Limpuangthip Nareudee, Somkotra Tewarit, Arksornnukit Mansuang
Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok 10330, Thailand.
Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok 10330, Thailand.
Curr Gerontol Geriatr Res. 2019 Jul 16;2019:3830267. doi: 10.1155/2019/3830267. eCollection 2019.
This study investigated denture and patient related factors associated with oral health-related quality of life (OHRQoL) of complete denture wearers and their association with general health and happiness.
This retrospective cohort study comprised 130 participants with complete edentulism, with maxillary and mandibular complete dentures treated at Chulalongkorn University Dental School during 2010-2017. The primary outcome was the presence of overall and domain-specific Oral Impacts on Daily Performances (OIDP). Secondary outcomes were diagnosed and perceived general health, and happiness. Denture retention and stability were classified as acceptable or unacceptable following the CU-modified Kapur criteria. Five esthetic-assessment criteria of the harmonization and proportions between facial and dental anatomical landmarks were measured from patient's photographs. Age, sex, previous complete denture experience, and denture age were recorded. The associations between each variable and oral impacts were analyzed using bivariate logistic regression, and the factors with < 0.25 were further adjusted using multivariable analysis. Associations between oral impact scores and general health and happiness were assessed using Spearman's rank correlation.
The most frequent oral impacts were on physical domain, while social domain was the least affected. Denture retention/stability was significantly associated with both overall and specific domains of oral impact. Happiness was found to be strongly correlated with perceived general health, but marginally with oral impact scores.
Unacceptable complete denture retention and stability are substantial risk factors for impaired OHRQoL in complete edentulism. Maintaining optimal denture retention and stability in denture wearers is essential for good oral health and well-being with the goal of enhancing happiness.
本研究调查了与全口义齿佩戴者口腔健康相关生活质量（OHRQoL）相关的义齿及患者相关因素，以及它们与总体健康和幸福感的关联。
这项回顾性队列研究纳入了130名全口无牙患者，他们于2010年至2017年在朱拉隆功大学牙科学院接受了上颌和下颌全口义齿治疗。主要结局是日常表现中总体及特定领域的口腔影响（OIDP）的存在情况。次要结局是诊断出的和感知到的总体健康状况以及幸福感。按照CU修改的卡普尔标准，将义齿固位和稳定性分为可接受或不可接受。从患者照片中测量面部和牙齿解剖标志之间协调和比例的五个美学评估标准。记录年龄、性别、既往全口义齿佩戴经历和义齿使用年限。使用双变量逻辑回归分析每个变量与口腔影响之间的关联，对<0.25的因素进一步进行多变量分析调整。使用Spearman等级相关性评估口腔影响评分与总体健康和幸福感之间的关联。
最常见的口腔影响发生在身体领域，而社会领域受影响最小。义齿固位/稳定性与口腔影响的总体和特定领域均显著相关。发现幸福感与感知到的总体健康密切相关，但与口腔影响评分的相关性较弱。
全口义齿固位和稳定性不佳是全口无牙患者OHRQoL受损的重要危险因素。保持义齿佩戴者的最佳义齿固位和稳定性对于良好的口腔健康和幸福感至关重要，目标是增强幸福感。
