Abstract

BackgroundPerceived dental health has shown to have a significant predictive effect on overall health perception and life satisfaction. Thus, it seems plausible that Health Related Quality of Life (HRQOL) measures are associated with Oral Health Related Quality of Life (OHRQOL) dimensions in Nepalese context as well. The adverse effects of tobacco on oral health are reported worldwide including Nepal. However, evidence which can quantify effects of tobacco smoking on dental health perception is limited. Thus, a study was designed to find association of smoking and socio demographic characteristics with OHRQOl and to determine association between OHRQOL and HRQOL among dental patients in Nepal.MethodsA cross sectional study was conducted among 125 current smokers and 125 non-smokers who attended oral surgery OPD of a teaching hospital in Kathmandu, Nepal. The study participants were enrolled through consecutive sampling and data was collected through a semi-structured questionnaire. The questionnaire consisted of questions related to sociodemographic characteristics, tobacco history, Oral Health Impacts Profile (OHIP)-14 and World Health Organization Quality of Life Brief version (WHOQOL-Bref) to assess OHRQOl and HRQOL respectively. Descriptive and inferential statistics were calculated by using SPSS version 18.0. The level of significance was set at 5%.ResultsAmong the socio demographic characteristics, patients with education of more than Class 12 had significantly higher average OHRQOL scores (p = 0.013) compared to illiterate patients. Current smokers reported significantly poorer scores in sub scales of psychological disability (p = 0.001), social disability (p = 0.003), physical pain (p < 0.001), functional limitation (p = 0.007) and also overall perceived oral health compared to nonsmokers. OHRQOL was significantly correlated with overall HRQOL in physical (p = 0.015) and psychological (p = 0.04) domains in this study sample.ConclusionsImprovements in OHRQOL may require a multidimensional approach with focus of social factors like education and behavioral factors like cigarette smoking. Also, improvement in OHRQOL might also lead to betterment of perceived overall health as they are interlinked.

Highlights

  • Perceived dental health has shown to have a significant predictive effect on overall health perception and life satisfaction

  • It seems plausible that Health Related Quality of Life (HRQOL) measures are associated with Oral Health Related Quality of Life (OHRQOL) dimensions in Nepalese context as well

  • The highest average value was recorded in the subscale of psychological discomfort followed by physical pain and physical disability while the lowest values were recorded for psychological disability and handicap (Table 2)

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Summary

Introduction

Perceived dental health has shown to have a significant predictive effect on overall health perception and life satisfaction. It seems plausible that Health Related Quality of Life (HRQOL) measures are associated with Oral Health Related Quality of Life (OHRQOL) dimensions in Nepalese context as well. Oral Health-Related Quality of Life (OHRQOL) is defined by individual assessment of several oral health dimensions including physical dental function, tooth pain, psychological discomfort, and social impacts - all of which affect overall well-being [2]. The oral cavity has been described as “the window to general health” [3] It is an intersection of dentistry and medicine, semiindependent professions that share the same common goal of improving the health and quality of life of patients [4]. It seems plausible that Health Related Quality of Life (HRQOL) measures are associated with OHRQOL dimensions in Nepalese context as well

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