Psychological and Social Effects of Oral Health and Dental Aesthetic in Adolescence and Early Adulthood: An Observational Study

Background: Is well known that oral health and dental aesthetic have significant effects on the sociality of human beings. The aim of the present study was to assess some aspects of oral health with possible repercussions in adolescent and youth, with particular reference to gender differences. Methods: A total of 190 subjects with female prevalence (F = 62.6%, M = 37%) and ages between 14 and 29 years old (Mean = 23.8; SD = 3.27) participated. Evaluation was carried using standardized instruments to assess quality of oral life (PIDAQ), negative impact of oral conditions (OHIP-14), and self-esteem (Rosenberg Self Esteem Scale). Correlational and difference analyses and linear regressions were performed. Results: Significant gender differences were found in terms of gender, in reference to variables such as self-confidence and convictions. Positive correlations emerged between psychological impact and social impact, aesthetic concern and social impact, convictions and self-confidence, oral health with psycho-social impact, and aesthetic concern, self-esteem with oral health. Inverse correlations emerged between psycho-social impact and self-confidence, aesthetic concern and self-confidence, oral health, and self-confidence. Multivariate linear regression indicated relations between age and psychological impact, sex and self-confidence, crooked teeth and conviction. Conclusions: The impact of oral health on the psychological well-being of young people is relevant. These factors, if considered within clinical practice, can improve the quality of life of the subject.

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Perceptions of hospital admission in patients with cystic fibrosis

Journal of Hospital Administration ◽

10.5430/jha.v2n3p54 ◽

2013 ◽

Vol 2 (3) ◽

pp. 54 ◽

Cited By ~ 1

Author(s):

Merel Visse ◽

Tineke Abma ◽

Hetty Van den Oever ◽

Yvonne Prins ◽

Vincent Gulmans

Keyword(s):

Cystic Fibrosis ◽

Hospital Admission ◽

Social Life ◽

Well Being ◽

Human Beings ◽

Intravenous Injections ◽

Societal Context ◽

Normative Expectations ◽

The Impact

Aims and objectives: This paper is a report of a study of experiences of people with Cystic Fibrosis (CF) with their hospital admission. It evaluates how they perceive their treatment and care and the impact on their social life (school or work). Background: In The Netherlands, people with CF are hospitalized in seven CF centers. In general, hospitalization may raise several challenges concerning the patient’s psychosocial well-being, before, during and after the admission. The admission of people with CF is complicated, because of segregated treatment and care that aims to prevent hospital-based cross-infection. Design: This article reports on a qualitative study. Methods: Data were collected during 2009 and 2010. Nineteen people with CF admitted for more than 5 days in one of the seven Dutch CF-centres participated. Results and conclusions: The findings are organized into five contexts with subthemes: Before admission & Arrival (1); Treatment & Care (2); Room & Stay (3); Discharge (4); Social & Societal context (5). The findings show that patients express a need for enhancing the quality of some treatments, like intravenous injections and patients express normative expectations of professionals that directly relate to their psychosocial well-being, e.g. they want to be ‘seen’ and treated as human beings and not solely as patients. They desire segregation policies to be consistent, whilst simultaneously they prefer flexible segregation guidelines. In general, respondents are satisfied with hospital facilities. The study reports on challenges concerning continuation of school and work during the admission. The paper is relevant to every hospital where people are being nursed in isolation.

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The impact of pregnancy on women’s oral health-related quality of life: a qualitative investigation

BMC Oral Health ◽

10.1186/s12903-020-01290-5 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Omid Fakheran ◽

Mahmoud Keyvanara ◽

Zahra Saied-Moallemi ◽

Abbasali Khademi

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Pregnant Women ◽

Social Life ◽

Well Being ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Impact

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.

