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咬(牙合)板与义齿对老年人颞下凳关节功能恢复的作用
Objective To discuss effect of articulating bite plate and artificial tooth on the functional recovery of temporomandibular disorders(TMD)among elders.Method 36 cases of TMD aged above 60 years old were managed with articulating bite plate and repair body after clinical and X ray examination.Result Clicking of joint,pain and limitation of mouth opening were relieved in 21 cases and rehabilitated in 15 cases 3~ 6 months after treatment.Conclusion Articulating bite plate and artificial tooth treatment plus intervention of mandibular interference should be emphasized for TMD among elders.
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社区与门诊老年人牙科焦虑症及其相关因素的研究
目的:调查社区和牙科门诊老年人牙科焦虑症的发生情况及其相关的因素. 方法:使用汉化Coarh's牙科焦虑量表(Dental Anxiety Scale,DAS)评定来自社区和口腔门诊的各700名老年人的牙科焦虑症(DA)情况,通过自行设计的一般情况表,收集可能与老年人DA发生有关的变量,采用多因素Logistic回归方法分析与社区、口腔门诊老年人DA发生有关因素.结果:DA的发生率在社区老人和口腔门诊老人中分别为23.86%、34.10%.Logistic回归分析显示,社区和口腔门诊老年人牙科焦虑症的共同影响因素包括性别、自我健康评价、亲友看牙经历、生活有焦虑;影响社区老年人牙科焦虑症的因素还包括看牙医的频率和既往就诊满意度. 结论:老年人DA的发生在社区和口腔门诊中均普遍存在,但影响因素有所不同. 减少DA对老年人口腔甚至身心健康的不良影响需要多方面共同努力.