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印度中央邦贾巴尔普尔市养老院中机构化老年人群的牙齿修复状况及修复需求

Dental prosthetic status and prosthetic needs of institutionalised elderly population in oldage homes of jabalpur city, madhya pradesh, India.

作者信息

Deogade Suryakant C, Vinay S, Naidu Sonal

机构信息

Department of Prosthodontics, Hitkarini Dental College & Hospital, Jabalpur, India ; Flat No-502, Block-D, Apsara Apartment, South Civil Lines, Pachpedi Road, Jabalpur, MP 482001 India.

Department of Public Health Dentistry, Hitkarini Dental College & Hospital, Jabalpur, India.

出版信息

J Indian Prosthodont Soc. 2013 Dec;13(4):587-92. doi: 10.1007/s13191-012-0231-9. Epub 2012 Dec 9.

Abstract

Oral disorders are cumulative throughout life and hence unfavourable outcomes are likely to be greatest among the elderly. A descriptive cross-sectional study was conducted among institutionalized geriatric population in old-age homes of Jabalpur city, Madhya Pradesh, to assess their prosthetic status and prosthetic needs. A cross-sectional survey was conducted in all the four old-age homes of Jabalpur city, Madhya Pradesh state, India. All residents aged 60 years and above formed the study population. The recording of prosthetic status and prosthetic needs was carried out according to the World Health Organisation (WHO) Oral Health Assessment Form (1997). A total of 224 individuals were included in the study of which 123 were females and 101 were males. Seventy five percent of the females and 55 % of the males had no prostheses in their upper arch and 61 % of the females and 76 % of the males had no prostheses in their lower arch. More number of males presented with 'Bridges' in their upper arch when compared to females (P value = 0.006). Highest prosthetic need in males was multi-unit prosthesis (42 % in upper arch and 41 % in lower arch) whereas, females' required full prosthesis (39 % in both the upper arch and lower arches). Ageing presents some formidable challenges, particularly with the institutionalised. This study clearly demonstrates a high insufficiency of prosthetic care among the institutionalized elderly population. Any preparation towards the provision of oral health care should not be limited to treatment alone but, more importantly focus on empowering this elderly community with information and education programmes.

摘要

口腔疾病会随着年龄的增长而不断累积,因此不良后果在老年人中可能最为严重。在印度中央邦贾巴尔普尔市养老院的老年住院人群中开展了一项描述性横断面研究,以评估他们的修复体状况和修复需求。在印度中央邦贾巴尔普尔市的所有四家养老院进行了横断面调查。所有60岁及以上的居民构成了研究人群。根据世界卫生组织(WHO)口腔健康评估表(1997年)记录修复体状况和修复需求。共有224人纳入研究,其中女性123人,男性101人。75%的女性和55%的男性上颌无修复体,61%的女性和76%的男性下颌无修复体。与女性相比,男性上颌出现“桥体”的人数更多(P值=0.006)。男性最高的修复需求是多单位修复体(上颌42%,下颌41%),而女性则需要全口修复体(上颌和下颌均为39%)。老龄化带来了一些严峻的挑战,尤其是对于住院老人而言。这项研究清楚地表明,住院老年人群的修复治疗严重不足。任何提供口腔保健的准备工作都不应仅限于治疗,更重要的是应侧重于通过信息和教育项目增强这个老年群体的能力。

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