Periodontal effects of a biobehavioral prevention program.
Periodontal effects of a biobehavioral prevention program.
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生物行为预防计划的牙周影响。
DOI：
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发表时间：
1998
影响因子：
6.7
通讯作者：
H. Kiyak
中科院分区：
文献类型：
--
作者：
R. Persson;G. R. Persson;L. V. Powell;H. Kiyak
目前的研究在老年受试者中零星地使用牙科服务来测试预防方案。将297名60~90岁(平均年龄72.8岁，占少数民族的43%)的老年人随机分为两组，一组为对照组，另一组为干预组，分别给予行为训练(第2组)、每周一次洗必泰冲洗(第3组)、每半年一次氟化物涂膜(第4组)和每半年一次预防(第5组)。对照组接受他们喜欢的牙科护理，主要是急诊护理。所有受试者每年复查一次，为期3年。基线时，190名受试者(%)被认为有未来牙周疾病进展的风险。在基线时，所研究的任何临床参数都没有组间差异。随着时间的推移，牙龈出血在19%到23%之间变化，没有组间差异。1年后，第5组探诊深度的下降幅度大于对照组(P<；0.06)。与对照组相比，第5组的临床附着水平(CAL)有所改善(近中颊牙面P<；0.01，中颊牙面P<；0.05)。在第3年，第1组有9.2%的受试者和第5组有4.9%的受试者丢失了<gt；或=2.0 mm CAL。在研究期间拔除310颗牙齿(6.5%)。与对照组相比，第二组的牙齿脱落风险增加了21%，第三组的风险降低了15%，第四组的风险降低了28%，第五组的风险降低了44%(Wald统计稳健p值为0.12)。在第3年，第3、第4和第5组的牙齿死亡率降至59%，显著低于第1组和第2组(P<；0.04)。自我效能感是牙周疾病进展的最佳预测因子(F=7.02，p<；0.01)。因此，老年人受益于预防性口腔保健方案。
The present study tested preventive regimens in older subjects using dental services sporadically. 297 persons aged 60-90 (mean age 72.8; 43% ethnic minorities), were randomly assigned to either a control group or four interventions with incrementally more complex preventive strategies; behavioral training (group 2), added weekly chlorhexidine rinse (group 3), added semi-annual fluoride varnish (group 4), and added semi-annual prophylaxis (group 5). The control group received dental care as they preferred, primarily emergency care. All subjects were re-examined annually for 3 years. At baseline, 190 (64%) of the subjects were considered at risk for future periodontal disease progression. At baseline there were no group differences for any clinical parameter studied. Gingival bleeding varied between 19% and 23% over time and with no group differences. After 1 year, the greater decrease in probing depth for group 5 approached significance compared to the control group (p<0.06). Clinical attachment levels (CAL) improved in group 5 compared to the control group (p<0.01 for mesio-buccal, p<0.05 for mid-buccal tooth surfaces). The group differences did not persist at year 3. At year 3 in group 1, 9.2% and in group 5, 4.9% subjects lost > or =2.0 mm CAL. 310 teeth (6.5%) were extracted during the study period. A 21% increased risk for tooth loss was found in group 2, a 15% reduced risk in group 3, a 28% reduced risk in group 4, and a 44% reduced risk in group 5 compared to the control group (Wald-statistics robust p-value 0.12). At year 3, the tooth mortality rate in groups 3, 4 and 5 combined was reduced to 59% and significantly lower than groups 1 and 2 together (p<0.04). Self-efficacy was the best predictor of periodontal disease progression (F=7.02, p<0.01). Thus older persons benefited from a preventive oral health care program.
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CPITN 六分仪评分检测牙周炎疾病活动的功效。
影响因子：
6.7
作者：
Rams,TE;Listgarten,MA;Slots,J
通讯作者：
Slots,J
新英格兰老年人的口腔健康状况。
DOI：
10.1093/geronj/48.2.m39
发表时间：
1993
期刊：
Journal of gerontology
影响因子：
--
作者：
Douglass,CW;Jette,AM;Fox,CH;Tennstedt,SL;Joshi,A;Feldman,HA;McGuire,SM;McKinlay,JB
通讯作者：
McKinlay,JB
影响因子：
4.3
作者：
BECK, JD;KOCH, GG;TUDOR, GE
通讯作者：
TUDOR, GE
牙周菌斑中的齿垢密螺旋体和/或牙龈拟杆菌对苯甲酰精氨酸萘酰胺 (BANA) 进行水解。
影响因子：
--
作者：
Bretz,WA;Lopatin,DE;Loesche,WJ
通讯作者：
Loesche,WJ
与牙周病相关的 5 种细菌的自然分布。
影响因子：
6.7
作者：
Wolff,LF;Aeppli,DM;Pihlstrom,B;Anderson,L;Stoltenberg,J;Osborn,J;Hardie,N;Shelburne,C;Fischer,G
通讯作者：
Fischer,G