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。对1995年在K县社区卫生中心进行口腔健康体检的283名受试者，其中男性37人（平均50.6岁），女性246人（平均44.9岁），采用DENTAL precale诊断其咬合状况。统计分析牙合状况与其他牙齿健康指标的关系。结果是一样的。合阻平均值（mm2）为30.9 (]SY+-[) 20.1（男性），19.0 (]SY+-[) 12.5（女性）.2。咬合力(N)均值为807.9 (]SY+-[) 552.1（男性），580.0 (]SY+-[) 344.8（女性）。男性和女性的咬合阻力和咬合力均随年龄的增长而下降。在男性中，咬合责备与补牙数、完整牙数有显著的相关性。男性的咬合力、缺牙数、完整牙数、牙周指数、艾希纳指数差异均有统计学意义。另一方面，在女性中，咬合责备与缺牙、完整牙的数量有显著的相关性。咬合力与缺牙数、完整牙数、牙周指数、艾希纳指数差异均有统计学意义。女性患者的咬合责备和咬合力与Eichner指数、年龄、完整牙数、牙周指数依次递减有关。上述结果提示，在社区卫生活动中应用DENTAL PRESCAL进行咬合诊断，可作为评估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.