An Investingation On The Situation Of Dentition Defect And Restored State In Official Staff In Shijiazhuang

ObjectiveTo evaluate the status of dentition defect and restored state in officialstaff, and then to analysize wether the gender, age, income, and educationcould be as influential factors, it is expected that the result of this researchcould provide useful data and help us to improve people,s oral health, preventdental disease and make effective restoration plan.Methods1713respondents are official staff from Shijiazhuang, who acceptedgeneral examination in The Third Affiliated Hospital of Hebei MedicalUniversity during May2012to Octor, all at the age of35to84years old.1inspectors5dentists from Stomatology department are appointed as inspector in thisstudy. All inspectors must be highly competent concerning unifiedstandardsvafter training.2oral exam toolUse the disposable oral instrument box, which including mouthmirror,probe and forceps made in Hebei Xinle science and technologycompany.3questionnaireAccording to the purpose of this study, some possible influential factorsto dentition defect and restoration we think were involved in this questionnaire,then it be modificated and finalized after preliminary test. The questionnaireincluded: gender, age, educational level, economic status, peisonal habits,causes of tooth missed, ect.4inspection contentRefering to the third national oral health epidemiological survey standard, carefully check and record all of the client’s dentition defect, lack and denturerestoration.5diagnostic criteriaOne or more teeth missed, but at least one tooth still persisting in a singledentition is defined as dentition defect, while if no more tooth left, it bedefined as edentulous. Edentulous include full edentulous, maxillaryedentulous, and mandible edentulous, no tooth missed as full dentition,without regarding for the situation of the third molars, and no record in thissurvy about the teeth.6statistical analyzedStatistical quantitative form and corresponding data base were formedfirstly. All the data were then analyzed with SPSS13.0software, and betreated by the method of chi-square test and relating data analysis, P <0.05forthe difference was statistically significant.ResultIn this sample survey,858of1713people had at least one tooth lost, themissing rate was50.09%, and the rate of missing tooth restored was52.91%.Among the858people with tooth missed, the rate of dentition defect was96.15%, while the rate of edentulous was3.85%.1Tooth missing and restored rate were49.59%and53.17%respectivelyin male; while be50.76%and52.57%in female.There were no significantdifference between the two groups.2The rate of tooth missing and restoration in different ages groups wereas fellows respectively:27.60%and40.26%in35-44year-old group;37.35%and47.20%in45-54year-old group;57.51%and51.29%in55-64year-old group;64.42%and55.24%in65-74year-old group;72.46%and72.00%in75-84year-old group. There were statistical significance amongthese groups. Both the rate of tooth missing and dentition restorated in eldersare higher than that in yonger.3Tooth missing and restoration rate in different education level groupswere: in the group in which peope had senior high school educated experience and the following were54.74%and37.75%respectively;48.22%and63.81%in junior college group;43.13%and77.54%in undergraduate group;38.30%and88.89%in above university group. The results shows that the rate ofmissing teeth and repaired were different significantly amongthe groups of different cultural levels （P <0.05), indicate the higher theeducated level was, the lower the rate of tooth missing was, meanwhile thehigher of the rate of dentition restored was.4Tooth missing and restoration rates in different ecomomiccircumstances were68.63%and34.29%in below1000group respectively;50.72%and42.83%in1000~3000group;48.59%and66.02%in3000~5000group;45.10%and85.51%in more than5000group. The ratio ofmissing teeth and repaired among these groups weredifferent significantly（P <0.05).The restorated rate in higher in high incomegroup than that in lower income group.5The main causes of teeth lost was dental caries, which accounted for48.61%; followed by periodontal disease accounted for40.44%; then thetrauma of7.34%; other reason is less3.61%.6In the restorated dentition analysising, removabe denture was the mostcommon method（243cases,53.52%), followed by fixed denture（154cases,33.92%), implant restoration （23cases,5.07%), and bad restoration （34cases,7.49%)ConclusionAlthough the people we investgated in this study was offical staff, whoare often considered having stable income, higher educated experienced, moreattention to their health, there were still more serious problem in oral health inthis people. High rate of tooth missing and low rate of dentition defectrestorated indicate that we are facing very huge task about oral health.Weshould pay more attention to the people who is older, low income and loweducation levels,and try to improve the oral health status in all of the people.We should strengthen the publicity of dental disease prevention and theconcious of early treatment.