伊斯坦布尔老年人群的一般健康、口腔状况和口腔治疗需求认知。

General health, dental status and perceived dental treatment needs of an elderly population in Istanbul.

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Marmara University, Istanbul, Turkey.

出版信息

Gerodontology. 2011 Mar;28(1):28-36. doi: 10.1111/j.1741-2358.2010.00363.x.

DOI:10.1111/j.1741-2358.2010.00363.x

PMID:21320160

Abstract

BACKGROUND

Comprehensive data on the oral health status and dental treatment needs of the elderly population in Turkey are deficient.

OBJECTIVES

This pilot study determined the general and dental health status, perceived medical and dental treatment needs of an elderly population dwelling in residential homes in Istanbul.

METHOD

Subjects at three different residential homes, namely one belonging to the state and two supported by foundations in Istanbul (N=121, female: 63 and male: 58) were involved in this study. A detailed questionnaire was prepared and dental examinations were conducted. Information was collected related to age, education levels, financial status, current physical functional status, general health, mental health, previous dental history, current dental status, oral hygiene practices and denture hygiene of these elderly people. The prevalence of edentulism, the presence and type of dental prostheses, dental and denture status and denture cleanliness were further evaluated.

RESULTS

The three most prevalent reported general health problems were associated with genito-urinary problems (24%) followed by cardiovascular (18%) and respiratory problems (14%) varying significantly between genders, with males suffering more from cardiovascular problems than females (p < 0.05). Females showed significantly higher gastrointestinal and orthopaedic problems than males (p < 0.05). Females were more frequently edentulous than males but denture hygiene was significantly better in females than in males (p < 0.05). Brushing frequency did not significantly increase denture hygiene (p = 0.6). More than one-third of the subjects had not been to the dentist within the previous 5-10 years, mainly due to lack of demand, followed by the cost of the dental care and fear. More than two-thirds of denture-wearing subjects wore their dentures only during eating.

CONCLUSIONS

There was significant perceived dental treatment and care need for the sample population of elderly studied.

摘要

背景

土耳其老年人的口腔健康状况和牙科治疗需求的综合数据不足。

目的

本初步研究旨在确定居住在伊斯坦布尔养老院的老年人群的一般和口腔健康状况、感知的医疗和牙科治疗需求。

方法

本研究纳入了伊斯坦布尔的三个不同养老院的受试者，即一家属于国家所有，两家由基金会支持（N=121，女性 63 人，男性 58 人）。准备了详细的问卷并进行了口腔检查。收集了这些老年人的年龄、教育水平、财务状况、当前身体功能状况、一般健康、心理健康、既往牙科史、当前口腔状况、口腔卫生习惯和义齿卫生状况等信息。进一步评估了无牙颌、义齿的存在和类型、牙齿和义齿状况以及义齿清洁度的流行情况。

结果

报告的三种最常见的一般健康问题与生殖泌尿系统问题（24%）有关，其次是心血管问题（18%）和呼吸系统问题（14%），性别之间差异显著，男性心血管问题比女性更常见（p<0.05）。女性胃肠道和骨科问题明显多于男性（p<0.05）。女性比男性无牙颌的比例更高，但女性义齿卫生状况明显优于男性（p<0.05）。刷牙频率并没有显著提高义齿卫生状况（p=0.6）。超过三分之一的受试者在过去 5-10 年内没有去过看牙医，主要是由于缺乏需求，其次是看牙的费用和恐惧。超过三分之二戴义齿的受试者只在进食时戴义齿。