Higher OHIP-14 Scores Research Articles

Novel Insights into Amlodipine-Induced Gingival Enlargement: A Clinical and Molecular Perspective.

This study aimed to identify risk factors for amlodipine-induced gingival enlargement, assess quality of life, and analyze gingival tissue. This cross-sectional study involved hypertensive patients on amlodipine, divided into groups with and without gingival enlargement. Assessments included sociodemographic data, clinical evaluations, and clinical parameters. Quality of life was assessed using OHIP-14 and WB-HRQoL scales. Gingival tissue samples were analyzed for oxidative status and key molecules using RT-PCR and colorimetric assays. The study included 32 patients with no significant sociodemographic differences between groups (p > 0.05). Patients with gingival enlargement had higher systolic blood pressure (139.63 ± 10.743 vs. 128.38 ± 7.249, p = 0.028) and higher OHIP-14 scores. The RT-PCR analysis showed significant differences in IL-6, TNF-α, IL-33, ST2, TGF-β1, FGF-2, CTGF, VEGF-D, and KGF expression. IL-6, TNF-α, ST2, and FGF-2 expression levels were lower in patients taking amlodipine, with and without gingival enlargement. TGF-β1 and CTGF expression levels were highest in patients with amlodipine-induced gingival enlargement. SOD activity was also highest in these patients, whereas MDA levels were higher in patients with gingival enlargement without amlodipine. Our study highlights the impact of amlodipine-induced gingival enlargement on oral health and quality of life, emphasizing fibrosis and oxidative stress, and suggests the need for integrated healthcare approaches and further research.

Oral health-related quality of life in Fanconi anemia: a cross-sectional study.

To evaluate the oral health-related quality of life (OHRQoL) of individuals diagnosed with Fanconi anemia (FA). A cross-sectional study was conducted with FA patients from two Brazilian referral centers. Participants underwent a complete dental, periodontal, and oral mucosa examination, as well as assessment of resting salivary flow. The short version of the Oral Health Impact Profile (OHIP-14) questionnaire was administered. Descriptive and bivariate analyses were performed, followed by multivariate analysis to examine the impact of independent variables on OHRQoL. The study included 20 (57.1%) males and 15 (42.9%) females, with a mean age of 18.9years. Oral leukoplakia (OL) was found in 18 individuals. The overall OHIP-14 score was 9.9 ± 10.5. Individuals aged ≥ 16years had higher OHIP-14 scores, indicating worse OHRQoL for physical pain (p = 0.007), psychological discomfort (p = 0.001), physical disability (p = 0.03), psychological disability (p = 0.001), handicap (p = 0.004), and overall score (p = 0.007). Females reported more negative OHRQoL than males for physical pain (p = 0.02), psychological discomfort (p = 0.03), psychological disability (p = 0.009), and overall score (p = 0.02). Individuals with OL had an overall OHIP-14 score 1.83 times higher than those without OL (95% CI: 1.02-3.28; p = 0.04). Lower salivary flow correlated with higher overall OHIP-14 scores (95% CI: 0.14-0.84; p = 0.01). This study represents the first attempt to evaluate OHRQoL in individuals with FA. The presence of OL and reduced salivary flow were identified as predictors of a negative impact on OHRQoL. It is imperative to integrate patients' quality of life in the clinical treatment protocols for the FA population.

Oral Health-Related Quality of Life in Rare Disorders of Congenital Facial Weakness.

Congenital facial weakness (CFW) encompasses a heterogenous set of rare disorders presenting with decreased facial movement from birth, secondary to impaired function of the facial musculature. The aim of the present study is to provide an analysis of subject-reported oral health-related quality of life (OHRQoL) in congenital facial weakness (CFW) disorders. Forty-four subjects with CFW and age- and sex- matched controls were enrolled in an Institutional Review Board (IRB)-approved study. Demographic data, medical and surgical history, comprehensive oral examination, and the Oral Health Impact Profile (OHIP-14) were obtained. Compared to unaffected controls, subjects with CFW had higher OHIP-14 scores overall (mean ± SD: 13.11 ± 8.11 vs. 4.46 ± 4.98, p < 0.0001) and within five of seven oral health domains, indicating decreased OHRQoL. Although subjects with Moebius syndrome (MBS) were noted to have higher OHIP-14 scores than those with Hereditary Congenital Facial Paresis (HCFP), there was no significant correlation in OHIP-14 score to age, sex, or specific diagnosis. An increase in OHIP-14 scores in subjects was detected in those who had undergone reanimation surgery. In conclusion, subjects with CFW had poorer OHRQoL compared to controls, and subjects with MBS had poorer OHRQoL than subjects with HCFP. This study provides better understanding of oral health care needs and quality of life in a CFW cohort and suggests that guidelines for dental treatment are required.

