International dental journal最新文献_第3页

The Future of Oral Oncology: How Artificial Intelligence is Redefining Surgical Procedures and Patient Management 口腔肿瘤学的未来：人工智能如何重新定义外科手术和患者管理。

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal

Pub Date : 2025-02-01 DOI: 10.1016/j.identj.2024.09.032

Marwan Al-Raeei

Introduction and Aims

The future of oral oncology is significantly influenced by the incorporation of artificial intelligence (AI) technologies, such as surgical robotics and early histopathological diagnosis and detection of diseases. This article aims to explore the transformative effects of AI on the identification and diagnosis of oral cancer, emphasising the potential improvements in patient outcomes and the effectiveness of treatment options.

Methods

An overview of the integration of AI technologies in surgical robotics and remote monitoring systems was conducted. This included an examination of AI algorithms used in surgical procedures for oral cancer, as well as the functionalities of AI-powered remote monitoring tools in disease management and patient care.

Results

The application of AI in surgical robotics has led to increased precision and accuracy in oral cancer procedures, resulting in significantly improved patient outcomes with fewer complications. Furthermore, AI-driven remote monitoring systems facilitated personalised care and timely medical interventions, which contributed to better disease management. Notable positive results observed include decreased procedure durations, reduced complications, and accelerated recovery times for patients.

Conclusion

The integration of AI technologies in oral oncology care has demonstrated significant potential for enhancing the quality of care, improving treatment outcomes, and streamlining clinical workflows. By leveraging AI, healthcare professionals can offer tailored treatment plans and improve long-term disease management for patients with oral cancer.

Clinical Relevance

The implementation of AI in oral oncology represents an innovative approach to early detection and efficient management of oral cancer, ultimately enhancing the quality of life of the affected individuals. The findings underscore the importance of continuing to explore and adopt AI technologies to further advance healthcare delivery in oncology.

引言和目的：口腔肿瘤学的未来受到人工智能（AI）技术（如手术机器人和早期组织病理学诊断和疾病检测）的重大影响。本文旨在探讨人工智能对口腔癌识别和诊断的变革性影响，强调其在改善患者预后和治疗方案有效性方面的潜力：方法：本文概述了人工智能技术在手术机器人和远程监控系统中的应用。方法：对人工智能技术在外科手术机器人和远程监控系统中的应用进行了概述，其中包括对口腔癌外科手术中使用的人工智能算法以及人工智能远程监控工具在疾病管理和患者护理中的功能进行了研究：人工智能在手术机器人中的应用提高了口腔癌手术的精确度和准确性，从而显著改善了患者的治疗效果，减少了并发症。此外，人工智能驱动的远程监控系统促进了个性化护理和及时的医疗干预，有助于改善疾病管理。观察到的显著积极成果包括缩短了手术时间、减少了并发症并加快了患者的康复时间：将人工智能技术整合到口腔肿瘤护理中，在提高护理质量、改善治疗效果和简化临床工作流程方面展现出巨大的潜力。通过利用人工智能，医疗保健专业人员可以为口腔癌患者提供量身定制的治疗计划，并改善长期疾病管理：人工智能在口腔肿瘤学中的应用代表了一种早期检测和有效管理口腔癌的创新方法，最终可提高患者的生活质量。研究结果强调了继续探索和采用人工智能技术进一步推动肿瘤医疗服务的重要性。

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引用次数: 0

Mycobiology of Dental Unit Water: A Systematic Scoping Review 口腔科用水的真菌生物学：系统性范围审查

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal

Pub Date : 2025-02-01 DOI: 10.1016/j.identj.2024.10.020

Norbert Soboń , Kausar Sadia Fakhruddin , Lakshman Samaranayake , Nabiha Belkacem Remmani , Marwan Mansoor Mohammed , Thantrira Porntaveetus

