OHIP-14 Questionnaire Research Articles

Assessing Oral Health-Related Quality of Life (OHRQoL) Using the Oral Health Impact Profile (OHIP-14) among the Prisoners in the Central Jail in Vidarbha Region of Maharashtra, India: A Cross-Sectional Study

ABSTRACT Background: The prison population is a physically, mentally, socially, and economically vulnerable sector in our society with neglected oral health. Dental check-ups not only provide the necessity of treatment but also create awareness regarding the importance of oral health among the incarcerated individuals. Aim: The study aims to evaluate the oral health status and its impact on oral health-related quality of life (OHRQoL) among the prisoners through the application of the oral health impact profile (OHIP-14). Methodology: A cross-sectional study design involved demographic details, oral examination to assess DMFT index, and structured OHIP-14 questionnaire to assess seven dimensions of the oral health impact profile of 440 male inmates. The responses were recorded in a five-point Likert scale from 0 to 4. The final score was calculated. Results: The overall mean OHIP score was 14.048 with a standard deviation of 9.995. Out of seven, the most affected domain was psychological discomfort (mean 2.49, SD 1.68) and the least affected domain was functional disability (mean 1.21, SD 1.18). Conclusion: The findings from this research can contribute valuable insights into the oral health challenges faced by incarcerated individuals, potentially guiding the development of targeted oral health interventions within correctional settings.

The Rehabilitation of Partially Edentulous Maxilla With Unilateral Zygomatic Implants: A Retrospective Study up to 23 Years Follow-Up.

This retrospective study aimed to evaluate the clinical outcomes associated with zygomatic implant (ZI) rehabilitation in partially atrophic edentulous maxillae over a mean follow-up period of more than 10.3 years. All consecutive patients underwent ZI rehabilitation between 1999 and 2020, with a minimum follow-up period of 3 years. The primary outcome was the implant survaival rate. Secondary outcomes included the prosthesis success rate, complications, and Oral Health-Related Quality of Life. Of the 21 patients, treated with 27 ZIs and 48 conventional implants (CIs), 9 (42.9%) were females. The mean follow-up was 10.3 ± 5.7 years (range 3.2-23.4). ZI and CI survival rates were 100% and 97.9%, respectively, with one CI that failed. Eleven patients received 12 CIs placed in the pterygoid and tuberosity region. Most of the implants (81.33%) were immediately loaded, with 17 patients (80.9%) receiving 21 acrylic bridges. Of the total of 26 definitive prosthesis, the success rate was 96.1%. Local inflammation (n = 2) and soft tissue recession (n = 1) were reported as complications, occurring at a mean follow-up of 4.5 and 3.2 years, respectively. The mean score of the OHIP-14 questionnaire was 1.19 ± 1.99. Unilateral ZI rehabilitation was a predictable option for patients with partially atrophic edentulous maxilla who have experienced previous graft or implant failures, or who require immediate loading. Splinting the ZI with CI for restoration appeared to be essential in unilateral ZI treatment. Complications were infrequent and could be managed effectively, with patient-reported outcomes indicating normalization in quality of life.

КЛИНИКО-ЛАБОРАТОРНОЕ ОБОСНОВАНИЕ МЕСТНОГО ПРИМЕНЕНИЯ АНТИОКСИДАНТОВ ПРИ ЛЕЧЕНИИ ХРОНИЧЕСКОГО ГЕНЕРАЛИЗОВАННОГО ПАРОДОНТИТА