Oral health-related quality of life in multiple sclerosis and neuromyelitis optica spectrum disorder patients from Argentina (P5-3.007)

<h3>Objective:</h3> To describe oral hygiene habits in MS and NMOSD patients from Argentina and evaluate the oral health-related quality of life, and its possible association with IST and other relevant clinical factors. <h3>Background:</h3> Multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) are inflammatory diseases of the central nervous system. Most MS and NMOSD patients are on immunosuppressive treatment (IST), leading to an increased risk of infections, including those of odontogenic origin. There is scarce evidence on oral health-related quality of life in these patients. <h3>Design/Methods:</h3> A cross-sectional study was conducted using an Oral Health Impact Profile test (OHIP-14) in 202 MS, 36 NMOSD patients, and 167 controls (HC; non-MS, non-NMOSD and without any IST). We retrospectively reviewed the medical records, and demographic, clinical/paraclinical data and treatments were evaluated. Higher OHIP-14 scores are related to a poorer state of oral health. <h3>Results:</h3> A total of 405 individuals were included. NMOSD patients had a significantly worse performance in functional limitation and handicap domains of the OHIP-14 score compared with MS and HC. HC scored significantly higher in psychological discomfort than MS. No differences in the frequency of dental hygiene were found between groups. MS and NMOSD patients had worse subjective perception of their oral health and fewer odontological visits than HC within the last year. MS patients on active disease modifying treatment were independently associated with higher total OHIP-14 score (β 5.90, 95%CI 1.96–9.84, p=0.003) in our linear regression model. <h3>Conclusions:</h3> This study showed that MS and NMOSD patients may be vulnerable regarding their oral health. Using DMT in MS patients was a predictor of poor state of oral health. Patient-reported OHIP-14 scores provide comprehensive additional information in clinical practice. <b>Disclosure:</b> Veronica A. Tkachuk has nothing to disclose. Dr. Aguirre has nothing to disclose. Dr. Cao has nothing to disclose. Dr. Nadur has nothing to disclose. Dr. Isa has nothing to disclose. Mrs. Balbuena has nothing to disclose. Miss Perachino has nothing to disclose. Edgar Carnero Contentti has nothing to disclose.

The Influence of Periodontal Disease on Oral Health Quality of Life in Patients with Cardiovascular Disease: A Cross-Sectional Observational Single-Center Study.

Background and Objectives: Cardiovascular disease is a leading cause of global death with a rising prevalence and a heavy economic burden. Periodontal disease has been associated with cardiovascular diseases—including incident coronary heart disease, peripheral artery disease and ischemic stroke. The study evaluates the quality of life of patients with cardiovascular and periodontal disease from the point of view of oral health by using the short version of the Oral Health Impact Profile (OHIP-14) questionnaire. Materials and Methods: This study included a total of 221 patients (61.86 ± 15.03 years old) selected from the Emergency Hospital of Sibiu, Romania. The participants self-completed the OHIP-14 questionnaire and they benefited from an oral health examination conducted to assess the presence and the severity of periodontal disease. Results: Out of the 147 patients with cardiovascular disease, 77.5% had periodontal disease (32.6% stage I, 29.2% stage II, and 15.6% stage III and IV). The presence of periodontal disease was associated with a lower oral-health-related quality of life (p < 0.001, ANOVA) and with a higher OHIP-14 score in patients with cardiovascular disease (18.67 ± 8.17, p < 0.001 ANOVA). No significant difference was observed concerning patient sex and background; however, age, body mass index and the lack of an appropriate oral hygiene routine had a strong association with the individual quality of life. The general OHIP-14 score was higher in patients with periodontal disease and associated cardiovascular disease, the presence of both cardiovascular and periodontal disease being associated with a lower quality of life. Conclusions: By increasing the patients’ awareness to oral healthcare measures, better outcomes and improved oral-health-related quality of life could be observed.

