Klarić Puđa Iva, Goršeta Kristina, Jurić Hrvoje, Soldo Mirko, Marks Luc A M, Majstorović Martina
Health Center-Zagreb Center, Runjaninova 4, 10000 Zagreb, Croatia.
Department of Paediatric Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia.
Clin Pract. 2025 Apr 7;15(4):76. doi: 10.3390/clinpract15040076.
This cohort study examines the relationship between quality of life and oral health in adolescents and young adults in the Zagreb area. The research involved 250 participants aged 14 to 25 from Zagreb. Each participant was examined by an oral medicine doctor using a probe and mirror in a dental unit, and their DMFT (Decayed, Missing, and Filled Teeth) status was determined. Participants also completed questionnaires on their socio-economic status (SES) and the impact of their oral health on quality of life (OHIP-14, Oral Health Impact Profile). Caries was the most common dental issue among adolescents (2.23 ± 2.58), with restoration being the most frequent treatment (54%). Endodontic treatment and tooth extraction were more prevalent among individuals with lower SES (24.1%), who also had worse DMFT scores (8.09 ± 5.56). Prophylaxis was equally distributed across SES and gender. Male patients had more carious teeth (2.75 ± 3.07) than female patients (1.85 ± 2.08), while female patients scored worse on the OHIP-14 scale (10.97 ± 8.77) compared to males (8.81 ± 8.11). Age positively correlated with both OHIP-14 and DMFT scores. Adolescents and young adults in Zagreb, Croatia, exhibited high DMFT and OHIP-14 scores, reflecting significant oral health issues and reduced quality of life, particularly among older individuals and those with lower SES. The association between invasive treatments (e.g., endodontic procedures and extractions) and diminished quality of life underscores the necessity for early preventive measures, including regular dental check-ups and targeted oral health education.
这项队列研究调查了萨格勒布地区青少年和青年的生活质量与口腔健康之间的关系。该研究涉及250名年龄在14至25岁之间来自萨格勒布的参与者。每位参与者在牙科治疗台上由口腔内科医生使用探针和口镜进行检查，并确定其DMFT（龋、失、补牙）状况。参与者还完成了关于其社会经济地位（SES）以及口腔健康对生活质量影响的问卷（OHIP - 14，口腔健康影响程度量表）。龋齿是青少年中最常见的牙齿问题（2.23±2.58），修复是最常见的治疗方式（54%）。牙髓治疗和拔牙在社会经济地位较低的人群中更为普遍（24.1%），这些人的DMFT评分也更差（8.09±5.56）。预防措施在社会经济地位和性别方面分布均匀。男性患者的龋齿（2.75±3.07）比女性患者（1.85±2.08）更多，而女性患者在OHIP - 14量表上的得分（10.97±8.77）比男性（8.81±8.11）更差。年龄与OHIP - 14和DMFT评分均呈正相关。克罗地亚萨格勒布的青少年和青年表现出较高的DMFT和OHIP - 14评分，反映出存在严重的口腔健康问题以及生活质量下降，尤其是在年龄较大的个体和社会经济地位较低的人群中。侵入性治疗（如牙髓治疗和拔牙）与生活质量下降之间的关联凸显了早期预防措施的必要性，包括定期牙科检查和针对性的口腔健康教育。
