目的:评估全口义齿佩戴者发生义齿口腔炎(DS)的危险因素与口腔健康相关生活质量(OHRQoL)之间的关系。
方法:男女参与者,戴着完整的假牙,对于DS的缺失或严重程度,使用改进的牛顿分类法进行分类,并分配给正常或零,IA,IB,II,和III。生活方式,口腔和义齿的历史,使用特定问卷评估药物使用情况;使用Kapur分类评估支持的解剖学特征等临床参数;通过每分钟未刺激的唾液体积计算唾液流量(SF);通过计算从假牙和腭中收集的生物膜中存在的目标微生物的菌落形成单位(CFU)来确定微生物负荷。OHIP-EDENT评估了OHRQoL。应用Kendall的tau_b和Spearman检验,显著性水平为5%。
结果:184名患者(143名女性,41名男性),年龄65.5±6.8岁。性别呈正相关(女性;p=0.013,r=0.16),年轻人(18-27岁)开始饮用酒精饮料的人(p=0.008,r=0.22),念珠菌属的CFU。(p<0.001,r=0.27义齿;p<0.001,r=0.31腭);白色念珠菌(p=0.004,r=0.22义齿;p=0.003,r=0.25腭),和光滑念珠菌(p=0.004,r=0.22义齿;p=0.001,r=0.27腭)。此外,葡萄球菌的CFU与DS呈负相关。(p=0.004,r=-0.20腭)和肠杆菌(p=0.002,r=-0.24腭),以及SF(p=0.009,r=-0.193)和DS之间呈负相关。葡萄球菌属的CFU。腭上的肠杆菌与OHRQoL显著相关。
结论:作为女性,作为一个年轻的成年人饮用酒精饮料,念珠菌属的CFU。,白色念珠菌,光滑念珠菌,唾液流量可能是DS最重要的危险因素。葡萄球菌的微生物负荷。肠杆菌似乎会影响全口义齿佩戴者的生活质量。
OBJECTIVE: To assess the association between risk factors for developing denture stomatitis (DS) and oral health-related quality of life (OHRQoL) in complete denture wearers.
METHODS: Participants of both sexes, wearing complete dentures, were classified using the modified Newton classification for the absence or the severity of DS and allocated to groups Normal or zero, IA, IB, II, and III. Lifestyle, oral and denture history, and medication use were assessed using specific questionnaires; clinical parameters such as anatomical characteristics of support were evaluated with the Kapur classification; salivary flow (SF) was calculated by the volume of unstimulated saliva per minute; and microbial load was determined by counting colony forming units (CFU) of target microorganisms present in the biofilm collected from dentures and palate. OHIP-EDENT assessed the OHRQoL. Kendall\'s tau_b and Spearman tests were applied with a significance level of 5%.
RESULTS: 184 patients (143 female and 41 male) aged 65.5 ± 6.8 years were evaluated. Positive correlations were found for sex (women; p=0.013, r=0.16), individuals who started to consume alcoholic beverages as a young adult (18-27 years) (p=0.008, r=0.22), CFU of Candida spp. (p<0.001, r=0.27 denture; p<0.001, r=0.31 palate); Candida albicans (p=0.004, r=0.22 denture; p=0.003, r=0.25 palate), and Candida glabrata (p=0.004, r=0.22 denture; p=0.001, r=0.27 palate). Moreover, negative correlations with DS were found for CFU of Staphylococcus spp. (p=0.004, r=-0.20 palate) and enterobacteria (p=0.002, r=-0.24 palate), as well as a negative correlation between SF (p=0.009, r=-0.193) and DS. The CFU of Staphylococcus spp. and enterobacteria on the palate significantly correlated with OHRQoL.
CONCLUSIONS: Being female, consuming alcoholic beverages as a young adult, CFU of Candida spp., Candida albicans, Candida glabrata, and salivary flow may be the most significant risk factors for DS. The microbial load of Staphylococcus spp. and enterobacteria seems to influence the quality of life for complete denture wearers.