Angelillo I F, Sagliocco G, Hendricks S J, Villari P
Institute of Hygiene, Medical School, University of Reggio Calabria, Catanzaro, Italy.
Community Dent Oral Epidemiol. 1990 Aug;18(4):216-8. doi: 10.1111/j.1600-0528.1990.tb00061.x.
An epidemiological survey of dental health status and needs was conducted in a group of 234 randomly selected institutionalized elderly people in Naples, Italy. The mean age of the patients was 81.4 yr, 71.4% were women and 28.6% men. A total of 140 (59.8%) people were totally edentulous; an additional 13.7% were edentulous in one jaw. A significant increase in prevalence of edentulousness with increasing age was recorded. 44.3% of the edentulous in both jaws wore complete dentures. The mean number of remaining sound teeth, decayed teeth and root remnants in the elderly with maxillary and mandibular natural teeth decreased with increasing age. Of the 94 dentate elderly, 29.8% had no need of dental treatment. Of all dentate patients 68.1% needed one or more dental extractions with a mean need of 3.9 per patient; 37.2% needed restorative treatment for one or more teeth with a mean need per patient of 2.9. Analysis of the results showed poor dental health in this target group and the necessity of improving the dental health services programs for the elderly living in institutions.
对意大利那不勒斯随机抽取的234名机构养老老年人进行了牙齿健康状况和需求的流行病学调查。患者的平均年龄为81.4岁，女性占71.4%，男性占28.6%。共有140人（59.8%）全口无牙；另有13.7%的人单颌无牙。记录到无牙患病率随年龄增长显著增加。双侧无牙者中有44.3%佩戴全口假牙。上颌和下颌有天然牙的老年人中，剩余健全牙齿、龋齿和牙根残片的平均数量随年龄增长而减少。在94名有牙的老年人中，29.8%不需要牙科治疗。在所有有牙患者中，68.1%需要拔除一颗或多颗牙齿，平均每人需要3.9颗；37.2%需要对一颗或多颗牙齿进行修复治疗，平均每人需要2.9颗。结果分析表明，该目标群体的牙齿健康状况较差，有必要改善针对机构养老老年人的牙齿健康服务项目。
