Perception Of Oral Health-related Quality Of Life Research Articles

The impact of craniofacial and dental osteogenesis imperfecta manifestations on oral health-related quality of life of children and adolescents.

Craniofacial and oral manifestations of Osteogenesis Imperfecta (OI) can affect the functioning of the stomatognathic system and impact the patient's quality of life. The objective of the study was to evaluate the relationship between craniofacial and oral manifestations and the Oral Health-related Quality of Life (OHRQoL) of OI children and adolescents. A total of 30 OI patients aged eight to fourteen years old followed up at the Oral Care Center for Inherited Diseases were enrolled in the research. OHRQoL was assessed using the short form of the Child Perceptions Questionnaire (CPQ) for eight to ten-year-olds (CPQ8-10) and 11 to 14-year-olds (CPQ11-14). The relationship between the OHRQoL index and its assessment domains, OI types, and the presence of dentinogenesis imperfecta (DI), class III malocclusion, and dental agenesis were evaluated. The median CPQ score of patients was 5, and there was no significant difference in OHRQoL between children and adolescents, nor associated with the disease severity or the presence of DI. The oral manifestations evaluated did not directly impact the patients' OHRQoL. The study demonstrated that the perception of OHRQoL is similar for both adolescents and children. The oral symptom was the most relevant domain for the index among patients aged eight to fourteen years while the emotional well-being was the most impacted. this study makes contributions by indicating that addressing dental care for children and adolescents with OI is important in clinical management and better OHRQoL for this population.

Impact of social marginalization on oral health-related quality of life in older adults.

The aim of this study was to determine the association between oral health-related quality of life (OHRQoL) and social marginalization in people aged 60 years and older enrolled in social security in Mexico. A cross-sectional and analytical study was carried out in older adults. To assess the OHRQoL, the OHIP-14 instrument was applied, and the degree of social marginalization and sociodemographic characteristics were analyzed. Measures of central tendency and dispersion, simple frequencies and proportions were estimated. Student's t-test was used for comparison of means, and prevalence ratio (PR) and logistic regression were used to assess associations, all with a significance value of 0.05 and 95% confidence intervals. Perceived OHRQoL in the population measured through the OHIP-14 reached an average value of 9.84 ± 8.91, with the highest value in the dimension of physical pain (2.06 ± 1.91). Perceived treatment need was higher among people with social marginality (p = 0.011). The multivariate analysis shows that marginalized people have a lower OHRQoL. Socially marginalized older adults showed a low a better perception of OHRQoL, independent of demographic and clinical factors.

Assessment of oral health related quality of life (OHRQL) in patients with periodontitis: A cross sectional survey

Health related quality of life is attaining more attention and is considered as an important marker of patients’ perception of disease. The impact of oral diseases on the oral health related quality of life (OHRQL) is of immense importance, but very few studies exist on the impact of periodontitis on quality of life.: This study was aimed to find out the relationship between periodontitis and OHRQL.A cross sectional survey was conducted at the outpatient Department of Periodontics, Government Dental College, Thiruvananthapuram, Kerala among 158 patients presented with periodontitis who satisfied the inclusion criteria.Data collection was done by using a proforma for recording age, gender and socioeconomic status. Clinical periodontal parameters such as clinical attachment loss (CAL), probing pocket depth (PPD), simplified oral hygiene index (OHI-S), gingival index (GI) using UNC 15 probe were examined. OHRQL was assessed using the Malayalam version of OHIP-14.Descriptive statistics were used to describe quantitative and qualitative variables. Association between periodontitis and OHRQL was analysed using Spearman’s correlation coefficient. Severity of periodontitis and OHRQL and each domains of quality of life and was determined using Kruskal-Wallis test.There is statistically significant association of OHRQL with CAL (r=0.16; p= 0.04). Other periodontal parameters (PPD, OHIS and GI) depicted a very weak positive correlation with OHRQL but none was statistically significant (r=0.15, p=0.07; r=0.13, p=0.10 and r=0.14, p=0.08 respectively). There is no statistically significant association between severity of periodontitis and OHRQL (p=0.24). The maximum affected domains are physical pain, psychologic discomfort and physical disability among the seven domains.Periodontitis have a definite impact on the OHRQL of this selected population. The perception of OHRQL can vary with difference in cultural background and between individuals. Further long term studies with a larger sample size and comparison with a healthy periodontium is necessary to validate the results.

