Does Removable Partial Denture Quality Affect Individuals’ Oral Health?

2008 ◽  
Vol 87 (8) ◽  
pp. 736-739 ◽  
Author(s):  
M. Inukai ◽  
K. Baba ◽  
M.T. John ◽  
Y. Igarashi

The impact of oral disorders and interventions on individuals’ perceived oral health and oral-health-related quality of life (OHRQoL) is being increasingly recognized as an important health component. This study examined the association between denture quality and OHRQoL in individuals wearing removable partial dentures (RPDs). The study participants were 245 consecutive patients (mean age: 63.3 ± 8.7 yrs) at a university-based prosthodontic clinic who wore RPDs for more than one month. RPD quality and OHRQoL were determined by means of a 100-mm visual analog scale (VAS) and the 49-item Oral Health Impact Profile-Japanese version (OHIP-J49), respectively. Linear regression analysis between RPD quality and OHRQoL revealed that a 10-mm VAS increase in RPD quality rating was related to −2.8 OHIP-J49 units (95% confidence interval: −4.5 to −1.1, p = 0.001), which represents an improvement in OHRQoL. The results suggest that RPD quality influences individuals’ OHRQoL to a clinically significant extent.

2021 ◽  
Author(s):  
Katarzyna Skośkiewicz-Malinowska ◽  
Urszula Kaczmarek ◽  
Barbara Malicka

Abstract BackgroundThe process of human body ageing is an inevitable phenomenon affecting all organs. Hence, the concept of Oral Health-Related Quality of Life (OHRQoL) was introduced, based on the definition of health developed by WHO. The study aimed to evaluate the impact of selected oral health parameters on oral health-related quality of life in elderly residents of South-West Poland.MethodsThe study involved 500 participants who were the citizens of South-West Poland aged 65 and more. There was an oral examination performed, including the assessment of coronal and root caries, periodontal disease, dental prosthetic status and xerostomia. The impact of oral health-related quality of life was measured using the Oral Health Impact Profile-14 (OHIP-14). Furthermore, socio-demographic questionnaires were obtained from participants. Logistic bivariate and multivariate regression analyses of dependent variables and independent variables were carried out as part of the study. ResultsThe mean value of DMFT was 27.5 ± 5.0. A higher number of DMF and extracted teeth resulted in increased values in all seven domains and exhibited a significant negative impact on the quality of life. Moreover, it enabled predicting values in individual domains of the OHIP-14 scale.ConclusionsThe number of missing teeth and teeth with caries constituted the predictors of poorer Oral Health-Related Quality of Life in all domains of the OHIP-14 scale. The impact of gingival bleeding on the quality of life was demonstrated. There was a decrease in the oral health-related quality of life in single individuals with several comorbidities and medications taken.


RSBO ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 24
Author(s):  
Marcelo Carlos Bortoluzzi ◽  
Cintia Cella ◽  
Suelen Franke Haus

Introduction: Dentofacial deformity (DFD) may be defined as facial and dental disproportions great enough to affect significantly the individual’s quality of life (QoL). Objective: This study aimed to verify and compare the impacts of and differences in QoL in individuals with and without DFD. Material and methods: The impact of DFD on QoL was evaluated through the following questionnaires:Short Form Health Survey (SF36), a generic Oral Health Related Quality of Life (OHRQoL) questionnaire (Oral Health Impact Profile Questionnaire – OHIP-49), a condition-specific questionnaire for DFD (Orthognathic Quality of Life Questionnaire – OQLQ) and a single question answered by Visual Analogue Scale (VAS). Results: Greater and negative impacts on QoL were observed in patientswith DFD in all domains of OQLQ and OHIP; and in two domains of SF36: emotional well-being and social functioning. Conclusion: DFD greatly and negatively impacted on QoL of individuals with DFD greater mainly evidenced through general and specific OHRQoL questionnaires.


2021 ◽  
Vol 13 (4) ◽  
pp. 95
Author(s):  
Luísa R. A. Carvalho ◽  
Aline A. Sampaio ◽  
Fernanda L. Campos ◽  
Gabriela A. C. Rhodes ◽  
Loliza L. F. H. Chalub ◽  
...  

