scholarly journals Self-perception of older adults regarding rehabilitation with dentures

Author(s):  
Nélio Manoel Luiz de SÁ JÚNIOR ◽  
Silvana Maria Orestes CARDOSO

ABSTRACT Objective: To analyze the self-perception that older adults have about rehabilitation regarding their uni or bimaxillary dentures. Methods: A form was applied to investigate the sociodemographic, economic and medical-dental variables of the users, a questionnaire to assess the satisfaction level of patients with their dentures, another to investigate the technical quality of the dentures from the aesthetic-functional point of view, and the Oral Health Impact Profile (OHIP-14) to ascertain the impact of prosthetic rehabilitation on the quality of life of users. Results: The majority of the participants (65.2%) used complete bimaxillary dentures, reported dissatisfaction during chewing, while the lower dentures had unsatisfactory technical quality for the retention requirements (69.6%) and stability (69.6%). The older adults’ complaints were predominantly related to the “physical pain” and “physical disability” domains. There were significant associations between general satisfaction with the dentures in use, their general technical quality and the OHIP-14 domains. Conclusion: The patient complaints were related to difficulties in their ability to chew, speak and with the retention and comfort of the lower dentures. The technical quality of the dentures had compromised retention and stability from the aesthetic-functional point of view. Dentures considered unsatisfactory caused negative impacts on the quality of life of users, especially in comfort during meals which was related to difficulty chewing and swallowing. The association between the instruments used in the study provides important tools for the performance of dental surgeons, in addition to enabling more adequate planning in the oral health services offered to the population.

2020 ◽  
Vol 54 ◽  
pp. 7
Author(s):  
Fernanda W. Machado Luz ◽  
Alexandre Emídio Ribeiro Silva ◽  
Ana Paula Perroni ◽  
Marília L. Goettems ◽  
Noéli Boscato

OBJECTIVE: This study evaluated the oral health-related quality of life (OHRQoL) of older adults participating or not in Seniors Centers (SC). METHODS: Two independent samples were compared: older adults who participate in SC (n = 124) and older adults who visited Primary Healthcare Centers (PHC) and do not participate in SC (n = 164). The data collected consisted of sociodemographic (sex, age, educational level, marital status, family income) and psychosocial characteristics—Sense of Coherence (SOC), anxiety and depression using HADS, happiness—, and oral clinical evaluation—use and need of dental prosthesis and decayed (D), missing (M), or filled (F) teeth. The resulting OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14). The Mann-Whitney test was used to assess the associations between the independent variables and the OHIP-14. Poisson regression models were also used in the analyses (α=0.05). RESULTS: In the PHC, of the 270 individuals invited to participate in the study, 164 (60.7%) were interviewed and clinically examined; while in the SC, of the 166 individuals invited to participate in the study, 124 (74.7%) were interviewed and clinically examined. After adjustments for sociodemographic, psychosocial and clinical factors, we found that the impact on OHRQoL was 2.8 times higher (95%CI 2.0–4.2) for older adults who did not participate in SC. CONCLUSION: Older adults who participated in SC showed better perception on OHRQoL, independently of sociodemographic, psychosocial and clinical factors.


2018 ◽  
Vol 20 (3) ◽  
pp. 173
Author(s):  
Clea Adas Saliba Garbin ◽  
Bruno Wakayama ◽  
Tania Adas Saliba ◽  
Artenio Jose Isper Garbin

