摘要【目的】探讨局部可摘义齿(RPD)和短牙弓(SDA)修复对牙列缺失患者10年间口腔健康相关生活质量(OHRQoL)的影响。【方法】回顾性分析2008年3月至2010年3月在本院进行RPD或SDA修复的151例牙列缺失患者的临床资料,根据治疗方案不同将分为RPD组(n=77)和SDA组(n=74)。采用口腔健康影响程度量表-14(Oral health impact profile,OHIP-14)评估OHRQoL,比较两组治疗前和治疗后1～2个月、6个月、1年、2年、3年、4年、5年、6年、7年、8年、9年、10年OHIP-14评分及治疗后不同特征患者OHIP-14评分和修复效果。采用多元线性回归分析SDA修复治疗后OHRQoL的影响因素。【结果】治疗后,两组患者OHIP-14评分均显著低于治疗前,其差异有统计学意义(P<0.05);治疗后不同年龄和受教育程度患者OHIP-14评分比较,其差异有统计学意义(P<0.05);SDA组患者牙龈出血和修复体脱落发生率均显著低于RPD组,修复体满意度显著高于RPD组;差异有统计学意义(P<0.05);多元线性回归分析结果显示:年龄和受教育程度为影响治疗后OHRQoL的独立危险因素(P<0.05)。【结论】RPD和SDA治疗均能显著改善磨牙缺失患者OHRQoL,10年随访中两种治疗方案对OHRQoL的影响无显著差异且保持稳定,但SDA相较于RPD牙龈出血和修复体脱落发生率低,修复体满意度高,临床可根据患者实际情况进行选择。
Abstract：【Objective】To compare oral health-related quality of life (OHRQoL) in patients with either molar replacement by partial removable dental prostheses (PRDP) or with restored shortened dental arches (SDA) over a period of 10 years. 【Methods】A total of 151 patients with bilateral molar loss in Department of Prosthodontics from March 2008 to March 2010 were enrolled, and they were divided into two groups by different treatment methods, the RPD group (n=77) and SDA group (n=74). OHRQoL of patients were assessed by Oral Health Impact Profile-14 (OHIP-14). The OHIP-14 score before treatment, 1~2 months, 6 months, 1 year, 2 years, 3 years, 4 years, 5 years, 6 years, 7 years, 8 years, 9 years, and 10 years after treatment were recorded. And the repair effects in patients with different characteristics after treatment and OHIP-14 scores were recorded. Multiple linear regression analysis was used to analyze the influencing factors of OHRQoL after treatment with SDA. 【Results】After treatment, the OHIP-14 scores in both groups were lower than before treatment (P<0.05). However, the OHIP-14 scores at different time points after treatment had no significant difference between the two groups (P>0.05). After treatment, the OHIP-14 scores of patients with different ages and education levels were significantly different (P<0.05). The incidence of gingival bleeding and prosthetic detachment in the SDA group was significantly lower than that in the RPD group. The satisfaction degree of restoration in the SDA group was significantly higher than that of RPD group (P<0.05). Multiple linear regression analysis showed that age and education level were independent risk factors for OHRQoL after treatment (P<0.05). The OHRQoL of both groups showed no significant difference in terms of treatment method and treatment time. (P>0.05). 【Conclusion】Both RPD and SDA treatment can significantly improve OHRQoL in patients with molar loss. During 10 years of follow-up, the influence of the two treatment options on OHRQoL has no significant difference and remains stable, however, SDA has a lower incidence of gingival bleeding and prosthetics-shedding, and higher satisfaction degree. So clinical treatment should be applied based on actual situation of patients.
王欣荣, 金红. 短牙弓对牙列缺失患者口腔健康相关生活质量的影响[J]. 医学临床研究, 2021, 38(12): 1791-1794.
WANG Xin-rong, JIN Hong. Impact of Shortened Dental Arch on Oral Health-related Quality of Life over a Period of 10 Years. JOURNAL OF CLINICAL RESEARCH, 2021, 38(12): 1791-1794.
2021, Vol. 38 
