. Programa de Pós-Graduação em Medicina e Saúde, Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Salvador (BA) Brasil.
. Programa para o Controle da Asma na Bahia - ProAR - Universidade Federal da Bahia, Salvador (BA) Brasil.
J Bras Pneumol. 2020 Nov 6;47(1):e20200117. doi: 10.36416/1806-3756/e20200117. eCollection 2020.
To evaluate oral health-related quality of life (OHRQoL) among individuals with severe asthma, comparing it with that observed among individuals with mild-to-moderate asthma and individuals without asthma.
We conducted a cross-sectional study of 125 individuals: 40 with severe asthma; 35 with mild-to-moderate asthma; and 50 without asthma. We calculated the decayed, missing, and filled teeth (DMFT) index, as well as the Periodontal Screening and Recording index, and determined the stimulated salivary flow rate. We applied three structured questionnaires: the 14-item Oral Health Impact Profile (OHIP-14); the Medical Outcomes Study 36-Item Short-Form Health Survey, version 2 (SF-36v2); and the Work Ability Index (WAI).
Periodontitis and reduced salivary flow were both more common in the severe asthma group than in the mild-to-moderate asthma and no-asthma groups. In addition, the WAI scores were lower in the severe asthma group than in the mild-to-moderate asthma and no-asthma groups, as were the scores for all SF-36v2 domains. The individuals with severe asthma also scored lower for the OHIP-14 domains than did those without asthma. Although the mean DMFT index did not differ significantly among the groups, the mean number of missing teeth was highest in the severe asthma group. Strong correlations between the SF-36v2 Component Summaries and poorer OHRQoL were only observed in the severe asthma group.
Severe asthma appears to be associated with poorer oral health, poorer OHRQoL, a lower WAI, and lower scores for SF-36v2 domains.
评估严重哮喘患者的口腔健康相关生活质量（OHRQoL），并与轻度至中度哮喘患者和无哮喘患者进行比较。
我们进行了一项横断面研究，共纳入 125 名参与者：40 名严重哮喘患者、35 名轻度至中度哮喘患者和 50 名无哮喘患者。我们计算了龋齿、失牙和补牙（DMFT）指数、牙周筛查和记录指数以及刺激唾液流率。我们应用了三个结构化问卷：14 项口腔健康影响量表（OHIP-14）、医疗结局研究 36 项短式健康调查问卷，第 2 版（SF-36v2）和工作能力指数（WAI）。
与轻度至中度哮喘和无哮喘组相比，严重哮喘组更常见牙周炎和唾液流量减少。此外，严重哮喘组的 WAI 评分低于轻度至中度哮喘和无哮喘组，SF-36v2 所有领域的评分也较低。严重哮喘组的 OHIP-14 各领域评分也低于无哮喘组。尽管各组间 DMFT 指数无显著差异，但严重哮喘组缺牙数最高。仅在严重哮喘组中观察到 SF-36v2 成分摘要与较差的 OHRQoL 之间存在强相关性。
严重哮喘似乎与较差的口腔健康、较差的 OHRQoL、较低的 WAI 和 SF-36v2 领域评分相关。
