Singla Nishu, Acharya Shashidhar, Singla Ritesh, Nayak Prajna
Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
Department of Orthodontics and Dentofacial Orthopaedics, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India.
J Int Soc Prev Community Dent. 2020 Mar 5;10(2):189-195. doi: 10.4103/jispcd.JISPCD_293_19. eCollection 2020 Mar-Apr.
Dental caries is preventable if favorable health behavior is successfully established. Exploring the broader concept of lifestyle will be useful to determine that how lifestyle of people can affect dental caries.
The aim of this study was to determine the impact of overall lifestyle of an individual (analyzed using health practice index) on dental caries of adult population.
This cross-sectional study comprising structured questions on health practice index, sociodemographic variables, and oral health-related behavior was conducted on 800 study subjects of age 20-50 years attending outreach dental setups of a dental school in India. Dental caries was recorded with decayed, missing, and filled teeth (DMFT) index.Statistical analysis was carried out using frequency distribution for variables related to lifestyle, mean ± standard deviation for DMFT, and negative binomial regression to predict a dependent variable (DMFT) that consisted of "count data."
The study subjects who were older age, women, unemployed, and unskilled; those with lower education, lesser income, and lower socioeconomic status; those never visited dentist; and those with lesser frequency of cleaning teeth, overall poorer lifestyles, and moderate lifestyles were more prone to have dental caries than their counterparts.
Dental caries is a multifactorial disease. Patients' involvement in self-care by promoting healthy behaviors such as brushing twice a day, visiting dentist regularly, negating orally abusive substance addiction, having breakfast every day, eating a balanced diet, and reducing stress leads to an overall good lifestyle. These factors along with sleeping a minimum of 7-8h per night and working for 8-9h per day and ample daily exercise may help patients improve or protect their oral health for years to come.
如果能成功建立良好的健康行为，龋齿是可以预防的。探索更广泛的生活方式概念将有助于确定人们的生活方式如何影响龋齿。
本研究的目的是确定个体的整体生活方式（使用健康实践指数进行分析）对成年人群龋齿的影响。
本横断面研究对印度一所牙科学院外展牙科机构中800名年龄在20至50岁的研究对象进行，包括关于健康实践指数、社会人口统计学变量和口腔健康相关行为的结构化问题。用龋失补牙（DMFT）指数记录龋齿情况。对与生活方式相关的变量使用频率分布进行统计分析，对DMFT使用均值±标准差进行分析，并使用负二项回归来预测由“计数数据”组成的因变量（DMFT）。
年龄较大、女性、失业且无技能、教育程度较低、收入较少且社会经济地位较低、从未看过牙医、刷牙频率较低、整体生活方式较差和中等生活方式的研究对象比其对应人群更容易患龋齿。
龋齿是一种多因素疾病。通过促进健康行为，如每天刷牙两次、定期看牙医、戒除口腔滥用物质成瘾、每天吃早餐、均衡饮食和减轻压力，让患者参与自我护理，可带来整体良好的生活方式。这些因素以及每晚至少睡7 - 8小时、每天工作8 - 9小时和充足的日常锻炼，可能有助于患者在未来几年改善或保护其口腔健康。
