有无缺牙青少年通用型和特定于状况的口腔影响日常生活量表（OIDP）的判别能力。

Discriminative ability of the generic and condition specific Oral Impact on Daily Performance (OIDP) among adolescents with and without hypodontia.

机构信息

Department of Orthodontics, Faculty of Dentistry, University of Oslo, Oslo, Norway.

出版信息

BMC Oral Health. 2014 May 22;14:57. doi: 10.1186/1472-6831-14-57.

DOI:10.1186/1472-6831-14-57

PMID:24884584

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4039652/

Abstract

BACKGROUND

The aims of this study were to (1) investigate to what extent the generic and condition specific (CS) forms of the oral impact of daily performance (OIDP) inventory discriminate between a group of patients with hypodontia and a group of patients having malocclusion, (2) assess the association of the generic and CS OIDP with severity and localisation of hypodontia, whilst adjusting for patients' age and sex.

METHODS

A total of 163 patients aged 10-17 years were included in a cross-sectional study. Two groups were investigated: 62 patients with non-syndromic hypodontia and 101 non-hypodontia patients. Both groups had a malocclusion of similar treatment need. All patients underwent a clinical and radiographic examination and completed a Norwegian version of the generic and the CS OIDP inventory. CS scores were established for impacts attributed to hypodontia.

RESULTS

The mean number of missing teeth in the hypodontia group was 6.2. The prevalence of generic and CS oral impacts in the hypodontia group were 64% and 30%, and the corresponding rates in the non-hypodontia group were 62% and 10%. The generic OIDP did not discriminate between the two groups with respect to overall scores. The CS OIDP discriminated strongly between patients with and without hypodontia regarding problems with emotional status, showing teeth, social contact, speaking and carrying out work. Compared to the non-hypodontia group, patients with hypodontia, with severe hypodontia (≥ 6 missing teeth) and upper anterior hypodontia were respectively 3.4, 2.5 and 7.0 times more likely to report any oral impact attributed to small teeth, gaps between teeth and missing teeth.

CONCLUSIONS

Hypodontia and malocclusion patients report a considerable burden of oral impacts. The CS-OIDP measure discriminated most effectively between patients with and without hypodontia and was related to severity and upper anterior localisation of hypodontia.

摘要

背景

本研究旨在：（1）调查口腔日常活动影响量表（OIDP）的通用和特定于条件的（CS）形式在多大程度上能够区分患有先天性缺牙症和牙列不齐的患者群体；（2）评估通用和 CS OIDP 与先天性缺牙症的严重程度和部位的关联，同时调整患者的年龄和性别。

方法

本研究纳入了 163 名年龄在 10-17 岁的患者进行横断面研究。调查了两组患者：62 名非综合征性先天性缺牙症患者和 101 名非缺牙症患者。两组患者均具有相似治疗需求的牙列不齐。所有患者均接受了临床和影像学检查，并完成了挪威语通用版和 CS OIDP 量表。CS 评分是根据先天性缺牙症引起的影响来确定的。

结果

先天性缺牙症组的平均缺牙数为 6.2 颗。先天性缺牙症组的通用和 CS 口腔影响的患病率分别为 64%和 30%，而非先天性缺牙症组的相应患病率分别为 62%和 10%。通用 OIDP 量表在总体得分方面无法区分两组患者。CS OIDP 量表在患者的情绪状态、展示牙齿、社交接触、说话和工作等方面，能够很好地区分有先天性缺牙症和无先天性缺牙症的患者。与非先天性缺牙症组相比，患有严重先天性缺牙症（≥6 颗缺牙）和上前牙先天性缺牙症的患者，报告与小牙、牙间隙和缺牙相关的口腔影响的可能性分别为 3.4 倍、2.5 倍和 7.0 倍。