Andersson P, Renvert S, Sjogren P, Zimmerman M
School of Health and Society, Kristianstad University Kristianstad 291 88, Sweden.
Blekinge Institute of Thechology, Karlskrona, Sweden.
Community Dent Health. 2017 Dec 1;34(4):203-207. doi: 10.1922/CDH_4100Andersson05.
To describe the dental health status of elderly people in nursing homes receiving domiciliary dental care.
Case note review.
Nursing homes in 8 Swedish counties.
Care dependent elderly people (≥65 years).
Clinical data, including the number of remaining natural teeth, missing and decayed teeth (manifest dental caries) and root remnants, recorded by dentists according to standard practices. Medical and dental risk assessments were performed.
Data were available for 20,664 patients. Most were women (69.1%), with a mean age of 87.1 years (SD 7.42, range 65-109). The mean age for men was 83.5 years (SD 8.12, range 65-105). Two or more medical conditions were present in most of the population. A total of 16,210 individuals had existing teeth of whom 10,974 (67.7%) had manifest caries. The mean number of teeth with caries was 5.0 (SD 5.93) corresponding to 22.8% of existing teeth. One in four individuals were considered to have a very high risk in at least one professional dental risk assessment category.
Care dependent elderly in nursing homes have very poor oral health. There is a need to focus on the oral health-related quality of life for this group of frail elderly during their final period of life.
描述接受居家牙科护理的养老院老年人的口腔健康状况。
病例记录回顾。
瑞典8个郡的养老院。
需要护理的老年人（≥65岁）。
临床数据，包括牙医按照标准操作记录的剩余天然牙数量、缺失牙和龋坏牙（明显龋病）以及牙根残留情况。进行了医学和牙科风险评估。
有20664名患者的数据。大多数为女性（69.1%），平均年龄87.1岁（标准差7.42，范围65 - 109岁）。男性的平均年龄为83.5岁（标准差8.12，范围65 - 105岁）。大多数人群存在两种或更多种疾病。共有16210人有现存牙齿，其中10974人（67.7%）有明显龋病。患龋牙齿的平均数量为5.0颗（标准差5.93），相当于现存牙齿的22.8%。四分之一的人在至少一个专业牙科风险评估类别中被认为具有非常高的风险。
养老院中需要护理的老年人口腔健康状况非常差。在这组体弱老年人生命的最后阶段，需要关注与口腔健康相关的生活质量。
