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

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 on Quality of Life of Patients Treated by Different File Systems for Root Canal Treatment

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1722108 ◽

2021 ◽

Author(s):

L.S. Priyanka ◽

Lakshmi Nidhi Rao ◽

Aditya Shetty ◽

Mithra N. Hegde ◽

Chitharanjan Shetty

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Postoperative Pain ◽

Root Canal ◽

File Systems ◽

Study Groups ◽

Significant Difference ◽

Related Quality ◽

The Impact

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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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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Impact of oral health problems on the quality of life of women with breast cancer

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-86372019000393680 ◽

2019 ◽

Vol 67 ◽

Author(s):

Marcela Vieira CALMON ◽

Maria Aparecida Amaral MUSSO ◽

Larissa Rodrigues DELL’ANTONIO ◽

Eliana ZANDONADE ◽

Maria Helena Costa AMORIM ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Oral Health ◽

Health Problems ◽

Clinical Staging ◽

Fisher Exact Test ◽

Cross Sectional ◽

Significance Level ◽

The Impact

ABSTRACT Objective To evaluate the impact of oral health on quality of life and to examine the association with sociodemographic, clinical staging and dental variables in women diagnosed with breast cancer. Methods This is an observational cross-sectional study with sample composed of 89 women treated at a Reference Hospital in Vitória, Espírito Santo, Brazil, between January and December 2012. Two scripts in the form of interviews were used, one to record participants’ information; and the Oral Health Impact Profile (OHIP-14), to evaluate the impacts produced by the oral condition on quality of life. Descriptive analysis of data was performed. The comparison of the percentage of the impact dimensions with independent variables was tested by the chi-square test or the Fisher exact test, when appropriate. To assess the strength of association between exposure and event, odds ratio was calculated. Significance level of 5% was adopted. Results The impact was 28.1%, there was a statistically significant association with variables income (p = 0.039) and reason for the visit to the oral health professional (p = 0.012). Conclusion Studies on quality of life of cancer patients are of fundamental importance for understanding the impact of oral health problems on quality of life.

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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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Impact of orthognathic surgery on quality of life in patients with different dentofacial deformities: longitudinal study of the Oral Health Impact Profile (OHIP-14) with at least 1 year of follow-up

Oral and Maxillofacial Surgery ◽

10.1007/s10006-021-00992-6 ◽

2021 ◽

Author(s):

Jacco G. Tuk ◽

Jerome A. Lindeboom ◽

Misha L. Tan ◽

J. de Lange

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Postoperative Period ◽

Orthognathic Surgery ◽

Health Impact ◽

Oral Health Impact Profile ◽

Dentofacial Deformities ◽

The Mean ◽

The Impact

Abstract Objective The objective of this study was to assess the impact of orthognathic surgery for dental facial deformities on oral health-related quality of life (OHRQoL) in the immediate postoperative period up to at least 1 year after surgery. Study design This prospective study evaluated data from 85 patients. OHRQoL was assessed using the Dutch version of the Oral Health Impact Profile questionnaire (OHIP-14NL) preoperatively (T0), each day for 7 days postoperatively (T1–T7) and 4 weeks (T8), 6 months (T9), and at least 1 year (T10) after surgery. The total OHIP score was calculated for each patient, with higher OHIP scores indicating a worse impact on oral health. Patients also completed an extra questionnaire about self-care, discomfort, and experienced pain (rated on a 10-point scale) in the postoperative period (T1–T10). Results The mean OHIP score increased sharply at T1 compared to T0 but decreased significantly in the first postoperative week. The mean OHIP score at T8 was still higher than before surgery. However, at T9 and T10, the mean OHIP score was significantly lower than at T0 (P < .05). No significant difference in OHIP score was found between gender, age, type of surgery, and indication for surgery. Pain significantly decreased from T6 to T0. The OHIP and pain scores significantly positively correlated at every time point except T9. Conclusion The findings indicate that OHRQoL is reduced from baseline in the immediate postoperative period but improves over time. By 1 year, OHRQoL improves significantly after orthognathic surgery in patients with dentofacial deformities.

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Quality of Life in Patients Rehabilitated with Implant-Supported Prostheses – A Systematic Review

Acta Medica Transilvanica ◽

10.2478/amtsb-2021-0039 ◽

2021 ◽

Vol 26 (3) ◽

pp. 1-5

Author(s):

Cosmin Ionuţ Lixandru ◽

Carmen Daniela Domnariu

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Pain Perception ◽

Functional Performance ◽

Daily Life ◽

Systematic Search ◽

Inclusion Criteria ◽

Daily Lives ◽

The Impact

Abstract Oral health-related quality of life can be defined as the perception of the impact that oral health has on the quality of life. The quality of life is characterized by a person’s perception of his/her social status and the activities he/she carries out in daily life, in relation to his/her standards, objectives, concerns and expectations, as well as the system of values and cultural conditions within he/she lives in. Objective: The objective of this study was to systematically review the dental literature to identify and classify relevant articles on the quality of life associated with the oral health of patients rehabilitated with implant-supported prostheses. Materials and methods: A systematic search of the literature on PubMed was performed for articles published between 2000 and 2021. The main method used was the electronic search using keywords such as: “quality of life”, “dental implant”. The articles found were subject to inclusion and exclusion criteria. Results: Following a systematic search, a total of 249 publications were identified, of which only 9 met the inclusion criteria. Discussions: A small number of studies were found to meet the inclusion criteria and to present high levels of evidence. Therefore, more research in the field is recommended, as current research on quality of life in patients rehabilitated with implant-supported prostheses is still in the development phase. Conclusions: The quality of oral health could have an impact on patients’ daily lives and dental satisfaction (satisfaction with dental appearance, pain perception levels, oral comfort, functional performance and chewing capacity). Patients’ satisfaction with their dentition has a definite impact on the quality of daily life and perceptions of oral health.

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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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