scholarly journals ASSESSMENT OF IMPACT OF ORAL HEALTH PARAMETERS ON ORAL HEALTH-RELATED QUALITY OF LIFE IN FUTURE DENTISTS

2020 ◽  
pp. 47-52
Author(s):  
N.V. Yanko ◽  
L.F. Kaskova ◽  
O.S. Pavlenkova ◽  
Y.I. Soloshenko ◽  
L.I. Amosova

WHO estimates health as complete physical, mental and social well-being. Clinical indicators of oral diseases are not entirely suitable to capture this concept of health. Standardized questionnaires have been developed to evaluate the physical, psychological, and social impact of oral conditions on an individual. Oral health-related quality of life (OHRQoL) identifies the impact of oral health on aspects of everyday life in terms of a person’s functional, social, and psychological well-being. The oral health impact profile (OHIP) is widely used to measure OHRQoL in adults, its short version includes 14 items (OHIP-14). The aim was to investigate how self-reported and clinically-assessed parameters of oral health are related to OHRQoL measured by OHIP-14 in dental students of UMSA. 101 third- and fourth-year dental students aged 19–26 years attending UMSA in Poltava, Ukraine, took a questionnaire in Ukrainian. The first part of the questionnaire includes information on age, sex, self-assessed oral health, self-assessed dental aesthetic, satisfaction with mouth and teeth, and oral health behaviour. Questions on oral health behaviour included regularity of dental visits and frequency of tooth brushing. All these items were categorized into different groups. The question on dental aesthetic had the response option “difficult to answer”. When that response was chosen (n = 2 questionnaires), this data was considered missing and the students were excluded from the analysis. The second part of the questionnaire included the OHIP-14 to measure OHRQoL. There were seven dimensions of negative impact on OHRQoL: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. There were two items for each dimension, which added up to a total of 14 items. Participants rated the frequency with which they experienced each of these items in the last 12 months using a 5-point Likert scale (“never” = 0, “hardly ever” = 1, “occasionally” = 2, “fairly often” = 3, and “very often” = 4). In addition, each item had the response option “I do not know”. When a student missed one answer or chose the option “I do not know” (for at least one item), the data was considered missing, and the student was excluded from the analysis (n=2). A clinical dental examination was performed. All permanent teeth were taken into consideration to measure dental caries experience using the DMF index. The Green-Vermillion index was applied for oral hygiene estimation. To assess the extent of gingivitis, the PMA index was used. The chi-square test was applied to compare the percentage of students with low and high OHRQoL between categories of self-reported oral health characteristics, and oral health behaviour. When comparing data on clinically-assessed oral health (the DMF, Green-Vermillion, and PMA indices), the Mann–Whitney U test was used for the two independent groups (with low and high OHRQoL). p-values<0.05 were considered as statistically significant. A total of 97 students were included in the statistical analysis, 43 of which were males and 54 were females. The highest mean scores in OHIP-14 were observed for the dimensions of physical pain (39,17%). Students with poor self-assessed oral health, poor self-assessed dental aesthetic, and who reported dissatisfaction with mouth and teeth more frequently fell into the group with low OHRQoL (p<0,05). The mean DMF was 5,41, Green-Vermillion hygienic index was 0,54, and РМА – 4,48%. However, a higher DMF index score, high Green-Vermillion index, and high PMA in students were not associated with low OHRQoL (р>0,5). In this study, the self-reported assessment of oral health affects the dental students' quality of life, while the clinical characteristics do not. Physical pain was the most frequently reported OHIP-14 dimension with an impact on OHRQoL. Poor self-assessed dental aesthetic and dissatisfaction with mouth and teeth were the strongest factors associated with low OHRQoL. The line of research pertaining to other parameters of oral health in youth that impact dental aesthetic and oral health, and thus oral health-related quality of life, is considered promising.

