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机构化照护中老年人口的口腔健康和波兰南部为期三个月的康复计划:一项病例对照研究。

Oral Health of Elderly People in Institutionalized Care and Three-Month Rehabilitation Programme in Southern Poland: A Case-Control Study.

机构信息

Department of Conservative Dentistry with Endodontics, Institute of Stomatology, Faculty of Medicine, Jagiellonian University Medical College, 31008 Krakow, Poland.

Department of Prosthetics, Institute of Stomatology, Faculty of Medicine, Jagiellonian University Medical College, 31008 Krakow, Poland.

出版信息

Int J Environ Res Public Health. 2022 Apr 20;19(9):4994. doi: 10.3390/ijerph19094994.

Abstract

Demographic ageing is a global growing process and the quality of ageing is an important parameter in this process. The aim of the study was to analyse the distribution of remaining dentition in relation to oral hygiene indicators among elderly people remaining in institutional care and those who participated in a 3-month rehabilitation program, aimed at increasing time of independent functioning, in southern Poland. The patients underwent a questionnaire and clinical examination. An analysis of missing teeth was performed, plaque index, and gingival index were measured. Residents of the Municipal Health Centre for Older and Dependent People ( = 50) had a higher incidence of missing teeth in the maxilla (88.4%), mandible (77.6%), as well as in the maxilla and mandible combined (83%) than residents of the Daily Medical Care House ( = 30). The distribution of the remaining teeth, in both groups, corresponds to the outlets of the large salivary glands. The group of 53.8% of patients with dry mouth had PI scored 3. Residents with dry mouth were more likely to have plaque deposits and gingival inflammation. It is necessary to develop and implement an oral care program for patients with reduced saliva secretion, with a particular focus on dependents.

摘要

人口老龄化是一个全球性的增长过程,老龄化的质量是这个过程中的一个重要参数。本研究的目的是分析在波兰南部,仍在机构护理中的老年人和参与为期 3 个月的康复计划以增加独立功能时间的老年人中,剩余牙齿的分布与口腔卫生指标的关系。患者接受了问卷调查和临床检查。分析了缺牙情况,测量了菌斑指数和牙龈指数。市老年和依赖者健康中心(=50)的居民上颌(88.4%)、下颌(77.6%)以及上颌和下颌联合(83%)的缺牙发生率高于日常医疗护理院(=30)的居民。两组剩余牙齿的分布与大唾液腺的出口相对应。口干患者中有 53.8%的患者 PI 评分为 3。口干患者更有可能有牙菌斑沉积和牙龈炎症。有必要为唾液分泌减少的患者制定和实施口腔护理计划,特别关注依赖者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dea/9105158/ae3bc9a3fbc0/ijerph-19-04994-g001.jpg

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