Introduction. In periodontitis, there is a disruption of the balance between the rate of formation of active forms of oxygen and their inactivation in the tissue. This fact dictates the need to use antioxidants to treat periodontal diseases. Objective: clinical and laboratory justification for the local use of antioxidant drugs in the treatment of chronic generalized periodontitis. Materials and methods. A study was conducted of the clinical and laboratory effectiveness of local application of 5% tocopherol acetate solution, 5% Mexidol solution and Kudesan Forte solution in 99 patients with CGP. The effectiveness of antioxidant use was assessed by the OHI-S, PBI, PMA, CPINT, PI indices, based on the OHIP-14 questionnaire and the general psychological well-being index. The level of lipid peroxidation products was determined spectrophotometrically with the registration of lipid peroxides in the heptane phase of the lipid extract. The state of antioxidant defense was assessed by the content of α-tocopherol and ceruloplasmin. Results. All the drugs, tocopherol acetate, Mexidol and Kudesan Forte, caused a reliable decrease in the value of periodontal indices, a decrease in the OHIP-14 index. In addition, Kudesan Forte improved the IOPB and increased vital energy much more effectively. When studying the laboratory parameters of oral fluid, Mexidol had unidirectional reliable differences from tocopherol acetate in reducing heptane-soluble DC and isopropanol-soluble KD and ST. Kudesan forte was superior in its effectiveness to both tocopherol acetate and Mexidol. At the same time, Kudesan Forte more effectively increased the level of ceruloplasmin and α-tocopherol in mixed saliva. Conclusions. The results of the study confirm that local use of tocopherol acetate, Mexidol and Kudesan Forte significantly improves periodontal status and laboratory parameters in the treatment of chronic periodontal disease. These drugs should be included in the complex therapy of periodontitis of not only mild and moderate, but also severe degrees. For this purpose, it is preferable to use Mexidol and Kudesan Forte.

Evaluation of Dental Anxiety Levels on Oral and Dental Health Quality of Life in Patients with Hashimoto Thyroiditis

Aim: This study aimed to evaluate the effect of anxiety level, dental fear, anxiety on oral health quality of life oral, and dental health in Hashimoto's thyroiditis patients. Materials and Methods: Ninety adult individuals were included from Gaziantep University Faculty of Dentistry. All participants were asked about demographic parameters (age, gender), socio-economic status (education, marital status), and oral hygiene habits. The OHIP-14 and OHRQoL-UK questionnaires were used to asses the effect of individuals' oral health on their quality of life. Dental anxiety levels were evaluation with the Modified Dental Anxiety Scale (MDAS). Statistical analysis was performed using IBM SPSS Statistics 22.0. Result: There were no significant differences for Sociodemographic data, dental habits, age, marital status, educational status, smoking, frequency of brushing tooth, frequency of visiting the dental clinic in OHIP-14, OHRQoL, and MDAS survey scores (p > 0.005). However, there was a statistically moderate positive correlation between the total OHIP-14 scores and the MDAS scores (r = 0.309; p < 0.003). Additionally, a moderate negative correlation was showed between the total OHRQoL and the MDAS scale (r = 0.307; p < 0.003). Conclusion: In conclusion, this study showed that patients' quality of life regarding oral and dental health was low, regardless of individual factors. It was found that dental anxiety was lower in patients with HT, and a significant correlation betwen the quality of life and anxiety level was observed.

Building a multiple regression model for a personalized prediction of the efficacy of combined physiotherapy for peri-implantitis

Purpose of the study. To identify predictors of the effectiveness of personalized use of mesodiencephalic modulation in combination with ozone therapy in patients with inflammatory complications after dental implantation. Materials and methods. The study was carried out with the participation of 58 patients with peri-implantitis of classes I and II according to S. A. Jovanovic. Using a fixed randomization method, all patients were divided into 2 groups. The first (control group, 28 patients) received standard dental therapy, including professional oral hygiene and local use of antiseptics. The second (main group, 29 patients) additionally received courses of ozone therapy and mesodiencephalic modulation. Assessment of clinical effectiveness in the selected groups included the determination of dental indices and implant stability coefficient. The quality of life of patients was assessed using the OHIP-14 questionnaire in the Russian version. Additionally, microcirculation parameters in the peri-implant zone and markers of oxidative stress and cytokine profile were determined. Results. A clear advantage of combined physiotherapy over the standard method of treating peri-implantitis has been established, while the dynamics of some laboratory parameters characterizing pathological reactions were expressed to the maximum extent. Correlation analysis confirmed that these parameters can act as predictors of the effectiveness of combined physiotherapy, which was confirmed by the results of multiple regression analysis. It was revealed that the papillomarginal alveolar index can be recommended as an optimal independent variable in the development of new methods for treating complications after dental implantation. Conclusion. The results of constructing a multiple regression model made it possible to determine a cluster of predictor biomarkers in the form of blood levels of TNF-α, IL-1β, MDA, as well as microcirculation indicators and the rate of O2 consumption in the peri-implant zone, the identification of which in the initial state of patients with peri-implantitis allows us to assess the severity of the expected clinical effect of complex course use of mesodiencephalic modulation and ozone therapy.

