Oral Health Impact Profile Scores Research Articles

Translation, transcultural adaptation, and validation of the Serbian version of the PSS-QoL questionnaire: A pilot research

Background/Aim. The assessment of health-related quality of life (HRQoL) is fundamental for a better understanding of the effect of a disease on different aspects of a patient?s daily functioning and the efficacy of the treatment modalities. Primary Sj?gren?s Syndrome (SS) Quality of Life Questionnaire (PSS-QoL) is the first disease-specific instrument for evaluating HRQoL in patients with primary SS. The aim of this study was to formally translate the PSS-QoL questionnaire from English to Serbian, assess its psychometric properties, and validate it for use in the Serbian population. Methods. The research was designed as a pilot study and included 30 participants. Internal consistency was determined by calculating Cronbach?s alpha coefficient. The construct validity of the questionnaire was estimated by the correlation of its overall result with the patients? EuroQoL- 5D, European League Against Rheumatism (EULAR) SS Patient Reported Index, Oral Health Impact Profile-14, and Emotion Regulation Questionnaire scores. Results. There were 29 (96.7%) female participants and one (3.3%) male participant in the research. The average (? standard deviation) score of PSS-QoL was 44.63 ? 12.901 at baseline and 41.70 ? 12.075 at follow-up. Cronbach?s alpha value of the Serbian version of PSS-QoL was 0.922. The test-retest intraclass correlation coefficient was 0.981 (95% confidence interval: 0.436?0.996). Analysis revealed a statistically significant moderate to strong correlation between PSS-QoL scores and EuroQol-5D (rs = -0.696), EULAR SS Patient Reported Index (rs = 0.883), and Oral Health Impact Profile-14 scores (rs = 0.809). Conclusion. Serbian adaptation of the PSS-QoL instrument can be used to evaluate HRQoL of patients with primary SS both in academic re-search and clinical practice as a novel outcome measure.

Oral health-related quality of life in patients with oral squamous cell carcinoma: A case–control study

Background: The prevalence of oral squamous cell carcinoma (OSCC) has increased in recent years. With the development of various treatments, the mortality rate has decreased and more people are living with the consequences of the disease and its treatment, which can have a great impact on the quality of life. Some questionnaires measure the impact of the disease on daily activities and patient behavior. In this study, the oral health-related quality of life (OHRQOL) was assessed through the Oral Health Impact Profile (OHIP)-14 questionnaire between the OSCC patient and control groups.Materials and Methods: In this cross-sectional study, the OHIP-14 questionnaire was given to 51 OSCC patients who had completed the treatment at least 6 months before participating in this study and 51 healthy individuals, and we used the Chi-square test, independent sample t-test, one-way ANOVA, and linear regression in three models. P = 0.05 was considered statistically significant.Results: The mean age of patients was 55.86 ± 15.04 years and the control group was 54.96 ± 14.08 years. Women made up 51% of patients. The mean OHIP score was 22.84 ± 11.42 in the patient group and 17.92 ± 9.23 in the control group, which indicates a significant (P = 0.005) difference between the two groups according to the independent sample t-test.Conclusion: The OHRQOL of patients has significantly decreased compared to the control group. Surgery had the lowest quality reduction, and combined surgical treatment with radiotherapy and chemotherapy had the highest reduction in the OHRQOL. It is recommended to have regular follow-up sessions and to have a proper diet during and after treatment.

ORAL HEALTH RELATED QUALITY OF LIFE BY USING ORAL HEALTH IMPACT PROFILE (OHIP) SCORES IN PARTIALLY DENTATE PATIENTS WITH PROVISION OF TOOTH- SUPPORTED FIXED PARTIAL DENTURES

