Deterioration of periodontal status affects declines in masticatory performance: The Suita study

Deterioration of periodontal status affects declines in masticatory performance: The Suita study
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DOI:
10.1111/jcpe.13515
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发表时间:
2021-07-08
影响因子:
6.7
通讯作者:
Ikebe, Kazunori
Ikebe, Kazunori
中科院分区:
医学1区
文献类型:
--
作者:
Kosaka, Takayuki;Ono, Takahiro;Ikebe, Kazunori

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目的通过对一般城市人群的纵向追踪研究,明确牙周状况恶化与咀嚼功能之间的关系。材料和方法这项研究调查了Suita研究中的663名参与者,在5年的随访期内,功能性牙齿或咬合支持区域的数量没有变化。根据调查期间牙周状况的变化,参与者被分为三组:恢复组、稳定组和恶化组。咀嚼功能变化率的计算方法是从随访值中减去基线值,再用基线值除以结果值。结果咀嚼功能改变率中位数恢复组为-11.7%,稳定组为-19.2%,恶化组为-30.8%,差异有统计学意义(p<.001)。多元回归分析显示牙周状态组(恢复组:参考;稳定组:P=.029;恶化组:P=.006)作为自变量与咀嚼性能变化率显著相关。结论牙周状况的恶化增加了年龄相关性咀嚼功能下降的风险。
Aim We aimed to clarify the association between deterioration of periodontal status and masticatory performance in a longitudinal follow-up study of a general urban population. Materials and methods This study investigated 663 participants in the Suita study with no changes in the number of functional teeth or occlusal support areas during a 5-year follow-up period. Participants were classified into three groups according to changes in periodontal status during the survey period: a recovered group; a stable group; and a deteriorated group. Rate of masticatory performance change was calculated by subtracting the value at baseline from the value at follow-up and dividing the resulting value by the baseline value. Results Median rates of masticatory performance change were -11.7% in the recovered group, -19.2% in the stable group, and -30.8% in the deteriorated group, and these values were significantly different (p < .001). Multiple regression analysis revealed periodontal status group (recovered group: reference; stable group: p = .029; deteriorated group: p = .006) as an independent variable was significantly associated with the rate of masticatory performance change. Conclusion The present results suggest that deterioration of periodontal status increases the risk of age-related declines in masticatory performance.