Abstract Chemical dependency is a chronic disease, which in addition to generating catastrophic consequences throughout the social structure, favors the appearance of oral alterations, which are influential factors in the quality of life of these individuals. The objective of this study was to investigate the impact of oral health status, self-perception, oral hygiene habits and access to dental services in the quality of life of drug addicts. This is a quantitative cross-sectional exploratory study with chemical dependents living in poverty in a rehabilitation center.  The data collection was divided in two phases, the first with the application of two research instruments, a survey built exclusively for this study and the Oral Health Impact Profile (OHIP-14). The second phase was performed the DMFT index (decayed, missing and restored teeth). In the analysis of the data, the OHIP-14 was processed by the additive method, and dichotomized by low median and high impact. The bivariate analyzes were performed with the independent variables using the chi-square test and Fisher’s exact test with a significance level of 5%. 38 individuals in a state of recovery and social reinsertion were part of the study. There were statistically significant associations between quality of life and tooth pain in the last 6 months, need for dental treatment, xerostomia, DMFT, and daily toothbrushing number. It was concluded that there was the impact of oral health condition, self-perception and habits of hygiene on the quality of life of chemical dependents. However, no statistically significant associations were found regarding access to dental services.Keywords: Oral Health. Substance-Related Disorders. Public Health.ResumoA dependência química é uma doença crônica, que além de gerar consequências catastróficas em toda a estrutura social, favorece o surgimento de alterações bucais, que são fatores influentes na qualidade de vida destes indivíduos. Objetivou-se investigar o impacto da condição de saúde bucal, autopercepção, hábitos de higiene oral e acesso aos serviços odontológicos na qualidade de vida de dependentes químicos. Trata-se de um estudo exploratório transversal quantitativo com dependentes químicos em situação de pobreza de um centro de reabilitação. A coleta dos dados foi divida em duas fases, sendo a primeira com aplicação de dois instrumentos de pesquisa, um inquérito construído exclusivamente para este estudo e o Oral Health Impact Profile (OHIP-14). A segunda fase foi realizada o índice CPO-D (dentes cariados peridos e restaurados). Para análise dos dados, o OHIP-14 foi processado pelo método aditivo, e  dicotomizado pela mediana em baixo e alto impacto. A partir disto, foram feitas as análises bivariadas com as variáveis independentes utilizando o teste Qui-quadrado e Exato de Fisher com nível de significancia em 5%. Fizeram parte do estudo 38 indivíduos em estado de recuperação e reinserção social. Verificouse associações estatisticamente significantes entre a qualidade de vida e a dor de dente nos últimos 6 meses, necessidade de tratamento odontológico, xerostomia, CPO-D e número de escovação dentária diária. Conclui-se que houve o impacto da condição de saúde bucal, autopercepção e hábitos de higiene horal na qualidade de vida dos dependentes químicos. Entretanto, não foram encontradas associações significantes em relação ao acesso aos serviços odontológicos.Palavras-chave: Saúde Bucal. Transtornos Relacionados ao Uso de Substâncias. Saúde Pública. 


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lyzbeth Beatriz Ortíz-Barrios ◽  
Víctor Granados-García ◽  
Pablo Cruz-Hervert ◽  
Karla Moreno-Tamayo ◽  
Erika Heredia-Ponce ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 226-227
Author(s):  
Irma Díaz ◽  
Neyda Ma Mendoza- Ruvalcaba ◽  
Elva Dolores Arias ◽  
Julio Diaz

Abstract Objective: Associate the impact of oral health with quality of life and subjective well-being in the community-dwelling older adults in Mexico. Methods: Non-random sample; 326 subjects: age collected (60-69 / ≥ 70); gender (male / female); marital status (couple / no partner); schooling (0-6 years / ≥7); income for basic needs (yes / no); no depression (GDS-15), no cognitive impairment (MMSE) and comorbidity (no disease / ≥ 1 disease) to control biases. Oral conditions; Caries index (ICPOD) WHO criteria: Very low-Low; Moderate and High. Need for dental prostheses (WHO Manual): No prostheses needed (27-28 natural teeth or fixed / removable / total combination; Need prosthesis: 2-28 tooth without replacement. Xerostomia (Thomson Inventory); moderate to severe xerostomia > 17 points. Dependent variables: Quality of Life Related to Oral Health (GOHAI); 57-60 points: High perception. Subjective well-being: Moral Scale of the Geriatric Center of Philadelphia (PGCMS): Low score (0-11). Results: Age: 71.84 ± 7,278; female / male (70.9 / 29.1%). Controlling confounding factors, multiple logistic regression showed that the need for multi-unit or total prostheses; high CPOD index; severe xerostomia; and low perception of well-being subjective, were associated with low GOHAI scores: P = 0.000; P = 0.004; P = 0.003; P = 0.02 respectively. Subjective well-being only was associated with severe xerostomia and low CVRSO perception: P = 0.0 1; P = 0.02 respectively. Conclusion: Taking into account various confounding factors, the Quality of Life related to Oral Health was the most affected by the deterioration of oral health.


2018 ◽  
Vol 5 (2) ◽  
pp. 63-66
Author(s):  
María Ulloa ◽  
Cristina Domínguez ◽  
Cristina Crespo ◽  
Rodrigo Vallejo

Abstract: Dental aesthetics is an important factor since it represents a determinant and influential physical stereotype on the individual in different age groups. Young people are particularly vulnerable due to the influence of social media. Thus, there is a greater collective interest in improving the appearance of their smiles, allowing them to improve their interpersonal relationships. Currently, there are several indices to assess quality of life and dental aesthetics. The aim of this study was to evaluate the impact of dental self-perception on the quality of life of students at the Catholic University of Cuenca, Azogues, in 2018. The study included a sample of 189 students; the Aesthetic Oral Health Impact Profile (A-OHIP14) questionnaire was applied. Inferential statistics used chi-squared tests (p<0.05). No statistical significance was found between quality of life according to sex (p=0.246) or age (p=0.132). Regarding the domains, it was reported that psychological discomfort and physical pain has the highest scores (3.15-2.92), while they feeling disadvantaged and social disability had lower scores (1.5-1.56). Male students aged 18 to 21 showed the greatest impact of dental self-perception on quality of life associated with oral health.


