Steele J G, Walls A W
Dental School, Framlington Place, Newcastle upon Tyne, UK.
Qual Health Care. 1997 Sep;6(3):165-9. doi: 10.1136/qshc.6.3.165.
The dental profile of the population of most industrialised countries is changing. For the first time in at least a century most elderly people in the United Kingdom will soon have some of their own natural teeth. This could be beneficial for the frail and dependent elderly, as natural teeth are associated with greater dietary freedom of choice and good nutrition. There may also be problems including high levels of dental disease associated with poor hygiene and diet. New data from a national oral health survey in Great Britain is presented. The few dentate elderly people in institutions at the moment have poor hygiene and high levels of dental decay. If these problems persist as dentate younger generations get older, the burden of care will be substantial. Many dental problems in elderly people are preventable or would benefit from early intervention. Strategies to approach these problems are presented.
大多数工业化国家人口的牙齿状况正在发生变化。至少在一个世纪以来,英国的大多数老年人很快将首次拥有一些自己的天然牙齿。这对体弱和需要照料的老年人可能有益,因为天然牙齿与更大的饮食选择自由度和良好营养相关。也可能存在一些问题,包括与卫生习惯差和饮食不良相关的高水平牙齿疾病。本文展示了英国一项全国口腔健康调查的新数据。目前,机构中少数有牙的老年人卫生状况差,龋齿率高。如果随着有牙的年轻一代变老,这些问题持续存在,护理负担将相当大。老年人的许多牙齿问题是可以预防的,或者通过早期干预会有所改善。本文还提出了解决这些问题的策略。