Vysniauskaité Sonata, Vehkalahti Miira M
Department of Oral Public Health, Institute of Dentistry, University of Helsinki, FI-00014 Helsinki, Finland.
Gerodontology. 2006 Sep;23(3):149-56. doi: 10.1111/j.1741-2358.2006.00115.x.
To describe the initial dental treatments of Lithuanian dentate elderly patients and the content of the most recent treatment in relation to their dentist-visiting behaviour.
A cross-sectional questionnaire study was carried out at two public dental offices in Kédainiai, Lithuania, among dentate patients aged 60+ years. A self-administered questionnaire covered first-time dental care, the most recent dental treatment, check-up behaviour, interval since the most recent dental visit, and number of teeth. Age, gender and education served as background information. Statistical evaluation was by chi-squared test, anova and logistic regression for odds ratio (OR).
In all, 174 dentate elderly responded, mean age being 69.2 (SD = 6.6) years. The mean age at the first visit was 16.3 years [95% confidence interval (CI) 14.9-17.6]. Regular dental check-ups were reported by 30%, and 36% had visited a dentist within the past 12 months. As to the content of the most recent treatment, 78% of the elderly reported filling therapy, 50% endodontics, 48% tooth extraction, 21% radiography, 10% cleaning or scaling and 6% polishing of fillings. Those going for check-ups were more likely to report diagnostic (OR 1.9; 95% CI 1.1-2.8; p = 0.01) and preventive (OR 4.8; 95% CI 2.5-9.0; p = 0.002) treatment when analysed by a logistic regression model, controlling for age, gender, education and number of teeth.
Check-up-orientated utilisation of dental services should be encouraged among the Lithuanian elderly. Dentists and health officials should place greater emphasis on prevention.
描述立陶宛有牙老年患者的初始牙科治疗情况以及与他们看牙医行为相关的最近一次治疗内容。
在立陶宛凯代尼艾的两家公共牙科诊所，对60岁及以上的有牙患者开展了一项横断面问卷调查研究。一份自填式问卷涵盖首次牙科护理、最近一次牙科治疗、检查行为、距最近一次看牙的间隔时间以及牙齿数量。年龄、性别和教育程度作为背景信息。采用卡方检验、方差分析和比值比（OR）的逻辑回归进行统计评估。
共有174名有牙老年人做出回应，平均年龄为69.2岁（标准差=6.6）。首次就诊的平均年龄为16.3岁[95%置信区间（CI）14.9 - 17.6]。30%的人报告定期进行牙科检查，36%的人在过去12个月内看过牙医。关于最近一次治疗的内容，78%的老年人报告进行了补牙治疗，50%进行了牙髓治疗，48%进行了拔牙，21%进行了放射检查，10%进行了清洁或洗牙，6%进行了补牙抛光。在通过逻辑回归模型进行分析时，在控制年龄、性别、教育程度和牙齿数量的情况下，进行检查的人更有可能报告诊断性（OR 1.9；95% CI 1.1 - 2.8；p = 0.01）和预防性（OR 4.8；95% CI 2.5 - 9.0；p = 0.002）治疗。
应鼓励立陶宛老年人以检查为导向利用牙科服务。牙医和卫生官员应更加重视预防。
