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奥地利因斯布鲁克医科大学牙科学院针对成年残疾人开展的20年门诊牙科服务回顾性评估

Retrospective Evaluation of 20 Years of Outpatient Dental Services to Adults with Disabilities at the Dental Hospitals of the Medical University of Innsbruck, Austria.

作者信息

Schnabl Dagmar, Strohm Matthias Michael, Schummer Pit Eugene, Sigwart Lukas, Kapferer-Seebacher Ines

机构信息

University Hospital of Dental Prosthetics, Medical University of Innsbruck, 6020 Innsbruck, Austria.

University Hospital of Conservative Dentistry and Periodontology, Medical University of Innsbruck, 6020 Innsbruck, Austria.

出版信息

Healthcare (Basel). 2024 Feb 20;12(5):503. doi: 10.3390/healthcare12050503.

DOI:10.3390/healthcare12050503
PMID:38470614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10931228/
Abstract

Disabled persons' chairside dentistry is challenging. We aimed for a retrospective breakdown of dental services delivered to disabled patients by dental students and to discuss feasibility of a chairside approach. Consecutive patients, who received scheduled dental treatment by dental students from 2002 to 2021, were included. Demographic data, medical diagnoses, number of treatment sessions, performed treatments, and treatment break-offs were collected and analyzed with descriptive statistics. In total, 224 individuals with various disabilities (mean age 36.4 ± 14.6 years) received dental services in 2282 sessions altogether (10.3 ± 11. sessions per patient). Professional tooth cleaning was the most frequently provided treatment (55.8% of sessions). A total of 654 teeth were restored with fillings, 97 teeth were extracted, 56 teeth had endodontic treatment, and 25 removable dentures were fitted. Treatment break-off due to incompliance and referral to dental general anesthesia occurred in 74 patients (33%). Chairside treatment of disabled persons by dental students is feasible in many cases. Our study may serve as an incentive for clinicians/researchers to report on treatment modalities and outcomes of chairside dentistry in patients with special oral health care needs, preferably by the use of prospective study designs, to contribute data and strategies in the fight for control of oral health inadequacies.

摘要

为残疾人士提供椅旁牙科治疗颇具挑战性。我们旨在对牙科学生为残疾患者提供的牙科服务进行回顾性分类,并讨论椅旁治疗方法的可行性。纳入了2002年至2021年期间接受牙科学生定期牙科治疗的连续患者。收集了人口统计学数据、医学诊断、治疗次数、所进行的治疗以及治疗中断情况,并采用描述性统计进行分析。共有224名患有各种残疾的个体(平均年龄36.4±14.6岁)共接受了2282次牙科服务(每位患者10.3±11.次)。专业牙齿清洁是最常提供的治疗(占治疗次数的55.8%)。共补牙654颗,拔牙97颗,进行牙髓治疗56颗,安装可摘义齿25副。74名患者(33%)因不配合治疗和转至牙科全身麻醉而导致治疗中断。牙科学生对残疾人士进行椅旁治疗在很多情况下是可行的。我们的研究可能会激励临床医生/研究人员报告有特殊口腔保健需求患者的椅旁牙科治疗方式和结果,最好采用前瞻性研究设计,为控制口腔健康不足的斗争贡献数据和策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa9/10931228/1f23bd63f25a/healthcare-12-00503-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa9/10931228/2231a513ac5c/healthcare-12-00503-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa9/10931228/1f23bd63f25a/healthcare-12-00503-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa9/10931228/2231a513ac5c/healthcare-12-00503-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa9/10931228/1f23bd63f25a/healthcare-12-00503-g002.jpg

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本文引用的文献

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Spec Care Dentist. 2024 May-Jun;44(3):925-936. doi: 10.1111/scd.12944. Epub 2023 Nov 28.
2
Chairside oral prophylaxis for people with profound intellectual or multiple disabilities-a retrospective feasibility study.口腔洁治预防深度智障或多重残疾人士口腔疾病:回顾性可行性研究。
Clin Oral Investig. 2023 Nov;27(11):6747-6756. doi: 10.1007/s00784-023-05287-6. Epub 2023 Oct 25.
3
Dental extractions do not predict further use of dental general anesthesia in people with disabilities: A longitudinal analysis.
拔牙是否能预测残疾人群未来对牙科全身麻醉的使用:纵向分析。
Spec Care Dentist. 2024 May-Jun;44(3):845-851. doi: 10.1111/scd.12925. Epub 2023 Sep 22.
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The Use of Medically Required Dental Services by Youth with Intellectual/Developmental Disabilities in British Columbia, Canada.加拿大不列颠哥伦比亚省智障/发育障碍青年对医疗必需牙科服务的使用情况。
J Can Dent Assoc. 2023 Jul;89:n7.
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Disparity in access for people with disabilities to outpatient dental care services: a retrospective cohort study.残疾人获得口腔门诊医疗服务的机会不平等:一项回顾性队列研究。
BMC Oral Health. 2023 Apr 14;23(1):213. doi: 10.1186/s12903-023-02948-6.
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Identifying Persons with Special Healthcare Needs in Dentistry-Development and Validation of the French Case Mix Tool.识别牙科医疗特殊需求患者 - 法国病例组合工具的开发和验证。
Int J Environ Res Public Health. 2023 Feb 8;20(4):2997. doi: 10.3390/ijerph20042997.
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Preliminary Results of an Interdisciplinary Behavioral Program to Improve Access to Preventative Dental Care for Adults With Intellectual and Developmental Disabilities.改善智障和发育障碍成人获得预防性牙科保健的跨学科行为方案的初步结果。
Intellect Dev Disabil. 2022 Dec 1;60(6):504-519. doi: 10.1352/1934-9556-60.6.504.
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