Fungi present in Dental Unit Water (DUW) can pose a health hazard to patients and dental personnel. Yet, the issue of fungal contamination of DUW and their conduits, DUW Lines (DUWLs) has been poorly addressed despite a growing body of data on the subject. In this comprehensive review, we aim to address this gap by examining the diverse fungal contaminants found in DUW, the challenges associated with controlling their growth within waterline biofilms, and the various measures employed for fungal decontamination. The review underscores the intricate fungal ecosystems that exist within DUWLs and emphasizes the importance of implementing targeted antimicrobial strategies to uphold waterline hygiene. However, it is important to note that complete eradication of fungi in DUWLs has proven elusive, even with the application of disinfectants at varying concentrations, types, and frequencies. This highlights the pressing need for continued research efforts to develop new and optimized treatment protocols that are specifically tailored to eradicate fungi from DUWLs. Finally, it was notable that there are currently no specific regulations by any dental authority on permissible levels of fungi, as opposed to bacteria, in DUWLs. Legislation developed based on our findings can contribute to the standardization of practices and the formulation of effective control strategies for fungal contamination in DUWLs. It can also guide dental professionals in implementing regular monitoring, proper maintenance, and targeted disinfection protocols to minimize fungal contamination and ensure optimal water quality for patient safety.

真菌存在于牙科单位水（DUW）可以对病人和牙科人员的健康造成危害。然而，真菌污染DUW及其管道的问题，DUW线（DUWLs）一直没有得到很好的解决，尽管有越来越多的数据关于这个问题。在这篇全面的综述中，我们的目标是通过检查DUW中发现的各种真菌污染物，与控制水线生物膜内真菌生长相关的挑战，以及用于真菌净化的各种措施来解决这一差距。该综述强调了duwl中存在的复杂真菌生态系统，并强调了实施有针对性的抗菌策略以维护水线卫生的重要性。然而，值得注意的是，即使使用不同浓度、类型和频率的消毒剂，完全根除duwl中的真菌也被证明是难以实现的。这突出了迫切需要继续研究工作，以开发新的和优化的治疗方案，专门针对从duwl中根除真菌。最后，值得注意的是，目前没有任何牙科当局对duwl中真菌的允许水平进行具体规定，而不是细菌。根据我们的研究结果制定的立法有助于标准化实践和制定有效的duwl真菌污染控制策略。它还可以指导牙科专业人员实施定期监测、适当维护和有针对性的消毒方案，以最大限度地减少真菌污染，并确保最佳水质，以保障患者安全。

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引用次数: 0

Evaluation of the Accuracy of Cameriere, Modified Cameriere and Willems and Blenkin-Evans Methods for Turkish Children 土耳其儿童的Cameriere、改良Cameriere、Willems和Blenkin-Evans方法的准确性评价。

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal

Pub Date : 2025-02-01 DOI: 10.1016/j.identj.2024.11.015

Tuğçe Nur Şahin , Melike Güleç

Objective

Age determination aims to determine an individual's physiological age without information about the individual's chronological age (CA) or in forensic situations in a way that does not cause loss of legal rights. The study aimed to evaluate the suitability of Cameriere (CM), Modified Cameriere (MCM) for Turkish children, Willems (WM), and Blenkin-Evans methods (BEM) for Turkish children.

Design

A total of 616 Panoramic images of 321 female and 295 male healthy children from the Central Anatolia region aged between 6 and 14.99 years were used for the study. Individuals were grouped according to their age and gender (18 groups). Kruskal-Wallis test was used to evaluate the appropriateness of the methods, and intra- and interobserver agreement was statistically evaluated using the Intra-Interclass Correlation Coefficient (ICC) (p < .05).

Results

The CA- estimated age (EA) difference was underestimated by 0.49, 0.45, and 0.20 years with MCM, WM, and BEM, respectively, and overestimated by 0.22 years with CM for girls; underestimated by 0.52, 0.43, and 0.12 years with MCM, WM, and BEM, respectively, and overestimated by 0.17 years with CM for boys (p < .005).

