Doder Filip, Vranić Lara, Šimunović Luka
Special Hospital for Respiratory Diseases, Zagreb, Croatia.
Dubrava University hospital, Zagreb, Croatia.
Acta Clin Croat. 2024 Oct;63(2):376-383. doi: 10.20471/acc.2024.63.02.14.
The aim is to point to oral health status in patients suffering from chronic obstructive pulmonary disease (COPD). The study included 106 patients diagnosed with COPD who were treated at the Special Hospital for Pulmonary Diseases, Zagreb, Croatia. The World Health Organization questionnaire for oral health in adults was used as a validated measure to assess oral health. Results were compared based on the severity of the disease according to the GOLD classification, long term oxygen therapy, and their smoking habits. Most patients (61.3%) had less than 10 teeth. Also, 82.2% of the patients had problems with their oral health in the previous year. More than half of the patients (55.7%) ranked the status of their oral cavity and teeth as average or worse, whereas 58.5% of the patients ranked their gingival status as good or better. Also, 55.7% of the patients brushed their teeth once a day or less, which was more pronounced in men. The same percentage of the patients did not know whether their toothpaste contained fluoride. Sixty-seven percent of the patients were former smokers, while the rest were active smokers. Smokers reported more frequent feeling of shame and tension because of the appearance of their teeth in relation to non-smokers. Patients with advanced stages of COPD are more likely to report problems with eating and chewing food compared to patients with less advanced stages of the disease. According to the results, further systematic education of COPD patients is crucial in promoting the importance of oral health.
目的是指出慢性阻塞性肺疾病（COPD）患者的口腔健康状况。该研究纳入了106名被诊断为COPD的患者，他们在克罗地亚萨格勒布的肺病专科医院接受治疗。采用世界卫生组织成人口腔健康问卷作为评估口腔健康的有效指标。根据慢性阻塞性肺疾病全球倡议（GOLD）分类法、长期氧疗情况以及吸烟习惯，对疾病严重程度不同的患者的结果进行了比较。大多数患者（61.3%）牙齿数量不足10颗。此外，82.2%的患者在前一年存在口腔健康问题。超过一半的患者（55.7%）将口腔和牙齿状况评为中等或更差，而58.5%的患者将牙龈状况评为良好或更好。同样，55.7%的患者每天刷牙一次或更少，男性更为明显。相同比例的患者不知道他们的牙膏是否含氟。67%的患者为既往吸烟者，其余为当前吸烟者。与不吸烟者相比，吸烟者因牙齿外观更频繁地感到羞耻和紧张。与疾病较轻阶段的患者相比，COPD晚期患者更有可能报告进食和咀嚼食物存在问题。根据研究结果，对COPD患者进行进一步的系统教育对于提升口腔健康的重要性至关重要。
