意大利北部养老院居民的口腔健康问题与需求

Oral health problems and needs in nursing home residents in Northern Italy.

作者信息

Ferro R, Besostri A, Strohmenger L, Mazzucchelli L, Paoletti G, Senna A, Stellini E, Mazzoleni S

机构信息

Regional Centre for the Study, Prevention and Treatment of Dental Diseases of Veneto Region, Cittadella Hospital, Cittadella, Padova, Italy.

出版信息

Community Dent Health. 2008 Dec;25(4):231-6.

PMID:19149301

Abstract

OBJECTIVE

To describe the oral health status and treatment needs of a sample of elderly people residing in nursing homes in Northern Italy.

RESEARCH DESIGN

a sample of 595 elderly residents (mean age 83.2+/-9.2 yrs), with adequate cognitive skills were examined by six calibrated dentists.

RESULTS

The sample (82% women) was divided into two groups: edentulous (43%) and dentate. In the edentulous group 58% wore dentures in both jaws, 8% in only one jaw and 34% had no dentures. The main problems were dirty or loose dentures and poor oral hygiene. In the dentate group the mean number of teeth was 8.4+/-7.4, 53% wore dentures (removable, fixed or a combination). Poor oral hygiene was found in 86%, root caries in 51% and coronal caries in 46%. Their main needs were professional cleaning (72%), oral hygiene instructions (62%) and tooth/root extractions (56%). While normative needs were noted for 82% of the whole sample, oral treatment needs were accurately perceived by only 20% of residents, poorly by 24%, while 46% indicated that they had no oral treatment needs.

摘要

目的

描述居住在意大利北部养老院的部分老年人的口腔健康状况及治疗需求。

研究设计

6名经过校准的牙医对595名认知能力正常的老年居民（平均年龄83.2±9.2岁）进行了检查。

结果

该样本（82%为女性）分为两组：无牙颌组（43%）和有牙颌组。在无牙颌组中，58%的人上下颌均佩戴假牙，8%的人仅佩戴一侧假牙，34%的人未佩戴假牙。主要问题是假牙脏污或松动以及口腔卫生差。在有牙颌组中，平均牙数为8.4±7.4颗，53%的人佩戴假牙（可摘、固定或两者皆有）。86%的人存在口腔卫生差的问题，51%的人有根龋，46%的人有冠龋。他们的主要需求是专业清洁（72%）、口腔卫生指导（62%）和拔牙/牙根拔除（56%）。虽然整个样本中有82%的人有规范性需求，但只有20%的居民准确意识到口腔治疗需求，24%的人认识不足，而46%的人表示他们没有口腔治疗需求。