Self-perceived neighborhood factors and OHRQoL among adolescents: a population-based study in southern Brazil.

This study aimed to assess the relationship between self-perceived neighborhood factors and oral health-related quality of life (OHRQoL) among adolescents from southern Brazil. A representative sample of 15-19-year-old students from Santa Maria, Brazil, was included. The Oral Health Impact Profile (OHIP-14) was used to assess the OHRQoL. Self-perceived neighborhood factors were assessed through a structured questionnaire and included characteristics of the neighborhood where the adolescents lived, such as the presence of paved streets, tap water, community social networks, and availability of dental services and the Family Health Strategy (FHS). In addition, socioeconomic, behavioral, and clinical variables (dental caries and malocclusion) were also evaluated. Multilevel Poisson regression analysis with a hierarchical approach was used to assess the association between predictors and OHIP-14. The rate ratio (RR) and 95% confidence intervals (CIs) were estimated. A total of 1,197 adolescents were included in this study (participation rate: 72.3%). The mean OHIP-14 score was 8.4 (standard error = 0.2), ranging from 0 to 49. Living in residences with unpaved streets (RR = 1.11, 95%CI:1.06-1.17), no tap water (RR = 1.11, 95%CI: 1.02-1.20), absence of the FHS services (RR = 1.15, 95%CI: 1.09-1.20), and the availability of dental services (RR = 1.08, 95%CI: 1.03-1.14) were associated with higher OHIP-14 scores, indicating a poorer OHRQoL. In addition, lower socioeconomic status, visiting the dentist for curative reasons, lower frequency of brushing teeth, and higher sugar consumption were also associated with higher OHIP-14 scores. In conclusion, self-perceived neighborhood characteristics were associated with OHRQoL in adolescents. Adolescents who perceived their neighborhood as deprived had poorer OHRQoL.

Temporomandibular dysfunction experience is associated with oral health-related quality of life: an Australian national study

BackgroundThere are very few studies of the association between temporomandibular dysfunction (TMD) and oral health-related quality of life (OHRQoL) in a representative sample from the Asia–Pacific region. Accordingly, we aimed to quantify the association of TMD with OHRQoL dimensions and overall measurement scores in a representative sample of Australian adults while accounting for a range of confounders, and statistically estimating whether TMD experience is meaningfully associated with OHRQoL.MethodAustralia’s National Survey of Adult Oral Health 2004–2006 data were used. The outcome variables were the Oral Health Impact Profile (OHIP-14) domains and overall scores while the main exposure was self-reported Diagnostic Criteria Question for TMD. The analysis accounted for confounders including oral health status obtained from the oral examination, demographics, socioeconomics, health behaviours and health including perceived stress subscales of the PSS-14. We conducted complex samples analysis while using Cohen’s f2 effect size to estimate whether the association is meaningful.ResultsTMD prevalence was 9.9% (95% CI: 8.4–11.6%) among 4133 Australian adults. TMD experience was associated with impairments to the seven OHIP-14 OHRQoL domains (P < .05) with higher impairments observed in physical pain (B = 0.82, 95% CI: .45–1.20, P < .001), psychological discomfort (B = 0.68, 95% CI: .29–1.06, P = .001) and psychological disability (B = 0.52, 95% CI: .20–.84, P = .001) in adjusted multivariate analyses. The difference in the mean OHIP-14 scores for those reporting TMD (Mean = 13.1, 95% CI: 12.0–14.0) and those who did not (Mean = 6.6, 95% CI: 6.0–6.8) was significant (t = 7.51, P < .001). In an adjusted multivariable model for OHIP-14 scores, TMD experience was associated with higher OHIP-14 scores (B = 3.34, 95% CI: 1.94–4.75, P < .001) where the Cohen’s f2 was .022. Further, perceived stress subscales: perceived distress and perceived control were associated with TMD experience and OHIP-14 scores (P < .05).ConclusionLower OHRQoL was observed in Australian adults who reported TMD experience but with small clinical importance which might support considering TMD in regular dental care. The higher impairments observed in physical pain, psychological discomfort and psychological disability domains of OHRQL can help clinicians and researchers focus their attention on these domains. The confounding effect exhibited by the perceived stress subscale might support their inclusion in future TMD and OHRQoL research.