Evaluation of the Long-Term Success and Patient-Related Outcomes of Zygomatic Implants in Atrophic Maxillary Ridges.

Introduction Zygomatic implants (ZIs) have emerged as a promising option for rehabilitating completely edentulous patients with severe maxillary atrophy. These implants anchor into the zygomatic bone, bypassing the need for extensive grafting procedures. Success rates in dental and craniofacial implant surgeries can be influenced by several surgical factors, including suture techniques, flap design, and treatment planning. The research aimed to present the clinical outcomes and complications in individuals with severely resorbed maxillae who underwent prosthodontic rehabilitation using the Quad Zygoma Protocol (QZP) and the Anatomy-Guided Approach (AGA), focusing on long-term assessment. Material and methods Data for this retrospective study were extracted from the institution's patient database, involving a meticulous review of patient records. This comprehensive examination encompassed demographic data, preoperative assessments, details of surgical procedures, postoperative complications, and subsequent follow-up evaluations. Patients with severe maxillary bone deficiencies resulting in complete edentulism, due to inadequate bone quality and quantity in both anterior and posterior regions, were selected for inclusion. Exclusion criteria were applied to individuals with incomplete records or insufficient follow-up data, as well as those who underwent alternative treatment modalities or presented with comorbidities potentially impacting implant outcomes. The selected patients underwent treatment utilizing the QZP, with each participant subjected to a minimum three-year follow-up period. The implant survival rate, prosthetic success, complications, and Oral Health-Related Quality of Life using the OHIP-14 questionnaire were assessed. Results At the end of the follow-up period involving 12 patients (eight men, four women) with 43 ZIs - 37 from Neodent, four from Nobel Biocare, and two from Norris - with a mean duration of 4.3 years (range: 1.2-5.4), the overall success rate stood at 99.08%, with only 1 out of 42 implants failing. All patients received immediate loading with an acrylic prosthesis, proving effective in 98.2% of cases. The most common issues observed were localized soft tissue inflammation (35.7%) and sinus inflammation (12.5%), occurring after mean follow-up periods of 1.2 and 3.5 years, respectively. In 12 patients, the mean score of the OHIP-14 questionnaire was 1.6 ± 2.6, with a follow-up period of 5 ± 0.6 years. Conclusion The QZP has consistently demonstrated excellent long-term success in restoring severely reduced maxillary structures. An immediate loading approach could aid in stabilizing ZIs through cross-arch support.

Assessment of oral hygiene and quality of life in rehabilitated patients with fixed parcial dentures.

Analyze the influence of oral hygiene guidance for the maintenance of fixed partial dentures (FPD) and the influence of this treatment on the quality of life (QL) of rehabilitated patients. The Simplified Oral Hygiene Index (OHI-S) and Bleeding on Probing Index (BOP) methods was employed to evaluate oral hygiene (OH), and the OHIP-14 questionnaire to assessment QL. The sample consisted of 33 patients (26 females and 7 males, mean age 51.53 years) in treatment with FPD. The OH and QL assessments were conducted in temporary FPD placing session and 30 days after definitive cementation. R e s u l t s: OHI-S and BOP showed increasing results (p <0.05) comparing initial and final assessments. There was a negative correlation between OHI-S and BOP, in both periods of analysis. The OHIP-14 showed a significant result according to the Likert scale scores, with an impact reduction from 9.33 to 0.57. It was concluded that FPD rehabilitations need of properly oral hygiene guidance, that could be influence on oral health status. In addition, the FPD rehabilitation improved the QL of the patients.

