Gilbert G H, Antonson D E, Mjor I A, Ringelberg M L, Dolan T A, Foerster U, Legler D W, Heft M W, Duncan R P
Claude D. Pepper Center for Research of Oral Health in Aging, University of Florida, Gainesville, USA.
Caries Res. 1996;30(2):101-11. doi: 10.1159/000262145.
The Florida Dental Care Study is a longitudinal study of changes in oral health that included at baseline 873 subjects (Ss) who had at least 1 tooth, were 45 years or older, and participated for an interview and examination. Forty-five percent of Ss had active coronal caries; 94% of the coronal carious surfaces were primary decay, and only 6% were secondary/recurrent. Ten percent of Ss had 1 or more root fragments, 16% of Ss had 1 or more teeth with restoration fractures, and 14% of Ss had 1 or more teeth with cusp fractures. Blacks, poor persons, and irregular attenders had more caries, root fragments, and cusp fractures, even though they had significantly fewer teeth. Blacks, poor persons, and irregular attenders were not at increased risk for restoration fractures, probably because fractures were associated with dental care use. These findings regarding caries and restorative treatment needs are consistent with a substantial burden in adult high-risk groups, and are relevant for dental primary health care policy.
佛罗里达牙科保健研究是一项关于口腔健康变化的纵向研究，在基线时纳入了873名受试者，他们至少有1颗牙齿，年龄在45岁及以上，并参与了访谈和检查。45%的受试者有活动性冠龋；94%的冠龋面为原发性龋坏，只有6%为继发性/复发性龋坏。10%的受试者有1个或更多的牙根碎片，16%的受试者有1颗或更多颗牙齿存在修复体折断，14%的受试者有1颗或更多颗牙齿存在牙尖折断。黑人、贫困人口和不定期就诊者有更多的龋齿、牙根碎片和牙尖折断，尽管他们的牙齿明显较少。黑人、贫困人口和不定期就诊者发生修复体折断的风险并未增加，这可能是因为折断与牙科保健的使用有关。这些关于龋齿和修复治疗需求的研究结果与成年高危人群的沉重负担相一致，并且与牙科初级卫生保健政策相关。
