Glažar Irena, Muhvić Urek Miranda, Kuiš Davor, Prpić Jelena, Mišković Ivana, Kovačević Pavičić Daniela, Pezelj-Ribarić Sonja
Department of Oral Pathology and Periodontology, School of Dental Medicine, University of Rijeka, Rijeka, Croatia
Department of Prosthodontics, School of Dental Medicine, University of Rijeka, Rijeka, Croatia
Acta Clin Croat. 2016 Sep;55(3):390-395. doi: 10.20471/acc.2016.55.03.06.
Elderly people, especially those institutionalized in long-term care facilities, are at risk of various oral diseases. The aim of the study was to determine the incidence of hyposalivation and colonization/oral fungal infection of oral cavity with yeasts, as well as dental status in institutionalized and non-institutionalized elderly. The study included 280 institutionalized and 61 non-institutionalized elderly people. Salivary flow rate, oral colonization with yeasts/oral infection and dental status were assessed and compared between the groups. The institutionalized elderly had a significantly lower salivary flow rate (p=0.035). Oral colonization with yeasts was more frequently found in institutionalized elderly (p<0.001) as compared with non-institutionalized elderly. A negative correlation was found between decreased salivary flow rate and oral yeast colonization and oral fungal infection in both the institutionalized (rs=-0.58; p<0.05) and non-institutionalized (rs=-0.52; p<0.05) groups. A significant difference in DMFT index was observed between the two groups (p<0.001). A negative correlation between decreased salivary flow rate and dental status was found in both the institutionalized (rs=-0.22; p<0.05) and non-institutionalized (rs=-0.56; p<0.05) groups. The results revealed a significantly higher level of hyposalivation and oral yeast colonization and poorer dental status in the institutionalized group as compared with the non-institutionalized group of elderly people.
老年人，尤其是那些长期居住在护理机构中的老年人，面临着各种口腔疾病的风险。本研究的目的是确定老年人（包括居住在护理机构中和未居住在护理机构中的）唾液分泌减少、口腔酵母菌定植/真菌感染的发生率以及牙齿状况。该研究纳入了280名居住在护理机构中的老年人和61名未居住在护理机构中的老年人。评估并比较了两组的唾液流速、口腔酵母菌定植/口腔感染情况以及牙齿状况。居住在护理机构中的老年人唾液流速显著更低（p = 0.035）。与未居住在护理机构中的老年人相比，居住在护理机构中的老年人口腔酵母菌定植更为常见（p < 0.001）。在居住在护理机构中的老年人（rs = -0.58；p < 0.05）和未居住在护理机构中的老年人（rs = -0.52；p < 0.05）中，均发现唾液流速降低与口腔酵母菌定植及口腔真菌感染之间存在负相关。两组之间的DMFT指数存在显著差异（p < 0.001）。在居住在护理机构中的老年人（rs = -0.22；p < 0.05）和未居住在护理机构中的老年人（rs = -0.56；p < 0.05）中，均发现唾液流速降低与牙齿状况之间存在负相关。结果显示，与未居住在护理机构中的老年人群体相比，居住在护理机构中的老年人群体唾液分泌减少和口腔酵母菌定植水平显著更高，牙齿状况更差。
