Construction of support system for oral health promotion in elderly

本研究的目的是在社区基础上通过数据收集、处理和解释来支持老年一代的口腔健康。要实现这一目标，科学证据是必不可少的。我们每年对600名70岁和163名80岁的老年人进行一次为期4年的调查。四名牙医在使用人造光的充足照明下进行口腔检查。进行个人访谈，以获得大量的信息，关于几个预测变量，包括性别，吸烟和饮酒习惯，利用牙科服务，包括访问模式，治疗需求和最近访问的一年和牙科自我保健行为。为了监测一般健康状况，记录血压水平，并调查疾病标志物的血清水平。这些疾病标志物是肝因子（GOT、GPT和γ-GTP）、肾因子（Creatinine）、免疫球蛋白（IgG、伊加和IgM）、脂蛋白（LIFO）、 ...更多信息 rs（总胆固醇和甘油三酯）和营养因子（总蛋白质，钙。血糖和白蛋白）。结果发现：（1）牙齿数量少、假牙质量差或无假牙者，身心健康状况恶化的相对风险较高;牙齿状况差的人死亡风险高3.2倍。2)口腔状况是一个很好的风险预测因子，低BMI表示的一般健康状况不佳也可能导致根龋的发生。3)在额外的依恋丧失和吸烟之间发现了显著的关联，基线时AL为6+ mm，比值比分别为3.75和2.29。吸烟习惯和基线AL 6+ mm可被认为是进一步附着丧失的风险因素。4)从X线测量，37%的剩余牙齿是无髓牙。其中，36%的牙齿有根尖病变，平均牙槽骨丢失为30%。5)除了口腔状况如根龋、牙周病等外，一般健康状况也会导致牙齿脱落。6)少摄入含有维生素C、E和类胡萝卜素的蔬菜和水果，这些都是抗氧化剂，可以预防心血管疾病和胃肠道疾病。较低的咀嚼能力可能是这些疾病的危险因素。7)老年人牙齿咬合状况与下肢动态力量、灵活性和平衡功能相关。因此，针对影响老年人牙齿脱落的口腔因素，提出老年人牙齿脱落的预防方案。少

The purpose of this research was to support elderly generation through data collection, processing and its interpretation on oral health at community-basis. To realize the goal, scientific evidences are essential. We carried out survey on elderly cohort (600 persons aged 70 and 163 aged 80) once a year for 4 years. Four dentists carried out oral examinations under sufficient illumination using artificial light. An personal interview was performed to obtain the bulk of information regarding several predictor variables including gender, smoking and alcohol drinking habits, utilization of dental services including pattern of visits, treatment needs and recent visit in a year and dental self-care behaviors. In order to monitor the general health condition, blood pressure levels were recorded and serum levels of disease markers were also investigated. These diseaise markers were liver agents (GOT, GPT and Gamma-GTP), kidney agent (Creatinine), immunoglobulins (IgGs, IgA and IgM), lipo facto … More rs (Total-Cholesterol and Triglyceride) and nutritional factors (Total-Protein, Calcium. Blood-Sugar and Albumin). Results were 1) Persons with less teeth and with poor or no dentures tended to be at higher relative risk for worsening physical and mental health status. Risk of death was 3.2 times higher for persons with poor dental conditions. 2) Oral status was a good risk predictor, and poor general health indicated by low BMI may also contribute to root caries occurrence. 3) Significant associations were found between additional attachment loss and smoking, and AL of 6+ mm at the baseline, with odds ratios of 3.75 and 2.29, respectively. Smoking habit and baseline AL of 6+ mm may be considered as risk factors for further attachment loss. 4) From the x-ray measurement, 37% of remaining teeth was pulpless teeth. Of these, 36% were teeth with apical lesion and average alveolar bone loss was 30%. 5) General health status contributes to tooth loss, in addition to oral status such as root caries, severer periodontal condition. 6) Low intake of vegetables and fruits containing vitamin C, E and carotenoids, that are antioxidants, to prevent cardiovascular disease and gastro-intestinal disease. Lower chewing ability might be a risk factor for these diseases. 7) Dental occlusal condition is associated with lower extremity dynamic strength, agility, and balance function in the elderly. In conclusion, a preventive program for old generation is decided to be settled on the oral factors which influences the toothloss. Less