Conclusion

If groups are evaluated separately, the closest results to CA for both sexes were obtained with CM. However, when the mean age difference for all age groups is evaluated by gender, the closest results to all individuals' CA were obtained using the BEM. Accordingly, if it is desired to modify a valid age determination method for a population, children from different provinces should be included in the sample group, especially in countries like Turkiye, where many different ethnic origins live together.

目的：年龄测定的目的是确定一个人的生理年龄没有个人的实足年龄（CA）的信息或在法医的情况下，以一种方式，不会造成法律权利的损失。本研究旨在评价Cameriere法（CM）、改良Cameriere法（MCM）、Willems法（WM）和Blenkin-Evans法（BEM）在土耳其儿童中的适用性。设计：研究使用了来自安纳托利亚中部地区的321名女性和295名男性健康儿童的616张全景图像，年龄在6 - 14.99岁之间。个体按年龄和性别分组（18组）。采用Kruskal-Wallis检验评价方法的适宜性，采用类间相关系数（inter - interclass Correlation Coefficient， ICC）对观察者内部和观察者之间的一致性进行统计评价（p < 0.05）。结果：MCM、WM和BEM的CA-估计年龄（EA）差异分别被低估0.49、0.45和0.20岁，而CM的CA-估计年龄（EA）差异被高估0.22岁；MCM、WM和BEM分别被低估了0.52、0.43和0.12年，而男孩CM被高估了0.17年（p < 0.005）。结论：如果将各组分开评估，则CM组的结果与CA最接近。然而，当所有年龄组的平均年龄差异按性别进行评估时，使用BEM获得的结果与所有个体的CA最接近。因此，如果希望修改一个人口的有效年龄确定方法，则应将来自不同省份的儿童包括在样本组中，特别是在像土耳其这样许多不同民族血统生活在一起的国家。

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引用次数: 0

Early Childhood Caries

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal

Pub Date : 2025-02-01 DOI: 10.1016/j.identj.2024.12.005

FDI World Dental Federation

引用次数: 0

Lebanese Dentists’ Preparedness to Deal With Medical Emergencies in Their Clinics: A National Survey 黎巴嫩牙医在诊所处理医疗紧急情况的准备情况：全国调查。

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal

Pub Date : 2025-02-01 DOI: 10.1016/j.identj.2024.06.010

Antoine Choufani , Marianne Moussallem , Julia Bou Dib , Michèle Kosremelli Asmar , Joumana Stephan Yeretzian

Introduction and aims

Health-related emergencies, from minor incidents to life-threatening situations, can occur unexpectedly in dental clinics. Ensuring that dentists and their teams are well-prepared with adequate training and essential equipment is crucial. Proper preparedness can lead to effective management of emergencies and reduce potential complications. This cross-sectional national study aimed at assessing the preparedness of Lebanese dentists in managing medical emergencies.

Methods

Data was collected between August and October 2024 using an online questionnaire which was distributed to all registered Lebanese dentists through the Lebanese Dental Associations located in Beirut and Tripoli.

Results

The study found that 38.2% of dentists had an emergency kit in their clinics, and 88.0% had some emergency equipment; yet only 5.9% had a defibrillator. While 71.3% had emergency training in university, 28.5% never received it. Only 18.8% reported staff training in medical emergencies. Most dentists (74.2%) encountered minor medical issues, and 22.4% faced major emergencies, with only 1.8% reporting cardiac arrest cases. Vasovagal reactions, hypoglycemia, and orthostatic hypotension were common emergencies. While 69.0% felt capable of managing minor issues, confidence dropped for major emergencies and specific procedures. An overwhelming 87.8% expressed a need for more emergency training. Post-graduation training, prior defibrillator use, and having an emergency kit were linked to better emergency management capabilities in the logistic regressions.

