Studies on Application for Community Health Activity

本研究的目的是阐明咬合诊断在社区卫生活动中的有效性和必要性。1995年在K县社区卫生中心对283名受试者进行了牙体检查和口腔健康检查，其中男性37人(平均年龄50.6岁)，女性246人(平均年龄44.9岁)。统计分析咬合状况与其他牙体健康状况的关系。结果是一致的。咬合矫正均数(mm~2)分别为30.9(SY+-)20.1(男)，19.0(SY+-)12.5(女)。咬合力的平均值(N)为807.9(SY+-[)552.1(男性)，580.0(SY+-)344.8(女性)。3.男女的咬合矫正力和咬合力均随年龄增长而降低。在男性中，咬合改正与充填牙数、完整牙数有显著的相关性。男性牙合力、缺牙数、完整牙数、牙周指数、艾氏指数均显著高于男性。在女性中，咬合改正与缺牙数、完好牙数有显著的相关性。5.在女性中，牙合改正和牙合力均由艾克纳指数、年龄、完整牙数和牙周指数由大到小依次进行多元回归分析，提示在社区卫生活动中应用牙科PRESCAL牙合诊断方法可以作为评价缺牙和咬合状况的一种实用的筛查方法。

Purpose of this study is to clarify the effectiveness and necessity of occlusal diagnosis in community health activity. The 283 subjects, 37 males (mean age 50.6yr), 246 females (mean age 44.9yr) were diagnosed their occlusal condition by DENTAL PRESCALE in both physical and dental health examination at community health center in K prefecture in 1995. The relation between the occlusal conditions and other dental health estimate were statistical analyzed. The results were as fellows.1.. Means of the occlusal reproof (mm2) were 30.9 (]SY+-[) 20.1 (male), 19.0 (]SY+-[) 12.5 (female).2.. Means of the occlusal force (N) were 807.9 (]SY+-[) 552.1 (male), 580.0 (]SY+-[) 344.8 (female)3. The Occlusal reproof and occlusal force decreased with age in both males and females.4. In male, correlation between the occlusal reproof and number of filled teeth, intact teeth were significant. And also occlusal force and the number of missing teeth, intact teeth, Periodontal Index, Eichner Index were significant in male. In female, on the other hand, correlation between occlusal reproof and the number of missing teeth, intact teeth were significant. Moreover occlusal force and the number of missing teeth, intact teeth, Periodontal Index, Eichner Index were significant.5.In female, both occlusal reproof and force were explained by Eichner Index, age, the number of intact teeth and Periodontal Index in decreasing order with multiple regression analysis.These results suggested that the application of occlusal diagnosis by DENTAL PRESCAL in community health activity can be a practical screening method as to evaluate missing teeth and occlusion condition.