Kawamura M, Sasaki T, Imai-Tanaka T, Yamasaki Y, Iwamoto Y
Department of Preventive Dentistry, Hiroshima University School of Dentistry, Japan.
Aust Dent J. 1998 Dec;43(6):410-6. doi: 10.1111/j.1834-7819.1998.tb00201.x.
Overseas investigations have reported the amount and variety of dental services provided. An understanding of the current service-mix in private general practice is important in the anticipation of the future practice of dentistry. The main purpose of this study was to describe the service-mix of private general practitioners in Japan, which was recorded using the Australian Dental Association Dental Procedure Code. Some comparisons with previous studies were offered. The youngest age group and adolescents formed only a small percentage of the total patients, while the greatest percentage of patients occurred in the 45-64 year age group. The services provided were mainly restorative, diagnostic advanced restorative and endodontic services. Preventive services represented a minority of dental activity, especially for young patients. Periodontic and orthodontic services were also remarkable for their low percentage in all age groups. In comparison with an Australian study, the percentage of preventive services was considerably lower. Movement toward a preventive emphasis in Japanese dentistry requires a change in the clinical model, de-emphasizing biomedical and aetiological approaches and placing greater emphasis on the patient and factors affecting dental practice.
海外调查已经报告了所提供牙科服务的数量和种类。了解当前私人全科牙科诊所的服务组合对于预测未来牙科实践很重要。本研究的主要目的是描述日本私人全科牙医的服务组合，该组合使用澳大利亚牙科协会牙科程序代码进行记录。还与之前的研究进行了一些比较。最年轻年龄组和青少年在患者总数中所占比例很小，而最大比例的患者出现在45 - 64岁年龄组。所提供的服务主要是修复性、诊断性高级修复和牙髓病服务。预防性服务在牙科活动中占少数，尤其是对于年轻患者。牙周病和正畸服务在所有年龄组中的比例也很低，同样引人注目。与一项澳大利亚研究相比，预防性服务的比例要低得多。日本牙科向注重预防的方向转变需要改变临床模式，减少对生物医学和病因学方法的强调，更加注重患者以及影响牙科实践的因素。
