Public Dental Service Lohja, Lohja, Finland.
Institute of Clinical Dentistry, Arctic University of Norway, Tromsø, Norway.
BMC Oral Health. 2019 Jul 1;19(1):131. doi: 10.1186/s12903-019-0828-z.
The Public Dental Service (PDS) in Finland has catered for the overwhelming majority of the young for more than 50 years. They have had examinations, preventive measures and all other necessary treatment free of charge. This study aimed to survey the treatment needs and treatment measures provided for children and adolescents and changes in these during the period 2001-2013.
Using each person's unique identifier, data on patients (< 18 years), their oral health (CPI > 2, D + d > 0) and treatment received in the period 2001-2013 were collected retrospectively from municipal databases in five PDS-units covering 320,000 inhabitants. The National Institute for Health and Welfare gave ethical approval. Permission to use local data was received from the Directors in the PDS units. Treatment measures were grouped into 14 categories and patients into three age categories (0-6 years, 7-13 years and 14-17 years). Trend analysis was used to test changes over time.
About 40,000 children and adolescents visited the PDS each year and 2,488,805 treatment measures were provided for them during the entire study period. The proportion of those in need of treatment decreased from 44.4 to 33.2% during the study period. The most common treatment categories were examinations (613,753, 24.7%), orthodontics (499,033, 20.1%), preventive measures (372,473, 15.0%) and restorative treatment (355,325, 14.3%); these made up 74% of all treatment measures. During the study period, statistically highly significant (p < 0.001***) increasing trends were found for examinations, anaesthesia and the total number of treatment measures, and a significant (p < 0.001***) decreasing trend in restorative treatment were found for all the young. More preventive treatment measures were provided for those not in need of treatment compared with those in need of treatment.
Although children's oral health had improved and restorative treatment provided had decreased, the total number of treatment measures increased. Healthy children received frequent examinations and high numbers of preventive treatment measures. Targeting treatment according to needs was not satisfactory.
芬兰的公共牙科服务（PDS）已经为绝大多数年轻人提供了超过 50 年的服务。他们的检查、预防措施和所有其他必要的治疗都是免费的。本研究旨在调查 2001-2013 年期间儿童和青少年的治疗需求和所提供的治疗措施，并分析这些需求和措施的变化情况。
使用每个人的唯一标识符，从五个 PDS 单位的市级数据库中回顾性地收集了 2001-2013 年期间患者（<18 岁）、他们的口腔健康状况（CPI>2、D+ d>0）和治疗情况的数据。国家卫生和福利研究所批准了该研究的伦理审查。从 PDS 单位的主管那里获得了使用当地数据的许可。治疗措施被分为 14 类，患者被分为三个年龄组（0-6 岁、7-13 岁和 14-17 岁）。趋势分析用于测试随时间的变化。
每年约有 40,000 名儿童和青少年到 PDS 就诊，整个研究期间共提供了 2,488,805 项治疗措施。在研究期间，需要治疗的患者比例从 44.4%下降到 33.2%。最常见的治疗类别是检查（613,753，24.7%）、正畸（499,033，20.1%）、预防措施（372,473，15.0%）和修复治疗（355,325，14.3%）；这些占所有治疗措施的 74%。在研究期间，检查、麻醉和治疗措施总数呈显著增加趋势（p<0.001***)，修复治疗呈显著减少趋势（p<0.001***)。对于所有年轻人，不需要治疗的患者接受的预防治疗措施更多。
尽管儿童的口腔健康状况有所改善，修复治疗提供的数量有所减少，但治疗措施的总数却有所增加。健康的儿童接受了频繁的检查和大量的预防治疗措施。根据需要进行治疗的靶向性并不理想。
