Pieper K, Dirks B, Kessler P
Community Dent Oral Epidemiol. 1986 Feb;14(1):28-30. doi: 10.1111/j.1600-0528.1986.tb01489.x.
Caries, periodontal disease, oral hygiene and treatment needs were assessed in a group of handicapped adults. The study group comprised 199 individuals aged 17-64 yr, most of whom were mentally subnormal. The mean DMFT values ranged from 17.4 in the 17-24-yr-old age group to 26.9 in the 55-64-yr-old age group. Tooth loss increased rapidly with advancing age. In all age groups the F component was less than 20% and high numbers of untreated carious lesions were found. Of the group studied, 90% needed some conservative treatment. Oral hygiene was poor and a high prevalence of periodontal disease was found. Of the dentulous persons, 49% needed scaling and 34% complex periodontal treatment. The percentage of study group patients requiring dental treatment was very high, so that it can be concluded that dental care for the handicapped is insufficient. This situation must be improved and a suitable system for the delivery of preventive measures must be devised for this group of the population.
对一组残疾成年人的龋齿、牙周疾病、口腔卫生状况及治疗需求进行了评估。研究组由199名年龄在17至64岁之间的个体组成，其中大多数为精神发育迟缓者。平均龋失补指数（DMFT）值在17至24岁年龄组为17.4，在55至64岁年龄组为26.9。牙齿缺失随年龄增长而迅速增加。在所有年龄组中，充填（F）成分均低于20%，且发现大量未经治疗的龋损。在研究组中，90%的人需要某种保守治疗。口腔卫生状况较差，牙周疾病患病率较高。在有牙的人群中，49%的人需要洗牙，34%的人需要复杂的牙周治疗。研究组中需要牙科治疗的患者比例非常高，因此可以得出结论，针对残疾人的牙科护理不足。这种情况必须得到改善，必须为这一人群设计一个合适的预防措施提供体系。
