Naito Mariko, Yuasa Hidemichi, Nomura Yoshiaki, Nakayama Takeo, Hamajima Nobuyuki, Hanada Nobuhiro
Department of Preventive Medicine/Biostatistics and Medical Decision Making, Nagoya University Graduate School of Medicine, Japan.
J Oral Sci. 2006 Mar;48(1):1-7. doi: 10.2334/josnusd.48.1.
This study was conducted in order to identify the literature on oral health status and health-related QOL, review the findings systematically, and assess the association between them. We performed a literature search of reports published between January 1973 and June 2004, using five databases including MEDLINE. Only studies that used validated generic health-related QOL instruments were selected. The reviewers evaluated selected articles independently and resolved disagreements by consensus. A total of 1,726 articles were retrieved and seven were selected for the review; five observational studies and two intervention studies. Four studies showed significant associations between oral health status and health-related QOL. Temporomandibular disorders were highly associated with reduced health-related QOL. Poor oral status linked to both craniomandibular and cervical spinal pain was associated with increased impairment of health-related QOL. Dissatisfaction with the teeth and mouth, and a sensation of dry mouth contributed to reduce health-related QOL. Providing edentulous patients with implant-supported full dentures contributed to improve health-related QOL. Assessment of health-related QOL in relation to oral health with validated instruments remains insufficient. The present findings suggest that oral health status could affect health-related QOL in some settings; however, further evidence is needed to support this interpretation.
开展本研究旨在查找有关口腔健康状况及健康相关生活质量的文献，系统回顾研究结果，并评估二者之间的关联。我们利用包括MEDLINE在内的五个数据库，对1973年1月至2004年6月期间发表的报告进行了文献检索。仅选取使用了经过验证的通用健康相关生活质量工具的研究。评审人员独立评估所选文章，并通过协商解决分歧。共检索到1726篇文章，其中七篇被选入综述；五篇观察性研究和两篇干预性研究。四项研究表明口腔健康状况与健康相关生活质量之间存在显著关联。颞下颌关节紊乱与健康相关生活质量下降高度相关。与颅下颌和颈椎疼痛相关的口腔状况不佳与健康相关生活质量受损增加有关。对牙齿和口腔的不满以及口干感会导致健康相关生活质量下降。为无牙患者提供种植体支持的全口义齿有助于改善健康相关生活质量。使用经过验证的工具评估与口腔健康相关的健康相关生活质量仍然不足。目前的研究结果表明，在某些情况下口腔健康状况可能会影响健康相关生活质量；然而，需要进一步的证据来支持这一解释。
