Interactions between periodontal disease, medical diseases and immunity in the older individual.
Interactions between periodontal disease, medical diseases and immunity in the older individual.
复制标题
老年人牙周病、内科疾病和免疫力之间的相互作用。
DOI：
10.1111/j.1600-0757.1998.tb00117.x
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Lopatin,DE
中科院分区：
文献类型：
--
作者：
Loesche,WJ;Lopatin,DE
1994年，治疗牙齿疾病（如蛀牙和牙周病）花费了美国公众约370亿美元（2）。因此，牙科治疗的费用高于治疗眼病、糖尿病或关节炎等的费用。用于清创、修复和替换受累牙齿的高度个性化、劳动密集型的方法导致了这一费用的增加。随着越来越多的人拥有更多的牙齿，寿命更长，这种费用将增加。与1900年相比，2000年将有牙齿的老年人的相对和绝对人数说明了这一问题在潜在牙科需求方面的严重性。在1900年，约4%的美国人口年龄超过64岁，约60%是无牙，总共有120万个牙齿。到2000年，16%的美国人口将超过64岁，约25%的人无牙（118，162），总共有3900万人有牙齿。因此，在一个世纪里，有牙齿的老年人患龋齿和牙周病的风险增加了32倍，牙齿的保留通常被认为是一种有利的发展，事实上，我们最近研究的某些独立生活的受试者的良好医疗健康状况表明了这一点（94）。这些长寿的人（平均年龄78岁）中有95%是有牙齿的，平均每人约有23颗牙齿。但这些人是独一无二的，因为大多数老年人不保留这么多的牙齿，更不用说牙齿健康良好（牙齿19，23，41，80，109，118）。老年人因关节炎、受伤、中风、衰老本身等而失去手部灵活性，因此可能口腔卫生不好。老年人不太可能寻求牙科治疗（81），但确实接受了医疗治疗，导致约25%的
Treatment of dental diseases such as dental decay and periodontal disease cost the United States public an estimated USD 37 billion in 1994 (2). As such, the cost of dental treatment was higher than the cost of treating eye disease, diabetes or arthritis, among others. The highly individualized, labor-intensive methods used to debride, repair and replace the involved teeth account for the enormity of this expense. This expense will increase, as more people, with more teeth, are living longer. The magnitude of this problem in terms of potential dental needs is illustrated by the relative and absolute numbers of older individuals who will be dentate in 2000 compared with 1900. In 1900, about 4% of the United States population was older than 64 years of age and about 60% were edentulous, giving a total of 1.2 million dentate individuals. In 2000, 16% of the United States population will be older than 64 years and about 25% edentulous (1 18, 162), giving a total of 39 million dentate individuals. Thus, over a century the number of older dentate individuals at risk of developing dental caries and periodontal disease increased by 32 times.The retention of teeth would normally be considered a favorable development, and indeed this is shown by the excellent medical health of certain independently living subjects whom we studied recently (94). Ninety-five percent of these long-lived individuals (average age 78 years) were dentate, averaging about 23 teeth per person. But these individuals were unique, as most seniors do not retain this many teeth, let alone teeth in good dental health (19, 23, 41, 80, 109, 118). Elderly people lose manual dexterity as a result of arthritis, injury, stroke, aging itself, etc., and accordingly, are likely to have poor oral hygiene. Elderly people are unlikely to seek dental treatment (81) but do receive medical treatments that result in the utilization of approximately 25% of