上海市1579名中老年人牙缺失与义齿修复情况调查  

The sampling survey of teeth defect and denture restoration among 1579 middle aged and elder people in Shanghai

作　　者：程竑[1,2] 曾晓莉 李存荣 曹素华[4] 徐玮 冯希平 

机构地区：[1]上海市口腔病防治院口腔修复科,上海200001 [2]上海交通大学医学院,上海200025 [3]上海市口腔病防治院口腔预防科,上海200001 [4]复旦大学公共卫生学院社会医学与卫生统计学教研室,上海200032 [5]上海交通大学医学院附属第九人民医院·口腔医学院口腔预防、儿童科,上海市口腔医学研究所,上海200011

出　　处：《上海口腔医学》2009年第6期561-566,共6页Shanghai Journal of Stomatology

基　　金：上海市卫生局科研课题(2007009)~~

摘　　要：目的:调查上海市中老年人牙缺失和义齿修复状况,分析变化趋势,为政府提供相关政策依据。方法:采用多阶段分层等容量随机抽样方法,收集上海市791名35～44岁中年人和788名65～74岁老年人缺牙及义齿修复情况,采用SPSS13.0软件包进行统计学分析。结果:上海中、老年人失牙率分别为21.0%和81.0%,恒牙均数分别为28.9和19.5,老年人无牙率为10.8%,磨牙缺失率最高,尖牙最低。中老年人缺牙患者义齿修复率分别为59.6%和61.7%,活动义齿比例明显高于固定义齿,郊区老年人全口义齿、固定义齿及非正规固定桥比例显著高于城区(P<0.01)。结论:10年来,上海中老年人缺牙和修复状况有明显改善但依然不容乐观。建议政府采取有效措施,加强龋病和牙周病防治,减少失牙,进一步完善社区口腔保健网络建设,提高居民口腔保健意识,改善中老年人的缺牙修复水平。PURPOSE： To investigate the condition of teeth defect and denture restoration among the middle aged and elder people in Shanghai and to analyse the variation tendency so as to provide relevant policy basis for the government. METHODS： Multistage stratification isasteric random sample was used to acquire the teeth defect and denture restoration information among 791 people from 35 to 44 and 788 people from 65 to 74 years old, respectively. SPSS13.0 software package was used for data analysis. RESULTS： The teeth defect rate of the middle aged and elder people in Shanghai was 21.0% and 81.0%, respectively. The mean permanent teeth number was 28.9 and 19.5. The edentulous rate of the elder people was 10.8%. The defect rate was highest in the molar area, and lowest in the canine agra. The denture restoration rate of the middle aged and elder people was 59.6% and 61.7%, respectively. The rate of the removable denture restoration was higher than that of the fixed denture. The rate of full denture, fixed denture and informal fixed bridge restoration in the suburb area was higher than that in the urban area（P〈0.01）. CONCLUSIONS： The condition of teeth defect and denture restoration among middle aged and elder people in Shanghai is still unsatisfactory even though it has been getting better in the last decade. It is suggested that the government take efforts to lessen the teeth defect by control of caries and periodontal disease, and to improve the restoration level of the middle aged and elder people.

关 键 词：牙缺失 义齿 上海市 

分 类 号：R783.6[医药卫生—口腔医学]