OBJECTIVE: Evaluate the association between TMD symptoms and physical and psychosocial oral health impact among adults of a small Brazilian municipality. METHODS: A population-based epidemiological study with a probabilistic sample of adults (30-49 years) was carried out. Data was collected in the participant’s residence using a structured questionnaire, and a clinical examination was conducted by calibrated examiners (Kappa >0.7). The presence of TMD symptoms was evaluated using the Fonseca’s Anamnesis Questionnaire (1994). Physical and psychosocial impact was considered if at least one oral functions item was reported as being experienced fairly often or very often, assessed by the Oral Health Impact Profile (OHIP-14), an instrument of Oral Health Related Quality of Life (OHRQoL). The association between TMD symptoms and presence of impact was adjusted for oral health condition, sociodemographic and socioeconomic profiles, and health behaviors. Associations were investigated using the crude and multivariate Poisson regression. RESULTS: Of the 197 participants, 114 (59.30%) had physical and psychosocial impact of oral health and 135 (68.19%) had at least one TMD symptom. After adjusting for covariates, individuals who reported TMD symptoms had a 1.75 times higher prevalence of impact (95%CI 1.18 - 2.57) than those who did not report symptoms, with psychological discomfort (60.46%), physical pain (40.19%), and psychological disability (35.71%) being the most affected dimensions (p <0.01). CONCLUSION: TMD is a common condition and the presence of symptoms is associated with impact in different dimensions of OHRQoL. These results demonstrate the importance of early identification of TMD symptoms to reduce the impact on OHRQoL.


Author(s):  
Angelika Rauch ◽  
Sebastian Hahnel ◽  
Anita Kloss-Brandstätter ◽  
Oliver Schierz

Abstract Objectives The objective was to describe the physical and psychosocial features of patients attending a specialized consultation hour for temporomandibular disorders (TMD). This investigation focused on those patients who did not receive a diagnosis according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Materials and methods From 2004 to 2017, patients seeking care during a TMD-specialized consultation hour were consecutively recruited. Each patient completed a TMD-related questionnaire, psychosocial questionnaires (Graded Chronic Pain Scale, Hospital Anxiety and Depression Scale, Beschwerden-Liste), and the Oral Health Impact Profile-49. The clinical examination was performed according to the RDC/TMD. Results The mean age of the 1020 patients was 43.3 years (75.3% female). According to the RDC/TMD decision trees, 351 patients were categorized without a TMD diagnosis (NoTMDdx). The most frequent reasons for seeking care were orofacial pain/TMJ pain or headaches revealing an OR of 1.89 (for TMDdx group). A relevant proportion of patients was categorized as positive for anxiety (NoTMDdx/TMDdx 30.8/41.2%; p = 0.072), depression (20.8/23.9%; p = 0.433), non-specific physical symptoms (31.4/44.1%; p < 0.001), or dysfunctional chronic pain (11.5/18.2%; p < 0.001). In both patient groups, the oral health-related quality of life was impaired (42.9/52.7 points; p < 0.001), and the frequency of therapy measures prior to the consultation hour was high. Conclusions Patients seeking care from TMD specialists were usually referred with TMD-associated symptoms. Of those, a relevant proportion did not receive a diagnosis according to RDC/TMD decision trees. Clinical relevance Psychosocial screening and the avoidance of overtreatment are recommended for patients with TMD-related symptoms.


Author(s):  
Laura Iosif ◽  
Cristina Teodora Preoteasa ◽  
Elena Preoteasa ◽  
Ana Ispas ◽  
Radu Ilinca ◽  
...  

The aim of the study was to assess the oral health related quality of life (OHRQoL) of elderly in care homes, one of Romania’s most vulnerable social categories, to correlate it to sociodemographic, oral health parameters, and prosthodontic status. Therefore, a cross-sectional study was performed on 58 geriatrics divided into 3 age groups, who were clinically examined and answered the oral health impact profile (OHIP-14) questionnaire. Very high rates of complete edentulism in the oldest-old subgroup (bimaxillary in 64.3%; mandibular in 64.3%; maxillary in 85.7%), and alarming frequencies in the other subgroups (middle-old and youngest-old), statistically significant differences between age groups being determined. The OHIP-14 mean score was 14.5. Although not statistically significant, females had higher OHIP-14 scores, also middle-old with single maxillary arch, single mandibular arch, and bimaxillary complete edentulism, whether they wore dentures or not, but especially those without dental prosthetic treatment in the maxilla. A worse OHRQoL was also observed in wearers of bimaxillary complete dentures, in correlation with periodontal disease-related edentulism, in those with tertiary education degree, and those who came from rural areas. There were no statistically significant correlations of OHRQoL with age, total number of edentulous spaces or edentulous spaces with no prosthetic treatment. In conclusion, despite poor oral health and prosthetic status of the institutionalized elderly around Bucharest, the impact on their wellbeing is comparatively moderate.


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