摘要
目的:调查上海市嘉定区65～74岁老年人群的牙列缺损、缺失情况和修复需求,为政府的口腔保健项目提供依据。方法:对上海市嘉定区嘉定镇、安亭镇、南翔镇65～74岁老年人进行整群抽样,抽取3260人进行一般情况与口内情况调查,从牙列缺损、缺失人群中随机抽取824人,采用EpiData 3.1软件对修复需求、未修复原因和口腔修复知识进行描述性统计分析。结果:上海市嘉定区65～74岁老年人有80.4%牙列缺损,4.8%牙列缺失。牙列缺损的修复率为60.8%,牙列缺失的修复率为91.0%。其中28.0%为固定修复,39.5%为活动修复,24.4%为固定+活动修复,8.2%为全口义齿修复。牙缺失和修复情况无性别差异(P>0.05)。未修复的首要原因为价格过高,占32%;其余依次为医院挂号困难(24%)、担心拔牙疼痛及并发症(20%)、行动不便(10%)。关于修复需求,29.7%需要种植牙,64.8%需要烤瓷牙;43.2%选择医院就诊,51.0%选择私人门诊;25.5%选择费用自付,42.2%希望部分减免费用,32.3%希望全部免费。绝大多数老年人口腔修复知识匮乏,仅有18.2%得分在3分以上,15.5%得分为0～3分,66.3%得分为0分以下。结论:上海市嘉定区老年人缺牙和修复情况面临严重挑战,老年人口腔修复知识匮乏,需要政府加大口腔保健科普教育,投入资金,改善缺牙修复状况,提高老年人的口腔保健水平。
PURPOSE： To investigate teeth defect, loss and repair needs of the elderly people in Jiading district,Shanghai, and provide basis for government＇s policy of oral health care. METHODS： Three thousand two hundred and sixty 65-74 years old people were selected by cluster sampling in Jiading, Anting, Nanxiang, Jiading district, Shanghai.They were investigated for oral heath situation. 824 people with teeth defect and loss were randomly chosen to investigate the needs of repair, knowledge of oral health. EpiData software was used for descriptive analysis. RESULTS： Among the selected people, 80.4% had teeth defect and 4.8% had teeth loss. The repair rate of teeth defect and loss was 60.8% and91%, respectively. 28% were fixed denture, 39.5% were removable denture, 24.4% were fixed and removable denture, and8.2% were full denture. There was no gender difference in teeth loss and repair. The main reason for not being repaired was high cost, accounting for 32%, followed by difficult for hospital registration（24%）, fear of tooth extraction pain and complications（20%） and mobility difficulties. As for restoration demand, 29.7% demand dental implants, 64.8% demand porcelain teeth, 43.2% demand hospital visits, 51% demand private clinics, 25.5% demand self-payment, 42.2% demand partially reduced price; 32.3% hoped restoration free of charge; 18.2% of them had a score of more than 3 points. 15.5%were between 0-3 scores and 66.3% were below 0 score. CONCLUSIONS： The situation of teeth deficiency and repair of the elderly in Jiading district of Shanghai is facing serious challenges. The elderly people are lack of knowledge about teeth restoration. Therefore, it is necessary for the government to increase popular science education of oral health care,invest money to improve the situation of dental restoration, and improve oral health level of the elderly.
作者
张书宇
董华
ZHANG Shu-yu;DONG Hua(Department of Stomatology,Anting Hospital,Jiading District.Shanghai 201805;Department of Preventive Medicine,Shanghai Jiading District Dental Disease Prevention and Treatment Institute.Shanghai 201802,China)
出处
《上海口腔医学》
CAS
CSCD
北大核心
2018年第5期522-525,共4页
Shanghai Journal of Stomatology
关键词
老年人
牙列缺损
牙列缺失
口腔修复
Elderly people
Teeth defect
Teeth loss
Restoration of teeth
