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一所牙科学院门诊老年人群的牙周状况及相关全身健康问题

The Periodontal Status and Associated Systemic Health Problems among an Elderly Population Attending the Outpatient Clinics of a Dental School.

作者信息

Jafer Mohammed

机构信息

Lecturer and Head, Department of Preventive Dental Sciences, College of Dentistry Jazan University, PO Box 114, Jazan, Saudi Arabia, e-mail:

出版信息

J Contemp Dent Pract. 2015 Dec 1;16(12):950-6. doi: 10.5005/jp-journals-10024-1787.

DOI:10.5005/jp-journals-10024-1787
PMID:27018029
Abstract

AIM

Periodontal diseases are associated with systemic health and health behaviors; the purpose of this study was to investigate periodontal health status and its association with systemic health and health behaviors in the elderly.

MATERIALS AND METHODS

Data was collected from 300 random Case Western Reserve University (CWRU) dental school patient charts, aged 65 or higher. A modified WHO form was used to collect the date on: periodontal conditions using the community periodontal index (CPI), demographics, systemic health and certain health behaviors. Community periodontal index collected data for six sextants. Descriptive tests and bivariate analytic tests, Chi-square test and computation of odds ratio, investigated any association between certain periodontal conditions and demographic as well as systemic health attributes.

RESULTS

In the study cohort, the average age was 73.7 ± 6.8 years. Moderate periodontitis (38.9%) was the most prevalent periodontal health condition, while severe periodontitis was the least prevalent periodontal health (6.1%). Nearly 30% of the cohort had healthy periodontium. Only insurance status was associated with healthy periodontium (p < 0.05).

CONCLUSION

Moderate periodontitis was the most prevalent among the studied subjects. A positive association was found with the insurance status of the subjects and the healthy periodontium. No association was found between periodontal disease and smoking, alcohol consumption, diabetes and cardiovascular disease.

摘要

目的

牙周疾病与全身健康及健康行为相关;本研究旨在调查老年人的牙周健康状况及其与全身健康和健康行为的关联。

材料与方法

从300份随机抽取的凯斯西储大学(CWRU)牙科学院65岁及以上患者病历中收集数据。使用一份修改后的世界卫生组织表格收集以下方面的数据:采用社区牙周指数(CPI)评估牙周状况、人口统计学信息、全身健康状况及某些健康行为。社区牙周指数收集六个牙区的数据。描述性测试和双变量分析测试,即卡方检验和比值比计算,用于研究某些牙周状况与人口统计学以及全身健康属性之间的任何关联。

结果

在研究队列中,平均年龄为73.7±6.8岁。中度牙周炎(38.9%)是最常见的牙周健康状况,而重度牙周炎是最不常见的牙周健康状况(6.1%)。近30%的队列人群牙周组织健康。只有保险状况与牙周组织健康相关(p<0.05)。

结论

在所研究的对象中,中度牙周炎最为普遍。研究发现对象的保险状况与牙周组织健康呈正相关。未发现牙周疾病与吸烟、饮酒、糖尿病和心血管疾病之间存在关联。

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