한국치위생학회지 (Journal of Korean society of Dental Hygiene)

  • 제15권2호
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  • Pages.271-278
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  • 2015
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  • 2287-1705(pISSN)
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  • 2288-2294(eISSN)
한국치위생학회 (Korean Society of Dental Hygiene)
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울산광역시 수돗물불소농도조정사업의 치아우식예방 효과평가

Evaluation of community water fluoridation program on dental caries prevention in Ulsan

  • 김민지 (동서대학교 치위생학과) ;
  • 안세호 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 한동헌 (서울대학교 치의학대학원 예방치학교실) ;
  • 김한나 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 전은주 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 정승화 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 김진범 (부산대학교 치의학전문대학원 예방치과학교실)
  • Kim, Min-Ji (Department of Dental Hygiene, Division of Health Sciences, Dongseo University) ;
  • An, Se-Ho (Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University) ;
  • Han, Dong-Hun (Department of Preventive & Social Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Han-Na (Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University) ;
  • Jun, Eun-Joo (Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University) ;
  • Jeong, Seung-Hwa (Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Jin-Bom (Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University)
  • 투고 : 2014.11.20
  • 심사 : 2015.04.06
  • 발행 : 2015.04.30
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초록

Objectives: The aim of this study was to investigate the effect of water fluoridation program(WFP) on dental caries prevention in Ulsan, Korea. Methods: The data of control group were extracted from 2012 Korean National Oral Health Survey(KNOHS). Since 1998, WFP was implemented in Ulsan. The subjects were 670 subjects including 10 to 12-years old children in 2009. The control subjects were 4,871 people in non-fluoridated metropolitan cities comparable to Ulsan. The control subjects were selected from 2012 KNOHS. A self-reported questionnaire was completed by the variables including oral health behaviors on daily frequency of toothbrushing, eating snacks and beverages. Oral health examination was carried out by two dentists who received a training in KNOHS with an inter-examiner-agreement. Caries preventive fraction was calculated by the difference of DMFT and DMFS index. The preventive effects of the WFP program were focused on gender, number of fissure sealed teeth, daily frequency of toothbrushing, eating snacks and beverages. Data were analyzed using SPSS $19.0^{(R)}$(SPSS Inc., Chicago, IL, USA) statistical package. Results: DMFT indices of 12-year-old subjects(n=670) in WFP and control population(n=4,871) were 2.11 and 1.23, respectively with an estimated prevention effect of 41.7%. Conclusions: WFP in Ulsan reduced the prevalence of dental caries. WFP should be recommended for the public oral health program in other metropolitan cities.

