scholarly journals Oral Health-related Quality of Life

2011 ◽  
Vol 90 (11) ◽  
pp. 1264-1270 ◽  
Author(s):  
L. Sischo ◽  
H.L. Broder

Despite its relatively recent emergence over the past few decades, oral health-related quality of life (OHRQoL) has important implications for the clinical practice of dentistry and dental research. OHRQoL is a multidimensional construct that includes a subjective evaluation of the individual’s oral health, functional well-being, emotional well-being, expectations and satisfaction with care, and sense of self. It has wide-reaching applications in survey and clinical research. OHRQoL is an integral part of general health and well-being. In fact, it is recognized by the World Health Organization (WHO) as an important segment of the Global Oral Health Program (2003). This paper identifies the what, why, and how of OHRQoL and presents an oral health theoretical model. The relevance of OHRQoL for dental practitioners and patients in community-based dental practices is presented. Implications for health policy and related oral health disparities are also discussed. A supplemental Appendix contains a Medline and ProQuest literature search regarding OHRQoL research from 1990-2010 by discipline and research design ( e.g., descriptive, longitudinal, clinical trial, etc.). The search identified 300 articles with a notable surge in OHRQoL research in pediatrics and orthodontics in recent years.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Omid Fakheran ◽  
Mahmoud Keyvanara ◽  
Zahra Saied-Moallemi ◽  
Abbasali Khademi

Abstract Background Complex psychological and physiological changes occur in women’s body during pregnancy. These changes affect both oral health status and oral health-related quality of life (OHRQoL). In almost all of the previous cross-sectional design studies on pregnant women, generic OHRQoL instruments have been used to measure OHRQoL. While such instruments may be reliable, they may not be appropriate to evaluate the OHRQoL in special populations like pregnant women. The purpose of this study was to investigate the self-perceived factors affecting the OHRQoL among pregnant women. Methods In this qualitative descriptive study, twenty- seven pregnant women were recruited from four healthcare centers located in Isfahan city, Iran. The interpretative phenomenological analysis was used to collect and analyze the data. Four criteria of credibility, dependability, transferability, and confirmability were implemented through established procedures to confirm the study rigor. Results Three major themes and six sub-themes capturing the impacts of pregnancy on women’s OHRQoL were identified. They covered all areas of life, including daily life, psychological well-being, social life, physical impact, and also barriers to utilization of dental care services. Some new domains such as “dentists’ refusal to treat pregnant women”, “negative feelings about pregnancy” and “concerns about fetal health” were found as important factors which could influence the OHRQoL during pregnancy. Conclusion The findings help to better understand the oral health issues impacting women during pregnancy and to achieve person-centered care and improved oral health outcomes in pregnant women. The conceptual framework created based on the results of this study may help health care workers and policy makers for improving the health of pregnant women.


Author(s):  
Jocelito TONDOLO JUNIOR ◽  
Jessica Klöckner KNORST ◽  
Gabriele Rissotto MENEGAZZO ◽  
Bruno EMMANUELLI ◽  
Thiago Machado ARDENGHI

ABSTRACT Objective: To assess the influence of early childhood malocclusion on oral health-related quality of life (OHRQoL). Methods: 7-year cohort study involving 639 preschoolers (1 to 5 years) who had been evaluated initially with a survey conduced in 2010. Children completed the Brazilian version of the Child Perception Questionnaire (CPQ8-10) to assess OHRQoL during the follow-up period. Exploratory variables were collected at baseline, including the presence and severity of malocclusion (overjet and lip coverage). Socioeconomic characteristics, oral health behavior, and patterns of dental attendance were also investigated. A multilevel Poisson regression model was used to fit the association between malocclusion and OHRQoL. With this approach, incidence rate ratio (IRR) and 95% confidence intervals (95% CI) were calculated. Results: A total of 449 children were re-evaluated (follow-up rate, 70.3%). The prevalence of accentuated overjet and inadequate lip coverage was 13.5% and 11.9%, respectively. The mean (±SD) CPQ8-10 score was 10.57±10.32. The presence of inadequate lip coverage was associated with higher overall mean CPQ8-10 scores (IRR 1.51; 95% CI 1.29-1.77), and social well-being, emotional well-being, and functional limitation domains. Children with accentuated overjet (>3mm) also demonstrated higher overall scores on the CPQ8-10 than their normal counterparts. The presence of this condition also influenced the oral symptom (IRR 1.29; 95% CI 1.08-1.53) and emotional well-being (IRR 1.30; 95% CI 1.02-1.66) domains. Conclusion: Results of the present study suggest that early childhood malocclusion is a risk factor for low OHRQoL in future.


