Article

Measuring the Impact of Oral Health on Quality of Life in Britain Using OHQoL-UK©

February 2003
Journal of Public Health Dentistry 63(2):73-7

DOI:10.1111/j.1752-7325.2003.tb03478.x

Source
PubMed

Authors:

Colman McGrath

The University of Hong Kong

Raman Bedi

King's College London

This study assessed the impact of oral health on quality of life (OHQoL) in Britain and identified disparities in OHQoL among subgroups of the population. A national survey involved a random probability sample of 2,667 households. Participants were interviewed about their oral health status and sociodemographic information was collected. The impact of oral health on life quality was measured utilizing the OHQoL-UK(W). The response rate was 68 percent. Most people in Britain (73%) claimed their oral health did affect their life quality, most frequently through physical influences rather than social or psychological. Disparities in perceived influences of oral health on life quality among subgroups of the population were apparent by age, sex, and social class; OHQoL also was influenced by oral health status (self-reported). Most Britons claim their oral health affects their life quality and OHQoL was associated with sociodemographic and oral health factors.

Oral health impact on quality of life assessment among dental patients in Bangalore city

Article

Full-text available

Jul 2014

Introduction: Over the past few decades mankind has been mainly affected with chronic noncommunicable diseases, which led to compromised quality of life. Common dental diseases come under same categories that are largely social and behavioral in origin. Health-related quality of life helps us address the limitations of traditional clinical indicators of health. Aim: To measure the impact of oral health on quality of life among patients visiting dental teaching hospitals and private clinics in Bangalore city using oral health-related quality of life (OHQoL) – U.K index. Materials and Methods: A total of 1200 individuals who are above 16‑year of age were selected through stratified cluster random sampling technique for this study. Data were collected using OHQoL-U.K instrument. Results: Most of the subjects (78%) perceived their oral health as impacting their quality of life. Many participants perceived their oral health had positive impact on life quality through enhancing their smile, appearance, speech. But 44.9% and 28.5% of respondents said their oral health has a negative impact on quality of life because of breath odor and finance respectively. Subjects are belonging to lower socioeconomic background, women and older adults (>45 years) perceived their oral health has a negative impact on quality of life compared to subjects from higher social class, men and young adults. Conclusion: Oral health has more impact on physical and functional aspects rather than on social and psychological domains. Key words: Oral health, quality of life, subjective oral health indicators

Effect of Oral-Related Quality of Life and Sexual Function in Dentally Compromised Women: A Prospective Cohort Study

Article

Full-text available

Dec 2024

Background Oral health and edentulism significantly impact quality of life (QoL). However, the relationship between oral health-related quality of life (OHQoL) and sexual function remains unclear. Aim To assess OHQoL and the prevalence of sexual dysfunction (SD) in women before and after oral rehabilitation. Methods The study involved 102 women (aged 40–70 years) scheduled for prosthodontic treatment with incomplete natural dentition. Assessments were conducted using the Oral Health Impact Profile (OHIP-14) and Female Sexual Function Index (FSFI) questionnaires at three timepoints: T0 (before treatment), T1 (1 month after), and T2 (3 months after prosthodontic treatment). Statistical analyses included Kruskal–Wallis, Friedman tests, and Spearman’s rank correlation test ( P < 0.05). Results Significant differences were observed in total FSFI scores at T0 (18.1 ± 3.2), T1 (19.2 ± 3.4), and T2 (21.6 ± 3.7) ( P < 0.001). The prevalence of SD was 89.6% at T0, 84.2% at T1, and 79.3% at T2. Scores in all FSFI domains improved significantly post-treatment ( P < 0.001). Mean OHIP scores were 30.6 ± 2.7 at T0, 17.7 ± 4.1 at T1, and 10.2 ± 2.8 at T2 ( P < 0.001). Scores in all OHIP-14 domains decreased significantly after dental treatment, reflecting improved OHQoL. Significant correlations were found between total OHIP-14 and FSFI scores at T0 (r = −0.31, P = 0.01), T1 (r = −0.51, P = 0.021), and T2 (r = −0.80, P < 0.001). Conclusion OHQoL is associated with sexual function in women. Following dental treatment and oral rehabilitation, FSFI scores increased, and the prevalence of SD decreased.

A retrospective study of the long-term survival of RESTORE® dental implants with resorbable blast media surface

Article

Mar 2023

Purpose: The aim of this study was to retrospectively evaluate the survival and failure rates of RESTORE® implants over a follow-up period of 10-15 years at a university dental hospital and to investigate the factors affecting the survival rate of these dental implants. Methods: A total of 247 RESTORE® dental implants with a resorbable blast media (RBM) surface inserted in 86 patients between March 2006 and April 2011 at the Department of Periodontology of Seoul National University Dental Hospital were included. Patients with follow-up periods of less than 10 years were excluded, and data analysis was conducted based on dental records and radiographs. Results: Over a 10- to 15-year period, the cumulative survival rate of the implants was 92.5%. Seventeen implants (6.88%) were explanted due to implant fracture (n=10, 4.05%), peri-implantitis (n=6, 2.43%), and screw fracture (n=1, 0.4%). The results of univariate regression analysis using a Cox proportional hazards model demonstrated that implants placed in male patients (hazard ratio [HR], 4.542; 95% confidence interval [CI], 1.305-15.807; P=0.017) and implants that supported removable prostheses (HR, 15.498; 95% CI, 3.105-77.357; P=0.001) showed statistically significant associations with implant failure. Conclusions: Within the limitations of this retrospective study, the RESTORE® dental implant with an RBM surface has a favorable survival rate with stable clinical outcomes.

EVALUATION OF QUALITY OF LIFE-RELATED TO ORAL HEALTH AFTER DIFFERENT PROSTHETIC TREATMENTS IN EDENTULISM PATIENTS

Article

Full-text available

Mar 2022

Background: The impact of edentulism on oral health status is an important public health issue. Conventional complete dentures, implant-supported removable dentures and implant-supported fixed dentures are evidence-based treatment IRPtions in the treatment of complete edentulism. Quality of life may be compromised due to various reasons such as functional problems, diseases, nutritional deficiency, physiological and psychosocial problems in individuals using prostheses.Objectives: Our aim in this study is to evaluate patient satisfaction of completely edentulous patients treated with conventional complete dentures, implant-supported removable dentures and implant-supported fixed dentures, oral health-related quality of life and to compare the effects on quality of life.Methods: In this study, total of 140 patients involved, 49 female and 91 males, aged between 40 and 90 who were completely edentulous and treated at least 6 months ago in the Prosthetic Dentistry Clinic.Patients were divided into 3 groups as conventional complete denture (CD), implant retained overdenture (IRP) and implant supported fixed prosthesis (ISFP). By Oral Health Impact Profile (OHIP-14), Oral Health-Related Quality of Life-United Kingdom (OHQoL-UK) questionnaires oral health-related quality of life was measured analyzed and obtained parameters were compared.Results: When all findings were evaluated, the oral health-related quality of life of the group treated with implant-supported fixed prosthesis were found to be higher than the conventional complete denture and implant-supported fixed prosthesis group. In addition, it was determined that implant-supported fixed and removable treatments had positive effects on patient satisfaction, quality of life compared to conventional complete denture treatment.Conclusions: Support from dental implants while making a prosthetic treatment plan in edentulous patients will contribute positively to the stability and retention of the prosthesis. This will increase the quality of life of the person by supporting patient satisfaction, adaptation to the prosthesis and nutrition

Do the Bioactive Effects of Platelet-Rich Plasma and Platelet-Rich Fibrin Influence the Oral Health Related Quality of Life Following Impacted Third Molar Surgery? A Randomized Comparative Study

Article

Full-text available

May 2021

Aim: To compare the effects of platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) on oral health-related quality of life (OHQoL) following impacted mandibular third molar (M3) surgery. Patients and methods: A prospective, randomized study of 50 subjects was designed. Participants were divided equally into the PRP and PRF groups. The OHQoL was assessed using the OHQoL-UK instrument preoperatively and on postoperative days (PODS) 1, 3, and 7. Categorical variables were presented as frequencies and proportions. The linear mixed model analysis was used to determine the effects of PRF and PRP on overall OHQoL with respect to time, treatment, and treatment by time-point interaction. The analysis was also performed for the physical, social, and psychological domains. Results: Fifty subjects were analyzed. The time-point assessment of the overall OHQoL was significant within the PRP and PRF groups (P-values of 0.01 and 0.000002, respectively). The time-point analysis was also significant in both study groups at all domain levels (P < 0.05). A comparison of treatment by time-point interaction for the overall OHQoL between the study groups was insignificant (P = 0.217). Treatment by time-point interaction for OHQoL between the study groups at social and psychological domain levels was insignificant, however, at the physical domain level, PRF had a significantly better effect on OHQoL (P = 0.016). Conclusion: The study showed that the overall OHQoL was not significantly different between the PRP and PRF groups after M3 surgery. However, PRF had a significant influence on OHQoL at the physical domain level.

Validity and Reliability of the Nepali Version of the General Oral Health Assessment Index (Gohai) in Nepali Population

Article

Full-text available

Sep 2020

Introduction: Oral health problems are more chronic and severe. Various instruments have been developed to measure Oral Health Quality of Life. General Oral Health Assessment Index (GOHAI) is a well-established, frequently used questionnaire for measuring OHQoL for geriatric and general population. Objectives: The objective of the study is to translate the GOHAI in Nepali and to assess its reliability and validity. Methodology: This study was conducted on the patient attending department of Prosthodontics, Kathmandu University School of Medical Sciences from March 2017 to February 2018. The GOHAI questionnaire was translated into Nepali version from English and back translated. Nepali version of GOHAI was pilot tested on 50 adult population to test the comprehensibility of the questionnaire, and then required alterations were done. The final Nepali version of GOHAI was administered to 301 (aged 20-70 years) adults along with the self-informed questionnaire. Clinical examination was done on the same day by a single examiner using World Health Organization (WHO) criteria. Reliability was analyzed using test-retest, cronbach alpha and split half reliability. For validity, discriminant validity and construct validity were calculated. Results: Cronbach's alpha was 0.749, which indicated good overall internal consistency and homogeneity. For test-retest, the spearman's rho correlation coefficient between visits ranged from 0.641-0.952 for all twelve questionnaires indicating strong correlation with p-value< 0.001. Conclusion Nepali version of the GOHAI exhibited acceptable reliability and validity in the people of Kathmandu valley, Nepal. This instrument can be applied to evaluate OHRQoL of different age groups as it was carried out in all the age groups.