Globally, dentistry and healthcare policies now follow a different paradigm. These days, the focus is more on theindividuals’ improved quality of life than on the marginal treatment of physical and psychological illnesses. Thisstudy assessed the quality of life associated with oral health in patients who were partly dentate and receiving fixedpartial dentures supported by teeth by utilizing the Oral Health Impact Profile (OHIP) scores. From October 2015to April 2016, 209 participants in this quasi-experimental research were seen in the prosthodontics departmentin the prosthodontics department at Bacha Khan Medical College, Mardan. Patients with one or two missing teeththat will be replaced by a fixed partial denture, excellent general health, the ability to comprehend and react to thequestionnaire, and no soft or hard tissue inflammation in the oral cavity were included. Patients ranged in age from18 to 60. Excluded from the study were those with severe congenital or surgical deformities of the jaws, drug addiction, psychological instability, acute pain associated with TMJ disorders, life-threatening illnesses, disability, lack ofcooperation, and active periodontal disease or caries. The cumulative score for each of the 14 questions in the OHIPquestionnaire was recorded as the patient’s OHIP score. With SPSS version 17, statistical analysis was carried out.For every variable, descriptive statistics were calculated. Age and gender-based stratification of the OHIP Score wasdone to look for impact modifiers. The Paired T-test compared the Oral Health Impact Profile scores before and after.A significant threshold of P≤0.05 was used.The OHIP score changed on average by 20.84±3.25, a statistically significant change (P<0.0001). Thirty patients(14.35%) had two missing teeth, compared to n=179 (85.64%) who had one missing tooth overall. In terms ofmastication and aesthetics, fixed partial dentures may statistically considerably enhance a partly dentate patient’squality of life.Study design: A quasi-experimental studyDuration and place of study : From October 2015 to April 2016, 209 participants in this quasi-experimentalresearch were seen in the prosthodontics department at the Bacha Khan Medical College, MardanKeywords: OHRQoL, fixed partial denture, partial edentulism, and Oral Health Impact Profile scores

Photodynamic Therapy, Photobiomodulation and Acetonide Triamcinolone 0.1% in the Treatment of Oral Lichen Planus: A Randomized Clinical Trial.

Objective: To evaluate the efficacy of photodynamic therapy (PDT) and photobiomodulation (PBM) in the treatment of oral lichen planus (OLP) in comparison with the use of topical corticosteroids. Material and methods: Sixty patients with OLP were randomized to three groups: group 1 photodynamic therapy applied once a week for four sessions, with orabase cream; group 2 low-power laser application with orabase cream; and group 3 inactive laser with triamcinolone acetonide 0.1%. Patient pain was evaluated, and the Thongprasom severity score, the Oral Health Impact Profile-14 (OHIP-14), and the Hamilton anxiety and depression scale at one and three months of follow-up. (ClinicalTrials.gov Identifier: NCT05127083). Results: Pain decreased significantly over time in all groups, though the symptoms relapsed over follow-up at one and three months in group 3. The OHIP-14 score improved significantly in groups 1 and 2 (p < 0.05), and this improvement was maintained after three months. Lesion resolution evaluated by the Thongprasom score at one month showed significant differences between groups 1 and 3 (p = 0.032) and between groups 2 and 3 (p = 0.024). Conclusions: Photodynamic therapy and photobiomodulation once a week for four weeks are safe and non-invasive treatment options, with the important advantage of lacking adverse effects. Further studies are needed to confirm it.

Subjective and objective evaluation of masticatory function in patients with bimaxillary implant-supported prostheses.

People perform poorly in masticatory function tests despite well-functioning prostheses. However, it is unclear whether there is an agreement between subjective and objective measures of mastication. To investigate the association between subjective and objective measures of masticatory function in patients with bimaxillary implant-supported prostheses. An experimental group (n= 25, age=70.6± 7.5 years, eight women) with bimaxillary implant-supported fixed prostheses and a control group (n= 25, age=69.0± 5.3, 13 women) with natural dentition were recruited. The participants in the experimental group were included if they had been using the prosthesis for at least a year and had no obvious complaints with their prostheses. The control group was people with natural dentition and without any prostheses or complaints related to the masticatory system. The masticatory function was evaluated objectively with food comminution and mixing ability tests, and subjectively with jaw function limitation scale (JLFS) and oral health impact profile (OHIP). The experimental group performed poorly in both objective tests (p < .001). However, there was no significant differences between the two groups in total JFLS (p= .114) and OHIP (p= .312) scores. Though, there were certain positive correlations between the food comminution test and JFLS subdomains in the control group, and a positive correlation between food comminution test and specific subdomains of OHIP in the experimental group indicating poor correlation between the subjective and objective measures. Although patients with implant prostheses show poor masticatory performance, there is no agreement in the objective and subjective measures of mastication.

Oral health-related quality of life between Chinese and American orthodontic patients: A two-center cross-sectional study

