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

我们之前的研究表明，吸烟和口腔健康实践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口腔疾病(如龋齿、牙周病和牙齿脱落)之间的关联，以及生活方式因素与咬合功能之间的关联。在一年一度的健康检查中，两名牙医检查了口腔健康状况。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填式问卷获得。基于布雷斯洛的健康实践，我们使用了Morimoto等人为日本人的反应修订的健康实践清单。采用Karasek工作压力模型、一般健康问卷、述情障碍、抑郁和A型人格评定心理社会健康状况。牙合功能采用牙科预量表进行测量。我们发现牙周健康状况与…显著相关多因素Logistic模型中年龄、饮酒量、工作时间和吸烟的影响更大。在对年龄、牙齿健康行为和心理社会因素进行的多因素分析中，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，述情障碍的个性可能会影响牙齿脱落的状况。此外，通过对口腔疾病与咬合功能关系的研究，我们发现在双变量分析中，咬合力与DMF牙数、现有牙数和牙周病患牙数显著相关。然而，在多变量分析中，咬合力与现有牙齿的数量和紧张的生活方式显示出显著的相关性。这一结果表明，口腔疾病也可能影响咬合功能。综上所述，本研究的结果表明，利用口腔疾病状况、咬合功能、包括心理社会因素在内的生活方式因素，可以开发一种新的口腔健康实践指数。较少

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