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KMID : 0355420110350020206
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Journal of Korean Academy of Oral Health
2011 Volume.35 No. 2 p.206 ~ p.215
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Evaluation of the validity of the oral health risk assessment model based on the care pathway to children
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Ryu Jae-In
Kim Yong-Jin
Park Joo-Hyun
Kim Hyun-Joo
Kim Jong-Ae
Jung Jong-Il
Kim Chul-Shin
Jung Se-Hwan
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Abstract
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Objective: This study aimed to apply an oral health assessment model based on the care pathway to children and evaluate the validity of the risk assessment components in the model with regards to the oral health status of objective and subjective.
Methods: 168 children from 8 community children centers in J district, S city, Gyeonggi-do participated in this study, while three dropped out. Finally, 165 children were selected as the study subjects (98.2% response rate). The oral health assessment form was adopted from the report of ‘preliminary study of Primary Care Dentist System for Children (I)’. The independent variables were oral health risk assessment components and the dependent variables were df index, DMFT index, active dental caries in permanents teeth, gingival health status, and perceived oral health condition. Mann-Whitney test was used for the first two variables due to nonparametric distribution and chi-squared test was used for the last three.
Results: There were significant mean differences for both dft index and DMFT index for the oral health risk assessments. DMFT index showed differences in 7 components of oral health risk assessment compared to the dft index, which did in 3 components. The existence of active dental caries in permanents teeth was statistically different in 5 oral health risk assessment components, the gingival unhealthy condition for 4 components, and perceived oral unhealthy condition for 1 component.
Conclusions: ‘High caries in mother and siblings’ in social history, ‘new lesions since last check-up’, ‘premature extractions due tobcaries’, ‘heavily restored dentition’ in caries experience, ‘evidence of gingivitis’, ‘poor level of oral hygiene’, ‘plaque retaining factors’ in periodontal disease experience/plaque showed statistically significant differences, whereas the other components did not.
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KEYWORD
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care pathway, community children center, oral health risk assessment
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