BackgroundAlthough oral health-related quality of life (OHRQoL) in orthodontic patients has been assessed in the past, to date, no study has compared the OHRQoL between two nations. We aimed to compare the OHRQoL between Chinese and American orthodontic patients. MethodsWe conducted a two-center questionnaire-based cross-sectional study among patients who underwent orthodontic treatments at the Chinese PLA General Hospital (PLAGH) in Beijing, China and Massachusetts General Hospital (MGH) in Boston, Massachusetts, United States. Candidate variables included the participating center, patients’' age, sex, Angle’s classification of malocclusion, evaluation stage, and appliances used. The primary outcome was patients’ OHRQoL assessed with the Oral Health Impact Profile-14 (OHIP-14). Descriptive statistics, stratification, and univariate and multivariate analyses were performed. ResultsThe average age was lower for PLAGH patients than for MGH patients (21.1 ​± ​7.9 vs. 33.1 ​± ​14.6 years, P<0.001). The most common type of malocclusion was Angle’s Class III malocclusion at PLAGH (39%) and Class I malocclusion at MGH (59.5%). Clear aligners were used in 34.1% and 2.7% of the patients at MGH and PLAGH, respectively. OHIP-14 scores were lower for PLAGH patients than for MGH patients (18.4 ​± ​4.7 vs. 22.3 ​± ​7.4, P<0.001), particularly in functional limitation, psychological discomfort/disability, and handicap. Univariate regression analysis demonstrated that participating center, age, Class I malocclusion, and the use of clear aligners were significantly associated with overall OHIP-14 scores. Multivariate regression analysis demonstrated that patients at PLAGH were associated with lower OHIP-14 scores (coefficient: −3; 95% CI: −5, −1.3; P=0.001), and age was positively associated with OHIP-14 scores (coefficient: 0.1; 95% CI: 0.004, 0.13; P=0.038). ConclusionChinese orthodontic patients had lower OHIP-14 scores, indicating a higher OHRQoL than American patients. In addition to the younger age, this difference may be attributed to the different ethical, cultural, educational, and socioeconomic background of Chinese and American orthodontic patients.

EVALUATION OF TEMPOROMANDIBULAR DISORDER AND ORAL HEALTH QUALITY OF LIFE IN ADOLESCENTS WITH PARENTS’ DIVORCE APPLYING TO THE ORTHODONTIC CLINIC

Aim: The aim of this study to evaluate the effects of parents’ divorce on temporomandibular disorders (TMD) and quality of life in adolescents. Materials and Methods: The study was conducted with 200 patients (124 female, 76 male); 98 of whom had married parents and 102 of whom had divorced parents. The mean age of the patients was 16.17±1.42 years. The study was a questionnaire study, and Fonseca Questionnaire and Oral Health Impact Profile-14 (OHIP-14) forms were used. Results: It was found that patients whose parents were divorced had a higher mean Fonseca TMD and OHIP-14 scores than patients whose parents were married. There is no statistically significant difference between the fonseca and OHIP-14 scores of females and males whose parents were divorced and married. Conclusion: The adolescents whose parents were divorced had higher means of the Fonseca TMD and OHIP-14 scores than those with married parents and these differences were statistically significant, and these adolescents had a higher rate of having moderate Fonseca TMD. Keywords: Temporomandibular disorders, parents’ divorce, oral health impact profile, Fonseca’s questionnaire, quality of life ORTODONTİ KLİNİĞİNE BAŞVURAN EBEVEYNİ BOŞANMIŞ ADÖLESANLARDA TEMPOROMANDİBULAR RAHATSIZLIK VE AĞIZ SAĞLIĞI YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ ÖZ Amaç: Bu çalışmanın amacı, ebeveyn boşanmasının ergenlerde temporomandibular bozukluk ve yaşam kalitesi üzerindeki etkilerini değerlendirmektir. Gereç ve Yöntem: Çalışma 98'i evli anne babaya sahip, 102 ‘si anne babası boşanmış 200 hasta (124 kadın, 76 erkek) ile yapılmıştır. Hastaların yaş ortalaması 16,17±1,42 yıl idi. Çalışma anket çalışması olup, Fonseca Anketi ve Ağız Sağlığı Etki Profili-14 (OHIP-14) formları kullanıldı. Bulgular: Anne-babası boşanmış hastaların Fonseca TMD ve OHIP-14 puan ortalamalarının, anne-babası evli olan hastalara göre daha yüksek olduğu bulunmuştur. Anne-babası boşanmış ve evli olan kadın ve erkeklerin Fonseca ve OHIP-14 puanları arasında istatistiksel olarak anlamlı bir fark yoktur. Sonuç: Anne-babası boşanmış ergenlerin Fonseca TMD ve OHIP-14 puan ortalamaları evli ebeveynlere göre daha yüksek olup bu farklar istatistiksel olarak anlamlıdır ve bu ergenlerin orta düzeyde Fonseca TMD'ye sahip olma oranı daha yüksektir. Anahtar Kelimeler: Temporomandibular bozukluk, ebeveyn boşanması, ağız sağlığı etki profili, Fonseca anketi, yaşam kalitesi

