Functional dental status and oral health-related quality of life in an over 40 years old Chinese population
Identifieur interne : 003257 ( Main/Exploration ); précédent : 003256; suivant : 003258Functional dental status and oral health-related quality of life in an over 40 years old Chinese population
Auteurs : Qian Zhang [République populaire de Chine] ; Dick J. Witter [Pays-Bas] ; Anneloes E. Gerritsen [Pays-Bas] ; Ewald M. Bronkhorst [Pays-Bas] ; Nico H. J. Creugers [Pays-Bas]Source :
- Clinical Oral Investigations [ 1432-6981 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Attitude envers la santé, Chine, Classe sociale, Denture, Femelle, Humains, Mâchoire partiellement édentée (), Mâchoire partiellement édentée (psychologie), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Perte dentaire (), Perte dentaire (psychologie), Perte dentaire (rééducation et réadaptation), Prothèse dentaire partielle amovible (psychologie), Prothèse partielle fixe (psychologie), Qualité de vie, Santé en zone urbaine, Santé buccodentaire, Santé en zone rurale, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
- MESH :
- psychologie : Mâchoire partiellement édentée, Perte dentaire, Prothèse dentaire partielle amovible, Prothèse partielle fixe.
- rééducation et réadaptation : Mâchoire partiellement édentée, Perte dentaire.
- Adulte, Adulte d'âge moyen, Attitude envers la santé, Chine, Classe sociale, Denture, Femelle, Humains, Mâchoire partiellement édentée, Mâle, Perte dentaire, Qualité de vie, Santé en zone urbaine, Santé buccodentaire, Santé en zone rurale, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
- Wicri :
- geographic : République populaire de Chine.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Attitude to Health, China, Cross-Sectional Studies, Dentition, Denture, Partial, Fixed (psychology), Denture, Partial, Removable (psychology), Female, Humans, Jaw, Edentulous, Partially (classification), Jaw, Edentulous, Partially (psychology), Jaw, Edentulous, Partially (rehabilitation), Male, Middle Aged, Oral Health, Quality of Life, Rural Health, Social Class, Tooth Loss (classification), Tooth Loss (psychology), Tooth Loss (rehabilitation), Urban Health.
- MESH :
- geographic : China.
- classification : Jaw, Edentulous, Partially, Tooth Loss.
- psychology : Denture, Partial, Fixed, Denture, Partial, Removable, Jaw, Edentulous, Partially, Tooth Loss.
- rehabilitation : Jaw, Edentulous, Partially, Tooth Loss.
- Adult, Aged, Aged, 80 and over, Attitude to Health, Cross-Sectional Studies, Dentition, Female, Humans, Male, Middle Aged, Oral Health, Quality of Life, Rural Health, Social Class, Urban Health.
Abstract
This study aimed to assess oral health-related quality of life (OHRQoL) related to dental status.
One thousand four hundred sixty-two Chinese subjects over 40 years, dentate in both jaws, were categorized in a hierarchical functional classification system with and without tooth replacements. OHIP-14CN scores were used to assess OHRQoL and analyzed using multivariable logistic regression including five dental conditions (‘≥10 teeth in each jaw’; ‘complete anterior regions’; ‘sufficient premolar regions’ (≥3 posterior occluding pairs (POPs)); ‘sufficient molar regions’ (bilaterally ≥1 POP); and tooth replacement) after adjustment for five background variables. Likelihood ratios for impaired OHRQoL (OHIP total score ≥5) were assessed at each level of the classification system.
In the hierarchical scheme, OHIP-14CN total scores were highest in branch ‘<10 teeth in each jaw’ (8.5 ± 9.5 to 12.3 ± 13.2). In branch ‘≥10 teeth’ scores ranged from 6.2 ± 7.7 to 8.3 ± 9.3. The most important dental condition discriminating for impact on OHRQoL was ‘≥10 teeth in each jaw’ (Likelihood ratio 1.59). In this branch subsequent levels were discriminative for impaired OHRQoL (Likelihoods 1.29–1.69), in the branch ‘<10 teeth in each jaw’ they were not (Likelihoods 0.99–1.04). Tooth replacements were perceived poorer as their natural counterparts (odd ratios, 1.30 for fixed and 1.47 for removable appliances).
OHRQoL was strongly associated with the presence of at least 10 teeth in each jaw. The hierarchical classification system predicted approximately 60 % of subjects correctly with respect to impaired OHRQoL.
From an OHRQoL perspective, natural teeth were preferred over artificial teeth.
