Mariño R J, Cueto A, Badenier O, Acevedo R, Moya R
Cooperative Research Centre for Oral Health Science, University of Melbourne, Melbourne, Australia.
Community Dent Health. 2011 Jun;28(2):143-8.
To assess the oral health status and treatment needs of older adults, living in the Valparaiso Region of Chile.
A random sample of 354 older adults, aged 60 years or older, living independently in the community were examined orally by calibrated examiners and underwent a structured oral health interview. Data collection extended from October 2006 to June 2007.
This was a largely dentate population (80%) with a mean DMFT score of 21.6 (s.d. 5.7). While about 28% of the dentate sample had all their restorative needs unmet, 30.8% had all of their restorative needs met. Regarding periodontal health, 3.3% had sound periodontum; complex periodontal therapy (CPI 3-4) was needed by 43.1% of the sample.
This study represents one of the largest data collections in oral health among older adults living in Chile. Participants seemed to have better oral health status than previously reported. Of particular relevance is the reduction of the decayed component and the increased number of sound teeth in the present sample. Participants also presented lower need for advance periodontal treatment. Yet, inequalities were apparent in the proportion of unmet restorative needs. Strategies to develop oral health care programmes focused on improving access to and use of preventive services for older adults are critical. Further research is indicated to get a more complete picture of the factors that shape the oral health of Chilean older adults.
评估居住在智利瓦尔帕莱索地区的老年人的口腔健康状况和治疗需求。
从354名60岁及以上独立生活在社区中的老年人中随机抽取样本，由经过校准的检查人员进行口腔检查，并接受结构化的口腔健康访谈。数据收集时间从2006年10月至2007年6月。
这主要是一个有牙人群（80%），平均龋失补牙面数（DMFT）为21.6（标准差5.7）。在有牙样本中，约28%的人所有修复需求未得到满足，30.8%的人所有修复需求得到满足。关于牙周健康，3.3%的人牙周状况良好；43.1%的样本需要复杂的牙周治疗（社区牙周指数CPI为3 - 4）。
本研究是智利老年人口腔健康方面最大的数据收集之一。参与者的口腔健康状况似乎比之前报道的更好。特别值得注意的是，本样本中龋坏部分减少，完好牙齿数量增加。参与者对牙周高级治疗的需求也较低。然而，未满足的修复需求比例存在明显不平等。制定侧重于改善老年人获得和使用预防服务的口腔保健计划的策略至关重要。需要进一步研究以更全面地了解影响智利老年人口腔健康的因素。
