Oral health status and health-related quality of life: a systematic review.
Oral health status and health-related quality of life: a systematic review.
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DOI：
10.2334/josnusd.48.1
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发表时间：
2006-03-01
影响因子：
1.9
通讯作者：
Hanada, Nobuhiro
中科院分区：
文献类型：
--
作者：
Naito, Mariko;Yuasa, Hidemichi;Hanada, Nobuhiro
本研究旨在找出口腔健康状况与健康相关生活质量的文献，系统地回顾研究结果，并评估两者之间的关联性。我们利用包括MEDLINE在内的五个数据库对1973年1月至2004年6月发表的报告进行了文献检索。只有使用有效的通用健康相关生活质量量表的研究才被选中。评审员独立评估了选定的文章，并以协商一致的方式解决了分歧。共检索到1,726篇文章，其中7篇被选作综述；5篇观察性研究和2项干预研究。四项研究表明，口腔健康状况与健康相关的生活质量之间存在显著关联。颞下颌关节紊乱病与健康相关的生活质量降低密切相关。较差的口腔状态与颅颌和颈椎疼痛有关，并与健康相关的生活质量受损增加有关。对牙齿和口腔的不满以及口腔干燥的感觉导致了与健康相关的生活质量下降。为无牙患者提供种植体支持的全口义齿有助于提高健康相关的生活质量。使用经过验证的工具对与口腔健康相关的健康相关生活质量的评估仍然不足。目前的研究结果表明，口腔健康状况在某些情况下可能会影响健康相关的生活质量；然而，还需要进一步的证据来支持这一解释。
This study was conducted in order to identify the literature on oral health status and health-related QOL, review the findings systematically, and assess the association between them. We performed a literature search of reports published between January 1973 and June 2004, using five databases including MEDLINE. Only studies that used validated generic health-related QOL instruments were selected. The reviewers evaluated selected articles independently and resolved disagreements by consensus. A total of 1,726 articles were retrieved and seven were selected for the review; five observational studies and two intervention studies. Four studies showed significant associations between oral health status and health-related QOL. Temporomandibular disorders were highly associated with reduced health-related QOL. Poor oral status linked to both craniomandibular and cervical spinal pain was associated with increased impairment of health-related QOL. Dissatisfaction with the teeth and mouth, and a sensation of dry mouth contributed to reduce health-related QOL. Providing edentulous patients with implant-supported full dentures contributed to improve health-related QOL. Assessment of health-related QOL in relation to oral health with validated instruments remains insufficient. The present findings suggest that oral health status could affect health-related QOL in some settings; however, further evidence is needed to support this interpretation.