scholarly journals Mastication after craniotomy: pilot assessment of postoperative oral health-related quality of life

2021 ◽  
Author(s):  
Mortimer Gierthmuehlen ◽  
Nadja Jarc ◽  
Dennis T. T. Plachta ◽  
Claudia Schmoor ◽  
Christian Scheiwe ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
General Population ◽  
Mouth Opening ◽  
Health Related Quality ◽  
Temporal Muscle ◽  
Related Quality ◽  
Health Related ◽  
Surgical Manipulation

Abstract Background Neurosurgical approaches to the brain often require the mobilization of the temporal muscle. Many patients complain of postoperative pain, atrophy, reduced mouth opening, and masticatory problems. Although the pterional, frontolateral-extended-pterional, and temporal craniotomies are the most frequently used approaches in neurosurgery, a systematic assessment of the postoperative oral health-related quality of life has never been performed so far. This study evaluates the oral health-related quality of life of patients after pterional, frontolateral-extended-pterional, or temporal craniotomy using a validated and standardized dental questionnaire, compares the results with the normal values of the general population, and investigates whether this questionnaire is sensitive to changes caused by surgical manipulation of the temporal muscle. Methods The “Oral Health Impact Profile” (OHIP14) is a validated questionnaire to assess the oral health-related quality of life. It asks the patients to assess their oral health situation within the past 7 days in 14 questions. Possible answers range from 0 (never) to 4 (very often). Sixty patients with benign intracranial processes operated through a lateral cranial approach were included. The questionnaire was answered before surgery (baseline) and 3 months and 15 months after surgery. Results Overall, postoperative OHIP scores increase significantly after 3 months and decrease after 15 months, but not to preoperative values. No factors can be identified which show a considerable relationship with the postoperative OHIP score. Conclusions Postoperative impairment of mouth opening and pain during mastication can be observed 3 to 15 months after surgery and sometimes cause feedback from patients and their dentists. However, in line with existing literature, these complaints decrease with time. The study shows that the OHIP questionnaire is sensitive to changes caused by surgical manipulation of the temporal muscle and can therefore be used to investigate the influence of surgical techniques on postoperative complaints. Postoperatively, patients show worse OHIP scores than the general population, demonstrating that neurosurgical cranial approaches negatively influence the patient’s oral health-related wellbeing. Larger studies using the OHIP questionnaire should evaluate if postoperative physical therapy, speech therapy, or specialized rehabilitation devices can improve the masticatory impairment after craniotomy. Trial registration Clinical trial register: DRKS00011096.

scholarly journals Subjective Oral Health-Related Quality of Life and Objective Oral Health in People with Ectodermal Dysplasia

2020 ◽  
Vol 18 (1) ◽  
pp. 143
Author(s):  
Nils Niekamp ◽  
Johannes Kleinheinz ◽  
Daniel R. Reissmann ◽  
Lauren Bohner ◽  
Marcel Hanisch
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
General Population ◽  
Ectodermal Dysplasia ◽  
Genetic Diseases ◽  
Summary Score ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Ectodermal dysplasia (ED) refers to a heterogeneous group of genetic diseases of the skin, skin appendages, and teeth. People with ED experience a poorer oral health-related quality of life (OHRQoL) compared to the general population. The aim of this study was to examine the OHRQoL of people with ED and to measure their objective physical oral health to confirm or disprove evidence of poorer oral health in this population. To determine OHRQoL, the German version of the 14-item Oral Health Impact Profile (OHIP-14G) was used. All the participants in the study were clinically examined, and the measured parameters were recorded using the Physical Oral Health Index (PhOX). In total, 10 male and 11 female participants, with an average age of 22.0 ± 9.0 years, were included in this study. The OHIP-14G summary score was 23.9 (±15.2) points (range: 0–56 points). The PhOX summary score was 61.2 (±5.1) points (range: 22–80 points). The findings indicated that both the OHRQoL and physical oral health of the participants were highly impaired and that their objective and subjective oral health were worse than those of the general population in Germany.

scholarly journals Effect of periapical surgery on oral health-related quality of life in the first postoperative week using the Dutch version of Oral Health Impact Profile-14

2021 ◽  
Author(s):  
Jacco G. Tuk ◽  
Jerome A. Lindeboom ◽  
Arjen J. van Wijk
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Mouth Opening ◽  
Surgical Flaps ◽  
Health Impact ◽  
Health Related Quality ◽  
Oral Health Impact Profile ◽  
Related Quality ◽  
Health Related

