Łaganowski Kacper, Ortarzewska Martyna, Cieślik Kornela, Jankowski Jakub, Nijakowski Kacper
Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, 70 Bukowska Street, 60-812 Poznan, Poland.
University Center of Dentistry and Specialized Medicine, 70 Bukowska Street, 60-812 Poznan, Poland.
J Clin Med. 2025 Feb 24;14(5):1508. doi: 10.3390/jcm14051508.
: Oral health behaviors can be shaped by various factors, both global (such as the COVID-19 pandemic) and individual (e.g., gender, age). This retrospective study aims to assess the factors influencing the choice between conservative and surgical dental procedures among patients based on the example of the university specialized center in Poznan. : We explored the patient dataset from the University Center of Dentistry and Specialized Medicine (Poznan, Poland), covering the period from 1 January 2017 to 31 December 2023. A total of 182,654 medical records were analyzed, focusing on procedures such as restorations, endodontic interventions, and extractions. Multivariate logistic regression and multidimensional correspondence analyses were employed to assess the impact of demographic factors (age and gender) and tooth-specific characteristics on clinical decisions. : Females, particularly younger, were more likely to choose restorative procedures, while males, especially those over 50, predominantly underwent surgical procedures. Endodontic treatments were most common in males aged 18-30, primarily for maxillary anterior teeth and premolars. Molar extractions, especially in the mandible, were the most frequent surgical procedure. Maxillary teeth, particularly canines and premolars, were more likely to be treated conservatively. : Economic factors, limited treatment access, and variations in patient preference influenced the observed patterns. Despite a national trend toward increased conservative treatments, disparities persisted based on age, gender, and tooth type. These findings emphasize the need for targeted prevention strategies and equitable access to advanced dental care.
口腔健康行为会受到各种因素的影响，包括全球性因素（如新冠疫情）和个体因素（如性别、年龄）。这项回顾性研究旨在以波兹南的大学专科中心为例，评估影响患者在保守性和外科牙科手术之间选择的因素。
我们研究了波兰波兹南大学牙科与专科医学中心2017年1月1日至2023年12月31日期间的患者数据集。共分析了182,654份病历，重点关注修复、牙髓治疗和拔牙等手术。采用多变量逻辑回归和多维对应分析来评估人口统计学因素（年龄和性别）以及牙齿特定特征对临床决策的影响。
女性，尤其是年轻女性，更倾向于选择修复性手术，而男性，尤其是50岁以上的男性，则主要接受外科手术。牙髓治疗在18至30岁的男性中最为常见，主要针对上颌前牙和前磨牙。磨牙拔除术，尤其是下颌磨牙拔除术，是最常见的外科手术。上颌牙齿，尤其是犬齿和前磨牙，更有可能接受保守治疗。
经济因素、治疗途径有限以及患者偏好的差异影响了观察到的模式。尽管全国范围内保守治疗有增加的趋势，但基于年龄、性别和牙齿类型的差异仍然存在。这些发现强调了制定有针对性的预防策略以及公平获得先进牙科护理的必要性。