Article

Full-text available

Jul 2019
BMC Oral Health

Background: Poor oral health among Malaysian indigenous Orang Asli (OA) children may impact on their daily performances. Aim: To assess the oral health status, related behaviours, and oral health-related quality of life (OHRQoL) among OA children in Cameron Highlands (CH), Malaysia, and to identify the predictor(s) for poor OHRQoL. Design: This was a cross-sectional study involving 249, 11-12 year old OA children from 4 OA primary schools in CH. The children completed a self-administered questionnaire comprising information on socio-demographics, oral health-related behaviours, and the Malay Child Oral Impacts on Daily Performances (Malay Child-OIDP) index followed by an oral examination. Data were entered into the SPSS version 23.0 software. Non-parametric tests and multiple logistic regression were used for data analysis. Results: The response rate was 91.2% (n = 227/249). The prevalence of caries was 61.6% (mean DMFT = 1.36, mean dft = 1.01) and for gingivitis was 96.0%. Despite the majority reported brushing their teeth ≥ 2x/day (83.7%) with fluoride toothpaste (80.2%), more than two-thirds chewed betel nut ≥ 1/day (67.4%). Majority of the children (97.8%) had a dental check-up once a year. Nearly three-fifths (58.6%) reported experiencing oral impacts on their daily performances in the past 3 months (mean score = 5.45, SD = 8.5). Most of the impacts were of "very little" to "moderate" levels of impact intensity with 90.2% had up to 4 daily performances affected. Most of the impacts were on eating (35.2%), cleaning teeth (22.0%) and relaxing activities (15.9%). Caries in primary teeth is associated with oral impacts among the OA children. Conclusions: The 11-12 year old OA children in Cameron Highland had high prevalence of caries and gingivitis with the majority chewed betel nut regularly. Caries in primary teeth is associated with poor OHRQoL. Future programmes should target younger age group children to promote positive oral hygiene practices, reduce caries, and improve quality of life.

Translation to Serbian and transcultural adaptation of the oral health related quality of life (OHQoL-UK[W]) instrument

Article

Full-text available

Jan 2019

Background/Aim. Measuring health-related quality of life is of great help to clinicians when they have to choose optimal therapy for their patients or estimate its effects. The aim of this study was to translate the oral health-related quality of life [OHQoL-UK(W)] questionnaire from English to Serbian, to make necessary cultural adaptations of the translation, and to test its reliability in a sample of adult Serbian patients. Methods. After obtaining permission from the authors, translation and cultural adaptation of the OHQoL- UK(W) was made according to the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) guidelines. Reliability of the Serbian translation was tested on a sample of 250 patients through calculation of Cronbach?s alpha, as a measure of internal consistency. Results. Serbian translation of the OHQoL-UK(W) had very similar degree of internal consistency (Cronbach?s alpha 0.947), and correlated satisfactorily with the visual analogue scale (VAS) score and inversely with the Decay-missingfilled teeth (DMFT) index. Factorial analysis revealed only one factor, as in the original scale. Conclusions. Serbian translation of the OHQoL-UK(W) is reliable instrument for measuring oral health-related quality of life in adult dentistry patients.

Instruments to measure the quality of life related to oral health: A systematic review

Article

Sep 2017

Objetive: To identify the instruments most frequently used to measure health-related quality of life in patients with periodontitis during the last five years. Materials and methods: A systematic review of the literature was performed in Pubmed, LILACS, Scielo and Google scholar databases. Observational and experimental studies published between the years 2010-2015 that met the selection criteria were selected. Results: 338 articles were identified, of which 16 were included in this review. The most frequently used instrument is the Oral Health Impact Profile (50 %), followed by the other scales that obtained 12,5 %. Studies indicate that periodontitis can negatively impact quality of life, but this perception can be substantially improved upon treatment of the disease. Conclusions: It is necessary the modification or creation of new instruments which can measure the real impact of periodontitis in the quality of life; also, to motivate the researchers to implement a higher methodological rigorousness and techniques standardization to obtain reliable results of the instruments used.

Instrumentos para medir la calidad de vida relacionada con la salud oral: una revisión sistemática

Article

Full-text available

Dec 2017

Objetivo: Identificar los instrumentos utilizados con mayor frecuencia para medir la calidad de vida relacionada con la salud en pacientes con periodontitis durante los últimos cinco años. Materiales y métodos: Se realizó una revisión sistemática de la literatura en las bases de datos Pubmed, LILACS, Scielo y Google scholar. Se seleccionaron estudios observacionales y experimentales publicados entre 2010-2015 que cumplieran con los criterios de selección. Resultados: Se identificaron 338 artículos, de los cuales se incluyeron 16 en esta revisión. El instrumento utilizado con mayor frecuencia es el Oral Health Impact Profile (50 %), seguido por las otras escalas, que obtuvieron un 12,5 %. Los estudios indican que la periodontitis puede impactar de manera negativa la calidad de vida, pero esta percepción puede mejorar sustancial-mente al realizarse el tratamiento de la enfermedad. Conclusiones: Es necesaria la modificación o creación de nuevos instrumentos capaces de captar el impacto real de la periodontitis sobre la calidad de vida; motivar a los investigadores a implementar mayor rigurosidad metodológica y estandarización de técnicas para obtener resultados confiables de los instrumentos utilizados.

Different pulse modes of Er:YAG laser irradiation: effects on bond strength achieved with self-etching primers

Article

Apr 2016

Objective: The aim of this study was to compare the effects of different pulse modes of Er:YAG laser on shear bond strength (SBS) of orthodontic brackets bonded with self-etching primers (SEP) and phosphoric acid etching. Materials and methods: A total of 120 human mandibular third molars were randomly assigned to 3 groups of 40 specimens depending on the bonding procedure to be used. The groups were divided into two subgroups according to the pulse mode of the erbium-doped yttrium aluminum garnet (Er:YAG) laser irradiation as medium-short pulse (MSP) mode and quantum-square pulse (QSP) mode at 120 mJ, 10 Hz, 1.2 W. In each subgroup, the mesio- or distobuccal tooth surfaces were randomly assigned as experimental or control sides. After surface preparation with different modes of Er:YAG laser on experimental side, whole buccal tooth surfaces were treated with phosphoric acid etching or two different SEPs. Then metallic brackets were bonded with Transbond XT (3 M Unitek, Monrovia, CA, USA) or Kurasper F (Kuraray, Okayama, Japan). SBS values and the amount of adhesive remaining on the tooth after debonding were assessed. One-way analysis of variance (ANOVA) was used to evaluate the changes in mean SBS between groups resulting from laser etching, followed by post hoc test of Tukey. Results: There were statistically significant differences between the experimental and control sides of all groups (p < 0.05). Conclusion: Laser etching with QSP and MSP modes increases the SBS of metallic brackets and Er:YAG laser irradiation with QSP mode increases the SBS of SEPs.

Effectiveness of two different splints to treat temporomandibular disorders

Article

Full-text available

Jul 2015
J OROFAC ORTHOP

Nearly 5 % of the the world's population has temporomandibular disorder (TMD) severe enough to make them seek treatment. A third of the total population has at least one TMD symptom. There are different types of splints to treat TMD. In our study, we compared the success of two different appliances [stabilization splint (ss), nociceptive trigeminal inhibition splint (NTI)] by using Fonseca's questionnaire, the OHQoL-UK and visual analog scale (VAS). A total of 40 patients suffering from TMD were included in this study and answered questionnaires twice, at the beginning of the treatment and 3 months later. Regarding TMD alone, 39 patients (97.5 %) had some degree of the disorder, 7 of of these cases being mild (17.5 %), 15 moderate (37.5 %), and 17 severe (42.5 %). We analyzed posttreatment changes compared to baseline. Pain complaints decreased in both groups, and the OHQoL-UK revealed better quality of life after treatment. Based on the posttreatment Fonseca's questionnaires, significant changes in the patients' complaints in the group SS (p < 0.01) were observed. The group NTI also displayed changes but these were not statistically significant after treatment (p > 0.05). Patients in both groups had fewer TMD complaints after TMJ treatment. According to the Fonseca's questionnaire, the patients' major TMD complaint was clenching-grinding, followed by pain in the craniomandibular joint, or earache.

Article

Full-text available

May 2025
HEALTH QUAL LIFE OUT

Background Children of female sex workers (FSWs) in Bangladesh grow up in a challenging socio-economic environment characterized by parental separation, substance abuse, alcoholism, and limited access to healthcare, including oral health services. This study aimed to assess the oral health-related quality of life (OHRQoL) and its associative factors among these children. Materials and methods A cross-sectional study was conducted between March 2023 and February 2024 with a sample of 180 FSW mothers/institutional caregivers and their school-going children, aged 7 to 17. OHRQoL was assessed using the CPQ8 − 10 (Child Perception Questionnaire) for children aged 7 to 11, and the OIDP (Oral Impacts on Daily Performances) for adolescents aged 12 to 17. The Decayed, Missing and Filled Teeth (DMFT/dmft) index was used to assess dental caries, while the gingival index evaluated gingival health. The plaque index and calculus index were employed to assess plaque and calculus levels, respectively. Results Among children aged 7 to 11, oral symptoms (Mean = 5.36, SD = 3.72) and functional limitations (Mean = 4.57, SD = 4.42) were the most affected parameters. For children aged 12 to 17, 78.2% reported oral impacts on their daily performances (Mean = 6.50, SD = 6.84). Caries status (β = 0.361, p = 0.001) and place of residence (β = 0.329, p = 0.032) were significantly associated with higher CPQ8 − 10 scores. A higher OIDP score was associated with gingivitis (β = 0.265, p = 0.035). Conclusion The study reveals that children aged 7 to 11 in Daulatdia with caries had significantly poorer OHRQoL, while gingivitis was associated with a higher OIDP score in children aged 12 to 17. OHRQoL evaluation is vital in determining the effectiveness of therapeutic and preventive measures aimed at improving the oral health of this vulnerable population. Registry and registration no. of the study The Institutional Review Board /Ethics Review Committee (IRB/ERC) of North South University reviewed and approved this study(2023/OR-NSU/IRB/0204).

Oral impacts on Quality of life and dental attendance: Associations between oral impacts on Quality of life and problem-oriented dental attendance among UK adolescents.

