Bukhari Omair M
Umm Alqura University, Faculty of Dentistry, 2373 Al Awali, Makkah 24381, Saudi Arabia.
Saudi Dent J. 2020 Dec;32(8):382-389. doi: 10.1016/j.sdentj.2019.11.003. Epub 2019 Nov 20.
To evaluate effect of dental caries experience and untreated dental decay on Oral Health-Related Quality of Life (OHRQoL) in working adults.
The clinical records of 160 patients were reviewed. Dental health indicators were derived from individual tooth- and surface-level data allowing for calculating the number of decayed surfaces (D), number of decayed missed filled surfaces (DMFS), and significant caries (SiC) indices. A questionnaire was administered to verify demographic factors and OHRQoL. The questionnaire was administered via face-to-face interview, for patients in the hospital; or via telephone interview, for those who could not complete it during their hospital visit. Models were developed using multivariable linear regression to predict total OHIP-14 scores and examine the simultaneous association of independent and outcome variables. The model was adjusted for age, gender, and nationality..
Physical limitation and psychological discomfort were the most frequent impacted domains, affecting 17.1% and 7.5% of subjects, respectively. Painful aching was the most frequent item to have any impact, affecting 64.4% of the subjects. The results of multivariable analysis indicated that the SiC score could statistically significantly predict the Oral Health Impact Profile (OHIP) score, P=0.0003. In the linear regression model, for participants with DMFS equal to or higher than the SiC, on average, OHIP scores were almost 10 points higher than for participants with DMFS below the SiC.
The more the dental decay the higher the impact on OHRQoL. From a dental public health perspective, using OHRQoL as a need assessment tool, along with dental clinical indicator, can be helpful in planning and targeting public health programs for the most in-need adult populations.
This study identified that patients with severe dental caries report poorer OHRQoL. Clinicians should be aware of impacts that dental decay may have on OHRQoL, including physical, psychological concerns, and pain.
评估在职成年人的龋齿经历和未经治疗的龋齿对口腔健康相关生活质量（OHRQoL）的影响。
回顾了160例患者的临床记录。牙齿健康指标来自个体牙齿和表面水平的数据，可用于计算龋坏表面数（D）、龋失补牙面数（DMFS）和严重龋齿（SiC）指数。采用问卷调查来核实人口统计学因素和OHRQoL。对于住院患者，通过面对面访谈进行问卷调查；对于那些在住院期间无法完成问卷调查的患者，则通过电话访谈进行。使用多变量线性回归建立模型，以预测OHIP - 14总分，并检验自变量和结果变量之间的同时关联。该模型针对年龄、性别和国籍进行了调整。
身体受限和心理不适是最常受影响的领域，分别影响了17.1%和7.5%的受试者。疼痛酸痛是最常产生影响的项目，影响了64.4%的受试者。多变量分析结果表明，SiC评分能够在统计学上显著预测口腔健康影响量表（OHIP）评分，P = 0.0003。在线性回归模型中，对于DMFS等于或高于SiC的参与者，OHIP评分平均比DMFS低于SiC的参与者高出近10分。
龋齿越多，对OHRQoL的影响越大。从口腔公共卫生的角度来看，将OHRQoL作为一种需求评估工具，与口腔临床指标一起，有助于为最需要的成年人群体规划和定位公共卫生项目。
本研究发现，患有严重龋齿的患者报告的OHRQoL较差。临床医生应意识到龋齿可能对OHRQoL产生的影响，包括身体、心理方面的问题以及疼痛。