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Effect of myofunctional therapy on orofacial functions and quality of life in individuals undergoing orthognathic surgery

International Journal of Orofacial Myology ◽

10.52010/ijom.2017.43.1.5 ◽

2017 ◽

pp. 60-76

Author(s):

Renata Migliorucci ◽

◽

Dagma Abramides ◽

Raquel Rosa ◽

Marco Bresaola ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Orthognathic Surgery ◽

Functional Performance ◽

Well Being ◽

Study Groups ◽

Significance Level ◽

Myofunctional Therapy ◽

The Impact

INTRODUCTION: Some proposals of myofunctional therapy directed to individuals undergoing orthognathic surgery have been presented which promote the orofacial myofunctional balance, enhancing the treatment stability. OBJECTIVE: To verify the effect of myofunctional therapy on orofacial functions and quality of life in individuals undergoing orthognathic surgery. METHOD: A total of 24 individuals, with mean age of 26.5 years, participated in the study. They were divided into two groups, namely with myofunctional therapy (N=12) and without myofunctional therapy (N=12). Breathing, chewing, swallowing, and speech were evaluated from tests established by the MBGR Orofacial Myofunctional Evaluation, using the scores specified in the protocol. The quality of life (QL) was evaluated using the Oral Health Impact Profile-OHIP-14 questionnaire, which comprises 14 questions that measure the individual´s perception of the impact of their oral conditions on their well-being in recent months. The evaluations were carried out before and 3 months after orthognathic surgery. The myofunctional therapy was initiated 30 days after surgery, with exercises aimed at improving orofacial mobility, tone and sensitivity, as well as the training of normal physiological patterns of orofacial functions. The comparisons between orofacial functions and the study groups were verified by the Mann-Whitney test, using a significance level of 5%. RESULTS: After surgery, the individuals without myofunctional therapy presented with an improvement in breathing and oral health-related quality of life (p<0.05), while in the group undergoing myofunctional therapy there was improvement in all aspects investigated (p<0.05). Comparison between the study groups showed better performance in breathing (p=0.002), chewing (p=0.012), swallowing (p=0.002) and speech (0.034) in individuals who underwent myofunctional therapy. CONCLUSION: The orthognathic surgery alone improved breathing and quality of life. However, the surgical procedure associated with myofunctional treatment, besides improving all oral functions investigated and quality of life, provided better functional performance in breathing, chewing, swallowing and speech. This study’s participants demonstrated the effectiveness of the orofacial myofunctional intervention.

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Impact of anterior occlusal conditions in the mixed dentition on oral health–related quality-of-life item levels:

The Angle Orthodontist ◽

10.2319/090219-571.1 ◽

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 ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Well Being ◽

Mixed Dentition ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Oral Symptoms ◽

The Impact

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.

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Psychotherapeutic Interventions for Dementia: a Systematic Review

Canadian Geriatrics Journal ◽

10.5770/cgj.24.447 ◽

2021 ◽

Vol 24 (3) ◽

pp. 222-236

Author(s):

Paweena Sukhawathanakul ◽

Alexander Crizzle ◽

Holly Tuokko ◽

Gary Naglie ◽

Mark J. Rapoport

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Cognitive Impairment ◽

Depressive Symptoms ◽

Well Being ◽

Self Esteem ◽

Psychotherapeutic Interventions ◽

Compassion Focused Therapy ◽

The Impact

Background and Objectives While a range of psychotherapeutic interventions is available to support individuals with dementia, comprehensive reviews of interventions are limited, particularly with regard to outcomes related to adjustment and acceptance. The current review assesses studies that evaluated the impact of various forms of psychotherapeutic interventions on acceptance and adjustment to changing life circumstances for older adults with cognitive impairment. Research Design and Methods A systematic search of PubMed, PsycINFO, and CINAHL databases was conducted, restricted to articles published in English within the last 16 years (from 2003 to 2019). Twenty-four articles were identified that examined the effects of psychotherapeutic interventions on outcomes related to acceptance and adjustment which included internalizing symptoms, quality of life, self-esteem, and well-being. Fifteen studies examined interventions targeted towards individuals with cognitive impairment, while nine studies also targeted their caregivers. Results Interventions that impacted outcomes related to acceptance and adjustment (e.g., adaptation, depressive symptoms, helplessness, self-esteem, and quality of life) varied in their theoretical approach, which incorporated elements of cognitive behavioural therapy (CBT), problem-solving therapy, psychotherapy, reminiscence therapy, interpersonal therapy, mindfulness-based therapy, and meaning-based, compassion-focused therapy. Among all interventions, reductions in depression were the most commonly reported treatment outcome particularly among interventions that incorporated problem-focused and meaning-based therapies. Mixed findings were reported with regard to outcomes related to helplessness, quality of life, self-esteem, and life satisfaction indices for individuals with cognitive impairment. Discussion and Implications There is some support for the effectiveness of psychotherapeutic interventions on improving acceptance and adjustment in older adults with cognitive impairment, particularly with regard to reducing depressive symptoms.

