007/BF03321590
  9. Altarum Institute : Topical fluoride for high-risk children, development of decision support matrix, recommendations from MCHB expert panel, Washington, D.C.,2007.
  10. Tinanoff N, Resine S : Update on early childhood caries since the surgeon general's report. Acad Pediatr 9:396-403, 2009. https://doi.org/10.1016/j.acap.2009.08.006
  11. Batalden PB, Davidoff F : What is" quality improvement" and how can it transform health care? Qual Saf Health Care 16:2-3, 2007. clinicalmicrosystem. org/toolkits/getting_started_/EditorialQSHC.pdf. Accessed Aug. 8, 2011. https://doi.org/10.1136/qshc.2006.022046
  12. Ng M : unpublished data, http://www.nnoha.org/goopages/pages_downloadgallery/download.php?filename=13510.ppt&orig_name=2010_man_wai_ng.ppt&cdpath=/npohcpresentations/2010_man_wai_ng_.ppt. Accessed Aug. 8, 2011
  13. American Dental Association : ADA statement on early childhood caries, 2004. ada.org/2057.aspx. Accessed Aug. 24, 2011.
  14. American Academy of Pediatric Dentistry : Guideline on caries risk assessment and management for infants, children, and adolescents. Pediatr Dent 32(special issue):101-8, 2010.
  15. American Association of Public Health Dentistry : First oral health assessment policy, 2004. aaphd.org/default.asp?page=FirstHealthPolicy.htm. Accessed Aug. 24, 2011.
  16. American Academy of Pediatrics : Bright Futures, brightfutures.aap.org/practice_guides_and_other_reso urces.html. Accessed Aug. 24, 2011.
  17. 보건복지부: 국민구강건강실태조사 보고서, 2010.

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