Long transmaxillary implants improve oral health-related quality of life of patients with atrophic jaws-a case series

BackgroundThe advancement of contemporary dentistry is related to the improvement of existing techniques, materials, and technology, consistently for improving people’s oral health, which can ultimately reflect better quality of life. This study aimed to evaluate the oral-health-related quality of life (OHRQoL) of patients with atrophic jaws, who reported for the placement of long transmaxillary implants and posterior prosthetic rehabilitation. Twelve patients (n = 12), of both sexes, with a mean age of 55.83 ± 2.78 years, who were unable to receive conventional implants immediately because of lack of bone, received two long transmaxillary implants in a horizontal position, anteroposteriorly, one on each side, from the canine pillar to the maxillary tuberosity. After 6 months, the conventional clinical sequence for fabricating a fixed prosthesis type protocol or removable prosthesis type overdenture (MK1® system) was performed, when required to recover the lip volume. The Oral Health Impact Profile questionnaire (OHIP-14) was applied preoperatively and 6 months after rehabilitation using a prosthesis on the implants. The results were statistically analyzed using a significance level of 0.05.ResultsAn improvement in the perception of OHRQoL was observed between the pre- and postoperative periods in the OHIP-14 total score and the domains related to functional limitation, physical pain, psychological discomfort, psychological disability, social disability, and handicap (p < 0.05).ConclusionIt may be concluded that transmaxillary implant rehabilitation improves the OHRQoL.

Bite Force, Masseter Thickness, and Oral Health-Related Quality of Life of Elderly People with a Single-Implant Mandibular Overdenture.

To compare maximum bite force, masseter thickness, and oral health-related quality of life (OHRQoL) in elderly patients rehabilitated with conventional complete dentures (CDs) and single-implant overdentures (SIOs). A paired design was conducted, and 12 elderly patients were selected. Initially, a set of new CDs was manufactured and placed. After a 2-month adaptation period, the mandibular CD was transformed into an SIO by inserting one osseointegrated implant into the symphysis region. All variables were evaluated 2 months after both treatments (CD and SIO). Maximum bite force was evaluated using pressure sensors, while masseter thickness was obtained via ultrasound during muscle contraction and relaxation. The Oral Health Impact Profile for edentulous people (OHIP-Edent) was used to measure OHRQoL. Data were analyzed using Student t test and Wilcoxon test. Pearson coefficient of correlation between bite force and masseter thickness was calculated. Values for maximum bite force and masseter thickness during contraction increased significantly after SIO use (P < .001), indicating an improvement in muscle function. Considering OHRQoL, the general score and the domains functional limitation and physical pain were reduced (P < .05), indicating better perception of OHRQoL, with SIO use. Moreover, masseter thickness during contraction was moderately correlated with bite force (r = 0.480; P = .018). Using SIO increased the maximum bite force and masseter thickness of elderly patients, leading to an improved OHRQoL.

Relation Between Clinical Oral Health Status, Oral Health Related Quality of Life, Denture Material Type and Self-perceived General Health, in a General Population

