Chisick M C, Piotrowski M J
U.S. Army Center for Health Promotion and Preventive Medicine, Aberdeen Proving Ground, MD 21010, USA.
Mil Med. 2000 Jan;165(1):70-1.
This paper estimates the cost of restoring U.S. military personnel to optimal oral health. The data come from a 30-site oral health survey of Army, Navy, Marine Corps, and Air Force personnel conducted from February 1994 to January 1995. A systematic random sample of 2,711 recruits was drawn. From a prestratified, random sample of 15,924 active duty personnel, 13,050 (82% response rate) participated in the survey. Applying their best clinical judgment, one dentist per site charted comprehensive dental treatment needs on each service member. Radiographs were used. After the samples were weighted to reflect the 1994 population of recruits (202,144) and active duty personnel (1,699,662), treatment costs were calculated applying median fees reported by U.S. general dentists in 1995. Results show total estimated costs of $1.9 billion for active duty personnel and $203 million for recruits. Periodontal disease accounts for the greatest proportion (47%) of active duty treatment costs, and oral surgery accounts for the greatest proportion (32%) of recruit treatment costs. The cost of restoring U.S. service members to optimal oral health is substantial.
本文估算了让美国军事人员恢复到最佳口腔健康状态的成本。数据来自1994年2月至1995年1月对陆军、海军、海军陆战队和空军人员进行的一项涵盖30个地点的口腔健康调查。抽取了一个由2711名新兵组成的系统随机样本。从15924名现役人员的预先分层随机样本中，有13050人（回应率为82%）参与了调查。每个地点的一名牙医运用其最佳临床判断，为每名服役人员记录了全面的牙齿治疗需求。使用了X光片。在对样本进行加权以反映1994年新兵（202144人）和现役人员（1699662人）的总体情况后，根据1995年美国普通牙医报告的中位数费用计算了治疗成本。结果显示，现役人员的估计总成本为19亿美元，新兵的估计总成本为2.03亿美元。牙周疾病在现役人员治疗成本中占比最大（47%），口腔外科手术在新兵治疗成本中占比最大（32%）。让美国服役人员恢复到最佳口腔健康状态的成本很高。
