Boscato Noeli, Schuch Helena S, Grasel Claudia E, Goettems Marilia L
Post-graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.
Australian Research Center for Population Oral Health (ARCPOH), University of Adelaide, Adelaide, South Australia, Australia.
Geriatr Gerontol Int. 2016 Sep;16(9):1014-20. doi: 10.1111/ggi.12588. Epub 2015 Aug 27.
To assess differences in the oral diseases/conditions between adults and older adults.
A cross-sectional study was carried out with all adults and older adults in Luzerna, South Brazil (n = 569). Clinical data included use of and need for dental prostheses; number of decayed, missing and filled teeth; and temporomandibular disorder. Differences between adults and older adults were evaluated using χ(2) -tests. Associations between independent variables and the use of and need for dental prostheses were determined using Poisson regression analyses (P < 0.05).
Increased number of decayed, missing and filled teeth, use of and need for dental prostheses, higher use of complete dentures, and fewer temporomandibular disorder signs and symptoms were observed in older adults. After adjustments, lower social class (P = 0.001) and unmarried status (P = 0.05) were associated with greater need for prosthetic rehabilitation. Women (P = 0.02), older individuals (P < 0.001) and those of lower socioeconomic status (P = 0.001) had a higher risk of using prostheses.
A significant difference of oral conditions between adults and older adults was observed. The frequency of use of and need for dental prostheses was higher for older adults, although they had reported lower frequency of temporomandibular disorder. Women, married and individuals of higher socioeconomic status showed better oral health conditions. Geriatr Gerontol Int 2016; 16: 1014-1020.
评估成年人与老年人在口腔疾病/状况方面的差异。
对巴西南部卢泽纳的所有成年人和老年人开展了一项横断面研究（n = 569）。临床数据包括假牙的使用情况和需求；龋、失、补牙数；以及颞下颌关节紊乱。使用χ²检验评估成年人与老年人之间的差异。采用泊松回归分析确定自变量与假牙使用情况和需求之间的关联（P < 0.05）。
老年人的龋、失、补牙数增加，假牙的使用情况和需求增加，全口义齿的使用率更高，颞下颌关节紊乱的体征和症状更少。调整后，社会阶层较低（P = 0.001）和未婚状态（P = 0.05）与更大的修复康复需求相关。女性（P = 0.02）、老年人（P < 0.001）和社会经济地位较低者（P = 0.001）使用假牙的风险更高。
观察到成年人与老年人在口腔状况方面存在显著差异。老年人假牙的使用频率和需求更高，尽管他们报告的颞下颌关节紊乱频率较低。女性、已婚者和社会经济地位较高者的口腔健康状况更好。《老年医学与老年病学国际杂志》2016年；16：1014 - 1020。
