Dental College, HITEC Institute of Medical Sciences, Taxila, Pakistan.
School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
BMC Oral Health. 2019 Jun 26;19(1):127. doi: 10.1186/s12903-019-0819-0.
There is a limited understanding about the oral health of patients with facial burn, hence the aim was to describe the oral health status and the related risks factors.
This cross-sectional study had randomly and systematically recruited facial burn patients from the Burn Care Center, Pakistan Institute of Medical Sciences, Islamabad, from June of 2016 to July of 2017. Intraoral examination recorded the DMFT, CPI and OHI-S. Information on the socio-demographic status, self-perceived oral health, oral health behaviours were collected using a self-administered questionnaire and; the burn characteristics were obtained from the patients' medical record. The t-test, ANOVA, SLR, and chi-square test were used to examine the relationship between oral health and each factor. A parameter was derived from the clinical indices using the principal component analysis and used in the multiple linear regression analysis to determine the important factors associated with oral health status.
A total of 271 burn patients (69% female and 31% male) had participated in the study. All of the participants had caries with mean DMFT = 10.96 (95%CI: 10.67, 11.25). There were 59.0% (95%CI: 53.15, 64.93%) and 66.1% (95%CI: 60.38, 71.73%) of the participants who had periodontitis and poor oral hygiene respectively. About 79 and 80% of the participants rated their dental and periodontal status as poor. About 78% reported brushing once daily and 89% did not practice regular dental visit. The DMFT, CPI and OHI-S were associated with the burn characteristics and oral health behaviours (p < 0.05). Dental anxiety, cost and social issues were the most cited reasons for not utilising oral health services. Greater burn severity, the longer time elapsed since the burn incident, and dental anxiety were associated with poorer oral health status and; brushing twice or more and regular dental visit, with better status (p < 0.01).
Patients with oro-facial burn injury had a generally poor oral health and, the risks are greater in those with a more severe and wider area of injury, the longer time elapsed since the burn incident and dental anxiety; but a good oral hygiene practice and regular dental visits were protective against the risk.
人们对面部烧伤患者的口腔健康了解有限，因此本研究旨在描述口腔健康状况及其相关危险因素。
本横断面研究于 2016 年 6 月至 2017 年 7 月期间，在巴基斯坦伊斯兰堡的医学科学院烧伤护理中心，随机系统地招募了面部烧伤患者。口腔内检查记录 DMFT、CPI 和 OHI-S。使用自我管理问卷收集社会人口统计学状况、自我感知的口腔健康、口腔健康行为等信息，从患者病历中获取烧伤特征。使用 t 检验、方差分析、逐步回归和卡方检验来检查口腔健康与每个因素之间的关系。使用主成分分析从临床指标中得出一个参数，并将其用于多元线性回归分析，以确定与口腔健康状况相关的重要因素。
共有 271 名烧伤患者（69%为女性，31%为男性）参与了研究。所有参与者均患有龋齿，平均 DMFT 为 10.96（95%CI：10.67，11.25）。牙周炎和口腔卫生差的患者分别占 59.0%（95%CI：53.15，64.93%）和 66.1%（95%CI：60.38，71.73%）。约 79%和 80%的参与者认为自己的牙齿和牙周状况较差。约 78%的人每天刷牙一次，89%的人没有定期看牙医。DMFT、CPI 和 OHI-S 与烧伤特征和口腔健康行为有关（p<0.05）。牙齿焦虑、费用和社会问题是不利用口腔健康服务的最常见原因。烧伤程度越严重、烧伤事件发生后时间越长、牙齿焦虑与口腔健康状况越差有关；而刷牙两次或更多次和定期看牙医则与更好的口腔健康状况有关（p<0.01）。
面部烧伤患者的口腔健康普遍较差，烧伤程度越严重、面积越大、烧伤事件发生后时间越长、牙齿焦虑越严重，风险越大；但良好的口腔卫生习惯和定期看牙医可以降低风险。
