Oral health-related quality of life and related factors among facial burn injury patients in Pakistan.
Abstract Background: There is a limited understanding of the long-term effect of facial burn injury on oral health. This study was aimed to describe the oral health-related quality of life of patients with facial burn injury and determine the associated risk factors.Methods: Patients with facial burn who attended the Burn Care Center in Islamabad, Pakistan were systematically and randomly selected and invited to participate in this cross-sectional study. They underwent extra- and intra-oral examinations and, completed self-administered questionnaires. The severity of disfigurement and, caries (DMFT), periodontal (CPI) and oral hygiene (OHI-S) statuses were assessed. Validated Urdu language instruments were used to collect information on sociodemographic background, oral health behaviours, oral health-related quality of life (OHIP-14) and satisfaction with appearance (SWAP). Information relating to the time of burn injury event and, cause and severity (type, TBSA) of burn were obtained from medical records. The OHIP- 14 severity (add-score) and prevalence of impact measures were derived and analysed using simple and multiple linear regression.Results: A total of 271 patients had participated in the study. The OHIP-14 prevalence of impact was 94% mean the mean add-score 37 = unit (sd = 8.5). The domains with the greatest impact prevalence were the physical pain (87%), psychological disability (87%), social disability (85%) and physical discomfort (83%). Poor clinical oral health status – particularly dental caries, oral health behaviours, severe burn injury, psychological distress and time of burn event, were associated with poor oral health-related quality of life (p< 0.05).Conclusion: Poor oral conditions, particularly caries, and severity of burn injury are the main factors that affect the oral health-related quality of life in facial burn patients. Addressing issues related to oral health behaviours, especially dental visit, may reduce the impact.