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1348
Author(s):  
Dagmar Schnabl ◽  
Philipp Sandbichler ◽  
Maximilian Neumaier ◽  
Johannes Girstmair ◽  
Fabian Barbieri ◽  
...  

The aim of this study was to compare dental students’ self-perception of oral health with the results of a clinical examination of the masticatory system. Seventy-four dental students (38 (51.4%) females and 36 (48.6%) males) completed the Oral Health Impact Profile questionnaire (OHIP-G-14) and underwent a clinical examination according to the Graz Dysfunction Index (GDI). Data were analyzed with descriptive and comparative statistics. Median OHIP-G-14 scores were 3 (IQR 0–6) in the total collective, 4 (1–11) in females, and 2 (0–4) in males (p = 0.072). A score of 0 was found in 29.7% of the sample. The results of the GDI were 50% “normal function”, 43.2% “adaptation”, 5.4% “compensation”, and 1.4% “dysfunction”. The comparison of OHIP-G-14 scores and DGI groups showed a significant difference (p = 0.031). Based on the questionnaire, less than one third of the sample indicated maximum oral health-related quality of life. In contrast, the GDI revealed “normal function” or “adaptation” in 93.2%. Dental students underappreciated their oral health condition. Health assessments should not be solely questionnaire-based, especially in health professionals (-to-be). To establish a valid diagnosis of the state of health, self-assessment must be complemented by an objective clinical examination, e.g., GDI.


Author(s):  
Michelle Brown ◽  
Candace Lockhart ◽  
Biney Thomas ◽  
Rafaela Rech

Objectives The aim of this study is to evaluate the impact of sociodemographic characteristics, oral health status and behaviours on Oral Health Related Quality of Life (OHRQoL) on an adult Jamaican population. Methods Adults who presented for treatment at the UWI Mona Dental Polyclinic participated in this cross-sectional study. Participants responded to a structured questionnaire consisting of sociodemographic and oral hygiene habits and were also examined for the presence of decayed, missing and filled teeth (DMFT). OHRQoL was assessed using the Oral Health Impact Profile (OHIP-14) questionnaire. Descriptive statistical analysis, univariate and multiple Poisson Regression with robust variance were performed to identify the factors impacting OHRQoL. Results The study sample consisted of 120 adults between the ages of 18-59 years. The mean OHIP-14 score was 9.81 (±9.06), 24% presented impaired OHRQoL and 76% presented frequent impaired OHRQoL. The most prevalent domain was physical pain (80%) followed by psychological discomfort (59%) and the mean DMFT score was 9.92 (±8.78). In the adjusted logistic regression, participants aged between 29-46 years (PR 0.58, CI 0.37-0.90, p= 0.016) and the use of fluoride toothpaste (PR 0.52, 95%, CI 0.35- 0.77, p = 0.001) were negatively associated with OHRQoL. Conclusion Physical pain was the dimension that most impacted domain in OHRQoL. The most negative OHRQoL was associated with the 29 to 46 years age-group and the use of fluoride toothpaste. These findings are important for oral health strategies in this population.


2015 ◽  
Vol 5 (1) ◽  
pp. 12-17
Author(s):  
Fatima A Elmahgoub ◽  
Amal H Abuaffan

Introduction: Both psychological and social factors come to play when analyzing oral health-related quality of life, and recent developments have shown that more focus has been placed on patients’ own perceptions of oral health status and oral health care systems to understand their needs, fulfillment with treatment, and ultimately the perceived overall quality of health systems.Objective: To assess the impact of orthodontic treatment needs on oral health-related quality of life of dental students.Materials & Method: A cross-sectional study was done on a random sample of 100 dental students aged 17-23 years at the University of Medical Sciences & Technology in Sudan. Each subject was assessed for orthodontic treatment need using Dental Health Component (DHC) of Index of Orthodontic Treatment Needs (IOTN). Each subject was given an Oral health-related quality to life questionnaire to complete the Oral Health Impact Profile (OHIP).Result: The oral health-related quality of life was generally good. Those with ‘definite need for treatment’ showed higher impact on oral health in relation to functional limitation and physical pain, than those who had ‘borderline need’, ‘little need’, or ‘no need for treatment’. Males with ‘borderline’ and ‘definite need for treatment’ generally showed higher impact on oral health than the female counterpart. However, this was not statistically significant. Conclusion: Malocclusion does not seem to affect the oral health-related quality of life to a significant degree. 


