Visscher C M, Lobbezoo F, Schuller A A
Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University Amsterdam, MOVE Research Institute Amsterdam, Amsterdam, The Netherlands.
J Oral Rehabil. 2014 Jun;41(6):416-22. doi: 10.1111/joor.12167. Epub 2014 Apr 4.
Oral health-related quality of life (OHRQoL) is associated with tooth wear and tooth loss. This study investigated the association between OHRQoL and dental status (in terms of natural dentition, partial or complete dentures, or edentulism). Sixteen hundred and twenty-two persons who participated in a large-scale Dutch dental survey were interviewed. Dentate persons (n = 1407) were additionally invited for a clinical examination (response rate: 69%). Dental status was based upon the combined data from this clinical examination and the questionnaire (seven dental status groups were defined). OHRQoL was measured by the Dutch translation of the short version of the Oral Health Impact Profile, the OHIP-NL14. Kruskal-Wallis tests and Mann-Whitney U tests were used to investigate differences in OHRQoL between the dental status groups. For all OHIP-NL14 scales, differences in OHRQoL were found between the dental status groups (all P-values <0·001). The Mann-Whitney U tests revealed no differences between persons with a complete natural dentition and persons with a fixed prosthetic replacement. The latter group, however, did show a significantly better OHRQoL as compared to persons with a removable partial denture. Surprisingly, edentulous persons with an overdenture had a more impaired OHRQoL than edentulous persons with non-supported complete dentures. The results demonstrated that impaired dental status is associated with deteriorations in OHRQoL, especially concerning functional limitations, physical pain and social disability.
口腔健康相关生活质量（OHRQoL）与牙齿磨损和牙齿缺失有关。本研究调查了OHRQoL与牙齿状况（根据天然牙列、局部或全口义齿或无牙状态）之间的关联。对1622名参与一项大规模荷兰牙科调查的人员进行了访谈。此外，邀请了有牙者（n = 1407）进行临床检查（应答率：69%）。牙齿状况基于该临床检查和问卷的综合数据（定义了七个牙齿状况组）。OHRQoL通过口腔健康影响程度简表（OHIP）荷兰语版OHIP-NL14进行测量。使用Kruskal-Wallis检验和Mann-Whitney U检验来调查牙齿状况组之间OHRQoL的差异。对于所有OHIP-NL14量表，在牙齿状况组之间发现了OHRQoL的差异（所有P值<0.001）。Mann-Whitney U检验显示，天然牙列完整者与固定义齿修复者之间没有差异。然而，与可摘局部义齿佩戴者相比，后一组的OHRQoL明显更好。令人惊讶的是，覆盖义齿佩戴的无牙者比无支持的全口义齿佩戴者的OHRQoL受损更严重。结果表明，牙齿状况受损与OHRQoL下降有关，尤其是在功能受限、身体疼痛和社会残疾方面。
