- 學位論文
長青學苑與牙科診所的中老年人存留齒狀況與咀嚼能力相關之探討
A Related Study on the Remaining Teeth Status and Masticatory Abilities of the Middle-Aged Adults among Dental Clinics and Evergreen School
摘要
目的：本研究的主要目的在探討診所個案與長青學苑的45 歲以上老人之社會人口學資料、存留齒狀況與咀嚼能力之間的關係。方法：以中部四縣市的診所受訪個案共441 位與台中縣長青學苑的受訪個案178 位共619 位45 歲以上中老年人為研究對象，採橫斷面研究，將存留齒依照種類、牙位、功能性加以分類，以T-test、ANOVA、Pearson 相關分析、Linear Regression 針對社會人口學、各種存留齒分類對於咀嚼能力的影響及其相關因素進行分析。結果：以線性迴歸分析結果顯示，在診所個案為年齡越大、教育程度越低，長青學苑部分為年齡越大的存留齒數會越少。診所個案與長青學苑個案的線性迴歸分析結果均顯示後牙存留齒數、對咬牙單位組數、功能齒數為影響咀嚼能力的重要因素。 結論：本研究發現不論年齡大小，只要保持足夠的後牙存留齒數、對咬牙單位組數就能提供良好的咀嚼能力。在目前台灣進入高齡化社會的同時，為了讓中老年人依然能夠保持良好的咀嚼能力，針對中老年人加強口腔保健的衛教宣導、培養定期看牙醫的習慣、以保持牙齒為主的治療方式，共同建立以保持牙齒為主的口腔保健觀念，以期提高中老年人的生活品質。
關鍵字
存留齒數，功能齒，咀嚼能力並列摘要
Objective: This study mainly focuses on the relationship of teeth status of the remaining teeth and masticatory abilities between dental clinic patients and evergreen school students in Taiwan. Material & Methods: This is a cross-sectional study. Data was collected from the oral examination by dentists and filling questionnaire including 441 dental clinic patients aged 45 years old and over adults in Nantou County、Taichung County、Taichung City and Changhua County and 178 older evergreen school students from Wu-Feng township. Masticatory scores were evaluated using a questionnaire on masticatory concerning aspects of 23 foods. Using a linear regression model approach to analyze masticatory scores and other independent variables, like remaining teeth status and socioeconomic factors. Results: The results indicated that the number of the remaining teeth is associated with age、education status of dental clinic patients. and the number of teeth of older school students is associated with age. The masticatory scores of the subjects were higher with more post canine teeth、functional tooth units, and functional teeth. Conclusions: Masticatory abilities can be better maintained by sustaining the number of post canine teeth, functional teeth unit and functional teeth. Taiwan is becoming an aging society and to retain the oral health as well as chewing abilities of the elderly in Taiwan, it is important to have more oral care promotions, regular dental visits, and treatment principals for tooth retention of older adults.