Janssens B, Vanobbergen J, Petrovic M, Jacquet W, Schols J M G A, De Visschere L
BENECOMO, Flemish-Netherlands Geriatric Oral Research Group, Ghent, Belgium, Nijmegen, The Netherlands.
Community Dentistry and Oral Public Health, Dental School, Ghent University, Ghent, Belgium.
Community Dent Health. 2017 Sep;34(3):143-151. doi: 10.1922/CDH_4086Janssens09.
A study was conducted of nursing home residents with limited access to regular oral health care services to evaluate their oral health status, to perform an assessment of the need for oral treatment and to determine the possible predicting value of age, gender, care dependency and income level on their oral health status and treatment needs.
Three experienced dentists collected clinical oral health data with a mobile dental unit in 23 nursing homes. Socio-demographic data were extracted from the residents' records in the nursing home. Besides the descriptive and bivariate analysis, a general linear mixed model analysis was also performed with the nursing home as random effect.
The study sample consisted of 1,226 residents with a mean age of 83.9 years, of which 41.9% were edentulous. The mean D₃MFt in the dentate group was 24.5 and 77% needed extractions or fillings. In the group of residents wearing removable dentures, 36.9% needed repair, rebasing or renewal of the denture. The mixed model analysis demonstrated that with each year a resident gets older, the oral health outcomes get worse and that men have worse oral health and higher treatment needs than women. However, the level of income and care dependency had a less extensive role in predicting the oral health outcomes.
The nursing home residents presented a poor overall oral health status and high dental and prosthetic treatment needs. Gender and age were important predicting variables for the oral health outcomes.
对获得常规口腔保健服务机会有限的养老院居民进行一项研究，以评估他们的口腔健康状况，评估口腔治疗需求，并确定年龄、性别、护理依赖程度和收入水平对其口腔健康状况和治疗需求的可能预测价值。
三名经验丰富的牙医使用移动牙科设备在23家养老院收集临床口腔健康数据。社会人口统计学数据从养老院居民记录中提取。除了描述性和双变量分析外，还以养老院为随机效应进行了广义线性混合模型分析。
研究样本包括1226名居民，平均年龄83.9岁，其中41.9%无牙。有牙组的平均D₃MFt为24.5，77%需要拔牙或补牙。在佩戴可摘义齿的居民组中，36.9%需要义齿修复、重衬或更新。混合模型分析表明，居民年龄每增加一岁，口腔健康结果就越差，男性的口腔健康状况比女性差，治疗需求也更高。然而，收入水平和护理依赖程度在预测口腔健康结果方面的作用较小。
养老院居民的整体口腔健康状况较差，牙科和修复治疗需求较高。性别和年龄是口腔健康结果的重要预测变量。
