在芬兰一个城镇的回顾性纵向观察研究中，对公共初级口腔保健中的诊断进行记录：牙周炎诊断的代表性不足。
Recording of diagnoses in public primary oral health care in a retrospective longitudinal observational study in a Finnish town: Underrepresentation of periodontitis diagnoses.
机构信息
Administration of the Primary Care, City of Espoo, Espoo, Finland.
Department of General Practice and Primary Healthcare, University of Helsinki, Helsinki, Finland.
出版信息
Clin Exp Dent Res. 2020 Aug;6(4):457-461. doi: 10.1002/cre2.291. Epub 2020 Mar 25.
OBJECTIVES
This study investigates which oral diagnoses public primary dental care dentists record.
METHODS
An observational register-based retrospective follow-up study was performed in the public primary oral health care of a Finnish town after the dentists were advised to mark the diagnoses in their practices. The rate of recorded diagnoses resulting from visits to the public primary care dentists was studied. The assessed diagnoses were recorded with the 10th revision of the International Classification of Diseases. The distribution of diagnoses was recorded during a 2-year follow-up period.
RESULTS
The most frequent diagnosis groups were dental caries (K02, 38.6%), other diseases of dental hard tissues (K03, 14.9%), diseases of pulp and periapical tissues (K04, 11.4%), periodontal diseases (K05, 9.7%), and different types of bone fractures (S02, 8.1%). Periodontitis was underrepresented.
CONCLUSIONS
In public primary oral health care, there may be difficulties in adequate recording of certain chronic diseases.
目的
本研究调查了公共初级牙科护理牙医记录的哪些口腔诊断。
方法
在芬兰某城镇的公共初级口腔保健中，对牙医进行了记录诊断的建议后，进行了一项基于观察的基于登记的回顾性随访研究。研究了公共初级保健牙医就诊记录诊断的比率。评估的诊断结果用国际疾病分类第 10 次修订版记录。在 2 年的随访期间记录了诊断的分布情况。
结果
最常见的诊断组是龋齿（K02，38.6％），牙硬组织的其他疾病（K03，14.9％），牙髓和根尖周组织疾病（K04，11.4％），牙周疾病（K05，9.7％）和不同类型的骨骨折（S02，8.1％）。牙周炎的代表性不足。
结论
在公共初级口腔保健中，可能难以充分记录某些慢性疾病。
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