Adult Dental Health Survey 2009: common oral health conditions and their impact on the population
Adult Dental Health Survey 2009: common oral health conditions and their impact on the population
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DOI：
10.1038/sj.bdj.2012.1088
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发表时间：
2012-12-01
影响因子：
2.6
通讯作者：
Steele, J. G.
中科院分区：
文献类型：
--
作者：
White, D. A.;Tsakos, G.;Steele, J. G.
2009/10年进行的成人牙科调查的数据记录了英国成年人口腔状况模式的一些重大变化。近几十年来，完好和未经治疗的牙齿数量的变化在年轻人中尤为明显。在所有年龄段中，每个有牙齿的成年人有17.9颗完好且未经治疗的牙齿，但在最年轻的人群中（16-24岁），这一数字为26.9颗，这表明与他们的前辈相比，年轻人的前景正在迅速改善。从1998年到2009年，英国所有类型龋齿的总体患病率从54%急剧下降到31%，但在受龋齿影响的人群中，受龋齿影响的牙齿数量几乎没有变化，约为每人2.7颗。龋齿和龋齿的减少影响着所有年龄段的人。新修复的比率相对较低，特别是年轻人的修复比他们的前辈少。现在的许多活动可能是围绕着修复或延长现有的修复。相比之下，有牙齿的成年人中有37%戴了牙冠，比1998年的34%有所上升，平均每人戴了三个牙冠。少数英国成年人的牙周状况非常健康（17%），中度牙周病（4毫米至小于6毫米）在过去十年中也显著减少，与可测量的菌斑减少和更频繁的刷牙一致。然而，更严重的疾病略有增加（从成人的6%增加到9%）。口腔健康状况不佳对人们生活的影响频率在过去十年中也有所减少。然而，尽管临床状况正在改善，但仍有一部分有牙齿的成年人由于口腔健康而经常（16%）和（或）严重（17%）受到日常生活的负面影响；这些人更可能是那些社会经济地位较低的人，以及那些在龋齿和牙周病方面临床状况较差的人。
Data from the Adult Dental Survey conducted in 2009/10 have recorded some major changes in the pattern of oral conditions in British adults. The change in the number of sound and untreated teeth in recent decades has been particularly marked in younger adults. Across all ages there were 17.9 sound and untreated teeth per dentate adult, but among the youngest (16-24-year-olds) it was 26.9 teeth indicating rapidly improving prospects for young adults compared with their predecessors. Between 1998 and 2009 the overall prevalence of caries of all types in England has fallen dramatically from 54% to 31% overall, but the number of teeth affected by caries among those people affected by decay is almost unchanged at around 2.7 affected teeth per person. Caries, and the reduction in caries, affected people of all ages. The rate of new restorations is correspondingly low and young adults in particular had fewer restorations than their predecessors. Much activity is now likely to be around repairing or extending existing restorations. By contrast 37% of dentate adults had crowns, up from 34% in 1998, averaging around three crowns per person among those who have crowns. A minority of British adults had a very healthy periodontal status (17%) and moderate periodontal disease (pockets of 4 mm to less than 6 mm) has also reduced markedly in the last decade, in line with measurably less plaque and more frequent brushing. However, more severe disease has increased slightly (from 6% to 9% of adults). The frequency of impact of poor oral health on people's lives has also reduced in the last decade. However, while clinical conditions are improving, there is a proportion of dentate adults that experience negative effects on their daily life frequently (16%) and/or severely (17%) due to their oral health; who are more likely to be those in a lower socioeconomic position and those with worse clinical status in terms of caries and periodontal disease.