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囚犯口腔健康评估:一个横断的观察和流行病学研究
William Alves Dos Reis1, Bruno Gomes Dos Santos Martins2, Rodrigo Resende3
1Private Practice, Marietta, GA 30062, USA.
Epidemiologia (Basel, Switzerland)
|December 24, 2025
概括
巴西囚犯的口腔健康显示出高水平的腐烂和缺失牙,随着年龄的增长而恶化. 口腔卫生不良和治疗有限导致拔牙,凸显了这一群体中大量未得到满足的牙科需求.
科学领域:
- 流行病学 流行病学
- 口腔健康 口腔健康
- 公共卫生 公共卫生
背景情况:
- 监禁人口的口腔健康状况经常被忽视,尽管与整体健康和福祉的潜在联系.
- 牙科护理的有限准入和监狱内的特定生活方式因素可能会加剧口腔健康问题.
研究的目的:
- 评估巴西里约热内卢Moniz Sodré监狱男性囚犯的口腔健康状况和牙损伤的流行情况.
- 分析年龄和口腔健康指标之间的关系,特别是腐烂,缺失,填充牙 (DMFT) 指数.
主要方法:
- 一项涉及1385名男性囚犯的横截面观察研究,分为四个年龄组.
- 数据收集包括调查和应用腐烂,缺失,填充牙 (DMFT) 指数.
- 包括多重线性回归在内的统计分析被用来确定DMFT得分的相关性和预测因素.
主要成果:
- 平均腐烂,缺失,填充牙 (DMFT) 评分随着年龄的增长而显著增加,从年轻囚犯的6.89增加到老囚犯的22.5 (p < 0.0001).
- 在DMFT的增加主要是由缺失牙的数量更高,特别是在老年人群.
- 口腔健康问题的患病率包括探针出血 (37.7%),可见的牙斑 (100%),牙结石 (71.3%).
- 口腔卫生实践的遵守率很低,只有20.1%的人每天刷牙,10.3%的人使用化物口水.
结论:
- 在被研究的囚犯群体中观察到高水平的未经治疗的牙损伤和牙周病后果.
- 年龄与DMFT得分的增加有很强的相关性,主要是由于牙缺失.
- 校正设施内的牙科治疗和干预不足导致了大量的牙拔除.
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