초등학생의 Dental IQ 수준과 구강보전 관리실태 = Dental IQ and Oral Health Care Status of Elementary School Students

다국어 초록 (Multilingual Abstract)

Objectives : Oral health care program for the elementary school children (ESOHCP) should be met the first priority because dental caries are highly sensitive and prevalent among them. This study was performed to enhance the efficiency of ESOHCP, and their oral health promotion.
Methods : The Subjects were 346 students (3rd grade 163, 6th grade 185) of one elementary school in Busan. Dental IQ and actual oral health status; the decayed, mixing and filling teeth were checked through questionnaire and oral health examination from April to June 2002. Dental IQ was presented out of one hundred, and data analysis was done using SAS (ver 8.1) program.
Results : The students' cognitive level about the causative and preventive factor of dental caries was relatively high. However, the practical aspects of preventive behavior - tooth brushing ; three times per day (20%), three minutes per time (22%), oral health examination ; one time per three months (10%) left much to be desired. And, only 27% of the subjects had experienced in school oral health education. The mean level of dental IQ was 79 out of 100, and 51% and 42% of them had the decayed and teeth with filling, respectively, with the rate of DMFT 82%, DT 43%, FT 57%. The level of dental IQ was higher in case of having his (her) own tooth brush (p=0.072), standard tooth brushing (p<001); three times per day, post meal, three minutes per time, present experience of oral health examination (p<001) and dental clinic visit (p<001). The grade of caries was more serious in case of 6th grade (p=0.059), an absence of his (her) own tooth brush (p=0.090), present experience of oral health examination (p=0.021), and an absence of regular dental clinic visit (p=0.003). The frequency of oral health examination (γ=0.620), tooth brushing; times per day (γ=0.445), post meal (γ=0.355), expending times per brushing (γ=0.352), right cognition to the treatment of caries (γ=0.401), positive attitude to dental treatment (γ=0.387), the frequency of dental clinic visit for the past one year (γ=0.152) showed significant correlation with dental IQ. In the multivariate analysis, dental IQ was influenced by the frequency of oral health examination, right cognition to the cause of caries, times of teeth brushing per day, right cognition to the treatment of caries, etc., with adjusted R2=0.857.
Conclusion : Though the students' cognitive level about the causative and preventive factor of dental caries was high, the practical aspects of preventive behavior left much to be desired. And, the current ESOHCP considered to be still inefficient. However, frequent dental visits had apparent correlation with high level of dental IQ. The specialized and practical program should be needed for the efficient ESOHCP. Harmonized effort from educational, health and dental society is essential.

목차 (Table of Contents)

• Ⅰ. 서 론
• Ⅱ. 연구대상 및 방법
• 1. 연구대상 및 기간
• 2. 연구방법
• 3. 자료분석
• Ⅲ. 연구결과
• 1. 문항별 응답 분포와 주요 응답의 학년별 비교
• 2. 대상 학생 전체의 Dental IQ와 우식치 상태, 구강보건지표
• 3. 조사 특성별 Dental IQ와 구강보건 통계지표 비교
• 1) 학년별 비교
• 2) 자기 칫솔 유무별 비교
• 3) 하루 잇솔질 횟수별 비교
• 4) 잇솔질 시기별 비교
• 5) 잇솔질 소요시간별 비교
• 6) 구강검사 경험 여부별 비교
• 7) 치료목적 치과방문 경험별 비교
• 4. Dental IQ와 조사변수 간의 상관관계
• 5. Dental IQ와 구강보건지표에 영향을 미치는 인자
• Ⅳ. 고 찰
• Ⅴ. 결 론