Abstract
BackgroundThe assessment of oral heath related quality of life (OHRQoL) for complete denture wearers according to a participant’s subjective perception may provide an indication of the adaptive capacity of the individual. The aim of this study was to compare and assess the validation of two quality of life measures, the Oral Health Impact Profile-14 (OHIP-14) and Geriatric Oral Health Assessment Index (GOHAI), in patients with and without previous denture experience.MethodsA total of 69 elders (36 male and 34 female; mean age, 63 years) from Dental Clinics of the University of Khartoum and the National University in Sudan, with and without previous denture experience, were included in the study. OHRQoL was assessed using two Arabic-translated questionnaires (OHIP-14 and GOHAI) before and after complete denture therapy. Global self-ratings of oral and general health were obtained, and denture satisfaction was assessed using the Denture Satisfaction questionnaire.ResultsBoth tools had significant correlations with self-rating oral health in patients without denture experience (P < 0.05). However, no significant correlations were found in patients with denture experience. There were significant differences between pre-and post-treatment total scores with both the GOHAI and OHIP-14 (P < 0.001). Responsiveness to treatment using GOHAI and OHIP-14 revealed overall mean effect size higher in patients without (1.49) and (0.83) than those with previous denture experience (0.89) and (0.60), respectively. However, neither tool could detect significant differences between patients with and without denture experience (P > 0.05).ConclusionGreater improvements of OHRQoL after complete denture therapy were observed in participants without than those with previous denture experience. The Arabic-translated versions of GOHAI and OHIP-14 can be regarded as effective measures for assessing treatment outcomes of complete denture therapy.
Highlights
The assessment of oral heath related quality of life (OHRQoL) for complete denture wearers according to a participant’s subjective perception may provide an indication of the adaptive capacity of the individual
The evaluation of OHRQoL using the Geriatric Oral Health Assessment Index (GOHAI) and Oral health impact profile (OHIP)-14 before and after treatment may demonstrate the need of elders requiring tooth replacement with dentures and provide indications of the quality of the serviced treatment
Dental implants are in rapidly increase in the field of prosthodontics, total edentulism is still commonly treated with conventional complete dentures, which gives importance to research investigating the impact of complete denture therapy on OHRQoL
Summary
The assessment of oral heath related quality of life (OHRQoL) for complete denture wearers according to a participant’s subjective perception may provide an indication of the adaptive capacity of the individual. The aim of this study was to compare and assess the validation of two quality of life measures, the Oral Health Impact Profile-14 (OHIP-14) and Geriatric Oral Health Assessment Index (GOHAI), in patients with and without previous denture experience. The evaluation of OHRQoL using the GOHAI and OHIP-14 before and after treatment may demonstrate the need of elders requiring tooth replacement with dentures and provide indications of the quality of the serviced treatment. This in turn will benefit the dental profession as well as policy makers. This study investigated the responsiveness of complete denture therapy in patients with and without previous denture experience using the OHIP14 and GOHAI as outcome measures
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