Brennan David S, Spencer A J, Roberts-Thomson Kaye F
Australian Research Centre for Population Oral Health, School of Dentistry, Adelaide, SA, Australia.
Eur J Oral Sci. 2012 Oct;120(5):422-8. doi: 10.1111/j.1600-0722.2012.00985.x. Epub 2012 Aug 6.
To investigate change in oral health in relation to use of dental services, a random sample of 45- to 54-yr-old subjects from Adelaide, South Australia, was surveyed in 2004-2005 (n = 986, response rate = 44.4%). Service use and a global oral-health transition (GOHT) statement were collected over 2 yr. Worsening in oral health was reported from the GOHT statement by 25% of persons, while improvement was reported by 30%. Prevalence ratios (PRs, 95% CI), adjusted for sex, education, health card status, and toothbrushing, showed that worsening oral health was inversely associated with dental visiting (PR = 0.5, 0.4-0.7) and with scaling and cleaning services (PR = 0.6, 0.4-0.9), whereas extractions (PR = 2.3, 1.6-3.4) and dentures (PR = 2.2, 1.3-3.7) were associated with a higher prevalence of worsening. Scaling and cleaning services were associated with improvement in oral health (PR = 1.5, 1.01-2.3), while endodontic services were inversely associated with improvement (PR = 0.3, 0.1-0.9). Worsening in oral health was associated with extractions and dentures and was inversely associated with visiting and preventive care. Improvement in oral health was associated with preventive care and was inversely associated with endodontic treatment.
为了调查口腔健康状况与牙科服务使用之间的关系，2004 - 2005年对来自南澳大利亚阿德莱德的45至54岁受试者进行了随机抽样调查（n = 986，应答率 = 44.4%）。在两年时间里收集了服务使用情况和一份全球口腔健康转变（GOHT）声明。GOHT声明显示，25%的人报告口腔健康恶化，而30%的人报告有所改善。在对性别、教育程度、健康卡状况和刷牙情况进行调整后，患病率比值（PRs，95%CI）表明，口腔健康恶化与看牙（PR = 0.5，0.4 - 0.7）以及洗牙和清洁服务（PR = 0.6，0.4 - 0.9）呈负相关，而拔牙（PR = 2.3，1.6 - 3.4）和戴假牙（PR = 2.2，1.3 - 3.7）与恶化患病率较高相关。洗牙和清洁服务与口腔健康改善相关（PR = 1.5，1.01 - 2.3），而牙髓治疗与改善呈负相关（PR = 0.3，0.1 - 0.9）。口腔健康恶化与拔牙和戴假牙相关，与看牙和预防保健呈负相关。口腔健康改善与预防保健相关，与牙髓治疗呈负相关。
