Department of Dentistry and Oral Health, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.
Department of Population and Patient Health, Dental Institute, King's College London, London, UK.
J Clin Periodontol. 2019 Feb;46(2):170-180. doi: 10.1111/jcpe.13072. Epub 2019 Feb 3.
The aim of this study was to investigate the impact of periodontal disease on the domains of oral health-related quality of life (OHRQoL) of United Kingdom adults.
National representative data from the 2009 Adult Dental Health Survey, United Kingdom, were used in this study. Periodontal disease severity was measured using periodontal pocket depth and categorized into three groups: pocket depth up to 3.5, 3.5-5.5 and more than 5.5 mm. OHRQoL was measured using the Oral Health Impact Profile-14 (OHIP-14) scores. Bivariate and multivariable Zero-inflated Poisson regression analysis was used.
A total of 6378 participants was analysed in this study. Periodontal pocketing was significantly associated with higher OHIP-14 scores. Participants with periodontal pocket depths >3.5 mm had a significantly higher prevalence for functional limitation, physical pain and social disability than participants with pocket depths of less than 3.5 mm. Participants with periodontal pocket depth(s) >5.5 mm had significantly higher OFOVO prevalence in all the domains of OHIP-14 except handicap domain than participants with pocket depth(s) <3.5 mm.
This study showed that for a nationally representative sample of the United Kingdom population, periodontal disease was significantly associated with the domains of OHRQoL.
本研究旨在探讨牙周病对英国成年人口腔健康相关生活质量(OHRQoL)各领域的影响。
本研究使用了英国 2009 年成人牙科健康调查的全国代表性数据。牙周病严重程度采用牙周袋深度进行测量,并分为三组:牙周袋深度达 3.5 毫米以下、3.5-5.5 毫米和 5.5 毫米以上。采用口腔健康影响量表-14(OHIP-14)评分来衡量 OHRQoL。采用双变量和多变量零膨胀泊松回归分析。
本研究共分析了 6378 名参与者。牙周袋与 OHIP-14 评分升高显著相关。与牙周袋深度小于 3.5 毫米的参与者相比,牙周袋深度大于 3.5 毫米的参与者在功能受限、身体疼痛和社会障碍方面的患病率显著更高。与牙周袋深度小于 3.5 毫米的参与者相比,牙周袋深度大于 5.5 毫米的参与者在 OHIP-14 的所有领域(除障碍领域)的 OFOVO 患病率均显著更高。
本研究表明,对于英国代表性人群样本,牙周病与 OHRQoL 各领域显著相关。