The purpose of the current study was to assess the oral health related quality of life (OHRQoL), general health related quality of life (HRQoL), clinical oral and denture status, as well as their interrelation, within a hospitalized general population. The Romanian versions of the Oral Health Impact Profile-49 (OHIP-49Ro), SF-36 questionnaires, together with an additional set of oral health assessment questions, were administered under the interview format to 170 patients, hospitalized in the Second Medical Clinic of Internal Medicine, Cluj-Napoca, Romania. The patients also underwent clinical examination, based on which the DMFT was calculated. Denture status, was as well, registered, together with the denture material. Each patient provided informed consent, prior to any examination. Questionnaire scores were calculated and used for the univariate descriptive statistics, reflecting oral health, OHRQoL and HRQoL sample tendencies. Successively, multiple regression analysis was applied, with the purpose of investigating the relationship between: the clinical oral health status, OHRQoL and HRQoL. In the first model, OHRQoL, while in the second model the dependent variable was represented by the HRQoL, each having a set of established predictors. Additionally, for denture wearing patients, OHRQoL variations in respect to the denture material were assessed, using one-way ANOVA. The mean OHIP-49Ro overall score was 31.90. The mean SF-36 subscales score was 60.66. The mean DMFT score was 18.47. For both regression analyses, all the regression models were significant. For the first model, the predictors accounted for 48.5% of variance in OHRQoL. For the second model, the highest percent of variance, explained by the predictors, was registered for the Mental Health subscale (22.8%). DMFT, as a clinical measure, was a statistically significant predictor rather for the perception in general health. However, OHRQoL was a good predictor for HRQoL, as an integrated part of it. Moreover, the one-way ANOVA indicated statistically significant differences in OHRQoL perception, in respect to the denture material F(2, 82) = 3.253, p = 0.044. The current study indicated complex relations between the patients� clinical status, the OHRQoL and HRQoL. The clinical determinants presented direct impact on both OHRQoL and HRQoL. More balanced HRQoL scores suggested that patients focused more on the perception of general health outcomes.

Cultural factors and oral health-related quality of life among dentate adults: Hispanic community health study/study of Latinos

ABSTRACTObjective: Research on the relationships between acculturation, ethnic identity, and oral health-related quality of life (OHRQOL) among the U.S. Hispanic/Latino population is sparse. The aim of this study is to examine the association between acculturation, ethnic identity, and OHRQOL among 13,172 adults in the 2008–2011 Hispanic Community Health Study/Study of Latinos (HCHS/SOL).Design: Participants self-reported their acculturation (immigrant generation, birthplace, residence in the U.S., language, and social acculturation), ethnic identity (sense of belonging and pride), and four OHRQOL measures. Key socio-demographic, behavioral, and oral health outcomes were tested as potential confounders.Results: Overall, 57% of individuals experienced poor OHRQOL in at least one of the domains examined. In multivariable analyses, some elements of higher acculturation were associated with greater food restriction and difficulty doing usual jobs/attending school, but not associated with pain or difficulty chewing, tasting, or swallowing. While sense of belonging to one’s ethnic group was not associated with poor OHRQOL, low sense of pride was associated with food restriction. Socio-behavioral characteristics were significant effect modifiers.Conclusion: This study contributes to the understanding of the role of Hispanic/Latino’s cultural factors in OHRQOL perception and can inform targeted strategies to improve OHRQOL in this diverse population.

Impact of Dental Treatment on the Perception of Children and Parents on Oral Health-Related Quality of Life

Objective: To evaluate the perception and agreement between of child and parent’s reports about oral health-related quality of life (OHRQoL) of children aged 8-10 who were submitted to dental treatment and whose caregivers were (Group 1) or were not (Group 2) submitted to dental treatment. Material and Methods: Dental caries experience and child (Child Perceptions Questionnaire - CPQ 8-10 ) and parent’s (Parental-Caregiver Perceptions Questionnaire - P-CPQ) perceptions of OHRQoL were before and after the dental treatment. The collected data were analyzed using the BioEstat 5.3 and SPSS 18.0 statistical packages, considering α = 0.05. The Wilcoxon and Mann-Whitney tests, respectively, were used to verify the difference in mean DMFT / dmft indexes and CPQ 8-10 scores before and after treatment in each group. Results: In Group 2, there was a significant increase in mean DMFT after treatment. Both groups presented lower values in the total CPQ 8-10 score after treatment. In pre-treatment, it was observed more positive perception of OHRQoL for parents than for children in both groups. In contrast, in post-treatment, children reported better OHRQoL than parents in both groups. In Group 1, there was significant agreement between children and parents at pre and post-treatment, while in Group 2 significant agreement was observed only at post-treatment. Conclusion: Children presented a more positive perception of OHRQoL at post-treatment, as well as when compared to those parents at this time. There was greater agreement between children and caregivers who accepted to undergo dental treatment.

