Department of Dentistry, Radboud University Medical Center, Radboud Research Institute for Medical Innovation, Nijmegen, The Netherlands.
BMC Oral Health. 2024 Aug 8;24(1):912. doi: 10.1186/s12903-024-04687-8.
Studies on oral health status of adults are sparse and rarely include data on endodontic treatment and trauma. In the military, those data are available because recruits are routinely assessed with a clinical and radiological examination at the start of their career. This study aimed to identify differences in oral health status of Dutch Armed Forces recruits between cohorts, departments, sex, age and rank, with DMF-T, endodontic treatment and dental trauma as outcome measures.
Data from Electronic Patient Files from all recruits enlisted in 2000, 2010 and 2020 were used for analysis in a hurdle model resulting in the estimated cohort effect, controlled for the demographic variables. The total number of recruits was 5,764. Due to the retrospective character of the study a proxy was used to compose D-T and dental trauma.
The mean DMF-T number in recruits decreases from 5.3 in cohort 2000 to 4.13 in cohort 2010 and 3.41 in cohort 2020. The percentage of endodontically treated teeth increases from 6% in cohort 2000 to respectively 9% in 2010 and 8% in 2020. The percentage of recruits showing signs of dental trauma did not change significantly between cohort 2000 (3.1%) and cohort 2010 and 2020 (both 2.7%).
Oral health in Armed Forces recruits is improving over the years, following a similar trend as the general population in the Netherlands. Lower SES represented by enlisted rank showed substantial lower oral health status.
成人的口腔健康状况研究较少，很少包括牙髓治疗和创伤的数据。在军队中，由于新兵在职业生涯开始时会接受临床和影像学检查，因此有这些数据。本研究旨在确定荷兰武装部队新兵在队列、部门、性别、年龄和军衔方面的口腔健康状况差异，以 DMF-T、牙髓治疗和牙齿创伤为结果测量指标。
使用 2000 年、2010 年和 2020 年入伍新兵的电子病历数据进行分析，使用障碍模型得出队列效应的估计值，同时控制人口统计学变量。新兵总数为 5764 人。由于研究的回顾性，使用替代指标来组成 D-T 和牙齿创伤。
新兵的平均 DMF-T 数量从 2000 年队列的 5.3 减少到 2010 年队列的 4.13 和 2020 年队列的 3.41。接受牙髓治疗的牙齿比例从 2000 年队列的 6%增加到 2010 年队列的 9%和 2020 年队列的 8%。显示牙齿创伤迹象的新兵比例在 2000 年队列（3.1%）和 2010 年和 2020 年队列（均为 2.7%）之间没有显著变化。
武装部队新兵的口腔健康状况逐年改善，与荷兰普通人群的趋势相似。以入伍军衔为代表的较低社会经济地位表明，其口腔健康状况较差。
