アブストラクト(54巻2号:神奈川歯学)

神奈川歯学

Japanese

Title : 介護老人保健施設利用高齢者における根面う蝕の有病状況と関連要因
Subtitle : 原著
Authors : 持田悠貴1), 山本龍生1), 川村和章1), 宋文群1), 渕田慎也1), 中野貴文1), 川田和重2), 榎田中外3), 佐塚仁一郎4), 竹内智5), 荒川浩久6)
Authors(kana) :
Organization : 1)神奈川歯科大学大学院歯学研究科災害医療・社会歯科学講座, 2)川田歯科医院, 3)榎田歯科医院, 4)佐塚歯科医院, 5)パル博愛歯科, 6)神奈川歯科大学
Journal : 神奈川歯学
Volume : 54
Number : 2
Page : 85-91
Year/Month : 2019 / 12
Article : 原著
Publisher : 神奈川歯科大学学会
Abstract : 「緒言」平成28年歯科疾患実態調査において, 80歳になっても自分の歯が20本以上ある8020(はちまるにいまる)を達成した者の推計割合は51.2%となり, いずれの年齢階級においても現在歯数は増加傾向にあった. しかしながら, 4mm以上の歯周ポケットを有する者の割合も同じく増加しており, 平成28年国民健康・栄養調査より歯科検診受診者も増加していることから, 増加する現在歯の健全性維持のため, 歯科医療機関における定期管理の果たす役割はさらに大きくなることが予想される. いくつかの疫学研究によると, 歯の喪失のリスク因子として歯周ポケットの保有の他に根面う蝕が挙げられている. 歯周病の観点から書かれた根面う蝕のレビューにおいても, 歯周病患者における歯肉退縮やアタッチメントロスは根面う蝕発生のリスク因子となるため, 特に注意を払うべきとされている.
Practice : 歯科学
Keywords : 根面う蝕, 高齢者, 介護施設, 横断研究

English

Title : Prevalence and factors associated with root caries in older Japanese requiring long-term care or support
Subtitle :
Authors : Yuki MOCHIDA1), Tatsuo YAMAMOTO1), Kazuaki KAWAMURA1), Wenqun SONG1), Shinya FUCHIDA1), Takafumi NAKANO1), Kazushige KAWATA2), Nakato ENOKIDA3), Jinichiro SAZUKA4), Satoshi TAKEUCHI5), Hirohisa ARAKAWA6)
Authors(kana) :
Organization : 1)Department of Disaster Medicine and Dental Sociology, Graduate School of Dentistry, Kanagawa Dental University, 2)Kawata Dental Clinic, 3)Enokida Dental Clinic, 4)Sazuka Dental Clinic, 5)Pal Hakuai Dental Clinic, 6)Kanagawa Dental University
Journal : Kanagawa Shigaku
Volume : 54
Number : 2
Page : 85-91
Year/Month : 2019 / 12
Article : Original article
Publisher : Kanagawa Odontological Society
Abstract : [Abstract] Little information is available regarding prevalence of root caries in older Japanese requiring long-term care or support. The purpose of this study was to evaluate the prevalence of root caries and factors associated with root caries in older people living in long-term care health facilities or provided outpatient day long-term care. Participants were 64 older people (70.3% women) aged 65-100 years requiring long-term care or support. They completed a questionnaire about their health behavior and general health condition and underwent a dental examination. Root caries was diagnosed by calibrated dentists, and active root caries, inactive root caries, and root fillings were regarded as root caries experience. Periodontal status was assessed using the community periodontal index (CPI). After adjusting for age, negative binomial regression models were used to determine the association between number of tooth surfaces that developed active root caries or root caries experience (outcome variable) and each of the following explanatory variables: educational status, discomfort in the mouth, smoking, denture use, toothbrushing frequency, use of dental tools, systemic disease or medication related to decreased salivary secretion, number of teeth present, and CPI. Prevalences of active root caries and root caries experience were 82.8% and 92.2%, respectively. Not using toothpaste was marginally associated with root caries experience (risk ratio [RR]=1.96; 95% confidence interval [CI]: 0.99-3.87), and was significantly associated with active root caries (RR=2.35; 95% CI: 1.18-4.69). High educational attainment (RR=0.57; 95% CI: 0.30-1.06), gingival bleeding (RR=1.96; 95% CI: 0.97-3.94) and probing pocket depth (PPD) >=6 mm (RR=2.49; 95% CI: 1.00-6.19) were marginally associated with active root caries. These results suggest that not using toothpaste and having periodontal disease are risk factors for root caries in older Japanese requiring long-term care or support.
Practice : Dentistry
Keywords :