Schmidt Peter, Fricke Oliver, Schulte Andreas G
ZMK-Heilkunde, Abteilung für Behindertenorientierte Zahnmedizin, Universität Witten/Herdecke, Witten, Deutschland.
Abteilung für Psychiatrie, Psychotherapie und Neurologie des Kindes- und Jugendalters, Gemeinschaftskrankenhaus Herdecke, Herdecke, Deutschland und Lehrstuhl für Kinder- und Jugendpsychiatrie, Universität Witten/Herdecke, Witten, Deutschland.
Gesundheitswesen. 2022 Oct;84(10):952-960. doi: 10.1055/a-1388-7203. Epub 2021 Mar 24.
There are only limited data on the extent to which children and adolescents with the need of integrative assistance (KiJu-PflEh) are considered for outreach dental care service. Aim The aim of this study was to evaluate accounting data from the Kassenzahnärztliche Bundesvereinigung (KZBV) on the use of dental care by KiJU-PflEh. Material and Methods Based on six specific BEMA items (accounting year 2019), the KZBV performed a filtering of GKV-insured persons (0-17 years). The generated data sets of the study group (KiJu-PflEh) and the control group (all KiJu) were made the UW/H available in anonymized form for further analyses.
The study group comprised 1602 KiJu-PflEh (mean age: 11.6 years). The gender ratio from ♂ to ♀ was 2:1. 56.0% of the KiJu-PflEh underwent diagnostic dental examination. The use of individual prophylactic (IP) measures was as follows: oral hygiene status assessment - IP1 (47.5%), oral health promotion - IP2 (46.1%), fluoridation of the teeth - IP4 (63.1%), fissure sealing per tooth - IP5 (30.1%). Compared to KiJu, statistically significantly fewer IP-measures were taken and carried out in the study group KiJu-PflEh. (KiJu: 85.7%; KiJu-PflEh: 46.7%).
For the first time, it was shown that KiJu-PflEh is inadequately cared for and provided with dental care in comparison to peers in the general population. Increased dental care is urgently recommended as the KiJu-PflEh group has a high risk of caries. Medical information is also necessary to implement targeted prevention measures for all KiJu-PflEh. For this purpose, the introduction of a central database, which enables dental and general medical networking, should be driven forward. Furthermore, there is a need for more research to obtain primary data on the epidemiology of caries in KiJu-PflEh to verify the findings of the present pilot study.
关于有综合援助需求的儿童和青少年（KiJu-PflEh）接受外展牙科护理服务的程度，仅有有限的数据。目的 本研究的目的是评估德国牙科医生联邦协会（KZBV）关于KiJu-PflEh使用牙科护理的计费数据。材料与方法 基于六个特定的BEMA项目（2019会计年度），KZBV对法定医疗保险参保人员（0至17岁）进行了筛选。研究组（KiJu-PflEh）和对照组（所有KiJu）生成的数据集以匿名形式提供给UW/H进行进一步分析。
研究组包括1602名KiJu-PflEh（平均年龄：11.6岁）。男女比例为2:1。56.0%的KiJu-PflEh接受了牙科诊断检查。个体预防（IP）措施的使用情况如下：口腔卫生状况评估 - IP1（47.5%），口腔健康促进 - IP2（46.1%），牙齿氟化 - IP4（63.1%），每颗牙齿的窝沟封闭 - IP5（30.1%）。与KiJu相比，研究组KiJu-PflEh采取并实施的IP措施在统计学上显著更少。（KiJu：85.7%；KiJu-PflEh：46.7%）。
首次表明，与普通人群中的同龄人相比，KiJu-PflEh得到的护理和牙科护理不足。鉴于KiJu-PflEh组有很高的龋齿风险，迫切建议增加牙科护理。为所有KiJu-PflEh实施有针对性的预防措施也需要医学信息。为此，应推动引入一个能够实现牙科和普通医疗联网的中央数据库。此外，需要进行更多研究以获取KiJu-PflEh龋齿流行病学的原始数据，以验证本试点研究的结果。