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The Impact of Socio-Economic and Home Environmental Factors on Oral Health-Related Quality of Life Among Children Aged 11–14

Medicina ◽

10.3390/medicina55110722 ◽

2019 ◽

Vol 55 (11) ◽

pp. 722

Author(s):

Najjar ◽

Nasim ◽

Al-Nasser ◽

Masuadi

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Environmental Factors ◽

Well Being ◽

Considerable Proportion ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Impact

Background and Objectives: Oral diseases are known to negatively impact physical, functional, and emotional well-being, and thus adversely affect quality of life. The aims of the study were (1) to assess the oral health-related quality of life (OHRQoL) and (2) to explore socio-demographic, -economic, and -environmental factors that are associated with OHRQoL among a sample of children aged 11–14 in Saudi Arabia. Materials and Methods: A cross-sectional design was used. The Child Perceptions Questionnaire (CPQ)—a self-administered, validated, and standardized questionnaire was used to collect data on OHRQoL in four domains: oral symptoms, functional limitations, and emotional and social well-being. In addition, data were collected on home environment, socioeconomic/demographic characteristics, and oral hygiene practices of participants and their parents or adult guardians. Univariate descriptive statistics, Spearman’s correlation, and Kruskal–Wallis H and Mann–Whitney tests were used. Data were analyzed using SPSS 23 Software. Significance was set at α = 0.05. Results: In total, 534 children participated in the study (91% response rate), of which 60% were females. Twenty percent of children described their oral health as “poor” and one in every four children reported that their oral health had at least some effect on their overall well-being. Children who were male, attending public schools, and living with both parents were more likely to report poor OHRQoL. Conclusions: A considerable proportion of children aged 11–14 could discern that their oral health had some effect on their overall well-being. The results identified potential predictors of OHRQoL. Disparities in OHRQoL exist among certain sub-populations. Active efforts and local interventions are necessary to improve OHRQoL.

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Impact of Oral Health on Quality of Life and Subjective Well-Being in Community-Dwelling Older Adults in Mexico

Innovation in Aging ◽

10.1093/geroni/igaa057.731 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 226-227

Author(s):

Irma Díaz ◽

Neyda Ma Mendoza- Ruvalcaba ◽

Elva Dolores Arias ◽

Julio Diaz

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Oral Health ◽

Well Being ◽

Community Dwelling ◽

Confounding Factors ◽

Subjective Well Being ◽

The Impact ◽

Community Dwelling Older Adults

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.

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Impact of malocclusion on oral health related quality of life of 11-14-year-old children

10.21203/rs.2.21926/v1 ◽

2020 ◽

Author(s):

Amrita Geevarghese ◽

Jagan Baskaradoss ◽

Waad Alsaadi ◽

Hoda Alemam ◽

Amjad Alghaihab ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Well Being ◽

Global Rating ◽

Health Related Quality ◽

Cross Sectional ◽

Related Quality ◽

Health Related ◽

The Impact

Abstract Background This study investigates the impact of malocclusion on the oral health-related quality of life (OHRQoL) of 11-14-year-old children.Methods This cross-sectional study was conducted among 250 caregiver/child (11-14-year-olds) dyads seeking orthodontic consultation at the orthodontic center at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. Oral health related quality of life (OHRQoL) was assessed using child perception questionnaire 11-14 (CPQ 11–14 ) and the Dental Aesthetic Index (DAI) was used to assess severity of malocclusion. CPQ 11–14 scores ranged from 0 to 64, with lower scores representing a better quality of life. Multivariate analysis of variance (MANOVA) was used to assess differences between domain and total CPQ 11–14 scores with the co-variates. Results The mean CPQ 11–14 score was 19.89±9.8. Mean scores for the global rating, oral symptoms, functional limitations, emotional well-being, and social well-being domains were 4.91±2.15, 5.26±3.22, 3.67±3.58, 3.98±3.89 and 2.08±2.98, respectively. The distribution of subjects across the four severity categories was minor/none – 37%, definite – 22%, severe – 15% and very severe 24%. The overall and domain-specific scores of CPQ 11–14 varied across the different categories of malocclusion. In the comparisons by pairs, it was found that children with very severe malocclusion had significantly higher scores for the social well-being domain and global rating of oral health as compared to children with no/minor malocclusion (p<0.05). Conclusion Substantial variability in the well-being domain of CPQ 11–14 was observed among children with no/minor malocclusions as compared to children with severe malocclusions.

