Goetz Katja, Winkelmann Wiebke, Steinhäuser Jost
Institute of Family Medicine, University Hospital Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
BMC Oral Health. 2018 Apr 27;18(1):69. doi: 10.1186/s12903-018-0535-1.
There is a research gap concerning the evaluation of the oral healthcare of refugees. Therefore, the aim of this study was to evaluate the oral health of refugees and to estimate the costs of oral care.
The study was conceptualized as a pilot study. The study participants were refugees who lived either in collective living quarters or at a reception center in a region of the federal state of Schleswig-Holstein, Germany. The cross-sectional design was complemented by dental screening. Data were collected from August 2016 until July 2017. The basic condition of the teeth was evaluated using a convenience sample by a single dentist. The assessment of caries was carried out visually in accordance with the International Caries Detection and Assessment System from code 3 and higher. The DMF-T (decayed, (D), missing, (M), filled (F), teeth (T)) index was calculated. The costs of oral care were analyzed for conservative treatment (filling or extraction) and for prosthetic treatment (missing teeth) in the form of a bridge or crown.
The dental screening was attended by 102 refugees, with a mean age of 28 years. A total of 49% of the study sample suffered from toothache, and the DMF-T index had a mean of 6.89. For 92% of the study sample, treatment was indicated, and a cost estimate of the treatment could be calculated. The average cost of conservative treatment was estimated to be 205.86 EUR, and the average cost of prosthetic treatment was estimated to be 588.0 EUR. The oral healthcare costs of the different treatment procedures were higher for refugees that presented with toothache than for those without toothache, with the exception of prosthetic treatment procedures.
There is a lack of population-based data that survey the oral health status of refugees. Therefore, the current study presents an initial overview regarding the oral health status and the potential costs of oral healthcare of refugees.
在难民口腔保健评估方面存在研究空白。因此，本研究的目的是评估难民的口腔健康状况并估算口腔护理成本。
本研究被设计为一项试点研究。研究参与者为难民，他们居住在德国石勒苏益格－荷尔斯泰因州某地区的集体宿舍或接待中心。横断面设计辅以牙科筛查。数据收集时间为2016年8月至2017年7月。由一名牙医通过便利抽样评估牙齿的基本状况。根据国际龋病检测与评估系统，从代码3及以上开始进行龋齿的视觉评估。计算DMF-T（龋坏（D）、缺失（M）、充填（F）、牙齿（T））指数。分析了保守治疗（补牙或拔牙）和修复治疗（缺牙）以牙桥或牙冠形式的口腔护理成本。
102名难民参加了牙科筛查，平均年龄为28岁。共有49%的研究样本患有牙痛，DMF-T指数平均为6.89。92%的研究样本需要接受治疗，并可计算出治疗成本估算值。保守治疗的平均成本估计为205.86欧元，修复治疗的平均成本估计为588.0欧元。除修复治疗程序外，有牙痛的难民不同治疗程序的口腔护理成本高于无牙痛的难民。
缺乏基于人群的调查难民口腔健康状况的数据。因此，本研究提供了关于难民口腔健康状况和口腔保健潜在成本的初步概述。
