Department of Prosthodontics, Faculty of Dentistry, University of Kirikkale, 71100 Kirikkale, Turkey.
Arch Gerontol Geriatr. 2011 Sep-Oct;53(2):e99-105. doi: 10.1016/j.archger.2010.07.002. Epub 2010 Aug 11.
The aim of the study was to assess patients' socio-demographic factors with their removable prosthesis in general, as well as to assess their problems with the functional limitation, physical pain, psychological discomfort, physical disability, social disability, and handicap investigate impaired oral health-related quality of life (OHRQoL) in patient treated with removable dentures before treatment and at 1 and 12 months after treatment. The first part of the questionnaire was comprised of 20 questions. It was designed in four different sections as: (i) general socio-demographic factors, (ii) general health, (iii) experience and use of dental and denture care, and (iv) anamnestic sign and symptoms of temporomandibular disorders (TMD). A statistical analysis system (SAS) was used for data management and analysis. Patient-reported problems were studied using the item list contained in the Turkish version of the oral health impact profile (OHIP) in a convenience sample of 136 prosthodontic patients before (m(0)), 1 month after (m(1)), and 12 months (m(2)) after treatment were then examined by using two-way ANOVA with repeated measurement. Differences in OHRQoL were present when item-specific prevalence was stratified by time of total scores; gender, residential area, working status, self-reported general health, smoking status, denture type, importance of the convenient dental care, trauma story, self-reported TMD/pain, and self-reported TMD/difficulty opening mouth wide. At baseline, the most prevalent frequently reported problems "difficulties chewing" (49.3%), "digestion worse" (40.4%), "take longer to complete a meal" (36%), "food catching" (30.9%), and "dentures not fitting" (29.4%), and m(2) the most prevalent frequently reported problems were "avoid going out" (25%), "difficulties chewing" (17.6), "sore jaw" (15.5%), and "take longer to complete a meal" (14%). The study confirmed that denture status is by far the strongest predictor of impaired OHRQoL compared to socio-demographic factors. Subjects with strong or moderate values had significantly fewer oral health-related problems (OHIP-extent) of time of total scores. The number of problems decreased substantially after prosthodontic treatment. The profile of pretreatment and post-treatment problems differed substantially, but in general, only a few problems remained after adaptation to new dentures.
研究目的是评估患者的社会人口统计学因素及其可摘义齿的总体情况，以及评估其功能受限、身体疼痛、心理不适、身体残疾、社会残疾和障碍对口腔健康相关生活质量（OHRQoL）的影响。在治疗前和治疗后 1 个月和 12 个月，用可摘义齿治疗的患者。问卷的第一部分由 20 个问题组成。它分为四个不同的部分：（i）一般社会人口统计学因素，（ii）一般健康，（iii）牙科和义齿护理的经验和使用，以及（iv）颞下颌关节紊乱（TMD）的既往症状和体征。使用统计分析系统（SAS）进行数据管理和分析。使用土耳其版口腔健康影响简表（OHIP）中的项目清单，对 136 名修复患者进行研究，在治疗前（m（0））、治疗后 1 个月（m（1））和 12 个月（m（2））后，采用双向方差分析和重复测量。当按总分时间分层时，特定项目的患病率存在差异；性别、居住地区、工作状况、自我报告的一般健康状况、吸烟状况、义齿类型、方便的牙科护理重要性、创伤史、自我报告的 TMD/疼痛和自我报告的 TMD/张口困难。在基线时，最常见的报告问题是“咀嚼困难”（49.3%）、“消化更差”（40.4%）、“完成用餐时间更长”（36%）、“食物卡住”（30.9%）和“义齿不合适”（29.4%），而 m（2）中最常见的报告问题是“避免外出”（25%）、“咀嚼困难”（17.6%）、“颌骨疼痛”（15.5%）和“完成用餐时间更长”（14%）。研究证实，与社会人口统计学因素相比，义齿状况是影响口腔健康相关生活质量受损的最强预测因素。具有强或中度值的受试者口腔健康相关问题（OHIP-程度）的时间总分显著减少。治疗后义齿问题明显减少。治疗前和治疗后问题的特征有很大不同，但总体而言，适应新义齿后仅存在少数问题。
