Faculty of Dentistry, Complutense University, Pza. Ramon y Cajal, Moncloa-Aravaca, Madrid, Spain.
Department of Orthodontics, Faculty of Dentistry, University of Toronto, Toronto, Canada.
Orphanet J Rare Dis. 2024 Mar 8;19(1):108. doi: 10.1186/s13023-024-03096-y.
Osteogenesis imperfecta (OI) affects dental and craniofacial development; therefore, it can influence oral health-related quality of life (OHRQoL). The objective of this study was to explore the influence of the severity of OI on OHRQoL in adults older than eighteen years residing in Spain.
Adults with OI were recruited from the Spanish Association of Crystal Bone (AHUCE) foundation. OHRQoL was evaluated using the Spanish version of the Oral Health Impact Profile questionnaire (OHIP-14sp), oral hygiene habits, and a dental care survey. Clinical and radiological dental examinations were performed to evaluate the patients' oral conditions.
A total of 65 adults (n = 46 females) aged between nineteen and sixty-two years who were diagnosed with OI and classified as type I, III, and IV (n = 20, 14, and 31, respectively) participated in this research. The total OHIP-14sp scores were significantly greater (worse) for type III (23 [SD = 10]) and type IV (21.4 [SD = 12]) than for type I (13.8 [SD = 6]) (P < 0.05). The negative impact of OHRQoL was due to the association of type III OI with all domains except for the handicap domain, while type IV OI was associated with the physical disability, social disability, and handicap domains (P < 0.05 for all).
The severity of OI negatively impacted OHRQoL in adults. This association was statistically significant.
成骨不全症(OI)会影响牙齿和颅面发育,从而影响口腔健康相关生活质量(OHRQoL)。本研究旨在探讨西班牙成年 OI 患者严重程度对 OHRQoL 的影响。
从西班牙水晶骨协会(AHUCE)基金会招募 OI 成年患者。采用西班牙版口腔健康影响简表(OHIP-14sp)评估 OHRQoL,评估口腔卫生习惯和口腔保健情况。进行临床和放射学牙科检查,以评估患者的口腔状况。
共纳入 65 名 19 至 62 岁的 OI 成年患者(46 名女性),分别诊断为 I 型、III 型和 IV 型(n = 20、14 和 31)。III 型(23 [SD = 10])和 IV 型(21.4 [SD = 12])的 OHIP-14sp 总分显著高于 I 型(13.8 [SD = 6])(P < 0.05)。OHRQoL 的负面影响归因于 III 型 OI 与除障碍维度之外的所有其他维度相关,而 IV 型 OI 与生理障碍、社会障碍和障碍维度相关(所有维度 P < 0.05)。
OI 严重程度对成年患者的 OHRQoL 有负面影响,这种关联具有统计学意义。