Unseparated Temporal Muscle and Duramater Cranioplasty Methods Following Decompressive Craniectomy: Technical Note.

Cranioplasty (CP) is used to repair cranial defects after decompressive craniectomy. During this procedure, the temporal muscle can contract or retract toward the base and adhere to the scalp flaps above and/or below the dura. Several complications including functional and cosmetic problems can occur following CP. This study presents the technical notes and outcomes of CP. This retrospective observational study collect data of CP-procedures using unseparated muscle-dura technique performed at our hospital in 2019-2022. Technical note is presented regarding the lack of separation of the temporal muscles from the dura mater. A bone flap or titanium mesh was placed above the temporal muscle layer, which was still attached to the dura mater. Functional outcomes were evaluated using OHIP-14 Questionnaire to assess mastication quality. Twenty-three patients were included in this study. Initial surgeries were mostly caused by trauma (65.2%). Most patients underwent autologous bone flap CP (52.2%), during which the bone flap was stored in either the abdominal subcutaneous pocket or cryoprecipitated. Only one patient experienced mastication problems after CP (p<0.001). Temporal hollowing remained a problem in this technique. However, dissection of the temporalis muscle to reduce temporal hollowing can cause facial nerve injuries and masticatory problems. Due to the lack of temporal muscle manipulation, our patients had minimal mastication problems. CP should be performed to improve functional and aesthetic outcomes. A CP technique with the temporal muscle unseparated from the dura mater can be selected to avoid damage to the muscle and mastication problems after surgery.

Salivary levels of catalase, total antioxidant capacity and interleukin-1β and oral health-related quality of life after matcha and green tea consumption for patients with gingivitis: A randomized clinical trial.

To evaluate the changes in salivary levels of catalase (CAT), total antioxidant capacity (TAC) and IL-1β (primary outcomes) as well as gingival health and oral health-related quality of life (OHRQOL) 1 month after the consumption of matcha and green tea in adult patients with gingivitis. This study was a parallel randomized clinical trial. Forty gingivitis adult patients were randomly assigned to drink either matcha or green tea cup twice daily for a duration of 1 month. They were asked to keep their habitual oral hygiene measures. Plaque index (PI) and bleeding on probing (BOP) were recorded. In addition, saliva was collected at baseline and 1 month after tea consumption. Salivary levels of CAT, TAC and IL-1β were determined by ELISA. Each participant was asked to fill OHIP-14 questionnaire before and after tea consumption. Following tea intake, 40.6% of the study sample had healthy gingiva. Both groups similarly showed reductions in PI (0.32 ± 0.11-0.22 ± 0.08) and BOP (0.24 ± 0.08-0.13 ± 0.07) scores after tea consumption. There was a significant difference between mean TAC before and after matcha tea consumption only. Non-significant reductions in salivary levels of CAT and IL-1β were detected after tea consumption. OHRQOL of participants was improved after tea, both types, consumption. Despite study limitations, daily consumption of matcha and green tea might be beneficial as they potentially enhance OHRQOL of individuals with gingivitis and reduce the extent of gingivitis despite non-significant changes in salivary antioxidants and IL-1β levels.

Improvement of Quality of Life after Surgical Treatment of Patients with MRONJ: A Prospective Analysis Using the SF-12 and OHIP-14 Questionnaires.

