Fiegler-Rudol Jakub, Ziobro Piotr, Zawilska Anna, Lau Karolina, Kasperczyk Janusz
Student Scientific Society at the Department of Conservative Dentistry and Endodontics, Faculty of Medical Sciences in Zabrze, Silesian Medical University in Katowice, Plac Akademicki 17, 41-902 Bytom, Poland.
Department of Conservative Dentistry and Endodontics, Faculty of Medical Sciences in Zabrze, Silesian Medical University in Katowice, Plac Akademicki 17, 41-902 Bytom, Poland.
J Clin Med. 2025 Aug 21;14(16):5909. doi: 10.3390/jcm14165909.
: Incarcerated individuals often experience poor oral health due to limited access to care and socioeconomic disadvantages. : This study assessed the dental health status of incarcerated individuals in Silesia over a five-year period using the Decayed, Missing, and Filled Teeth (DMFT) index and compared their outcomes to a matched control group from the general population. : We conducted a retrospective observational case-control study at the University Centre for Dentistry in Bytom, reviewing records of 136 incarcerated patients (mean age 36.8 ± 7.9 years; 9.4% women) and a matched control group between 2019 and 2024. : Incarcerated individuals had a higher mean DMFT score (14.4 ± 5.7) compared to controls (11.5 ± 6.5; mean difference = 2.95, 95% CI: 1.53 to 4.37; Cohen's d = 0.49), with more decayed (4.9 ± 3.2 vs. 3.4 ± 2.4) and missing teeth (4.3 ± 3.2 vs. 3.5 ± 2.6). Most incarcerated patients (65.5%) required oral surgical treatment, most commonly for retained roots (25.9%) and impacted teeth (24.5%). No significant DMFT differences were observed based on age or sex, although disparities were most pronounced in older female prisoners (mean DMFT 17.8 vs. 9.8 in controls aged 40+). : Incarcerated individuals in Silesia demonstrated a significantly higher burden of untreated dental disease and greater tooth loss compared to non-incarcerated controls over the five-year period. The predominance of advanced dental conditions requiring surgical intervention highlights missed opportunities for early and preventive care in this vulnerable population.
被监禁者往往由于获得医疗服务的机会有限和社会经济劣势而口腔健康状况不佳。本研究使用龋失补牙指数（DMFT）评估了西里西亚地区被监禁者在五年期间的牙齿健康状况，并将其结果与来自普通人群的匹配对照组进行了比较。我们在比托姆大学牙科中心进行了一项回顾性观察性病例对照研究，回顾了2019年至2024年期间136名被监禁患者（平均年龄36.8±7.9岁；女性占9.4%）和一个匹配对照组的记录。与对照组（11.5±6.5；平均差异=2.95，95%CI：1.53至4.37；科恩d=0.49）相比，被监禁者的平均DMFT得分更高（14.4±5.7），龋齿（4.9±3.2对3.4±2.4）和缺失牙更多（4.3±3.2对3.5±2.6）。大多数被监禁患者（65.5%）需要口腔外科治疗，最常见的是残留牙根（25.9%）和阻生牙（24.5%）。基于年龄或性别未观察到显著的DMFT差异，尽管差异在老年女性囚犯中最为明显（40岁以上对照组的平均DMFT为17.8对9.8）。在五年期间，西里西亚的被监禁者与未被监禁的对照组相比，未治疗的牙科疾病负担明显更高，牙齿缺失更多。需要手术干预的晚期牙科疾病的 predominance 突出了在这一弱势群体中早期和预防性护理的错失机会。 （注：“predominance”这里直接保留英文未翻译，可能是原文有误，正常应翻译为“优势、主导地位”等，结合语境这里存疑）
