限制牙周治疗频率:对丹麦成年人牙损失的影响
Eero Raittio1,2, Rodrigo Lopez3,4, Vibeke Baelum1
1Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
Community dentistry and oral epidemiology
|December 23, 2024
概括
将牙周治疗限制为每两年一次,并没有显著影响丹麦成年人牙拔牙率. 这表明目前的牙科护理访问频率可能对预防牙脱落不至关重要.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 牙周病学 牙周病学
- 流行病学 流行病学
背景情况:
- 牙周病是导致牙脱落的一个重要因素.
- 了解牙周治疗的最佳频率对于公共卫生政策至关重要.
- 丹麦全国性的登记册为纵向健康研究提供了可靠的数据.
研究的目的:
- 估计限制性牙周治疗政策 (每两年不超过一次的治疗) 对拔牙10年风险的影响.
- 分析减少牙周护理频率对丹麦成年人牙脱落发生率的影响.
主要方法:
- 利用一个纵向修改的治疗政策的因果推理框架,使用丹麦登记 (1990-2021) 中20,000名50岁的数据.
- 在观察到的模式和限制治疗为每两年一次的反事实场景之间比较牙拔牙的发生率 (2012-2021年).
- 根据社会,经济和牙科服务利用历史,考虑了信息审查和混因素.
主要成果:
- 在10年内,25.1%的人至少一次拔牙.
- 相反的情况显示,与观察数据相比,接受牙周治疗的年数减少了30%-50%.
- 牙脱落的10年累计发病率在限制治疗方案和观察到的模式之间几乎没有变化.
结论:
- 牙周护理访问频率的显著减少可能不会显著改变丹麦牙脱落的发生率.
- 这些发现表明,目前关于牙周治疗频率的治疗政策可能不会直接影响长期牙拔牙率.
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