Wyatt Chris C L, Kawato Takayuki
J Can Dent Assoc. 2019 Apr;84:i7.
This study aimed to examine the oral health status of seniors residing in Providence Health Care (PHC) long-term care facilities in 2002 and 2012.
Staff dentists with the University of British Columbia Geriatric Dentistry Program made a complete oral health assessment of 799 elderly residents of 7 long-term care PHC facilities in 2002 and 381 residents in the 5 remaining PHC facilities in 2012. The 2012 data were divided into those for 275 residents who had received treatment in previous years and 106 new residents. All consenting residents were examined by dentists using the clinical oral disorder in elders (CODE) index detailing their medical and oral health status and medications. On completion of the oral health assessment, the dentist documented the need for specific dental treatment and reassessment.
Comparing the cohorts from 2002 and 2012, the mean age of the residents who had CODE assessments increased from 85 years to 86 years, the proportion of men increased from 31% to 35%, the mean number of medical conditions per resident remained unchanged (2.6 to 2.5), but the mean number of prescribed medications has increased from 4.0 to 4.6. The percentage of residents with natural teeth increased from 56% to 76%. The proportion of edentulous residents recommended for denture-related treatment decreased from 21% to 10%. The 106 new residents in 2012 had higher treatment needs than the 275 original residents, but fewer required extractions than in 2002. Although the mean number of teeth per resident examined increased from 14.6 to 17.4 over the study period, the need for restorations remained at 20%, and the need for extraction of teeth decreased from 22% to 6%. The proportion of residents with healthy periodontium increased from 14% to 21%, but the need for dental hygiene services increased from 43% to 80%.
The profile of long-term care residents who consented to an oral health assessment changed over the first decade of the new millennium, with an increase in mean age and number of prescribed medications, number of retained natural teeth and the need for dental hygiene services, but a decrease in the need for extractions.
本研究旨在调查2002年和2012年居住在普罗维登斯医疗保健（PHC）长期护理机构的老年人的口腔健康状况。
英属哥伦比亚大学老年牙科学项目的牙科工作人员在2002年对7所PHC长期护理机构的799名老年居民进行了全面的口腔健康评估，并于2012年对其余5所PHC机构的381名居民进行了评估。2012年的数据分为两组，一组是275名往年接受过治疗的居民，另一组是106名新入住的居民。所有同意参与的居民均由牙医使用老年人临床口腔疾病（CODE）指数进行检查，该指数详细记录了他们的医疗和口腔健康状况以及用药情况。在完成口腔健康评估后，牙医记录了具体牙科治疗和重新评估的需求。
比较2002年和2012年的队列，接受CODE评估的居民平均年龄从85岁增加到86岁，男性比例从31%增加到35%，每位居民的平均疾病数量保持不变（从2.6种降至2.5种），但平均处方药数量从4.0种增加到4.6种。有天然牙的居民比例从56%增加到76%。建议接受假牙相关治疗的无牙居民比例从21%降至10%。2012年的106名新居民比275名原居民有更高的治疗需求，但需要拔牙的人数比2002年减少。尽管在研究期间，每位接受检查居民的平均牙齿数量从14.6颗增加到17.4颗，但修复需求仍为20%，拔牙需求从22%降至6%。牙周健康的居民比例从14%增加到21%，但对口腔卫生服务的需求从43%增加到80%。
在新千年的第一个十年里，同意接受口腔健康评估的长期护理居民情况发生了变化，平均年龄、处方药数量、保留的天然牙数量以及对口腔卫生服务的需求增加，但拔牙需求减少。
