Özçaka Özgün, Becerik Sema, Bıçakcı Nurgün, Kiyak Asuman H
University of Ege, School of Dentistry, Department of Periodontology, İzmir, Turkey.
University of Ege, School of Dentistry, Department of Periodontology, İzmir, Turkey.
Arch Gerontol Geriatr. 2014 Sep-Oct;59(2):474-9. doi: 10.1016/j.archger.2014.05.011. Epub 2014 Jun 12.
To evaluate the relationship between older adults' medical and oral conditions and their self-reports of periodontal conditions with clinically obtained data.
Concerns about oral health of elders and its association with systemic diseases have been gaining more attention.
A total of 201 older subjects were interviewed about their previous medical and dental histories and were asked to complete a health questionnaire. Each subject received full mouth exam, including counting number of natural teeth remaining, gingival (GI) and plaque index (PI), CPITN and denture status.
Elders who completed health questionnaires had mean age of 62.5. Mean CPITN score was 1.62(± 1.12), PI was 1.57(± 1.48), and GI was 1.55(± 1.31). Women had higher prevalence of CVD and osteoporosis than men (p=0.008, p=0.0001, respectively). Subjects who reported bleeding upon brushing had higher PI and GI scores (p=0.03, p=0.05, respectively). Smokers were more likely to describe their periodontal tissues as unhealthy (72.3% vs. 27.7%, p=0.01), whereas self-reports of healthy vs. unhealthy gums did not differ between non-smokers.
These findings suggest that a number of systemic conditions are associated with indicators of periodontal disease, and self-reports of oral conditions are independent of systemic diseases.
通过临床获取的数据，评估老年人的医疗和口腔状况与他们牙周状况自我报告之间的关系。
对老年人口腔健康及其与全身性疾病关联的关注日益增加。
共对201名老年受试者进行了访谈，了解他们既往的医疗和牙科病史，并要求他们完成一份健康问卷。每位受试者都接受了全口检查，包括计算剩余天然牙数量、牙龈指数（GI）和菌斑指数（PI）、社区牙周指数（CPITN）以及义齿状况。
完成健康问卷的老年人平均年龄为62.5岁。平均CPITN评分为1.62（±1.12），PI为1.57（±1.48），GI为1.55（±1.31）。女性心血管疾病和骨质疏松症的患病率高于男性（分别为p = 0.008，p = 0.0001）。报告刷牙时出血的受试者PI和GI评分更高（分别为p = 0.03，p = 0.05）。吸烟者更有可能将他们的牙周组织描述为不健康（72.3%对27.7%，p = 0.01），而非吸烟者中牙龈健康与不健康的自我报告没有差异。
这些发现表明，一些全身性疾病与牙周病指标相关，而口腔状况的自我报告与全身性疾病无关。
