The Association Between Oral Diseases, Symptoms, and Oral Health-Related Quality of Life in 70-Year-Olds: A Cross-Sectional Study.

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2025-07-01 DOI:10.1111/ger.70004

Linda C K Hasselgren, Ellen Berggreen, Hager Zein Elabdeen, Siri F Kvalheim, Gerhard Sulo, Anne N Åstrøm

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引用次数: 0

Abstract

Objective: To describe the association between oral diseases, self-reported symptoms and oral health-related quality of life (OHRQoL) in 70-year-olds.

Background: Previous studies have found inconsistent evidence of the association between certain oral diseases and OHRQoL in adults aged 65 years or older, indicating a need for further research.

Materials and methods: Adults who had been born in 1950-51 and residing in Western Norway were invited to a comprehensive oral health examination, collecting information on the number of teeth, caries, periodontitis, hyposalivation, xerostomia and temporomandibular pain (TMD). OHRQoL was assessed using two instruments, the Oral Impact on Daily Performances (OIDP) and the Oral Health Impact Profile-14 (OHIP-14). We used a causal model approach to identify potential confounders. The association between oral diseases, self-reported symptoms, and OHRQoL was explored using multivariable negative binomial regression models, reporting rate ratios (RR) with 95% confidence intervals (CI).

Results: The final study sample consisted of 1189 individuals. The median (interquartile range [IQR]) OIDP and OHIP-14 scores were 0 (0-1) and 1 (0-4), respectively. OHRQoL was significantly associated with having fewer than 20 teeth (RR: 5.36 for OIDP and RR: 3.57 for OHIP-14), hyposalivation (RR: 1.38 for OHIP-14), xerostomia during daytime (RR: 2.25 for OIDP and RR: 2.07 for OHIP-14), xerostomia at night (RR: 1.72 for OIDP and RR: 1.71 for OHIP-14) and TMD pain (RR: 3.29 for OIDP and RR: 2.68 for OHIP-14).

Conclusion: This study of Norwegian 70-year-olds indicates that preserving teeth is essential for OHRQoL and signals the importance of addressing hyposalivation, xerostomia, and TMD in the management of oral health in older adults.

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70岁老人口腔疾病、症状和口腔健康相关生活质量之间的关系：一项横断面研究

目的：探讨70岁老年人口腔疾病、口腔自述症状与口腔健康相关生活质量（OHRQoL）的关系。背景：以往的研究发现，某些口腔疾病与65岁及以上成年人OHRQoL之间存在不一致的关联，这表明需要进一步的研究。材料和方法：邀请1950-51年出生并居住在挪威西部的成年人进行全面的口腔健康检查，收集有关牙齿数量、龋齿、牙周炎、唾液减少、口干和颞下颌疼痛（TMD）的信息。OHRQoL使用两种工具进行评估，即口腔对日常表现的影响（OIDP）和口腔健康影响概况-14 （OHIP-14）。我们使用因果模型方法来识别潜在的混杂因素。采用多变量负二项回归模型探讨口腔疾病、自我报告症状与OHRQoL之间的关系，报告率比（RR）为95%置信区间（CI）。结果：最终的研究样本包括1189人。OIDP和OHIP-14评分中位数（四分位间距[IQR]）分别为0（0-1）和1（0-4）。OHRQoL与牙齿少于20颗（OIDP的RR: 5.36， OHIP-14的RR: 3.57）、唾液分泌不足（OHIP-14的RR: 1.38）、白天口干（OIDP的RR: 2.25， OHIP-14的RR: 2.07）、夜间口干（OIDP的RR: 1.72， OHIP-14的RR: 1.71）和TMD疼痛（OIDP的RR: 3.29， OHIP-14的RR: 2.68）显著相关。结论：这项对挪威70岁老人的研究表明，保留牙齿对维持口腔健康至关重要，并表明在老年人口腔健康管理中解决唾液分泌不足、口干症和TMD的重要性。

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

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.