J Am Dent Assoc. 2020 Jul;151(7):519-526. doi: 10.1016/j.adaj.2020.04.001.
The US population is aging. Most older adults are retaining their natural teeth for longer, and fewer are becoming edentulous.
Among people 65 years and older, there is greater heterogeneity than at any other time in the life cycle because these cohorts are influenced by historical experiences and the sociodental events during their life spans. These events and experiences have affected their health behaviors and, consequently, their systemic and oral health. This article is an update on 2 previous articles that described birth cohorts spanning from 1900 through 1945, whereas this article describes 5 specific cohorts born from 1920 through 1980.
The authors used data from the literature to describe the historical and socioeconomic influences, as well as the key events in the history of dentistry, that have affected each of these cohorts' attitudes and expectations toward the use of health care and dental care services.
The authors identified cohort differences regarding health behaviors, which included attitudes toward dentistry and dental care service use.
Dentists should be aware of cohort differences in regard to dental care service use, in addition to modifiers that are specific to each patient, to offer the most customized and age-appropriate oral health care.
美国人口正在老龄化。大多数老年人的自然牙齿保留时间更长，而越来越少的人变得无牙。
在 65 岁及以上的人群中，由于受到历史经历和一生中社会牙科事件的影响，其异质性比生命周期中的任何其他时候都更大。这些事件和经历影响了他们的健康行为，从而影响了他们的全身和口腔健康。本文是对之前两篇描述从 1900 年到 1945 年出生队列的文章的更新，而本文则描述了 1920 年至 1980 年出生的 5 个特定队列。
作者使用文献中的数据描述了历史和社会经济的影响，以及牙科史上的关键事件，这些都影响了每个队列对使用医疗保健和牙科保健服务的态度和期望。
作者确定了关于健康行为的队列差异，包括对牙科和牙科保健服务使用的态度。
牙医除了要考虑每个患者的具体修饰语外，还应该意识到在使用牙科保健服务方面的队列差异，以便提供最个性化和适合年龄的口腔保健。
