希腊人拔除恒牙的原因：一项为期五年的随访研究。
Reasons for extraction of permanent teeth in Greece: a five-year follow-up study.
机构信息
Maxillofacial and Oral Surgery, 401 General Military Hospital of Athens, Athens, Greece.
出版信息
Int Dent J. 2011 Feb;61(1):19-24. doi: 10.1111/j.1875-595X.2011.00004.x.
AIM
To investigate the reasons for tooth extraction and their correlations with age and gender in Greece.
MATERIALS AND METHODS
The study population consisted of 1,018 patients, 560 males and 458 females, aged 18-74 years from a private practice in Greece. Each patient's age, gender, number of extracted teeth and the reasons for the extraction were recorded for a period of 5 years.
RESULTS
Two thousand four hundred and eighteen permanent teeth were extracted for various reasons during the study period. The results showed that the main reasons for extraction were caries (45.6%), periodontal disease (32.1%), failed root canal treatment (7.3%) and root fracture (4.4%). Caries was the main reason for extraction in patients up to 44 years old (64.7%), while periodontal disease was the main reason for extraction in patients over years of age (77.6%). Maxillary and mandibular 1st and 2nd molars, were the most frequently extracted teeth due to dental caries. Premolars of the mandible and maxillary and mandibular anterior teeth were the most frequently extracted teeth due to periodontal disease.
CONCLUSIONS
Although the targets of the WHO regarding the reduction of dental caries were accomplished, dental caries and periodontal disease are still the main reasons for tooth extraction regardless of the age of the patients.
目的
研究希腊拔牙的原因及其与年龄和性别之间的关系。
材料和方法
该研究的对象是来自希腊一家私人诊所的 1018 名年龄在 18-74 岁之间的患者，其中 560 名男性和 458 名女性。每位患者的年龄、性别、拔牙数量以及拔牙原因均被记录下来，为期 5 年。
结果
在研究期间，因各种原因共拔除了 2418 颗恒牙。结果表明，拔牙的主要原因是龋齿（45.6%）、牙周病（32.1%）、根管治疗失败（7.3%）和根折（4.4%）。龋齿是 44 岁及以下患者拔牙的主要原因（64.7%），而牙周病是 45 岁以上患者拔牙的主要原因（77.6%）。上颌和下颌第一、二磨牙因龋齿而最常被拔除。下颌前磨牙和上颌及下颌前牙因牙周病而最常被拔除。
结论
尽管世界卫生组织关于减少龋齿的目标已经实现，但无论患者年龄大小，龋齿和牙周病仍然是拔牙的主要原因。
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