Oral health–related quality of life changes during phase 1 Class II malocclusion treatment using Frankel 2 and Twin-block appliances: A short-term follow-up study

Orthodontic treatment procedures affect oral health-related quality of life. This study analyzed and compared the patients using the Frankel 2 Regulator (FR2) and Twin-block (TB) orthodontic appliances. This follow-up observational study comprised adolescents aged 10-16 years with Class II malocclusion seeking orthodontic treatment, between April and December 2019, in a private orthodontic clinic. Following the finalization of orthodontic clinical decisions, 88 patients, in a 1:1 ratio, using FR2 (n= 44) and TB (n= 44) appliances, were invited to participate in this study. An Oral Health Impact Profile-14 (OHIP-14) questionnaire was answered by the participants at 5-time points: before treatment, 1 week, 1 month, 3 months, and 6 months after wearing functional appliances. A mixed model for repeated measurements tested the OHIP-14 score mean differences over time among appliance groups and group by time interaction. The TB group consisted of 15 males and 29 females, and the FR2 group included 21 males and 23 females. The mean age of participants was 12.18 ± 1.29 years. The mean of OHIP-14 scores in FR2 users was significantly lower than the TB appliance group at all intervals (P<0.05). Although the total score of OHIP-14 increased 1 week after appliance wearing, it declined during the 1, 3, and 6 months after wearing appliances in both groups. The results can help orthodontists better select treatment approaches by considering their effect on oral health-related quality of life.

Digitally prefabricated versus conventionally fabricated implant-supported full-arch provisional prosthesis: a retrospective cohort study

BackgroundTo evaluate and compare the clinical outcomes of digitally prefabricated and conventionally fabricated implant-supported full-arch provisional prostheses.MethodsIn this retrospective study, a total of 39 patients (22 males and 17 females) who underwent implant-supported full-arch rehabilitation using the All-on-4 concept with an immediate loading protocol were included: 20 patients treated with digitally prefabricated provisional prostheses were assigned into Group A, and 19 patients treated with conventionally fabricated provisional prostheses were assigned into Group B. Implant/provisional prosthesis survival rates and complications were reviewed. Marginal bone loss (MBL) was investigated by CBCT. Surgical time, restorative time, and total operative time were analyzed. Postoperative pain and swelling were evaluated with the visual analog scale (VAS). The oral health impact profile (OHIP) questionnaire was administered before and after surgery.ResultsThe implant/provisional prosthesis survival rate was 100%, and complications appeared with low frequency in both groups, while the mean MBL was 0.30 ± 0.29 mm in Group A and 0.31 ± 0.41 mm in Group B after 3~ 6 months (P > 0.05). The average restorative time in Group A (116.16 ± 16.61 min) was significantly shorter than that in Group B (242.11 ± 30.14 min) (P < 0.05). Patients in Group A showed lower pain/swelling VAS scores after surgery than Group B (P < 0.05). Low OHIP scores with high satisfaction with the overall effects were shown in both groups.ConclusionPrefabricated prostheses reduced the prosthetic time and postoperative discomfort in patients whose immediate rehabilitation was based on the All-on-4 concept. This prefabrication technology may be a predictable alternative to improve the short-term clinical outcome of implant-supported full-arch provisional rehabilitation.

The association between dental arch length and oral health-related quality of life in head and neck cancer patients post-radiotherapy.

To assess the association between length of dental arch and oral health-related quality of life in head and neck cancer patients post-radiotherapy. Thirty head and neck cancer participants reported their oral health-related quality of life using the oral health impact profile-14 instrument and their global self-rating of general and oral health. All patients had received chemotherapy and radiotherapy. The length of dental arch was assessed in three tooth relational categories: canine-to-canine, shortened (premolars to premolars), and long (molars to molars) dental arches. Inclusion of participants for any of the three categories required verification of opposing teeth relationship with Shim Stock paper. Out of 30 head and neck cancer patients, eight (27%) had a canine-to-canine dental arch, 14 (46%) had a shortened dental arch, and eight (27%) had a long dental arch. The median oral health impact profile-14 scores for participants respectively with the canine-to-canine dental arch was six (IQR = 9.25), seven (IQR = 8) for participants with shortened dental arch, and 11 (IQR = 12.5) for participants with long dental arch. There were no significant differences in oral health impact profile-14 scores between the three-tooth relational groups (Kruskal-Wallis H = 0.769, df = 2, P-value = .681). Similarly, there were no significant differences between three-tooth relational groups on the self rating of general (Chi-squared = 1.714, df = 2, P-value = .424) and oral health (Chi-squared = 1.393, df = 2, P-value = .498). Within the limitations of this study, no association was found between the length of dental arch and oral health-related quality of life in head and neck cancer patients post-radiotherapy. Other factors such as dry mouth, oral mucositis, loss of taste, and trismus should be considered as contributory factors to reduced oral health-related quality of life in head and neck cancer patients post-radiotherapy, particularly in relation to eating difficulties.

