Treldal K, Oustad B
Nor Tannlaegeforen Tid. 1990 May;100(8):328-32.
A questionnaire was sent to all persons 40 years of age (born in 1947) living in the county of Aust-Agder (n = 1547). The questionnaire included questions concerning dental office visiting habits, stability of relationship dentist-patient, and socio-economic status. 84% answered the questionnaire. Persons who answered that they did not have a recall agreement with any dentist were offered a free dental examination (324 of 1517). 83% had visited the dentist annually the last three years, thus considered to be stable patients. Regular patients were also very stable in relation to their dentist: 89% had visited same dentist for the last 5 years. Dental health data of persons without a recall agreement were examined clinically. Of 324 persons, 137 met for clinical examination. The data from these persons were classified according to socio-economic level and regularity of visiting habits. The DMFT number was almost independent of those variables. The DMFT-index's single components differed between the groups. The regular patients from higher socio-economic levels had more fillings. More missing teeth were found among irregular patients from lower socio-economic levels. This indicates that the latter group have chosen the least expensive alternative, i.e. extraction, when in need of acute treatment, and that they have a greater accumulated need of treatment. This tendency also applied to the need of periodontal therapy. More than 59% of persons with CPITN maximum score 3 or 4 belonged to irregular patients from lower socio-economic groups.
一份调查问卷被发送给所有居住在奥斯特-阿格德尔郡、年龄为40岁(出生于1947年)的人(n = 1547)。问卷包括有关牙科诊所就诊习惯、医患关系稳定性以及社会经济地位的问题。84%的人回答了问卷。那些回答自己没有与任何牙医签订复诊协议的人被提供了一次免费牙科检查(1517人中的324人)。83%的人在过去三年中每年都去看牙医,因此被视为稳定患者。常规患者与他们的牙医关系也非常稳定:89%的人在过去5年里一直看同一位牙医。对没有复诊协议的人的牙齿健康数据进行了临床检查。在324人中,137人接受了临床检查。这些人的数据根据社会经济水平和就诊习惯的规律性进行了分类。龋失补牙数几乎与这些变量无关。龋失补牙指数的各个组成部分在不同组之间存在差异。社会经济水平较高的常规患者有更多的补牙。社会经济水平较低的不定期患者中发现有更多的牙齿缺失。这表明后一组人在需要紧急治疗时选择了最便宜的替代方案,即拔牙,并且他们有更大的累积治疗需求。这种趋势也适用于牙周治疗的需求。社区牙周指数最高评分为3或4的人中,超过59%属于社会经济地位较低的不定期患者。