Karen Ruiwen Sim, Wen Yi Lim, Clement Wei Ming Lai, Victoria Soo Hoon Yu, Jeen-Nee Lui
{"title":"牙髓病对老年人口腔健康相关生活质量的影响","authors":"Karen Ruiwen Sim, Wen Yi Lim, Clement Wei Ming Lai, Victoria Soo Hoon Yu, Jeen-Nee Lui","doi":"10.1111/iej.70008","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>The silver tsunami poses a global healthcare challenge, and this study aimed to assess the impact of endodontic disease on oral health-related quality of life (OHRQOL) in an elderly population who received non-surgical root canal treatment (NSRCT). The appropriateness of the Oral Health Impact Profile (OHIP-17) and General Oral Health Assessment Index (GOHAI) as OHRQOL assessment tools for this population was also assessed.</p><p><strong>Methodology: </strong>Patients aged ≥ 65 years who received NSRCT were recruited. OHRQOL assessments were conducted using OHIP-17, GOHAI and an oral health perception questionnaire. The severity of impact was assessed by summing the numeric response codes for all questions, producing a total score for each participant potentially ranging from 0 to 68 for OHIP-17 and 0 to 48 for GOHAI, with higher scores indicating poorer OHRQOL. Potential influencing factors for OHRQOL scores were investigated. Internal consistency, concurrent validity and discriminant validity of both tools were evaluated.</p><p><strong>Results: </strong>One hundred and twenty-two patients were recruited. The mean total OHIP-17 and GOHAI scores were 16.35 ± 11.81 (maximum possible score = 68) and 16.85 ± 7.04 (maximum possible score = 48) respectively. The percentage of patients reporting no impact was lower with GOHAI (0.8%) than OHIP-17 (9.8%). Multivariate analyses showed that higher OHRQOL scores were significantly associated with higher levels of education, full/part-time employment and more teeth that received NSRCT. Internal consistency was high for both tools. Concurrent validity assessment demonstrated a significant association of satisfaction with oral health for GOHAI, and perceived importance of keeping one's own teeth and perceived oral health for both OHIP-17 and GOHAI. Neither tool significantly correlated patient-reported impact with clinicians' assessment of oral health.</p><p><strong>Conclusions: </strong>In elderly patients who received NSRCT, OHRQOL is negatively associated with higher education level, being employed, and more teeth that received NSRCT. GOHAI appears more successful than OHIP-17 in detecting the impact of endodontic disease on OHRQOL.</p>","PeriodicalId":13724,"journal":{"name":"International endodontic journal","volume":" ","pages":""},"PeriodicalIF":7.1000,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impact of Endodontic Disease on Oral Health-Related Quality of Life in the Elderly.\",\"authors\":\"Karen Ruiwen Sim, Wen Yi Lim, Clement Wei Ming Lai, Victoria Soo Hoon Yu, Jeen-Nee Lui\",\"doi\":\"10.1111/iej.70008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>The silver tsunami poses a global healthcare challenge, and this study aimed to assess the impact of endodontic disease on oral health-related quality of life (OHRQOL) in an elderly population who received non-surgical root canal treatment (NSRCT). The appropriateness of the Oral Health Impact Profile (OHIP-17) and General Oral Health Assessment Index (GOHAI) as OHRQOL assessment tools for this population was also assessed.</p><p><strong>Methodology: </strong>Patients aged ≥ 65 years who received NSRCT were recruited. OHRQOL assessments were conducted using OHIP-17, GOHAI and an oral health perception questionnaire. The severity of impact was assessed by summing the numeric response codes for all questions, producing a total score for each participant potentially ranging from 0 to 68 for OHIP-17 and 0 to 48 for GOHAI, with higher scores indicating poorer OHRQOL. Potential influencing factors for OHRQOL scores were investigated. Internal consistency, concurrent validity and discriminant validity of both tools were evaluated.