An Updated Patient-CenteredSialadenitis Instrument: The Obstructive Salivary Problem Impact Test (SPIT).

The Chronic Obstructive Sialadenitis Symptoms questionnaire (COSS) was created to assess chronic sialadenitis symptoms and treatment response, but its development lacked patient input and validation. We analyzed COSS responses and feedback from sialadenitis patients and physician experts to create the novel obstructive Salivary Problem Impact Test (SPIT), a new standardized measure of sialadenitis-associated symptoms. We analyzed COSS responses via exploratory factor analysis (EFA) to identify essential symptom domains and reduce overlap in questions. Sialadenitis patients evaluated the significance of index symptoms identified from the literature review. Expert physicians rated symptom relevance in clinical assessment. An updated questionnaire (SPIT) was piloted with both patient and expert interviews to optimize structure and readability. The SPIT was assessed for internal consistency, construct validity, and test-retest stability. EFA of 310 COSS responses demonstrated 3 main symptom domains (functional impact, pain, swelling) that explained 58.4% of response variance. Results were not statistically different when collapsing from 11 to 5 question response options. Experts (n=5) ranked gland swelling, mealtime pain, and foul taste as most clinically important, while patients (n=12) ranked swelling, non-mealtime pain, and difficulty eating as most bothersome. Most patients experienced sialadenitis-related functional or psychosocial impairment. Following interviews for question refinement, a 25-question survey was finalized. SPIT responses from 50 sialadenitis patients demonstrated internal consistency (Cronbach's alpha=0.96), 14-day stability (p < 0.001), and agreement with Oral Health Impact Profile-14 scores (p < 0.0001). We developed the SPIT instrument to improve usability and content validity in chronic sialadenitis evaluation. The psychometric assessment demonstrated high construct validity and test-retest reliability. Further work will assess longitudinal changes with treatment. 4 Laryngoscope, 133:539-546, 2023.

Oral health–related quality of life of conventional removable partial dentures, unilateral nonmetal clasp dentures, and shortened dental arch with 2- or 3-tooth unilateral distal extension tooth loss in the mandible: A randomized, crossover, clinical trial

Statement of problemConventional removable partial dentures with metal clasps are still a common option for patients with distal-extension tooth loss. However, unilateral nonmetal clasp dentures fabricated by using a thermoplastic denture base resin are increasingly being used. Furthermore, the shortened dental arch concept remains controversial, in spite of being advocated for many years. Nevertheless, these treatment options remain controversial, particularly in patients with the loss of a few distal teeth unilaterally. PurposeThe purpose of this randomized, crossover, clinical trial was to investigate the oral health–related quality of life of participants who requested a new dental prosthesis (unilateral nonmetal clasp dentures or conventional removable partial dentures) at a private practice. Material and methodsA 3-period, randomized, crossover design was used in a within-subject, controlled, clinical trial. Twenty-four participants (mean age 59.0 years [7 men: 62.6 {45–85} years; 17 women: 57.5 {24–75} years]) were enrolled. All experimental procedures were approved by the Ethics Committee of Nagasaki University Hospital (#15022313) and registered in the International Standard Randomized Controlled Trial Number registry (ISRCTN49105064). All participants were fully dentate in the maxilla and had unilateral distal-extension loss of 2 or 3 teeth in the mandible. Participants were allocated to 1 of 6 groups and treated with prescribed options in accordance with their allocated sequences and used a dental prosthesis or nothing for 2-week periods. At the end of each intervention, the participants were asked to answer the Oral Health Impact Profile questionnaire. Differences in Oral Health Impact Profile scores among groups were estimated with a mixed-effects model (α=.05). ResultsTotal Oral Health Impact Profile scores were higher for unilateral nonmetal clasp dentures (P=.002) and shortened dental arch (P=.049) than for conventional removable partial dentures, with medium and small effects. The unilateral nonmetal clasp dentures had a similar effect compared with shortened dental arch (P>.05). unilateral nonmetal clasp dentures (P=.011) and shortened dental arch (P=.005) demonstrated medium effects in the oral function dimension compared with conventional removable partial dentures. Unilateral nonmetal clasp dentures exhibited large and medium effects in the orofacial appearance dimension compared with conventional removable partial dentures (P=.001) and shortened dental arch (P=.006). In the orofacial pain dimension, shortened dental arch showed effects similar to those of conventional removable partial dentures and unilateral nonmetal clasp dentures (P>.05), and no significant differences were observed in the psychosocial impact dimension (P>.05), but the unilateral nonmetal clasp denture score was lower than the conventional removable partial denture score, with a small effect. Men had significantly lower total Oral Health Impact Profile scores for shortened dental arch than women (P=.033). ConclusionsUnilateral nonmetal clasp dentures and shortened dental arch were better than conventional removable partial dentures for the oral health–related quality of life of individuals with unilateral distal-extension tooth loss in the mandible, and sex had a significant effect on removable prosthetic planning.