Abstract Objective To evaluate whether periapical surgery affects oral health-related quality of life (OHRQoL) within the first postoperative week. Study design The primary outcomes in 133 patients (54 men, 79 women; mean age 50.8 years) undergoing periapical surgery were the Oral Health Impact Profile-14 (OHIP-14) score and postoperative sequelae, including pain, analgesic intake, swelling, limited mouth opening, chewing difficulties, and postoperative infection. Results We found a significant effect on OHIP-14, pain, and analgesics, which decreased throughout the week. We found no significant differences in mean OHIP-14, pain scores, or analgesic use for gender, medical history, surgical flaps, operation time, or location of the operated teeth. Younger patients had a higher OHIP-14 score in the first 2 days after surgery and more pain on the first postoperative day. Women experienced more pain during the first 3 days. Smokers had a higher OHIP-14 score on the first postoperative day and greater pain during the first 3 days compared to non-smokers. Conclusion We identified a low incidence of pain and reduced OHRQoL following periapical surgery. The postoperative reduction in OHRQoL and pain were of short duration, with maximum intensity in the early postoperative period and rapidly decreasing with time.

scholarly journals Oral health related quality of life and self-esteem in a general population

2019 ◽  
Vol 92 ◽  
pp. S65-S72
Author(s):  
Alexandru Graţian Grecu ◽  
Robert Balazsi ◽  
Diana Dudea ◽  
Anca Ștefania Mesaroș ◽  
Maria Strîmbu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gender Differences ◽  
Oral Health ◽  
General Population ◽  
Self Esteem ◽  
Health Related Quality ◽  
Related Quality ◽  
Dental Aesthetics ◽  
Health Related

Background and aims. The interest in the research of both Oral Health Related Quality Of Life and dental aesthetics has increased in the recent years. The aim of the current study consists in the evaluation of the perception of oral-health, dental aesthetics and self-esteem in a general population. Methods. A group of students of the Faculty of Dental Medicine, Cluj-Napoca, were trained in the field of questionnaire interviewing. The students were asked to apply the following questionnaires to a number of maximum five close persons: the OHIP-14Aesthetic questionnaire, the Rosenberg self-esteem scale and a questionnaire evaluating demographic data. Each interviewed subject provided informed consent. The sample included 97 subjects with an age range of 18-75 years. For each of the three applied questionnaires overall scores were computed and used for the calculation of Pearson correlations and inferential statistical procedures: the t-test. Results. Related to the complete sample (N=97), the highest OHIP-14Aesthetic scores were obtained for the functional limitation (mean score of 2.22), physical pain (mean score of 2.72) and psychological discomfort (mean score of 1.37) subscales. The highest Rosenberg self-esteem scale scores were obtained for the following questions: “I think I am no good at all” (mean score of 3.50), “feel useless at times” (mean score of 3.53), “inclined to feel that I am a failure” (mean score 3.77), “positive attitude toward myself” (mean score of 3.50). Statistically significant correlations were registered between the overall Rosenberg self-esteem scale score and the scores of the following OHIP-14Aesthetic subscales: psychological discomfort (r = -0.201, p = 0.49), physical disability (r = -0.219, p = 0.031), psychological disability (r = -0.218, p = 0.032), social disability (r = -0.203, p = 0.046). The t-test revealed statistically significant gender differences, in regard to the OHIP-14Aesthetic overall score t(95) = -2,820, p = 0.006. Conclusions. The current study indicates the existence of statistically significant gender differences in the perception of oral health and a series of dental aesthetics elements in a general population. Moreover, statistically significant correlations were obtained between the perception of oral health and the perception of self-esteem.

scholarly journals Oral Health-Related Quality of Life Outcomes for Individuals with Disabilities: A Review

2020 ◽  
Author(s):  
AlBandary Hassan AlJameel
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
General Population ◽  
Health Related Quality ◽  
Individuals With Disabilities ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Individuals with disabilities experience poor oral health status and poor access to health care services due to many barriers. This can negatively affect their well-being and Quality of Life (QoL). The important benchmark to determine the impact of oral health conditions were clinical examinations using established indices. Relying only on clinical assessments and objective measures lead to the ignorance of patients’ perspectives and subjective aspects of oral health assessments that consequently gave an incomplete picture of patients’ experiences. There are various Oral Health-Related Quality of Life (OHRQoL) tools which can determine or measure patient-reported outcomes to assess the impacts of oral diseases and/or conditions among the general population. This article aims at reviewing the commonly-reported OHRQoL measures among adults and children of the general population. The OHRQoL studies conducted among individuals with disabilities, and findings of existing studies are also covered in this paper.

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