Aslund Madeleine, Pjetursson Bjarni E, Lang Niklaus P
Department of Periodontology and Fixed Prosthodontics, University of Berne School of Dental Medicine, Berne, Switzerland.
Oral Health Prev Dent. 2008;6(3):191-7.
To assess the impact of oral health related quality-of-life (OHQoL) on patients presenting at the Department of Periodontology and Fixed Prosthodontics using a German version (the OHQoL-GE) of the oral health-related quality-of-life in the UK (OHQoL-UK) questionnaire.
A total of 251 patients were invited to fill out the OHQoL-GE. In addition, patients were given a checklist of dental-related items over the past year including 'tooth ache', 'dental treatment', 'bleeding gums', 'swollen gums' and 'problems with dental prosthesis'. Prior to being seen by a dental professional, the patients completed the questionnaires. During the new patient clinic visit, medical and dental history, age, gender, number of teeth present and presence or absence and type of dental prosthesis were recorded. In addition, a basic periodontal examination (BPE) was performed.
Two hundred and fifteen OHQoL-GE questionnaires were completed. OHQoL-GE scores were significantly associated with patients' self-reported symptoms and problems in the past year: experiences of 'tooth ache' (P < 0.05), 'swollen gums' (P < 0.001) and 'problems with dental prosthesis' (P < 0.05) with the exception of 'bleeding gums' (P = 0.102) and 'dental treatment' (P = 0.739). In addition, OHQoL-GE scores were directly correlated with the BPE (r(s) = -0.295, P < 0.01), the number of teeth present (r(s) = 0.190, P < 0.01) and inversely correlated with age (r(s) = 0.152, P < 0.05). Patients with removable partial dentures had the lowest median score of 43 (interquartile range, IQR 23), patients without dental prosthesis had a median score of 46 (IQR 18) and patients with fixed dental prosthesis (FDP) had the highest score of 54 (IQR 26). The differences were statistically significant between patients without dentures and patients with FDP (P < 0.05), and between removable denture wearers and patients with FDP (P < 0.05).
The issues were periodontal and prosthetic status, number of teeth present and age impact on quality-of-life. This has implications in understanding the consequences of dental health and in the use of patient-centred outcomes in dental research. The OHQoL-GE demonstrates discriminative validity in a population seeking dental advice and/or treatment.
使用英国口腔健康相关生活质量问卷（OHQoL-UK）的德文版（OHQoL-GE），评估口腔健康相关生活质量（OHQoL）对牙周病与固定修复科患者的影响。
共邀请251名患者填写OHQoL-GE。此外，还向患者提供了一份过去一年中与牙齿相关项目的清单，包括“牙痛”“牙科治疗”“牙龈出血”“牙龈肿胀”和“假牙问题”。在接受牙科专业人员检查之前，患者完成问卷。在新患者门诊就诊期间，记录患者的病史、年龄、性别、现存牙齿数量、是否存在假牙及假牙类型。此外，还进行了基本的牙周检查（BPE）。
共完成215份OHQoL-GE问卷。OHQoL-GE得分与患者过去一年自我报告的症状和问题显著相关：“牙痛”（P<0.05）、“牙龈肿胀”（P<0.001）和“假牙问题”（P<0.05），但“牙龈出血”（P = 0.102）和“牙科治疗”（P = 0.739）除外。此外，OHQoL-GE得分与BPE直接相关（r(s)= -0.295，P<0.01），与现存牙齿数量直接相关（r(s)= 0.190，P<0.01），与年龄呈负相关（r(s)= 0.152，P<0.05）。可摘局部义齿患者的中位数得分最低，为43分（四分位间距，IQR 为23），无假牙患者的中位数得分为46分（IQR 为18），固定义齿（FDP）患者得分最高，为54分（IQR 为26）。无假牙患者与FDP患者之间以及可摘义齿佩戴者与FDP患者之间的差异具有统计学意义（P<0.05）。
牙周和修复状况、现存牙齿数量及年龄对生活质量有影响。这对于理解牙齿健康的后果以及在牙科研究中使用以患者为中心的结果具有重要意义。OHQoL-GE在寻求牙科建议和/或治疗的人群中显示出区分效度。
