Assessing oral health and the minimally important differences in oral health-related quality of life of non-diabetic and diabetic patients: a cross-sectional study

IF 1.9 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Australian dental journal Pub Date : 2024-03-25 DOI:10.1111/adj.13017

A Chen, ST Ng, V Goh, S-C Siu, KWS Yeung, YC Tsang, Q Wang, WK Leung

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Abstract

Background

Non-diabetics and diabetics might have different oral health problems and impacts on their oral health-related quality of life (OHRQoL). Comparison of oral health status and coping strategies between these patients, and evaluation of factors associated with OHRQoL might facilitate better treatment planning for improved patient-centred outcome.

Methods

One hundred and eleven non-diabetics and 107 diabetics attending a public hospital were clinically examined and evaluated for coping strategies (abbreviated coping orientation to problems experienced) and OHRQoL [short-form oral health impact profile (OHIP-14S)]. Factors associated with OHRQoL were analysed through correlation/partial correlation. Minimally important differences (MID) of OHIP-14S were calculated to confirm associations between attachment loss, caries, and tooth loss with OHRQoL.

Results

Non-diabetics had worse periodontal status. Diabetics had more missing teeth. Non-diabetics and diabetics employed maladaptive coping to manage oral health problems. Overall, non-diabetics reported worse OHRQoL. Determination of MID showed that non-diabetics with high-severe attachment loss and <20 teeth experienced poorer OHRQoL. Diabetics with caries, high-severe attachment loss, and <25 teeth experienced poorer OHRQoL.

Conclusion

Different factors were associated with OHRQoL of non-diabetics and diabetics. Delivery of treatment aimed at maintaining teeth in a periodontally healthy and caries free state, and provision of more chewing units might help improve OHRQoL of diabetics. © 2024 Australian Dental Association.

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评估非糖尿病患者和糖尿病患者的口腔健康状况以及口腔健康相关生活质量的微小差异：一项横断面研究。

背景：非糖尿病患者和糖尿病患者可能有不同的口腔健康问题，对其口腔健康相关生活质量（OHRQoL）的影响也不同。比较这些患者的口腔健康状况和应对策略，并评估与 OHRQoL 相关的因素，可能有助于制定更好的治疗计划，从而改善以患者为中心的治疗效果：对在一家公立医院就诊的 111 名非糖尿病患者和 107 名糖尿病患者进行了临床检查，并对其应对策略（对所遇到问题的简短应对取向）和 OHRQoL [简式口腔健康影响档案 (OHIP-14S)]进行了评估。通过相关性/部分相关性分析了与 OHRQoL 相关的因素。计算了OHIP-14S的最小重要差异（MID），以确认附着丧失、龋齿和牙齿脱落与OHRQoL之间的关联：结果：非糖尿病患者的牙周状况较差。结果：非糖尿病患者的牙周状况更差。非糖尿病患者和糖尿病患者都采用适应不良的应对方法来处理口腔健康问题。总体而言，非糖尿病患者的 OHRQoL 更差。MID 的测定结果显示，非糖尿病患者的附着丧失和结论严重：非糖尿病患者和糖尿病患者的 OHRQoL 与不同的因素有关。提供旨在保持牙齿牙周健康和无龋状态的治疗，以及提供更多的咀嚼单位可能有助于改善糖尿病患者的 OHRQoL。© 2024 澳大利亚牙科协会。

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来源期刊

Australian dental journal 医学-牙科与口腔外科

CiteScore

4.20

自引率

4.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Dental Journal provides a forum for the exchange of information about new and significant research in dentistry, promoting the discipline of dentistry in Australia and throughout the world. It comprises peer-reviewed research articles as its core material, supplemented by reviews, theoretical articles, special features and commentaries.

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