Mojon P, MacEntee M I
Départment de Prosthèse Dentaire, Ecole de Médecine Dentaire, Genève Switzerland.
Gerodontology. 1994 Dec;11(2):99-107. doi: 10.1111/j.1741-2358.1994.tb00115.x.
The oral health and concerns of elderly residents were surveyed in a stratified random selection of 41 long-term care facilities in Vancouver. The residents who could participate were examined and interviewed to determine their oral health and concerns about dental treatment. The need and time required for treatment were estimated in six groups to reflect the propensity for treatment in dentate and edentate subjects. The propensity for treatment was high in about one-third of the participants whereas it was unlikely that one-tenth of those examined would ever use a dental service. In general, there was a widespread need for a diagnostic service because so few had been examined by a dentist in the previous year. Prosthodontics accounted for most of the treatment in all of the propensity groups, with substantially more time required by the dentate residents. There was also a substantial need for management of mucosal pathoses and oral hygiene and, to a lesser extent, for dental restorations and endodontics. Overall, our estimates indicate a substantial need for dental treatment among residents of long-term care facilities, although the need is reduced by half if the propensity for treatment is considered.
我们在温哥华41家长期护理机构中进行分层随机抽样，对老年居民的口腔健康状况及相关问题展开了调查。研究人员对能够参与调查的居民进行了检查和访谈，以确定他们的口腔健康状况以及对牙科治疗的担忧。治疗需求和所需时间被分为六组进行估算，以反映有牙颌和无牙颌受试者接受治疗的倾向。约三分之一的参与者接受治疗的倾向较高，而接受检查的人中，十分之一的人不太可能使用牙科服务。总体而言，对诊断服务的需求广泛存在，因为在前一年接受过牙医检查的人很少。在所有倾向组中，修复学治疗占大多数，有牙颌居民所需时间显著更多。对黏膜病变管理和口腔卫生也有大量需求，对牙齿修复和牙髓病治疗的需求则相对较少。总体而言，我们的估算表明，长期护理机构居民对牙科治疗有大量需求，不过，如果考虑治疗倾向，需求会减少一半。
