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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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在医学上无法解释的口腔症状的患者中出现牙疾病
Mitsuhiro Asami1, Yasuyuki Kimura1, Miho Takenoshita1
1Department of Psychosomatic Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Journal of dental sciences
|October 6, 2023
概括
与一般牙科患者相比,患有口腔精神疾病的患者的口腔健康状况更差,由更高的DMFT得分表明. 牙医可以使用口腔环境评估来怀疑这些疾病.
科学领域:
- 口服药是一种口服药.
- 精神疾病 精神疾病 精神疾病
- 牙科公共卫生 牙科公共卫生
背景情况:
- 牙医在治疗无法解释的口腔症状 (口腔精神疾病) 的患者时面临着挑战.
- 这些疾病不同于内科的精神疾病,需要不同的诊断方法.
- 目前缺乏用于区分这些条件的评估方法.
研究的目的:
- 为了比较口腔精神疾病患者的腐烂,缺失和填充牙 (DMFT) 指数得分.
- 评估DMFT指数与口腔精神疾病组内的精神病史相关.
- 评估口内环境作为牙医的潜在指标.
主要方法:
- 在2202名口腔精神疾病患者,145名精神病医院住院患者和3940名通用牙科患者中,DMFT得分的统计比较.
- 基于口腔精神疾病患者精神病史存在或不存在的DMFT评分的分析.
主要成果:
- 中位数的DMFT得分有显著差异:口腔精神疾病患者16分,精神病患者22分,一般牙科患者10分.
- 在口腔精神疾病组内,基于精神病史,没有观察到DMFT得分的显著差异.
- 在口腔精神疾病患者中,口腔内环境比一般牙科患者差,但比精神病患者更好.
结论:
- 口腔精神疾病患者的口腔内环境与一般牙科和精神病医院住院患者群体不同.
- 一般牙医可以利用口腔环境的状况来帮助识别可能患有精神病或口腔精神疾病的患者.
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