Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi Higashi-ku Fukuoka, 812-8582, Japan.
Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi Higashi-ku Fukuoka, 812-8582, Japan.
J Prosthodont Res. 2020 Oct;64(4):397-400. doi: 10.1016/j.jpor.2019.11.003. Epub 2020 Feb 13.
The purpose of this study was to evaluate the effect of oral rehabilitation (maxillofacial prosthetic intervention and oral hygiene instruction) on oral health-related Quality of Life (OHRQoL) and oral hygiene condition in patients with maxillofacial defects and to explore the correlation between them in these patients.
Twenty-five patients with maxillofacial defects who had been treated since April 2016 to March 2018 were included in this study. The scores of the Oral Health Impact Profile (OHIP) and O'Leary's Plaque Control Record (PCR) were also identified as the scores of OHRQoL and oral hygiene condition, respectively. Statistical analyses were performed to compare between the scores of "pre" and "post" prosthetic treatment and to evaluate patient-related factors influencing these variables (age, the number of residual teeth and occlusal supports, and occlusal units (OUs)). The effect of combined chemo-radiotherapy (CRT) on each score was also assessed statistically. Furthermore, the correlation of OHIP and PCR scores was explored statistically.
Both oral rehabilitations could significantly improve OHIP and PCR scores. Significant correlations of the change of OHIP scores with age and OUs were detected. CRT had no significant effect on OHIP and PCR scores. No correlations between OHIP and PCR were observed.
Although oral rehabilitation such as maxillofacial prosthetic treatment and oral hygiene instruction would be highly effective for improvement of OHRQoL and oral hygiene condition in patients with maxillofacial defects, there was no correlation between them.
本研究旨在评估口腔修复(颌面赝复体干预和口腔卫生指导)对颌面缺损患者口腔健康相关生活质量(OHRQoL)和口腔卫生状况的影响,并探讨两者之间的相关性。
本研究纳入了 2016 年 4 月至 2018 年 3 月期间接受治疗的 25 例颌面缺损患者。Oral Health Impact Profile(OHIP)和 O'Leary 的菌斑控制记录(PCR)评分分别被确定为 OHRQoL 和口腔卫生状况的评分。统计分析用于比较修复治疗前后的评分,并评估影响这些变量的患者相关因素(年龄、残牙数和咬合支持、咬合单位(OU))。还对联合放化疗(CRT)对每个评分的影响进行了统计学评估。此外,还探索了 OHIP 和 PCR 评分之间的相关性。
口腔修复治疗(颌面赝复体治疗和口腔卫生指导)均能显著改善 OHIP 和 PCR 评分。OHIP 评分的变化与年龄和 OU 显著相关。CRT 对 OHIP 和 PCR 评分均无显著影响。OHIP 和 PCR 之间无相关性。
尽管口腔修复治疗(如颌面赝复体治疗和口腔卫生指导)对改善颌面缺损患者的 OHRQoL 和口腔卫生状况非常有效,但两者之间无相关性。