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全口义齿修复患者的口腔健康相关生活质量:一项为期12个月的随访研究。

Oral Health-related Quality of Life among Patients after Complete Denture Rehabilitation: A 12-month Follow-up Study.

作者信息

Kaushik Kiran, Dhawan Pankaj, Tandan Piyush, Jain Meena

机构信息

Department of Prosthodontics, Manav Rachna Dental College, Faridabad, Haryana, India.

Department of Prosthodontics, Manav Rachna Dental College and Hospital, Faridabad, Haryana, India.

出版信息

Int J Appl Basic Med Res. 2018 Jul-Sep;8(3):169-173. doi: 10.4103/ijabmr.IJABMR_171_18.

Abstract

INTRODUCTION

Complete edentulism is an eventual oral health outcome and results from the combined pathology of dental caries, periodontal disease, or faulty method of rehabilitation due to reduced cost. Complete edentulism has a significant concern and leads to reduced quality of life (QoL) along with impact on general health. However, it has been observed that due to wider and better oral health services globally, edentulism rate is decreasing every decade. Edentulism is directly related to masticatory and nutritional problems, and some authors regard it as a good mortality indicator.

METHODOLOGY

The sample population consisted of 100 individuals comprising 63 males and 37 females who fulfilled the inclusion criteria. Geriatric oral health assessment index (GOHAI) was administered by a single investigator at baseline (preinsertion) and also 6 and 12 months postdenture insertion. Sociodemographic data, including age and gender, were also collected.

RESULTS

It was observed that the overall oral health-related QoL (OHRQoL) scores of the sample improved significantly at 6 and 12 months postinsertion ( < 0.001) when compared to baseline scores. When GOHAI scores were compared individually for males and females (pre- and post-insertion), it was observed that there was statistically significant improvement in OHRQoL (male - pre = 25.02 ± 1.34 and post-12 months = 8.84 ± 1.26, < 0.001, female - pre = 25.19 ± 0.88 and post-12 months = 9.05 ± 1.20, < 0.001) postinsertion of denture in both the groups.

CONCLUSION

OHRQoL in patients improved after complete denture rehabilitation. There was an upward shift in score for each item in GOHAI from preinsertion to 6 and 12 months postinsertion of dentures, reflecting improvement in OHRQoL of the sample.

摘要

引言

全口无牙是最终的口腔健康结果,由龋齿、牙周病的综合病理状况或因成本降低而采用的不当修复方法导致。全口无牙是一个重大问题,会导致生活质量(QoL)下降,并对整体健康产生影响。然而,据观察,由于全球范围内口腔健康服务更加广泛和完善,无牙率每十年都在下降。无牙与咀嚼和营养问题直接相关,一些作者将其视为一个良好的死亡率指标。

方法

样本人群由100名个体组成,其中包括63名男性和37名女性,他们均符合纳入标准。老年口腔健康评估指数(GOHAI)由一名调查员在基线(假牙植入前)以及假牙植入后6个月和12个月时进行评估。还收集了包括年龄和性别在内的社会人口统计学数据。

结果

观察到,与基线分数相比,样本在假牙植入后6个月和12个月时的总体口腔健康相关生活质量(OHRQoL)分数显著提高(<0.001)。当分别比较男性和女性(植入前和植入后)的GOHAI分数时,发现两组在假牙植入后OHRQoL均有统计学上的显著改善(男性 - 植入前 = 25.02 ± 1.34,植入后12个月 = 8.84 ± 1.26,<0.001;女性 - 植入前 = 25.19 ± 0.88,植入后12个月 = 9.05 ± 1.20,<0.001)。

结论

全口义齿修复后患者的OHRQoL得到改善。从假牙植入前到植入后6个月和12个月,GOHAI中每个项目的分数都有上升,反映了样本OHRQoL的改善。

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