口腔疾病症状和体征聚类在哥伦比亚人群中的表现。

Clustering of Signs and Symptoms of Oral Diseases in a Colombian Population.

机构信息

School of Dentistry, Universidad Cooperativa de Colombia, Pasto, Colombia; Escuela Internacional de Doctorado, Universidad Rey Juan Carlos, Madrid, Spain.

Department of Oral Diagnostics, Digital Health and Health Services Research, Charité Universitätsmedizin Berlin, Berlin, Germany.

出版信息

Int Dent J. 2023 Feb;73(1):48-55. doi: 10.1016/j.identj.2022.06.007. Epub 2022 Jul 16.

DOI:10.1016/j.identj.2022.06.007

PMID:35851446

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9875264/

Abstract

OBJECTIVE

The aim of this study was to estimate disease pattern clusters and co-occurrences of oral signs and symptoms in a Colombian population.

METHODS

A cross-sectional study was carried out through a telephone survey amongst 1155 people registered in the telephone directory from Pasto, Colombia. The calls were made from July to November 2019. A 14-item self-report questionnaire about signs and symptoms related to oral diseases that included sociodemographic characteristics was employed. Descriptive and multivariable analyses such as hierarchical clustering, multidimensional scaling, and generalized linear models were used to determine co-occurrences in different sex and age strata.

RESULTS

Age- and condition-specific clusters of signs and symptoms were identified, while sex differences were limited. Calculus and denture sore mouth were related in 18- to 34-year-olds; tooth loss and calculus in 35- to 54-year-olds, and teeth holes or pits (dental caries) and dental abscess in those aged 55 years and older. We found stronger associations between periodontal disease (bleeding gums) and dental caries (odds ratio [OR], 2.484; 95% confidence interval [CI], 1.812-3.405; P < .001) as well as grinding/clenching and facial tension (OR, 7.162; 95% CI, 5.227-9.814; P < .001).

CONCLUSIONS

Age-specific clustering of signs and symptoms and diagnostic patterns wer present in ths Colombian cohort.

摘要

目的

本研究旨在估计哥伦比亚人群中口腔体征和症状的疾病模式聚类和共现。

方法

这是一项横断面研究，通过电话调查对来自哥伦比亚帕斯托市电话簿中登记的 1155 人进行。调查于 2019 年 7 月至 11 月进行。采用包括社会人口学特征的 14 项与口腔疾病相关的体征和症状的自我报告问卷。采用描述性和多变量分析，如层次聚类、多维标度和广义线性模型，以确定不同性别和年龄层次的共现情况。

结果

确定了与年龄和条件相关的体征和症状聚类，而性别差异有限。牙石和义齿性口炎在 18 至 34 岁人群中相关；牙齿缺失和牙石在 35 至 54 岁人群中相关，而牙齿空洞或凹陷（龋齿）和牙周脓肿在 55 岁及以上人群中相关。我们发现牙周病（牙龈出血）与龋齿（比值比 [OR]，2.484；95%置信区间 [CI]，1.812-3.405；P<0.001）以及磨牙/紧咬牙与面部紧张（OR，7.162；95% CI，5.227-9.814；P<0.001）之间存在更强的关联。