Oral Health Related Quality of Life and Prosthetic Status among Institutionalized Elderly from the Bucharest Area: A Pilot Study.

The aim of the study was to assess the oral health related quality of life (OHRQoL) of elderly in care homes, one of Romania’s most vulnerable social categories, to correlate it to sociodemographic, oral health parameters, and prosthodontic status. Therefore, a cross-sectional study was performed on 58 geriatrics divided into 3 age groups, who were clinically examined and answered the oral health impact profile (OHIP-14) questionnaire. Very high rates of complete edentulism in the oldest-old subgroup (bimaxillary in 64.3%; mandibular in 64.3%; maxillary in 85.7%), and alarming frequencies in the other subgroups (middle-old and youngest-old), statistically significant differences between age groups being determined. The OHIP-14 mean score was 14.5. Although not statistically significant, females had higher OHIP-14 scores, also middle-old with single maxillary arch, single mandibular arch, and bimaxillary complete edentulism, whether they wore dentures or not, but especially those without dental prosthetic treatment in the maxilla. A worse OHRQoL was also observed in wearers of bimaxillary complete dentures, in correlation with periodontal disease-related edentulism, in those with tertiary education degree, and those who came from rural areas. There were no statistically significant correlations of OHRQoL with age, total number of edentulous spaces or edentulous spaces with no prosthetic treatment. In conclusion, despite poor oral health and prosthetic status of the institutionalized elderly around Bucharest, the impact on their wellbeing is comparatively moderate.

Association between oral health-related quality of life and periodontal status in patients with leukemia

The aim was to evaluate the association between oral health-related quality of life (OHRQol) and periodontal status in patients with leukemia. A total of 55 patients with leukemia (42.09±16.57years, 27.3% females) answered the Oral Health Impact Profile, short version (OHIP-14) and underwent a periodontal examination. Associations between periodontal status and total mean OHIP-14 scores were analysed, and the prevalence of high scores was identified for each group. A total mean OHIP-14 score of 13.18 was observed for the entire sample. The corresponding total mean OHIP-14 scores for patients with moderate (n=18), absent/mild (n=24), and severe periodontitis (n=13) were 17.11, 12.50, and 9.00 (P=0.061), respectively. A higher prevalence of high scores was found for the 'feeling ill-at-ease' question (psychological discomfort domain) for absent/mild and moderate periodontitis patients, whereas those with severe periodontitis had higher prevalence on the 'feeling embarrassed' question (psychosocial disability domain). In the adjusted analysis, hospitalisation was associated with higher OHIP-14 scores (β=8.49; 95% CI 1.89-15.08; P=0.013). Higher OHIP-14 scores were not significantly associated with either patients presenting >15% sites with gingival bleeding or those with moderate/severe periodontitis. Leukemia was associated with a negative influence on OHRQoL. However, this association was better explained by the patient's systemic condition than by an impact of its periodontal condition. Nonetheless, patients with leukemia presented with gingivitis and/or periodontitis, pointing to the need for oral health care for these individuals.

Evaluation of changes in oral health-related quality of life over time in patients with Sjögren’s syndrome

