ネパール山岳街道筋住民(ツクチェ村タカリ族)の歯科疾患とその背景

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An investigation for the dental diseases of mountain people living at trekking course of Nepal was carried out in Tukche village (2, 600m elevation) from the end of July to the beginning of August of 1995. The people of Tukche village are mostly the Thakali tribe. The purpose of this investigation is to understand more clearly the dental diseases of Nepali people, through an epidemiorogical study of this particular tribe. The results obtained under this investigation were as follows : 1. As for the DMFT of permanent teeth, the DT was 2.5∿3.4 for teenagers. For those in their twenties, it rose to 5.6. The MT was under 1.0 until the age of 40 years old, but it increased dramatically at ages of over 40 years. The FT could be observed very little. Except those in their forties, it was 0.1∿0.2 at each age. In comparison with another Nepali tribe, the DMFT was very high and its progress was fast. 2. As for periodontal disease (CPITN), many dental calculus (C) were observed ranging from young to old ages. Pockets over 6mm (P2) and missing of teeth (X) were already observed in subjects in their twenties. 3. As for the attrition, an attrition score of 1 is already observed at 13 to 15 years old. According to their advancement in age, the number and degree of attrition increased dramatically. 4. The incidence of TMJ was very low in comparison with the people of Thecho village or the Japanese. 5. As for the occlusion, malocclusion was observed in 40.0% of the villagers. Most of them was crowding (25.6%). 6. As for the brushing, 82.2% of villagers used tooth brush everyday. 7. Dental treatments in Tukche village conducted by us were mostly teeth extraction (44.9%). Scaling was 16.8% and cement filling was 14.0%. 8. Their meals consisted mostly of potatoes, vegetables, beans and milk foods. They ate little meat. They bought other items such as rice, powder milk and sugar. Their daily intake of sugar was very high (50g/day/person). We suspected that there were correlations between their dietary life and their dental diseases.
九州歯科学会の論文
1998-10-25

ネパール山岳街道筋住民(ツクチェ村タカリ族)の歯科疾患とその背景

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