在以人口为基础的队列中,后关闭支持和牙损失之间的关联:OHSAKA研究
Tomoaki Mameno1, Naoko Otsuki2, Masahiro Wada1
1Department of Removable Prosthodontics and Gerodontology, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita, Osaka 565-0871, Japan.
Journal of dentistry
|June 27, 2024
概括
减少后关闭支持 (POS) 显著增加了老年人牙损失的风险. 这种风险在前牙损失时甚至更高,这凸显了保持足够的牙支持的重要性.
科学领域:
- 老年牙科 - 老年牙科
- 牙科公共卫生 牙科公共卫生
- 流行病学 流行病学
背景情况:
- 在老年人中,保持足够的后关闭支持 (POS) 对口腔功能至关重要.
- 老年人牙脱落是一个重要的公共卫生问题,其原因多为因素.
研究的目的:
- 调查不同程度的后关闭支 (POS) 与75岁及以上人群中牙脱落的发生率之间的联系.
- 为了确定牙损失的位置 (前面与后面) 是否受POS水平的影响.
主要方法:
- 一项纵向队列研究,涉及94,422名年龄≥75岁的参与者在日本大阪 (2018-2022).
- 参与者被分为9个POS组,使用艾希纳指数.
- 经过对多个共变量进行调整后的物流回归分析,用于评估POS和牙损失之间的关联,包括对前后牙损失的分层分析.
主要成果:
- 在对混因素进行调整后,发现POS降低和牙损失风险增加之间存在统计学上显著的关联.
- 牙损失的几率比率随着较差的POS类别逐渐增加.
- 前牙损失的风险大大高于后牙损失,在最低的POS组 (B4) 中观察到的赔率比率最高.
结论:
- 减少后关闭支 (POS) 是老年人牙损失的重要风险指标.
- 牙损失的风险,特别是在前部区域,被减少的POS放大.
- 这些发现强调了保留闭塞支对于预防老年人牙脱落的重要性.
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