关键词: Dentistry Epidemiology Public health Quality of life Tooth loss

Mesh : Humans Quality of Life Cross-Sectional Studies Female Male Middle Aged Adult Adolescent Young Adult El Salvador Sex Factors Educational Status Mouth, Edentulous / epidemiology psychology Aged

来  源:   DOI:10.1186/s12903-024-04581-3   PDF(Pubmed)

Abstract:
BACKGROUND: Edentulism is the partial or total loss of teeth, it is irreversible and disabling due to its sequelae in the masticatory, phonetic and aesthetic function that affect the quality of life.
OBJECTIVE: To establish the impact of edentulism and sociodemographic factors on the quality of life of the Salvadoran population.
METHODS: Secondary cross-sectional analysis of data in 3322 users of the Public Health System of El Salvador, aged 15 to > 60 years. The variables under study were sociodemographic, edentulismo and quality of life. Edentulism was determined by clinical examination using the Oral Impact on Daily Performance scale. The statistical analysis was performed using χ2, OR, multiple regression analysis and set the significance threshold at p < 0.05.
RESULTS: Partial edentulism in the upper jaw was present in 68.24% people, partial edentulism in the lower jaw was present in 72.42% people and complete edentulism was observed in 2.02% people. There were significant sex differences and a relationship between sex and quality of life (p < 0.004); the self-perception of severe/very severe impacts was greater in women. People without education or with primary or secondary education only were the most affected (p < 0.05). Tooth loss increases with age, affecting quality of life in a severe/very severe manner. Complete edentulism had greater impacts on quality of life in terms of eating (25.64%), speaking (21.15%), and socializing/enjoying contact with people (10.90%). A severe/very severe impact on quality of life of teeth lost was reported mainly by those over 60 years of age, with an average of 11 missing posterior teeth, 6 missing anterior teeth and 13 missing teeth per patient. Those missing up to 6 anterior teeth were times more likely to perceive severe/very severe impacts on quality of life than those without any missing teeth (OR:5.788). Edentulism affected the quality of life of those examined, especially the loss of upper anterior teeth.
摘要:
背景:Edentulism是部分或全部牙齿缺失,由于咀嚼的后遗症,它是不可逆转的和致残的,影响生活质量的语音和审美功能。
目的:确定无性症和社会人口统计学因素对萨尔瓦多人口生活质量的影响。
方法:对萨尔瓦多公共卫生系统3322名用户的数据进行二次横截面分析,年龄15至60岁。研究的变量是社会人口统计学,edentulismo和生活质量。通过临床检查使用口服对日常表现的影响量表来确定脑动症。采用χ2、OR、多元回归分析,并将显著性阈值设置为p<0.05。
结果:68.24%的人出现上颌部分性动症,72.42%的人存在下颌部分性无齿,2.02%的人观察到完全无齿。性别差异显著,性别与生活质量之间存在关系(p<0.004);女性对严重/非常严重影响的自我感知更大。没有受过教育或只有小学或中学教育的人受到的影响最大(p<0.05)。牙齿脱落随着年龄的增长而增加,以严重/非常严重的方式影响生活质量。在饮食方面,完全无牙症对生活质量的影响更大(25.64%),说话(21.15%),与人交往/享受接触(10.90%)。据报道,牙齿脱落对生活质量的影响严重/非常严重,主要是60岁以上的人,平均有11颗后牙缺失,每位患者6颗前牙缺失,13颗牙齿缺失。与没有任何牙齿缺失的人相比,那些缺失多达6颗前牙的人更有可能对生活质量产生严重/非常严重的影响(OR:5.788)。Edentulism影响了受检者的生活质量,尤其是上前牙的缺失.
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