Sardari Farimah, Sharifi Zeinab, Salari Sedigh Somaye, Khalili Parvin, Jamali Zahra, Ayoobi Fatemeh, Esmaeili-Nadimi Ali, Kamalabadi Yasaman Mohammadi, Sadeghi Tabandeh, Jalali Zahra, Shamsizadeh Ali, Vosoughi Ehsan, Movagharipoor Atekeh, Tavakolinejad Zahra, Kamyab Nazanin, Mollaie Najmeh, Salehi Negar, Vakilian Alireza, Ahmadi Jafar, Abbasifard Mitra, Hakimi Hamid
Department of Oral Medicine, Dental School, Non-communicable Diseases Research Center Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Department of Pediateric Dentistry, Dental School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Prev Med Rep. 2023 Nov 11;36:102513. doi: 10.1016/j.pmedr.2023.102513. eCollection 2023 Dec.
Oral health status can be affected by some factors including drug abuse, systemic conditions and environmental pollutants. The present study was designed to investigate the most important and prevalent dental and oral conditions in adult population of Rafsanjan with the age of 35-70 years. Dental and oral health cohort center as part of the Rafsanjan Cohort Study (RCS) included in the prospective epidemiological research studies in IrAN was established in 2015. Of 9991 subjects enrolled in the RCS, 8682 people participated in the Oral Health Branch of Rafsanjan Cohort Study (OHBRCS). The OHBRCS included 4021 men and 4661 women with the mean age of 49.94 ± 9.51. The most prevalent of oral lesion in total population was candidiasis and the least was aphthous lesion. The prevalence of candidiasis, white and red lesions, periodontal pocket, dental calculus, CAL and the mean of DMFT were higher in the male group than that of female group (p < 0.05). Candidiasis, herpes, oral cancer, white and red lesions were more prevalent in the older age groups (p < 0.05). The mean of DMFT index in total population was 21.30 and was higher among opium users, men and older age (p < 0.05). Also, the opium users had a higher rate of CAL, periodontal pocket, red and white lesions, and candidiasis but a lower rate of BOP (p < 0.05). Younger people had more decayed and filling teeth compared to other age groups, whereas older people had more missing teeth and a higher DMFT index (p < 0.001).
口腔健康状况会受到一些因素的影响，包括药物滥用、全身状况和环境污染物。本研究旨在调查拉夫桑贾年龄在35至70岁的成年人群中最重要和最普遍的牙齿及口腔疾病。作为伊朗前瞻性流行病学研究一部分的拉夫桑贾队列研究（RCS）中的牙齿与口腔健康队列中心于2015年成立。在参与RCS的9991名受试者中，有8682人参加了拉夫桑贾队列研究口腔健康分支（OHBRCS）。OHBRCS包括4021名男性和4661名女性，平均年龄为49.94±9.51岁。总体人群中最常见的口腔病变是念珠菌病，最少见的是阿弗他病变。男性组念珠菌病、白色和红色病变、牙周袋、牙结石、临床附着丧失（CAL）的患病率以及龋失补牙面均值（DMFT）均高于女性组（p<0.05）。念珠菌病、疱疹、口腔癌、白色和红色病变在老年组中更为普遍（p<0.05）。总体人群的DMFT指数均值为21.30，在阿片类使用者、男性和老年人群中更高（p<0.05）。此外，阿片类使用者的CAL、牙周袋、红色和白色病变以及念珠菌病的发生率较高，但探诊出血（BOP）发生率较低（p<0.05）。与其他年龄组相比，年轻人的龋齿和补牙较多，而老年人的缺牙较多且DMFT指数较高（p<0.001）。
