DOI QR코드

DOI QR Code

Relationship between the Subjective-Objective Oral Health Status and Oral Health Related Quality of Life in the Elderly

  • Youn, Ha-Young (Department of Preventive Dentistry, Kyungpook National University School of Dentistry) ;
  • Cho, Min-Jeong (Department of Preventive Dentistry, Kyungpook National University School of Dentistry) ;
  • Hwang, Yoon-Sook (Department of Dental Hygiene, Hanyang Women's University) ;
  • Koh, Kwang-Wook (Department of Preventive Medicine, Kosin University College of Medicine)
  • 투고 : 2017.07.21
  • 심사 : 2017.09.07
  • 발행 : 2017.10.31

초록

The purpose of this study was to analyze the relationship between objective oral health status determined by dentists, self-perceived subjective oral health status, and oral health related quality of life (OHRQoL) in the elderly. The related factors affecting OHRQoL in the elderly were also surveyed. Four hundred and thirty elderly individuals who visited the three public health centers and four dental clinics in Busan were selected by convenience sampling. Twelve dental hygienists investigated the subjective oral health status and OHRQoL using the 14-item Oral Health Impact Profile (OHIP-14) and twentyone dentists examined the objective oral health status, including healthy remaining teeth, treated remaining teeth, functional remaining teeth, missing teeth, and non-treated missing teeth. Data were analyzed using SPSS ver. 12.0. OHRQoL was higher when oral and periodontal status was perceived as healthy, when there was no toothache, no interference in mastication, and when study subjects had the ability of food softening. It was also higher when study subjects had ${\geq}20$ remaining teeth and <9 missing teeth, and were wearing denture. The related factors affecting OHRQoL of the elderly were the type of medical insurance, toothache, ability of food softening, perception of periodontal status, and the number of healthy remaining teeth. There was a significant relationship between the subjective-objective oral health status and OHRQoL in the elderly. A continuous oral health care system aimed at retaining ${\geq}20$ healthy remaining teeth is needed to improve oral health and OHRQoL for the elderly, especially for the elderly receiving medical aid.

키워드

참고문헌

  1. KOSIS: Population projections. Retrieved July 14, 2017, from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&conn_path=I2.xls(2016).
  2. Bahekar AA, Singh S, Saha S, Molnar J, Arora R: The prevalence and incidence of coronary heart disease is significantly increased in periodontitis: a meta-analysis. Am Heart J 154: 830-837, 2007. https://doi.org/10.1016/j.ahj.2007.06.037
  3. Molloy J, Wolff LF, Lopez-Guzman A, Hodges JS: The association of periodontal disease parameters with systemic medical conditions and tobacco use. J Clin Periodontol 31: 625-632, 2004. https://doi.org/10.1111/j.1600-051X.2004.00539.x
  4. Meeuwissen JH, van Waas MA, Meeuwissen R, Käyser AF, van't Hof MA, Kalk W: Satisfaction with reduced dentitions in elderly people. J Oral Rehabil 22: 397-401, 1995. https://doi.org/10.1111/j.1365-2842.1995.tb00791.x
  5. Gilbert GH, Foerster U, Duncan RP: Satisfaction with chewing ability in a diverse sample of dentate adults. J Oral Rehabil 25: 15-27, 1998. https://doi.org/10.1046/j.1365-2842.1998.00207.x
  6. McGrath C, Bedi R: Can dental attendance improve quality of life? Br Dent J 190: 262-265, 2001.
  7. Shtereva N: Aging and oral health related to quality of life in geriatric patients. Rejuvenation Res 9: 355-357, 2006. https://doi.org/10.1089/rej.2006.9.355
  8. Choi JS, Jung SH: Policy planning for oral health promotion. Korea Institute for Health and Social Affairs, Seoul, p.58, 2000.
  9. Chen MS, Hunter P: Oral health and quality of life in New Zealand: a social perspective. Soc Sci Med 43: 1213-1222, 1996. https://doi.org/10.1016/0277-9536(95)00407-6
  10. McGrath C, Bedi R: Can dentures improve the quality of life of those who have experienced considerable tooth loss? J Dent 29: 243-246, 2001. https://doi.org/10.1016/S0300-5712(00)00063-4
  11. Wong MC, McMillan AS: Tooth loss, denture wearing and oral health-related quality of life in elderly Chinese people. Community Dent Health 22: 156-161, 2005.
  12. Park JH, Jeong SH, Lee GR, Song KB: The impact of tooth loss on oral health related quality of life among the elderly in Seongju, Korea. J Korean Acad Oral Health 32: 63-74, 2008.
  13. Ryu KJ, Lee TY, Kim KY: A study on oral health-related quality of life of among elderly in metropolis. J Korean Soc Dent Hyg 9: 1-16, 2009.
  14. Kim MH, Kim KW, Lee KS: Association between oral health and oral health-related quality of life among the elderly. J Dent Hyg Sci 14: 488-494, 2014. https://doi.org/10.17135/jdhs.2014.14.4.488
  15. Kim ES: Review of oral health-related quality of life using the oral health impact profile. J Korean Soc Dent Hyg 15: 13-22, 2013.
  16. Budtz-Jorgensen E, Chung JP, Rapin CH: Nutrition and oral health. Best Pract Res Clin Gastroenterol 15: 885-896, 2001. https://doi.org/10.1053/bega.2001.0247
  17. Lee MS, Kim SH, Yang JS, Oh JS, Kim DK: Validity and reliability of the oral health impact profile in elderly Korean 65+. J Korean Acad Oral Health 29: 210-221, 2005.
  18. Steele JG, Sanders AE, Slade GD, et al.: How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Community Dent Oral Epidemiol 32: 107-114, 2004. https://doi.org/10.1111/j.0301-5661.2004.00131.x
  19. Lee GR: A study of oral health impact profile 14 among the elderly in rural area. J Dent Hyg Sci 10: 109-116, 2010.
  20. Lee HO, Park JY: Relationship between oral health behavior and happiness index in elderly people. J Dent Hyg Sci 16: 415-423, 2016. https://doi.org/10.17135/jdhs.2016.16.6.415
  21. Yom YH, Han JH: Factors associated with oral health related-quality of life in the elderly persons: applying Andersen's model. Korean J Fundam Nurs 21: 18-28, 2014. https://doi.org/10.7739/jkafn.2014.21.1.18
  22. Takata Y, Ansai T, Awano S, et al.: Chewing ability and quality of life in an 80-year-old population. J Oral Rehabil 33: 330-334, 2006. https://doi.org/10.1111/j.1365-2842.2005.01567.x
  23. Jung YM, Shin DS: Oral health, nutrition, and oral health-related quality of life among Korean older adults. J Gerontol Nurs 34: 28-35, 2008.