某教養院智能障礙者口腔健康檢查異常率初探：1999-2002年

An Exploratory Study into Dental Health Problems of People with Intellectual Disabilities Caring in a Disability Institution in Taipei: 1999-2002

10.30072/JDR.200606.0001

蔡艷清(Im-Cheng Choi)；嚴嘉楓(Chia-Feng Yen)；羅慶徽(Ching-Hui Loh)；蘇麗英(Li-Im Shu)；林金定(Jin-Ding Lin)

口腔健康檢查 ； 齲齒 ； 智能障礙者 ； Cavities ； dental health ； intellectual disability

身心障礙研究季刊

4卷2期（2006 / 06 / 01）

75 - 82

繁體中文

智障者因常因齲齒或缺牙等口腔衛生問題而造成咀嚼不良，使得食物進入身體後消化吸收不良而形成過胖、過瘦及便秘等不利健康因素，影響其健康與生活品質；本研究主要目的乃在探討智障者牙齒健康檢查的概況，以作為診斷此群體的口腔衛生問題之參考。研究對象為1999-2002年連續4年在臺北市某教養院接受照護服務的152位智障者，針對這群智能障礙者的口腔健康檢查的資料進行分析。結果顯示各年口腔健檢異常率為32.3%~41.1%，智障者罹患口腔疾病以一種居多，各年比例介於27.6~40.8%，約5.2%~13.2%的智障者有二種口腔疾病，患三種或三種以上口腔疾病的人數為0.1~3.3%，智障者較常見的口腔疾病為牙結石、牙齦炎和蛀牙。智障者口腔衛生在智障群體是值得重視的問題，透過定期的口腔檢查是智障者迫切需求的醫療服務，後續的追蹤與治療更是醫療體系的一大挑戰。

Dental disease is the most frequent problem faced by people with intellectual disabilities. However, there are few special dental services and people with intellectual disability have received far less restorative care than the general population. The purpose of the present study was to examine the profile of the dental health in an institution for people with intellectual disabilities in Taipei. We recruited 152 subjects with intellectual disabilities caring in a disability institution from 1999 to 2000. The data of annual dental health checkups were examined to describe the profile of oral hygiene of this group of people. Results showed that more than one third of indivduals with intellectual disabilities have dental problems in the previous 4 years, dental plaque, gingival inflammation, and cavities were the most prevalent dental illnesses among them. We suggest that the authority should initiate the appropriate health care policies to monitor and treat the dental problems for people with intellectual disabilities.

1. 林金定、嚴嘉楓、李志偉、吳佳玲、羅慶徽(2002)。智能障礙者醫療需求與耗醫障礙：以專家面向分析。台灣家庭醫學雜誌，12，111-120。
   連結：
2. Beange H.(1996).Caring for a vulnerable population: who will take responsibility for those getting a raw deal from the health care system?.Medical Journal of Australia,164,159-160.
3. Cumella S.,Ransford N.,Lyons J.,Burnham H.(2000).Nerds for oral care among people with intellectual disability not in cooled with Community Dental Services.Journal of Intellectual Disability Research,44,45-52.
4. Gabre P.,Gahnberg L.(1994).Dental status of mentally retarded adults with various living arrangements.Special Care in Dentistry,14,203-207.
5. Gabre P.,Gahnberg L.(1997).Inter-relationship among degree of mental retardation, living arrangements, and dental health in adults with mental retardation.Special Care in Dentistry,17,7-12.
6. Gabre P.,Martinsson T.,Gahnberg C.(2001).Longitudinal study of dental caries, tooth mortality and interproximal hone loss in adults with intellectual disability.European Journal Oral Science,109,20-26.
7. 王玉如(2002)。碩士論文(碩士論文)。國立中正大學社會福利研究所。
8. 王智永(2000)。殘陣者之口腔保健。台灣牙醫界，19，30-31。
9. 李華、曾春祺、黃啓洲(1994)。殘餘牙結石的臨床意義。牙醫學雜誌，14，136-141。
10. 林金定、舊妙如、嚴嘉楓、林雅雯、李志偉、吳佳玲(2002)。行政院衛生署九十一年度科技研究發展計畫行政院衛生署九十一年度科技研究發展計畫,未出版
11. 張英鵬(2001)。智能障礙兒童常見的口腔疾病與預防－以美國為例。國教天地，146，25-30。
12. 蔡吉政、王俊欽(1996)。孩童及青少年期的牙周疾病。中華民國牙周病醫學會雜誌，1，1-8。
13. 鄭信忠(2000)。關懷殘障者之口腔保健。臺灣牙醫界，19，23-25。