Zellmer M, Gahnberg L, Ramberg P
Public Dental Health Service, Departments of Hospital Dentistry, Mölndal Hospital and Mun-H-Center, Gothenburg, Västra Götaland Region, Sweden.
Department of Behavioural and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Int J Dent Hyg. 2016 Nov;14(4):295-300. doi: 10.1111/idh.12236. Epub 2016 Aug 1.
Halitosis is a concern for many people, but has sparsely been studied in elderly living in nursing homes. The aim of this investigation was to study the prevalence of halitosis in this particular group and factors that could be associated with this condition.
One hundred and twenty-four residents at three different nursing homes were included in the study. The level of halitosis was assessed using an organoleptic method based on a 6-graded scale. Oral status, including registrations of plaque, gingivitis and assessment of hyposalivation, was performed by two investigators who both examined all patients. Medical history, that is medication, neurological conditions, diabetes, cardiovascular disease, chronic obstructive pulmonary disease (COPD)/asthma, dementia and mental illness, was obtained from the patient files. Registrations of the use of oral hygiene aids, ADL (Activity of Daily Life) and the frequency of contact with dental services were included in the clinical examination.
Halitosis occurred in over 50% of residents living in nursing homes and was found to be associated with the presence of hyposalivation, periodontal disease, calculus, fixed prosthodontics and dementia.
Halitosis was a common finding in the elderly living in Swedish nursing homes.
口臭是许多人关心的问题，但在养老院老年人中对此研究甚少。本调查的目的是研究这一特定群体中口臭的患病率以及可能与此病症相关的因素。
本研究纳入了三家不同养老院的124名居民。采用基于6级量表的感官方法评估口臭程度。由两位检查所有患者的研究人员进行口腔状况检查，包括牙菌斑、牙龈炎记录以及唾液分泌减少的评估。从患者档案中获取病史，即用药情况、神经系统疾病、糖尿病、心血管疾病、慢性阻塞性肺疾病（COPD）/哮喘、痴呆和精神疾病。临床检查包括口腔卫生辅助工具的使用记录、日常生活活动能力（ADL）以及与牙科服务接触的频率。
超过50%的养老院居民存在口臭，且发现其与唾液分泌减少、牙周病、牙石、固定义齿修复和痴呆有关。
口臭在居住于瑞典养老院的老年人中是常见现象。
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