老年人群临床牙齿状况与口腔影响之间的关系。

The relationship between clinical dental status and oral impacts in an elderly population.

作者信息

Tsakos Georgios, Marcenes Wagner, Sheiham Aubrey

机构信息

Department of Epidemiology and Public Health, University College London, London, UK.

出版信息

Oral Health Prev Dent. 2004;2(3):211-20.

PMID:15641624

Abstract

PURPOSE

To investigate the relationship between oral health-related quality of life and clinical dental measures in an elderly Greek population.

MATERIALS AND METHODS

A cross-sectional survey was carried out of adults aged 65 years or older living independently in Athens. Data were collected through clinical examination and interviews. Oral health-related quality of life was assessed through the Oral Impacts on Daily Performance (OIDP) indicator. The sample consisted of 681 participants. Data analysis used non-parametric tests (Mann-Whitney, Kruskal-Wallis and multiple logistic regressions).

RESULTS

The response rate was 87.8%. Dentate participants with 1-10 teeth were 2.05 (1.25, 3.35) times and those with 11-20 teeth were 1.81 (1.11, 2.95) times more likely to report oral impacts than subjects with 21 or more teeth. Participants with anterior tooth spaces were 2.86 (1.70, 4.80) times more likely to report oral impacts than those without anterior spaces. Participants with 0-8 natural occluding pairs (NOPs) were 1.72 (1.14, 2.58) times and those with 0-3 posterior occluding pairs (POPs) were 1.57 (1.04, 2.36) times more likely to experience oral impacts than subjects with 9-16 NOPs and 4-10 POPs respectively. Decayed teeth were not significantly related to the presence of oral impacts. Edentulous participants with inadequate denture adaptation were 2.59 (1.46, 4.59) times, those with inadequate denture retention 2.41 (1.39, 4.17) times and those with denture overextension 2.51 (1.10, 5.74) times more likely to report oral impacts than subjects without the respective denture deficiencies.

CONCLUSION

Clinical indicators of oral health status were significantly related to measures of oral health-related quality of life.

摘要

目的

调查希腊老年人群口腔健康相关生活质量与临床口腔检查指标之间的关系。

材料与方法

对雅典65岁及以上独立生活的成年人进行横断面调查。通过临床检查和访谈收集数据。采用日常表现口腔影响（OIDP）指标评估口腔健康相关生活质量。样本包括681名参与者。数据分析采用非参数检验（曼-惠特尼检验、克鲁斯卡尔-沃利斯检验和多元逻辑回归）。

结果

应答率为87.8%。牙齿数量为1 - 10颗的有牙参与者报告口腔影响的可能性是牙齿数量为21颗及以上参与者的2.05（1.25，3.35）倍，牙齿数量为11 - 20颗的有牙参与者报告口腔影响的可能性是牙齿数量为21颗及以上参与者的1.81（1.11，2.95）倍。有前牙间隙的参与者报告口腔影响的可能性是无前牙间隙参与者的2.86（1.70，4.80）倍。自然咬合对数（NOPs）为0 - 8对的参与者体验口腔影响的可能性是NOPs为9 - 16对参与者的1.72（1.14，2.58）倍，后牙咬合对数（POPs）为0 - 3对的参与者体验口腔影响的可能性是POPs为4 - 10对参与者的1.57（1.04，2.36）倍。龋齿与口腔影响的存在无显著相关性。义齿适配不足的无牙参与者报告口腔影响的可能性是无相应义齿缺陷参与者的2.59（1.46，4.59）倍，义齿固位不足的无牙参与者报告口腔影响的可能性是无相应义齿缺陷参与者的2.41（1.39，4.17）倍，义齿伸展过度的无牙参与者报告口腔影响的可能性是无相应义齿缺陷参与者的2.51（1.10，5.74）倍。