规范性口腔修复治疗需求：它会对患有严重口腔疾病的沙特年轻人的日常生活产生影响吗？一项横断面研究。

Normative prosthodontic care need: does it impact the daily life of young Saudis with high level of oral diseases? A cross sectional study.

作者信息

Al-Harbi Fahad, El Tantawi Maha

机构信息

Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O.Box 1982, Dammam, 31441, Saudi Arabia.

Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O.Box 1982, Dammam, 31441, Saudi Arabia.

出版信息

BMC Oral Health. 2017 Oct 23;17(1):128. doi: 10.1186/s12903-017-0418-x.

DOI:10.1186/s12903-017-0418-x

PMID:29061111

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5653980/

Abstract

BACKGROUND

Assessing the need for prosthodontic care previously included older age groups. There is less information about younger populations who may need this care because of high disease levels. The aim of this study was to assess the normative need for prosthodontic care in a young Saudi population with high oral disease levels, the associated factors and its impact on daily life.

METHODS

A cross sectional study included Saudi adults in the Eastern Province in 2016. A questionnaire was used to assess personal background (confounders), risk factors affecting oral diseases (exposures) and the impact of oral problems on daily life. A clinical examination assessed tooth loss, the presence of prosthodontic appliances, the presence of untreated decay and need for periodontal care. Directed acyclic graphs identified the confounders to be included in regression models with separate outcomes: normative need for prosthodontic care (binary logistic model) and impact on 6 daily life aspects (ordinal regression models).

RESULTS

Complete data were available for 574/ 700 = 82% and 46.7% needed prosthodontic care with 2 lost teeth on average among adults of mean age = 33.2 years. The confounders controlled for the need for prosthodontic care included socioeconomic status (SES), dental visits last year and health insurance. The confounders for the impact on daily life included age and SES. In adjusted models, normative need for prosthodontic care was significantly associated with untreated decay (OR = 2.09, 95% C.I. = 1.37, 3.19). The impact on daily life was not significantly associated with prosthodontic care need but with untreated decay, especially sleeplessness (regression coefficient = 0.53, 95% C.I. = 0.02, 1.04) and dropping daily activities (regression coefficient = 0.79, 95% C.I. = 0.13, 1.46). In addition, the need for periodontal care was associated with food avoidance (regression coefficient = 0.73, 95% C.I. = 0.28, 1.18).

CONCLUSIONS

In Saudi adults in the Eastern Province, there was a considerable normative need for prosthodontic care due to untreated decay. The impact on daily life was related to the underlying oral diseases rather than the need for prosthodontic care itself.

摘要

背景

以往对义齿修复治疗需求的评估涵盖了老年人群体。对于因疾病程度高而可能需要此类治疗的年轻人群体，相关信息较少。本研究的目的是评估口腔疾病程度高的沙特年轻人群体对义齿修复治疗的规范需求、相关因素及其对日常生活的影响。

方法

2016年在东部省份对沙特成年人进行了一项横断面研究。使用问卷调查来评估个人背景（混杂因素）、影响口腔疾病的危险因素（暴露因素）以及口腔问题对日常生活的影响。临床检查评估牙齿缺失情况、义齿修复装置的存在情况、未治疗龋齿的存在情况以及牙周护理需求。有向无环图确定了要纳入回归模型的混杂因素，这些模型有不同的结果：义齿修复治疗的规范需求（二元逻辑模型）和对6个日常生活方面的影响（有序回归模型）。

结果

700名中有574名（82%）获得了完整数据，平均年龄33.2岁的成年人中，46.7%需要义齿修复治疗，平均每人缺失2颗牙。控制义齿修复治疗需求的混杂因素包括社会经济地位（SES）、去年看牙次数和健康保险。对日常生活影响的混杂因素包括年龄和SES。在调整模型中，义齿修复治疗的规范需求与未治疗龋齿显著相关（比值比=2.09，95%置信区间=1.37，3.19）。对日常生活的影响与义齿修复治疗需求无显著关联，但与未治疗龋齿有关，尤其是失眠（回归系数=0.53，95%置信区间=0.02，1.04）和日常活动减少（回归系数=0.79，95%置信区间=0.13，1.46）。此外，牙周护理需求与避免进食有关（回归系数=0.73，95%置信区间=0.28，1.18）。