Division of Research and Postgraduate Studies, Faculty of Dentistry, University of the Western Cape, Cape Town 7505, South Africa.
Division of Health Systems and Public Health, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.
Int J Environ Res Public Health. 2021 May 8;18(9):4989. doi: 10.3390/ijerph18094989.
(1) Background: Tooth loss is an important component of the global burden of oral disease, greatly reducing the quality of life of those affected. Tooth loss can also affect diet and subsequent incidences of lifestyle diseases, such as hypertension and metabolic syndromes. This study aimed to evaluate the oral health-related quality of life (OHRQoL) score using the oral impacts on daily performance (OIDP) index in relation to tooth loss patterns among adults. (2) Methods: From 2014 to 2016, a cross-sectional study was conducted on adults living in Bellville South, Cape Town, South Africa. The OHRQoL measure was used to evaluate the impact of tooth loss. (3) Results: A total of 1615 participants were included, and 143 (8.85%) had at least one impact (OIDP > 0). Males were less likely to experience at least one impact compared to the females, OR=0.6, 95% C.I.: 0.385 to 0.942, = 0.026. Those participants who did not seek dental help due to financial constraints were 6.54 (4.49 to 9.54) times more likely to experience at least one impact, < 0.001. (4) Conclusions: Tooth loss did not impact the OHRQoL of these subjects. There was no difference in the reported odds for participants experiencing at least one oral impact with the loss of their four anterior teeth, the loss of their posterior occlusal pairs, or the loss of their other teeth.
（1）背景：牙齿缺失是全球口腔疾病负担的一个重要组成部分，极大地降低了受影响人群的生活质量。牙齿缺失还会影响饮食和随后发生的生活方式疾病，如高血压和代谢综合征。本研究旨在评估与成年人牙齿缺失模式相关的口腔健康相关生活质量（OHRQoL）评分，使用口腔影响日常生活功能（OIDP）指数。
（2）方法：2014 年至 2016 年，在南非开普敦贝尔维尔南部对成年人进行了一项横断面研究。使用 OHRQoL 措施来评估牙齿缺失的影响。
（3）结果：共纳入 1615 名参与者，其中 143 名（8.85%）至少有一项影响（OIDP > 0）。与女性相比，男性经历至少一项影响的可能性较小，OR=0.6，95%置信区间：0.385 至 0.942， = 0.026。由于经济限制而不寻求牙科帮助的参与者经历至少一项影响的可能性高 6.54 倍（4.49 至 9.54），< 0.001。
（4）结论：牙齿缺失并未影响这些受试者的 OHRQoL。在报告的至少有一项口腔影响的参与者中，缺失四颗前牙、缺失后牙咬合对或缺失其他牙齿的几率没有差异。
