老年根面龋就诊情况及与可摘义齿的关系

Root caries visit status of elderly patients and relationship with removable partial denture

目的调查老年人根面龋就诊情况及与可摘义齿的关系,为预防老年人根面龋尤其佩戴可摘义齿老人提供指导。方法收集江苏省老年医院口腔科因根面龋就诊的≥60岁老年人的相关就诊信息,记录根面龋位置、有无可摘义齿等。结果就诊老年人上颌和下颌根面龋牙位分布差异无统计学意义,近远中邻面是主要的好发部位,牙髓炎引起的疼痛是主要就诊原因。62.8%的老年人佩戴可摘义齿,41.6%病人根面龋位置紧邻牙齿缺失处。结论老年人就诊时根面龋龋坏严重,应提高根面龋防治意识,尤其加强佩戴可摘义齿老年人口腔卫生指导。

Objective To investigate the root caries clinical visit status of elderly patients and the relationship with removable partial denture,and to provide information for geriatric oral health care.Methods A retrospective survey was carried out in 113 elderly patients in the Stomatology Department of Jiangsu Province Geriatric Hospital suffering from root caries. Patients were interviewed and clinically examined,and the medical information was recorded. Results There was no statistical difference in the root caries distribution. Distal and mesial surfaces were the most predilection sites. Pulpitis was the main visit reason. Most root caries were adjacent to missing teeth among the elderly wearing removable partial denture. Conclusions The root caries status was serious. We should improve the consciousness of preventing root caries among elderly,and provide much more oral hygiene educations to the aged,especially in patients wearing removable partial denture.