Bouma J, Schaub R M, van de Poel F, Westert G
Community Dent Oral Epidemiol. 1987 Apr;15(2):79-84. doi: 10.1111/j.1600-0528.1987.tb00487.x.
Reasons for full mouth extraction in an urban and a rural area in The Netherlands (dentist-patient ratio 1:2500 and 1:5700 respectively) have been studied. Patients who participated in this combined sociodental research project were those who received full mouth extractions over a period of 1 yr. The combined patient response was 75% and the overall dentist response 90%. In the urban and the rural areas respectively 137 and 237 cases of full mouth extraction were recorded. When comparing the dentists' diagnoses with the conditions of the dentitions there appeared to be a fair degree of agreement in most of the cases, although some striking deviations were also found. In the relationship between the patient's opinion and the condition of the dentition some unexplained discrepancies were found: 37% of the dentitions in which the teeth and attachment were in a healthy condition were perceived as bad by the patients. Dentists and patients agreed in their perceptions of the dental conditions in 60% of the cases. In 27% there was a strong disagreement. In most of the discrepancies found plausible explanations could be given. In some cases this was not possible. As this involves a substantial minority of cases, dentists should be aware of reasons other than the clinical condition in the disabling treatment of full clearance.
对荷兰一个城市地区和一个农村地区（牙医与患者比例分别为1:2500和1:5700）进行全口拔牙的原因进行了研究。参与这个综合社会牙科研究项目的患者是那些在1年时间内接受全口拔牙的人。患者的综合回应率为75%，牙医的总体回应率为90%。在城市和农村地区分别记录了137例和237例全口拔牙病例。将牙医的诊断与牙列状况进行比较时，在大多数情况下似乎有相当程度的一致性，尽管也发现了一些明显的偏差。在患者的看法与牙列状况之间的关系中，发现了一些无法解释的差异：37%的牙齿和附着组织处于健康状态的牙列被患者认为状况不佳。在60%的病例中，牙医和患者对牙齿状况的看法一致。在27%的病例中存在强烈分歧。在发现的大多数差异中，可以给出合理的解释。在某些情况下则无法做到。由于这涉及到相当一部分病例，牙医在进行全口清除这种致残性治疗时，应意识到除临床状况之外的其他原因。
