Soikkonen K, Wolf J, Närhi T, Ainamo A
Institute of Dentistry, University of Helsinki, Finland.
J Clin Periodontol. 1998 Jun;25(6):439-45. doi: 10.1111/j.1600-051x.1998.tb02471.x.
By means of panoramic radiography and additional intraoral radiographs, the occurrence of calculus, the extent of horizontal bone loss, the depth and number of infrabony pockets, the number of furcation lesions, and the number of interproximal restoration overhangs were studied in 169 dentate 76-, 81-, and 86-year-old subjects (54 male and 115 females) living at home. Alveolar bone loss (horizontal or vertical) among the participants was common, and in only 8 subjects (5%) was it judged non-existent. It was slight in 30 subjects (18%), moderate in 53 (31%), and advanced in 78 (46%). Infrabony pockets were found in 51% of the subjects and furcation lesions in 28%. The presence of calculus did not correlate with the other parameters. The number of interproximal overhangs was associated with the number of infrabony pockets and of furcation lesions (R=0.3, p<0.001 and p<0.0001) and the number of infrabony pockets with the number of furcation lesions (R=0.4, p<0.0001). Our study shows that periodontal findings are common in the dentate elderly, and associations recently found between periodontal infections and several serious diseases make radiographic examination an integral part of the oral examination of the elderly patient.
通过全景X线摄影术和额外的口内X线片，对169名居家生活的76岁、81岁和86岁的有牙受试者（54名男性和115名女性）的牙结石发生情况、水平骨吸收程度、骨下袋的深度和数量、根分叉病变的数量以及邻面修复体悬突的数量进行了研究。参与者中牙槽骨吸收（水平或垂直）很常见，只有8名受试者（5%）被判定不存在牙槽骨吸收。30名受试者（18%）的牙槽骨吸收轻微，53名（31%）为中度，78名（46%）为重度。51%的受试者发现有骨下袋，28%有根分叉病变。牙结石的存在与其他参数无关。邻面悬突的数量与骨下袋和根分叉病变的数量相关（R = 0.3，p < 0.001和p < 0.0001），骨下袋的数量与根分叉病变的数量相关（R = 0.4，p < 0.0001）。我们的研究表明，牙周检查结果在有牙的老年人中很常见，并且最近发现牙周感染与几种严重疾病之间存在关联，这使得X线检查成为老年患者口腔检查的一个组成部分。