Conclusion

The findings of this study indicate significant gaps in emergency preparedness among Lebanese dentists. Many lack adequate training and resources, highlighting the urgent need for further training and better-equipped clinics. Strengthening policy frameworks and resource allocation is crucial.

Clinical relevance

Stakeholders should prioritize implementing mandatory training programs and developing clear guidelines to ensure that dental clinics in Lebanon are adequately prepared to manage health-related emergencies effectively.

导言和目的：与健康有关的紧急情况，从轻微事故到危及生命的情况，都可能在牙科诊所不期而遇。确保牙医及其团队做好充分准备，接受足够的培训并配备必要的设备至关重要。适当的准备可以有效地处理紧急情况并减少潜在的并发症。这项全国性横断面研究旨在评估黎巴嫩牙医在处理医疗紧急情况方面的准备情况：方法：在 2024 年 8 月至 10 月期间，通过贝鲁特和的黎波里的黎巴嫩牙科协会向所有注册的黎巴嫩牙医发放在线问卷，收集数据：研究发现，38.2%的牙医在诊所中配备了应急包，88.0%的牙医拥有一些应急设备；但只有5.9%的牙医拥有除颤器。虽然 71.3% 的牙医在大学接受过应急培训，但 28.5% 的牙医从未接受过培训。只有 18.8%的牙医报告其员工接受过医疗急救培训。大多数牙医（74.2%）遇到过轻微的医疗问题，22.4%的牙医遇到过重大紧急情况，只有 1.8%的牙医报告过心脏骤停病例。血管迷走反应、低血糖和正性低血压是常见的紧急情况。虽然 69.0% 的人认为自己有能力处理小问题，但对重大紧急情况和特定程序的信心却下降了。绝大多数 87.8% 的人表示需要更多的急诊培训。在逻辑回归中，毕业后的培训、之前除颤器的使用以及拥有应急包都与更好的应急管理能力有关：本研究结果表明，黎巴嫩牙医在应急准备方面存在很大差距。许多牙医缺乏足够的培训和资源，因此迫切需要进一步的培训和装备更好的诊所。加强政策框架和资源分配至关重要：利益相关者应优先实施强制培训计划并制定明确的指导方针，以确保黎巴嫩的牙科诊所做好充分准备，有效处理与健康相关的紧急情况。

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引用次数: 0

Artificial Intelligence–Related Dental Research: Bibliometric and Altmetric Analysis 人工智能相关的牙科研究：文献计量学和 Altmetric 分析。

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal

Pub Date : 2025-02-01 DOI: 10.1016/j.identj.2024.08.004

Wei Lu , Xueqian Yu , Yueyang Li , Yi Cao , Yanning Chen , Fang Hua

Background

Recent years have witnessed an explosive surge in dental research related to artificial intelligence (AI). These applications have optimised dental workflows, demonstrating significant clinical importance. Understanding the current landscape and trends of this topic is crucial for both clinicians and researchers to utilise and advance this technology. However, a comprehensive scientometric study regarding this field had yet to be performed.

Methods

A literature search was conducted in the Web of Science Core Collection database to identify eligible “research articles” and “reviews.” Literature screening and exclusion were performed by 2 investigators. Thereafter, VOSviewer was utilised in co-occurrence analysis and CiteSpace in co-citation analysis. R package Bibliometrix was employed to automatically calculate scientific impacts, determining the core authors and journals. Altmetric data were described narratively and supplemented with Spearman correlation analysis.

Results

A total of 1558 research publications were included. During the past 5 years, AI-related dental publications drastically increased in number, from 36 to 581. Diagnostics and Scientific Reports published the most articles, whereas Journal of Dental Research received the highest number of citations per article. China, the US, and South Korea emerged as the most prolific countries, whilst Germany received the highest number of citations per article (23.29). Charité Universitätsmedizin Berlin was the institution with the highest number of publications and citations per article (29.16). Altmetric Attention Score was correlated with News Mentions (P < .001), and significant associations were observed amongst Dimension Citations, Mendeley Readers, and Web of Science Citations (P < .001).

