scholarly journals Impact of mandibular resection guidance prostheses on oral health related quality of life (OHRQoL) - A prospective study

2021 ◽  
Vol 3 (3) ◽  
pp. 79-85
Author(s):  
Parithimar Kalaignan ◽  
Syed Ershad Ahmed

This prospective study was aimed to measure the impact of mandibular resection guidance prostheses on oral health-related quality of life (OHRQol). A total of 35 patients with mandibulectomy defects were included. All the patients were rehabilitated with mandibular resection guidance prostheses respectively. These patients were subjected for assessment of OHRQol. The assessment was done by using OHIP-Edent-19 and a novel scale—maxillofacial prosthesis performance scale (MFPPS). The assessment was done on all the patients at two weeks and three months of prosthesis function. The scores of OHIP-Edent, and MFPPS for mandibular resection guidance prostheses after two weeks were 33.20and 18.74 respectively. The scores of OHIP-Edent and MFPPS for mandibular resection guidance prostheses prostheses at three months were 27.71and 15.20 respectively. These findings show significant improvements of prosthesis in terms of functional, physical, psychological and social parameters after long-term follow-up (3 months).

2020 ◽  
pp. 232020682095396
Author(s):  
S. Parithimar Kalaignan ◽  
Syed Ershad Ahmed

Aim: To assess the impact of definitive maxillary obturator prostheses on oral health-related quality of life (OHRQol). Materials and Methods: A presented prospective study comprising 50 patients with maxillectomy defects was selected for the study. Patients with any active or persistent lesion in relation to the defect site, restrictive mouth opening along with poor general health were excluded from the study. All the patients were rehabilitated with definitive maxillary obturator prostheses, respectively. These patients were subjected for assessment of OHRQol and obturator prostheses functioning. These assessments were done using three scales OHIP-Edent-19, obturator functioning scale (OFS-15) and a novel scale—maxillofacial prosthesis performance scale (MFPPS). The assessment was done on all the patients after 2 weeks and 3 months of prosthesis function. The data were tabulated and analysed using paired sample t-test and the Wilcoxon signed rank test for paired groups and unpaired sample t-test for independent groups. Results: The scores of OHIP-Edent, OFS and MFPPS for definitive maxillary obturator prostheses after 2 weeks were 37.56, 30.48 and 20.50. The scores of OHIP-Edent, OFS and MFPPS for definitive maxillary obturator prostheses after 3 months were 30.30, 24.26 and 16.10, respectively. Conclusion: Mean differences of OHIP-Edent (7.260), OFS (6.220) and MFPPS (4.400) were observed after 2 weeks and 3 months of obturator prosthesis function. These findings show significant improvements of prosthesis in terms of functional, physical, psychological and social parameters after long-term follow-up (3 months).


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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