Ｃｏｒｎｅｌｌ Ｍｅｄｉｃａｌ Ｉｎｄｅｘにより判定した高齢歯科患者の神経症傾向と口腔内状況

Abstract

The purpose of this study was to investigate the relationship between mental aspects and oral status among elderly dental patients. The subjects were 302 patients (126 males and 176 females, average age 74.4 yr) who visited the Gerodontic Clinic of Tokyo Medical and Dental University. The psychological test used in this study was the Cornell Medical Index (CMI) Health Questionnaire. The subjects were classified into four categories according to the CMI: Category I (diagnosed to be normal), category II (provisionally diagnosed to be normal), category III (provisionally diagnosed to be neurotic) and category IV (diagnosed to be neurotic).The results were as follows:1. CMI category distributions were 50.8% of the males and 35.8% of the females in category I, while 3.2% and 9.7% in category N respectively.2. The number of the residual teeth showed a tendency to be smaller in the subjects classified as category IV than in the other categories.3. The distribution of category N was higher in upper complete denture wearers than in upper partial denture wearers and subjects who wore no upper denture.The results suggested that it is important to diagnose the mental state inclusive of neurotic tendency as well as physical state among elderly dental patients in dental treatment.