Naidu Guntipalli M, Reddy Vishnuvardhan B, Kandregula Chaitanya Ram, Satti Narayana Reddy, Allareddy Swapna, Babu Ravisekhar P
Department of Public Health Dentistry, Drs Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Vijayawada, India.
Department of Orthodontics, G Pullareddy Dental College and Hospital, Kurnool, India.
J Int Soc Prev Community Dent. 2014 Jan;4(1):35-9. doi: 10.4103/2231-0762.127213.
Frail and functionally dependent elderly people, living in institutions, have difficulties in accessing dental care. Hence, the present study aims to determine the relationship between subjective need and the equivalent clinical findings in an attempt to understand the factors that contribute to individual's perception of the need for dental care among institutionalized adults in Vijayawada.
A cross-sectional study is conducted in all old age homes in Vijayawada. A total of 182 subjects were interviewed with a questionnaire consisting of demographic details, dental behavior (last visit, reason for the last visit), and self-rating of oral health and impact of oral problems, followed by the clinical examination for oral mucosal condition, dentition status and treatment needs, prosthetic status and treatment needs, and periodontal status by using World Health Organization proforma.
Results showed that normative needs of subjects are significantly more than the self-perceived needs. Response of subjects regarding their present condition of mouth and teeth is 65.4% of subjects reported good and 0.5% reported poor, with respective to perceived oral symptoms 61.9% of subjects' complaints of hypersensitivity and 23.1% of subjects were having toothache and 80.5% subjects are having difficulty in eating. The overall prevalence of complete Edentulous and require complete denture was 12.1%, and 60.4% required partial denture.
About half of the participants confirmed need for problem-oriented dental care. The main reason for the problems faced by the institutionalized people is due to lack of teeth which could be prevented by appropriate care.
居住在机构中的体弱且功能依赖的老年人在获得牙科护理方面存在困难。因此，本研究旨在确定主观需求与相应临床发现之间的关系，以试图了解在维杰亚瓦达的机构化成年人中影响个体对牙科护理需求认知的因素。
在维杰亚瓦达的所有养老院进行了一项横断面研究。共对182名受试者进行了问卷调查，问卷内容包括人口统计学细节、牙科行为（上次就诊情况、上次就诊原因）、口腔健康自评以及口腔问题的影响，随后使用世界卫生组织的表格对口腔黏膜状况、牙列状况及治疗需求、修复状况及治疗需求以及牙周状况进行临床检查。
结果显示，受试者的规范需求显著高于自我认知需求。受试者对其口腔和牙齿现状的反馈是，65.4%的受试者报告良好，0.5%报告较差；关于感知到的口腔症状，61.9%的受试者抱怨牙齿过敏，23.1%的受试者牙痛，80.5%的受试者进食困难。全口无牙且需要全口义齿的总体患病率为12.1%，60.4%的人需要局部义齿。
约一半的参与者确认需要针对问题的牙科护理。机构化人群面临问题的主要原因是牙齿缺失，而适当的护理可以预防这种情况。
