Development of New Oral Health Practice Index Based on Lifestyle and Oral Health Age

我们之前的研究表明，吸烟和口腔卫生习惯等生活方式因素与牙周健康密切相关。在这项研究中，我们研究了包括心理健康在内的生活方式因素与龋齿、牙周病和牙齿脱落等口腔疾病之间的关系，以及生活方式因素与咬合功能之间的关系。在每年一次的健康检查中，由两位牙医检查口腔健康状况。有关心理社会因素、生活方式因素和口腔健康行为的信息也通过自我填写的问卷获得。基于Breslow的健康实践，我们使用了Morimoto等人针对日本回应修订的健康实践清单。心理健康状况采用Karasek工作压力模型、一般健康问卷、述情障碍、抑郁和A型人格进行测量。用牙预分仪测量咬合功能。在多元logistic模型中，我们发现牙周健康状况与年龄、饮酒、工作时间和吸烟有显著相关。在牙齿脱落与年龄、牙齿健康行为和心理社会因素的多变量分析中，年龄和述情障碍与牙齿脱落的关系仍然具有统计学意义。这一结果表明，述情人格可能会影响牙齿脱落状况。此外，由于调查了口腔疾病和咬合功能的关系，我们发现在双变量分析中，咬合力与DMF牙齿、当前牙齿和牙周病影响牙齿的数量显著相关。然而，在多变量分析中，咬合力显示出与现有牙齿数量和压力生活方式显著相关。提示口腔疾病也可能影响咬合功能。综合考虑口腔疾病状况、咬合功能、生活方式因素（包括心理社会因素），提出了一种新的口腔健康实践指数。少

We previously showed that lifestyle factors such as smoking and oral health practice are strongly associated with periodontal health. In this study, we examined association between lifestyle factors including mental health and oral disease such as dental caries, periodontal disease and tooth loss, and also, association between lifestyle factors and occlusal functions. In an annual health checkup, oral health status was examined by two dentists. Information pertaining to psychosocial factors, lifestyle factors and oral health behavior was also obtained through a self-administered questionnaire. Based on Breslow's health practices, we used the health practice list revised for Japanese responds by Morimoto et al. Psychosocial health status was measured by the Karasek job strain model, the General Health Questionnaire, alexithymia, depression and type A personality. Occlusal functions were measured with Dental Prescale. We found that periodontal health status was significantly associated w … More ith age, alcohol consumption, working hour and smoking in multiple logistic model. In multivariate analysis of tooth loss on age, dental health behaviors and psychosocial factors, the association of age and alexithymia with tooth loss remained statistically significant. This result suggests that an alexithymic personality may affect tooth loss status. Furthermore, as a result of investigating on the association of oral diseases and occlusal functions, we found that occlusal force was significantly associated with the numbers of DMF teeth, present teeth and periodontal disease-affected teeth in bivariate analysis. However, in multivariate analyses, the occlusal force showed significant associations with number of present teeth and stressful lifestyle. This result suggests that oral diseases may also affect occlusal function. Collectively, the results of this study suggest that a new oral health practice index is developed by using the status of oral diseases, occlusal functions, lifestyle factors including psychosocial factors. Less