Socio-behavioral predictors of self-reported oral health-related quality of life

To examine the relationship between social and financial support, behavioral and sociodemographic variables, and oral health-related quality of life (OHRQoL) in a national probability sample. The National Health and Nutrition Examination Survey (NHANES) 2003-2004 data system was used; there were 12,761 persons selected for the sample, 10,122 of those were interviewed (79.3%). Oral health-related quality of life, the outcome measure, was evaluated using seven items derived from the 14-item NHANES Oral Health Impact Profile (OHIP) included in the home interview. The aggregated OHRQoL scores ranged from 7 to 28. We included only adults, aged 20 and older, who self-reported their alcohol use during home interview (n=5,014). Independent variables were social and financial support, and behavioral variables (smoking and alcohol use), with sociodemographic variables as covariates. Multiple linear regression analysis used weighted data representing 124 million persons. Lack of financial support reduced OHRQoL, but not social support. Smoking reduced OHRQoL, but not alcohol use. Compared to ages 20-24, persons aged 24-44 and aged 45-64 had significantly lower OHRQoL scores, but persons aged 65+ did not. Latinos' OHRQoL scores were lower than those of whites; there were no differences between whites and other ethnic groups. The model provides insights into the perception of OHRQoL in that oral health related to the ability to pay for care. Those in the middle years (24-64) rate their OHRQoL lower than do their younger cohorts; there is no difference in OHRQoL between the young and the old.

Level of oral health impacts among patients participating in PEARL: a dental practice-based research network.

To determine whether participants of a dental practice-based research network (PBRN) differ in their level of oral health impact as measured by the Oral Health Impact Profile (OHIP) questionnaire. A total of 2410 patients contributed 2432 OHIP measurements (median age = 43 years; interquartile range = 28) were enrolled in four dental studies. All participants completed the Oral Health Impact Profile (OHIP-14) during a baseline visit. The main outcome of this study was the level of oral health impact, defined as follows: no impact ('Never' reported on all items); low ('Occasionally' or 'Hardly ever' as the greatest frequency score reported on any item); and high ('Fairly often' or 'Very often' as the greatest frequency reported on any item). Polychotomous logistic regression was used to develop a predictive model for the level of oral health impact considering the following predictors: patient's age, gender, race, practice location, type of dentist, and number of years the enrolling dentist has been practicing. A high level of oral health impacts was reported in 8% of the sample; almost a third (29%) of the sample reported a low level of impacts, and 63% had no oral health impacts. The prevalence of impacts differed significantly across protocols (P < 0.001). Women were more likely to be in the high oral impact group than in the no impact group compared to men (OR = 1.46; 95% CI = 1.06-1.99). African Americans were more likely to report high oral impacts when compared to other racial/ethnic groups (OR = 2.11; 95% CI = 1.26-3.55). Protective effects for being in the high or in the low-impact groups were observed among patients enrolled by a solo practice (P < 0.001) or by more experienced dentists (P = 0.01). A small but highly significant statistical association was obtained for patient age (P < 0.001). In the multivariate model, patient's age, practice size, and gender were found to jointly be significant predictors of oral health impact level. Patients' subjective report of oral health impact in the clinical setting is of importance for their health. In the context of a dental PBRN, the report of oral health-related quality of life (OHRQoL) was different across four dental studies. The observed findings validate the differential impact that oral health has on the patients' perception of OHRQoL particularly among specific groups. Similar investigations to elucidate the factors associated with patient's report of quality of life are warranted.

Dimensions of oral health-related quality of life in an adult Swedish population

The concept of oral health-related quality of life (OHRQOL) is investigated in this study. The aim was to explore the dimensionality of variables measuring OHRQOL in an adult Swedish population and to discuss the findings in relation to existing indices. The study was based on responses to a 1998 questionnaire sent to a random sample of 1974 persons aged between 50 and 75 years. There were 22 variables based on questions concerning oral situation and the impact on 7 theoretically different dimensions of QOL. The majority were satisfied with their oral health situation. During the previous 12 months, 16% of the population had experienced problems with their mouth or teeth on at least one occasion per mouth. Principal components analysis was used to analyze the dimensionality of the variables. Three factors accounted for 59% of the variance: (1) Physical and social disability, (2) psychological discomfort and disability, and (3) functional limitation and physical pain. The perception of OHRQOL is multidimensional, but the dimensions are not equally important. The dimensions of OHRQOL found in the present study are similar to those of existing instruments.