Effect of Edentulism and Oral Quality of Life on Sexual Functions in Men: A Cohort Prospective Study.

Abstract

IntroductionEdentulism has a serious impact on quality of life (QoL), and changes in QoL can affect sexual functioning.AimTo assess the correlation between oral health-related quality of life (OHQoL) and sexual function in edentulous men.MethodsA total of 148 men (18–70 years) with incomplete natural dentition completed the International Index of Erectile Function (IIEF) and Oral Health Impact Profile (OHIP-14) at 4 time points: before (T0), during (T1), 4 weeks after (T2), and 1 year (T3) after dental treatment. Kruskal–Wallis, Friedman, and Spearman's rank correlation tests were used for statistical analyses (significance at P < .05).ResultsIIEF total scores differed significantly between the time points (P < .001), with medians and interquartile ranges (IQR) of 46 (7), 42 (8), 49 (6), and 52 (5) at T0, T1, T2, and T3, respectively. The highest rate of sexual dysfunction was detected at T1 (42.2%) and the lowest at T3 (26.6%). IIEF domain scores also decreased at T1 and increased at T2 and T3 compared with T0 (P < .05). Median (IQR) OHIP-14 scores were 26.0 (8), 28.0 (8), 20.0 (6), and 18.0 (5), respectively (P < .001). OHIP score was significantly correlated with IIEF domain scores (P < .05) and there were strong negative correlations between OHIP and total IIEF scores at T0 (r = −0.737), T1 (r = −0.802), T2 (r = −0.831), and T3 (r = −0.722) (P = <.001 for all).Main Outcome MeasureChanges and correlations in IEFF and OHIP-14 scores; SD and ED prevalances at T0; T1; T2 and T3 periods.Clinical ImplicationsSexual functions was significantly correlate with OHQoL; thus patients with ED should also be examined in terms of toothlessness.ConclusionOHQoL was significantly associated with sexual function in men. However, correcting the problem of edentulism improved OHQoL and sexual function, with the best results observed after 1-year follow-up.H Turgut, S Turgut. Effect of Edentulism and Oral Quality of Life on Sexual Functions in Men: A Cohort Prospective Study. Sex Med 2021;9:100305.