Medication-related osteonecrosis of the jaw (MRONJ) is a rare, serious, and debilitating disease of unknown cause that can be associated with significant health-related quality of life (HRQOL) impairment. Hematological disease is characterized by a nonhealing exposed jawbone in patients with a history of antiresorptive or antiangiogenic agent use without radiation exposure to the head or neck. Patients and Materials and Methods. This prospective study over the period from May 2020 to December 2021 included a representative sample consisting of 27 patients with at least stage 2 MRONJ lesions who underwent surgical rehabilitation via oral and maxillofacial surgery at the University Medical Center Göttingen, Germany. Quality of life data were collected over a 6-month postoperative period using the Health-Related QOL (SF-12) and Oral Health-Related QOL (OHIP-14) questionnaires. A total of 27 patients considered in the study had a total of 42 MRONJ lesions, corresponding to a mean of 1.56 necroses per patient. MRONJ lesions were downstaged in 85% of the patients. HRQOL was evaluated with the SF-12 questionnaire. Significant improvements were found in six of the eight categories (General Health (p < 0.001), Bodily Pain (p < 0.001), Mental Health (p < 0.001), Vitality (p < 0.001), Role-Emotional (p=0.028), and Social Functioning (p=0.031)). The OHRQOL score also improved significantly after surgical intervention (p < 0.001). With completed surgical therapy, improvements in HRQOL and OHRQOL are measurable.

Influence of pain duration and severity on oral health-related quality of life and patient satisfaction during adult treatment with clear aligners

BackgroundThis study aims to compare the impact of pain on quality of life and patient satisfaction during treatment with aligners.MethodsNinety-four subjects in active treatment were invited to answer self-reported questions concerning pain severity and duration, occurrence of other signs and symptoms, and level of satisfaction with their treatment. Also, the OHIP-14 questionnaire was applied to assess patients’ OHRQoL.ResultsNinety-four patients (49 women and 45 men) answered the survey. Pain duration of 1–3 days was reported by 69.1% of patients (n = 60). For those who reported pain (n = 84), it was considered mild severity by 42.9% and moderate by 52.4%. Almost sixty-four percent of the sample were very satisfied with the aligner’s aesthetics (n = 60) and forty-nine percent were satisfied with treatment in general (n = 46). Mean OHIP-14 score was 3.36 ± 2.54. OHRQoL was significantly associated with pain severity, whereas patients who reported having experienced moderate pain presented a significantly higher mean OHIP-14 score than those who reported having experienced mild pain (3.92 ± 1.93 and 2.69 ± 2.83, respectively; p = 0.036). The “psychological discomfort” OHIP-14’s domain was the most influenced by the level of pain.ConclusionPain severity significantly influenced OHRQoL, in adult patients under treatment with clear aligners. However, high levels of patient satisfaction were reported, regardless of pain duration or severity.

Orthodontic Status and Association with Oral-Health-Related Quality of Life-A Study of 16-Year-Old Norwegians with a Cleft Lip and Palate.

To assess the association between clinical orthodontic indicators and oral-health-related quality of life, adjusted for socio-demographic factors, focusing on 16-year-old patients with cleft lip and/or palate (CL/P). One hundred and twenty-two patients with CL/P, representing cleft-lip (CL), cleft-palate (CP), unilateral/bilateral cleft-lip-palate (UCLP/BCLP), enrolled in the national CLP-Team, Bergen, Norway. A cross-sectional study by two orthodontists assessing the number of teeth, intermaxillary sagittal relation (ANB-angle), dental arch and occlusion of 16-year-old patients with CL/P. All completed a digital questionnaire including self-reported socio-demographic variables, OHIP-14 questionnaire and dental aesthetics. Cross-tabulations with Pearson's Chi-square test were used to identify associations between self-reported OHRQoL and socio-demographic and clinical indicators. Multiple variable analyses were conducted with binary logistic regression analysis using the odds ratio (OR) and 95% confidence interval (CI) to assess associations between OHRQoL and clinical indicators adjusted for socio-demographic variables. Ethical approval was granted by the regional ethics committee. Patients with UCLP and BCLP had poorer clinical indicators compared to patients with CL and CP (p < 0.05). A total of 80% of the patients had OHIP-14 > 0. The highest oral impact was reported for psychological domains and articulation and the least for functional domains. Respondents with BCLP and those with poor intermaxillary relationships (ANB < 0°) reported a high impact on OHRQoL (p < 0.05). No statistically significant associations between other clinical indicators and socio-demographic variables such as gender, educational aspiration, and place of residence were reported. The study revealed an association between severe cleft diagnosis, missing teeth, misaligned teeth, negative overjet, and poor OHRQoL, but a statistically significant association was found only between OHRQoL and poor intermaxillary sagittal relations (unfavorable profile). To improve OHRQoL among patients with clefts, there is a need for an individual follow-up and prioritization of oral healthcare.