Thesis

Aug 2022

Correlation between oral health and modified OIDP index in pediatric patients undergoing treatment in Clove Dental Clinics: A cross sectional pilot study

Article

Full-text available

Jul 2024

Abstract Aim: This research article aims to assess the correlation between oral health and the modified Child Oral Impact on Daily Performance (C-OIDP) index in pediatric patients undergoing treatment at Clove Dental Clinics. The study focuses on evaluating the psychometric properties of the modified C-OIDP index using a Google Forms questionnaire in a multicentric pediatric population across 10 states in India. Materials and Methods: A descriptive cross-sectional study was conducted in two phases among pediatric patients (age range: 2–18 years) undergoing treatment at Clove Dental Clinics in Pan-India. Phase 1: (1) The English version of the C-OIDP index was converted into a pretreatment and posttreatment assessment Google Forms questionnaire. (2) The psychometric and linguistic properties of the modified C-OIDP index were assessed by a panel of experts, incorporating their feedback, and resolving any discrepancies. (3) The modified Google Forms questionnaire was tested on 20 random walk-in pediatric patients visiting two Clove Dental Clinics. (4) Discussions were held with the patients, accompanying guardians, and pedodontists to evaluate their understanding and optimize the questionnaire’s face and content validity. Phase 2: (1) The main study included the reassessment of the modified C-OIDP index using the Google Forms questionnaire on a larger sample of 200 pediatric patients undergoing treatment at Clove Dental Clinics. (2) The questionnaire was administered in both pretreatment and posttreatment scenarios, with a 1-week recall period between assessments. (3) All study participants and their accompanying guardians provided written informed consent. (4) Changes to content wordings during the cultural adaptation process were summarized. Results: (1) A total of 206 voluntary responses were collected from pediatric patients across 341 Clove Dental Clinics in 10 states of India. (2) The factor analysis study revealed good internal consistency reliability and validity of the modified C-OIDP index. (3) The pretreatment and posttreatment modified OIDP scores showed a significant decrease, indicating improved oral health-related quality of life (OHRQoL) posttreatment. Conclusions: The modified C-OIDP index demonstrated good psychometric properties and validity when used in a Google Forms questionnaire among pediatric patients undergoing treatment at Clove Dental Clinics in India. The study highlights the importance of assessing OHRQoL in pediatric populations and provides valuable insights for planning and prioritizing oral health care for children.

Parental perspectives on oral health‐related quality of life in children and adolescents with autism spectrum disorder: A systematic review

Article

Dec 2023

Background Children with autism spectrum disorder (ASD) face unique challenges related to oral health, which can negatively impact their day‐to‐day lives, significantly compromising their overall quality of life. Primary caregivers of children with ASD have a critical role in delivering and seeking oral health care. Hence, it is vital to study their perspective towards their children's oral health and its impact on their quality of life. Aim To explore the parental perception of oral health‐related quality of life in children with autism. Methods A systematic electronic and manual search was conducted in Medline (via PubMed), Embase, Google Scholar, Scopus, and LILACS of articles published from January 2003 to May 2023 using appropriate MeSH terms, keywords, and other terms. A four‐phase study selection process was followed according to PRISMA guidelines, and data extraction and synthesis were performed using an extraction form. The selected studies were critically appraised using the QATSDD and Crombie's assessment tool. The inter‐reviewer agreement was assessed using the kappa with a linear weighting coefficient. Results Out of the 885 results, 15 studies were included in the review after the two selection phases, and the study characteristics were summarized in tabular form. Study quality varied considerably, and out of a total possible QATSDD score of 42, scores for the individual studies ranged from 14 to 40. The risk of bias for the seven criteria was found to be low. Conclusion The parental perception of the OHRQoL in children with ASD is poor, and the most significant perceived impact is on the child's functional and social well‐being aspects. Parental‐Caregiver Perception Questionnaire was the most commonly used. The most frequent symptoms include bad breath, food lodgment, mouth breathing and night grinding. The familial impact and influence on the OHRQoL of siblings were also studied.

Association between Periodontal Status and Oral Health Related Quality of Life -A Cross Sectional Study

Article

Full-text available

Apr 2023

This study aimed to assess the association between periodontal status and oral health-related quality of life (OHRQoL) among Indian population. A cross-sectional analytic study was conducted on patients visiting a dental center for one year. Clinical attachment loss (CAL) was recorded, and the Oral Health Impact Profile questionnaire was used to assess OHRQoL. Participants were divided into groups based on the severity of periodontitis. Descriptive and analytical statistics were used to analyze the data, including Pearson's correlation and ANOVA tests. A total of 465 males and 582 females participated in the study, with a mean age of 38.49 years. The mean clinical attachment loss increased with the severity of periodontitis. Females were more affected than males, with 64.6% of patients with periodontitis being females. The questionnaire responses showed a significant negative correlation between OHRQoL and periodontal disease severity. Patients with severe periodontitis had a poorer OHRQoL than those with mild or no periodontitis. This study highlights the need for better understanding of patients' perceptions of the effects of periodontal disease on their daily lives, as well as the importance of proper planning, evaluation, and treatment to increase their quality of life.

Association between Intelligence Quotient Dental Anxiety and Oral Health-related Quality of Life in Children: A Cross-sectional Study

Article

Full-text available

Jan 2022

Background: Determining the intelligence quotient (IQ) grades of children help in managing dental anxiety (DA) and maintaining the good oral health-related quality of life (OHRQoL). Aim: To assess the association between IQ, DA, and OHRQoL in children aged 10-11 years. Design: This cross-sectional study was carried out among 202 children aged 10-11 years in the Southern part of Tamil Nadu, India. The IQ level, DA, and OHRQoL were measured using Raven's Coloured Progressive Matrices (RCPM), Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and Child Oral Health Impact Profile Short Form (COHIP-SF) 19, respectively. Chi-squared test and Spearman rank order correlation test were used for analysis. Results: The results revealed a significant negative correlation (p < 0.05; r = -0.239) between IQ and OHRQoL. DA was negatively correlated with IQ (r = -0.093) and OHRQoL (r = -0.065), but it was not statistically significant. The gender-based comparison revealed no significant difference in the distribution of girls and boys within different grades of IQ levels (p = 0.74), DA (p = 0.29), and OHRQoL (p = 0.85). Conclusion: Children with higher IQ showed low OHRQoL scores. DA was negatively correlated with IQ and OHRQoL. How to cite this article: Asokan S, PR GP, Mathiazhagan T, et al. Association between Intelligence Quotient Dental Anxiety and Oral Health-related Quality of Life in Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2022;15(6):745-749.

Evaluation of the Effect of Non-Surgical Periodontal Treatment on Oral Health-Related Quality of Life in Patients with Periodontitis at Different Stages

Article

Full-text available

Sep 2022

Mahmure Ayşe Tayman

Aim: To determine the effect of non-surgical periodontal treatment (NSPT) on oral health-related-quality-of-life (OHRQoL) in individuals with periodontitis at different stages. Materials and Methods: Full-mouth clinical periodontal parameters [plaque-index (PI), gingival-index (GI), probing-pocket-depth (PD), bleeding-on-probing (BOP), clinical-attachment-loss (CAL)] of 119 healthy individuals aged 24 to 64 years just before and six-weeks after NSPT were obtained and the mean was calculated. Oral hygiene instructions were given. The Oral-Health-Related-Quality-of-Life-United-Kingdom (OHRQoL-UK) scale was used to measure the positive and negative effects of NSPT on OHRQoL. Sociodemographic data (age, gender, education and income status, reason for admission to the hospital, use of toothbrush, other cleaning tools, removable prosthesis and smoking) of the participants were recorded using a multiple choice questionnaire. Results: The use of toothbrushes and cleaning device increased in all phases after the treatment (p<0.01). Ages of individuals in stage-IV were higher than other stages (p>0.05). Individuals in stage-III (p=0.01) and IV had fewer teeth than other stages (p=0.01), while the use of removable prosthesis was higher (p<0.05). Clinical periodontal parameters decreased significantly in all stages after treatment and showed improvement (p<0.01). When all stages before and after treatment were compared within themselves, there were significant differences in the total score of OHRQoL between stages I-III, I-IV, II-III and II-IV (p<0.05). It was observed that all OHRQoL scores increased when compared before and after treatment in terms of symptoms, physical, psychological and social status (p<0.01). Conclusion: NSPT provides a significant improvement in the OHRQoL of individuals in all stages of periodontitis.

Article

Full-text available

Jul 2022

Purpose To compare the oral health-related quality of life (OHRQoL) in patients with cleft lip and/or palate or Robin sequence versus a healthy control group using the Child Oral Health Impact Profile (COHIP-G19). Factors such as age, gender, and cleft type were considered. Methods Over an 8-month period, the OHRQoL was surveyed by using the COHIP-G19 questionnaire. Included were patients with a craniofacial disorder ( n = 61; average age 11.24 years) and a healthy control group ( n = 70, average age 12.63 years) for a total of 131 patients (average age 11.99 years) from the Department of Orthodontics University Hospital Tübingen, Germany. These were divided into two age groups (6–11 years; 12–18 years). Results Statistically, patients with a craniofacial disorder presented a significantly lower OHRQoL than the control group ( p = 0.0055). In the craniofacial disorder group, older patients revealed a significantly ( p = 0.005) lower OHRQoL than the younger patients. Female patients showed in nearly all groups a better OHRQoL than male patients, but this difference was not statistically significant ( p > 0.05). Males with a craniofacial disorder scored significantly lower than males without ( p = 0.016); females showed no differences between the groups. Visibility, location, and severity of the craniofacial malformation did not have a significant influence on the OHRQoL. Conclusion The occurrence of a craniofacial malformation impacted the OHRQoL especially in older and male affected patients, unrelated to the expression level or localization. An early instruction about oral health, rehabilitation and functional training should be considered in therapy.

Breathing out dental fear: A feasibility crossover study on the effectiveness of diaphragmatic breathing in children sitting on the dentist’s chair

Article

Feb 2022

Background: Anxiety related to the dental context is a clinically significant challenge. In children, dental fear is often accompanied by disruptive and uncooperative behaviours that can render treatment difficult. While techniques to reduce children's anxiety exist, many have not been formally evaluated. Design: Diaphragmatic breathing has been shown to reduce fear and anxiety, but few investigations have evaluated whether it can reduce dental anxiety in children. The present crossover study tested the effectiveness and feasibility of diaphragmatic breathing in twenty children undergoing dental care. Results: Compared to treatment as usual, such simple technique had significant benefits on mood, self-reported pain, and autonomic balance, reducing sympathetic activation. Conclusions: Being low-cost, easy to implement and suitable with daily dental practice, diaphragmatic breathing represents a promising tool for reducing negative affect and physiological distress in children with dental anxiety, potentially leading to more cooperative behaviours and reduced visit time.