Conclusions

The publication numbers regarding AI-related dental research have been rising rapidly and may continue their upwards trend. China, the US, South Korea, and Germany had promoted the progress of AI-related dental research. Disease diagnosis, orthodontic applications, and morphology segmentation were current hotspots. Attention mechanism, explainable AI, multimodal data fusion, and AI-generated text assistants necessitate future research and exploration.

背景近年来，与人工智能（AI）相关的牙科研究呈爆炸式增长。这些应用优化了牙科工作流程，显示出重要的临床意义。了解这一课题的现状和趋势对于临床医生和研究人员利用和推进这一技术至关重要。方法在科学网核心数据库中进行文献检索，以确定符合条件的 "研究文章 "和 "综述"。文献筛选和排除工作由两名研究人员完成。之后，使用 VOSviewer 进行共现分析，使用 CiteSpace 进行共引分析。R 软件包 Bibliometrix 用于自动计算科学影响，确定核心作者和期刊。结果共收录了 1558 篇研究出版物。在过去 5 年中，与人工智能相关的牙科出版物数量急剧增加，从 36 篇增至 581 篇。诊断学》和《科学报告》发表的文章最多，而《牙科研究杂志》每篇文章被引用的次数最多。中国、美国和韩国是发表文章最多的国家，而德国则是每篇文章被引用次数最多的国家（23.29 次）。柏林夏里特大学（Charité Universitätsmedizin Berlin）是发表文章和每篇文章被引用次数最多的机构（29.16）。Altmetric关注度得分与新闻提及率相关（P < .001），Dimension引文、Mendeley读者和Web of Science引文之间也存在显著关联（P < .001）。中国、美国、韩国和德国推动了人工智能相关牙科研究的进展。疾病诊断、正畸应用和形态分割是当前的热点。注意力机制、可解释的人工智能、多模态数据融合、人工智能生成的文本助手等都是未来研究和探索的方向。

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引用次数: 0

Association of Adult Atopic Dermatitis with Impaired Oral Health and Oral Dysbiosis: A Case-Control Study 成人特应性皮炎与口腔健康受损和口腔菌群失调的关系：病例对照研究

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal

Pub Date : 2025-02-01 DOI: 10.1016/j.identj.2024.10.003

Aaya Shahin , Yael Anne Leshem , Yossi Taieb , Sharon Baum , Aviv Barzilai , Danielle Jeddah , Efrat Sharon , Omry Koren , Rinat Tzach-Nahman , Shunit Coppenhagen-Glazer , Ronen Hazan , Yael Houri-Haddad , Shoshana Greenberger

Background

Systemic alterations in the oral cavity can be reflected in skin disorders like psoriasis. However, data about oral health factors that are affected and controlled mainly by oral microbiota in atopic dermatitis (AD) are sparse. This study compared the oral status and oral microbiota of AD patients and healthy controls.

Methods

This was a prospective sex- and age-matched case-control study comparing adult participants with and without dermatologist-verified AD. A dentist assessed oral health status, and oral flora samples were collected and subjected to 16S rRNA sequencing for microbiome analysis.

Results

Forty-five AD participants and 41 non-AD controls were recruited. Compared to the participants in the control group, those with AD had significantly higher plaque levels (P = .04), poorer oral hygiene indices (P = .04), and higher gingival index trends (P = .05). The oral microbiome in the AD group showed significantly higher diversity, both in α and β diversities (P = .001, P = .0007, respectively). Furthermore, AD patients had a significantly increased abundance of taxa correlated with oral diseases and a decreased abundance of bacteria associated with a healthy oral status.

Conclusion

AD appears to be associated with poor oral health and oral dysbiosis. There is a need to increase both patients’ and physicians’ awareness of oral health.

