Oralno in sistemsko zdravje ter potrebe po zdravljenju zobozdravstvenih pacientov: klinična validacija novega modela oralnega zdravja

Aims To clinically validate the new four-dimensional oral health model (4DOHM) by analyzing the level of correlation between oral health-related quality of life (OHRQoL) according to the 4DOHM and health-related quality of life (HRQoL), by analyzing the level of correlation between the Psychosocial Impact dimension of the 4DOHM and depression and anxiety, and by analyzing international dentists’ assessments of how their patients’ problems fit the 4DOHM. Methods We analyzed Oral Health Impact Profile, Patient-Reported Outcomes Measurement Information System Global Health, Depression, and Anxiety questionnaires of adult dental patients attending HealthPartners clinics in Minnesota, USA. We performed structural equation modeling confirmatory factor analysis and path analysis, and an international survey among dentists from all World Health Organization regions. Results Data came from 2,076 dental patients with the mean age 54.7±16.2 years (40.3% females). Correlation coefficients between OHRQoL and HRQoL, OHRQoL and Physical Health, OHRQoL and Mental Health, Psychosocial Impact and depression, and Psychosocial Impact and anxiety, were 0.56, 0.55, 0.51, 0.53, and 0.56, respectively, and they were all “large,” according to Cohen. In total, 1,580 (53.4%) of dentists (54% females) with the mean age of 38.6±10.5 years, from 32 countries, participated in the survey and reported that 94.2% of patients' problems could be categorized into the four dimensions. Conclusions The OHRQoL, according to the 4DOHM, is highly correlated to the HRQoL, and the Psychosocial Impact dimension of 4DOHM is highly correlated to depression and anxiety. Dentists categorized almost all their dental patients’ oral health problems according to the 4DOHM. The 4DOHM is clinically valid.