Rosenberg D, Kaplan S, Senie R, Badner V
St. Barnabas Hospital, Bronx, NY 10457.
J Dent Educ. 1988 Nov;52(11):653-7.
Current measures of dental health status are primarily clinical in nature and rely on clinical and radiographic assessment of the patient's dental health. Information about a patient's ability to perform usual activities related to good dental health--for example, chewing, speaking, and smiling--is not routinely collected. This study investigated what measures contribute to dental functional status, how they are related to traditional clinical measures, whether dental factors contribute to other generic measures of health, and the extent to which dental factors contribute to overall quality of life. Regression analyses of interview and clinical data from 159 dental patients show that while periodontal status and the number of dental symptoms do explain some of dental functional status, the clinical measures of decayed, missing, and filled teeth do not. Severity of medical condition is correlated with decayed/missing teeth and periodontal health. Quality of life is explained by medical functional status, perceived medical health, and perceived dental health. The dental functional status index may be useful in clarifying the relationship between dental health and overall health and quality of life measures.
目前的牙齿健康状况衡量标准主要是临床性质的，依赖于对患者牙齿健康的临床和影像学评估。关于患者进行与良好牙齿健康相关的日常活动（如咀嚼、说话和微笑）能力的信息并未常规收集。本研究调查了哪些衡量标准有助于牙齿功能状态，它们如何与传统临床衡量标准相关联，牙齿因素是否有助于其他一般健康衡量标准，以及牙齿因素对总体生活质量的影响程度。对159名牙科患者的访谈和临床数据进行的回归分析表明，虽然牙周状况和牙齿症状数量确实能解释部分牙齿功能状态，但龋齿、缺失牙和补牙的临床衡量标准却不能。医疗状况的严重程度与龋齿/缺失牙以及牙周健康相关。生活质量由医疗功能状态、感知到的医疗健康状况和感知到的牙齿健康状况来解释。牙齿功能状态指数可能有助于阐明牙齿健康与总体健康以及生活质量衡量标准之间的关系。