Objectives To assess oral health-related quality of life (OHRQoL) and changes in OHRQoL in 3 years of patients with Sjögren’s symdrome (SS). Methods Thirty-five SS patients and 23 non-SS individuals were enrolled. OHRQoL were quantitatively evaluated using the shortened Oral Health Impact Profile (OHIP-14). After 3 years, 22 patients and 14 controls tool the OHIP-14 survey again. Results The SS group had a significantly higher OHIP-14 score, which indicated a lower OHRQoL, than the non-SS group. Among individual questions in the OHIP-14, scores for ‘trouble pronouncing words’, ‘uncomfortable to eat foods’, ‘self-conscious’, and ‘diet unsatisfactory’ were markedly higher in the SS group than in the non-SS group. The OHIP-14 score significantly increased in 3 years in the SS group. Furthermore, there was an inverse correlation between the change rate of salivary flow rate and change of OHIP-14 scores in 3 years in patients with SS whose OHIP-14 score increased. Scores for ‘irritable with other people’, ‘difficulty doing usual jobs’, ‘felt life less satisfying’, and ‘unable to function’ significantly increased in 3 years. Conclusion In SS, OHRQoL decreased in 3 years, which was associated with a decrease in saliva secretion. Moreover, troubles related to psychosocial aspects in SS patients were found to intensify over time.

Effects of area-based deprivation on dental caries, perceived dental treatment need and oral health related quality of life of UK adults

Aims and Objectives: To measure the influence of Index of Multiple Deprivation England (IMDE) on dental caries prevalence, perceived dental need, and oral health related quality of life (OHRQoL). Materials and Methods: Secondary analysis of the 2009 Adult Dental Health Survey (ADHS) was carried out to report the influence of IMDE on the number of carious teeth, perceived need toward dental treatment OHRQoL of UK adults using Oral Health Impact Profile (OHIP-14). Results: As the range of IMDE from the least to the most deprived area is 10 to 1, IMDE score was negatively correlated with the number of carious teeth (r = −0.147, P = 0.01). Similarly, IMDE score was negatively correlated with total OHIP-14 score (higher score indicating higher impact on OHRQoL) with r = −0.135 (P = 0.01). Logistic regression showed statistically significant results of IMDE score in increasing the likelihood of respondent in having higher number of caries (odds ratio [OR] = 0.93, P = 0.000), perception of needing dental treatment (OR = 1.111, P = 0.000), and higher OHIP-14 score (OR = 0.94, P = 0.000). Conclusion: Measures of relative deprivation are important in research related to oral health inequality. Area-based deprivation index proved to be one of the tools that can visibly disclose the inequalities of burden of disease in oral health. Policymakers should consider concentrating resources toward those with low household income in highly deprived areas rather than those with similar income but in less-deprived area.

Effects of sleep quality on the oral health in type 2 diabetic patients

Objective To explore the effect of sleep quality on the oral health in type 2 diabetic patients, and provide basis for the improvement of their oral health. Methods A total of 123 type 2 diabetic patients hospitalized in 2 Class Ⅲ Grade A hospitals in Nanjing from March 2017 to June 2017 were recruited in this study using convenient sampling method. Data was collected through Oral Health Impact Profile (OHIP-14) and Pittsburgh Sleep Quality Index (PSQI) . The correlation between sleep quality and oral health of type 2 diabetic patients was analyzed using hierarchical regression. Results The total PSQI score was (7.72±3.42) and the incidence of sleep disorder with type 2 diabetic patients was 46.3% (PSQI≥ 8) . The total OHIP-14 score was (11.84±8.62) . In the sleep disorder group, the correlation score between the total OHIP-14 score and functional limitation, pain and discomfort, disability, handicap of independence were (13.93±8.94) , (3.82±2.85) , (4.68±2.54) , (1.47±2.07) , (3.95±3.68) . Compared to patients with good sleep quality, patients with sleep disorder had significantly higher OHIP-14 scores and factor scores except for psychological disability (t=3.21, 2.65, 3.45, 2.57; P<0.05) . Hierarchical regression analysis indicated that sleep quality was positively relevant to oral health, which could explain 6.1% of the variance of research capacity (P=0.024) . Conclusions The incidence of sleep disorder is high in patients with type 2 diabetes and sleep disorder has a negative impact on oral health. Medical staff should pay more attention to the early identification of sleep disorders in patients with type 2 diabetes, and take timely measures to improve the sleep quality, so as to promote the oral health of patients. Key words: Diabetes mellitus, type 2; Sleep quality; Oral health

Oral health-related quality of life in patients undergoing chronic hemodialysis.

