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苏丹老年人的口腔健康状况及相关因素:一项横断面研究。

Oral health status and associated factors among Sudanese older adults: A cross-sectional study.

机构信息

Department of Prosthetic Dentistry, Faculty of Dentistry, University of Science and Technology, Omdurman, Sudan.

Faculty of Dentistry, University of Science and Technology, Omdurman, Sudan.

出版信息

Gerodontology. 2022 Dec;39(4):408-417. doi: 10.1111/ger.12611. Epub 2021 Dec 2.

DOI:10.1111/ger.12611
PMID:34859486
Abstract

OBJECTIVES

The aim was to assess the oral health status, prosthetic needs and the associated factors among older adults living in Khartoum State, Sudan.

BACKGROUND

Understanding the extent of the oral health problems and the associated factors in the older population is important for the determination of treatment needs and future planning of dental services.

MATERIALS AND METHODS

A cross-sectional study among individuals ≥60 years attending Health Care Centers. Two calibrated examiners examined participants according to the WHO oral health examination form for adults. DMFT, periodontal conditions, oral mucosal lesions, tooth wear, prosthetic status and prosthetic needs were reported. Risk indicators investigated include age, gender, socioeconomic status, general health, oral hygiene practices, tobacco use and utilisation for dental services.

RESULTS

Two hundred forty-nine older adults participated in the study, and 64.3% were males. The mean age was 68.4 years (SD ±6.7). The mean DMFT was 15.9 (SD ±9.1), with 85.3%, 94.8% and 19.3% of the participants having decayed, missing or filled teeth respectively. Periodontal pockets were present in 41.9%, mucosal lesions in 14.9% and tooth wear in 46.2% of the participants. Although only 5.2% were completely edentulous, 93.2% need prosthetic replacement. Risk indicators for poor oral health were being female, oral hygiene practices, frequency and reason of dental visits.

CONCLUSION

Old adults showed a high experience of missing and decayed teeth, periodontal inflammation and prosthetic treatment needs. Future oral health policies need to consider the different needs between men and women, exposure to risk factors and barriers to access dental care.

摘要

目的

评估居住在苏丹喀土穆州的老年人的口腔健康状况、修复需求以及相关因素。

背景

了解老年人的口腔健康问题及其相关因素对于确定治疗需求和未来规划牙科服务非常重要。

材料和方法

这是一项在 60 岁以上人群中开展的横断面研究,参与者来自医疗保健中心。由两名经过校准的检查者根据世界卫生组织成人口腔健康检查表格对参与者进行检查。DMFT、牙周状况、口腔黏膜病变、牙齿磨损、修复体状况和修复需求均有记录。调查的风险指标包括年龄、性别、社会经济状况、一般健康状况、口腔卫生习惯、烟草使用情况以及对牙科服务的利用情况。

结果

共有 249 名老年人参与了这项研究,其中 64.3%为男性。平均年龄为 68.4 岁(标准差 ±6.7)。平均 DMFT 为 15.9(标准差 ±9.1),分别有 85.3%、94.8%和 19.3%的参与者有龋齿、缺失或填充的牙齿。41.9%的参与者有牙周袋,14.9%的参与者有口腔黏膜病变,46.2%的参与者有牙齿磨损。尽管只有 5.2%的人完全无牙,但 93.2%的人需要进行修复治疗。口腔卫生习惯差、就诊频率和原因是口腔健康状况不佳的风险指标。

结论

老年人牙齿缺失、龋齿、牙周炎症和修复治疗需求较高。未来的口腔健康政策需要考虑男女之间的不同需求、暴露于风险因素以及获得牙科保健的障碍。

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