Success of dental implants in patients with large bone defect and analysis of risk factors for implant failure: a non-randomized retrospective cohort study

Article

Full-text available

Nov 2021
CLIN ORAL INVEST

Objectives This study aimed to retrospectively investigate the success and survival rates of dental implants used for dentomaxillary prostheses at our hospital and the risk factors associated with large bone defects.Materials and methodsA total of 138 external joint system implants used for dentomaxillary prostheses in 40 patients with large bone defects were included in this study. The alveolar bone at the site of implant insertion was evaluated using panoramic radiography and computed tomography. Various risk factors (demographic characteristics, dental status, and operative factors such as the employment of alveolar bone augmentation, the site, the length, and diameter of implants) for implant failure and complete implant loss were investigated using univariate and multivariate analyses. The associations between the variables and the success and survival rates of dental implants were analyzed using the multivariate Cox proportional hazard models.ResultsThe 10-year overall success and survival rates were 81.3% and 88.4% in this study. Multivariable analysis showed that the male sex (HR 6.22), shorter implants (≤ 8.5 mm) (HR 5.21), and bone augmentation (HR 2.58) were independent predictors of success rate. Bone augmentation (HR 5.14) and narrow implants (≤ 3.3 mm) (HR 3.86) were independent predictors of the survival rate.Conclusion Male sex, shorter or narrow implants, and bone augmentation were independent risk factors for dental implants used in dentomaxillary prostheses in patients with large bone defects.Clinical relevance.Clinicians should consider these risk factors and pay close attention to the management of these patients.

Association of Malocclusion, Parafunctional Habits and Quality of Life in Patients with Temporomandibular Joint Disorder

Article

Full-text available

Sep 2021

Ömer Ekici

ABS TRACT Objective: The aim of this study is to investigate the relationship between malocclusion, parafunctional habits and quality of life in patients with the temporomandibular joint disorder (TMD). Material and Methods: This cross-sectional study included 482 TMD patients who sought treatment at the oral and maxillofacial surgery clinic of a faculty of dentistry. While the malocclusion status of participants was evaluated with The Dental Aesthetic Index, bruxism, chewing side preference and parafunctional habits were evaluated with Oral Behavior Checklist. Quality of life was assessed by Oral Health-Related Quality of Life-United Kingdom (OHRQoL-UK). The data were analyzed with the SPSS 20 program. Results: The mean OHRQoL-UK score of the participants was 46.46±11.64. There was a significant difference in both OHRQoL-UK total scores and OHRQoL-UK domain scores between those with and without bruxism (p<0.005). The total quality of life scores of those without bruxism (49.29±10.629) were found significantly higher than those with bruxism (45.54±11.82). There was no significant difference between OHRQoL-UK total scores and OHRQoL-UK domain scores between those with and without malocclusion (p=0.254). Similarly, there was no significant difference in OHRQoL of TMD patients in terms of parafunctional habits and chewing side preference (p=0.300, p=0.548 respectively). Conclusion: In the present study, OHRQoL in TMD patients with bruxism was significantly lower than in TMD patients without bruxism. Malocclusion, chewing side preference, and parafunctional habits did not have a significant effect on OHRQoL in TMD patients. Keywords: Malocclusion; parafunctional habit; bruxism; temporomandibular disorder; quality of life

Effect of Edentulism and Oral Quality of Life on Sexual Functions in Men: A Cohort Prospective Study

Article

Full-text available

Apr 2021

Introduction Edentulism has a serious impact on quality of life (QoL), and changes in QoL can affect sexual functioning. Aim To assess the correlation between oral health-related quality of life (OHQoL) and sexual function in edentulous men. Methods A total of 148 men (18–70 years) with incomplete natural dentition completed the International Index of Erectile Function (IIEF) and Oral Health Impact Profile (OHIP-14) at 4 time points: before (T0), during (T1), 4 weeks after (T2), and 1 year (T3) after dental treatment. Kruskal–Wallis, Friedman, and Spearman's rank correlation tests were used for statistical analyses (significance at P < .05). Results IIEF total scores differed significantly between the time points (P < .001), with medians and interquartile ranges (IQR) of 46 (7), 42 (8), 49 (6), and 52 (5) at T0, T1, T2, and T3, respectively. The highest rate of sexual dysfunction was detected at T1 (42.2%) and the lowest at T3 (26.6%). IIEF domain scores also decreased at T1 and increased at T2 and T3 compared with T0 (P < .05). Median (IQR) OHIP-14 scores were 26.0 (8), 28.0 (8), 20.0 (6), and 18.0 (5), respectively (P < .001). OHIP score was significantly correlated with IIEF domain scores (P < .05) and there were strong negative correlations between OHIP and total IIEF scores at T0 (r = −0.737), T1 (r = −0.802), T2 (r = −0.831), and T3 (r = −0.722) (P = <.001 for all). Main Outcome Measure Changes and correlations in IEFF and OHIP-14 scores; SD and ED prevalances at T0; T1; T2 and T3 periods. Clinical Implications Sexual functions was significantly correlate with OHQoL; thus patients with ED should also be examined in terms of toothlessness. Conclusion OHQoL was significantly associated with sexual function in men. However, correcting the problem of edentulism improved OHQoL and sexual function, with the best results observed after 1-year follow-up.

Correlation between Periodontal Disease and Oral Health Related Quality of Life

Article

Sep 2020

Evaluating factors associated with fear and anxiety to dental treatment—A systematic review

Article

Full-text available

Sep 2020

Introduction: Dental anxiety refers to a set of complex psychological issues bearing a significant impact in individual's lives reflecting in the form of dental visit avoidance, poor dental health status and decreases oral health related quality of life. Hence, it is imperative to consider those factors associated with dental anxiety so as to treat and promote better oral health. The review aimed to assess various factors associated with dental fear and anxiety. Materials and methods: Literature search was done from Pubmed and Google scholar search engines to identify publications which explored factors associated with dental fear and anxiety. Results: Research evidence pointed a significant relationship of age, gender, maternal anxiety, previous dental experience, and number of siblings with dental fear and anxiety (DFA). Conclusion: Findings of the review clearly suggest that a better understanding of factors causing dental anxiety and phobia will help preventing dental avoidance and providing better care.

Acta Scientific DENTAL SCIENCES (ISSN: 2581-4893) Correlation between Periodontal Disease and Oral Health Related Quality of Life

Article

Full-text available

Sep 2020

The objective of the study was to assess the correlation between periodontal disease and oral health related quality of life amongst study sample. It was a case control study including 632 individuals screened by calibrated examiners at Department of Oral Diagnosis , Dental Hospital, Sialkot, Pakistan. Oral examination was carried out by two calibrated examiners to measure the periodon-tal disease i.e. (CAL more than 2 mm, BOP more than 6 sites and PPD more than 4 mm). Three hundred and sixteen (316) were participants with periodontal disease (case group) and 316 were participants without periodontal disease (control group). A back translated Urdu version of the standardized validated oral health impact profile (OHIP-14) questionnaire was used to quantifying the impact on quality of life in both groups. Approximately 63.0% participants in case group had trouble in pronouncing words due to periodontal disease and only 9.0% in control group reported this issue. 83% participants had painful itching in mouth in the case group and 13% in control group. Majority (81.5%) of the participants in case group were uncomfortable in eating food and 72.9% felt tense due to periodontal disease. 69.7% participants in case group were found irritable with other people as compared to only 5% in control group. Periodontal disease showed a significant correlation with oral health related quality of life amongst the study population.

Can oral health‑related quality of life be worsened by dental appointments?

Article

Full-text available

Sep 2020

Background: Constraints in dental access and limitations associated with service delivery necessitate the use of an appointment system in patient care. This research aimed to identify association between treatment appointments and oral health‑related quality of life (OHRQOL) in dental patients at the Lagos State University Teaching Hospital. Materials and Methods: This was a descriptive study that surveyed 412 individuals. Socio‑demographic, clinical history, and OHRQOL data was collected using a structured interviewer administered questionnaire. Visual analog scale (VAS) was used to assess inconvenience while the oral health impact profile‑14 was used for OHRQOL assessment at baseline and at review. Data entry and analysis was done using SPSS while ANOVA and Chi‑square tests were used to determined significant association. P < 0.05 was considered significant. Results: Most (175; 45.2%) dental appointments were within a month although 59 (15.2%) individuals had to wait for more than 6 months. Using VAS, 87 (22.5%) individuals were moderately inconvenienced while 68 (17.6%) were extremely inconvenienced. At baseline, the most commonly reported oral health quality of life impacts were within the dimensions “physical pain” and “psychological discomfort.” At review, there was increase in OHRQOL scores in the subdomains of pain (2.27 ± 1.80), self‑consciousness (1.67 ± 1.15), discomfort on chewing (1.61 ± 1.13), and pronouncing words (1.49 ± 2.21). The highest mean impact score (2.27 ± 1.80) was observed in the subdomain of painful aching in the mouth. Conclusion: Dental appointments appear to result in worse OHRQOL. Since the appointment systems in public oral health facilities may have a direct bearing on OHRQOL of patients, quality control standards on dental appointments should be established and enforced.

Original Research Patient Preference and Compliance between Hawley Retainers and Vacuum- Formed Retainers following Orthodontic Treatment

Article

Full-text available

May 2020

Introduction: The traditional Hawley retainer has been replaced in many orthodontic clinics by vacuum-formed retainers (VFRs). Aim: To determine differences in compliance and reasons for noncompliance between Hawley and VFRs. Hypothesis: There will be increased compliance with VFRs due to better esthetics, speech, and comfort. Methods: In consecutive months but in a different order, two treatment groups received a set of Hawleys and VFRs following comprehensive treatment. All patients were instructed to wear retainers full time. Patients filled out a standard questionnaire at recall appointments to gauge compliance and preferences between retainer types. Results: There was an increase in preference for and compliance with VFRs within each group. The patients in both groups were reported greater compliance the month they were given VFRs. Following 2 months, all patients showed a preference for VFRs. Reasons for choosing VFRs over Hawleys included esthetics, fit, speech, and comfort. Conclusions: Vacuum-formed retainers when compared directly are preferred over Hawley retainers and lead to higher levels of compliance in the short-term orthodontic retention phase of treatment.