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Halimeh Ghareghol ◽  
Mina Pakkhesal ◽  
Aliakbar Naghavialhosseini ◽  
Amir reza Ahmadinia ◽  
Nasser Behnampour

Abstract Background The Internet as a communication tool is an essential component of daily life. Nowadays, problematic Internet use (PIU) has led to various psychosocial problems that can indirectly lead to oral diseases due to neglect of healthy behaviors. Also, college students are a large proportion of Internet users. The present study aimed to determine the association between problematic Internet use and oral health-related quality of life (OHRQoL) among medical and dental students. Methods A cross-sectional descriptive-analytical study was conducted on medical and dental students in the first and second years of education (basic sciences courses) at the Golestan University of Medical Sciences, Iran, between January and July 2020. The data collection process was carried out in the following sequence: questionnaire on demographic characteristics (age, gender, marital status, academic field, and year); Problematic Internet Use Questionnaire (PIUQ); and Oral Health Impact Profile (OHIP-14) questionnaire. Results Among 268 medical and dental students, 171 students (63.81%) [95% confidence interval: 58.02%- 69.60%] had problematic Internet use. The mean PIU score in the first-year was significantly higher than the second-year students. In addition, 65% of single students and 25% of married subjects were dealing with PIU. The statistical difference between mean OHIP scores among PIU students (12.5 ± 2.9), with average Internet usage (7.39 ± 6.6), was significant. The Spearman correlation coefficient between PIU and OHIP was 0.309 and significant (P-value < 0.000001). It indicates that students with higher PIU showed higher OHIP scores. Conclusion The present study showed that problematic Internet use was significantly associated with oral health-related quality of life (OHRQoL) among first and second-year medical and dental students. Thus, the students with problematic Internet use experienced a poorer oral health-related quality of life than average Internet users. Furthermore, appropriate preventive and interventional strategies need to be developed to encourage rational use of the Internet to protect the users' oral health, especially among medical and dental students.


Author(s):  
Linda Daume ◽  
Constance Kreis ◽  
Lauren Bohner ◽  
Johannes Kleinheinz ◽  
Susanne Jung

(1) Background: The aim of the study was to investigate the oral health–related quality of life (OHRQoL) of patients with oral lichen planus (OLP) and to evaluate differences between the various clinical forms of OLP. Specifically, the differences in OHRQoL, physical pain levels and eating restriction were assessed; (2) Methods: One hundred and twelve patients with clinical and histological features of OLP from the Department of Cranio-Maxillofacial Surgery of the Münster University Hospital participated in this prospective study. OHRQoL was analysed by using the German short version of the Oral Health Impact Profile (OHIP-14). Physical pain levels and restriction in eating were rated on visual analogue scales (VAS). The statistical analysis was performed using the Mann–Whitney U-Test and the chi-squared test with a significance level at p = 0.05; (3) Results: Group 1 consisted of patients with reticular OLP (n = 50) and group 2 of patients with atrophic, erosive-ulcerative or bullous OLP (n = 62). The average OHIP-14 score was 13.54 points and differed significantly between the two groups. There were significant differences in the domains “physical pain”, “psychological discomfort”, “physical disability” and “social disability”. The VAS “physical pain” score and “restriction in eating” score varied significantly between the clinical forms. Positive correlations were found between the OHIP-14 total scores and the VAS scores; (4) Conclusion: The OHRQoL is significantly limited in patients with OLP; especially, patients with erosive-ulcerative OLP are affected.


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