Schützhold Svenja, Holtfreter Birte, Schiffner Ulrich, Hoffmann Thomas, Kocher Thomas, Micheelis Wolfgang
Unit of Periodontology, Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany.
Eur J Oral Sci. 2014 Apr;122(2):134-41. doi: 10.1111/eos.12117. Epub 2014 Feb 5.
Self-perceived oral health is affected not only by awareness of the clinical status but also by comparisons with people of a similar age. This study explored the relative contributions of clinical variables assessing caries, periodontal status, and prosthetic status to self-perceived oral health within two age groups. Data of 891 adults (35-44 yr of age) and 760 older people (65-74 yr of age) from the Fourth German Oral Health Study (DMS IV, 2005) were evaluated. Self-perceived oral health was obtained from questionnaires. Numbers of decayed, filled, and unreplaced teeth, mean attachment loss, bleeding on probing (BOP), the presence of a fixed denture, and the presence of a removable denture were assessed. Multinomial logistic regression models were developed for both age groups, separately, using stepwise methods. For adults, unreplaced teeth, filled teeth, decayed teeth, the presence of a removable denture, and mean attachment loss were added to the final model. For older people, the presence of a removable denture, unreplaced teeth, decayed teeth, mean attachment loss, filled teeth, and BOP were included in the final model. Awareness of the relative contributions of clinical variables to self-perceived oral health is important for obtaining a clearer understanding of patients' subjective and objective self-perceptions of oral health.
自我认知的口腔健康不仅受到对临床状况的知晓程度影响，还受到与同龄人比较的影响。本研究探讨了在两个年龄组中，评估龋齿、牙周状况和修复状况的临床变量对自我认知口腔健康的相对贡献。对来自第四次德国口腔健康研究（DMS IV，2005年）的891名成年人（35 - 44岁）和760名老年人（65 - 74岁）的数据进行了评估。自我认知的口腔健康通过问卷调查获得。评估了龋坏、已充填和未修复牙齿的数量、平均附着丧失、探诊出血（BOP）、固定义齿的存在情况以及可摘义齿的存在情况。使用逐步法分别为两个年龄组建立了多项逻辑回归模型。对于成年人，未修复牙齿、已充填牙齿、龋坏牙齿、可摘义齿的存在情况以及平均附着丧失被纳入最终模型。对于老年人，可摘义齿的存在情况、未修复牙齿、龋坏牙齿、平均附着丧失、已充填牙齿和探诊出血被纳入最终模型。了解临床变量对自我认知口腔健康的相对贡献，对于更清楚地理解患者对口腔健康的主观和客观自我认知很重要。