키워드

참고문헌

  1. Ministry of Health & Welfare. information, Health plan 2020[Internet]. [cited 2012 Nov 1]. Available from: http://www.mw.go.kr/front_new/sch/index.jsp.
  2. Ministry of Health & Welfare. 2010 Korean national oral health survey: III. summary. Seoul: Ministry of Health and Welfare; 2010: 187-281.
  3. World Health Organization. Prevention methods and programmes for oral diseases: report of a WHO expert comittee. Geneva: World Health Organization; 1984: 6-9, 12-20.
  4. Marthaler TM, O'Mullane DM, Vrbic V. The prevalence of dental caries in Europe 1990-1995. Caries Res 1996; 30: 237-55. http://dx.doi.org/10.1159/000262332.
  5. Poulsen S. Dental caries in Danish children and adolescents 1988-94. Community Dent Oral Epidemiol 1996; 24: 282-5. https://doi.org/10.1111/j.1600-0528.1996.tb00860.x
  6. Kim JB, Kim SG, Lee YS, Son KJ, Jeon JG, Chang KW. Characteristics and anatomical surface of sealant with tooth type in children at Chonju city, Korea. J Korean Acad Oral Health 2005; 29: 33-42.
  7. Garcia-Godoy F, Harris NO, Helm DM. Pit and fissure sealants. In: Harris NO, Garcia-Godoy F. Primary preventive dentistry. 6th ed. Upper Saddle River: Appleton & Lange; 2004: 285-318.
  8. Moon HS, Jung JY, Horowitz AM, Ma DS, Paik DI. Korean dental hygienists'' knowledge and opinions about etiology and prevention of dental caries. Community Dent Oral Epidemiol 1998; 26: 296-302. http://dx.doi.org/10.1111/j.1600-0528.1998.tb01964.x.
  9. Crawford PR. Fifty years of fluoridation. J Can Dent Assoc 1995; 61: 585-8.
  10. Kargul B, Caglar E, Tanboga I. History of water fluoridation. J Clin Pediatr Dent 2003; 27: 213-8. https://doi.org/10.17796/jcpd.27.3.lu247rq056w47466
  11. National center for chronic disease prevention and health promotion. fluoridation status[Internet]. [cited 2012 Mar 7]. Available from: http://apps.nccd.cdc.gov/nohss/FluoridationV.asp.
  12. Ast DB, Fitzgerald B. Effectiveness of water fluoridation. J Am Dent Assoc 1962; 65: 581-8. https://doi.org/10.14219/jada.archive.1962.0311
  13. Davis GN. Cost and benefit in fluoride in the prevention of dental caries. Geneva: World Health Organization; 1974: 2-17.
  14. Ludwig TG. Hastings fluoridation project; IV. Dental effects between 1954 and 1970. New Zealand Dent J 1971; 67: 155-60.
  15. Spencer AJ. Contribution of fluoride vehicles to change in caries severity in Austalian adolescents. Community Dent Oral Epidemiol 1986; 14: 238-41. http://dx.doi.org/10.1111/j.1600-0528.1986.tb01062.x.
  16. Kim JB. Current status of Korean water fluoridation program and development tend of water fluoridation program in Japan. Monthly Dental Res 2000; 48: 21-7.
  17. Song YH, Moon HS, Paik DI, Kim JB. A prospective study on the effect of water fluoridation in the Republic of Korea. J Korean Acad Dent Health 1992; 16: 452-74.
  18. Kim JB, Paik DI, Moon HS, Song YH, Park DY. A study on the effect of water fluoridation in the Chungju city. J Korean Acad Dent Health 1992; 16: 505-21.
  19. Park YD. Comparisons of the fluoride concentration in tap water and dental caries between 12 year-old living children in Dongducheon City and Yeoncheon County. J Korean Acad Dent Health 2006; 30: 400-10.
  20. Shin HJ, Yang DK, Han DH, Lee SM, Bae KH, Kim JB. The effect of 5-year community water fluoridation program on dental caries prevention of permanent teeth in the western area of Jeju, Korea. J Korean Acad Dent Health 2008; 32: 504-16.
  21. Kim MK, Jung JI, Kim MJ, Jun EJ, Kim HN, Kim SY, et al. Cost-benefit analysis of a water fluoridation program for 11 years in Jinju, Korea. J Korean Acad Oral Health 2014; 38: 118-28. http://dx.doi.org/10.11149/jkaoh.2014.38.2.118.
  22. Ulsan Metropolitan City. Statistics[Internet]. [cited 2009 Oct 19]. Available from: http://www.ulsan.go.kr/executive/page/statistics_2013.jsp.
  23. Ulsan Metropolitan City. 2010 Environment white paper. Ulsan: Ulsan Metropolitan City; 2010: 363-77.
  24. Chin IJ, Kim DH, Lee SM, Lee SW, Bae KH, Kim JB. Caries preventive effect on primary teeth by community water fluoridation program in metropolitan city. J Korean Acad Dent Health 2007; 31: 224-34. http://dx.doi.org/10.11149/jkaoh.2012.36.4.289.
  25. Kim JB. Han DH, Kim BJ, Kim DH, Cho HJ, Kang SH, et al. Report of the survey on oral health status of Nam-gu, Ulsan Metropolitan City. Yangsan: Pusan National University; 2009: 1-4.
  26. Ministry of Health & Welfare. Workshop for water fluoridation program in 2000. Seoul: Ministry of Health and Welfare; 2000: 6-12.
  27. Ministry of Health & Welfare. 2011 Guideline for water fluoridation program, Seoul: Ministry of Health and Welfare; 2009: 73.
  28. World Health Organization. Oral health survey: basic methods. 4th ed. Geneva: World Health Organization; 1997: 34-9.
  29. American Dental Association. Fluoridation facts. Chicago: American Dental Association; 2005: 22-39.
  30. Ast DB, Fitzgerald B. Effectiveness of water fluoridation. J Am Dent Assoc 1962: 65: 581-7. https://doi.org/10.14219/jada.archive.1962.0311
  31. Department of Health and Human Services Public Health Service. Review of fluoride benefits and risks. Report of the AD HOC sub committee on fluoride of the committee and related programs public health service[Internet]. [cited 2014 Nov 6]. Available from: http://health.gov/environment/ReviewofFluoride/.
  32. Centers for Disease Control and Prevention. Ten great public health achievements-United States, 1900-1999. Morb Mortal Wkly Rep 1999; 48: 241-3.
  33. Kim JB, Paik DI, Moon HS, Song YH, Park DY. Effect of water fluoridation on dental caries prevention in 8-year-old Korean children. J Korean Acad Dent Health 1993; 17: 279-91.
  34. Kim JB. Paik DI, Moon HS, Ma DS, Song YH, Park DY. Effect of water fluoridation on dental caries prevention in 9-year-old Korean children. J Korean Acad Dent Health 1994; 18: 564-73.
  35. Lee CS, Seong JH, Kim DK. A study on the effect of water fluoridation in Jin-hae city. J Korean Acad Dent Health 1996; 20: 271-90.
  36. Burt B, Eklund S. Dentistry, dental practice, and the community. 4th ed. Philadelphia: WB Saunders; 1992: 150-1.
  37. Oh HW, Kim YI, Choi MH, Park SH, Lee HS. Perceptions and attitudes of dental hygienists a water fluoridation program. J Korean Acad Dent Health 2010; 34: 161-8.
  38. Davis GN. Cost and benefit in fluoride in the prevention of dental caries. Geneva: World Health Organization; 1974: 2-17.
  39. Spencer AJ. Contribution of fluoride vehicles to change in caries severity in Austalian adolescents. Community Dent Oral Epidemiol 1986; 14: 238-41. http://dx.doi.org/10.1111/j.1600-0528.1986.tb01062.x.
  40. Lee JH, Cho JJ, Cho MS, Bae KH, Han DH, Kim JB. Perception and attitude for the expansion of the adjusted water fluoridation program in Gimhae, Korea. J Korean Soc Dent Hyg 2010: 10: 483-93.
  41. Lee SM, Cho EP, Kang BW. Awareness towards water fluoridation program in Yongin. J Korean Soc Dent Hyg 2013: 13: 807-17. http://dx.doi.org/10.13065/jksdh.2013.13.05.807.