MEASURES USED IN EVALUATION OF QUALITY OF LIFE RELATED TO ORAL-DENTAL HEALTH: REVİEW

Article

Full-text available

Jan 2017

zet Yaşam kalitesi; bireyin fiziksel, sosyal, psikolojik ve ekonomik olarak genel iyilik hali olup kişinin yaşamdan zevk almasıdır. Başka bir ifadeyle kişinin memnuniyet derecesinin göstergesidir. Yaşam kalitesi, hastaların diş hekimliği alanında yapılan tedavilerde memnuniyet derecesinin bilinmesi, yapılan tedavilerin eksikliklerinin tamamlanmasında ve alternatif metotların denenmesinde önemlidir. Bu nedenle ""ağız-diş sağlığına bağlı yaşam kalitesi""(ASYK) kavramı ve ölçeklerine olan ilgi gittikçe artmaktadır. Geçmişten günümüze kadar bu konu ile ilgili çeşitli ölçekler geliştirilmiştir. Bu çalışma, ASYK değerlendirilmesinde sık kullanılan ölçekler ile ilgili literatür taramasının bir derlemesidir. Gelecekte yapılacak çalışmalara ve yeni geliştirilecek ölçeklere rehber olacaktır. Anahtar kelimeler: Yaşam kalitesi, Ağız-diş sağlığı, Ölçekler Abstract Quality of life; It is the general well-being of the individual physically, socially, psychologically and economically and it is the person's enjoyment from life. In other words, it is a measure of the degree of satisfaction of the person. Quality of life is important to know the degree of satisfaction in the treatment of patients in the dentistry field, to complete the deficiencies of the treatments and to try out alternative methods. For this reason, interest in the concept and scale "Oral-Dental Health Related Quality of Life" (OHRQoL) is increasing. Various scales related to this subject have been developed from the past to the present day. This study is a review of the literature on commonly used scales in assessing OHRQoL. This review will guide future work and new scales to be developed.

An Evidence‐Based Approach to Outcome Measurement in Oral and Dental Health Services: Oral Health‐Related Quality of Life and Oral Health Impact

Article

Sep 2019

Purpose: The purpose of this study was to examine the Oral Health-Related Quality of Life (OHRQOL) and Oral Health Impact Profile (OHIP) of oral and dental health patients in terms of gender, educational status, and the reason for coming to the oral health center. Also, we investigated the relationships between OHRQOL and OHIP. Methods: This cross-sectional study was conducted and planned for dental patients in Turkey. OHRQOL-United Kingdom (OHRQOL-UK) and OHIP-14 were used for data collection. Descriptive statistics, correlation analysis, student t-tests, and ANOVA were used for data analyses. Results: Of 527 respondents, 62.8% were female, and 37.2% were male. One-hundred-forty-one (26.8%) participants were illiterate. Three-hundred-fifty-four (67.20%) dental patients had an elementary school degree. Only 32 (6.10%) participants graduated from college and bachelor programs. For dimensions of the OHIP-14 and OHRQOL-UK, we detected statistically significant differences in personal characteristics. We found that gender, marital status, age, education status, and reasons for coming to the hospital have a significant impact on OHRQOL and OHIP. Linking evidence to action: These results are expected to provide important evidence-based information to health managers and decision-makers in health planning and reimbursement policies. Clinicians and health managers should use OHIP, quality of life (QOL), and evidence-based practice to determine individual treatments and approaches to improve oral health. QOL is an outcome indicator in healthcare services and evidence-based practice. Measurements of evidence-based health outcomes in national health systems can be made, and global comparisons and policies in oral and dental health can be developed.

Assessment of oral health-related quality of life as a function of non-invasive treatment with high-fluoride toothpastes for root caries lesions in community-dwelling elderly

Article

Full-text available

Jul 2018

Purpose Non‐invasive treatment of root caries lesions (RCLs) may impact oral health‐related quality of life (OHRQoL), but no evidence is available. The purpose of the study was to assess changes in OHRQoL among patients exposed to non‐invasive treatment of RCLs with conventional or high‐fluoride dentifrices. Methods To be eligible, subjects had to be ≥60 years of age, independently living, with at least five teeth and one RCL. The 14‐item Oral Health Impact Profile for adults in Spanish (OHIP‐14Sp), oral examination and sociodemographic data were documented at the beginning of the study (T0). The presence and activity of RCLs were detected and diagnosed. Subjects were randomly assigned to either the control (1,450 ppm fluoride) or the experimental (5,000 ppm fluoride) treatment group. A new set of measurements was obtained at 12 months (T1). Mean comparisons were carried out using the Student's t‐test for total OHIP‐14Sp scores. To determine whether T1 OHRQoL scores were different regarding sex, age, educational level and socio‐economic status, mean OHIP‐14Sp scores were obtained and compared with those variables at 12 months. Results An overall improvement in OHRQoL after the non‐invasive treatment of RCLs was verified when T1 was compared with T0 (P < 0.0001). Regarding treatment type, no significant differences were detected between groups (P = 0.114). Subjects with higher income and more years of formal education had better OHRQoL than those with a lower salary (P < 0.0001) and with fewer years of education (P = 0.0006). Conclusions Non‐invasive treatment for RCLs in community‐dwelling elders appears to cause a positive impact on OHRQoL. Better OHRQoL was associated with higher socio‐economic status and educational level. No significant differences were detected regarding the fluoride concentration in the dentifrices.

Derivation and validation of oral health impact profile-14 for odia-speaking adults

Article

Full-text available

Jan 2018

Background: Assessment of oral health-related quality of life (OHRQoL) is gaining importance. However, there is unavailability of such a tool in the linguistically and culturally different settings such as that of Odisha. The aim of this study was derivation and validation of Oral Health Impact Profile-14 (OHIP-14) for Odia-speaking adults. Methods: The OHIP-14 questionnaire was translated into the Odia language conforming to the standard cross-cultural translation methodology. The tool was validated and used for estimating the quality of life in 150 dental patients (36.31 ± 11.57 years; 77 males and 73 females). The internal consistency for reliability was measured using Cronbach's alpha. Construct validity of the instrument was checked with self-reported oral health and oral hygiene index scores. Results: Cronbach's alpha for the Odia version of the OHIP-14 was 0.862. The corrected item-total correlation coefficients ranged from 0.316 (functional limitation) to 0.674 (handicap). It was observed that patients with good self-perceived oral health had significantly lower OHIP-14od scores and those with poor oral hygiene had significantly greater OHIP-14od scores. Conclusion: Despite cultural variations, the translated Odia version of the OHIP-14 questionnaire is a reliable and valid instrument to measure the OHRQoL in the Odia-speaking adult population.

Creating a Quality of Life Index for Patients with Temporomandibular Disorders

Article

Full-text available

Nov 2017

Objective: To create a new quality of life (QOL) questionnaire specifically for temporomandibular disorder (TMD) patients. Materials and Methods: From April 2016 to March 2017, individuals undergoing initial examinations or treatment for TMD at our dental hospital (i.e., patient group) and individuals with no diagnosis or subjective symptoms of TMD (i.e., control group) completed self-assessed questionnaires (ethical approval no. 1285). We compared intergroup differences in the mean scores, and ranked questions by the size of the difference. We then created a novel 16-item questionnaire. Cronbach's alpha was 0.950. Correlation of the total scores of the questionnaire with the numerical rating scale (NRS; to assess pain) and with the Hospital Anxiety and Depression Scale (HADS; to assess TMD-related psychosocial and functional disturbances) was evaluated using correlation coefficients. Results: Participants were ≥ 20 years old. The patient group and control group comprised 103 participants and 173 participants, respectively. In both groups, the correlation coefficients for the questionnaire's total scores with the NRS (0.6-0.8) and with the HADS showed moderate or higher correlations. Conclusions: The questionnaire strongly correlated with the patients' pain intensity and subjective level of disturbance and may be used as an index for TMD patients' QOL level or therapeutic effect.

Is there an occupational status gradient in the development of periodontal disease in Japanese workers? A 5-year prospective cohort study

Article

Full-text available

Oct 2016

Background Development of periodontal disease (PD) may be affected by socioeconomic status. This study examined the relationship between occupational status and PD in a 5-year prospective cohort of Japanese workers. Methods In total, 19,633 participants had initial examinations at the Aichi Health Promotion Foundation, of whom 8210 participants aged 20 years or older did not have PD. Follow-up examinations were conducted for 3757 participants, accounting for 45.8% of baseline participants. Ultimately, 3390 participants were analyzed according to the criterion of job classification at baseline, which was based on the International Standard Classification of Occupations, 1987. Oral examinations were performed using the Community Periodontal Index (CPI). The CPI scores were coded as follows: healthy (score of 0); bleeding after probing (1); dental calculus (2); shallow pockets (3); and deep pockets (4). Participants with one or more sextants with a score >2 were diagnosed with PD. Poisson regression analysis was performed to adjust for age and other potential confounders. Results Overall, 31.6% of men and 23.8% of women had developed PD (CPI scores of 3 or 4). The adjusted relative risk (RR) for PD (CPI scores of 3 or 4) in men was not significant. On the other hand, the adjusted RRs for PD (CPI score of 4) in men were 2.52-, 2.39-, and 2.74-fold higher for skilled workers, sales persons, and drivers, respectively, than for professionals. In contrast, we found no gradient in women. Conclusions We found a gradient related to the risk of developing PD according to occupational status among men in a Japanese worker population.

Scaling and Root Planing per Quadrant Versus One-Stage Full-Mouth Disinfection: Assessment of the Impact of Chronic Periodontitis Treatment on Quality of Life-A Clinical Randomized Controlled Trial

Article

Full-text available

Sep 2015
J PERIODONTOL

Background: There are few randomized controlled clinical trials about the effect of non-surgical periodontal treatment on oral health-related quality of life (OHRQL). This study aims to compare the effect of two different forms of non-surgical periodontal therapy, scaling and root planing (SRP) per quadrant and one-stage full-mouth disinfection (FMD), on periodontal clinical parameters and OHRQL of patients with chronic periodontitis. Methods: In this randomized controlled clinical trial, the questionnaires Oral Impacts on Daily Performance (OIDP) and Oral Health and Quality of Life (OHQoL) were given to 90 patients divided into two groups: SRP (n=45) and FMD (n=45). Periodontal clinical parameters collected included probing depth (PD), clinical attachment level (CAL), plaque index (PI), and gingival index (GI). For statistical analysis, the Chi-square test, Fisher(')s exact test, Mann-Whitney test, and Wilcoxon test were used. Intention-to-treat analysis were performed at T0 (baseline) for periodontal clinical parameters, T1 (30 days after treatment) for questionnaires, and T2 (180 days after treatment) for both. Results: No significant differences were identified between the SRP and FMD groups in regard to OHQoL and OIDP scores when comparing the data of T1 and T2. Conclusion: Patients treated by both SRP and FMD showed improvement in all periodontal clinical parameters and OHRQL, with no significant differences between treatment groups.

