Department of Periodontology, U.F.R. d'Odontologie, Université Paris Cité, 5 rue Garancière, 75006, Paris, France.
Service d'Odontologie, Oral and Periodontal Surgery Unit, Rothschild University Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), 5 rue Santerre, 75012, Paris, France.
Clin Oral Investig. 2024 Sep 7;28(10):518. doi: 10.1007/s00784-024-05903-z.
Little is known about oral hygiene habits of patients suffering from chronic diseases. This study aims to describe oral hygiene behavior (OHB) in terms of tooth brushing and professional scaling frequency among patients with chronic diseases. Secondarily, it aims to assess the association between OHB and periodontitis, tooth loss, and oral health-related quality of life (OHRQoL).
This is a cross-sectional analysis of data of adult participants in the ComPaRe e-cohort. Participants were classified into having good, moderate, and poor OHB according to self-reported frequency of toothbrushing and professional tooth scaling. Periodontitis was assessed using the PEriodontal Screening Score (PESS). Weighted binary regression models were used to estimate the association between OHB and the following outcomes: (i) periodontitis; (ii) number of missing teeth; and (iii) OHRQoL based on the Oral Health Impact Profile-14.
Overall, 8553 patients were included in the analyses (52.9% females, mean age of 56.3 ± 17 years). Of these, 2907 (34%), 3953 (46%) and 1693 (20%) were considered as having good, moderate, and poor OHB, respectively. Over half (54.1%) of the patients had a PESS ≥ 5 suggestive for severe periodontitis. Moderate OHB was associated with lower odds of PESS ≥ 5 compared to poor OHB (Adjusted Odds Ratio, OR = 0.81 [95%CI: 0.70-0.92]). Good and moderate OHB were significantly associated with lower odds of ≥ 10 missing teeth (OR = 0.26 [95%CI: 0.21-0.33] and OR = 0.47 [95%CI: 0.4-0.56], respectively) and better OHRQoL than poor OHB.
Although, most of patients with chronic diseases reported to have good or moderate OHB, severe periodontitis is highly prevalent among this patient population in France.
This study describes OHB in a representative sample of patients suffering from one or more chronic diseases and provides an estimate of the prevalence of self-reported severe periodontitis, missing teeth, and OHRQoL.
人们对慢性病患者的口腔卫生习惯知之甚少。本研究旨在描述慢性病患者的口腔卫生行为（OHB），包括刷牙和专业洁牙的频率。其次，评估 OHB 与牙周炎、牙齿缺失和口腔健康相关生活质量（OHRQoL）之间的关系。
这是对 ComPaRe e 队列中成年参与者进行的横断面分析。根据自我报告的刷牙和专业洁牙频率，参与者被分为口腔卫生行为良好、中等和差。使用牙周筛查评分（PESS）评估牙周炎。使用加权二项回归模型估计 OHB 与以下结果之间的关系：（i）牙周炎；（ii）缺失牙齿数量；和（iii）基于口腔健康影响概况-14 的 OHRQoL。
共有 8553 名患者纳入分析（52.9%为女性，平均年龄 56.3±17 岁）。其中，2907（34%）、3953（46%）和 1693（20%）分别被认为具有良好、中等和差的口腔卫生行为。超过一半（54.1%）的患者 PESS≥5，提示患有严重牙周炎。与差的口腔卫生行为相比，中等口腔卫生行为与 PESS≥5 的可能性较低相关（调整后的优势比，OR=0.81 [95%CI：0.70-0.92]）。良好和中等的口腔卫生行为与缺失≥10 颗牙齿的可能性较低显著相关（OR=0.26 [95%CI：0.21-0.33]和 OR=0.47 [95%CI：0.4-0.56]），并且与差的口腔卫生行为相比，OHRQoL 更好。
尽管患有慢性疾病的大多数患者报告具有良好或中等的口腔卫生行为，但法国该患者人群中严重牙周炎的患病率仍然很高。
本研究描述了代表性的患有一种或多种慢性疾病的患者的口腔卫生行为，并提供了自我报告的严重牙周炎、缺失牙齿和 OHRQoL 的患病率估计。
