Slade G D, Spencer A J
Department of Dental Ecology, School of Dentistry, University of North Carolina, USA.
Aust Dent J. 1997 Jun;42(3):178-84. doi: 10.1111/j.1834-7819.1997.tb00118.x.
This report provides epidemiological data describing caries experience among the population of non-institutionalized older adults in Adelaide and Mt Gambier. Subjects were selected in a stratified random sample of persons aged 60+ who were listed on the South Australian Electoral Database. Oral examinations were conducted by four calibrated dentists among 853 dentate persons aged 60 years and over. There was an average of 14.7 missing teeth, 8.3 filled teeth and 0.3 decayed teeth, and a further 0.2 teeth were present as retained roots. The mean number of missing teeth was higher (p < 0.05) in older compared with younger age groups, and in Mt Gambier compared with Adelaide. The mean DFS of 22.1 was significantly higher (p < 0.05) among younger persons, females and in Adelaide. Root surface caries affected an average of 3.1 surfaces, and was greater (p < 0.05) among persons aged 70-79 years, males and Adelaide residents. However, when root caries was expressed as an attack rate per 100 exposed surfaces, differences were statistically significant only among age groups. Analysis of specific teeth revealed that no more than 40 per cent of molars were retained, and between 30 and 58 per cent of retained molars had coronal fillings.
本报告提供了阿德莱德和芒特甘比尔非机构化老年人龋齿患病情况的流行病学数据。研究对象是从南澳大利亚选举数据库中60岁及以上人群的分层随机样本中选取的。由四名经过校准的牙医对853名60岁及以上的有牙人群进行了口腔检查。平均缺牙数为14.7颗,补牙数为8.3颗,龋齿数为0.3颗,另有0.2颗牙齿为保留牙根。与较年轻年龄组相比,老年人的平均缺牙数更高(p<0.05),且芒特甘比尔的平均缺牙数高于阿德莱德。22.1的平均龋失补牙数在年轻人、女性和阿德莱德人群中显著更高(p<0.05)。根面龋平均累及3.1个牙面,在70 - 79岁人群、男性和阿德莱德居民中更为常见(p<0.05)。然而,当将根面龋表示为每100个暴露牙面的发病率时,差异仅在年龄组之间具有统计学意义。对特定牙齿的分析显示,保留的磨牙不超过40%,保留磨牙中有30%至58%有冠部充填物。