総合病院入院患者の口腔健康状態と治療必要性に関する研究
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概要
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A survey of the oral health condition and treatment needs of dental diseases was conducted among 569 hospitalized people in Saiseikai Fukuoka general hospital in Fukuoka City, and Saiseikai Yahata general hospital in Kitakyushu City, Japan. The purpose of this study was to provide baseline data before the planning and implementation of a dental program for hospitalized people in Japan while focusing on elderly hospitalized patients. Dentition and periodontal status, wearing of and need for dentures, and the condition of the temporomandibular joint were assessed according to WHO guidelines (Oral Health Surveys-Basic Method, 3rd Edn., 1987). Interviews were also conducted and data on patients' diseases was obtained from the subjects' doctors. I. All hospitalized patients The most common diseases of all hospitalized patients were gastrointestinal diseases, followed by metabolic and endocrine diseases, and kidney and urinary diseases. The mean number of D (decayed) teeth and F (filled) teeth was 1.9 and 6.8, respectively. The average number of teeth requiring filling, pulp care, crown or bridge abutment, and extraction was 1.2, 0.3, 0.5 and 0.4, respectively. The percentage of dentate persons with calculus was highest in the group aged 16∿54 and the percentage of dentate persons with shallow pocketing of 4 or 5mm was highest in the group aged 55 and older. The mean number of healthy sextants decreased with age, from 2.1 in the group aged 16∿24 to 0.1 in the group aged 85 and older. The mean number of sextants with shallow pockets and the mean number of sextants with deep pockets increased with age, from 0.2 and 0 in the group aged 16∿24 to 1.5 and 0.4 in the group aged 85 and older. Ninety-three percent of the subjects had no unusual symptoms in their temporomandibular joint. Oral and denture hygiene became poor with increase in age. More than eighty percent of the patients needed to improve oral hygiene. Fifty-eight percent of those interviewed had some dental complaints, of which the most frequently reported were dental caries. In contrast with this, 50% of the interviewed persons had a subjective need for treatment. II. Elderly hospitalized patients The percentage of edentulous was 21.2 in the group aged 65∿74, 38.8 in the group aged 75∿84 and 38.8 in the group aged 85 and older. The mean number of present teeth was 12.8 (65∿74 years old), 5.1 (75∿84 years old) and, 3.9 (85 years of age and older). The mean number of D teeth was 1.2 (65∿74 years old), 0.7 (75∿84 years old), 1.2 (85 years of age and older). And the mean number of F teeth was 6.5 (65∿74 years old), 0.7 (75∿84 years old), 2.3 (85 years of age and older). The average number of teeth requiring filling decreased with increase in age from 0.9 (65∿74 years old) to 0.6 (85 years of age and older). The average number of teeth requiring crown or bridge abutment and extraction increased with increase in age from 0.3 (65∿74 years old) to 0.5 (85 years of age and older), from 0.3 (65∿74 years old) to 1.0 (85 years of age and older), respectively. The percentage with deep pocketing of 6 mm or more increased with increase in age, from 9 (65∿74 years old) to 13 (85 years of age and older). The mean number of healthy sextants with decreased with increase in age from 0.5 (65∿74 years old) to 0.1 (85 years of age and older). The mean number of sextants with deep pockets increased with increase in age, from 0.1 (65∿74 years old) to 0.4 (85 years of age and older). Seventy-four percent of elderly hospitalized patients had dentures. Denture treatment was needed by 63% of them : new dentures were needed by 29% and denture repairs by 34%. Analysis of the results showed poor dental health in this survey group and emphasizes the necessity of improving the dental health service programs for elderly people and also the importance of continuous dental disease preventive programs for people of all ages.
- 九州歯科学会の論文
- 1992-06-25