ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1993.tb02663.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

AbstractThis paper describes the periodontal disease experience of a community‐dwelling population aged 50 years and older, living in four communities in Ontario, Canada. The periodontal status of this population was assessed using attachment loss and the extent and severity index. Attachment loss was measured at two sites on each tooth using a pressure‐sensitive periodontal probe. Complete periodontal data were obtained on 624 subjects. The mean number of sites per subject was 37.9. In line with recent US studies, the diagnostic threshold for a diseased or previously diseased site was set at 2 mm of loss. The overall mean attachment loss was 2.95 mm, with 19.7 percent of subjects having an overall mean attachment loss of 4.00 mm or more. The proportion of sites examined with loss of attachment of 2 mm or more was 77 percent. The severity of disease, defined as the average distance between the base of the sulcus or pocket and a point 1.00 mm apical to the cemento‐enamel junction in sites with loss of 2 mm or more was 2.44 mm. These data indicate that the extent and severity of disease in this population were greater than that reported by some recent studies in the US. Taken together, the results of these studies suggest that there is some variation in the periodontal disease experience of population subgroups across North Am

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1993.tb02664.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

AbstractCurrently, little is known about the oral health status, perceived oral health needs, or the extent of dental utilization among community‐dwelling, functionally dependent elderly. The purpose of this study was to describe the dental health of functionally dependent elderly living at home and receiving community‐based support services. The functional limitations experienced by these elderly living at home are comparable to functional limitations experienced by institutionalized elderly and these limitations impact on oral hygiene and access to dental care. Oral examinations and questionnaires were completed on 50 clients of an urban social service agency. Subjects had a mean of 8.8 teeth/person, with 44 percent completely edentulous. Two subgroups identified from the questionnaire—those who perceived themselves homebound (n/30) and those who did not (n=20), did not differ by age, gender, education level, or race. Respondents reported being homebound an average of 4.5 (±2.9) years. The mean decayed, filled teeth for the perceived homebound group was 5.1, and 7.3 for the group that did not perceive themselves as homebound, with both groups averaging less than of one tooth/person with active root decay. Health care and social policy agendas must address the changing scope of oral health needs and limited access to dental care experienced by an aging population retaining more of their natural den

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1993.tb02665.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

AbstractThe nearly 50‐year history of community water fluoridation is reviewed with the major emphasis on the benefits and safety of fluoridation. Other aspects of water fluoridation also described include the apparent reduction in measurable fluoridation benefits because of the abundance of other fluoride sources, the diffusion of fluoridation effects into fluoride‐deficient communities, preemptive and posteruptive effects, technical and cost aspects, sociopolitical and legal issues that affect the successful fluoridation of communities, and alternatives to community water fluoridation. The majority of studies have evaluated the effectiveness of water fluoridation on the permanent teeth of children, while there are fewer studies on deciduous teeth and in adults; the relationship between fluoride ingestion and bone health needs further clarification; the sociopolitical issues of fluoridation need to be better underst

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1993.tb02666.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1993.tb02667.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1993.tb02668.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1993.tb02669.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1993.tb02670.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1993.tb02671.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0022-4006    

DOI:10.1111/j.1752-7325.1993.tb02672.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY