Pallegedara C, Ekanayake L
Dental Unit, Sri Lanka Air Force, Katunayake, Sri Lanka.
Community Dent Health. 2008 Dec;25(4):196-200.
To determine the effect of tooth loss and denture status on oral health-related quality of life of older individuals.
A cross-sectional study where the data were collected by means of an interviewer administered questionnaire and a clinical oral examination.
The sample consisted of 630 free-living older individuals who were 60 years and above. The present analysis is limited to 619 individuals who had at least one missing tooth.
The impact of tooth loss and denture status on oral health related quality of life was assessed using a Sinhalese translation of the Oral Health Impact profile-14 (OHIP-14).
In the edentate group, overall prevalence of oral impacts was significantly higher in non-denture wearers (53%) compared to denture wearers (32%). In both dentate and edentate groups, the most commonly reported impact item was "uncomfortable to eat". According to the logistic regression analysis having 25-31 missing teeth with an odds ratio of 4.21 had the strongest association with the OHIP score. Those with anterior dental spaces were 2.76 times more likely to have an impact score of >2 than those without such spaces. Compared to denture wearers, non-denture wearers were 2.81 times more likely to have an impact score of >2.
Oral health-related quality of life of older individuals was significantly affected by tooth loss, position of missing teeth and denture status.
确定牙齿缺失和义齿状况对老年人口腔健康相关生活质量的影响。
一项横断面研究，通过访员管理的问卷和临床口腔检查收集数据。
样本包括630名60岁及以上的自由生活老年人。目前的分析仅限于619名至少有一颗牙齿缺失的个体。
使用口腔健康影响程度量表14（OHIP - 14）的僧伽罗语翻译版本评估牙齿缺失和义齿状况对口腔健康相关生活质量的影响。
在无牙组中，未佩戴义齿者的口腔影响总体患病率（53%）显著高于佩戴义齿者（32%）。在有牙组和无牙组中，最常报告的影响项目都是“进食不适”。根据逻辑回归分析，缺失25 - 31颗牙齿且比值比为4.21与OHIP评分的关联最强。有前牙间隙者的影响评分>2的可能性是无前牙间隙者的2.76倍。与佩戴义齿者相比，未佩戴义齿者的影响评分>2的可能性是前者的2.81倍。
老年人的口腔健康相关生活质量受牙齿缺失、缺失牙位置和义齿状况的显著影响。
