Department of Clinical Dentistry, University of Bergen, Bergen, Norway.
Oral Health Center of Expertise in Western Norway, Bergen, Norway.
Gerodontology. 2023 Sep;40(3):355-362. doi: 10.1111/ger.12663. Epub 2022 Nov 3.
To assess the association between aspects of the dentist-patient relationship at age 65 and Oral Impacts on Daily Performances (OIDP) at ages 65 and 70 and to examine whether dental avoidance behaviours play a role in explaining that association.
Information about the quality of the dentist-patient relationship is important for dental care provision and healthy ageing.
Secondary data analysis of a cohort study of Norwegians born in 1942. The participation rate in 2007 (age 65) and 2012 (age 70) was, respectively, 58.0% (n = 4211) and 54.5% (n = 3733). A total of 70.0% (n = 2947) of the baseline participants responded in 2012. Dentist-patient relationship aspects were assessed in terms of communication with the dentist, satisfaction with dental care, unpleasant experiences and changes of dentist. Generalised Estimating Equations (GEEs) were used to account for repeated measurements.
Prevalence of oral impacts (OIDP) was 29.0% in 2007 and 28.4% in 2012. Participants who received communication on oral hygiene during dental visits had a higher likelihood, whereas participants who reported satisfaction with dental care, no unpleasant experience and did not change dentist had a lower likelihood of reporting oral impacts over these 5 years. Corresponding odds ratios were: 1.2 (95% CI 1.0-1.5), 0.4 (95% CI 0.3-0.5), 0.6 (95% CI 0.5-0.7) and 0.5 (95% CI 0.3-0.6). Associations between dentist-patient relationship aspects and OIDP remained unchanged after adjustment for avoidance behaviours.
Training dentists in relationship skills might improve social interaction with patients and the oral health-related quality of life of older people in Norway.
评估 65 岁时牙医与患者关系的各个方面与 65 岁和 70 岁时日常活动口腔影响（OIDP）之间的关联，并研究是否存在回避行为来解释这种关联。
了解牙医与患者关系的质量对于提供牙科护理和促进健康老龄化非常重要。
这是一项对挪威 1942 年出生队列的二次数据分析。2007 年（65 岁）和 2012 年（70 岁）的参与率分别为 58.0%（n=4211）和 54.5%（n=3733）。基线参与者中有 70.0%（n=2947）在 2012 年回复。使用广义估计方程（GEE）来解释重复测量。
2007 年和 2012 年的口腔影响（OIDP）患病率分别为 29.0%和 28.4%。在看牙医时接受口腔卫生沟通的参与者更有可能报告口腔影响，而对口腔护理满意、没有不愉快经历且没有更换牙医的参与者在这 5 年内报告口腔影响的可能性较低。对应的优势比分别为：1.2（95%CI 1.0-1.5）、0.4（95%CI 0.3-0.5）、0.6（95%CI 0.5-0.7）和 0.5（95%CI 0.3-0.6）。在调整回避行为后，牙医与患者关系的各个方面与 OIDP 之间的关联仍然存在。
培训牙医的沟通技巧可能会改善挪威老年人的社交互动和口腔健康相关的生活质量。
