MacEntee M I, Silver J G, Gibson G, Weiss R
Community Dent Oral Epidemiol. 1985 Oct;13(5):260-3. doi: 10.1111/j.1600-0528.1985.tb00449.x.
The oral health and medico-dental status of 250 mostly elderly residents of a long term care institution were assessed by examination and a review of medical records. In addition, attitudes to dental care, dental experiences, and demands for care were solicited from those who could participate in an interview. There were no dental complaints from 70% of those interviewed. The complaints most frequently reported were difficulties with mouth dryness, hygiene, and chewing. Natural teeth remained in at least one jaw in 30% of the 245 residents examined. Dental caries was present in 78% of this dentate group, with coronal and root lesions equally prevalent. Gingival bleeding was also common in this group and 29% had deep periodontal pockets. Nearly 50% of the mandibular dentures and 25% of the maxillary dentures examined were inadequate. Mandibular dysfunction occurred in 25% of the population and was more frequent in the dentate group. Oral mucosal pathoses were rare. No correlation was found between the systemic health and the oral health of the residents. There was a need to improve the oral hygiene of most of those examined. Less than 20% of the denture wearers would have benefitted from treatment and 10% of those with defective dentures were considered unsuitable for treatment. In contrast, 60% of those with natural teeth required restorations and 36% needed one or more teeth removed. Very few urgent needs were seen. An inter-examiner accumulative inconsistency of 11% was measured between the three examiners, and a third of the assessments made of periodontal status were contradictory.
通过检查和查阅病历，对一家长期护理机构的250名主要为老年居民的口腔健康和医疗牙科状况进行了评估。此外，还向那些能够参加访谈的人征求了对牙科护理的态度、牙科经历和护理需求。70%的受访者没有牙科方面的抱怨。最常报告的抱怨是口干、口腔卫生和咀嚼困难。在接受检查的245名居民中，30%的人至少有一侧颌骨保留了天然牙。在这个有牙列的人群中，78%有龋齿，牙冠和牙根病变同样普遍。牙龈出血在该组中也很常见，29%的人有深牙周袋。检查的下颌假牙近50%不合适，上颌假牙25%不合适。25%的人出现下颌功能障碍，在有牙列的人群中更常见。口腔黏膜病变很少见。未发现居民的全身健康状况与口腔健康状况之间存在相关性。大多数接受检查的人需要改善口腔卫生。不到20%的假牙佩戴者能从治疗中受益，10%假牙有缺陷的人被认为不适合治疗。相比之下，60%有天然牙的人需要修复，36%的人需要拔除一颗或多颗牙齿。很少有紧急需求。三位检查者之间的检查者间累积不一致率为11%，对牙周状况的评估中有三分之一相互矛盾。