Url:
DOI: 10.1007/s00784-012-0834-x
PubMed: 23015025
PubMed Central: 3691481
Affiliations:
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Le document en format XML
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Witter</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen</wicri:regionArea><wicri:noRegion>6525 EX Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Gerritsen, Anneloes E" sort="Gerritsen, Anneloes E" uniqKey="Gerritsen A" first="Anneloes E." last="Gerritsen">Anneloes E. Gerritsen</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen</wicri:regionArea><wicri:noRegion>6525 EX Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Bronkhorst, Ewald M" sort="Bronkhorst, Ewald M" uniqKey="Bronkhorst E" first="Ewald M." last="Bronkhorst">Ewald M. Bronkhorst</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Preventive and Restorative Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Preventive and Restorative Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen</wicri:regionArea><wicri:noRegion>6525 EX Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Creugers, Nico H J" sort="Creugers, Nico H J" uniqKey="Creugers N" first="Nico H. J." last="Creugers">Nico H. J. Creugers</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen</wicri:regionArea><wicri:noRegion>6525 EX Nijmegen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical Oral Investigations</title><idno type="ISSN">1432-6981</idno><idno type="eISSN">1436-3771</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Attitude to Health</term><term>China</term><term>Cross-Sectional Studies</term><term>Dentition</term><term>Denture, Partial, Fixed (psychology)</term><term>Denture, Partial, Removable (psychology)</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous, Partially (classification)</term><term>Jaw, Edentulous, Partially (psychology)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Male</term><term>Middle Aged</term><term>Oral Health</term><term>Quality of Life</term><term>Rural Health</term><term>Social Class</term><term>Tooth Loss (classification)</term><term>Tooth Loss (psychology)</term><term>Tooth Loss (rehabilitation)</term><term>Urban Health</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude envers la santé</term><term>Chine</term><term>Classe sociale</term><term>Denture</term><term>Femelle</term><term>Humains</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire partiellement édentée (psychologie)</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Perte dentaire ()</term><term>Perte dentaire (psychologie)</term><term>Perte dentaire (rééducation et réadaptation)</term><term>Prothèse dentaire partielle amovible (psychologie)</term><term>Prothèse partielle fixe (psychologie)</term><term>Qualité de vie</term><term>Santé en zone urbaine</term><term>Santé buccodentaire</term><term>Santé en zone rurale</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>China</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Perte dentaire</term><term>Prothèse dentaire partielle amovible</term><term>Prothèse partielle fixe</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Denture, Partial, Fixed</term><term>Denture, Partial, Removable</term><term>Jaw, Edentulous, Partially</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Perte dentaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Attitude to Health</term><term>Cross-Sectional Studies</term><term>Dentition</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Oral Health</term><term>Quality of Life</term><term>Rural Health</term><term>Social Class</term><term>Urban Health</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude envers la santé</term><term>Chine</term><term>Classe sociale</term><term>Denture</term><term>Femelle</term><term>Humains</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Perte dentaire</term><term>Qualité de vie</term><term>Santé en zone urbaine</term><term>Santé buccodentaire</term><term>Santé en zone rurale</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>République populaire de Chine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>This study aimed to assess oral health-related quality of life (OHRQoL) related to dental status.</p></sec><sec><title>Material and methods</title><p>One thousand four hundred sixty-two Chinese subjects over 40 years, dentate in both jaws, were categorized in a hierarchical functional classification system with and without tooth replacements. OHIP-14CN scores were used to assess OHRQoL and analyzed using multivariable logistic regression including five dental conditions (‘≥10 teeth in each jaw’; ‘complete anterior regions’; ‘sufficient premolar regions’ (≥3 posterior occluding pairs (POPs)); ‘sufficient molar regions’ (bilaterally ≥1 POP); and tooth replacement) after adjustment for five background variables. Likelihood ratios for impaired OHRQoL (OHIP total score ≥5) were assessed at each level of the classification system.