Eguchi Takako, Tada Mihoko, Shiratori Takami, Imai Mitsue, Onose Yuki, Suzuki Seitaro, Satou Ryouichi, Ishizuka Yoichi, Sugihara Naoki
Department of Epidemiology and Public Health, Tokyo Dental College.
Tokyo Dental Junior College Department of Dental Hygiene.
Bull Tokyo Dent Coll. 2018 Nov 30;59(4):229-236. doi: 10.2209/tdcpublication.2017-0050. Epub 2018 Oct 18.
The purpose of this study was to determine the distribution of healthy elderly individuals undergoing regular dental check-ups and identify any environmental or associated oral factors. A cross-sectional questionnaire survey was used to interview 216 individuals attending 2 welfare facilities for the elderly, of whom 160 were included in the final analysis. Items comprised age, sex, number of residual teeth, frequency of teeth/denture cleaning, subjective chewing ability, denture use, oral status, regular dental check-ups, visitation of the same dentist, number of dental visits in the past year, General Oral Health Assessment Index (GOHAI) (Japanese version) score, living situation, and use of routine medication. Individuals undergoing regular dental check-ups were defined as those with a primary dentist whom they saw for dental check-ups at least once a year. The rate of individuals undergoing regular dental check-ups was 75.0% in men aged 60-74 years, 58.8% in women aged 60-74 years, 70.0% in men aged 75 years or over, and 45.3% in women aged 75 years or over. Logistic regression analysis revealed a higher number of residual teeth (odds ratio [OR]=2.664 in comparison with those with fewer than 20 teeth, p=0.0427); cleaning teeth/dentures 3 or more times per day (OR=2.546 in comparison with cleaning them twice per day or less, p=0.0157); and a higher GOHAI score (OR=2.742 in comparison with those with a GOHAI score of less than 58, p=0.0263) as factors significantly correlated with undergoing regular dental check-ups. In conclusion, the results revealed that individuals undergoing regular dental check-ups had 20 or more residual teeth, cleaned their teeth/denture 3 or more times per day, and had a higher GOHAI score. This indicates that the best predictive factor for undergoing regular dental check-ups in healthy elderly individuals is their GOHAI score.
本研究的目的是确定接受定期口腔检查的健康老年人的分布情况,并识别任何环境或相关的口腔因素。采用横断面问卷调查的方式,对2家老年福利机构的216名老人进行了访谈,最终纳入分析的有160人。调查项目包括年龄、性别、余留牙数量、牙齿/假牙清洁频率、主观咀嚼能力、假牙使用情况、口腔状况、定期口腔检查、是否看同一位牙医、过去一年的看牙次数、一般口腔健康评估指数(GOHAI)(日文版)得分、生活状况以及常规药物使用情况。接受定期口腔检查的个体被定义为每年至少看一次主诊牙医进行口腔检查的人。60 - 74岁男性接受定期口腔检查的比例为75.0%,60 - 74岁女性为58.8%,75岁及以上男性为70.0%,75岁及以上女性为45.3%。逻辑回归分析显示,余留牙数量较多(与少于20颗牙的人相比,优势比[OR]=2.664,p = 0.0427);每天清洁牙齿/假牙3次或更多次(与每天清洁两次或更少相比,OR = 2.546,p = 0.0157);以及GOHAI得分较高(与GOHAI得分低于58分的人相比,OR = 2.742,p = 0.0263)是与接受定期口腔检查显著相关的因素。总之,结果显示接受定期口腔检查的个体余留牙有20颗或更多,每天清洁牙齿/假牙3次或更多次,且GOHAI得分较高。这表明健康老年人接受定期口腔检查的最佳预测因素是他们的GOHAI得分。