</p><p><strong>Results: </strong>One hundred and twenty-two patients were recruited. The mean total OHIP-17 and GOHAI scores were 16.35 ± 11.81 (maximum possible score = 68) and 16.85 ± 7.04 (maximum possible score = 48) respectively. The percentage of patients reporting no impact was lower with GOHAI (0.8%) than OHIP-17 (9.8%). Multivariate analyses showed that higher OHRQOL scores were significantly associated with higher levels of education, full/part-time employment and more teeth that received NSRCT. Internal consistency was high for both tools. Concurrent validity assessment demonstrated a significant association of satisfaction with oral health for GOHAI, and perceived importance of keeping one's own teeth and perceived oral health for both OHIP-17 and GOHAI. Neither tool significantly correlated patient-reported impact with clinicians' assessment of oral health.</p><p><strong>Conclusions: </strong>In elderly patients who received NSRCT, OHRQOL is negatively associated with higher education level, being employed, and more teeth that received NSRCT. GOHAI appears more successful than OHIP-17 in detecting the impact of endodontic disease on OHRQOL.</p>\",\"PeriodicalId\":13724,\"journal\":{\"name\":\"International endodontic journal\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":7.1000,\"publicationDate\":\"2025-08-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International endodontic journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/iej.70008\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International endodontic journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/iej.70008","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Impact of Endodontic Disease on Oral Health-Related Quality of Life in the Elderly.
Aim: The silver tsunami poses a global healthcare challenge, and this study aimed to assess the impact of endodontic disease on oral health-related quality of life (OHRQOL) in an elderly population who received non-surgical root canal treatment (NSRCT). The appropriateness of the Oral Health Impact Profile (OHIP-17) and General Oral Health Assessment Index (GOHAI) as OHRQOL assessment tools for this population was also assessed.
Methodology: Patients aged ≥ 65 years who received NSRCT were recruited. OHRQOL assessments were conducted using OHIP-17, GOHAI and an oral health perception questionnaire. The severity of impact was assessed by summing the numeric response codes for all questions, producing a total score for each participant potentially ranging from 0 to 68 for OHIP-17 and 0 to 48 for GOHAI, with higher scores indicating poorer OHRQOL. Potential influencing factors for OHRQOL scores were investigated. Internal consistency, concurrent validity and discriminant validity of both tools were evaluated.
Results: One hundred and twenty-two patients were recruited. The mean total OHIP-17 and GOHAI scores were 16.35 ± 11.81 (maximum possible score = 68) and 16.85 ± 7.04 (maximum possible score = 48) respectively. The percentage of patients reporting no impact was lower with GOHAI (0.8%) than OHIP-17 (9.8%). Multivariate analyses showed that higher OHRQOL scores were significantly associated with higher levels of education, full/part-time employment and more teeth that received NSRCT. Internal consistency was high for both tools. Concurrent validity assessment demonstrated a significant association of satisfaction with oral health for GOHAI, and perceived importance of keeping one's own teeth and perceived oral health for both OHIP-17 and GOHAI. Neither tool significantly correlated patient-reported impact with clinicians' assessment of oral health.
Conclusions: In elderly patients who received NSRCT, OHRQOL is negatively associated with higher education level, being employed, and more teeth that received NSRCT. GOHAI appears more successful than OHIP-17 in detecting the impact of endodontic disease on OHRQOL.
期刊介绍：
The International Endodontic Journal is published monthly and strives to publish original articles of the highest quality to disseminate scientific and clinical knowledge; all manuscripts are subjected to peer review. Original scientific articles are published in the areas of biomedical science, applied materials science, bioengineering, epidemiology and social science relevant to endodontic disease and its management, and to the restoration of root-treated teeth. In addition, review articles, reports of clinical cases, book reviews, summaries and abstracts of scientific meetings and news items are accepted.
The International Endodontic Journal is essential reading for general dental practitioners, specialist endodontists, research, scientists and dental teachers.
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