초등학생의 구강건강 향상을 위한 치아우식관리 애플리케이션의 임상적 효과 (Clinical Impact of a Caries Management Application to Improve Oral Health in Elementary School Students)

서지정보

· 발행기관 : 대한통합의학회
· 수록지 정보 : 대한통합의학회지 / 13권 / 1호 / 101 ~ 108페이지
· 저자명 : 이수영

초록

Purpose : To evaluate clinical effectiveness of the CAMBRA-students mobile application specifically designed for elementary school students in managing dental caries risk and propose a novel approach to improve oral health through targeted interventions tailored to caries risk levels.
Methods : Subjects of this study were 51 elementary school children (22 in an intervention group and 29 in a control group) whose parents consented to the purpose of this study. Parents downloaded the app and entered their children's caries protective and risk factors and the clinician entered risk factors and disease indicators from students’ oral examinations to determine their caries risk. Both the intervention and control groups received the same oral health education once. The intervention group implemented appropriate preventive measures and interventions according to caries risk level in accordance with a caries management protocol. Clinical indicators such as Decayed, Missing, and Filled Teeth (DMFT) index, simple plaque score (SPS), and stimulated salivary flow rate (SSFR) were evaluated before and after the intervention. Data collected in this study were analyzed at the 95 % significance level using SPSS version 23.0 program.
Results : The DMFT index increased statistically significantly after the intervention in both intervention and control groups. The intervention group showed a significant (p < 0.05) reduction in SPS, while the DMFT index and salivary flow rate showed no significant changes compared to the control group. In addition, the control group showed an increase in the group with extreme high-risk of caries at one year.
Conclusion : The CAMBRA-students mobile application effectively reduced plaque levels, highlighting its potential for caries prevention in elementary school students. This suggests that a tailored intervention using the CAMBRA-students mobile application might be effective in managing dental caries in primary school children.

영어초록

Purpose : The aim of this study was to evaluate the clinical effectiveness of the CAMBRA-students mobile application, specifically designed for elementary school students, in managing dental caries risk. Also, to propose a novel approach to improve oral health through targeted interventions tailored to caries risk levels.
Methods : The subjects of the study were 51 elementary school children (22 intervention group, 29 control group) whose parents consented to the purpose of the study. The parents download the app and enter the child's caries protective and risk factors, and the clinician enters the risk factors and disease indicators from the student's oral examination to determine the child's caries risk.Clinical indicators such as DMFT index, SHS, and SSFR were evaluated before and after the intervention. The data collected in this study were analyzed at the 95 % significance level using the SPSS version 23.0 program.
Results : The DMFT index increased statistically significantly after the intervention in both the intervention and control groups. The intervention group showed a significant reduction in SHS (p < 0.05), while the DMFT index and salivary flow rate showed no significant changes compared to the control group. In addition, the control group showed an increase in the extreme high-risk caries group at 1 year.
Conclusion : The CAMBRA-students application effectively reduced plaque levels, highlighting its potential for caries prevention in elementary school students. Further studies with longer follow-up are recommended to explore its long-term benefits on caries management.

참고자료

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