AimsThe aims of the study were to determine oral health-related quality of life (OHRQoL) in chronic hemodialysis (HD) patients and to estimate which scale describing OHRQoL, Oral Health Impact Profile (OHIP-14) or Geriatric/General Oral Health Assessment Index (GOHAI), was more useful in this particular group.MethodsThis was a cross-sectional study conducted by means of a census survey. The Polish versions of OHIP-14 and GOHAI were used to assess OHRQoL. The oral examination included decayed, missing and filled teeth (DMF-T) Index; Oral Hygiene Index simplified; Plaque Index and Gingival Index. In the statistical analysis, the Kruskal–Wallis test, Mann–Whitney U test, Pearson’s χ2 test and Spearman’s rank correlation coefficients were used as appropriate.ResultsThe final sample consisted of 72 patients (mean age 63.2±15.2 years). The mean duration of HD treatment was 43.8 months. The mean number of teeth was 10.9. The majority of participants (81.9%) were dentate; only 22.2% of the respondents had >20 teeth. Among the dentate subjects, 44.1% wore removable dental prostheses (60.7% women). The most prevalent items for GOHAI (mean 14.71; SD 7.21) were uncomfortable to swallow, discomfort when eating and unhappy with appearance. The most prevalent items for OHIP-14 (mean 8.87; SD 10.95) were uncomfortable to eat foods, and diet has been unsatisfactory. The internal reliability (Cronbach’s alpha) was 0.637 for GOHAI and 0.918 for OHIP-14. Chewing problems were significantly related to GOHAI (p=0.001) and OHIP-14 (p<0.001) scales. Higher OHIP-14 scores were significantly associated with dental treatment needs (p=0.029) and poor self-rated oral status (p=0.001).ConclusionThe HD patients had an unsatisfactory oral status, but using only OHRQoL scale was insufficient to capture all their oral health problems. The scales did not fully reflect poor oral health in HD patients. The oral problems were not a major concern for this group of patients, which could indicate the adaptation to impaired oral health or a change in health priorities. Regular dental examinations together with the assessment of OHRQoL in HD patients are required for a comprehensive patients’ state. In our study, more variables were significantly related to the OHIP-14 scale than to the GOHAI scale. Thus, the OHIP-14 scale may be more useful in assessing OHRQoL in HD patients.

Effect of personality on oral health-related quality of life in undergraduates.

To evaluate the effects of personality traits and other variables on oral health-related quality of life (OHRQoL) of Chinese undergraduates aged 17 to 24 years with no history of orthodontic treatment. A total of 443 undergraduate students aged 17 to 24 years were selected and completed a two-section questionnaire: the Eysenck Personality Questionnaire Short Scale Chinese version and the Oral Health Impact Profile-14 Chinese version (OHIP-14). Malocclusion severity was assessed via clinical examination using the dental health component (DHC) and esthetic component of the Index of Orthodontic Treatment Need (IOTN). Severe dentofacial deformities that required orthognathic surgery were excluded. The total and all dichotomized OHIP-14 dimensions correlated closely with the neuroticism personality traits ( P < .001). The total and some subscales of OHIP-14 were related with psychoticism. Women had higher OHIP-14 scores than men, especially in the normal occlusion group. Nevertheless, men with more severe malocclusions had higher scores that were similar to those of women. OHRQoL was significantly different between the major of dentistry and other majors. Personality affects comprehensive OHRQoL, and the most significant predictor is neuroticism. Female young adults have worse OHRQoL than male young adults, especially among those with mild malocclusion.

Malocclusion traits and oral health-related quality of life in Finnish adults.

