예방적인 스케일링의 건강보험적용 시기에 따른 치과 의료기관 이용과 구강건강상태 전·후 차이 비교 :국민건강영양조사 제5기와 제6기 자료를 활용하여

• Published in: Han'guk Ch'iwisaeng Hakhoe chi Vol. 19; no. 5; pp. 765 - 776
• Main Authors: 강현경, Hyun-kyung Kang, 김유린, Yu-rin Kim
• Format: Journal Article
• Language: Korean
• Published: 한국치위생학회 30.10.2019
• Subjects: Dental caries; National Health Insurance; Oral health; Periodontal disease; 구강건강; 국민건강보험; 치아우식; 치의학; 치주질환
• ISSN: 2287-1705; 2288-2294
• DOI: 10.13065/jksdh.20190065

Objectives: The purpose of this study was to compare the oral health statuses pre- and post-insurance using the 5 th and 6 th National Health and Nutrition Examination Survey data to confirm the effect of scaling insurance after a year. Methods: Data were analyzed using IBM SPSS ver. 21.0 (IBM Co., Armonk, NY, USA). The four years were integrated, and a composite sample analysis was performed. A total of 26,990 people were included in the study before applying for scaling insurance (14,343 persons) or after receiving scaling insurance (12,647 persons). A chi-squared test was performed to compare the demographic characteristics and oral health status of the subjects. The significance level of the statistical test was 0.05. Results: The proportion of patients without implants was high before the provision of scaling insurance once a year, however, the proportion of patients with one or more implants was high (p<0.05) after the provision of scaling insurance once a year. Hemorrhagic periodontal tissues and tartar formation in periodontal tissues were highly prevalent before the provision of scaling insurance once a year, however, healthy periodontal tissues and formation of periodontal pockets were highly prevalent (p<0.05) after the provision of scaling insurance once a year. The decay, missing, and filled teeth index scores were higher before the provision of scaling insurance once a year (p<0.05). Conclusions: The aforementioned results showed that scaling once a year helps prevent or treat periodontal disease. In addition, we confirmed the effect of prevention on periodontal disease and dental caries, therefore, we expect it to develop into a stable policy.