Department of Oral Pathology and Surgery, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Department of Locomotor System, School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Clin Rheumatol. 2019 Sep;38(9):2433-2441. doi: 10.1007/s10067-019-04555-9. Epub 2019 Apr 19.
To evaluate the oral health-related quality of life (OHRQoL) of individuals with rheumatoid arthritis (RA) in comparison with individuals with no RA.
A cross-sectional study was carried out with 112 individuals distributed into two groups. Group 1 (G1) consisted of 42 RA individuals and group 2 (G2) consisted of 70 individuals without RA. Participants' OHRQoL was assessed by means of the long form of the Oral Health Impact Profile (OHIP). The OHIP has 49 questions distributed across seven domains: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. The overall score ranges between 0 and 196. A higher score denotes a greater negative impact on OHRQoL. All participants underwent oral examination for the evaluation of clinical variables. Sociodemographic and oral behavior variables were also collected. Data analysis included descriptive statistics, Mann-Whitney test, and regression analysis.
Individuals in G1 presented higher OHIP overall score (p = 0.006) than G2 individuals. G1 individuals also presented higher scores in the functional limitation (p = 0.003) and the physical disability (p = 0.005) domains than G2 individuals. Individuals with RA (p = 0.044), individuals who brushed their teeth less often (p = 0.019), and those with a higher number of decayed, missing, and filled teeth (DMFT) (p = 0.038) presented a significantly higher OHIP-49 overall score (more negative perception of their OHRQoL) than individuals without RA, individuals who brushed their teeth more often, and those with a lower DMFT.
RA individuals had a more negative perception of their OHRQoL compared with individuals with no RA.
评估类风湿关节炎（RA）患者与非 RA 患者的口腔健康相关生活质量（OHRQoL）。
横断面研究纳入 112 名参与者，分为两组。组 1（G1）由 42 名 RA 患者组成，组 2（G2）由 70 名非 RA 患者组成。采用 Oral Health Impact Profile（OHIP）长表评估参与者的 OHRQoL。OHIP 共有 49 个问题，分布在七个领域：功能受限、身体疼痛、心理不适、身体残疾、心理残疾、社会障碍和障碍。总分为 0 到 196 分。得分越高表示对 OHRQoL 的负面影响越大。所有参与者均接受口腔检查以评估临床变量。还收集了社会人口学和口腔行为变量。数据分析包括描述性统计、Mann-Whitney 检验和回归分析。
G1 组的 OHIP 总分（p = 0.006）高于 G2 组。G1 组在功能受限（p = 0.003）和身体残疾（p = 0.005）领域的得分也高于 G2 组。RA 患者（p = 0.044）、刷牙次数较少的患者（p = 0.019）和龋齿、缺失和填充牙数（DMFT）较高的患者（p = 0.038）的 OHIP-49 总分（对 OHRQoL 的负面感知更高）高于非 RA 患者、刷牙次数较多的患者和 DMFT 较低的患者。
与非 RA 患者相比，RA 患者对 OHRQoL 的负面感知更为强烈。
