Impact of loss of removable dentures on oral health after the great East Japan earthquake: a retrospective cohort study.
Impact of loss of removable dentures on oral health after the great East Japan earthquake: a retrospective cohort study.
复制标题
东日本大地震后活动假牙丢失对口腔健康的影响：一项回顾性队列研究。
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
I. Tsuji
中科院分区：
文献类型：
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作者：
Yukihiro Sato;J. Aida;K. Takeuchi;Kanade Ito;S. Koyama;M. Kakizaki;Mari Sato;K. Osaka;I. Tsuji
目的
2011 年 3 月的东日本大地震摧毁了许多社区，许多老年受害者失去了活动假牙。之前没有研究记录自然灾害后假牙脱落的发生率或检验其负面影响。因此，从公共卫生的角度来看，调查此类灾难对口腔健康的影响至关重要。
材料和方法
灾难发生后三到五个月，对位于宫城县石卷市地区的两个沿海城镇小泻和大鹿进行了问卷调查。在调查参与者中，有 715 人在灾难前使用过一颗或多颗活动假牙，这些人构成了分析的人群。通过修正的泊松回归方法检查义齿脱落对口腔健康相关生活质量 (OHRQoL) 的影响，并调整性别、年龄、主观家庭经济状况、龋齿、牙齿松动、心理困扰 (K6)、前往牙科诊所的机会、体力活动和居住城镇。
结果
有 123 名（17.2%）参与者丢失了假牙。与未丢失假牙的参与者相比，缺少假牙的参与者出现饮食困难（RR = 2.65，95%CI = 1.90-3.69）、言语问题（RR = 4.37，95%CI = 2.46-7.76）、微笑、大笑或露出牙齿时感到尴尬（RR = 5.32，95%CI = 2.34-12.1), 情绪困扰（RR = 2.38，95%CI = 1.41-4.03），以及与社交互动相关的问题（RR = 6.97，95%CI = 1.75-27.7）。
结论
假牙缺失似乎会损害进食和说话能力，从而阻碍与他人的交流。重大自然灾害后的公共卫生干预应包括牙科护理。
PURPOSE
The Great East Japan Earthquake in March 2011 destroyed many communities, and as a result many older victims lost their removable dentures. No previous studies have documented the prevalence of denture loss after a natural disaster or examined its negative impact. Therefore, investigation of the consequences of such a disaster on oral health is of major importance from a public health viewpoint.
MATERIALS AND METHODS
Three to five months after the disaster, questionnaire surveys were conducted in two coastal towns, Ogatu and Oshika, located in the area of Ishinomaki city, Miyagi prefecture. Among the survey participants, 715 individuals had used one or more removable dentures before the disaster, and these comprised the population analyzed. The effect of denture loss on oral health-related quality life (OHRQoL) was examined by a modified Poisson regression approach with adjustment for sex, age, subjective household economic status, dental caries, tooth mobility, psychological distress (K6), access to a dental clinic, physical activity, and town of residence.
RESULTS
There were 123 (17.2%) participants who had lost their dentures. In comparison with participants who had not lost their dentures, those lacking dentures showed a significantly higher relative risk for eating difficulties (RR = 2.65, 95%CI = 1.90-3.69), speech problems (RR = 4.37, 95%CI = 2.46-7.76), embarrassment upon smiling, laughing, or showing their teeth (RR = 5.32, 95%CI = 2.34-12.1), emotional distress (RR = 2.38, 95%CI = 1.41-4.03), and problems related to social interaction (RR = 6.97, 95%CI = 1.75-27.7).
CONCLUSIONS
Denture loss appeared to impair eating and speaking ability, thus discouraging communication with others. Public health intervention after major natural disasters should include dental care.
影响因子：
12.7
作者：
Tsakos, Georgios;Demakakos, Paneyotes;Watt, Richard G.
通讯作者：
Watt, Richard G.
影响因子：
120.7
作者：
Thienkrua, Warunee;Lopes Cardozo, Barbara;van Griensven, Frits
通讯作者：
van Griensven, Frits