Vysniauskaité Sonata, Kammona Nagham, Vehkalahti Miira M
Institute of Dentistry, University of Helsinki, Helsinki, Finland.
Gerodontology. 2005 Mar;22(1):44-51. doi: 10.1111/j.1741-2358.2004.00040.x.
To describe oral self-care practices and the use of dental services among dentate elderly patients attending public dental service in Kédainiai, Lithuania, and relate these parameters to the number of remaining teeth.
Cross-sectional questionnaire study.
Two public dental offices in Kédainiai, Lithuania.
Dentate patients aged 60+.
A self-administered questionnaire covering oral hygiene practices, use of sugar, utilisation of dental services, and number of teeth. Age, gender, and education served as background factors.
In all, 174 dentate elderly people responded, their mean age being 69.2 years (CI 95% 68.2-70.2) and mean number of teeth reported 16.2 (CI 95% 15.4-17.1). Of these respondents, 30% reported that they brushed their teeth twice daily and 57% that they always used fluoridated tooth paste. Having 21+ teeth was strongly associated (p < 0.001) with these habits, with brushing in the evening, and with enrolment in higher education, but not with gender. After controlling for various self-care and background factors, frequent tooth brushing remained as the only significant factor in the logistic regression model (OR 2.0, CI 95% 1.2-3.3, p = 0.01) to explain subjects' retention of 21+ teeth.
Elderly Lithuanians' oral self-care is far from meeting recommendations. To preserve their natural teeth, dentate elderly people should improve their oral self-care practices, in particular as regards tooth brushing. To reach that goal, all efforts by the community and dental profession are welcomed.
描述立陶宛凯代尼艾市公立牙科服务机构中，有牙的老年患者的口腔自我护理习惯及牙科服务使用情况，并将这些参数与剩余牙齿数量相关联。
横断面问卷调查研究。
立陶宛凯代尼艾市的两家公立牙科诊所。
60岁及以上有牙患者。
采用一份涵盖口腔卫生习惯、糖的摄入、牙科服务利用情况及牙齿数量的自填式问卷。年龄、性别和教育程度作为背景因素。
共有174名有牙老年人做出回应，他们的平均年龄为69.2岁（95%置信区间68.2 - 70.2），报告的平均牙齿数量为16.2颗（95%置信区间15.4 - 17.1）。在这些受访者中，30%报告他们每天刷牙两次，57%报告他们总是使用含氟牙膏。拥有21颗及以上牙齿与这些习惯、晚上刷牙以及接受高等教育密切相关（p < 0.001），但与性别无关。在控制了各种自我护理和背景因素后，在逻辑回归模型中，经常刷牙仍然是解释受试者保留21颗及以上牙齿的唯一显著因素（比值比2.0，95%置信区间1.2 - 3.3，p = 0.01）。
立陶宛老年人的口腔自我护理远未达到推荐标准。为了保留天然牙齿，有牙的老年人应改善他们的口腔自我护理习惯，特别是在刷牙方面。为实现这一目标，欢迎社区和牙科专业人士做出一切努力。
