Shulman J D, Rivera-Hidalgo F, Beach M M
Department of Public Health Sciences, Baylor College of Dentistry, Texas A&M University Health Science Center, Dallas, TX, USA.
J Oral Pathol Med. 2005 Jul;34(6):340-6. doi: 10.1111/j.1600-0714.2005.00287.x.
This study reports denture stomatitis (DS) prevalence from a large USA probability sample from the National Health and Nutrition Examination Survey, 1988-1994 (NHANES III).
Oral examinations were performed on 3450 individuals 18-90+ years of age (mean: 59.2; SD: 0.50 years), 57.7% male and 42.3% female. Multivariable logistic regression models were fitted for DS using sociodemographic, denture quality, blood analytes, alcohol and tobacco use, history of diabetes, and current antibiotic use as covariates. Odds ratios (OR), adjusted for other covariates in each model (AOR) are presented.
Of 3450 removable denture wearers, 963 (27.9%) had DS. DS prevalence was associated with wearing maxillary (AOR: 6.20) and mandibular (AOR: 5.21) complete dentures continuously; smoking >/=15 cigarettes day (maxillary complete: AOR = 1.31; mandibular complete: AOR = 1.50; maxillary partial: AOR = 2.04); vitamin A deficiency (mandibular complete: AOR = 5.97; maxillary partial: AOR = 5.67; mandibular partial: AOR = 24.42). Maxillary dentures with inadequate relines had approximately half the OR of DS than those with adequate relines (maxillary complete: AOR = 0.42; mandibular complete: AOR = 0.50).
Denture stomatitis prevalence is associated with the amount of tissue covered by dentures, low vitamin A levels, cigarette smoking, and constant denture wear.
本研究报告了1988 - 1994年美国国家健康和营养检查调查（NHANES III）大型概率样本中的义齿性口炎（DS）患病率。
对3450名年龄在18 - 90岁以上（平均：59.2岁；标准差：0.50岁）的个体进行口腔检查，其中男性占57.7%，女性占42.3%。使用社会人口统计学、义齿质量、血液分析物、酒精和烟草使用、糖尿病史以及当前抗生素使用作为协变量，对DS拟合多变量逻辑回归模型。呈现了每个模型中针对其他协变量进行调整后的比值比（OR）和调整后比值比（AOR）。
在3450名可摘义齿佩戴者中，963人（27.9%）患有DS。DS患病率与持续佩戴上颌（AOR：6.20）和下颌（AOR：5.21）全口义齿、每天吸烟≥15支（上颌全口：AOR = 1.31；下颌全口：AOR = 1.50；上颌局部：AOR = 2.04）、维生素A缺乏（下颌全口：AOR = 5.97；上颌局部：AOR = 5.67；下颌局部：AOR = 24.42）有关。重衬不足的上颌义齿患DS的OR约为重衬充足的上颌义齿的一半（上颌全口：AOR = 0.42；下颌全口：AOR = 0.50）。
义齿性口炎患病率与义齿覆盖的组织量、低维生素A水平、吸烟以及持续佩戴义齿有关。
