Sersen Andrés Celis, Celis-Dooner Jorge, Buratovic Juan Pablo Vargas, Mococain Claudio Carrasco, Torres Beatriz Mellado, Ferrer Francisco Moreno, Tagle Elizabeth López, Borroto Duniel Ortuno
Facultad de Odontología, Universidad de los Andes, Santiago, Chile.
Escuela de Odontología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
BMC Oral Health. 2025 Mar 27;25(1):447. doi: 10.1186/s12903-025-05822-9.
Multiple studies have demonstrated the association between Quality of Life (QoL) and the prevalence of caries, periodontitis, and tooth loss. However, the role of the position and location of tooth loss in impacting QoL remains unclear.
To evaluate the association of tooth loss, including anterior losses, with Health-Related Quality of Life (HRQoL) and Oral Health-Related Quality of Life (OHRQoL) in Chileans aged 15 years and older who participated in the ENS 2016-2017.
In this cross-sectional study we included 5473 individuals enrolled in the last Chilean National Health Survey (ENS 2016-2017). HRQoL was measured using the EQ-5D questionnaire, while OHRQoL was assessed through a general question (GQ/ENS) and five specific questions (SQ/ENS). An analysis of variance test was performed to determine how difference or variation in the number(s) of teeth affected their HRQoL. Odds ratios with corresponding 95% confidence intervals were calculated using multinomial logistic regression to determine how and to what degree anterior tooth loss was associated both with HRQOL and OHRQOL in the study sample.
The number of remaining teeth was significantly higher in the 'No problems' group across all EQ-5D dimensions, except Anxiety/Depression. The largest difference was in Self-care, where 'No problems' had a mean of 20.18 compared to 6.43 teeth in the 'Problematic' group. Anxiety/Depression showed higher odds of 'Some problems' with upper anterior tooth loss, while 'Usual Activities' showed higher odds of 'problematic' with lower anterior tooth loss. Participants with an 'Excellent' OHRQoL perception had a mean of 24.32 teeth. Also, upper and lower anterior tooth loss increased the odds of OHRQoL self-perception.
Tooth loss was associated with lower HRQoL and OHRQoL in some groups, with more remaining teeth associated with better outcomes, while anterior tooth loss was- linked to worse self-perceived oral health.
多项研究表明生活质量（QoL）与龋齿、牙周炎及牙齿缺失患病率之间存在关联。然而，牙齿缺失的位置对生活质量的影响作用仍不明确。
评估在参与2016 - 2017年智利全国健康调查（ENS）的15岁及以上智利人中，牙齿缺失（包括前牙缺失）与健康相关生活质量（HRQoL）及口腔健康相关生活质量（OHRQoL）之间的关联。
在这项横断面研究中，我们纳入了参与上一次智利全国健康调查（2016 - 2017年ENS）的5473名个体。使用EQ - 5D问卷测量HRQoL，通过一个一般性问题（GQ/ENS）和五个特定问题（SQ/ENS）评估OHRQoL。进行方差分析以确定牙齿数量的差异或变化如何影响他们的HRQoL。使用多项逻辑回归计算具有相应95%置信区间的比值比，以确定前牙缺失在研究样本中与HRQOL和OHRQOL的关联方式及程度。
在所有EQ - 5D维度中，除焦虑/抑郁维度外，“无问题”组的剩余牙齿数量显著更高。最大差异在于自我护理方面，“无问题”组的平均值为20.18颗牙齿，而“有问题”组为6.43颗。焦虑/抑郁维度显示上前牙缺失出现“有些问题”的几率更高，而“日常活动”维度显示下前牙缺失出现“有问题”的几率更高。OHRQoL感知为“优秀”的参与者平均有24.32颗牙齿。此外，上下前牙缺失增加了OHRQoL自我感知的几率。
在某些群体中，牙齿缺失与较低的HRQoL和OHRQoL相关，剩余牙齿越多结果越好，而前牙缺失与自我感知的口腔健康较差有关。
