Division of Conservative Dentistry and Periodontology, School of Dentistry, Medical University of Vienna, Vienna, Austria.
Tooth Museum of the School of Dentistry, Medical University of Vienna, Vienna, Austria.
Community Dent Oral Epidemiol. 2019 Feb;47(1):65-70. doi: 10.1111/cdoe.12424. Epub 2018 Sep 27.
The delivery of oral health services, diagnostics and treatment underwent significant changes in the 20th century thanks to achievements by pioneers in dentistry. The Golden Age of Dentistry in Vienna, Austria, was marked by renowned dentists like Bernhard Gottlieb in the 1930s. Data records from the outpatient department of this period have been found and served as a source from which to draw comparisons between those days and the present. To date, data supporting an overall perception of advances in dentistry during the last century in tooth preservation and patients' demands have been lacking. The aim of this study was to evaluate changes in treatments and patient characteristics between the interwar period and the present and to assess how treatments for dental emergencies developed.
Patients' records were extracted from books handwritten from January to May 1933 and compared with electronically generated data from the same period in 2013. In total, patient data from 10 111 individuals (3878 in 1933 and 6233 in 2013) were analysed. Comparisons were undertaken for gender, age, place of residence, diagnosis and therapy.
Various statistically significant demographic and treatment differences were found between 1933 and 2013. Patients' mean ages in 2013 and 1933 were 42 and 31 years, respectively. In 2013, there were significantly more women than in 1933 (3378 vs 1936), with 54% women in 2013 and 50% women in 1933. In 2013, there were significantly fewer tooth extractions as dental emergency treatment than in 1933 (2% vs 34%).
Treatment in the outpatient department is much more conservative in the 21 century. The characteristics of patients visiting the outpatient department have changed over the generations, and treatment needs should be evaluated accordingly.
由于口腔医学先驱者的成就，口腔卫生服务、诊断和治疗在 20 世纪发生了重大变化。20 世纪 30 年代，奥地利维也纳的口腔医学黄金时代以 Bernhard Gottlieb 等著名牙医为代表。在此期间，发现了门诊部门的数据记录，并将其作为比较当时和现在的资料来源。迄今为止，缺乏数据支持在上个世纪在牙齿保存和患者需求方面对口腔医学的整体认识。本研究旨在评估两次世界大战期间和现在之间治疗方法和患者特征的变化，并评估牙科急症治疗方法的发展情况。
从 1933 年 1 月至 5 月手写的书中提取患者记录，并与 2013 年同期的电子生成数据进行比较。共分析了 10111 名患者（1933 年 3878 名，2013 年 6233 名）的数据。比较了性别、年龄、居住地、诊断和治疗。
1933 年和 2013 年之间存在各种统计学上显著的人口统计学和治疗差异。2013 年和 1933 年患者的平均年龄分别为 42 岁和 31 岁。2013 年女性明显多于 1933 年（3378 名比 1936 名），2013 年女性占 54%，1933 年女性占 50%。2013 年，作为牙科急症治疗的拔牙明显少于 1933 年（2%比 34%）。
21 世纪门诊治疗更为保守。来门诊就诊的患者特征随着时间的推移发生了变化，因此应相应地评估其治疗需求。
