Helldén L, Salonen L, Gustafsson I
Department of Periodontology, Vänersborg-Trollhättan Hospital, Sweden.
Swed Dent J. 1989;13(1-2):45-60.
The present study, which is part of a comprehensive cross-sectional epidemiologic survey on oral health among the adult population in a Swedish county, reports the results from the clinical assessment of remaining teeth, "occlusal supporting zones" (Eichner 1955), prevalence of edentulousness and removable dentures. The survey was carried out during 1983-1984. The adult population of 122,886 inhabitants was stratified according to age, sex and place of residence. From the different strata 0.75% (1.5% above 79 years) of the population was randomly selected to participate in the survey. Of the 967 selected individuals 920 (95.1%) attended full examination. The results showed a gradual reduction in the mean number of remaining teeth by age; somewhat faster after the age of 50 coincident with a significant increase in the prevalence of edentulousness. The prevalence of edentulousness and complete dentures was about twice as high among women as among men. In the dentate individuals the occlusal status was less favorable among men. This finding may explain the observed higher prevalence of removable partial dentures among the dentate men compared to the dentate women. An extrapolation between the results from the present study and results from previous studies in the Swedish population indicates that the oral health in the population below 50 years of age has improved during the last decade. This trend may predict that the observed improvement will follow the population, at present younger than 50 years, up through the ages.
本研究是瑞典一个县成年人口口腔健康综合横断面流行病学调查的一部分,报告了余留牙临床评估、“咬合支持区”(艾希纳,1955年)、无牙患病率和可摘义齿的结果。该调查于1983 - 1984年进行。122,886名居民的成年人口按年龄、性别和居住地分层。从不同层中随机抽取0.75%的人口(79岁以上为1.5%)参与调查。在967名被选中的个体中,920名(95.1%)接受了全面检查。结果显示,平均余留牙数量随年龄逐渐减少;50岁以后减少速度稍快,同时无牙患病率显著增加。无牙和全口义齿的患病率女性约为男性的两倍。在有牙个体中,男性的咬合状况较差。这一发现可能解释了观察到的有牙男性中可摘局部义齿患病率高于有牙女性的现象。根据本研究结果与瑞典人群以往研究结果的推断表明,在过去十年中,50岁以下人群的口腔健康状况有所改善。这一趋势可能预示着,目前年龄小于50岁的人群所观察到的改善情况将随着年龄增长在整个人口中延续。