501 名中老年人楔状缺损与磨损的发生状况和相互关系.pdfVIP

中华口腔医学杂志 1998 年 7 月第 33 卷第 4 期 2·27 · · · 论著 501 名中老年人楔状缺损与磨损的发生 情况和相互关系 李萍 　李　 　张清 　徐萍 　　【摘要】　目的 　研究中老年人群牙齿慢性损伤性改变 ———楔状缺损和磨损的发生情况 , 以及二 者的关系。方法 　采用 Smith 和 Kmight 牙齿磨损指数 TWI 分度方法 ,对 501 名中老年干部进行了 口腔检查。结果 　该组人群楔状缺损患病率为 8962 % ,磨损发生率为 10000 % 。发生率和病损程 度均与年龄和牙位有关 ,磨损程度重的患者楔状缺损程度也重。结论 　楔状缺损与磨损是中老年人 常见的牙病 ,二者之间发生因素有相同之处 ,但程度加重的因素不一致。 【关键词】　楔状缺损 　　磨损 　　中老年人 Investigations on the incidence of dental wedgeshaped defects and abrasion in 501 elderly population and their correlation 　　L i Ping , L i Jie , Zhang Qing , et al . Depart ment of S tom atology , The Provin cial Free Medical Clinics of Jiangxi , N anchang 330046 【Abstract 】　Objective 　To investigate the incidence of the wedgeshaped defects and abrasion their correlation in elderly. Methods 　501 elderly were examined. Results 　The prevalence of wedgeshaped de fects was 89. 62 % and the abrasion was 100. 00 %. Both the occurrence rate and abrasive degree were all significantly related with the age and the location of tooth. Patients with severe abrasion had severe wadge shaped defects. Conclusion 　The wedgeshaped defects and abrasion are common dental diseases in elderly. There would be some common factors in causing both lesions , but the factors that promote the abrasive de gree are different. 【Key words】　Wedgeshaped defect 　　Abrasion 　　Elderly ( ) 　　楔状缺损 下简称楔缺 与磨损均为牙体硬组织 牙颈部龋、釉质发育不全和牙颈部有充填体的患牙。 的慢性损伤 ,在中老年人中十分常见[1 ] 。近十几年 楔缺与磨损的诊断分级采用 Smith 和 Kmight 牙齿 来 ,学者们研究证实牙齿长期行使咀嚼功能 ,承担　 磨损指数 TWI 分度方法分为 5 度[4 ] 。0 度 : 无磨 力 ,在应力集中区牙体硬组织发生的应力疲劳是形 损 ; Ⅰ度