Dental implants inserted in male versus female patients: A systematic review and meta-analysis

Article

May 2015

The aim of this meta-analysis was to test the null hypothesis of no difference in the failure rates, marginal bone loss (MBL) and post-operative infection for implants inserted in male or female patients, against the alternative hypothesis of a difference. An electronic search without time or language restrictions was undertaken in December 2014. Eligibility criteria included clinical human studies, either randomized or not. Ninety-one publications were included, with a total of 27 203 implants inserted in men (1185 failures), and 25 154 implants inserted in women (1039 failures). The results suggest that the insertion of dental implants in male patients statistically affected the implant failure rates (RR 1·21, 95% CI 1·07-1·37, P = 0·002). Due to the limited number of studies reporting results on MBL, it is difficult to estimate the real effect of the insertion of implants in different sexes on the marginal bone level. Due to lack of satisfactory information, meta-analysis for the outcome 'post-operative infection' was not performed. The results have to be interpreted with caution due to the presence of several confounding factors in the included studies. © 2015 John Wiley & Sons Ltd.

Impact of caries prevalence on oral health-related quality of life among police personnel in Virajpet, South India

Article

Full-text available

Sep 2014

Objective: The objective of this study is to assess the impact of caries prevalence on oral health-related quality of life among police personnel in Virajpet, South India. Materials and Methods: Police personnel were randomly selected from the 296 police staff working in Virajpet, India. They were invited for a dental examination and a questionnaire survey. A self-administered questionnaire was used to collect their demographic information, and to determine the oral health-related quality of life (OHRQoL). Caries experiences of the participants were recorded as per the World Health Organization (WHO) criteria (1997). The analysis of variance (ANOVA) was used to compare within-group differences of the selected sociodemographic factors and the Chi-square analysis was used to explore the association between the variables. Results: All the 172 invited participants joined this study. Their mean age was 38.02 ± 9.08 years. There was no significant difference in oral health-related quality of life scores according to gender and age. The prevalence of dental caries was found to be 78% in the current study. Data analysis showed that there was no statistically significant association between the oral health-related quality of life scores and caries prevalence. Conclusion: The present study showed that there was no association between the oral health-related quality of life and caries prevalence among the police personnel in Virajpet.

Reliability and Validity of the Dental Anxiety Question Used With Children

Article

Sep 2022
Anesth Progr

Objective: Dental fear screening is an important part of providing a positive pediatric dental experience. To improve efficiency, the development of a single-item dental fear assessment tool for children has been desired. In this psychometric analysis, the reliability and validity of the Dental Anxiety Question (DAQ) is studied when used in children aged 7 to 18 years. Methods: Participants completed the DAQ (pre-tx-DAQ), the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and a demographic information questionnaire before treatment. Participants repeated the DAQ after treatment (post-tx-DAQ) and once more at least 2 weeks later (follow-up-DAQ). Stability reliability within the DAQ scores and criterion validity with the CFSS-DS were evaluated. Results: Stability reliability analyses between pre-tx-DAQ/post-tx-DAQ and post-tx-DAQ/follow-up-DAQ demonstrated significant positive correlations: Spearman rank correlation coefficient (rs) = 0.420, rs2 = 0.18, P < .001, and rs = 0.563, rs2 = 0.32, P < .001, respectively. Criterion validity analysis between the pre-tx-DAQ and CFSS-DS also demonstrated a significant correlation: Pearson correlation coefficient (r) = 0.584, r2 = 0.34, P < .001. Conclusion: The stability reliability and criterion validity of the DAQ was proved among children.

Assessment of oral health related quality of life (OHRQL) in patients with periodontitis: A cross sectional survey

Article

Full-text available

Feb 2022

Health related quality of life is attaining more attention and is considered as an important marker of patients’ perception of disease. The impact of oral diseases on the oral health related quality of life (OHRQL) is of immense importance, but very few studies exist on the impact of periodontitis on quality of life. : This study was aimed to find out the relationship between periodontitis and OHRQL. A cross sectional survey was conducted at the outpatient Department of Periodontics, Government Dental College, Thiruvananthapuram, Kerala among 158 patients presented with periodontitis who satisfied the inclusion criteria. Data collection was done by using a proforma for recording age, gender and socioeconomic status. Clinical periodontal parameters such as clinical attachment loss (CAL), probing pocket depth (PPD), simplified oral hygiene index (OHI-S), gingival index (GI) using UNC 15 probe were examined. OHRQL was assessed using the Malayalam version of OHIP-14. Descriptive statistics were used to describe quantitative and qualitative variables. Association between periodontitis and OHRQL was analysed using Spearman’s correlation coefficient. Severity of periodontitis and OHRQL and each domains of quality of life and was determined using Kruskal-Wallis test. There is statistically significant association of OHRQL with CAL (r=0.16; p= 0.04). Other periodontal parameters (PPD, OHIS and GI) depicted a very weak positive correlation with OHRQL but none was statistically significant (r=0.15, p=0.07; r=0.13, p=0.10 and r=0.14, p=0.08 respectively). There is no statistically significant association between severity of periodontitis and OHRQL (p=0.24). The maximum affected domains are physical pain, psychologic discomfort and physical disability among the seven domains. Periodontitis have a definite impact on the OHRQL of this selected population. The perception of OHRQL can vary with difference in cultural background and between individuals. Further long term studies with a larger sample size and comparison with a healthy periodontium is necessary to validate the results.

Article

Full-text available

Feb 2022
PERIODONTOL 2000

Dental implants have become a mainstream treatment approach in daily practice, and because of their high survival rates over time, they have become the preferred treatment option for prosthetic rehabilitation in many situations. Despite the relatively high predictability of implant therapy and high costs to patients, patient perceptions of success and patient‐reported outcome measures have become increasingly significant in implant dentistry. Increasing numbers of publications deal with oral health‐related quality of life and/or patient‐reported outcome measures. The aim of this paper was to provide an overview of the available evidence on oral health‐related quality of life of fully and partially dentate patients rehabilitated with fixed and removable implant‐supported dental prostheses. A comprehensive electronic search was performed on publications in English up to 2021. A selection of standardized questionnaires and scales used for the evaluation of oral health‐related quality of life were analyzed and explained. The analysis encompassed three aspects: a functional evaluation of oral health‐related quality of life, an esthetic assessment of oral health‐related quality of life, and a cost‐related evaluation of oral health‐related quality of life for rehabilitation with dental implants. The data demonstrated that the preoperative expectations of patients markedly affected the outcomes perceived by the patients. As expected, reconstructions supported by implants substantially improved the stability of conventional dentures and allowed improved function and patient satisfaction. However, from a patient's perspective, oral health‐related quality of life was not significantly greater for dental implants compared with conventional tooth‐supported prostheses. The connection of the implants to the prostheses with locators or balls indicated high oral health‐related quality of life. The data also suggest that patient expectation is not a good predictor of treatment outcome. In terms of esthetic outcomes, the data clearly indicate that patients’ perceptions and clinicians' assessments differed, with those of clinicians yielding higher standards. There were no significant differences found between the esthetic oral health‐related quality of life ratings for soft tissue‐level implants compared with those for bone‐level implants. Comparison of all‐ceramic and metal‐ceramic restorations showed no significant differences in patients’ perceptions in terms of esthetic outcomes. Depending on the choice of outcome measure and financial marginal value, supporting a conventional removable partial denture with implants is cost‐effective when the patient is willing to invest more to achieve a higher oral health‐related quality of life. In conclusion, the oral health‐related quality of life of patients rehabilitated with implant‐supported dental prostheses did not show overall superiority over conventional prosthetics. Clinicians' and patients' evaluations, especially of esthetic outcomes, are, in the majority of cases, incongruent. Nevertheless, patient‐reported outcomes are important in the evaluation of function, esthetics, and the cost‐effectiveness of treatment with implant‐supported dental prostheses, and should be taken into consideration in daily practice.

Epidémiologie des maladies rares orofaciales en France : qualité de vie orale, accès aux soins bucco-dentaires et parcours de soins des patients

Thesis

Sep 2019

Lisa Friedlander

Les anomalies rares touchant les dents, la cavité buccale et la face sont nombreuses, bien que chaque maladie soit rare. Ces anomalies peuvent aller de quelques dents absentes à de sévères dysmorphoses cranio-faciales très invalidantes sur les plans fonctionnel et esthétique. Elles génèrent des situations de handicap oral fonctionnel et esthétique affectant la qualité de vie, l’intégration sociale, scolaire et professionnelle. Deux études ont été menées afin dans un premier temps, d’offrir une première description épidémiologique des MR orofaciales en France. Puis, une étude a été menée afin de proposer aux pouvoirs publics des pistes pour une meilleure prise en charge des patients. L’étude des données CEMARA, a porté sur les données de 2008 à 2015 basées sur la nomenclature d'Orphanet. Chaque « cas » de maladie rare déclarée a été défini par le statut « malade » et par le degré de certitude du diagnostic, codé comme suit : confirmé, probable ou non classifiable. Les paramètres analysés, présentés avec leurs intervalles de confiance à 95% à l'aide d'un modèle de Poisson, étaient les suivants : heure et âge du diagnostic, proportions de prévalence brute et standardisée de la maladie de DR, par âge, genre et site géographique. Les critères étudiés étaient les proportions de patients en région parisienne et la « géographie des cas inclus » dans laquelle ces proportions étaient projetées sur les autres régions françaises, en tenant compte des populations locales. L’étude ORAQL est une étude de cohorte nationale dans des centres français de maladies rares spécialisés dans les maladies. Les critères d'inclusion étaient les suivants : avoir été pris en charge dans des centres de MR au cours des 5 dernières années (2012-2017) et avoir entre 6 et 17 ans le 1er septembre 2017. Les enfants, aidés de leurs parents si cela était nécessaire, ont été invités à remplir un questionnaire avec dedans un volet qualité de vie avec le questionnaire Child-OIDP. À la fin du questionnaire, un espace libre était laissé au patient pour lui permettre d'ajouter un commentaire textuel afin de fournir des données qualitatives. Une analyse thématique a été utilisée pour analyser les réponses textuelles. En ce qui concerne l’étude des données CEMARA, en région parisienne, la prévalence estimée de ces maladies était de 5,58 pour 10 000 habitants (IC 95 % 4,3-7,1). Au 31 décembre 2015, 11 342 patients étaient référencés au total en France, dont 7294 en région parisienne. Plus de 580 entités cliniques individuelles (code ORPHA) ont été identifiées avec leurs fréquences respectives. La plupart des anomalies ont été diagnostiquées avant la naissance. Près de 80% des patients enregistrés se rendent dans les hôpitaux parisiens pour obtenir soit un diagnostic, soit des soins ou un suivi. Nous avons observé que plus la maladie était rare, plus les patients étaient dirigés vers les hôpitaux parisiens. Pour l’étude ORAQL, les données complètes étaient disponibles pour 110 patients. L'échantillon comprenait 44,5 % de garçons et 55,5 % de filles. Les patients étaient âges 6 à 17 ans et 68,2 % avaient entre 6 et 12 ans et 31,8 % entre 13 et 17 ans. Les facteurs associés à une qualité inférieure étaient : être une fille (p= 0,03), le renoncement aux soins dentaires pour des raisons financières (p = 0,01), avoir une maladie syndromique (p = 0,01), avoir un problème de forme et de couleur des dents (p = 0,03), se sentir isolé, seul et différent des autres enfants (p = 0,003 et p = 0,02). L'analyse qualitative a mis en évidence une très faible prise en charge psychologique des enfants et les patients ont signalé une grande anxiété et une grande peur pour l'avenir. Il existe toujours un déséquilibre notable entre l'offre et la demande de soins de santé dans ce domaine. La qualité de vie des enfants atteints de ces maladies est altérée, notamment du point de vue psychosocial, mais également leur parcours de soins et leurs accès aux soins bucco-dentaires.

