Department of Oral Medicine and Periodontology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Gerodontology. 2012 Jun;29(2):e447-57. doi: 10.1111/j.1741-2358.2011.00497.x. Epub 2011 May 25.
To evaluate oral health status of the elderly, living in eight randomly selected residential homes for senior citizens across the country.
The percentage of the elderly is growing worldwide. With ageing, risks of various oral diseases, including dental caries and periodontal disease, are growing.
Altogether 296 elderly people (88 men, 208 women) of average age 79.89 ± 7.4 years were questioned about their medical condition and oral health practice and examined orally. Evaluation of clinical examination was carried out by DMFT, plaque index (Silness and Löe, 1964) and Community Periodontal Index of Treatment Need (CPITN).
Of 296 participants, 106 (35.8%) were edentulous, 95 (32.1%) had one to nine teeth and 95 persons (32.1%) had 10 or more teeth. The average number of teeth in an individual was small: 6.76 ± 7.47. The average number of teeth with caries lesions was 3.59 ± 4.70, filled teeth 1.94 ± 3.63 and teeth without caries or fillings 1.19 ± 2.41. The average DMFT value was 30.75. In 69.5% of participants, dental plaque was visible with the naked eye. Of 171 subjects, in whom CPITN index was appraised, 81.9% would need oral hygiene education, 56.7% would need scaling and root planning and 21.6% would need periodontal surgical treatment.
The results of this study indicate poor oral health of the elderly living in residential homes situated in different towns in Slovenia. It is of utmost importance to highlight the necessity of improving oral health care of this population.
评估居住在全国 8 家随机选择的养老院的老年人的口腔健康状况。
全球老年人口比例不断增加。随着年龄的增长,各种口腔疾病的风险,包括龋齿和牙周病,也在增加。
共调查了 296 名老年人(88 名男性,208 名女性),平均年龄为 79.89 ± 7.4 岁,询问了他们的医疗状况和口腔健康状况,并进行了口腔检查。临床检查的评估由 DMFT、菌斑指数(Silness 和 Löe,1964 年)和社区牙周治疗需要指数(CPITN)进行。
在 296 名参与者中,106 人(35.8%)无牙,95 人(32.1%)有 1 至 9 颗牙齿,95 人(32.1%)有 10 颗或更多牙齿。个体的平均牙齿数量较少:6.76 ± 7.47。平均每颗龋齿病变的牙齿为 3.59 ± 4.70,填充牙齿为 1.94 ± 3.63,无龋齿或填充的牙齿为 1.19 ± 2.41。平均 DMFT 值为 30.75。在 69.5%的参与者中,可以用肉眼看到牙菌斑。在接受 CPITN 指数评估的 171 名受试者中,81.9%需要口腔卫生教育,56.7%需要洁治和根面平整,21.6%需要牙周手术治疗。
这项研究的结果表明,居住在斯洛文尼亚不同城镇养老院的老年人口腔健康状况不佳。强调有必要改善这一人群的口腔保健至关重要。