Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus , Haifa , Israel.
Medical Corps, IDF , Israel.
PeerJ. 2014 Jun 10;2:e423. doi: 10.7717/peerj.423. eCollection 2014.
Background. Many Long-Term Care (LTC) institutionalized patients are the most frail and functionally dependent among the geriatric population and have significant oral health disparities.They often suffer from dental neglect due to limited access to appropriate professional dental care. These patients have chronic health situations and are treated with medications, which increase their risk of oral diseases. Despite the growth in elderly population in Israel, there is insufficient data regarding their oral health status and treatment needs. Objective. To describe the oral health status of the LTC hospitalized adults in a geriatric and psychiatric hospital in Israel. Methods. Data was recorded from LTC hospitalized adults with a physical and/or mental disabilities in a cross-sectional research design, which included general health anamnesis and clinical oral examination. Variables included gender, medicines, oral hygiene (OH), using dentures, number of caries lesions and residual teeth. Univariate analyses included Pearson χ (2) and t-test analyses. Multivariate analyses included logistic and linear regressions while the outcome variables were categorical OH index and number of carious cavitations, number of residual teeth and carious teeth percentage. Results. 153 participants were included in the study with a mean age of 65.03 ± 18.67 years. 31.3% of the patients were edentulous, and only 14% had partial or full dentures. Females had a significantly higher number of caries cavitation than males (P = 0.044). The number of caries cavitation was higher among patients with poor OH (P < 0.001) and when taking Clonazepam (P = 0.018). Number of residual teeth was higher in the fair OH group (P < 0.001). Carious teeth percentage was higher among the poor OH group (P < 0.001).
许多长期护理（LTC）机构化患者是老年人群中最脆弱和功能依赖的人群，他们在口腔健康方面存在显著差异。由于获得适当专业牙科护理的机会有限，他们经常因牙科忽视而受苦。这些患者患有慢性健康状况，并接受药物治疗，这增加了他们患口腔疾病的风险。尽管以色列老年人口增长，但有关他们口腔健康状况和治疗需求的数据不足。目的：描述以色列一家老年和精神病院住院的长期护理成人的口腔健康状况。方法：采用横断面研究设计，从身体和/或精神残疾的长期护理住院成人中记录数据，包括一般健康病史和临床口腔检查。变量包括性别、药物、口腔卫生（OH）、使用义齿、龋齿病变和残留牙齿的数量。单变量分析包括 Pearson χ（2）和 t 检验分析。多变量分析包括逻辑回归和线性回归，而因变量是分类 OH 指数和龋齿腔隙数量、残留牙齿数量和龋齿百分比。结果：研究纳入了 153 名参与者，平均年龄为 65.03 ± 18.67 岁。31.3%的患者无牙，只有 14%的人有部分或全口义齿。女性的龋齿腔隙数量明显多于男性（P = 0.044）。口腔卫生差的患者龋齿腔隙数量较高（P < 0.001），服用氯硝西泮的患者（P = 0.018）龋齿腔隙数量较高。OH 良好的患者残留牙齿数量较高（P < 0.001）。OH 较差的患者龋齿百分比较高（P < 0.001）。
