Stuck A E, Flury H, Lang N P, Chappuis C
Schweiz Monatsschr Zahnmed. 1989;99(11):1261-6.
To plan a dental care program for geriatric patients, the dental treatment needs of 219 elderly patients consecutively admitted to a geriatric hospital were quantitatively assessed. Of 89 patients with residual teeth, 97.8% were assessed as needing dental treatment of a mean projected duration of about 312 min per patient. Of the 130 edentulous patients, 30.8% needed dental treatment of a mean projected duration of about 194 min per patient. Patients exhibiting high (greater than 60 min) dental treatment needs were more frequently impaired in activities of daily living than patients with low (less than or equal to 60 min) dental treatment needs (e.g. impaired transfer function 60.2% vs. 28.0%). There was no difference in the oral hygiene or in the cleanliness of removable dentures between patients needing and not needing help in activities of daily living. In conclusion, the present results show a high amount of dental treatment needed in elderly patients. For the planning of an effective dental care program, special attention has to be paid to the interdisciplinary treatment of patients with limitations in activities of daily living. Furthermore, the improvement of the oral hygiene status is of paramount importance in most elderly patients.
为制定老年患者的口腔护理计划，对一家老年医院连续收治的219例老年患者的口腔治疗需求进行了定量评估。在89例有残留牙齿的患者中，97.8%被评估需要进行口腔治疗，平均预计每位患者的治疗时长约为312分钟。在130例无牙患者中，30.8%需要进行口腔治疗，平均预计每位患者的治疗时长约为194分钟。与口腔治疗需求低（小于或等于60分钟）的患者相比，口腔治疗需求高（大于60分钟）的患者在日常生活活动中功能受损更为频繁（例如，转移功能受损率为60.2%对28.0%）。在日常生活活动中需要帮助和不需要帮助的患者之间，口腔卫生状况或可摘义齿的清洁程度没有差异。总之，目前的结果表明老年患者需要大量的口腔治疗。为制定有效的口腔护理计划，必须特别关注日常生活活动受限患者的多学科治疗。此外，改善口腔卫生状况对大多数老年患者至关重要。