Temporomandibular disorder symptoms in young adults: Three-dimensional impact on oral health-related quality of life.

The impact of temporomandibular disorders on functional, pain, and psychosocial aspect of patients' quality of life needed to be assessed. This study examined the three-dimensional impact of pain-related and/or intra-articular Temporomandibular disorder (TMD) symptoms and ascertained the inter-relationships between the functional, pain, and psychosocial aspects of oral health-related quality of life (OHRQoL). Young adults were enlisted from a local university and TMD symptoms were assessed with the Diagnostic Criteria for TMDs Symptom Questionnaire (DC/TMD-SQ). Participants were stratified into those with no (NT), pain-related (PT), intra-articular (IT), and mixed (MT) TMD symptoms. OHRQoL was examined using the Oral Health Impact Profile-14 (OHIP-14), and dimensional effects (oral function [OF], orofacial pain [OP], and psychosocial impact [PI]) were established subsequently. Data were evaluated with Kruskal-Wallis, Dunn, and Wilcoxon signed-rank tests (α=.05). The mean age of the participants (n=1205) was 7 ± 1.3 years (71.8% women). While 42.2% reported no TMD symptoms, 22.3%, 16.9%, and 18.5% had PT, IT, and MT accordingly. The MT, PT, and IT groups presented higher total OHIP-14 and dimension scores than the NT group (p < .01). Scores were also significantly different between the MT and IT groups except for OF. For all TMD groups, the ranking of dimensional impact was OP > PI > OF, and associations between the OP and PI dimensions were the strongest (correlation coefficient [rs ]=.57-.76). Young adults with PT and/or IT symptoms have poorer OHRQoL, especially in the OP and PI dimensions, which were moderate to strongly correlated. The use of the three dental Patient-reported Outcome (dPRO) dimensions could provide construct equivalency among OHRQoL measures.

Oral health-related quality of life and dental caries in rheumatoid arthritis patients: a cross-sectional observational study.

Rheumatoid arthritis (RA) is a systemic, chronic, and inflammatory joint disease with oral complications. This research aimed to compare the oral health-related quality of life and decayed, missing and filled teeth (DMFT) index in rheumatoid arthritis patients over 18 years with healthy individuals. In this study, 45 rheumatoid arthritis cases were assigned to the experimental group, and 45 healthy individuals were assigned to the control group. After completing biography forms, the participants filled out two questionnaires. These questionnaires included the Oral Health Impact Profile-14 (OHIP-14) and the Oral Health Assessment Index (GOHAI). Next, their teeth were clinically examined to check for caries. Finally, the data were analyzed statistically. RA and control groups were similar in gender, marital status, age, occupation, and level of education. However, a significant difference was observed between the two groups concerning DMFT (P<0.001) and total OHIP-14 score (P<0.001). Moreover, no significant difference was observed between the groups concerning the total GOHAI score (P=0.526). The oral health-related quality of life in rheumatoid arthritis patients was lower than that in the general population, with the rate of dental caries being higher in these patients.

AB0574 PREDICTOR FACTORS IN EMPOWERMENT OF PATIENTS WITH PRIMARY SJOGREN SYNDROME IN THE FRAME OF VALUE BASED HEALTH CARE

