Provision of extractions by main diagnoses
| Autor: | F. S. P. Szuster, Andrew John Spencer, David S. Brennan |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Emergency Medical Services Insurance Dental Longitudinal study Adolescent Cross-sectional study Dentistry Dental Caries Logistic regression Odds Tooth Loss Confidence Intervals Odds Ratio Prevalence Tooth loss Humans Medicine Longitudinal Studies Child Dental Care General Dentistry Periodontal Diseases Response rate (survey) Medically Uninsured business.industry Diagnosis Oral Periapical Diseases Age Factors Australia Dental Pulp Diseases Odds ratio Middle Aged Confidence interval Cross-Sectional Studies Logistic Models Child Preschool Tooth Extraction Female medicine.symptom business |
| Zdroj: | International Dental Journal. 51:1-6 |
| ISSN: | 0020-6539 |
| Popis: | Aims/objectives: The aim of this study was to investigate the association of extractions by the diagnoses of caries, pulpal/periapical infection and periodontal disease, controlling for visit type, insurance and age. Design: Cross-sectional analysis of the 1993–94 wave of a longitudinal study. Setting: Private general dental practice. Participants: A random sample of Australian registered dentists, (response rate=74%). Methods: Practitioners completed service logs over one to two typical clinical days. Main outcome measure: Percentage of patients receiving extractions. Results: Overall, 7.05% of patients received extractions, with the highest percentages occurring for persons with caries (7.90%), periodontal disease (17.45%) and pulpal/periapical infection (17.54%). Odds of extraction were higher at emergency visits for insured and uninsured patients compared to non-emergency visits by insured patients, while odds of extraction (Logistic regression: OR=Odds ratio; 95% CI) were higher for 18–44 year-olds with caries (OR=1.44; 1.09–1.89), for 18–44 (OR=1.84; 1.34–2.54) and 45+ year-olds (OR=1.83; 1.27–2.63) with pulpal/periapical infection, and for 45+ year-olds (OR=6.82; 4.68–9.95) with periodontal disease. Conclusions: There were different age-specific causes of extraction, controlling for visit type and insurance. Effect sizes were highest for pulpal/periapical infection and periodontal disease, but caries remained a major cause of tooth loss due to the higher prevalence of this condition. |
| Databáze: | OpenAIRE |
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