Department for Community Dentistry, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Gerodontology. 2012 Jun;29(2):e392-400. doi: 10.1111/j.1741-2358.2011.00486.x. Epub 2011 May 10.
To describe the oral health and the oral-health-related quality of life (OHRQoL) of citizens in Copenhagen City on admission to a specific oral health-care programme for disabled elderly persons. Further, to analyse how various factors influence the oral health and the OHRQoL among these patients.
A cross-sectional study of 189 persons (average 85 years) consecutively admitted to a special oral health-care programme. Clinical data and data from interviews comprising social factors, life-style, dental visit habits, oral hygiene practices and self-perceived oral health were collected. A modified index on perceived dysfunction, discomfort and disability due to oral disorders was used.
Sixty-eight per cent had natural teeth, among those 57% had decayed teeth and two out of three wore dentures. Smoking habits influence the number of teeth present and the OHRQoL (p < 0.05) of the patients. Edentulousness, decayed teeth, and presence of dentures did not seem to cause OHRQoL problems, while higher OHRQoL scores (more problems) were reported by those with 1-9 teeth and tooth mobility.
OHRQoL of these patients can be increased by removal of loose teeth and provision of dentures to those with very few teeth rather than focus on traditional caries treatment.
描述哥本哈根市居民在进入特定的老年残疾人口腔保健计划时的口腔健康状况和口腔健康相关生活质量（OHRQoL）。此外，分析这些患者的各种因素如何影响口腔健康和 OHRQoL。
这是一项对 189 名（平均年龄 85 岁）连续进入特殊口腔保健计划的患者进行的横断面研究。收集了临床数据和访谈数据，包括社会因素、生活方式、牙科就诊习惯、口腔卫生习惯和自我感知的口腔健康状况。使用改良的因口腔疾病导致的功能障碍、不适和残疾感知指数。
68%的患者有天然牙齿，其中 57%有龋齿，三分之二的人戴假牙。吸烟习惯影响患者的牙齿数量和 OHRQoL（p<0.05）。无牙、龋齿和戴假牙似乎不会导致 OHRQoL 问题，而报告有 1-9 颗牙齿和牙齿松动的患者则报告了更高的 OHRQoL 评分（更多问题）。
通过去除松动的牙齿，并为那些只有少数牙齿的患者提供假牙，而不是专注于传统的龋齿治疗，可以提高这些患者的 OHRQoL。
