- 期刊
Periodontal Status, Tooth Mortality and Prosthetic Replacements in Elderly Patients Receiving Periodontal Care
接受牙周治療之老年病患其牙周狀況、失牙率及贋復物
摘要
Data from various studies have provided much information on the dental and periodontal status of the elderly population. However, few studies exist which have reported the dental and periodontal condition of elderly patients currently presenting for such care. This study randomly selected from 400 current clinical files in the periodontal facility of a university dental clinic those which belonged to patients aged 65 years or older. This elderly group was categorized for age, sex, race, the severity and distribution of periodontal disease (PD), existing teeth, number and location of missing teeth, tooth mortality during periodontal therapy, and the presence and type of dental prostheses. These patients had a mean age of 69.9 ± 4.2 and presented with moderate to advanced PD, the majority manifesting ADA Case Type IV in localized form. Disease severity was significantly (p＜0.025) higher in whites. The mean number of existing teeth was 21.4 ± 5.5 while teeth lost averaged 6.9 ± 5.2, with the loss of anterior teeth significantly (p＜0.05) higher in blacks. The mean tooth mortality during periodontal therapy was 1.6 ± 2.5. Tooth mortality patterns by tooth type during treatment were found analogous to that of other studies, with maxillary molars most frequently lost and mandibular canines most frequently retained. Elderly patients presented with 1.0 ± 0.9 mean prostheses replacing missing teeth with absence not significantly higher in black patients. The fixed partial denture was found the most predominant dental prosthetic type.
並列摘要
Data from various studies have provided much information on the dental and periodontal status of the elderly population. However, few studies exist which have reported the dental and periodontal condition of elderly patients currently presenting for such care. This study randomly selected from 400 current clinical files in the periodontal facility of a university dental clinic those which belonged to patients aged 65 years or older. This elderly group was categorized for age, sex, race, the severity and distribution of periodontal disease (PD), existing teeth, number and location of missing teeth, tooth mortality during periodontal therapy, and the presence and type of dental prostheses. These patients had a mean age of 69.9 ± 4.2 and presented with moderate to advanced PD, the majority manifesting ADA Case Type IV in localized form. Disease severity was significantly (p＜0.025) higher in whites. The mean number of existing teeth was 21.4 ± 5.5 while teeth lost averaged 6.9 ± 5.2, with the loss of anterior teeth significantly (p＜0.05) higher in blacks. The mean tooth mortality during periodontal therapy was 1.6 ± 2.5. Tooth mortality patterns by tooth type during treatment were found analogous to that of other studies, with maxillary molars most frequently lost and mandibular canines most frequently retained. Elderly patients presented with 1.0 ± 0.9 mean prostheses replacing missing teeth with absence not significantly higher in black patients. The fixed partial denture was found the most predominant dental prosthetic type.
延伸閱讀
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