단치궁 노인의 구강 기능 만족도에 관한 연구

Abstract

[한글]

현대의학의 발달, 사회경제의 성장, 생활환경의 개선으로 인간의 평균수명이 연장되고 노인인구도 증가하여 점차적으로 고령화 사회를 형성해가고 있다. 노인의 치과 치료의 수요도 점차 증가하는 양상을 보이고 있는데, 이들 노인환자 진료시에는 일반성인 환자와

달리 노화로 인한 신체적 정신적 사회경제적 변화 때문에 적응력이 감소된다는 점을 고려해야 한다고 사료된다.

이러한 노인의 구강 진찰시에 흔히 관찰되는 예로서 최후방 치아의 상실로 인한 단치궁(shortened dental arch)를 둘 수 있다.

이 단치궁의 경우에 있어서는 상실된 치아의 수와 위치에 따라 각 구강기능이 변화되는 양상을 보일 수 있다고 알려져 있다.

따라서 이들에 대한 치료계획시에는, 변화에 대한 환자 자신의 구강기능 만족도에 대하여 인지하고, 그 결과를 포함시키는 것이 필요하다고 생각된다.

이에 대해 본 저자는 단치궁 노인의 구강기능 즉 저작기능, 발음기능, 악관절 장애, 안모변화에 관한 만족도를 조사하고, 그 만족도에 대하여 단치궁을 다른 형태의 단치궁, 정상치열, 유리단 국소의치가 장착된 단치궁과 비교 분석한 결과 다음과 같은 결론을 얻었다.

1. 저작기능 만족도에서 소구치까지 있는 군과 대구치를 포함한 군 간에는 유의차가 있었고, 제1대구치까지 있는 군과 제2대구치까지 있는 군간에는 유의차가 없었다.

2. 발음기능에 대한 만족도에 있어서는 전치부만 있는군과 소구치부까지 있는군, 대구치까지 있는군과 유의차가 없었고. 안모변화에 대한 만족도에서는 소구치부까지 포함한 군이 대구치부를 포함한 군과 유의차가 없었다.

3. 전치부와 소구치까지 있는 군과 같은 조건에 유리단 국소의치를 장착한 군간에는 저작기능, 발음기능, 악판절장애, 안모변화에 대한 만족도에 대하여는 유의차가 없었다.

A STUOY ON THE SATISFIED DEGREE OF ORAL FUNCT10N IN GERIATIRlC PATIENTS WITH THE

SHORTENED DENTAL ARCH

Jae Sung Choi, D.D.S.

Department of Dental Science, The Graduate School of, Yonsei University

(Directed by Associate Prof. Moon Kyu Chung D.D.S., M.S.D., Ph.D)

The purpose of the present study is to inspect the satisfied degree of each oral

function in geriatric patients with the shortened dental arch and when their

prosthetic treatment is on schedule, provide some references to such treatment.

For the approach to such study, 521 subjects were reviewed by grouping them

according to the number of their remaining teeth and masticatory function, phonetic

function facial change, and TMJ disorders were inspected and clarified through some

questionnaires. Also through the questionnaires, the correlations between the

geriatiric patients with the shortened dental arch and dentition and between the

geriatiric patients with the Free-end RDP at the shortened dental arch and their

oral function were found out with their satisfied degree of oral function were

found out with their satisfied degree of oral function.

Results or findings from such study are as follows:

1. With regard to their satisfied degree of oral function, there was a

significant difference of satisfaction between or among the group having only the

anterior teeth and the group haying the part of premlolars and the group having

even the part of molars, however no significant difference of satisfaction appeard

between the group haying 1st molars and the group having 2nd molars.

2. With regard to their satisfied degree of phonetic function no significant

difference appeared between or among the group having only the anterior part of

teeth and the group having even the part of premolars and the group having even the

part of molars, and with regard to their satisfied degree of facial change, no

significant difference of satisfaction appeared between the group having the part

of premolars and the group having even the part of molars.

3. With regard to their satisfied degree of masticatory function, phonetic

function, TMJ disorders, and facial change, no significant difference appeared

between the group having both the anterior part of teeth and the part of premolars

and the group attached with the Free-end RPD on the same conditions of the

afore-said group.

[영문]

The purpose of the present study is to inspect the satisfied degree of each oral function in geriatric patients with the shortened dental arch and when their prosthetic treatment is on schedule, provide some references to such treatment.

For the approach to such study, 521 subjects were reviewed by grouping them according to the number of their remaining teeth and masticatory function, phonetic function facial change, and TMJ disorders were inspected and clarified through some

questionnaires. Also through the questionnaires, the correlations between the geriatiric patients with the shortened dental arch and dentition and between the geriatiric patients with the Free-end RDP at the shortened dental arch and their oral function were found out with their satisfied degree of oral function were

found out with their satisfied degree of oral function.

Results or findings from such study are as follows:

1. With regard to their satisfied degree of oral function, there was a significant difference of satisfaction between or among the group having only the anterior teeth and the group haying the part of premlolars and the group having even the part of molars, however no significant difference of satisfaction appeard between the group haying 1st molars and the group having 2nd molars.

2. With regard to their satisfied degree of phonetic function no significant difference appeared between or among the group having only the anterior part of teeth and the group having even the part of premolars and the group having even the part of molars, and with regard to their satisfied degree of facial change, no significant difference of satisfaction appeared between the group having the part of premolars and the group having even the part of molars.

3. With regard to their satisfied degree of masticatory function, phonetic function, TMJ disorders, and facial change, no significant difference appeared between the group having both the anterior part of teeth and the part of premolars and the group attached with the Free-end RPD on the same conditions of the

afore-said group.