Su Ni-Yu, Wang Yu-Hsun, Chang Yu-Chao
School of Dentistry, Chung Shan Medical University, Taichung, Taiwan.
Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan.
J Dent Sci. 2023 Jul;18(3):1235-1242. doi: 10.1016/j.jds.2023.01.033. Epub 2023 Feb 10.
BACKGROUND/PURPOSE: As esthetic demands with direct restorations, tooth-colored materials were used to replace amalgam filling gradually. However, little is known about the tooth-colored restorative materials for decayed teeth in Taiwan. In this study, the use of composite resin, glass ionomer cement, and compomer was analyzed by National Health Insurance Research Database (NHIRD).
A retrospective study was conducted to analyze the registered database compiled by Taiwanese NHIRD from 1997 to 2013. The results were further to analyze the application of tooth-colored restorative materials by sex and age. In addition, time trends of dental visits for each tooth-colored restorative material were also investigated.
The average annual composite resin filling (CRF) ratio was 18.41% of nationwide population in Taiwan. The prevalence of CRF stratified by sex and age was significantly increased from 1997 to 2013 ( for trend <0.0001). The time trends of dental visits for CRF were significantly increased ( for trend <0.0001). The average annual glass ionomer cement filling (GICF) ratio was 1.79% of Taiwanese population. The prevalence of GICF stratified by sex and age was demonstrated a decreased pattern ( for trend <0.0001). The time trends of dental visits for GICF were significantly decreased ( for trend <0.0001). The average annual compomer filling ratio was 0.57% of whole population in Taiwan.
Form the results of this registry-based study, a significant increased trend of CRF for decayed teeth was observed in Taiwanese population during past 17 years.
背景/目的：随着对直接修复体美学需求的增加，牙齿颜色的材料逐渐被用于替代汞合金充填物。然而，台湾地区用于龋齿的牙齿颜色修复材料的相关情况鲜为人知。在本研究中，通过国民健康保险研究数据库（NHIRD）分析了复合树脂、玻璃离子水门汀和复合体的使用情况。
进行一项回顾性研究，分析台湾地区NHIRD在1997年至2013年编制的注册数据库。结果进一步按性别和年龄分析牙齿颜色修复材料的应用情况。此外，还研究了每种牙齿颜色修复材料的就诊时间趋势。
台湾地区全国人口的复合树脂充填（CRF）年均比例为18.41%。按性别和年龄分层的CRF患病率在1997年至2013年显著增加（趋势P<0.0001）。CRF的就诊时间趋势显著增加（趋势P<0.0001）。玻璃离子水门汀充填（GICF）年均比例为台湾人口的1.79%。按性别和年龄分层的GICF患病率呈下降趋势（趋势P<0.0001）。GICF的就诊时间趋势显著下降（趋势P<0.0001）。复合体充填年均比例为台湾全体人口的0.57%。
从这项基于登记处的研究结果来看，在过去17年中，台湾人群中龋齿的CRF呈显著上升趋势。