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An overview of patient-reported outcome measures to analyze the quality of life after orthognathic surgery

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl4.4453 ◽

2020 ◽

Vol 11 (SPL4) ◽

pp. 2266-2271

Author(s):

Shivangi Gaur ◽

Subhashini R ◽

Madhulaxmi M ◽

Abdul Wahab P U

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Orthognathic Surgery ◽

Social Impact ◽

Treatment Plan ◽

Well Being ◽

Psychological State ◽

Patient Reported ◽

The Impact

Society imparts great importance to physical appearance in this modern age. The physical and psycho-social impact of a dentofacial deformity on an individual is often impossible to assess with certainty. A facial deformity can profoundly affect the quality of life and thereby entailing lifelong adjustments. Facial aesthetics affect an individual's confidence and their overall acceptance in society, which in turn has an apparent effect on their quality of life. Corrective jaw surgeries are indicated in cases not amenable to produce acceptable post-treatment results with orthodontics alone. Orthognathic surgery aims to produce a more aesthetic facial appearance and strives to improve stomatognathic functions in the process. WHO defines Quality of Life as- An individual's perception of their position in life in the context of the culture and value systems in which they live and concerning their goals, expectations, standards and concerns. It is a broad-ranging concept affected in a complicated way by the person's physical health, psychological state, level of independence, social relationships, personal beliefs and their relationship to salient features of their environment. The impact of dentofacial deformities on an individual's holistic emotional, physical and social development has been a focus of research for a long time. Several patients reported outcome scales are employed to assess the quality of life and this review aims to discuss the use of these scales as an indicator of successful surgical treatment. At the same time, these scales may serve as a patient education tool because a holistic health indicator is required which considers the psychological well being of the patient along with regards to functional and aesthetic demands before formulating a surgical treatment plan.

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Unmet dental treatment need impairs quality of life in Hepatitis C Virus-infected patients

STOMATOLOGY EDU JOURNAL ◽

10.25241/stomaeduj.2020.7(3).art.5 ◽

2020 ◽

Vol 7 (3) ◽

pp. 191-196

Author(s):

Miguel Angel Farias ◽

◽

Silvia Andrea Medici ◽

Aldo Fabián Squassi ◽

Gabriel Antonio Sánchez ◽

...

Keyword(s):

Quality Of Life ◽

Hepatitis C Virus ◽

Hepatitis C ◽

Oral Health ◽

Social Impact ◽

Dental Treatment ◽

World Population ◽

Treatment Need ◽

The Impact

Introduction The hepatitis C virus (HCV) infection is a health condition affecting 3% of the world population, which oral manifestations and associated factors interest both physicians and dentists. The aim of this work was to describe the dental treatment need and the impact of the perception of the oral component of health on the quality of life in HCV+ patients. Methodology Descriptive study on a convenience sample. 45 HCV+ patients (46±5 y.o.) completed the OHIP-14 questionnaire, which consists of 14 questions grouped in 7 domains (D1 functional limitation, D2 physical pain, D3 psychological discomfort, D4 physical disability, D5 psychological disability, D6 social disability and D7 general disability). The participants indicated their responses using a Likert-type frequency scale. The Community Caries Index of Treatment Need (CCITN) was determined for each patient. The proportion and CI95% of the social impact on the quality of life were calculated. The association between CCITN and the quality of life was assessed by Chi2 (p<0.05). Results The CCITN was 11 (8-14). The overall social impact was 38% (24-52%). The increasing order relationship of the impact on each of the domains was D1, D7, D6, D4, D5, D2, D3. A significant association between oral health-related quality of life and CCITN was observed (Chi2 = 7.57, p = 0.006), showing greater impairment of the quality of life as the treatment need increased. Conclusion The association between CCITN and quality of life becomes evident using OHIP-14 during dental appointments. The results suggest the need for comprehensive interventions during the provision of oral health care to HCV+ patients.

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