BackgroundPatient empowerment is a key component in developing awareness of the disease in patient-centred care in the setting of chronic disease management.ObjectivesThis study aimed to evaluate predictive factors in the empowerment of patients with Sjögren’s Syndrome (pSS), while examining patients reported outcome measures (PROMs) in the setting of value-based health care.MethodsIn this cross-sectional study, 169 patients with pSS (F/M: 162/7; mean age: 52.94±12.20 years) were included. Data was collected from the clinical examination, major salivary gland ultrasonography (SGUS) and a structured questionnaire regarding utilisation of health services and PROMs regarding Oral Health Impact Profile-14 (OHIP-14), Hospital Anxiety and Depression Scale (HADS; HADS-Anxiety and HADS-Depression) and Self-reported General Health Status (100-m VAS; 0: very poor vs 10: very good). Both stimulated (S-SFRs) and unstimulated salivary flow rates (U-SFRs) of patients were measured as ml/min. Patients with hyposalivation were grouped as according to U-SFR (≤0.1 ml/min). Furthermore, Outcome Measures from Rheumatology ultrasonography (OMERACT US) scores (from 0: normal to 3 points: severe inhomogeneity) were collected to evaluate glandular involvement of patients. After initial statistical analyses was carried out, mediation analysis was performed to evaluate the associations.ResultsThe rate of patients with hyposalivation was found as 45% and most (85.7%) had elevated SGUS scores (≥2 points). In addition, self-reported oral health problems were common in the study group (from 23.8% to 53.4%). Among this cohort, the patients suffered from Burning oral sensation (27 %) had poor scores in OHIP-14 (29.81±14.48 vs 20.22±12.43), HADS-Depression (10.07±4.49 vs 6.65±4.20) and Self-reported general health status (45.43±17.95 vs 55.56±22.43) compared to those without Burning oral sensation (p=0.006, p=0.019, p=0.018, respectively). Furthermore, significant correlations were observed between OHIP-14 score and HADS-A score (r: 0.4 p: 0.004) and HADS-D scores (r: 0.58 p=0.000). Utilising mediation analysis, the HADS-Depression score was directly mediated by the presence of Burning oral sensation (p=0.0005) and indirectly mediated by OHIP-14 score (p=0.0360). In this group, the interval from the last dental visit was mean: 19 months. Interestingly, 60% preferred to relate their oral discomfort during visits (3 times a year), to rheumatologists.ConclusionBetter health outcomes could be achieved by reducing oral discomfort, increasing dental visits, improvement of oral health related quality of life and managing depression by a multidisciplinary team with dentists and psychiatrists in patient-centred care. Since these factors have a significant effect on patients’ daily life, treatment plans are needed to provide patient empowerment by using suitable strategies in the frame of value-based health care.Disclosure of InterestsNone declared

Oral health-related quality of life and psychological states of dental students with temporomandibular disorders.

This study investigates the frequency of temporomandibular disorders (TMD) in dental students, and evaluates the association between TMDs, psychological states, and oral health-related quality of life (OHRQoL). The presence of bruxism was also determined. Two hundred ninety-three dental students completed the Symptom Checklist 90-Revised (SCL-90-R) and Oral Health Impact Profile 14 (OHIP-14) questionnaires and underwent a clinical examination according to Diagnostic Criteria for TMDs. TMDs were detected in 46.4% of the dental students. OHIP-14 scores of students with TMDs were significantly higher than scores for students without TMDs (p<0.05). Significant differences were observed in all SCL-90-R scores among students with and without TMDs, except for phobic anxiety and additional SCL-90-R subscale scores (p<0.05). The prevalence of myalgia was significantly higher in clinical students (26.6%) than in preclinical students (15.6%). OHIP-14 scores of clinical students were significantly higher than preclinical students (p<0.05). In dental students, there was a high frequency of TMDs and bruxism. OHRQoL was poorer in clinical students. Levels of anxiety, depression, and somatization were not different in clinical and preclinical students. SCL-90-R scores are higher in students with TMDs except for phobic anxiety and additional SCL-90-R subscale scores.

Evaluation of the Oral Health-Related Quality of Life (OHRQoL) in Patients Undergoing Lingual Versus Labial Fixed Orthodontic Appliances: A Randomized Controlled Clinical Trial.

BackgroundWearing fixed orthodontic appliances may negatively impact oral health-related quality of life (OHRQoL) during treatment. This study aimed to compare the OHRQoL of patients treated with labial or lingual appliances.MethodologyA total of 38 patients (23 females, 15 males; mean age: 21.3 years) with class I malocclusion and moderate crowding in the upper and lower dental arches were included. These patients were planned to be treated on a non-extraction basis and were randomly divided into the following two groups: the lingual appliance (LA) group and the buccal appliance (BA) group. The Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to measure the OHRQoL at the following six assessment times: before treatment (T0), one week after treatment (T1), one month after treatment (T2), three months after treatment (T3), six months after treatment (T4), and at the end of the active treatment (T5).ResultsIn total, 19 patients in each group were included in the final analysis with no dropouts. In both groups, the overall OHIP-14 scores increased and peaked on the first week following appliance placement and then significantly decreased over time. The LA group had significantly greater overall OHIP‑14 scores than the labial group at T1 (p < 0.001) and T2 (p = 0.004) only.ConclusionsThe OHRQoL improved in both lingual and labial groups after treatment. Moreover, it was better in the labial group compared to the lingual group during the first month of treatment. In both groups, the greatest deterioration in OHRQoL occurred in the first week and gradually decreased over time.

