Sheng Xun, Xiao Xia, Song Xiaoxiao, Qiao Lei, Zhang Xihong, Zhong Hua
Department of Stomatology, The Affiliated Stomatological Hospital of Kunming Medical University Department of Community Health, Kunming Medical University School of Public Health Department of Ophthalmology, First Affiliated Hospital of Kunming Medical University, Kunming, China.
Medicine (Baltimore). 2018 May;97(21):e10777. doi: 10.1097/MD.0000000000010777.
The aim of this study was to evaluate the oral health among the elderly in Southwest China and to analyze the correlation between common oral diseases and quality of life (QOL) in the same population, thus providing recommendations to improve their oral health and life quality.Elderly people (>60 years' old) were randomly recruited into our study, and we performed oral health examinations and diagnoses, using the Community Periodontal Index (CPI) to assess the periodontal condition, and Oral Health Impact Profile-14 (OHIP-14) to score life quality associated with oral health. Then we analyzed correlations between oral health and QOL as well as body mass index (BMI).A total of 687 subjects participated in our study and 212 (30.9%) were diagnosed with gingivitis or subgingival calculus, 291 (42.4%) with moderate chronic periodontitis, 136 (19.8%) with severe chronic periodontitis, 514 (74.8%) with dental caries, and 648 (94.3%) with dentition defects. A total of 653 (95.1%) qualified OHIP-14 scores were collected, with a median score of 13. The scores of the severe and moderate periodontitis were similar to the dentition defects, but higher than the scores for gingivitis and subgingival calculus. Considering the most common side effect, 11% of the subjects with severe chronic periodontitis were reported to be "unsatisfied with eating," and 48.4% of the participants with dentition defects complained about "troubles with pronunciation." A logistic regression analysis revealed that underweight (BMI <20) correlated with dental caries (odds ratio [OR]: 0.167, P = .040) and dentition defects (OR: 0.119, P = .016).The general oral health condition was poor among the elderly in Southwest China. Periodontitis and dentition defects have considerable negative effects on the QOL among this population.
本研究旨在评估中国西南部老年人的口腔健康状况，并分析同一人群中常见口腔疾病与生活质量（QOL）之间的相关性，从而为改善他们的口腔健康和生活质量提供建议。将60岁以上的老年人随机纳入本研究，我们进行了口腔健康检查和诊断，使用社区牙周指数（CPI）评估牙周状况，使用口腔健康影响程度量表-14（OHIP-14）对与口腔健康相关的生活质量进行评分。然后我们分析了口腔健康与生活质量以及体重指数（BMI）之间的相关性。共有687名受试者参与了本研究，其中212名（30.9%）被诊断为牙龈炎或龈下牙石，291名（42.4%）为中度慢性牙周炎，136名（19.8%）为重度慢性牙周炎，514名（74.8%）有龋齿，648名（94.3%）有牙列缺损。共收集到653份（95.1%）合格的OHIP-14评分，中位数为13分。重度和中度牙周炎的评分与牙列缺损相似，但高于牙龈炎和龈下牙石的评分。考虑到最常见的副作用，据报告11%的重度慢性牙周炎受试者“对进食不满意”，48.4%的牙列缺损参与者抱怨“发音困难”。逻辑回归分析显示，体重过轻（BMI<20）与龋齿（比值比[OR]：0.167，P = 0.040）和牙列缺损（OR：0.119，P = 0.016）相关。中国西南部老年人的总体口腔健康状况较差。牙周炎和牙列缺损对该人群的生活质量有相当大的负面影响。
