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정신지체 아동의 장애유형별 치아우식 경험도 및 영향요인에 관한 조사 연구

Other Titles
 (A) study of the dental caries incidences according to the types of the mentally retarded and the factors that affect caries incidence 
Issue Date
1992
Description
치의학과/박사
Abstract
[한글] 사회복지의 개념이 확대되고 장애자들의 정상인화가 강조되고 있는 가운데 정신지체 아동의 효율적인 구강건강관리를 위하여 이들의 장애유형별 치아우식경험도와 그 영향요인을 파악하기 위하여 본 연구를 실시하였다. 본 연구에서는 정신지체가 동반된 장애아동들을 단순정신지체군과 다운증군, 중복장애군 및 정서장애군으로 구분하여 총 267명을 연구대상으로 하였으며, 같은 연령의 정상아동 120명을 대조군으로 하였다. 각 군을 대상으로 기초구강검사와 치아우식활성도 검사 및 구강건강관리실태 설문조사를 실시하여 조사결과를 분석 평가한 바 다음과 같은 결과를 얻었다. 1. 치아우식경험도는 대조군에 비하여, 단순군이 높았으며 (p<.01), 중복군은 낮았고(p<.01), 다운군과 정서군의 경우에는 통계적으로 유의한 차이가 없었다(p>.05). 2. 치태지수는 모든 장애군에서 대조군보다 높았으며 (P<.05), 치아우식경험도와는 통계적으로 유의한 (p<·71) 상관관계를 보였다. 3. 치아우식활성도 검사결과 모든 장애군이 대조군보다 긴 포도당 잔류시간과 높은 RD 등급을 나타냈으며. 이에 따른 치아우식경험도는 통계적으로 유의한 차이가 없었다(p>.05). 4. 수용된 정신지체 아동들은 같은 유형의 수용되지 않은 아동들에 비하여 낮은 치아우식경험도를 보였다(p<.05). 5. 치아우식증 발생의 환경요인 가운데 간식 및 음료수 섭취 습관이 가장 중요한영 향요인으로 나타났다. 이상의 결과를 종합하여 볼 때. 정신지체 아동의 치아우식경험도는 환경요인이 선천적요인보다 더 큰 영향을 미치는 것으로 사료되며, 환경요인 중에서도 간식습관이 가장 중요한 영향요인으로 나타났다. A STUDY OF THE DENTAL CARIES INCIDENCES ACCORDING TO THE TYPES OF THE MENTALLY RETARDED AND THE FACTORS THAT AFFECT CARIES INCIDENCE Guilla Chway, D.D.S., M.S.D. Dept. of Dental Science, Graduate School, Yonsei University (Directed by Professor, Chong-Youl Kim, D.D.S., M.S.D., Ph.D.) The primary purpose of this study is to present the differences of the dental caries incidences among types of the mentally retarded, The secondary purpose is to investigate the important influencing factors and a possible correlation between the oral conditions and these factors. Dental examinations and caries activity tests, by glucose clearance rate and Resazurin Disc, were peformed on 267 mentally retarded children and 120 normal children ranging in age from 10 to 13. Additionally, a survey was taken by questionaire in 212 handicapped children and 118normal children. The following observations were made. 1. Comparing with the control group, the degree of dental caries incidence was higher in the simple mental retardation group (p<.01) and lower in cerebral palsy group (p<.01). Significant differences were not found between the other groups (p>.05). 2. All the handicapped groups showed higher plaque indices than the normal group (p<.01). Significant (p<.01) correlations (r>.2) were obscured between the plaque indices and caries experiences. 3. All the handicapped groups showed longer glucose clearance time and higher RD scores than the normal group. However no significant relationship was observed between the caries prevalence and beth the glucose clearance rate and the RD test. 4. The institutionalized children had lower incidence of caries than the noninstitutionalized children. 5. Among several environmental factors, diet habit was the most significant factor.
[영문] The primary purpose of this study is to present the differences of the dental caries incidences among types of the mentally retarded, The secondary purpose is to investigate the important influencing factors and a possible correlation between the oral conditions and these factors. Dental examinations and caries activity tests, by glucose clearance rate and Resazurin Disc, were peformed on 267 mentally retarded children and 120 normal children ranging in age from 10 to 13. Additionally, a survey was taken by questionaire in 212 handicapped children and 118normal children. The following observations were made. 1. Comparing with the control group, the degree of dental caries incidence was higher in the simple mental retardation group (p<.01) and lower in cerebral palsy group (p<.01). Significant differences were not found between the other groups (p>.05). 2. All the handicapped groups showed higher plaque indices than the normal group (p<.01). Significant (p<.01) correlations (r>.2) were obscured between the plaque indices and caries experiences. 3. All the handicapped groups showed longer glucose clearance time and higher RD scores than the normal group. However no significant relationship was observed between the caries prevalence and beth the glucose clearance rate and the RD test. 4. The institutionalized children had lower incidence of caries than the noninstitutionalized children. 5. Among several environmental factors, diet habit was the most significant factor.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/117151
Appears in Collections:
2. 학위논문 > 2. College of Dentistry (치과대학) > 박사
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