Ekanayake L, Weerasekare C, Ekanayake N
Faculty of Dental Sciences, University of Peradeniya, Sri Lanka.
Int Dent J. 2001 Apr;51(2):67-72. doi: 10.1002/j.1875-595x.2001.tb00824.x.
To determine the needs and demands for dental care in patients visiting a university dental hospital.
A cross-sectional study of first visit patients.
The University Dental Hospital in Peradeniya, Sri Lanka.
A total of 849 first visit patients.
The main complaint of each patient was recorded and was considered as a measure of demand for dental care. Tooth based and orthodontic treatment needs were assessed using the WHO basic methods. Periodontal treatment need was assessed by the periodontal treatment needs system. Need for prosthetic care was also assessed.
Thirty per cent and 23% of patients demanded treatment for decayed teeth and toothache respectively. Nearly 34%, 27% and 17% of patients needed surgical, restorative and periodontal care respectively for the main complaint. Of those seeking care, 94% needed treatment other than what was required for the main complaint. The predominant normative treatment need was for periodontal care (77%) whilst 47% needed restorations or extractions.
Normative needs of patients demanding treatment were high and many had demanded treatment before acute symptoms had developed. However, delays in seeking care were evident. Further studies are needed to identify factors for delay in obtaining care.
确定前往大学牙科医院就诊患者的牙科护理需求。
对初诊患者的横断面研究。
斯里兰卡佩拉德尼亚大学牙科医院。
共849名初诊患者。
记录每位患者的主要诉求，并将其视为牙科护理需求的一项衡量指标。使用世界卫生组织的基本方法评估基于牙齿和正畸治疗的需求。通过牙周治疗需求系统评估牙周治疗需求。还评估了修复护理需求。
分别有30%和23%的患者要求对龋齿和牙痛进行治疗。近34%、27%和17%的患者因主要诉求分别需要手术、修复和牙周护理。在寻求护理的患者中，94%需要除主要诉求所需治疗之外的其他治疗。主要的规范性治疗需求是牙周护理（77%），而47%的患者需要修复或拔牙。
要求治疗的患者的规范性需求很高，许多人在急性症状出现之前就已要求治疗。然而，寻求护理的延迟很明显。需要进一步研究以确定获得护理延迟的因素。
