Functional oral status and oral health-related quality of life in community-dwelling older adults in Singapore

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2024-02-20 DOI:10.1111/cdoe.12948
Pei Yuan Chan, Zhi Hui Janice Tan, Seyed Ehsan Saffari, Yu Jie Soh, Khim Hean Teoh
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Abstract

Objectives

The objectives were to investigate the association between oral functional status (defined by the number of functional teeth and functional occluding units [FOUs]) on oral health-related quality of life (OHRQoL). It also aimed to determine if dentures could compensate for the loss of FOUs in terms of OHRQoL in community-dwelling older adults in Singapore.

Methods

Community-dwelling older adults, aged 60 years and above, were recruited from a community-based oral health functional screening programme from 1 May 2018 to 31 December 2019. During the screening, an Oral Health Impact Profile-14 (OHIP-14) questionnaire and oral examination were administered. Statistical analysis was performed using the chi-square test, univariate logistic regression and multivariate predictive modelling.

Results

Data from 1037 participants were analysed (52% female; mean age 71.5 (SD 7.15)). The mean OHIP-14 score was 4.5 ± 7.2. The OHIP-14 scores were significantly associated with the number of functional teeth and the number of FOUs (p < .001). Having at least 20 functional teeth or 10 FOUs was associated with a significantly lower OHIP-14 score. Those with no FOUs had higher OHIP-14 scores compared to those with at least 10 FOUs, even in the presence of a satisfactory denture.

Conclusion

Maintaining at least 20 functional teeth or 10 FOUs was associated with better OHRQoL among community-dwelling older adults in Singapore. Dentures may have limited compensatory ability in terms of replacing natural functional occlusal units and maintaining OHRQoL.

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新加坡社区老年人的口腔功能状况和与口腔健康相关的生活质量。
研究目的目的:研究口腔功能状态(以功能性牙齿和功能性咬合单位的数量定义)与口腔健康相关生活质量(OHRQoL)之间的关系。研究还旨在确定假牙是否能弥补新加坡社区老年人丧失功能性咬合单位后的口腔健康相关生活质量:方法:从 2018 年 5 月 1 日至 2019 年 12 月 31 日的社区口腔健康功能筛查计划中招募了 60 岁及以上的社区老年人。筛查期间,进行了口腔健康影响档案-14(OHIP-14)问卷调查和口腔检查。统计分析采用了卡方检验、单变量逻辑回归和多变量预测模型:分析了 1037 名参与者的数据(52% 为女性;平均年龄 71.5 岁(SD 7.15))。OHIP-14的平均得分是4.5 ± 7.2。OHIP-14得分与功能性牙齿数量和FOU数量有明显相关性(P 结论:OHIP-14得分与功能性牙齿数量和FOU数量有明显相关性:在新加坡社区居住的老年人中,保持至少 20 颗功能性牙齿或 10 颗 FOU 与更好的 OHRQoL 有关。假牙在替代天然功能性咬合单位和维持 OHRQoL 方面的补偿能力可能有限。
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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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