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2012-2017 年芬兰成年人修复性私人牙科保健的年龄相关变化:基于全国登记的观察研究。

Age-related variation in volume and content of restorative private dental care for adults in Finland in 2012-2017: A nationwide register-based observation.

机构信息

Dept. of Oral and Maxillofacial Diseases, University of Helsinki, P.O. Box 41, FI-00014 Helsinki, Finland.

Dept. of Oral and Maxillofacial Diseases, University of Helsinki, P.O. Box 41, FI-00014 Helsinki, Finland; Social Services and Health Care Division, Metropolitan Area Unit for Special Dental Care, P.O. Box 6670, FI-00099 Helsinki, Finland; Dept. of Oral and Maxillofacial Diseases, Helsinki University Hospital, P.O Box 670, FI-00029 HUS, Finland.

出版信息

J Dent. 2021 Jan;104:103537. doi: 10.1016/j.jdent.2020.103537. Epub 2020 Nov 21.

DOI:10.1016/j.jdent.2020.103537
PMID:33232773
Abstract

OBJECTIVES

This study assessed age-related variation in the volume and content of restorative dental care performed by private dentists for adults in Finland in 2012-2017.

METHODS

This retrospective register-based observational study utilized the Social Insurance database of private dental services in 2012 and 2017, including all patients. The data were aggregated into 5-year age groups for 20-89-year-olds; those aged 90+ formed one group. A patient was one who had received at least one treatment, and a restoration patient one who received at least one restoration (direct/indirect), excluding prosthetic crowns. Attendance rate was the proportion of the population treated. Volume of restorative treatment was the proportion of restoration patients among all patients using private dental services. Content of restorative treatment was described as the number of teeth receiving restoration and the size of restoration (number of surfaces restored). Correlation coefficient demonstrated associations between age groups and numbers of restorations.

RESULTS

Rate of restoration patients was 64.8 % in 2012 and 61.1 % in 2017, the rate for individuals aged under 80 years in each calendar year being smaller than in previous years. Mean number of restorations received per patient was 1.59 in 2012 and 1.42 in 2017, increasing with age (r = 0.85 in 2012; r = 0.95 in 2017). Small restorations dominated; one to two surfaces were covered in 72.3 % and 75.5 % of restorations in 2012 and 2017, respectively.

CONCLUSIONS

Volume and content of restorative dental care for adults vary by age and have decreased slightly over time.

CLINICAL SIGNIFICANCE

Restorative treatments are a prominent part of dental care for adults. This paper sheds light on the entity of restorative dental care for adults visiting private dentists. Variation in restoration volume and content is shown according to patient's age group, and changes are assessed across six years.

摘要

目的

本研究评估了 2012-2017 年芬兰私人牙医为成年人提供的修复性牙科治疗的年龄相关性变化。

方法

这是一项回顾性基于登记的观察性研究,利用了 2012 年和 2017 年私人牙科服务的社会保险数据库,包括所有患者。数据被汇总为 20-89 岁的 5 岁年龄组;90 岁以上的患者为一组。患者是指接受过至少一次治疗的人,修复患者是指接受过至少一次修复(直接/间接)的人,不包括义齿冠。就诊率是接受治疗的人群比例。修复治疗量是使用私人牙科服务的所有患者中修复患者的比例。修复治疗内容描述为接受修复的牙齿数量和修复的大小(修复的表面数量)。相关系数表明了年龄组与修复数量之间的关系。

结果

2012 年修复患者的比例为 64.8%,2017 年为 61.1%,每个日历年 80 岁以下个体的比例均小于前几年。每位患者接受的修复数量平均值在 2012 年为 1.59,在 2017 年为 1.42,随着年龄的增长而增加(2012 年 r=0.85;2017 年 r=0.95)。小修复占据主导地位;2012 年和 2017 年分别有 72.3%和 75.5%的修复物覆盖了一到两个表面。

结论

成年人修复性牙科治疗的数量和内容随年龄而变化,并且随着时间的推移略有减少。

临床意义

修复治疗是成年人牙科治疗的重要组成部分。本文揭示了私人牙医为成年人提供的修复性牙科治疗的实质。根据患者年龄组显示了修复量和内容的变化,并评估了六年期间的变化。

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