Bae K H, Kim C, Paik D I, Kim J B
Department of Preventive and Community Dentistry, Dental College, Pusan National University, Busan, South Korea.
J Oral Rehabil. 2006 May;33(5):317-22. doi: 10.1111/j.1365-2842.2005.01565.x.
The purpose of this study was to compare the oral health related quality of life (OHRQoL) between older Korean adults with complete and partial removable dentures using oral health impact profile (OHIP). A pool of 4250 Korean older adults was identified by random stratification by area from the sample cohort of Korean National Survey of Oral Health in the year of 2000. Out of the potential pool, 445 subjects with removable partial dentures (RPDs) or complete dentures (CDs) agreed to be interviewed by telephone. Each question in the survey was about how frequently each event was experienced during the past 12 months. To analyse the association between OHIP scores and removable denture status, bivariable analysis and multiple linear regression analysis were used. RPD users showed higher scores on eight items than CD users. They were 'breath stale', 'food catching', 'sensitive teeth', 'toothache', 'tense', 'unable to brush teeth', 'less tolerant to family members' and 'irritable with others'. RPD users might be associated with higher scores of functional limitation, physical pain and psychological discomfort than CD users. RPD users had slight tendency to be associated with higher OHIP-49 score than CD users, but it was not statistically significant. The findings of the present study confirm that there is no general OHRQoL difference between RPD and CD users. But in the items and subscales of OHIP, RPD users might experience more impaired OHRQoL than CD users.
本研究的目的是使用口腔健康影响程度量表(OHIP)比较佩戴全口义齿和局部义齿的韩国老年成年人的口腔健康相关生活质量(OHRQoL)。通过对2000年韩国全国口腔健康调查样本队列按地区进行随机分层,确定了4250名韩国老年成年人样本库。在这个潜在样本库中,445名佩戴局部义齿(RPD)或全口义齿(CD)的受试者同意接受电话访谈。调查中的每个问题都是关于在过去12个月内每种情况出现的频率。为了分析OHIP得分与可摘义齿状况之间的关联,采用了双变量分析和多元线性回归分析。佩戴RPD的受试者在八个项目上的得分高于佩戴CD的受试者。这些项目是“口气不清新”“食物嵌塞”“牙齿敏感”“牙痛”“紧张”“无法刷牙”“对家庭成员容忍度降低”和“对他人易怒”。与佩戴CD的受试者相比,佩戴RPD的受试者可能与更高的功能受限、身体疼痛和心理不适得分相关。佩戴RPD的受试者有比佩戴CD的受试者OHIP - 49得分更高的轻微趋势,但差异无统计学意义。本研究结果证实,佩戴RPD和CD的受试者在总体OHRQoL方面没有差异。但在OHIP的项目和子量表中,佩戴RPD的受试者的OHRQoL受损程度可能比佩戴CD的受试者更大。