The aim of this study was to examine the association of increased overjet, cross-bite/scissor-bite and increased overbite/open bite with oral health-related quality of life (OHRQoL) among Finnish adults using nationally representative data. Part of the data from the Health 2000 Survey, Finland, was used in this study. A total of 4711 people were included, representing adults aged ≥30 years. The outcome variable was OHRQoL severity which was measured using the 14-item Oral Health Impact Profile (OHIP-14). Three malocclusion traits (increased overjet, cross-bite/scissor-bite and increased overbite/open bite) were used as explanatory variables. Age group, marital status, education level, income, employment status, having at least one decayed tooth or periodontal pocket ≥6 mm, the number of contacting pairs of teeth, denture status and self-reported general health status were controlled for. A series of multivariable zero-Inflated Poisson (ZIP) models were used to calculate incidence rate ratios (IRR) for the nonzero scores and odds ratios (OR) of having no event. The weighted prevalence of increased overjet was 8.4%, while it was 23.6% for cross-bite/scissor-bite and 6.7% for increased overbite/open bite. The mean (SE) OHIP-14 (OHRQoL severity) was 2.8 (0.92); the mean score was highest in the pain domain and lowest in the physical and social disability domains. The mean OHIP-14 score was higher in people with increased overjet but not significantly different in people with cross-bite/scissor-bite or with increased overbite/open bite. In multivariate ZIP models, people with increased overjet had a 10% higher OHIP-14 score than people with normal overjet. Increased overjet was associated only with the physical disability domain. Cross-bite/scissor-bite was associated only with the social disability domain, and psychological disability was associated with increased overbite/open bite. People with increased overjet had significantly poorer OHRQoL than people with normal overjet in a nationally representative population of Finnish adults ≥30 years. Other malocclusion traits were not associated with OHRQoL. However, all three malocclusion traits were associated with either physical or psychological or social disability domains of the OHRQoL.

Oral health-related quality of life in socially endangered persons in Copenhagen, Denmark

Objective: The aims of this study were to investigate and describe the Oral Health Related Quality of Life (OHRQoL) in a socially endangered group of people and to compare the OHRQoL to other patient groups.Material and methods: About 294 socially endangered persons attending a volunteer clinic in Copenhagen Denmark filled in the OHIP-14 questionnaire. The group was compared in mean score and reported problems to a group of patients with tooth loss and about to have a removable dental prosthesis (RDP), a group with tooth loss about to have a fixed dental prosthesis (FDP) and a control group without tooth loss.Results: Significantly higher OHIP-14 score was seen in the socially endangered group (15.5 (SD 12.6)) compared with the control (1.9 (SD 2.7)) and the FDP group (9.4 (SD 8.2)) but not the RDP group (13.1 (SD 10.5)). This difference was not changed after stratifying in age groups. Problems related to psychological disability, social disability, and handicap were more frequent in the social endangered group than for the other groups. The items pain, tense, diet, relax, life, and function stand out as problems in the socially endangered group compared to the other groups.Conclusion: The OHRQoL is highly impaired in the socially endangered persons and at least to the level of persons with great tooth loss about to have an RDP. The problems seem to be more handicapping in the socially endangered compared with other patient groups known to have high impairment.

Impact of Prosthetic Characteristics and Life Stress on Oral Health Related Quality of Life in Anterior Fixed Dental Prosthesis Treatment

Aims: This cross-sectional study aimed to explore potential factors influencing oral health related quality of life (OHRQoL) in a Chinese population treated with anterior dentition fixed dental prosthesis (FDP). Study Design: Cross-sectional study. Place and Duration of Study: West China Hospital of Stomatology, Sichuan University, between December 2012 and May 2013. Methodology: According to the patient records in the dental hospitals, 1918 patients were initially selected and invited for a follow-up examination. After the selection, 987 participants were finally included and asked to complete a questionnaire which included three forms: Basic information, the Chinese version of Oral Health Impact Profile-14 items (OHIP-14) and Social Readjustment Rating Scale (SRRS). After data collection, independent sample t-test, one-way ANOVA and spearman Original Research Article Wang et al.; BJMMR, 11(1): 1-9, 2016; Article no.BJMMR.20168 2 rank correlation were used to assess each variable’s independent impact on OHRQoL, while multifactor impact was evaluated by stepwise linear regression. Results: 987 responses were acquired. Higher age caused a higher OHIP-14 score. For prosthesis material, all ceramic presented the lowest OHIP-14 score. For prosthesis type, veneer presented the lowest OHIP-14 score. Either prosthesis service time or SRRS score was positively correlated to OHIP-14 score. In stepwise linear regression, prosthesis material/service time/type and life stress were finally defined as OHRQoL predictors. Conclusion: Three prosthetic characteristics (prosthesis material/service time/type) and life stress are responsible for OHRQoL level of patients treated with anterior FDP.

