摘要
目的调查老年牙列缺失现状,分析可能导致老年人牙列缺失的影响因素。方法选取进行口腔检查的336例老年人为研究对象,检查其牙列缺失和修复情况,分析可能导致老年人牙列缺失的影响因素。结果受试者中牙列完全缺失100例(29.76%)、部分缺失135例(40.18%)、缺损71例(21.13%)、无缺失缺损30例(8.93%),牙列缺失率为69.94%;牙列缺失修复情况中有效109例(46.38%)、显效43例(18.30%)、无效2例(0.85%)、放弃81例(34.47%),修复率为64.68%。单因素分析结果显示,年龄、收入情况、其他口腔疾病史、吸烟、刷牙频率、含氟牙膏、甜食、口腔疾病认知和重视程度对患者牙列缺失有影响(P<0.05);多因素分析显示,年龄≥70岁、收入较低、有其他口腔疾病史、吸烟、刷牙频率≤1次/d、从未使用含氟牙膏、经常吃甜食、无口腔疾病认知和对其不重视是导致牙列缺失的危险因素(P<0.05)。结论年龄大、收入低、关于口腔疾病的认识少、对该疾病的重视程度小、口腔疾病较多、吸烟、口腔清洁不到位、爱吃甜食等因素容易引起牙列缺失,需要加大宣传有关口腔疾病和牙齿修复的知识,更好地预防老年人牙列缺失。
Objective To investigate the status of tooth loss in elderly patients and analyze the influencing factors that may lead to tooth loss.Methods A total of 336 elderly people who underwent oral examinations were selected as the research subjects.Their tooth loss and repair status were examined,and the influencing factors that may lead to tooth loss in the elderly were analyzed.Results Among the participants,100 cases(29.76%)had complete tooth loss,135 cases(40.18%)had partial tooth loss,71 cases(21.13%)had defects,and 30 cases(8.93%)had no tooth loss or defects,with a tooth loss rate of 69.94%.Among the repaired tooth loss cases,109 cases(46.38%)were effective,43 cases(18.30%)were very effective,2 cases(0.85%)were ineffective,and 81 cases(34.47%)were abandoned,with a repair rate of 64.68%.The results of univariate analysis showed that age,income,history of other oral diseases,smoking,brushing frequency,use of fluoride toothpaste,sweet food,awareness of oral diseases,and the level of attention to oral diseases had statistically significant differences with respect to tooth loss in elderly patients(P<0.05).Multivariate analysis showed that age≥70 years,low income,history of other oral diseases,smoking,brushing frequency less than once a day,never using fluoride toothpaste,frequently consuming sweet food,lack of awareness of oral diseases,and lack of attention to oral diseases were risk factors for tooth loss(P<0.05).Conclusions Factors such as old age,low income,poor awareness of oral diseases,lacking attention to oral diseases,multiple oral diseases,smoking,inadequate oral hygiene,and a preference for sweet food are likely to lead to tooth loss.Therefore,it is necessary to increase awareness about oral diseases and tooth restoration to better prevent tooth loss in the elderly.
作者
何家磊
乐灵仙
HE Jialei;LE Lingxian(Department of Stomatology,The First People’s Hospital Daishan,Daishan 316200,China)
出处
《健康研究》
CAS
2023年第2期164-167,172,共5页
Health Research