背景：口腔的系统性改变可反映在银屑病等皮肤疾病中。然而，有关特应性皮炎（AD）患者主要受口腔微生物群影响和控制的口腔健康因素的数据却很少。本研究比较了特应性皮炎患者和健康对照组的口腔状况和口腔微生物群：这是一项前瞻性的性别和年龄匹配病例对照研究，比较了经皮肤科医生证实患有特应性皮炎和未患有特应性皮炎的成年参与者。牙医评估口腔健康状况，收集口腔菌群样本并进行 16S rRNA 测序，以分析微生物组：结果：共招募了 45 名注意力缺失症患者和 41 名非注意力缺失症对照组患者。与对照组的参与者相比，AD 患者的牙菌斑水平明显更高（P = .04），口腔卫生指数更差（P = .04），牙龈指数趋势更高（P = .05）。AD 组的口腔微生物群在 α 和 β 多样性方面都显示出明显更高的多样性（分别为 P = .001 和 P = .0007）。此外，AD 患者与口腔疾病相关的类群数量明显增加，而与健康口腔状态相关的细菌数量则有所减少：结论：AD 似乎与口腔健康状况不佳和口腔菌群失调有关。有必要提高患者和医生对口腔健康的认识。

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引用次数: 0

Artificial Intelligence in Orthodontics: Concerns, Conjectures, and Ethical Dilemmas 正畸学中的人工智能：关注、猜想和伦理困境。

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal

Pub Date : 2025-02-01 DOI: 10.1016/j.identj.2024.11.002

Rosalia Leonardi , Nikhillesh Vaiid

引用次数: 0

Dental Students’ Learning Experience: Artificial Intelligence vs Human Feedback on Assignments 牙科学生的学习体验：人工智能与人类对作业的反馈。

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal

Pub Date : 2025-02-01 DOI: 10.1016/j.identj.2024.12.022

Chantha K. Jayawardena , Yuvika Gunathilake , Dhammika Ihalagedara

Objective

This study evaluated the effectiveness of an AI-based tool (ChatGPT-4) (AIT) vs a human tutor (HT) in providing feedback on dental students’ assignments.

Methods

A total of 194 answers to two histology questions were assessed by both tutors using the same rubric. Students compared feedback from both tutors and evaluated its accuracy against a standard rubric. Students’ perceptions were collected on five dimensions of feedback quality. A subject expert also evaluated feedback provided by the two tutors for 40 randomly selected answers.

Results

No significant differences were found in total scores between HT and AIT for one question, but a significant difference was noted for Question 2 and overall scores. Students’ perceptions showed no differences regarding understanding mistakes, promoting critical thinking, feedback comprehension, or relevance. However, students felt more comfortable with HT feedback (X² = 9.01, P < .05). In contrast, expert evaluation highlighted that AIT scored higher in identifying mistakes, with significant differences in clarity (W = 40.5, P < .001) and suggestions for improvement (W = 96.5, P < .001).

Conclusion

AIT demonstrates significant potential to complement HT by providing detailed feedback in a shorter timeframe. While students did not perceive differences in feedback quality, expert analysis identified AIT as superior in clarity and suggestions for improvement.

目的：本研究评估了基于人工智能的工具（ChatGPT-4）（AIT）与人类导师（HT）在为牙科学生的作业提供反馈方面的有效性。方法：由两位导师使用相同的题型对两道组织学问题共194个答案进行评估。学生们比较两位导师的反馈，并根据标准标准评估其准确性。从反馈质量的五个维度收集学生的看法。一位学科专家还对两位导师提供的40个随机选择的答案进行了评估。结果：HT与AIT在一题的总分上无显著差异，但在第二题和总分上有显著差异。学生在理解错误、促进批判性思维、反馈理解或相关性方面的看法没有差异。而学生对HT反馈更满意（X2 = 9.01, P < 0.05）。相比之下，专家评价强调，AIT在识别错误方面得分更高，在清晰度（W = 40.5, P < .001）和改进建议（W = 96.5, P < .001）方面存在显著差异。结论：通过在更短的时间内提供详细的反馈，AIT显示了补充HT的巨大潜力。虽然学生没有察觉到反馈质量的差异，但专家分析认为AIT在清晰度和改进建议方面更胜一筹。

