Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
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Reasons for Extraction of Permanent Teeth in Private Dental Clinics

치과의원 내원환자의 영구치 발거원인에 관한 조사연구

  • Lee, Byung-Ho (Research Institute for Antimicrobial Resistance and Department of Laboratory Medicine, Kosin University College of Medicine)
  • 이병호 (고신대학교 의과대학 항생제내성연구소)
  • Received : 2007.11.20
  • Accepted : 2008.03.12
  • Published : 2008.03.30
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Abstract

The purpose of this study was to analyze the reasons and mean age for tooth extraction among patients living in Busan city. The researcher observed 1,119 patients' teeth extracted due to dental caries, periodontal disease and other reasons. This study examined the reasons for tooth extraction by age, sex, and tooth-kind. The reasons for tooth extraction were dental caries, periodontal disease, eruption problems and others. The obtained results were as follows; 1. Among the reasons for tooth extraction, dental caries accounted for 25.9%, periodontal disease 56.5%. 2. Periodontal disease was the main reason for tooth extraction and continued throughout life irrespective of sex. However dental caries was remarkably increasing in those aged 30 years old and under. 3. In the extraction of permanent teeth, males outnumbered females while upper teeth did lower teeth. 4. Although the third molars were most extracted in all kinds of teeth, the main reasons for the extraction were eruption problem. 5. The mean age of the tooth extracted was 47.9 years in both sexes for the mandibular first molars and the mandibular first molars had the shortest life except third molars of total teeth. The mandibular canines had the longest life of total teeth. Because dental caries and periodontal disease are the main causes of tooth extraction in Korea, the dental health policy should be focused on the prevention and treatment of these two diseases in the government level.

부산 시내에 소재하는 1곳의 치과의원에 영구치 발치를 위해 내원한 1,119명의 환자의 1,878개 치아를 대상으로, 발거원인 비중 및 발거연령을 조사한 본 연구에서 얻은 결론은 다음과 같다. 1. 발거된 영구치아의 발거원인으로는 치아우식증 25.9%, 치주병 56.5%로 나타났다. 2. 30대 전에는 치아우식증에 의한 발거가 치주병에 의한 발거보다 많았으며, 30대 이후부터는 치주질환에 의한 발거가 치아우식증에 의한 발거보다 많았다. 3. 영구치의 발거빈도를 비교하면, 남자가 여자보다, 상악이 하악보다 발거빈도가 높게 나타났다. 4. 가장 많이 발거하는 치아는 제3대구치로 주로 지치주위염 및 맹출 장애로 발거되었다. 5. 치아 중에서 하악 견치가 가장 오래 생존하였으며, 제3대구치를 제외하고 하악 제1대구치가 가장 먼저 발거하였다. 이런 결과는 구강건강의 최대 파괴현상인 치아의 발거원인과 발거연령을 분석하여 구강보건 문제를 해결하는 데 기초자료로 도움이 되리라 사료된다.

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