Assessment of a novel electrochemically deposited smart bioactive trabecular coating (SBTC®): a randomized controlled clinical trial

ObjectivesA randomized controlled clinical trial of dental implants was conducted to compare the clinical properties of a novel electrochemically deposited calcium phosphate coating to those of a common marketed surface treatment.Material and methodsForty implants of the same brand and type were placed in 20 fully edentulous participants requiring mandibular implantation. The two study groups were defined by the surface treatment of the implants. 20 implants in the control group were coated via a commercial electrochemical surface treatment that forms a mixture of brushite and hydroxyapatite, while the remaining 20 in the test group were coated with a novel electrochemical Smart Bioactive Trabecular Coating (SBTC®). A split-mouth design was employed, with each participants receiving one control implant in one mandibular side and a test implant in the other. To mitigate potential operator-handedness bias, control and test implants were randomly assigned to mandibular sides. All cases underwent digital planning, implant placement with a static surgical guide, and participants received locator-anchored full-arch dentures. The primary outcome was implant stability (measured using Osstell ISQ) assessed at insertion, loading, and then 3 months, 9 months, and 2 years post-insertion. The secondary outcome was bone level change (in millimeters) over the 2-year observation period. Oral health-related quality of life (OHRQL) was monitored using the OHIP-14 questionnaire. Complications and adverse events were recorded.ResultsSuccessful osseointegration and implant stability were achieved in all cases, allowing loading. ISQ values steadily increased throughout the observation period. While no significant differences were observed between the SBTC® and control coatings, the test group exhibited a higher ISQ gain. Bone resorption was somewhat lower in the SBTC® but not significantly so. Patients' OHRQL significantly improved after denture delivery and remained stable throughout the follow-up. No complications or adverse events were observed.ConclusionsBased on the study results, we conclude that the new surface treatment is a safe alternative to the widely used control surface, demonstrating similar osseointegrative properties and time-dependent bone level changes. Further research may explore the broader implications of these findings.Trial registrationThe study is registered on clinicaltrials.gov under the identifier ID: NCT06034171.

The impact of unmet treatment need on oral health related quality of life: a questionnaire survey

BackgroundBased on the present global burden of oral diseases, unmet dental needs affect a more significant population worldwide. It is characterised by the need for dental care but receiving delayed or no care. The contributing factors include lack of knowledge about oral health, its consequences, and the availability of dental services. We need to find out the scale of the problem of unmet dental needs for the south Indian population. Therefore, the objective was to determine the relationship between the presence of oral disease and the quality of life-related to oral health using the OHIP-14 tool.MethodsThe unmet dental requirements of the south Indian population were determined using a cross-sectional questionnaire survey. Close-ended questions were used to obtain data from two investigators trained to record the answers from the patients. The data was collected using the OHIP-14 questionnaire, which consists of 14 items divided into seven domains with two questions each. Physical pain, psychological impairment, physical disability, psychological disability, social disability, and disability were all considered. An additional analysis of artificial neural network (ANN) was done.ResultsThe response rate was 100 per cent. N = 1029 people replied to the questionnaire about their unmet dental needs. N = 497 (48.3%) were men, whereas N = 532 (51.7%) were women. The average age was 31.7811.72. As their current occupation, most of the included subjects (60.1%) were students. The respondents had no known personal habits and a mixed diet (94.93%). The average BMI was 24.022.59 (14-30.9). OHIP was present in 62.3% of the population. The average OHIP-14 severity score was 10.97. (8.54). The severity and degree of unmet dental need were substantial (p0.01) due to pain in the mouth/teeth/gums, malocclusion, and gum bleeding. The most common OHIP-14 domains affected by unmet oral needs were psychological discomfort, psychological limitation, social limitation, and feeling handicapped. The analysis of ANN revealed that high OHIP scores were primarily attributed to dental caries, poor oral health, and dental aesthetics.ConclusionThe severity and degree of unmet dental needs were significant among the south Indian population. The most common oral health status that impacted OHIP-14 domains were pain, malocclusion, and bleeding gums. These patients were significantly impacted by psychological discomfort and social limitations and felt handicapped.

