Saltnes Solfrid Sørgjerd, Jensen Janicke Liaaen, Sæves Rønnaug, Nordgarden Hilde, Geirdal Amy Østertun
a Department of Oral Surgery and Oral Medicine, Faculty of Dentistry , University of Oslo , Oslo , Norway.
b TAKO-Centre Lovisenberg Diaconal Hospital , Oslo , Norway.
Acta Odontol Scand. 2017 Nov;75(8):564-572. doi: 10.1080/00016357.2017.1357189. Epub 2017 Jul 28.
The aim of this study was to assess demographics, self-reported signs of ectodermal dysplasia (problems with hair, nails, skin and sweat glands), present teeth, previous dental treatment, psychological distress and QoL in individuals with oligodontia, and to explore the associations between these factors. We also aimed to compare the level of psychological distress and QoL between the study group and normative samples.
Forty-seven individuals with oligodontia registered at a resource centre in Norway were included in the study. The participants completed self-administered questionnaires on demographics, ED signs, dental treatments, psychological distress and QoL (overall, health-related- and oral health-related QoL). Relevant statistics (independent t-test, correlation analysis and hierarchical multiple regressions) were used.
Thirty-five participants reported ED signs. Forty-one participants had tooth replacements (nine had removable dentures). Sixteen had ≤10 present teeth, 13 perceived dry mouth and seven were unemployed. Persons with ≤10 present teeth had higher anxiety- and depression-scores than those having >10 present teeth. Unemployment, dry mouth and removable dentures indicated poor health-related- and oral health related QoL. Compared to a normative sample; the study group had significantly poorer mental health (MH)-related QoL, mean (SD); (51.1(8.2) versus 46.8(9.3), p < .001) and more anxiety, mean (SD); (4.5(3.1) versus 6.7(3.6), p < .001). ED signs and treatments were most important for psychological distress and MH related QoL (MCS), whereas demographic parameters were most important for the other QoL measures.
The psychological burden of oligodontia is significant, emphasizing the importance of a holistic approach by caregivers.
本研究旨在评估少牙症患者的人口统计学特征、自我报告的外胚层发育不良体征（毛发、指甲、皮肤和汗腺问题）、现存牙齿、既往牙科治疗情况、心理困扰和生活质量，并探讨这些因素之间的关联。我们还旨在比较研究组与正常样本之间的心理困扰水平和生活质量。
纳入在挪威一个资源中心登记的47名少牙症患者。参与者完成了关于人口统计学、外胚层发育不良体征、牙科治疗、心理困扰和生活质量（总体、与健康相关及与口腔健康相关的生活质量）的自填式问卷。使用了相关统计方法（独立t检验、相关分析和分层多元回归）。
35名参与者报告有外胚层发育不良体征。41名参与者进行了牙齿修复（9人佩戴可摘义齿）。16人现存牙齿≤10颗，13人感觉口干，7人失业。现存牙齿≤10颗的人焦虑和抑郁得分高于现存牙齿>10颗的人。失业、口干和佩戴可摘义齿表明与健康相关及与口腔健康相关的生活质量较差。与正常样本相比，研究组与心理健康（MH）相关的生活质量显著较差，均值（标准差）；（51.1（8.2）对46.8（9.3），p < .001），且焦虑程度更高，均值（标准差）；（4.5（3.1）对6.7（3.6），p < .001）。外胚层发育不良体征和治疗对心理困扰及与心理健康相关的生活质量（MCS）最为重要，而人口统计学参数对其他生活质量指标最为重要。
少牙症的心理负担较重，这凸显了护理人员采取整体方法的重要性。
