Bouma J, Schaub R M, van de Poel F
Community Dent Oral Epidemiol. 1987 Feb;15(1):41-5. doi: 10.1111/j.1600-0528.1987.tb00478.x.
In order to determine the relative importance of periodontal disease, caries and non-disease reasons for full mouth extractions, a combined sociodental study was carried out in an urban and a rural area in the Netherlands. In the largest proportion of patients (57%) caries was the predominant disease. In only a small group (13%) was periodontal breakdown the predominant characteristic. In 16% of the patients non-disease factors possibly played a role because in this group no generalized periodontal disease or caries was found. It was concluded that in urban and rural areas and in all age groups caries and not periodontal disease was the most important reason for full mouth extractions. Non-disease factors may play a role in the decision to carry out full mouth extractions. Patients living in areas with different dentist-population ratios have a comparable caries status and periodontal condition at the time of full mouth extractions.
为了确定牙周病、龋齿及非疾病因素在全口拔牙原因中所占的相对比重，在荷兰的一个城市地区和一个农村地区开展了一项社会口腔综合研究。在大部分患者（57%）中，龋齿是主要疾病。仅有一小部分患者（13%）以牙周组织破坏为主要特征。16%的患者中，非疾病因素可能起到了作用，因为该组未发现广泛性牙周病或龋齿。研究得出结论，在城市和农村地区以及所有年龄组中，龋齿而非牙周病是全口拔牙的最重要原因。非疾病因素可能在全口拔牙决策中发挥作用。生活在牙医与人口比例不同地区的患者在进行全口拔牙时，其龋齿状况和牙周状况相当。