The evaluation of clinical factors affecting oral health impacts on the quality of life of Iranian elderly patients visiting dental clinics: A cross-sectional study.

Iran will soon have an aging population. Healthcare providers must consider factors affecting the quality of life for those 60 and older. Understanding oral health as one of these factors can improve the elderly's quality of life. Oral health-related quality of life (OHRQoL) is a crucial reflection of individuals' general well-being and their overall quality of life linked to health. This study aimed to evaluate the OHRQoL among elderly Iranians referring to Azad University of Medical Sciences in Tehran. In this cross-sectional study, 171 individuals over 65 (93 men and 78 women) were evaluated using OHIP-14 and GOHAI-12 questionnaires to analyze their quality of life. Gender, age, systemic diseases, using medications and dentures, the number of remaining teeth, and oral lesions were recorded. Salivary flow and xerostomia were analyzed with the spitting method and xerostomia index questionnaire, respectively. Also, four main flavor solutions were used to evaluate the taste perception. Data were analyzed using PASS11 and p value<.05 was the significance level. Based on OHIP-14 and GOHAI-12, Iranian older people's quality of life can be affected by cardiovascular diseases, hypertension, xerostomia, and the number of remaining teeth (p<.05). The results also showed a significant correlation between the OHIP-14 and GOHAI-12 scores (p<.001). Both indexes revealed that the number of remaining teeth, xerostomia, salivary flow, and taste perception greatly influenced participants' quality of life. More remaining teeth, improved salivary flow, and better perception of sweetness and sourness were all linked to a higher quality of life, while increased xerostomia, reduced salivary flow, and bitter taste perception were linked to a decline in overall well-being. Cardiovascular diseases, hypertension, and medication use were also found to significantly impact quality of life. This study's results indicate that cardiovascular diseases, hypertension, dry mouth, and tooth loss can negatively impact the elderly's quality of life. So, improving both systemic and oral health is vital for enhancing life quality in this age group.

Oral health, dental treatment, and medication related osteonecrosis of the jaw in multiple myeloma – a longitudinal cohort study

ObjectiveThe objective of the present study was to investigate oral health status, oral health related quality of life, and identify risk factors associated with invasive dental treatment and medication related osteonecrosis of the jaw in patients with multiple myeloma.Material and methodsPatients newly diagnosed with multiple myeloma (n = 144) referred between January 2015 and September 2022 were retrospectively included. The patients underwent a thorough clinical and radiological oral examination and odontogenic infections were treated before the start of bisphosphonate treatment. The patients were followed annually, including clinical and radiological examinations. The oral health related quality of life was investigated by the OHIP-14 questionnaire.ResultsDental treatment (RR = 7.75), receiving combination antineoplastic therapy≥3 (RR =4.13), periodontitis (RR = 4.21), and reduced number of teeth (RR = 2.87) were associated with an increased risk of medication related osteonecrosis of the jaw. The response rate of the OHIP-14 questionnaire was 70.2%. Oral pain or discomfort in the mouth related to the medical treatment was reported by 30.5%.ConclusionDental screening and treatment planning in patients with Multiple Myeloma may result in fewer oral infections and fewer interruptions of the medical treatment of myeloma.

Assessing the Impact of Precancerous Lesions on Oral Health-Related Quality of Life: A Study at Tertiary Care Hospital.