Health- and oral health-related quality of life among preschool children with autism spectrum disorders

Article

Dec 2019

Purpose To assess the health-related quality of life (HrQoL) and oral health-related quality of life (OHrQoL) of preschool children with autism spectrum disorders (ASD) and to determine the associated factors. Methods A case–control study of preschool children with and without ASD was undertaken. H&OHrQoL were assessed employing Pediatric Quality-of-Life Inventory Version 4.0 (PedsQL™ 4.0) and Early Childhood Oral Health Impact Scale (ECOHIS). Differences in PedsQL and ECOHIS scores were determined between groups and correlation between PedsQL and ECOHIS was explored. Regression analyses were conducted to determine key factors associated with H&OHrQoL. Results Parents of 510 children (253 cases and 257 controls) completed the H&OHrQoL questionnaire assessments. Significant difference in PedsQL (p < 0.001) and ECOHIS (p < 0.001) scores was apparent between children with and without ASD. There was a positive and weak correlation between PedsQL and ECOHIS scores (r = − 0.45, p < 0.01). In regression analyses, the presence of ASD was associated with an increased likelihood of having lower PedsQL (OR 0.10, 95% CI 0.06–0.15, p < 0.001) and higher ECOHIS scores (OR 2.34, 95% CI 1.60–3.42, p < 0.001). Conclusions Differences in H&OHrQoL exist among preschool children with and without ASD. There was a significant but weak correlation between children’s H&OHrQoL. Both H&OHrQoL were associated with autism spectrum disorders.

Epulis Fissuratum: A case report

Article

Full-text available

Jun 2018

Ağız Diş Sağlığının Yaşam Kalitesine Etkisi ve Yaygın Değerlendirme Yöntemleri

Article

Full-text available

Sep 2018

Global oral health in the framework of the Global Charter for the Public’s Health

Article

Full-text available

May 2018
J PUBLIC HEALTH POL

Oral diseases are a neglected epidemic affecting all ages globally and can substantially impact overall health and well-being. Even though most oral diseases are preventable and share major risk factors with other non-communicable diseases, integration of oral health into public health systems is still limited in both clinical and health policy perspectives. This Viewpoint aims to highlight oral health from a global health perspective, calling for all public health leaders to advocate for oral health of all. We strongly recommend oral health as an essential part of public health policy and oral health-related activities to be aligned with the Global Charter for the Public’s Health Framework.

Does dental anxiety influence oral health related quality of life?

Article

Jan 2009

Prabu Duraisamy

We investigated the effect of dental anxiety and dental visiting habits, as well as various socio-demographic variables, on oral health-related quality of life (OHQoL) among subjects aged 15-54 years living in Udaipur district, India. The total sample size was 1235 individuals and a stratified cluster sampling procedure was employed to collect the representative sample. Dental anxiety and oral health-related quality of life were assessed using the Corah Dental anxiety scale and the OHQoL-UK(W) © questionnaire, respectively. The majority of the female and older individuals showed higher dental anxiety than their male and younger counterparts. Stepwise linear regression analysis revealed that the best predictors of dental anxiety were, in descending order, occupation, gender and education, which provided a variance of 10.3%. Females were more likely to have poor OHQoL than males. Dental anxiety had a significant influence on OHQoL, people with high dental anxiety being 2.34 times more likely to present poor OHQoL than those having low anxiety. Furthermore, it was found that those who never visited a dentist had an odds ratio of 1.62 for poor OHQoL relative to those who had visited a dentist within the last 12 months. Dental anxiety differed significantly with age and dental visiting practices, and had a significant impact on oral health-related quality of life after controlling for other variables. (J Oral Sci 51, 245-254, 2009)

Article

Full-text available

Oct 2016

Introduction: Oral Health‑Related Quality of Life (OHRQoL) indicates an individual’s perception of how their well-being and quality of life is influenced by oral health. It facilitates treatment planning, assessing patient centred treatment outcomes and satisfaction. Aim: The study aimed to identify the factors influencing OHRQoL among Tamil speaking South Indian adult population. Materials and Methods: Non-probability sampling was done and 199 subjects aged 20-70 years were recruited for this observational study. The subjects were requested to fill a survey form along with the validated Tamil General Oral Health Assessment Index (GOHAI-Tml) questionnaire in the waiting area following which clinical examination was done by a single experienced Periodontist. Results: The mean score with standard deviation for physical dimension was 4.34±0.96, psychological dimension was 4.03±1.13 and pain was 4.05±1.09 on GOHAI. Greater impacts were seen for psychosocial dimensions like pleased with the appearance of teeth/denture Q7 (3.7±1.2), worried about the problems with teeth/denture Q9 (3.7±1) and pain or discomfort in teeth Q12 (3.8±1). Functions like swallowing Q3 (4.5±0.8) and speaking Q4 (4.6±0.7) were minimally affected. As age increased subjects perceived more negative impacts as indicated by lower ADD-GOHAI and higher SC-GOHAI scores (p

Quality of Life and Oral Health Impact Profile in Turkish Dental Patients

Article

Apr 2016

Background: OHRQoL, oral health impact assessment and QoL in oral health have become central to dental and oral health research. Researchers studying oral health problems have used OHRQoL as an outcome measure to determine the effect of treatment on QoL in health technology assessment. Aim: Here we aimed to evaluate the effect of oral health related quality of life and oral health impact dimensions on general health related quality of life. Method: Outpatients (n=527) at a public dental hospital were incorporated into the study. Data were collected using a survey, including questions addressing socio-demographic features, oral health related quality of life (Oral Health Impact Profile-14 [OHIP14] and Oral Health Related Quality of Life - United Kingdom [OHRQoL-UK]) and general health related quality of life (SF-36). Results: We found that OHIP-14, OHRQoL-UK responses significantly correlated with the physical and mental health dimensions of the SF-36. Our data will be useful for health managers and decision makers in health planning and reimbursement policies. Conclusion: The research results are expected to provide important evidence based information to health managers and decision makers in health planning, health technology assessment, and reimbursement policies.

Impact of periodontal status on oral health-related quality of life among police personnel in Virajpet, India

Article

Dec 2014

AimThe aim of the present study was to determine the association between oral health-related quality of life (OHRQoL) and periodontal status among police personnel in Virajpet, India.Methods Police personnel were randomly selected from the 296 police staff working in Virajpet, India. A self-administered questionnaire was used to collect information on their demographics and dental visit behavior, and to determine their OHRQoL. The community periodontal index (CPI) and loss of attachment were used to assess periodontal status.ResultsAll 72 invited participants joined this study. The majority (n = 133) had good OHRQoL. For those with a good OHRQoL, 74 had CPI = 0, 25 had CPI = 1, 20 had CPI = 2, and 14 had CPI ≥ 3. For those who had an average or poor OHRQoL (n = 37), 19 had CPI = 0, one had CPI = 1, eight had CPI = 2, and nine had CPI ≥ 3. There was a statistically-significant association between OHRQoL and CPI (P < 0.003). Most participants with good OHRQoL (127/133), but only less than half with an average or poor OHRQoL (22/37), had no loss of periodontal attachment (P < 0.0001).Conclusion In the present study, there was an association between OHRQoL and periodontal status among police personnel in Virajpet, Coorg.

A review of the influences of oral health on quality of life

Article

Full-text available

Jan 1999

Quality of life has emerged as the main focus of initiatives across a number of disciplines. With the growing recognition that health is of central importance to quality of life, there has been an explosion of interest in this factor in the medical context. This is equally true in dentistry and this, in turn, has led to advances in defining the concept of ‘oral health related quality of life’ and attempts to measure it. Along with other groups, oral health promoters have embraced this issue as a means of bringing about behavioural change. However, central to developing this area is an assessment of the tools available for measuring it.

Variations in the Social Impact of Oral Conditions Among Older Adults in South Australia, Ontario, and North Carolina

Article

Full-text available

Aug 1996

Previous studies among older adults have demonstrated that oral disease frequently leads to dysfunction, discomfort, and disability. This study aimed to assess variations in the social impact of oral conditions among six strata of people aged 65 years and older: residents of metropolitan Adelaide and rural Mt Gambier, South Australia; residents of metropolitan Toronto-North York and non-metropolitan Simcoe-Sudbury counties, Ontario, Canada; and blacks and whites in the Piedmont region of North Carolina (NC), United States. Subjects were participants in three oral epidemiological studies of random samples of the elderly populations in the six strata. Some 1,642 participants completed a 49-item Oral Health Impact Profile (OHIP) questionnaire which asked about impacts caused by problems with the teeth, mouth, or dentures during the previous 12 months. The percentage of dentate people reporting impacts fairly often or very often was greatest among NC blacks for 41 of the OHIP items. Two summary variables of social impact were used as dependent variables in bivariate and multivariate least-squares regression analyses. Among dentate people, mean levels of social impact were greatest for NC blacks and lowest for NC whites, while people from South Australia and Ontario had intermediate levels of social impact (P < 0.01). Missing teeth, retained root fragments, root-surface decay, periodontal pockets, and problem-motivated dental visits were associated with higher levels of social impact (P < 0.05), although there persisted a two-fold difference in social impact across the six strata after adjustment for those factors Among edentulous people, there was no statistically significant variation in social impact among strata. The findings suggest that there are social and cultural factors influencing oral health and its social impact, and that those factors differ most between dentate blacks and whites in NC.

