치주질환으로 내원한 환자의 진료 실태 분석

Abstract

Objectives: As the quality of life is increased, the span of life is increased and the population of advanced age is increased. Though prevalence of periodontal disease of Korea is increasing, it is lack in research on the actual condition. Therefore, we analyzed the actual condition of medical examination and treatments on patients of periodontal disease visiting dental hospital . The purpose of this research is to use this documents as the basic data of nation oral health policy. Materials and methods: Computerized information of patients whose information was input in computer department of Chosun dental hospital from 2002 January 1st to 2006 December 31st was frequent-analyzed and mechanically collected statistics with SPSS (ver 10.0). The research on actual condition was objected to 29,420 adults aged over 20years(male 17,605, female 14,674) who visited the hospital with periodontal disease. Results; 1. Total number of medical examination was 2.85 in average. It was 2.10 times in 20's as the lowest number and 3.33 times in 40's as the highest. 2. The frequency of visiting the hospital per person and gender for scaling appeared highest in 50's in both male and female. For prophyaxis, males in their 50's visited the hospital 1.85 times and females of 60's recorded 1.78 times. Males of 30,40's visited the hospital 4.00 times respectively and females of 60's visited the hospital 4.50 times for Root planing. Males of 30's recorded 3.84 times and females of 40's recorded 3.77 times for periodontal currettage. For gingival incision 40's males visited the hospital 4.11 times and 30's females recorded 4.00 times. Males and females in their 40's recorded 4.53 times and 4.63 times respectively for flap curettage. 3. An average visiting frequency per person for non-surgical treatment in adults of over 20 years were as followings. In 20's 1.76times for prophyaxis.. 30'S adults visited 2.76 times for RP. In their 40's, patients visited the hospital for 3.14 times for RP. Patients of 50's recorded 2.01 times for 3.32 times for RP. In 60's 2.71 times for RP were recorded. In 70's the results were 2.98 times for RP. 4. An average frequency of visiting the hospital for surgical treatment per person in adults over 20 years are as followings. In 20's 4.12 times for periodontal curretage, 5.03 times for flap curettage were shown. In their 30's patients visited the hospital 4.54 times for periodontal currettage, 7.01 times for flap curettage. Patients of 40's recored 4.63 times for periodontal currettage, 6.97 times for flap curettage. In 50's the visiting frequency were 4.44 times for periodontal currettage, 5.25 times for flap curettage. The results of 70's were 3.92 times for periodontal currettage, 4.49 times for flap curettage . 5. Average frequencies of medical examination and treatment per person for 5 years were 3.09 times for health insurance payment and 2.07 times for health insurance nonpayment. conclusions: As we keep pace with the change from treatment-centered era to prevention-centered era, it is required to expand health insurance payment for more broad prevention-cente red oral health policy and increase nation oral health.