牙周健康状况与生活质量之间的关系:一项横断面研究

Kinan M. Al-Bitar, Jeffrey M. Garcia, Shengtong Han, A. Guentsch
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摘要

牙周疾病导致的附着丧失与功能限制以及身体疼痛和心理不适有关,可能导致生活质量下降。本研究旨在确定口腔健康状况,特别是牙周状况,是否会影响与口腔健康相关的生活质量。与口腔健康相关的生活质量通过口腔健康影响档案-49(OHIP-49)进行评估。研究人群的 DMFT 指数为 14.98 ± 6.21(D:4.72 ± 4.77;M:3.19 ± 3.46;F:7.12 ± 4.62)。研究对象中有 44% 被确定为牙周炎病例。这些牙周炎病例的 OHIP-49 评分(66.93 ± 30.72)明显高于无牙周疾病症状的受试者(32.40 ± 19.27,P < 0.05)。NP 患者与牙龈炎患者之间也存在明显差异(66.24 ± 46.12,P < 0.05)。研究发现,第 3 阶段(严重)牙周炎与牙周健康之间的差异具有统计学意义(p = 0.003)。完成皮尔逊相关分析后发现,OHIP-49 和 DMFT(0.206,p < 0.05)以及牙周风险自我评估(0.237,p < 0.05)之间存在正相关关系。年龄[几率比(OR)4.46]、吸烟(OR 2.67)和有活动牙(OR 2.96)与牙周炎有关。牙周炎患者还表现出更多的牙齿缺失,这可能会影响其功能。年龄和吸烟与牙周炎发病率较高有关。良好的总体健康素养并不能保证拥有足够的口腔素养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between periodontal health status and quality of life: a cross-sectional study
Attachment loss due to periodontal diseases is associated with functional limitations as well as physical pain and psychological discomfort, which may lead to a reduced quality of life. The purpose of this study is to determine if the oral health status, specifically the periodontal status, influences oral health–related quality of life.Survey data were collected in a US dental school clinical setting in a cross-sectional study. Quality of life related to oral health was assessed with the Oral Health Impact Profile-49 (OHIP-49). In addition, DMFT index, periodontal status, and health literacy scores (dental and medical health literacy) were recorded, and the data of n = 97 subjects were statistically analyzed.The DMFT index of the study population was 14.98 ± 6.21 (D: 4.72 ± 4.77; M: 3.19 ± 3.46; F: 7.12 ± 4.62). Of the subjects, 44% were identified as periodontitis cases. These periodontitis cases demonstrated significantly higher OHIP-49 scores (66.93 ± 30.72) than subjects without signs of periodontal diseases (NP) (32.40 ± 19.27, p < 0.05). There was also a significant difference between NP patients and patients with gingivitis (66.24 ± 46.12, p < 0.05). It was found that there was a statistically significant difference between Stage 3 (severe) periodontitis and periodontal health (p = 0.003). Pearson correlations were completed, and positive relationships were found with OHIP-49 and DMFT (0.206, p < 0.05), and periodontal risk self-assessment (0.237, p < 0.05). Age [odds ratio (OR) 4.46], smoking (OR 2.67), and the presence of mobile teeth (OR 2.96) are associated with periodontitis.Periodontal diseases may negatively impact the oral health–related quality of life. Patients suffering from periodontitis also showed more missing teeth, which might influence function. Age and smoking are associated with a higher prevalence of periodontitis. A good general health literacy was no guarantee for having an adequate oral literacy.
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