Oral health status of the elderly in New England.
Oral health status of the elderly in New England.
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新英格兰老年人的口腔健康状况。
DOI：
10.1093/geronj/48.2.m39
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
McKinlay,JB
中科院分区：
文献类型：
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作者：
Douglass,CW;Jette,AM;Fox,CH;Tennstedt,SL;Joshi,A;Feldman,HA;McGuire,SM;McKinlay,JB
新英格兰老年人牙科研究（NEEDS）报告了居住在新英格兰六个州的70岁及以上社区老年人的代表性样本中口腔疾病和状况的患病率、程度和严重程度。在家中，由四名经过校准的牙医进行全口检查，他们使用国家牙科研究所（NIDR）标准化疾病测量方法和所有牙齿表面的附加诊断代码。在70岁及以上的老年人中，只有37.6%的人是无牙的，而有牙的老年人在不同年龄和性别的人群中，人均牙齿数量在21.5到17.9之间。在有牙老年人中，未经治疗的冠状龋患病率女性为28%，男性为34%。超过90%有牙的老年人有冠状充填物，22%有未经治疗的牙根龋。牙周破坏严重，66%有牙齿的老年人表现为中度牙周袋（4-6毫米），21%表现为重度牙周袋（6 - 6毫米）。与全国调查的比较表明，牙周病的患病率和严重程度似乎在以前的老年人全国研究中被低估了。由于老龄化和牙齿固位的趋势，老年人的牙周病问题可能会增加，因为牙医倾向于对牙周病的诊断不足，法律限制牙科保健师独立治疗牙周病，以及保守的非手术治疗资金不足。
The New England Elders Dental Study (NEEDS) reports the prevalence, extent and severity of oral diseases and conditions among a representative sample of community-dwelling elders age 70 and older residing throughout the six New England states. In-home, full-mouth examinations were conducted by four calibrated dentists who used National Institute of Dental Research (NIDR) standardized disease measures plus additional diagnostic codes on all tooth surfaces. Only 37.6% of elders age 70 and older were edentulous, while dentate elders had a mean number of teeth per person ranging from 21.5 to 17.9 across age and gender cohorts. The prevalence of untreated coronal decay in elders with teeth was 28% in female elders and 34% in male elders. More than 90% of all elders with teeth had coronal fillings and 22% exhibited untreated root caries. Periodontal destruction was substantial, with 66% of dentate elders exhibiting moderate periodontal pockets (4–6 mm) while 21% exhibited severe periodontal pocketing (>6 mm). Comparisons with national surveys suggest that periodontal disease prevalence and severity appear to have been underestimated in previous national studies of the elderly. Because of aging and tooth retention trends, the periodontal disease problem of the elderly may be increasing in the face of dentists' tendency to underdiagnose the periodontal diseases, legal constraints on dental hygienists to independently treat them, and inadequate funding for conservative nonsurgical therapies.