</p></sec><sec><title>Results</title><p>In the hierarchical scheme, OHIP-14CN total scores were highest in branch ‘<10 teeth in each jaw’ (8.5 ± 9.5 to 12.3 ± 13.2). In branch ‘≥10 teeth’ scores ranged from 6.2 ± 7.7 to 8.3 ± 9.3. The most important dental condition discriminating for impact on OHRQoL was ‘≥10 teeth in each jaw’ (Likelihood ratio 1.59). In this branch subsequent levels were discriminative for impaired OHRQoL (Likelihoods 1.29–1.69), in the branch ‘<10 teeth in each jaw’ they were not (Likelihoods 0.99–1.04). Tooth replacements were perceived poorer as their natural counterparts (odd ratios, 1.30 for fixed and 1.47 for removable appliances).</p></sec><sec><title>Conclusions</title><p>OHRQoL was strongly associated with the presence of at least 10 teeth in each jaw. The hierarchical classification system predicted approximately 60 % of subjects correctly with respect to impaired OHRQoL.</p></sec><sec><title>Clinical relevance</title><p>From an OHRQoL perspective, natural teeth were preferred over artificial teeth.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gerritsen, Ae" uniqKey="Gerritsen A">AE Gerritsen</name></author><author><name sortKey="Allen, Pf" uniqKey="Allen P">PF Allen</name></author><author><name sortKey="Witter, Dj" uniqKey="Witter D">DJ Witter</name></author><author><name sortKey="Bronkhorst, Em" uniqKey="Bronkhorst E">EM Bronkhorst</name></author><author><name sortKey="Creugers, Nhj" uniqKey="Creugers N">NHJ Creugers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steele, Jg" uniqKey="Steele J">JG Steele</name></author><author><name sortKey="Sanders, Ae" uniqKey="Sanders A">AE Sanders</name></author><author><name sortKey="Slade, Gd" uniqKey="Slade G">GD Slade</name></author><author><name sortKey="Allen, Pf" uniqKey="Allen P">PF Allen</name></author><author><name sortKey="Lahti, S" uniqKey="Lahti S">S Lahti</name></author><author><name sortKey="Nuttall, N" uniqKey="Nuttall N">N Nuttall</name></author><author><name sortKey="Spencer, Aj" uniqKey="Spencer A">AJ Spencer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nguyen, Tc" uniqKey="Nguyen T">TC Nguyen</name></author><author><name sortKey="Witter, Dj" uniqKey="Witter D">DJ Witter</name></author><author><name sortKey="Bronkhorst, Em" uniqKey="Bronkhorst E">EM Bronkhorst</name></author><author><name sortKey="Pham, Lh" uniqKey="Pham L">LH Pham</name></author><author><name sortKey="Creugers, Nhj" uniqKey="Creugers N">NHJ Creugers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhang, Q" uniqKey="Zhang Q">Q Zhang</name></author><author><name sortKey="Witter, Dj" uniqKey="Witter D">DJ Witter</name></author><author><name sortKey="Bronkhorst, Em" uniqKey="Bronkhorst E">EM Bronkhorst</name></author><author><name sortKey="Creugers, Nhj" uniqKey="Creugers N">NHJ Creugers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhang, Q" uniqKey="Zhang Q">Q Zhang</name></author><author><name sortKey="Kreulen, Cm" uniqKey="Kreulen C">CM Kreulen</name></author><author><name sortKey="Witter, Dj" uniqKey="Witter D">DJ Witter</name></author><author><name sortKey="Creugers, Nhj" uniqKey="Creugers N">NHJ Creugers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Inukai, M" uniqKey="Inukai M">M Inukai</name></author><author><name sortKey="John, Mt" uniqKey="John M">MT John</name></author><author><name sortKey="Igarashi, Y" uniqKey="Igarashi Y">Y Igarashi</name></author><author><name sortKey="Baba, K" uniqKey="Baba K">K Baba</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brennan, Ds" 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Sanders</name></author><author><name sortKey="Slade, Gd" uniqKey="Slade G">GD Slade</name></author><author><name sortKey="John, Mt" uniqKey="John M">MT John</name></author><author><name sortKey="Steele, Jg" uniqKey="Steele J">JG Steele</name></author><author><name sortKey="Suominen Taipale, Al" uniqKey="Suominen Taipale A">AL Suominen-Taipale</name></author><author><name sortKey="Lahti, S" uniqKey="Lahti S">S Lahti</name></author><author><name sortKey="Nuttall, Nm" uniqKey="Nuttall N">NM Nuttall</name></author><author><name sortKey="Allen, Pf" uniqKey="Allen P">PF Allen</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Zhang, Qian" sort="Zhang, Qian" uniqKey="Zhang Q" first="Qian" last="Zhang">Qian Zhang</name></noRegion></country><country name="Pays-Bas"><noRegion><name sortKey="Witter, Dick J" sort="Witter, Dick J" uniqKey="Witter D" first="Dick J." last="Witter">Dick J. Witter</name></noRegion><name sortKey="Bronkhorst, Ewald M" sort="Bronkhorst, Ewald M" uniqKey="Bronkhorst E" first="Ewald M." last="Bronkhorst">Ewald M. Bronkhorst</name><name sortKey="Creugers, Nico H J" sort="Creugers, Nico H J" uniqKey="Creugers N" first="Nico H. J." last="Creugers">Nico H. J. Creugers</name><name sortKey="Gerritsen, Anneloes E" sort="Gerritsen, Anneloes E" uniqKey="Gerritsen A" first="Anneloes E." last="Gerritsen">Anneloes E. Gerritsen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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