2012 年和 2017 年芬兰私人牙医进行的牙髓治疗的年龄特异性发现：一项基于全国登记的观察性研究。

Age-specific findings on endodontic treatments performed by private dentists in Finland in 2012 and 2017: a nationwide register-based observation.

机构信息

Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland.

Social Services and Health Care Division, Metropolitan Area Unit for Special Dental Care, Helsinki, Finland.

出版信息

Int Endod J. 2020 Jun;53(6):754-763. doi: 10.1111/iej.13284. Epub 2020 Mar 17.

DOI:10.1111/iej.13284

PMID:32069368

Abstract

AIM

To evaluate age-specific aspects and changes in volume and content of endodontic treatment for adults visiting private dentists in Finland in 2012 and 2017.

METHODOLOGY

This study utilized register-based data of private dental care. The observation unit of the aggregated macro-level data was age group, with 5-year age groups from 20 to 24 years onwards and the oldest group combining all patients aged 90 years and over. Data from years 2012 and 2017 included all the oral health care of 2.04 million patients receiving reimbursement for treatment by private dentists; a total of 183 932 patients received at least one endodontic treatment and were analysed. The number of teeth receiving endodontic treatment was counted separately as pulp cappings, pulpotomies and root canal fillings according to number of canals filled per tooth. Statistical associations were assessed as correlation coefficients.

RESULTS

The mean age of endodontic patients was 53.6 years in 2012 and 55.9 years in 2017. In both years, 38% were aged from 50 to 64 years. In 2012, 9.9%, and in 2017, 8.0% of patients received at least one endodontic treatment; the older the patients, the fewer received endodontic treatment (r = -0.9). From 2012 to 2017, numbers of all patients and treatments decreased, endodontic patients and treatments even more notably, and in all age groups. Per thousand patients in 2017, 62.1 teeth received root canal treatment and 14.9 pulp capping. Pulp capping comprised 19.2%, pulpotomies 0.8% and root canal fillings 80.0% of teeth receiving endodontic treatment. Of root filled teeth, 45.1% received filling in one canal, 17.0% in two and 37.9% in three or more canals, multi-canal options being less frequent in older patients (r = -0.94).

CONCLUSIONS

Endodontic treatment, received by 9% of adult patients visiting private dentists in Finland, was strongly age-dependent, showing a decreasing trend with age and time.

摘要

目的

评估 2012 年和 2017 年芬兰私人牙医接诊的成年人的根管治疗的年龄特定方面和数量及内容的变化。

方法

本研究使用了基于注册的私人牙科护理数据。汇总宏观数据的观察单位是年龄组，从 20 岁到 24 岁每 5 岁一个年龄组，年龄最大的组则包括所有 90 岁以上的患者。2012 年和 2017 年的数据包括 204 万接受私人牙医治疗报销的口腔保健患者的所有口腔健康护理；共有 183932 名患者接受了至少一次根管治疗并进行了分析。根据每颗牙齿填充的根管数量，分别对牙髓盖髓术、牙髓切断术和根管填充术进行根管治疗的牙齿数量进行计数。统计相关性评估为相关系数。

结果

2012 年和 2017 年接受根管治疗的患者的平均年龄分别为 53.6 岁和 55.9 岁。这两年中，38%的患者年龄在 50 至 64 岁之间。2012 年有 9.9%的患者和 2017 年有 8.0%的患者接受了至少一次根管治疗；年龄越大，接受根管治疗的患者越少（r=-0.9）。从 2012 年到 2017 年，所有患者和治疗的数量都有所减少，根管治疗的患者和治疗的数量更是显著减少，且在所有年龄组中均如此。2017 年，每千名患者中有 62.1 颗牙齿接受根管治疗，14.9 颗牙齿接受牙髓盖髓术。牙髓盖髓术占接受根管治疗牙齿的 19.2%，牙髓切断术占 0.8%，根管填充术占 80.0%。在接受根管填充的牙齿中，45.1%的牙齿只填充一个根管，17.0%的牙齿填充两个根管，37.9%的牙齿填充三个或更多根管，多根管治疗选择在老年患者中较为少见（r=-0.94）。