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引用次数: 0

Oral Health Differences Between Middle-Aged and Older Adults in South Korea 韩国中老年人口腔健康差异。

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal

Pub Date : 2025-02-01 DOI: 10.1016/j.identj.2024.06.003

Yoonjung Ji , Wonhee Baek

Introduction and aims

The oral health characteristics of middle-aged and older adults exhibit variations. This study identifies the various factors associated with oral health among middle-aged and older adults through a subgroup analysis by age group of data representative of the South Korean population.

Methods

We examined influencing factors: demographic, socioeconomic, dental, physical attributes, psychological, and mental attributes. Oral health was assessed using the Geriatric Oral Health Assessment Index. The participants were divided into two groups: those under 65 years of age (middle-aged) and those over 65 years of age (older adults). We used multiple linear regression analysis and dominance analysis to determine the dominant factors associated with oral health.

Results

A total of 6369 participants were aged 69.2 ± 9.8 years on average, and 57.5% were women. Dominance analysis revealed that lower educational levels and activity difficulty caused by diseases were significantly associated with both groups. Moreover, depressive symptoms were the foremost adverse factor linked to oral health in the middle-aged (P < .001, standardized beta [β] = –4.30, general dominance index [GDI] = 19.00) and older (P < .001, β = –0.30, GDI = 10.70) adults. The number of teeth exhibited the most positive association with oral health in both middle-aged (P < .001, β = 0.20, GDI = 5.30) and older (P < .001, β = 0.23, GDI = 7.40) adults. However, cognitive function, dental visits, body mass index, severe pain, functional limitations, and cognitive function exhibited distinct patterns between the age groups.

Conclusion

Depressive symptoms and the number of teeth significantly influence oral health in middle-aged and older adults, though the impact varies by age. These findings stress the importance of tailored strategies considering age-specific attributes for effective oral health improvement.

Clinical relevance

Enhancing oral health requires healthcare providers to prioritize monitoring age-specific risk factors. Further, educational plans should highlight the importance of preventive oral care and regular dental visits.

导言和目的：中老年人的口腔健康特征各不相同。本研究通过对代表韩国人口的数据按年龄组进行分组分析，确定与中老年人口腔健康相关的各种因素：我们研究了影响因素：人口、社会经济、牙齿、身体属性、心理和精神属性。口腔健康采用老年口腔健康评估指数进行评估。参与者分为两组：65 岁以下（中年人）和 65 岁以上（老年人）。我们使用多元线性回归分析和优势分析来确定与口腔健康相关的优势因素：共有 6369 名参与者，平均年龄（69.2±9.8）岁，57.5% 为女性。显性分析表明，教育水平较低和疾病导致的活动困难与两个组别都有显著相关。此外，抑郁症状是中年人（P < .001，标准化贝塔值 [β]=-4.30，一般优势指数 [GDI] = 19.00）和老年人（P < .001，β = -0.30，一般优势指数 = 10.70）口腔健康最主要的不利因素。在中年人（P < .001，β = 0.20，GDI = 5.30）和老年人（P < .001，β = 0.23，GDI = 7.40）中，牙齿数量与口腔健康的关系最为积极。然而，认知功能、看牙次数、体重指数、剧烈疼痛、功能限制和认知功能在不同年龄组之间表现出不同的模式：结论：抑郁症状和牙齿数量对中老年人的口腔健康有显著影响，但不同年龄段的影响有所不同。这些发现强调了考虑特定年龄属性的定制策略对于有效改善口腔健康的重要性：临床相关性：改善口腔健康需要医疗服务提供者优先监测特定年龄段的风险因素。此外，教育计划应强调预防性口腔护理和定期看牙医的重要性。

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引用次数: 0