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分别出生于 1941-1943 年和 1954-1955 年的 60 岁个体以及分别出生于 1922-1924 年和 1933-1934 年的 81 岁个体的口腔健康状况:一项横断面研究。

Oral health status among 60-year-old individuals born in 1941-1943 and 1954-1955 and 81-year-old individuals born in 1922-1924 and 1933-1934, respectively: a cross-sectional study.

机构信息

Faculty of Health Sciences, Kristianstad University, 291 88, Kristianstad, Sweden.

Department of Health, Blekinge Institute of Technology, 371 79, Karlskrona, Sweden.

出版信息

Clin Oral Investig. 2022 Nov;26(11):6733-6742. doi: 10.1007/s00784-022-04632-5. Epub 2022 Jul 29.

Abstract

OBJECTIVE

This study aimed to analyze the oral health status of four different birth cohorts: two cohorts of 60-year-olds born in 1941-1943 and 1954-1955 and 2 cohorts of 81-year-olds born in 1920-1922 and 1933-1934.

MATERIAL AND METHODS

The study was based on data from an ongoing longitudinal population project, The Swedish National Study on Aging and Care (SNAC). Oral health status was repeatedly examined clinically and radiographically in 2001-2003 and 2014-2015, including 60- and 81-year-olds, in total 412 individuals. Statistical analyses were performed using independent-samples t test and Pearson's χ test.

RESULTS

More individuals were dentate in 2014-2015 compared to 2001-2003 in the two age groups: 60 and 81 years (p < 0.001 for both). The mean number of teeth increased in the 60-year-olds from 24.2 to 27.0 and in the 81-year-olds from 14.3 to 20.2. The numbers of at least one intact tooth increased for both age groups (p < 0.001 and p < 0.004, respectively). In the age groups 81 years, there was an increase in having at least one PPD ≥ 6 mm (p < 0.016) and bone loss ≥ 5 mm (p < 0.029) between the two examinations. No such differences were found in the age groups of 60 years.

CONCLUSION

Over 13 years, oral health improved for both 60- and 81-year-old age groups. The most significant changes were in the 81-year-olds where oral health had improved except for periodontal status.

CLINICAL RELEVANCE

More natural teeth and impaired periodontal status potentially impact oral health and should increase focus on preventive and supportive dental care in older individuals.

摘要

目的

本研究旨在分析四个不同出生队列的口腔健康状况:两个 60 岁队列,分别出生于 1941-1943 年和 1954-1955 年,以及两个 81 岁队列,分别出生于 1920-1922 年和 1933-1934 年。

材料和方法

本研究基于一项正在进行的纵向人群项目——瑞典老龄化与护理研究(SNAC)的数据。2001-2003 年和 2014-2015 年,对包括 60 岁和 81 岁人群在内的总共 412 名个体进行了口腔健康状况的临床和影像学重复检查。使用独立样本 t 检验和 Pearson χ 检验进行统计学分析。

结果

与 2001-2003 年相比,两组 60 岁和 81 岁人群中,2014-2015 年有更多个体拥有完整的牙齿:60 岁和 81 岁(均 p < 0.001)。60 岁人群的平均牙齿数从 24.2 颗增加到 27.0 颗,81 岁人群的平均牙齿数从 14.3 颗增加到 20.2 颗。两个年龄组至少有一颗完整牙齿的人数都有所增加(p < 0.001 和 p < 0.004,分别)。在 81 岁年龄组中,两次检查之间至少有一颗 PPD≥6mm(p < 0.016)和骨丢失≥5mm(p < 0.029)的人数有所增加。在 60 岁年龄组中未发现此类差异。

结论

在 13 年多的时间里,60 岁和 81 岁年龄组的口腔健康状况均有所改善。81 岁年龄组的变化最为显著,除牙周状况外,口腔健康状况有所改善。

临床意义

更多的天然牙齿和受损的牙周状况可能会影响口腔健康,这应该会增加对老年个体的预防性和支持性牙科护理的关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d033/9643183/49a996cc3326/784_2022_4632_Fig1_HTML.jpg

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