Recording of diagnoses in public primary oral health care in a retrospective longitudinal observational study in a Finnish town: Underrepresentation of periodontitis diagnoses

Abstract

Objectives This study investigates which oral diagnoses public primary dental care dentists record. Methods An observational register‐based retrospective follow‐up study was performed in the public primary oral health care of a Finnish town after the dentists were advised to mark the diagnoses in their practices. The rate of recorded diagnoses resulting from visits to the public primary care dentists was studied. The assessed diagnoses were recorded with the 10th revision of the International Classification of Diseases. The distribution of diagnoses was recorded during a 2‐year follow‐up period. Results The most frequent diagnosis groups were dental caries (K02, 38.6%), other diseases of dental hard tissues (K03, 14.9%), diseases of pulp and periapical tissues (K04, 11.4%), periodontal diseases (K05, 9.7%), and different types of bone fractures (S02, 8.1%). Periodontitis was underrepresented. Conclusions In public primary oral health care, there may be difficulties in adequate recording of certain chronic diseases.

Genetic analysis of probable sleep bruxism and its associations with clinical and behavioral traits

“…With the secondary use of EHR data, there is a need for validation of phenotypes, such as bruxism, to ensure that the codes match diagnoses. Furthermore, while earlier studies show validation analysis between SB in population based samples [ 27 ], in our analysis we did not perform separate validation with chart data but relied on the earlier observations and clinical recommendations. This approach may induce heterogeneity in our analysis that we cannot directly measure in the scope of our own analysis.…”

“…In the International Classification of Diseases (ICD), 10th revision, by the World Health Organization [ 26 ], bruxism is listed under F45.8 “Other Somatoform Disorders.” The adoption of F45.8 code as the code used to denote bruxism in Finland has been implicated also in a recent study and shown to be diagnosed often by Finnish dentists [ 27 ]. To identify individuals with probable SB we extracted ICD-10 codes F45.8 “Other Somatoform Disorders” and G47.8 “Other Sleep Disorders”—another ICD-10 code adopted more recently for SB diagnosis in Finland—from hospital and primary care registries.…”

Evaluation of the Impact of Oral Health on the Daily Activities of Users of the National Health System

“…A global analysis showed that oral diseases were considered endemic, representing a total of 3.9 billion people worldwide, among whom caries accounts for 35% of cases, despite it being an avoidable disease in comparison with other dental pathologies. For example, severe periodontitis occupies 6th place in the ranking of oral diseases, followed by oral cancer in 11th place and tooth loss in 36th place [12,13].…”