Ibrahim Suzan Seif Allah, Al-Bahrawy Mohammed, Zahran Aya Hosny Taha
Periodontology and Oral Diagnosis, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.
Periodontology and Oral Diagnosis Faculty of Oral and Dental Medicine, Nahda University, Beni Suef, Egypt.
BMC Oral Health. 2025 Jul 10;25(1):1140. doi: 10.1186/s12903-025-06376-6.
This study investigated the prevalence, risk indicators, and impact of periodontitis on oral health-related quality of life (OHRQOL) among Egyptian geriatric patients. This study aims to provide insights into the broader implications of this disease for quality of life by assessing functional, psychological, and social domains.
A cross-sectional study was conducted among 400 Egyptian participants aged 60 years and older recruited from Ain Shams University's outpatient clinics and the Ministry of Health dental research centers. Sociodemographic and behavioral data were collected via structured questionnaires, whereas OHRQOL was evaluated using the OHIP-14 tool. Clinical periodontal assessments adhered to the 2017 World Workshop classification. Logistic regression was applied to identify associations between periodontitis severity, risk indicators, and OHRQOL impacts.
Among the participants, 66.5% (N = 266) reported a negative impact on OHRQOL, predominantly due to psychological discomfort, physical pain, and disability. Stages II (40%) and III (36.2%) periodontitis were the most prevalent, with PPD Mean ± SD 4.95 ± 1.38, CAL Mean ± SD 4.21 ± 1.38. The key risk factors for severe periodontitis included being male, being older, being less educated, being a smoker, and having diabetes. The study also revealed that irregular tooth brushing, residence in specific urban locations, and advanced periodontitis stages were significantly associated with poorer OHRQOL.
Periodontitis adversely affects OHRQOL among Egyptian elderly individuals, with the psychological and physical domains being the most affected. These findings underscore the need for targeted public health strategies and personalized interventions to mitigate the burden of periodontal disease in this population.
本研究调查了埃及老年患者牙周炎的患病率、风险指标及其对口腔健康相关生活质量（OHRQOL）的影响。本研究旨在通过评估功能、心理和社会领域，深入了解该疾病对生活质量的更广泛影响。
对从艾因夏姆斯大学门诊和卫生部牙科研究中心招募的400名60岁及以上的埃及参与者进行了一项横断面研究。通过结构化问卷收集社会人口学和行为数据，而OHRQOL则使用OHIP-14工具进行评估。临床牙周评估遵循2017年世界研讨会分类标准。应用逻辑回归分析来确定牙周炎严重程度、风险指标与OHRQOL影响之间的关联。
在参与者中，66.5%（N = 266）报告OHRQOL受到负面影响，主要原因是心理不适、身体疼痛和功能障碍。II期（40%）和III期（36.2%）牙周炎最为常见，探诊深度均值±标准差为4.95±1.38，临床附着丧失均值±标准差为4.21±1.38。重度牙周炎的主要风险因素包括男性、年龄较大、受教育程度较低、吸烟和患有糖尿病。研究还表明，刷牙不规律、居住在特定城市地区以及牙周炎晚期与较差的OHRQOL显著相关。
牙周炎对埃及老年人的OHRQOL有不利影响，其中心理和身体领域受影响最大。这些发现强调了需要有针对性的公共卫生策略和个性化干预措施，以减轻该人群牙周疾病的负担。
