대한치과의사협회지 (The Journal of the Korean dental association)

  • 제48권5호
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  • Pages.391-406
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  • 2010
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  • 0376-4672(pISSN)
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  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

지상보수교육강좌 1 - 중장년 성인교정환자의 구강상태 및 치료양태에 관한 연구; 젊은 성인교정환자와의 비교분석

Oral Status of Middle-aged Orthodontic Patients and Their Treatment Modality; Comparison with Young-aged Adult Patients

  • 이현정 (전남대학교 치의학전문대학원 교정학교실) ;
  • 김진영 (전남대학교 치의학전문대학원 교정학교실) ;
  • 조진형 (전남대학교 치의학전문대학원 교정학교실) ;
  • 황현식 (전남대학교 치의학전문대학원 교정학교실)
  • Lee, Hyeon-Jung (Department of Orthodontics, School of Dentistry, Chonnam National University) ;
  • Kim, Jin-Young (Department of Orthodontics, School of Dentistry, Chonnam National University) ;
  • Cho, Jin-Hyoung (Department of Orthodontics, School of Dentistry, Chonnam National University) ;
  • Hwang, Hyeon-Shik (Department of Orthodontics, School of Dentistry, Chonnam National University)
  • 투고 : 2010.05.17
  • 심사 : 2010.05.24
  • 발행 : 2010.05.01
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초록

Orthodontic treatment for middle-aged patients has become more commonplace with various reasons including improved socioeconomic status. Understanding of oral status and treatment modalities of middle-aged patients is mandatory for accurate diagnosis and proper treatment planning. This study investigated 100 consecutive patients aged 40s and 50s and 100 aged 20s who had been examined and diagnosed at the Department of Orthodontics, Chonnam National University Dental Hospital. The results were obtained as follows; 1. Gender distribution showed female outnumbered male patients in young-aged adult patients, but middle-aged patients showed similar male and female distribution. 2. The major concern seeking orthodontic treatment was esthetics not only in young-aged but also in middle-aged adult patients, and a number of middle-aged patients were concerned about oral health as well. 3. Considerable number of middle-aged patients were referred by other dental specialties while young-aged adult patients were more self-motivated for orthodontic treatment. 4. Middle-aged adult patients had more missing teeth and periodontal disease than young-aged adults. 5. The most frequently-observed problem was dental spacing in middle-aged patients while dental crowding in young-aged adult patients. Middle-aged patients showed higher prevalence of deep overbite and overjet while most of young-aged adults presented opposite direction of problem in overbite and overjet. 6. Limited orthodontic treatment was required rather than comprehensive treatment in middle-aged patients, and the most common tooth moving area was anterior part of dentition in case of limited treatment. Need of interdisciplinary therapy with other dental specialties was more common in middle-aged patients. 7. Intervention of specific technique such as invisible TP, passive bracketing, passive wire bonding, and lingual orthodontics was more required in middle-aged patients. Considering that middle-aged patients have different characteristics than young-aged adults, the results of the present study suggest that different treatment modalities are required in middle-aged orthodontic patients in order to manage them properly and efficiently.

키워드

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