Effect of plasma rich in growth factors on quality of life following mandibular third molar removal: a double-blind randomized controlled trial

The objective of this study was to investigate the effect of plasma rich in growth factors (PRGF) on patient- and clinician-reported outcomes following mandibular third molar removal. Seventy-four patients requiring surgical removal of a unilateral impacted mandibular third molar under local anaesthesia were recruited into the study. PRGF was prepared for all patients irrespective of study arm allocation. Reviews were conducted 3 days (T1) and 7 days (T2) postoperatively. Primary outcome measures were pain (numerical rating scale, NRS), OHIP-14 (Oral Health Impact Profile-14), and postoperative symptom severity scale (PoSSe) data. Secondary outcome measures including mouth opening, dry socket, socket healing, and analgesic consumption were also explored. The statistical analysis was performed using analysis of covariance and the χ2 test. NRS pain scores were higher in the PRGF group at T1, demonstrating borderline significance (mean difference 1.0; P = 0.06), with no difference at T2. PoSSe scores did not differ between the groups, with the exception of the ‘interference with daily activities’ subscale at T1, where PRGF group patients scored 1.2 units higher (P = 0.02). OHIP-14 scores demonstrated a 25% increased likelihood of PRGF patients reporting discomfort on eating at T1 (P = 0.02), with no statistical significance at T2. Secondary outcomes did not differ between the groups. No difference in clinical or quality of life outcomes was observed for patients receiving adjunctive PRGF in third molar sockets.

Oral Health-related Quality of Life among Psychiatric In- and Outpatients Diagnosed with Different Disorders in Indore, Central India

To assess oral health-related quality of life among psychiatric patients. A total of 400 inpatients and outpatients reporting to the Department of Psychiatry was taken as the final sample. Subjects diagnosed with mental illness and on medication for at least 1 year, who were able to respond to the pro forma and oral health impact profile (OHIP) questionnaire, were included. A guided, self-administered structured questionnaire was designed to include sociodemographic characteristics and short form of the OHIP-14 consisting of 14 items covering 7 domains: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability and handicap. It was used to assess the impact of oral conditions on well-being and quality of life. The data collected were subjected to statistical analysis using SPSS IBM version 20.0. The highest mean OHIP score for the disorders was seen among the patients diagnosed with schizophrenia for functional limitation (2.73 ± 1.194), 2.91 ± 1.111 for psychological discomfort, 2.67 ± 1.203 was recorded for physical disability, 2.79 ± 1.156 was the mean score for psychological disability followed by a score of 2.87 ± 1.172 for social disability. The highest mean score for the handicap domain was recorded for schizophrenia patients (2.73 ± 1.241) whereas for physical pain, a mean score of 3.01 ± 1.261 was recorded for patients diagnosed with bipolar disorder. Based on the findings of the study, it can be stated that the psychiatrists should pay attention to the dental anxiety concerns of the patients and encourage them to visit oral health professionals. The study highlights the importance of incorporating dental health education to psychiatric rehabilitation programs.

Oral health-related quality of life and orthodontic treatment need in thalassemia major patients

Thalassemia major (TM) is a severe life-threatening hemoglobinopathy. It causes a typical chipmunk face due to increased hematopoiesis. Severe malocclusion often accompanies facial deformity, which may affect Oral Health-related Quality of Life (OHRQoL). The aim of this study was to assess the relationship between orthodontic treatment needs and OHRQoL in TM patients. One hundred and five adult patients with TM participated in this cross-sectional study. Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to measure OHRQoL and the patient's need for orthodontic treatment was evaluated using the Index of Orthodontic Treatment Need (IOTN). The comparison of OHIP-14 scores between groups regarding orthodontic treatment need was carried out using t-test (SPSS software); P < 0.05 was considered statistically significant. The mean age of participants was 24.92 (±9.33) years, with 52% female versus 48% male. Orthodontic treatment need was 27.6%. The mean score of OHIP-14 was 12.95 (±7.02). A statistically significant relationship was found between OHIP-14 score and age, gender, and orthodontic treatment need (P < 0.05). All domains of OHIP-14 were significantly related to orthodontic treatment need (P < 0.05), except for "physical disability" (P = 0.282). OHRQoL was lower in TM patients with orthodontic treatment needs. Planning to treat malocclusion seems necessary to improve the quality of life in these patients.