2016 ◽  
Author(s):  
GEORGETA ZEGAN ◽  
◽  
CRISTINA GENA DASCĂLU ◽  
RADU EDUARD CERNEI ◽  
RADU BOGDAN MAVRU ◽  
...  

2020 ◽  
Author(s):  
Francesca Farina ◽  
Marc Patrick Bennett ◽  
James William Griffith ◽  
Bert Lenaert

Evidence concerning the impact of fear of memory decline on health-related outcomes is limited. To determine the relationship between fear-avoidance of memory decline, quality of life and subjective memory in older adults using a novel scale to measure fear of memory decline. Sixty-seven older adults (59-81 years) completed a 23-item self-report questionnaire designed to capture experiential, cognitive and behavioral components of fear of memory decline, known as the fear and avoidance of memory decline (FAM) scale. Memory performance was assessed using the Wechsler Memory Scale (WMS-IV) and the Memory Failures Scale (MFS). General anxiety was assessed using the Depression, Anxiety and Stress Scales (DASS) and the Geriatric Anxiety Inventory (GAI). Quality of life was assessed using the Older Person’s Quality of Life scale (OPQOL-35). The FAM scale demonstrated good reliability and validity. Three latent factors were observed including: (1) fear-avoidance, (2) problematic beliefs and (3) resilience. After adjusting for age, education, memory performance and general anxiety, higher fear-avoidance predicted lower quality of life (p=.021) and increased memory failures (p=.022). Increased fear of memory decline predicts lower quality of life and subjective memory failures in healthy older adults. Based on these findings, we propose a preliminary fear-avoidance model that explains the development and maintenance of dementia-related functional disability in terms of psychological processes.


2020 ◽  
pp. 105566562098133
Author(s):  
Alyssa Fritz ◽  
Diana S. Jodeh ◽  
Fatima Qamar ◽  
James J. Cray ◽  
S. Alex Rottgers

Introduction: Oronasal fistulae following palatoplasty may affect patients’ quality of life by impacting their ability to eat, speak, and maintain oral hygiene. We aimed to quantify the impact of previous oronasal fistula repair on patients’ quality of life using patient-reported outcome psychometric tools. Methods: A cross-sectional study of 8- to 9-year-old patients with cleft palate and/or lip was completed. Patients who had a cleft team clinic between September 2018 and August 2019 were recruited. Participants were divided into 2 groups (no fistula, prior fistula repair). Differences in the individual CLEFT-Q and Child Oral Health Impact Profile-Short Form 19 (COHIP-SF 19) Oral Health scores between the 2 groups were evaluated using a multivariate analysis controlling for Veau classification and syndromic diagnosis. Results: Sixty patients with a history of cleft palate were included. Forty-two (70%) patients had an associated cleft lip. Thirty-two (53.3%) patients had no history of fistula and 28 (46.7%) patients had undergone a fistula repair. CLEFT-Q Dental, Jaw, and Speech Function were all higher in patients without a history of a fistula repair; however, none of these differences were statistically significant. The COHIP-SF 19 Oral Health score demonstrated a significantly lower score in the fistula group, indicating poorer oral health ( P = .05). Conclusions: One would expect that successful repair of a fistula would result in improved function and patient satisfaction, but the consistent trend toward lower CLEFT-Q scores and significantly increased COHIP-SF 19 Oral Health scores in our study group suggests that residual effects linger and that the morbidity of a fistula may not be completely treated with a secondary correction.


Author(s):  
L.S. Priyanka ◽  
Lakshmi Nidhi Rao ◽  
Aditya Shetty ◽  
Mithra N. Hegde ◽  
Chitharanjan Shetty

Abstract Introduction The outcomes of oral health conditions and therapy for those conditions are described by the term “oral health-related quality of life.” Oral health-related quality of life is recognized by the World Health Organization as an important part of the Global Oral Health Program. The study aims to compare the impact of three root canal preparation systems on patients’ quality of life and correlate postoperative pain with the impact on the quality of life. Materials and Methods A survey was performed in which 90 patients were randomly assigned to three groups based on the root canal preparation system: (1) ProTaper Gold (Dentsply, Tulsa Dental Specialties, Tulsa, Oklahoma, United States), (2) Neoendo flex (Neoendo, India),and (3) Hyflex EDM/CM (Coltene Whaledent) that included 30 participants in each group. Data collection included the implementation of a demographic data questionnaire, Oral Health Impact Profile 14 (quality of life), and visual analogue scale(pain). The questionnaire was given after root canal treatment in the first 24 hours. The data obtained were statistically analyzed. Results No significant differences were found in the quality of life among study groups. Group 1 demonstrated a highly significant difference in the postoperative pain with p value of 2.67. Conclusion Within the limitations of the present study, Protaper Gold showed a highly significant difference in postoperative pain when compared with other file systems. No significant differences were found in the quality of life among the study groups.


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