Institute of Odontology, Faculty of Medicine, Vilnius University, LT-08217 Vilnius, Lithuania.
Department of Oral Health Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Int J Environ Res Public Health. 2022 Jan 5;19(1):582. doi: 10.3390/ijerph19010582.
According to the World Health Organization (WHO) oral conditions may be determined by social, biological, behavioral, and psychosocial factors. The study assessed oral health status and its determinants associated with oral health conditions among adult residents in Vilnius, Lithuania. A total of 453 of 35-74-year-olds participated (response rate 63%). A self-reported questionnaire was administered. Dental caries experience (DMFS score), periodontal probing depth (PPD), andnumber of missing teeth were assessed clinically. Data were analyzed using χ test, independent samples -test, and multivariable linear regression. The mean (sd) of DMFS scores was 67.3 (33.5), the mean (sd) number of teeth with PPD 4+ mm was 5.9 (5.3), prevalence of periodontitis was 33%, the mean (sd) number of missing teeth was 6.9 (6.8), and prevalence of total edentulism was 3.8%. Medication use was associated with all oral health conditions, while age was associated with caries experience, and missing teeth. Sugar-containing diet was associated with caries experience, and missing teeth, and smoking with caries experience and periodontal status. Systemic diseases were associated with periodontal status, while behavioral determinants, last dental visit, and use of fluoridated toothpaste were associated with missing teeth. Oral health status among adult Vilnius residents was poor. Oral conditions were associated with both biological and behavioral determinants. Oral health promotion should focus on modifying behavioral determinants.
根据世界卫生组织(WHO)的说法,口腔状况可能由社会、生物、行为和心理社会因素决定。本研究评估了立陶宛维尔纽斯成年居民的口腔健康状况及其与口腔健康状况相关的决定因素。共有 453 名 35-74 岁的居民参与(应答率为 63%)。采用自报式问卷进行调查。对龋齿情况(DMFS 评分)、牙周探诊深度(PPD)和失牙数进行临床评估。采用卡方检验、独立样本 t 检验和多变量线性回归分析数据。DMFS 评分的平均值(标准差)为 67.3(33.5),PPD 为 4+mm 的牙齿数平均值(标准差)为 5.9(5.3),牙周炎患病率为 33%,平均失牙数(标准差)为 6.9(6.8),总无牙颌患病率为 3.8%。用药与所有口腔健康状况相关,而年龄与龋齿情况和失牙相关。含糖饮食与龋齿情况和失牙相关,吸烟与龋齿情况和牙周状况相关。全身性疾病与牙周状况相关,而行为决定因素、最近一次看牙医和使用含氟牙膏与失牙相关。维尔纽斯成年居民的口腔健康状况较差。口腔状况与生物和行为决定因素均相关。口腔健康促进应侧重于改变行为决定因素。