Associação do risco familiar com saúde bucal, qualidade de vida e variáveis socioeconômicas

Objetivo: avaliar a relação do risco familiar com saúde bucal, qualidade de vida e variáveis socioeconômicas. Métodos: estudo observacional transversal com 311 indivíduos com idade entre 18 e 71 anos, residentes na área de abrangência de quatro unidades de saúde da família (USF), localizadas em dois municípios do estado de São Paulo. Os voluntários foram avaliados de acordo com: (1) situação clínica (CPO-D e necessidade de tratamento), (2) autopercepção de saúde bucal (OHIP-14), (3) qualidade de vida (WHOQOL-BREF), e (4) condição socioeconômica. Para avaliar o risco familiar, utilizou-se a Escala de Coelho. Os dados foram analisados por meio de modelo multinível formado por componentes fixos (representados pelas variáveis estudadas) e componentes aleatórios (representados pelos bairros e pelas variâncias nos diferentes níveis). Resultados: a média de idade dos participantes foi de 36,7 anos (dp=13), com CPO-D médio de 12,9 (dp=7,0). A média da Escala de Risco de Coelho entre os voluntários foi de 2,67 com erro padrão de 0,32. Apresentaram maior escore de risco total os indivíduos de maior idade (p=0,0486), que moravam em casas com mais residentes (p&lt;0,001), com menos anos de escolaridade (p=0,0137), que não possuíam automóvel (p=0,0048) e com maior escore de OHIP-14 (p=0,0130). Conclusão: a escala de risco familiar associou-se positivamente às variáveis socioeconômicas, e os indivíduos com maior risco familiar apresentaram pior autopercepção da saúde bucal, mas não percebiam uma pior qualidade de vida em geral.

Influence of wedged cervical lesions and dentine hypersensitivity on quality of life

Aim. To study the influence of wedged cervical lesions and dentin hypersensitivity on quality of life. Methods. 118 patients with wedged cervical lesions and dentin hypersensitivity were examined. The quality of life was assessed using the Oral Health Impact Profile (OHIP-14) 14-item questionnaire focusing on seven dimensions of impact (functional limitation, pain, psychological discomfort, physical disability, psychological disability, social disability and handicap). Treatment in patients of the first group (57 patients) included dentin hypersensitivity relief using the «Nanoflyuor» fluoride varnish and dental restoration in patients with medium and promoted stages of wedged cervical lesions. Patients of the control group were treated with «Gluftored» fluoride liquid, dental restoration was performed in patients with medium and promoted stages of wedged cervical lesions. Results. Patients with superficial wedged cervical lesions had lower OHIP-14 scores, indicating better quality of life, with promoted wedged cervical lesions - higher OHIP-14 scores. OHIP-14 scores were higher in patients aged 31-40 and 41-50 years, and lower in patients aged 18-30 years and over 51 years. After treatment of promoted wedged cervical lesions OHIP-14 scores were better in the treatment group compared to the control group with statistically significant difference in functional limitation and physical disability dimensions scores, as well as in combined OHIP-14 score. In patients with medium-stage wedged cervical lesions there was a relevant difference in functional limitation, pain and psychological disability scores. There were no significant differences between the groups in patients with superficial wedged cervical lesions. Conclusion. Dentin hypersensitivity and bad dental appearance influence the patients’ comfort decreasing their quality of life, with minimal influence in patients with superficial wedged cervical lesions and maximal influence in patients with promoted wedged cervical lesions.

Association of Perceived Quality of Life and Oral Health Among Psychiatric Outpatients

The relationship between oral health and various aspects of quality of life has gone uninvestigated in psychiatric populations. The aim of this study was to investigate the correlation between the Oral Health Impact Profile-14 and subjective quality of life, perceptions about general health, and self-related variables. A structured interview constructed from validated instruments was administered to 113 consumers attending outpatient psychiatric care. A lower perceived oral health-related quality of life had a correlation with decreased ratings of subjective quality of life, general health disabilities, and chance and internal locus of control. Correlations between subjective and general health-related quality of life and oral health-related quality of life had not been detected in this group before. In order to improve mental health consumers' total perceived quality of life, oral health problems should be regularly addressed in the course of psychiatric care.