Effects of integrated dental care on oral treatment needs in residents of nursing homes older than 70 years
Effects of integrated dental care on oral treatment needs in residents of nursing homes older than 70 years
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DOI：
10.1111/scd.12104
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发表时间：
2015-05-01
影响因子：
1.4
通讯作者：
de Putter, Cornelis
中科院分区：
文献类型：
--
作者：
Gerritsen, Paul;Cune, Marco;de Putter, Cornelis
我们评估了综合牙科护理在老年疗养院居民中的效果。在三个提供综合牙科护理的疗养院中，我们研究了355名70岁以上居民的口腔治疗需求。为了确定综合护理的效果，我们区分了短期居民（6个月）。治疗需要，由两名牙医口腔内确定，短期居民（78%）和长期居民（67%）之间的高。治疗需求和住院时间之间的关联不受住院适应症（躯体与老年精神病）的显著影响。除了一名长期住院医生外，所有牙科住院医生都需要口腔治疗。然而，在无牙颌居民中，特别是有精神-老年适应症的住院患者，治疗需求似乎显着减少，从74%到57%.We的结论是，尽管综合牙科保健，口腔治疗需要仍然在几乎所有的有牙颌居民和超过一半的无牙颌居民。
We evaluated effects of integrated dental care in older nursing home residents.In three nursing homes offering integrated dental care, we studied the oral treatment need of 355 residents older than 70 years. To determine effects of integrated care, we discriminated between short-stay residents ( 6 months).Treatment need, determined intra-orally by two dentists, was high among shortstay residents (78%) and long-term residents (67%). The association between treatment need and length of stay was not significantly affected by indication for stay (somatic vs. psychogeriatric). All dentate residents needed oral treatment, except one long-term resident. However, among edentulous residents, particularly with a psycho-geriatric indication for stay, treatment need appeared to reduce significantly in time, from 74% to 57%.We conclude that, despite integrated dental care, oral treatment need remains in virtually all dentate residents and more than half of edentulous residents.