对有偿医疗服务体系中患者牙科整形治疗量的分析

L. Markina, Fedor losev, Vasily Grinin
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摘要

本文专门分析了在多学科医疗机构的有偿医疗服务体系中为患者提供的牙科矫形治疗量。国外和国内进行的各种流行病学调查显示,大多数俄罗斯人的口腔器官和组织状况不尽人意。在牙科病理学中,牙齿脱落和随之而来的功能障碍占有重要地位 [2-4]。成年人牙齿健康的重要指标之一是确保修复需求,这也是牙齿保健水平的特征。根据世界卫生组织的资料,造成牙齿缺失的主要原因是牙周炎和龋齿。75-80% 的人口患有牙周炎,其中 90% 是老人和老年人。根据 A. K. Kuryanov 和 L. N. Babenko(1988 年)的研究,在 1 000 名 60 岁的受检者中,有 75% 的人需要进行牙齿修复,其中 225 例发现下颌牙齿完全缺失 [1]。在牙科矫形有偿医疗服务中,对患者牙科矫形治疗量的分析表明,5 年来,在所有制造的矫形结构中,部分缺牙的活动板式义齿数量最多,单冠位居第二,完全缺牙的活动板式义齿位居第三。从 2018 年到 2022 年,生产的每一类矫形结构都呈增长趋势。2020 年,牙科矫形的数量略有下降,原因是当时国内的流行病状况不佳。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ANALYSIS OF THE VOLUME OF DENTAL ORTHOPEDIC CARE FOR PATIENTS IN THE SYSTEM OF PAID MEDICAL SERVICES
The article is devoted to the analysis of the volume of dental orthopedic care for patients in the system of paid medical services in a multidisciplinary medical organization. Various epidemiological surveys conducted abroad and in our country have revealed an unsatisfactory condition of the organs and tissues of the mouth in the majority of the Russian population. Among dental pathology, tooth loss with subsequent functional disorders occupies a significant place [2–4]. One of the important indicators of dental health of the adult population, characterizing the level of dental care, is to ensure the need for prosthetics. According to WHO, the main causes of missing teeth are periodontitis and caries. Periodontitis is noted in 75–80% of the population, of which 90% are elderly and senile people. According to A. K. Kuryanov and L. N. Babenko (1988), 75% of 1,000 examined at the age of 60 needed dental prosthetics, and complete loss of teeth in the jaw was detected in 225 cases [1]. An analysis of the volume of dental orthopedic care for patients in the provision of paid medical services in orthopedic dentistry showed that for 5 years, among all manufactured orthopedic structures, removable plate prostheses with partial absence of teeth accounted for the largest volume, single crowns in second place, removable plate prostheses in the third place with complete absence of teeth. For each type of orthopedic structures manufactured, there is a growth trend from 2018 to 2022. There was a slight decrease in the volume of orthopedic dental care in 2020, due to the unfavorable epidemiological situation in the country at that time.
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