Rudolph M J, Chikte U M
Department of Community Dentistry, University of the Witwatersrand, Johannesburg, South Africa.
J Dent Assoc S Afr. 1993 Aug;48(8):451-4.
The prevalence of caries and the periodontal disease in 240 adult male psychiatric patients was determined in order to recommend appropriate treatment strategies. Twenty seven per cent of the sample were fully dentate and 12 per cent were caries free. The mean DMFT was 7.92 with the D component reflecting many untreated carious teeth. All age groups require simple restorative care for the treatment of dental caries. None of the subjects were totally free from periodontal disease. Calculus and moderate periodontal pocket formation was the most common manifestation. Seventeen per cent of the sample needed complex periodontal care. Health education aimed at professional and lay staff, the implementation of a suitable plaque removal regimen and the removal of subgingival calculus by auxiliary personnel were seen as important therapeutic measures to enhance the oral health of this population.
为了推荐合适的治疗策略，对240名成年男性精神病患者的龋齿和牙周疾病患病率进行了测定。样本中27%为全口牙列完整，12%无龋齿。平均龋失补指数（DMFT）为7.92，其中失牙（D）部分反映出许多龋齿未得到治疗。所有年龄组都需要进行简单的修复治疗以治疗龋齿。所有受试者均存在牙周疾病。牙结石和中度牙周袋形成是最常见的表现。17%的样本需要复杂的牙周治疗。针对专业人员和非专业人员的健康教育、实施合适的菌斑清除方案以及由辅助人员清除龈下牙结石被视为改善该人群口腔健康的重要治疗措施。
