Stubbs C, Riordan P J
Perth Dental Hospital and Community Dental Services, Perth, Western Australia.
Aust Dent J. 2002 Dec;47(4):321-6. doi: 10.1111/j.1834-7819.2002.tb00545.x.
This study aimed to estimate the dental treatment needs and oral health status of a sample of older adults in residential aged care facilities in Perth.
The 348 participants (> or = 65 years) were interviewed and screened in 25 facilities. The screenings were carried out by one examiner using a mirror and a portable light.
Over half (52 per cent) of the participants were edentulous and 45 per cent of those edentulous participants for whom a recording was made (n=174) had oral mucosal conditions. The 164 dentate participants had a mean of 12 disease-free standing teeth, a mean decayed, missing or filled teeth (DMFT) of 24.7 (mean DT 0.8, mean FT 5.3) and half of them required the removal of supragingival calculus. Of those with root caries experience (n=127), a mean of 1.3 untreated decayed roots and a mean of 1.9 roots covered in plaque were recorded. The majority of the participants (83 per cent) were pensioners eligible for government subsidized dental care and 47 per cent were reported by the Directors of Nursing to have dementia.
The data collected here demonstrate poor oral health conditions and a substantial treatment need in a neglected population. More people in nursing homes and hostels are keeping their natural teeth compared with a similar population studied 13 years ago.
本研究旨在评估珀斯老年护理机构中一部分老年人的牙科治疗需求和口腔健康状况。
在25家机构对348名参与者（年龄≥65岁）进行了访谈和筛查。筛查由一名检查者使用镜子和便携式光源进行。
超过半数（52%）的参与者无牙，在有记录的无牙参与者中（n = 174），45%有口腔黏膜疾病。164名有牙参与者平均有12颗无病留存牙，平均龋失补牙数（DMFT）为24.7（平均龋牙数DT 0.8，平均补牙数FT 5.3），其中一半需要清除龈上牙石。在有根龋经历的参与者中（n = 127），记录到平均有1.3颗未治疗的龋坏牙根，平均有1.9颗被菌斑覆盖的牙根。大多数参与者（83%）是符合政府补贴牙科护理条件的养老金领取者，据护理主任报告，47%的参与者患有痴呆症。
此处收集的数据表明，在这个被忽视的人群中，口腔健康状况不佳，治疗需求很大。与13年前研究的类似人群相比，养老院和宿舍中有更多人保留了天然牙。
