Section of Preventive and Public Health Dentistry, Division of Oral Health, Growth and Development, Kyushu University Faculty of Dental Science.
J Occup Health. 2011;53(3):222-9. doi: 10.1539/joh.o10031. Epub 2011 Apr 7.
Dental caries and periodontal disease are highly prevalent in the Japanese adult population. Oral examination is an effective method to find various oral health problems in their early stages. However, workplace oral examination is not common in Japan. The purpose of this study was to examine the relationship between receiving workplace oral health examination, including oral health instruction, and oral health status in the Japanese adult population.
This study was performed using data from 4,484 Japanese employees aged 35-74 yr. The proportion of teeth with a probing depth (PD) ≥4 mm and the number of decayed teeth were used for periodontal disease and dental caries parameters. The subjects were asked by questionnaire about past experiences with workplace oral health examination.
The subjects who received a workplace oral health examination every year had better periodontal health status than those receiving an examination for the first time. The odds ratio for having ≥10% of teeth with PD ≥4 mm in the subjects who received workplace oral health examination every year was 0.63 (p<0.05) after adjustment for age, sex, smoking habits, tooth-brushing habits, routine visits to dental clinics, number of missing teeth, and oral hygiene status, in a multivariate, multinomial logistic regression analysis. On the other hand, no significant relationship was found between workplace oral health examination and number of decayed teeth.
These results suggest that workplace oral health examination accompanied by oral health instruction may be effective for maintenance of periodontal health.
龋齿和牙周病在日本成年人群中发病率很高。口腔检查是早期发现各种口腔健康问题的有效方法。然而,日本的职场口腔检查并不常见。本研究旨在探讨接受职场口腔健康检查(包括口腔健康指导)与日本成年人群口腔健康状况之间的关系。
本研究使用了 4484 名 35-74 岁日本员工的数据。牙周病和龋齿的参数分别使用探诊深度(PD)≥4mm 的牙齿比例和龋齿数。通过问卷调查了解研究对象过去接受职场口腔健康检查的经历。
每年接受职场口腔健康检查的研究对象牙周健康状况较好,与首次接受检查的研究对象相比。在多变量多项逻辑回归分析中,调整年龄、性别、吸烟习惯、刷牙习惯、定期去看牙医、缺牙数和口腔卫生状况后,每年接受职场口腔健康检查的研究对象中 PD≥4mm 的牙齿比例≥10%的比值比为 0.63(p<0.05)。另一方面,职场口腔健康检查与龋齿数量之间没有显著关系。
这些结果表明,伴有口腔健康指导的职场口腔健康检查可能对维持牙周健康有效。