Leake J L, Locker D, Price S A, Schabas R E, Chao I
Department of Community Dentistry, University of Toronto, Ontario.
Can J Public Health. 1990 Mar-Apr;81(2):120-4.
We determined the oral health status and treatment needs of the current and future elderly in East York and tested four enrollment strategies for community-based surveys. We selected our sample from the Municipal Composite Report and obtained the data using a multi-item questionnaire and a clinical examination. The examination protocol was based on World Health Organization (WHO) methodology but was expanded to provide tooth surface specific information. Of those contacted by telephone and repeated mailings, 35% participated. The sample appeared representative of the community as determined by a follow-up mail survey of non-respondents. 76% of those examined were dentate and 71% had visited the dentist within the last two years. Nonetheless, 27% had chewing impairment, 15% had discomfort with their teeth and 15% needed care urgently. Treatment needs were highest for the 187 dentate. They required 504 extractions or restorations and 113 denture services. Periodontal care for calculus and pockets was needed by 86% of the dentate. This report shows an apparent contradiction of high dental treatment needs remaining in the context of reported high care-seeking rates.
我们确定了东约克地区当前及未来老年人的口腔健康状况和治疗需求，并对基于社区的调查测试了四种招募策略。我们从市政综合报告中选取样本，并通过多项目问卷和临床检查获取数据。检查方案基于世界卫生组织（WHO）的方法，但进行了扩展以提供牙齿表面特定信息。通过电话联系和多次邮寄，35%的人参与了调查。通过对未回复者的后续邮件调查确定，该样本似乎具有社区代表性。接受检查的人中，76%有牙齿，71%在过去两年内看过牙医。尽管如此，27%的人有咀嚼障碍，15%的人牙齿不适，15%的人急需护理。187名有牙者的治疗需求最高。他们需要504次拔牙或修复以及113次假牙服务。86%的有牙者需要进行牙结石和牙周袋的牙周护理。本报告显示，在报告的高就诊率背景下，仍存在明显的高牙科治疗需求矛盾。
