Chau Thoa Nguyen, Witter Dick J, Kreulen Cees M, Creugers Nico H J, Tu Hung Hoang
Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegan Medical Centre, The Netherlands.
Int Dent J. 2009 Aug;59(4):192-6.
To explore whether tooth replacement in a southern region of Vietnam is in line with the primary health care approach, aiming at health services for all people at affordable costs.
Tooth replacement was investigated by means of prostheses as delivered by four dental laboratories of which the output was considered representative. Information was based on dental casts related to the prostheses.
Prostheses replaced almost all missing teeth, irrespective of the types (interrupted or shortened dental arches) and numbers of missing teeth in the dental arch they were made for. Acrylic removable partial dentures were the most common prostheses delivered (65% of removable partial dentures).
It cannot be stated that dental arch conditions in this study were representative for the southern Vietnamese population. However, it is concluded that dental practitioners tend to provide complete dental arches by tooth replacements. This morphologically based approach might introduce over treatment. In line with primary oral health care, a functionally oriented treatment management, including the shortened dental arch concept, should be implemented.
探讨越南南部地区的牙齿修复是否符合初级卫生保健方法，即以可承受的成本为所有人提供卫生服务。
通过四个牙科实验室提供的假体来研究牙齿修复情况，这些实验室的产出被认为具有代表性。信息基于与假体相关的牙模。
假体几乎替换了所有缺失牙，无论其制作的牙弓类型（间断或缩短牙弓）及牙弓中缺失牙的数量如何。丙烯酸类可摘局部义齿是最常见的交付假体（占可摘局部义齿的65%）。
不能说本研究中的牙弓情况代表了越南南部人群。然而，可以得出结论，牙科医生倾向于通过牙齿修复来提供完整牙弓。这种基于形态学的方法可能会导致过度治疗。应按照初级口腔卫生保健的要求，实施以功能为导向的治疗管理，包括缩短牙弓概念。
