Kawamura M, Iwamoto Y
Department of Preventive Dentistry, Hiroshima University School of Dentistry, Japan.
Int Dent J. 1999 Jun;49(3):173-81. doi: 10.1002/j.1875-595x.1999.tb00903.x.
The aim of this survey was to assess the present state of dental health knowledge, attitudes/behaviour and perceived oral health of Japanese employees. A 60-item questionnaire was used in a dental health project in the work place. The subjects comprised 77,845 employees, 76 per cent of whom reported delaying a dental visit until they had toothache, with about 60 per cent delaying even when they discovered a decayed tooth. The majority did not regard decayed teeth as a disease and only a minority reported regular dental visits. About three quarters reported bleeding gums on brushing, although more than half had never been taught professionally how to clean their teeth and less than 5 per cent flossed daily. More than half believed that false teeth were inevitable in old age, and that their teeth were getting worse despite daily brushing. About 70 per cent of the employees thought that it was impossible to prevent gum disease with toothbrushing alone, and nearly half believed a toothpaste with fluoride was effective in preventing periodontal disease. Reorientation of oral health care in Japan, therefore, is urgently needed and dental services have to be provided for the implementation of systematic oral health promotion for employees in the workplace.
本次调查旨在评估日本员工的牙齿健康知识、态度/行为以及他们对自身口腔健康的认知状况。在一项职场牙齿健康项目中使用了一份包含60个条目的问卷。研究对象为77845名员工，其中76%的人表示会等到牙疼时才去看牙；即便发现牙齿龋坏，约60%的人仍会拖延就诊。大多数人不认为龋齿是一种疾病，只有少数人会定期看牙。约四分之三的人表示刷牙时牙龈出血，尽管超过半数的人从未接受过专业的刷牙指导，且每天使用牙线的人不到5%。超过半数的人认为老年人不可避免会镶假牙，并且尽管每天刷牙，他们的牙齿仍在变差。约70%的员工认为仅靠刷牙无法预防牙龈疾病，近半数的人认为含氟牙膏对预防牙周疾病有效。因此，日本急需重新调整口腔保健方向，并且必须提供牙科服务，以便在职场中为员工开展系统性的口腔健康促进工作。