The aim of this cross-sectional study was to assess the oral health-related quality of life (OHRQoL) in a cohort of 500 patients diagnosed with precancerous lesions and conditions at a tertiary care hospital in Central India. 500 patients with confirmed precancerous oral lesions and conditions were recruited for the study. The Oral Health Impact Profile (OHIP-14) questionnaire, a validated instrument consisting of 14 items, was used to assess the OHRQoL of the participants. The OHIP-14 questionnaire scores were statistically analyzed using appropriate methods. The majority of the participants were with a mean age of 48 years. The mean OHIP-14 score was calculated to be 45.1, indicating the overall impact of oral health on the quality of life of patients with precancerous lesions and conditions. The individual domains most affected were functional limitations and physical pain. This study demonstrates that promoting oral health awareness and regular screenings in the community is needed to prevent the progression of oral precancerous conditions and ultimately reduce the burden of oral cancer.

Impact of Endodontic Problems on the Quality of Life of Patients in School Clinic Endodontic Problems on the Quality of Life

Background: to evaluate the impact of endodontic problems on the quality of life related to oral health of patients with confirmed diagnosis of endodontic pathology, using the Oral Health Impact Profile (OHIP-14). Methods: this is a cross-sectional study carried out with patients in need of endodontic treatment seen at the outpatient clinics of two undergraduate courses in Dentistry in the years 2018 and 2019. The patients underwent detailed anamnesis and answered the OHIP-14 questionnaire. Results: the 97 patients from the UNIUV educational institution and 50 patients from the UFS educational institution were evaluated. The average age was 37 (± 13) years, 59% were women, 27% declared no income and 66% had more than 8 years of study. When associating the variables with OHIP 14 with or without impact in relation to quality of life, a statistically significant difference (chi-square) was found for sex and pain. It appears that the dimensions most affected were psychological discomfort and physical pain. Conclusions: pain of endodontic origin had an impact on the quality of life of the patients evaluated.

Vertical Dentofacial Skeletal Divergency Is Not Linked with Oral Health-Related Quality of Life

The aim of this study is to assess how vertical skeletal malocclusion affects oral health-related quality of life (OHRQoL) among a sample of individuals comprising adolescents, young adults, and adults seeking orthodontic treatment. From January 2019 to March 2020, participants were consecutively enrolled. The assessment of OHRQoL involved measurement using the oral health impact profile (OHIP-14). Lateral cephalograms were performed to measure the vertical skeletal divergency with four cephalometric measurements. Descriptive and inferential statistical analyses were performed. The Mann–Whitney test was applied to compare OHRQoL scores according to the vertical dimension category. The mean age of the participants ranged between 30.3 ± 14.9 and 29.9 ± 14.4 and there was a majority of female participants, between 64.1% and 65.9%. There were no statistically significant differences observed between hyperdivergent and normodivergent groups in either the total score or any domain of the OHIP-14 questionnaire. Individuals with hyperdivergent facial morphology did not show a reduced OHRQoL compared with a normodivergent facial type.

Effect of Dental Characteristics of Stroke Patients on the Masticatory System*

Aim: The aim of this study was to assess the interplay between central facial paralysis and dental characteristics for impaired mastication in sub-acute or chronic-stage stroke patients. Method: 20 stroke patients and 27 healthy individuals were included in the study. Oral health, oral hygiene, masticatory efficiency, central facial paralysis, and forward head posture of the participants were assessed by OHIP-14 questionnaire, a self-prepared questionnaire, a two-colored chewing gum test, labial commissure, and craniocervical angle measurements. Stroke characteristics and dental characteristics were also assessed. Results: The sociodemographic and physical characteristics of both groups were similar (p&amp;gt;.05). The dental characteristics of the stroke patients were significantly poor compared to healthy individuals (p&amp;lt;.05). Masticatory efficiency of the stroke patients was nearly half that of the healthy individuals (p&amp;lt;.05). The forward head posture and facial paralysis values of both groups were similar (p&amp;gt;.05). Conclusion: Our study showed that central facial paralysis gradually loses its effect on impaired mastication in stroke patients and gives its place to dental characteristics. Masticatory muscle activation and increasing postural adaptations like forward head posture may not be preferred by stroke patients. The preferred mastication side might be used to assess the severity or existence of central facial paralysis in stroke patients.