Shoaee Shervan, Heydari Mohammad-Hossein, Parchami Kiarash, Alizadeh Leili, Darmiani Soheila, Bijari Shima, Parvaie Parvin, Sharifi Farshad, Sharifi Ali, Khami Mohammad Reza, Sobhaninejad Shayan
Research Center for Caries Prevention, Dentistry Research Institute, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Clin Exp Dent Res. 2025 Aug;11(4):e70170. doi: 10.1002/cre2.70170.
To evaluate the oral, periodontal, and dental health of the elderly population of Iran.
This was a cross-sectional study as a part of the second wave of Birjand Longitudinal Aging Study (BLAS), which is a community-based prospective cohort study. The comprehensive geriatric oral health assessment tool was used for data collection. Data was collected through clinical examinations.
Among the 1017 participants, the mean DMFT was 27.04. 67% (n = 681) were periodontally healthy, while mild to moderate periodontitis was diagnosed in 33% (n = 336) and severe periodontitis in 2.4% (n = 24). Xerostomia was diagnosed in 30% (305 individuals). 56.10% (n = 570) had removable dentures, among which 30.21% (n = 172) had poor retention, and 36.26% (n = 207) had poor stability. Red/white and exophytic lesions were diagnosed in 18.36% (n = 187) and 11.35% (n = 115), respectively. Tooth loss was prevalent, with 12.19% (n = 124) having mild tooth loss, 20.35% (n = 207) mild to moderate tooth loss, and 67.45% (n = 686) experiencing severe tooth loss.
Our study revealed significant oral health challenges among the elderly population. High DMFT and the prevalence of xerostomia, periodontitis, tooth loss and poorly fitted dentures underscore the need for targeted dental care interventions. Comprehensive strategies, including raising awareness and improving access to oral healthcare, are essential to enhance the quality of life and overall health of the elderly population.
评估伊朗老年人群的口腔、牙周和牙齿健康状况。
这是一项横断面研究，作为比尔詹德纵向老龄化研究（BLAS）第二波的一部分，该研究是一项基于社区的前瞻性队列研究。使用综合老年口腔健康评估工具收集数据。通过临床检查收集数据。
在1017名参与者中，平均龋失补牙数（DMFT）为27.04。67%（n = 681）的人牙周健康，而33%（n = 336）被诊断为轻度至中度牙周炎，2.4%（n = 24）为重度牙周炎。30%（305人）被诊断为口干症。56.10%（n = 570）佩戴可摘义齿，其中30.21%（n = 172）固位不良，36.26%（n = 207）稳定性差。分别有18.36%（n = 187）和11.35%（n = 115）被诊断为红白相间和外生性病变。牙齿缺失很普遍，12.19%（n = 124）有轻度牙齿缺失，20.35%（n = 207）有轻度至中度牙齿缺失，67.45%（n = 686）有严重牙齿缺失。
我们的研究揭示了老年人群面临的重大口腔健康挑战。高DMFT以及口干症、牙周炎、牙齿缺失和义齿佩戴不合适的患病率凸显了针对性牙科护理干预措施的必要性。包括提高认识和改善口腔医疗服务可及性在内的综合策略对于提高老年人群的生活质量和整体健康至关重要。