2019 ◽  
Vol 6 (1) ◽  
pp. 22-25
Author(s):  
Yanara Nauduam ◽  
Gabriela Sandoval

Quality of Life (QoL) refers to a concept that might comprise different levels, which are able to identify the biological, economic, social and psychological demands from individual level up to community level. The concept of oral health-related quality of life (OHRQoL) refers to the ability of performing daily activities and considers subjective aspects such as happiness, social well-being and emotional well-being, in order to know people’s perception about their life. The aim of this article is to review the main factors associated with OHRQoL in children. Socioeconomic status, family structure, overcrowded homes, number of children, parent’s educational attainment and psychological factors, among others, were significant predictors for children’s OHRQoL. In Chile, there is a scarcity of OHRQoL in children and adolescents. The knowledge of OHRQoL might help to improve the development of programs and the effectiveness of oral health services, since it allows the assessment of small children, perceived needs and effectiveness of treatment strategies.


2020 ◽  
Author(s):  
Mustafa Elhussein ◽  
Philip Benson

Abstract Background The objectives of this study were to investigate relationships between change in the aesthetic appearance before and after orthodontic treatment and patient-reported change in oral health-related quality of life (OHRQoL), and to assess the responsiveness of two OHRQoL measures to any changes from orthodontic treatment. Methods Two hundred and ten participants in a multicentre (two teaching hospitals and four specialist orthodontic practices), single blinded, randomised clinical trial with 2 parallel groups, were administered one of two age-specific questionnaires, either the Child Perceptions Questionnaire (CPQ11-14-ISF-16) or the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), before and after orthodontic treatment. Clinical photographs were assessed by two groups of laypeople and orthodontists using the Index of Orthodontic Treatment Need Aesthetic Component (IOTN-AC). Results Two hundred and ten participants were randomised, and 197 completed the trial. Before and after OHRQoL data were successfully obtained from 110 participants. There was a mean reduction in the total CPQ11-14-ISF-16 scores of 3.9 (SD = 8.0), and a mean reduction of 34.2 (SD = 18.5) in the total PIDAQ score. CPQ11-14-ISF-16 demonstrated poor longitudinal construct validity (p = 0.155). Correlations between the change in total CPQ11-14-ISF-16 scores and change in IOTN-AC assessments were small for both orthodontists (r=-0.084; p = 0.516) and laypeople (r=-0.140; p = 0.225). There were higher associations between the improvement in the Social well-being (SWB) subdomain and improvement in IOTN-AC. Correlations between the changes in total PIDAQ scores and the IOTN-AC assessments, were higher in comparison to the correlations with CPQ11-14-ISF-16 (orthodontists; r = 0.223, laypeople; r = 0.025). There were no adverse effects. Conclusion CPQ11-14-ISF-16 and IOTN-AC measure different attributes. This demonstrated the role of SWB on children OHRQoL. Condition-specific measures (PIDAQ) are more responsive to change in self-reported OHRQoL than generic measures (CPQ11-14-ISF-16) after treatment. Trial Registration: The trial was registered at ClinicalTrials.gov NCT01925924.


2020 ◽  
Vol 90 (4) ◽  
pp. 564-570
Author(s):  
Silvia A.S. Vedovello ◽  
Ana Letícia Mello de Carvalho ◽  
Larissa C. de Azevedo ◽  
Patrícia R. dos Santos ◽  
Mario Vedovello-Filho ◽  
...  

