de Kuijper-Timmermans Emmanuelle, Blokland Lieke, de Kuijper Maurits, Kalaykova Stanimira, Zillikens M Carola, Appelman-Dijkstra Natasha M, Gooijer Koert, Harsevoort Arjan, Janus Guus J M
Vogellanden Center of Rehabilitation Medicine & Special Care in Dentistry, Zwolle, The Netherlands.
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Oral Dis. 2025 Mar;31(3):983-992. doi: 10.1111/odi.15163. Epub 2024 Oct 22.
To explore the oral health-related quality of life and its possible risk factors among adults with Osteogenesis Imperfecta using the Oral Health Impact Profile (OHIP)-49 questionnaire. Secondary objectives were to investigate the impact of self-reported Osteogenesis Imperfecta, Dentinogenesis Imperfecta, and age on various dental parameters.
A cross-sectional questionnaire was distributed online to 417 Dutch adults with Osteogenesis Imperfecta at three national referral centers. Multivariate linear regression was performed to identify indicators for OHIP-49 Scores. The effect of Osteogenesis Imperfecta, Dentinogenesis Imperfecta, and age on various dental parameters was investigated using logistic regressions (p < 0.05).
One hundred and fifty-five questionnaires (37.2%) were suitable for analysis. Osteogenesis Imperfecta type III was significantly associated with higher OHIP-49 scores as compared to type I. Symptoms of temporomandibular disorders, missing teeth or dentures also increased the OHIP-49 scores significantly. Osteogenesis Imperfecta type IV and increasing age were associated with missing teeth. There was a 31.94 times (95% CI: 8.56-119.13) higher odds of tooth fracture with self-reported Dentinogenesis Imperfecta.
Adults with Osteogenesis Imperfecta type III report a lower oral health-related quality of life compared to Osteogenesis Imperfecta type I adults.
使用口腔健康影响程度量表(OHIP)-49问卷,探究成骨不全症成年患者的口腔健康相关生活质量及其可能的风险因素。次要目的是调查自我报告的成骨不全症、牙本质生成不全症和年龄对各项牙科参数的影响。
向三个国家转诊中心的417名荷兰成骨不全症成年患者在线发放横断面问卷。进行多元线性回归以确定OHIP-49评分的指标。使用逻辑回归分析成骨不全症、牙本质生成不全症和年龄对各项牙科参数的影响(p < 0.05)。
155份问卷(37.2%)适合分析。与I型相比,III型成骨不全症与更高的OHIP-49评分显著相关。颞下颌关节紊乱症状、缺牙或戴假牙也显著增加了OHIP-49评分。IV型成骨不全症和年龄增长与缺牙有关。自我报告有牙本质生成不全症时,牙齿骨折的几率高出31.94倍(95%置信区间:8.56 - 119.13)。
与I型成骨不全症成年患者相比,III型成骨不全症成年患者报告的口腔健康相关生活质量较低。