Department of Preventive and Community Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
Int J Prosthodont. 2012 Mar-Apr;25(2):173-9.
The aims of this study were to investigate the prevalence of tooth loss in Greek individuals aged 35 to 44 and 65 to 74 years in relation to sociodemographic parameters and to describe their prosthetic status and needs.
A stratified cluster sample of 1,188 middle-aged adults and 1,093 senior citizens was selected according to World Health Organization (WHO) guidelines for national pathfinder surveys. Tooth loss and prosthetic status and needs were recorded according to WHO criteria. Sociodemographic data were collected through face-to-face interviews.
Complete edentulism affected 0.3% of individuals aged 35 to 44 years and 31.5% of those aged 65 to 74 years. Most middle-aged adults (92.1%) had ≥ 21 natural teeth, while the corresponding percentage for the senior citizens was 23.1%. The mean number of missing teeth was 5.2 in middle-aged adults and 21.6 in senior citizens. The multivariate analysis showed that education level was the only predictor of tooth loss in both age groups. Approximately 38% of those aged 35 to 44 years and 80% of those aged 65 to 74 years had dental prostheses, while 47.6% of middle-aged adults and 66.3% of senior citizens did not need any prosthetic treatment. The need for complete dentures was relatively low in both age groups. Comparisons of the present results with those of 1985 indicate that the dentate status of Greek adults aged 35 to 44 years has not improved. Furthermore, the prevalence of tooth loss in the elderly population was high compared with internationally reported findings.
The replacement of missing teeth with fixed or removable prostheses will continue to be common in Greece for the foreseeable future.
本研究旨在调查希腊 35-44 岁和 65-74 岁人群的缺牙情况，并分析其与社会人口学参数的关系，同时描述他们的义齿修复状况和需求。
根据世界卫生组织（WHO）国家试点调查指南，采用分层聚类抽样方法，选择了 1188 名中年人和 1093 名老年人作为研究对象。根据 WHO 标准记录缺牙情况、义齿修复状况和需求，并通过面对面访谈收集社会人口学数据。
35-44 岁人群中完全无牙的比例为 0.3%，65-74 岁人群中这一比例为 31.5%。大多数中年人（92.1%）有≥21 颗天然牙，而老年人中这一比例为 23.1%。中年人平均缺牙 5.2 颗，老年人平均缺牙 21.6 颗。多变量分析显示，教育水平是两个年龄组缺牙的唯一预测因素。约 38%的 35-44 岁人群和 80%的 65-74 岁人群有牙列修复体，而 47.6%的中年人及 66.3%的老年人则无需任何修复治疗。两个年龄组对全口义齿的需求相对较低。与 1985 年的结果相比，目前的结果表明，希腊 35-44 岁成年人的牙齿状况并没有改善。此外，与国际报道相比，希腊老年人群的缺牙率较高。
在可预见的未来，希腊将继续普遍采用固定或可摘义齿来修复缺失的牙齿。