ABSTRACT Objectives To evaluate the impact of anterior occlusal conditions in the mixed dentition on item-level analysis of oral health–related quality of life (OHRQoL). Materials and Methods A population-based cross-sectional study of 787 children aged 8 to 10 years was conducted. The Child Perceptions Questionnaire (CPQ8-10) was used to evaluate OHRQoL, and the analysis of item levels was performed on CPQ8-10 domains. Anterior occlusal characteristics were diagnosed according to the Dental Aesthetic Index criteria. Individual analyses were performed relating the outcome as independent variables. The variables with P < .20 in the individual analyses were tested in multiple logistic regression models, and those with P < .10 remained in the model. The adjusted odds ratio (OR) was estimated with a 95% confidence interval (CI). Results No associations were found with regard to anterior occlusal characteristics (P < .001) after the variables of the previous determinants were adjusted for multivariate analysis. However, the following variables were significantly associated with negative impact on OHRQoL item levels: sex, in oral symptoms (OR = 1.42; CI, 1.07–1.89) and emotional well-being (OR = 1.34; CI, 1.00–1.79); race, in oral symptoms (OR = 1.48; CI, 1.10–1.98), emotional well-being (OR = 1.54; CI, 1.14–2.06), and social well-being (OR = 1.34; CI, 1.00–1.80); and family income in functional limitation (OR = 1.46; CI, 1.06–2.02), emotional well-being (OR = 1.71; CI, 1.21–2.42), and social well-being (OR = 1.59; CI, 1.14–2.21). Conclusions Anterior occlusal conditions did not affect the levels of OHRQoL items.


2020 ◽  
Vol 57 (8) ◽  
pp. 931-937 ◽  
Author(s):  
Jiu Lin ◽  
Xinyi Fang ◽  
Pin Ha ◽  
Min Fu ◽  
Hang Wang

Objective: To measure the validity and reliability of a Chinese version of Child Oral Health Impact Profile (COHIP) and to assess oral health-related quality of life (OHRQoL) with regard to gender, age, and cleft types in Chinese children with orofacial cleft (OFC). Design: A total of 120 patients with OFC (8-15 years old) and their parents were investigated with COHIP in the West China Hospital of Stomatology. Items were divided into oral symptoms, functional well-being, emotional well-being, school, and peer interaction subscales, and scores on all subscales were compared between and within groups. Results: The internal consistency measured by Cronbach α was satisfactory in children’s sample (0.85) and parents’ sample (0.90). The correlation between children’s and parents’ questionnaires was moderate to weak (Pearson r = 0.34), which was also supported by moderate intraclass correlation coefficients. The OHRQoL of children differed significantly from parents on the overall COHIP, functional well-being, emotional well-being, and school subscales. Older children had poor OHRQoL, functional well-being, and emotional well-being. Girls had poor emotional well-being. Children with cleft lip and palate and cleft palate performed worse on the overall COHIP, functional well-being, and school subscales. Parents, boys, and younger children had better treatment expectations and global health perceptions. Conclusion: The Chinese version of COHIP is a reliable and valid tool to assess OHRQoL in Chinese children with OFC. Parents’ reports could not replace children’s answers but add complementary information. Children’s gender, age, and cleft types should be considered in OHRQoL assessment and individual treatment plan.


2019 ◽  
Vol 42 (3) ◽  
pp. 250-256
Author(s):  
Leila Raziee ◽  
Peter Judd ◽  
Robert Carmichael ◽  
Shiyi Chen ◽  
Nicole Sidhu ◽  
...  

