Oral hygiene behaviors and periodontitis among patients with chronic diseases and its impact on tooth loss and oral health-related quality of life: a cross-sectional study of data from the ComPaRe e-cohort.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Investigations Pub Date : 2024-09-07 DOI:10.1007/s00784-024-05903-z

Pamela Reyes Garita, Viet-Thi Tran, Eirini Chatzopoulou, Leslie Toko-Kamga, Philippe Bouchard, Maria Clotilde Carra

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引用次数: 0

Abstract

Objectives: Little is known about oral hygiene habits of patients suffering from chronic diseases. This study aims to describe oral hygiene behavior (OHB) in terms of tooth brushing and professional scaling frequency among patients with chronic diseases. Secondarily, it aims to assess the association between OHB and periodontitis, tooth loss, and oral health-related quality of life (OHRQoL).

Materials and methods: This is a cross-sectional analysis of data of adult participants in the ComPaRe e-cohort. Participants were classified into having good, moderate, and poor OHB according to self-reported frequency of toothbrushing and professional tooth scaling. Periodontitis was assessed using the PEriodontal Screening Score (PESS). Weighted binary regression models were used to estimate the association between OHB and the following outcomes: (i) periodontitis; (ii) number of missing teeth; and (iii) OHRQoL based on the Oral Health Impact Profile-14.

Results: Overall, 8553 patients were included in the analyses (52.9% females, mean age of 56.3 ± 17 years). Of these, 2907 (34%), 3953 (46%) and 1693 (20%) were considered as having good, moderate, and poor OHB, respectively. Over half (54.1%) of the patients had a PESS ≥ 5 suggestive for severe periodontitis. Moderate OHB was associated with lower odds of PESS ≥ 5 compared to poor OHB (Adjusted Odds Ratio, OR = 0.81 [95%CI: 0.70-0.92]). Good and moderate OHB were significantly associated with lower odds of ≥ 10 missing teeth (OR = 0.26 [95%CI: 0.21-0.33] and OR = 0.47 [95%CI: 0.4-0.56], respectively) and better OHRQoL than poor OHB.

Conclusions: Although, most of patients with chronic diseases reported to have good or moderate OHB, severe periodontitis is highly prevalent among this patient population in France.

Clinical relevance: This study describes OHB in a representative sample of patients suffering from one or more chronic diseases and provides an estimate of the prevalence of self-reported severe periodontitis, missing teeth, and OHRQoL.

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慢性病患者的口腔卫生行为和牙周炎及其对牙齿脱落和口腔健康相关生活质量的影响：对 ComPaRe 电子队列数据的横断面研究。

目的：人们对慢性病患者的口腔卫生习惯知之甚少。本研究旨在描述慢性病患者在刷牙和专业洗牙频率方面的口腔卫生行为（OHB）。其次，研究还旨在评估口腔卫生行为与牙周炎、牙齿脱落和口腔健康相关生活质量（OHRQoL）之间的关联：这是对 ComPaRe 电子队列中成年参与者数据的横断面分析。根据参与者自我报告的刷牙和专业洗牙频率，将他们的口腔健康状况分为良好、中等和较差。牙周炎使用牙周筛查评分（PESS）进行评估。使用加权二元回归模型来估计OHB与以下结果之间的关系：(i) 牙周炎；(ii) 缺牙数量；(iii) 基于口腔健康影响档案-14的OHRQoL：共有 8553 名患者（52.9% 为女性，平均年龄为 56.3 ± 17 岁）参与了分析。其中，2907 人（34%）、3953 人（46%）和 1693 人（20%）分别被认为具有良好、中等和较差的口腔健康状况。超过一半（54.1%）的患者 PESS ≥ 5，提示有严重牙周炎。与不良OHB相比，中度OHB与PESS≥5的几率较低（调整后比值比，OR = 0.81 [95%CI：0.70-0.92]）。与欠佳的OHB相比，良好和中等的OHB与较低的缺牙≥10的几率（OR=0.26 [95%CI：0.21-0.33]和OR=0.47 [95%CI：0.4-0.56]）和较好的OHRQoL明显相关：结论：尽管大多数慢性病患者的口腔健康状况为良好或中等，但在法国，重度牙周炎在这一患者群体中非常普遍：这项研究描述了患有一种或多种慢性疾病的代表性样本患者的口腔健康状况，并对自我报告的严重牙周炎、缺失牙和 OHRQoL 的患病率进行了估计。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Oral Investigations 医学-牙科与口腔外科

CiteScore

6.30

自引率

5.90%

发文量

484

审稿时长

3 months

期刊介绍： The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.