Gerodontology · 2025
The Association Between Oral Diseases, Symptoms, and Oral Health-Related Quality of Life in 70-Year-Olds: A Cross-Sectional Study.
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Hasselgren Linda C K, Berggreen Ellen, Elabdeen Hager Zein, Kvalheim Siri F, Sulo Gerhard, Åstrøm Anne N
Аннотация
OBJECTIVE: To describe the association between oral diseases, self-reported symptoms and oral health-related quality of life (OHRQoL) in 70-year-olds.
BACKGROUND: Previous studies have found inconsistent evidence of the association between certain oral diseases and OHRQoL in adults aged 65 years or older, indicating a need for further research.
MATERIALS AND METHODS: Adults who had been born in 1950-51 and residing in Western Norway were invited to a comprehensive oral health examination, collecting information on the number of teeth, caries, periodontitis, hyposalivation, xerostomia and temporomandibular pain (TMD). OHRQoL was assessed using two instruments, the Oral Impact on Daily Performances (OIDP) and the Oral Health Impact Profile-14 (OHIP-14). We used a causal model approach to identify potential confounders. The association between oral diseases, self-reported symptoms, and OHRQoL was explored using multivariable negative binomial regression models, reporting rate ratios (RR) with 95% confidence intervals (CI).
RESULTS: The final study sample consisted of 1189 individuals. The median (interquartile range [IQR]) OIDP and OHIP-14 scores were 0 (0-1) and 1 (0-4), respectively. OHRQoL was significantly associated with having fewer than 20 teeth (RR: 5.36 for OIDP and RR: 3.57 for OHIP-14), hyposalivation (RR: 1.38 for OHIP-14), xerostomia during daytime (RR: 2.25 for OIDP and RR: 2.07 for OHIP-14), xerostomia at night (RR: 1.72 for OIDP and RR: 1.71 for OHIP-14) and TMD pain (RR: 3.29 for OIDP and RR: 2.68 for OHIP-14).
CONCLUSION: This study of Norwegian 70-year-olds indicates that preserving teeth is essential for OHRQoL and signals the importance of addressing hyposalivation, xerostomia, and TMD in the management of oral health in older adults.
BACKGROUND: Previous studies have found inconsistent evidence of the association between certain oral diseases and OHRQoL in adults aged 65 years or older, indicating a need for further research.
MATERIALS AND METHODS: Adults who had been born in 1950-51 and residing in Western Norway were invited to a comprehensive oral health examination, collecting information on the number of teeth, caries, periodontitis, hyposalivation, xerostomia and temporomandibular pain (TMD). OHRQoL was assessed using two instruments, the Oral Impact on Daily Performances (OIDP) and the Oral Health Impact Profile-14 (OHIP-14). We used a causal model approach to identify potential confounders. The association between oral diseases, self-reported symptoms, and OHRQoL was explored using multivariable negative binomial regression models, reporting rate ratios (RR) with 95% confidence intervals (CI).
RESULTS: The final study sample consisted of 1189 individuals. The median (interquartile range [IQR]) OIDP and OHIP-14 scores were 0 (0-1) and 1 (0-4), respectively. OHRQoL was significantly associated with having fewer than 20 teeth (RR: 5.36 for OIDP and RR: 3.57 for OHIP-14), hyposalivation (RR: 1.38 for OHIP-14), xerostomia during daytime (RR: 2.25 for OIDP and RR: 2.07 for OHIP-14), xerostomia at night (RR: 1.72 for OIDP and RR: 1.71 for OHIP-14) and TMD pain (RR: 3.29 for OIDP and RR: 2.68 for OHIP-14).
CONCLUSION: This study of Norwegian 70-year-olds indicates that preserving teeth is essential for OHRQoL and signals the importance of addressing hyposalivation, xerostomia, and TMD in the management of oral health in older adults.