Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan.
Removable Prosthodontics, Nihon University Graduate School of Dentistry at Matsudo, Chiba 271-8587, Japan.
Int J Environ Res Public Health. 2021 Nov 14;18(22):11961. doi: 10.3390/ijerph182211961.
No studies have measured the periodontal inflamed surface area in people with dementia, although periodontal disease is a major health issue in this group. This study aimed to determine the relationship between dementia severity and periodontal inflamed surface area. An interdisciplinary team, including a dentist and psychiatrist, conducted an in-home survey of older people living in the community. This cross-sectional study was designed as part of a larger cohort study. The interdisciplinary team visited 198 individuals with cognitive decline. We surveyed the clinical dementia rating, periodontal inflamed surface area, number of teeth, and other health issues. We used multiple linear regression analysis to assess the 75 people who were able to take part in all the visits. Number of teeth (Beta = 0.479, < 0.001), clinical dementia rating (Beta = 0.258, = 0.013), and age (Beta = 0.250, = 0.017) were independently associated with periodontal inflamed surface area after adjusting for biological sex, depression, diabetes, collagen disease, visual disorder, and osteoporosis medication. To make communities more dementia-friendly, we must protect older people with dementia from developing poor oral health, which may require home visits for dental assessment.
虽然牙周病是这一群体的主要健康问题，但目前尚无研究测量痴呆患者的牙周炎炎症表面面积。本研究旨在确定痴呆严重程度与牙周炎炎症表面面积之间的关系。一个由牙医和精神科医生组成的跨学科团队对居住在社区中的老年人进行了入户调查。这项横断面研究是更大队列研究的一部分。跨学科团队共访问了 198 名认知能力下降的个体。我们调查了临床痴呆评分、牙周炎炎症表面面积、牙齿数量和其他健康问题。我们使用多元线性回归分析评估了能够参加所有访问的 75 人。在调整了生物性别、抑郁、糖尿病、胶原病、视力障碍和骨质疏松症药物等因素后，牙齿数量（Beta = 0.479， < 0.001）、临床痴呆评分（Beta = 0.258， = 0.013）和年龄（Beta = 0.250， = 0.017）与牙周炎炎症表面面积独立相关。为了使社区更适合痴呆症患者，我们必须保护患有痴呆症的老年人免受口腔健康状况恶化的影响，这可能需要进行家访以进行牙科评估。