Summary Background Oligodontia (agenesis of six or more permanent teeth) affects functional, emotional, and social aspects of an individual’s life. Few published studies have evaluated oral health-related quality of life (OHRQoL) in children with oligodontia and very limited have compared the child and parental perceptions. Methods Thirty-five 8- to 18-year-old patients with oligodontia (10 M, 25 F; mean age: 12.4 ± 2.9 years; mean number of permanent teeth missing due to agenesis: 8.9 ± 3.2) recruited from The Hospital for Sick Children, Toronto, and Holland Bloorview Kids Rehabilitation Hospital, Toronto, and their parents completed the short format of Child Perception Questionnaire (CPQ11–14) and the Parent Child Perception Questionnaire, respectively. Results Children reported significantly worse overall CPQ score than their parents. Correlations between children’s and parents’ overall CPQ score, oral symptoms and functional limitations, and social well-being were not statistically significant. However, as children’s emotional well-being score increased, parents’ score also increased. There was no association between child CPQ score and age, gender, number, and location of permanent tooth agenesis in this sample. There was a significant correlation between overall CPQ score and Site-Specific Tooth Absences. Conclusion Children’s overall CPQ score and domain scores were significantly worse than their parents indicating that children with oligodontia had poorer OHRQoL compared to what was perceived by their parents.


2011 ◽  
Vol 81 (5) ◽  
pp. 865-871 ◽  
Author(s):  
Annemieke Bos ◽  
Charlotte Prahl

Abstract Objective: To investigate the oral health–related quality of life (OH-RQoL) of Dutch cleft lip and palate patients. It was hypothesized that (1) there is no difference between cleft patients' and their parents' reports of patients' OH-RQoL; (2) there are no gender differences; (3) there are no differences in OH-RQoL between cleft patients with regard to their symptoms; and (4) there is no difference between patients above and below 12 years of age. Materials and Methods: The sample consisted of 122 patients with clefts (age range, 8–15 years) and their parents. Respondents were recruited from the cleft palate team of Amsterdam. They completed the Child Oral Health–Related Quality of Life questionnaire (COHIP). Items were divided into five different subscales, and scores on all subscales were compared between and within groups. Results: Patients' and parents' perceptions differed significantly on three of the five subscales. Girls and boys did not differ significantly with regard to their perception of reported OH-RQoL. The cleft lip and cleft lip and alveolus [CL(A)] subgroup scored significantly higher on the functional well-being subscale. The cleft patients aged 12 years and older scored significantly lower on the emotional well-being and oral symptoms subscales when compared with their younger peers. Conclusions: Only the second hypothesis was not rejected in this study. This means that parents are not interchangeable with regard to reporting on their children's perceptions related to OH-RQoL, that OH-RQoL changes with age, and that it is important that subgroups are respected when investigating OH-RQoL in cleft patients.


2017 ◽  
Vol 2 (3) ◽  
pp. 279
Author(s):  
Campos M. R. ◽  
Carvalho P. S. P. ◽  
Moura W. V. B. ◽  
Moura P. M. M. M. ◽  
Vasconcelos M. O.

<p><em>The purpose of this study was to evaluate the oral health-related Quality of Life (QoL) of patients with edentulous lower jaws rehabilitated with conventional or implant-supported dentures</em><em>. In the quest for greater QoL, especially among the elderly, it is important to evaluate how the use of </em><em>dentures</em><em> impacts physical and emotional well-being. </em><em>Brazilian health care policy makers should be informed of t</em><em>he advantages of </em><em>rehabilitation with implant-supported dentures. </em><em>A cohort of 78 edentulous seniors was divided into three groups of 26 according to denture type: Conventional (CD), </em><em>Implant-Supported Overdenture (IOD)</em><em> and Fixed-Implant Prosthesis</em><em> (</em><em>FIP)</em><em>. To evaluate QoL, clinical and </em><em>sociodemographic </em><em>information was collected and the OHIP-20 questionnaire was administered, using a 5-point frequency scale, including a “don’t know” option. </em><em>Chewing and pronunciation were less impacted in FIP and IOD than in CD (p=0.013 and p=0.027, respectively), while patients in the CD group reported more adaptation difficulties (p=0.006) and more frequent avoidance of hard-to-chew foods (p=0.032).</em><em> The majority reported no interference of dentures with appearance and social life, regardless of denture type.</em><em> Depending on the patient’s biological and financial circumstances, implant-supported dentures is the form of rehabilitation of edentulism providing the greatest improvement in QoL. The reported limitations and difficulties had no significant impact on satisfaction and QoL.</em><em></em></p>


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