上海市嘉定区65~74岁老年人群牙列缺损及修复现状调查

doi:10.19439/j.sjos.2018.05.016

摘要/Abstract

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。

关键词: 老年人, 牙列缺损, 牙列缺失, 口腔修复

Abstract: PURPOSE: To investigate teeth defect, loss, repair needs of the elderly people in Jiading district, Shanghai, provide basis for government's policy of oral health care. METHODS: Three thousand two hundred, sixty65-74years old people were selected by cluster sampling in Jiading, Anting, Nanxiang, Jiading district, Shanghai. They were investigated for oral heath situation.824people with teeth defect, 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, 4.8% had teeth loss. The repair rate of teeth defect, loss was60.8%, 91%, respectively.28% were fixed denture, 39.5% were removable denture, 24.4% were fixed, removable denture, 8.2% were full denture. There was no gender difference in teeth loss, repair. The main reason for not being repaired was high cost, accounting for32%, followed by difficult for hospital registration, fear of tooth extraction pain, complications, 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 than3points.15.5% were between0-3scores, 66.3% were below0score. CONCLUSIONS: The situation of teeth deficiency, 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, improve oral health level of the elderly

Key words: Elderly people, Teeth defect,Teeth loss, Restoration of teeth

中图分类号:

R787

张书宇, 董华. 上海市嘉定区65~74岁老年人群牙列缺损及修复现状调查[J]. 上海口腔医学, 2018, 27(5): 522-525.

ZHANG Shu-yu, DONG Hua. Investigation of teeth defect and repair status of elderly people in Jiading district, Shanghai[J]. Shanghai Journal of Stomatology, 2018, 27(5): 522-525.

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