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采用新开发的问卷,即区域口腔干燥量表,对口腔干燥感的区域差异进行评估。

Regional differences in perceived oral dryness as determined with a newly developed questionnaire, the Regional Oral Dryness Inventory.

机构信息

Department of Oral Biochemistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University Amsterdam, Room 12N-37, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands.

Department of Oral and Maxillofacial Surgery and Oral Pathology, Amsterdam UMC, Amsterdam, The Netherlands.

出版信息

Clin Oral Investig. 2020 Nov;24(11):4051-4060. doi: 10.1007/s00784-020-03276-7. Epub 2020 May 7.

Abstract

OBJECTIVES

Several questionnaires, such as the internationally validated and frequently used Xerostomia Inventory (XI), have been developed to quantify the subjective feeling of a dry mouth. These questionnaires quantify the overall perception of dry mouth but lack the possibility to differentiate between various intra-oral regions. In this light, a novel questionnaire, the Regional Oral Dryness Inventory (RODI), which quantifies the severity of dryness at various locations in the mouth, was evaluated.

MATERIALS AND METHODS

A retrospective case report study was designed. Data were collected from patients who visited the saliva clinic for Special Care Dentistry in Amsterdam. Data, including the saliva secretion rates, RODI scores, the Xerostomia Inventory (XI) score, and Clinical Oral Dryness Score (CODS), were extracted from the electronic health record system Oase Dental.

RESULTS

A total of 337 patients participated in this study with an average age of 54 ± 17 years. The majority of the patients were female (68.5%). The perceived dryness as determined by the RODI was the highest for the posterior palate and the lowest for the floor of the mouth. The highest correlations were found between the corresponding regions in the RODI and regionally related individual items of the XI and CODS.

CONCLUSION

There is a significant difference in dry-mouth feeling at different intra-oral locations.

CLINICAL RELEVANCE

Regional evaluation of xerostomia with RODI might improve diagnosis of xerostomia by helping to discriminate between different potential causes of oral dryness in patients and for evaluating the efficacy of mouth-moistening products. RODI is highly accessible and easy to perform in dental practices during routine clinical assessment.

摘要

目的

为了量化口干的主观感受,已经开发出了几种问卷,如国际上验证和常用的口干症量表(Xerostomia Inventory,XI)。这些问卷量化了整体口干感,但缺乏区分口腔内不同区域的可能性。有鉴于此,开发了一种新的问卷,即口腔干燥区域量表(Regional Oral Dryness Inventory,RODI),它可以量化口腔内各个部位的干燥程度。

材料与方法

设计了一项回顾性病例报告研究。数据来自阿姆斯特丹特殊护理牙科唾液诊所就诊的患者。从电子健康记录系统 Oase Dental 中提取数据,包括唾液分泌率、RODI 评分、口干症量表(Xerostomia Inventory,XI)评分和临床口腔干燥评分(Clinical Oral Dryness Score,CODS)。

结果

共有 337 名患者参与了这项研究,平均年龄为 54±17 岁。大多数患者为女性(68.5%)。RODI 评估的感知干燥程度最高的是后腭,最低的是口底。RODI 中对应区域与 XI 和 CODS 的区域相关个体项目之间存在最高的相关性。

结论

口腔内不同部位的口干感存在显著差异。

临床相关性

使用 RODI 进行口干的区域评估可以通过帮助区分患者口腔干燥的不同潜在原因,以及评估口腔保湿产品的疗效,从而改善口干的诊断。RODI 在口腔诊所的常规临床评估中非常容易获得且易于操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8456/7544722/b6abe7ba089c/784_2020_3276_Fig1a_HTML.jpg

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