An evaluation of a new measure of oral health related quality of life - OHQoL-UK(W)

Article

Full-text available

Sep 2001
COMMUNITY DENT HLTH

The aim was to test the reliability and validity of an instrument used to measure the impact of oral health on quality of life. The instrument tested was the indicator OHQoL-UK(W), which was developed, based on a general UK population's perceptions of how oral health affects life quality. OHQoL-UK(W) consists of a battery of 16 questions, which takes into account both 'effect' and 'impact' of oral health on life quality, incorporating dimensions and an individualised weighting system. A questionnaire containing the indicator was administered to a sample of 500 adults. Determining associations between OHQoL-UK(W) scores, socio-demographic and self-reported oral health status assessed its construct validity. The criterion validity of the indicator was assessed in the absence of a 'gold standard' by correlating OHQoL-UK(W) scores to self-rating of oral health status. The internal reliability of the indicator was assessed using Cronbach's alpha. The response rate was 78%. Associations between OHQoL-UK(W) scores and self-reported number of natural teeth (P<0.01) and denture status (P<0.01) supported the construct validity of the indicator. In addition, OHQoL-UK(W) scores were associated with socio-demographic factors; age (P<0.05), employment status (P<0.01) and ethnicity (P<0.05). The instrument was also associated with self-rating of oral health status (P<0.01), supporting the criterion validity of the indicator. The internal reliability was high with a Cronbach alpha value of 0.94. OHQoL-UK (W) appears to be a valid and reliable measure for assessing the impact of oral health on life quality.

The value and use of “quality of life” measures in the primary dental care setting

Article

Full-text available

May 1999

General dental practitioners are used to taking a dental history and carrying out an examination. The history and examination invariably form the basis of the patient-dentist dialogue with regard to the treatment to be provided and the financial costs involved. The dialogue between patient and dentist is complex, and the importance of 'quality of life' for the patient is now emerging as a central focus of this dialogue. This paper explores the concept of 'quality of life'. In terms of oral health, and considers the potential of 'oral health-related quality of life' measures for general dental practice. Examples of their use in general dental practice are considered, in relation to marketing dental services, improving compliance in treatment plans, assessing the quality of care and improving communications between the patient and the dental team. Quality of life indicators are being used in the healthcare sector for commissioning, planning and evaluating services. In addition, primary care researchers are using these indicators as part of their evidence-based treatment approaches. As general dental practitioners become more involved in planning services and research, it is important they understand the impact of 'quality of life' indicators have on their treatment and practice management.

Associations of self-reported dental health and general health measures in the Rand Health Insurance Experiment

Article

Jan 2006

Successful Aging: Implications for Oral Health

Article

Dec 2000
J PUBLIC HEALTH DENT

H. Asuman Kiyak

The past few years have seen a growing emphasis in gerontology on the concept of “successful” or “robust” aging. This represents a major paradigm shift in the field from a focus on declines in physical and social functioning, assumptions of the aging process as a downward spiral, and studies on how to manage these declines. Leading the way toward this new perspective on aging, the MacArthur Studies of Successful Aging asked the fundamental question: “What genetic, biomedical, behavioral, and social factors are crucial to maintaining health and functional capacities in the later years?” These studies examined longitudinally a large cohort of independent elders on several physical, cognitive, emotional, and social parameters. Other researchers have focused on the theme of robust aging; however, common predictors have emerged, such as remaining active physically and cognitively, maintaining social contacts, and avoiding disease. This research is timely, given the expanding population of the oldest old, and with successive cohorts demonstrating the “compression of morbidity” phenomenon. Such a paradigm shift is critical in geriatric dentistry as well, where successful aging is evident in the growing number of older adults who have retained their natural dentition into advanced old age. This presentation draws parallels between successful aging at the systemic and oral health levels, with illustrations from epidemiologic studies that demonstrate trends in improved health and quality of life among newer cohorts of older adults.

Associations of self-reported dental health and general health measures in the Rand Health Insurance Experiment (Review)

Article

Mar 1991

Data from the Rand Health Insurance Experiment (HIE) are used in exploratory analyses to examine the associations of self-reported dental health with general health measures. Responses of 1658 dentulous participants 18-61 yr of age are examined. Patterns of association among and between items of the physical, mental, social, and general health indices and a three-item measure of self-reported dental health are tested using principal component analyses. Findings suggest that dental health represents a separate dimension of health that is not fully accounted for by other health measures. However, while dental health may be considered an independent health construct, the dental health index was weakly but statistically significantly associated with the general health perceptions index and, to a lesser extent, to the mental health index and the two physical health indices. Improved self-reported measures of dental health status, studied in association with other general health measures, will allow us to better define oral health, and patients' perceptions of oral health, particularly in relation to other general health perceptions. In addition, a valid and reliable multidimensional oral health measure would be valuable as a potential cost-effective method of epidemiologic data collection, as well as a tool for evaluating the effectiveness of oral health interventions, and for providing data for dental health policy making and planning.

The effects of temporomandibular joint disorders on patients' quality of life

Article

Oct 1989
COMMUNITY DENT HLTH

A sample of 30 patients with temporomandibular joint dysfunction was studied in order to investigate the sensitivity of quality of life indicators to the impact of this condition. Patients from four private dental practices were referred into the study and they completed mailed questionnaires at their initial visit to the dentist, at one month and at six months from the first visit. The questionnaire collected data on sociodemographic characteristics, symptoms, perceptions and functional capacity. Indicators of social dysfunction, pain and anxiety were most sensitive to the condition, showing significant changes over time with treatment. However, clinical measures of perceived oral functioning, such as clicking, popping and biting ability, did not change significantly over time. The findings suggest that social dysfunction associated with this condition is likely to recur given that problems with oral functioning are not resolved. Future research should be aimed at investigating the social and psychological conditions under which temporomandibular problems lead to exacerbation of pain and resulting social dysfunction.

Measuring Oral Health: A conceptual framework

Article

Apr 1988
COMMUNITY DENT HLTH

D Locker

Oral health and the quality of life

Article

Feb 1987
J Am Coll Dent

Donald Bernard Giddon

Relation between Clinical Dental Status and Subjective Impacts on Daily Living

Article

Aug 1995

Although clinical dental status has weak correlations with subjective impacts, some of them are significant. Those variables which had significant correlations could be used as a starting point to understand clinical and social characteristics of people who experience dental problems. This is indeed the basis for the current research. The study compares psychosocial impacts on the quality of people's life with their respective oral status. To that end, a socio-dental indicator, the 'Dental Impact of Daily Living' (DIDL), involving five dimensions, together with a scale which assesses dimension impacts, was developed. The resulting instrument was validated and the reliability tested. The instrument generates a total final score, in addition to scores for each dimension. The method was tested in Brazil on a sample of 662 people, aged from 35 to 44 years, of two social classes, both sexes, and with three different levels of dental caries status or with a full upper denture. To test whether DIDL discriminated between groups with different levels of subjective impact, we analyzed how oral status, social class, and gender varied according to impacts. Different levels of oral status had different impacts on people's daily life. On the basis of the results, it is reasonable to suggest that oral status and social and psychological dimensions should be considered simultaneously when in assessment of people's dental needs.

Quality of Life—an Outcome of Oral Health Care?

Article

Feb 1996

Helen C. Gift

Comparing the Impact of Oral Disease in Two Populations of Older Adults: Application of the Geriatric Oral Health Assessment Index

Article

Feb 1997

This study compares the distributional and psychometric properties of the Geriatric Oral Health Assessment Index (GOHAI) in two samples of older adults, and examines how the self-perceived impact of oral disease, as measured by the GOHAI, varies in accordance with sample sociodemographic and health characteristics. Results are based on survey data from two samples of older men: a Medicare sample of patients using community physicians (n = 799; mean age = 74) and users of VA ambulatory health care (n = 542; mean age = 72). The findings indicate significant differences between samples in mean GOHAI scores, with the VA sample exhibiting worse scores. A number of similarities in psychometric properties of the instrument across the two samples were found: high internal consistency reliability and similar inter-item and item-scale correlations. Factors analyses revealed somewhat different structures between the two samples, but explained similar amounts of variance; regression analyses indicated that income and self-rated oral health were significant predictors of GOHAI scores in both samples. The GOHAI exhibits satisfactory psychometric properties in both samples of older men. Results suggest continued use of the GOHAI as an indicator of the impact of oral conditions on functioning and well-being in a variety of samples.

Use of oral health-related quality-of-life measures in managed dental care organisations

Article

Apr 1998
COMMUNITY DENT HLTH

B A White

To review the current status of oral health related quality of life measures as used in dental managed care plans and discuss the potential for their application in such delivery settings. Three questions guided this analysis. First, what additional work is needed in the development or application of quality of life measures in dental managed care settings? Secondly, how can existing quality of life measures be used most effectively now in dental managed care settings? Finally, can existing data be used for secondary analyses of 'generic questions' concerning the relationship between oral health care and quality of life outcomes in dental managed care settings? Oral health related quality of life measures presented at the conference were considered. Currently available oral health related quality of life measures have limited applicability in dental managed care settings. Additional work is needed--involving dental plan administrators, purchasers, patients, and practitioners--to develop a set of questions. Such a set of questions should be able to provide inter alia information on the relationship between oral health related quality of life measures and plan structure and administration, level of dental benefits, and effectiveness and appropriateness of dental treatment. Without additional work, existing measures cannot be used effectively in managed dental care settings. Data currently available from dental managed care plans are sparse, limiting the potential for further analysis.

Uses of oral health related quality of life measures in Public Health

Article

Apr 1998
COMMUNITY DENT HLTH

Jane A Weintraub

The purpose of this paper was to review the current status of oral health related quality of life (OHRQoL) measures from a dental public health perspective. Three questions are posed. (1) What additional work is needed in the development or application of quality of life measures? (2) How can existing quality of life measures be used most effectively now? (3) Can existing data be used for secondary analyses of 'generic questions' concerning the relationships between oral health care and quality of life outcomes? In answering these questions, methodological issues are discussed, existing sources of data are described, and recommendations are suggested for future directions. Current measures can be used for assessment of oral health impacts in adults, and to a lesser extent, for policy development. Other measures need to be developed that are relevant for children and their families, and for disease prevention and health promotion programmes. Continued psychometric analyses are needed to provide short, valid and reliable instruments that can be easily administered in public health settings. Longitudinal studies are needed to determine if the OHRQoL measures are responsive to access to dental care, different types of care including early diagnosis and treatment, and completion of care. The extensive array of existing measures need to be compared, equivalency of scores determined, and recommendations made for the appropriateness of their use in different circumstances and for different purposes.

Conference summary: Assessing oral health outcomes - Measuring health status and quality of life

Article

Apr 1998
COMMUNITY DENT HLTH

This paper summarises proceedings of a conference that aimed to evaluate existing measures of oral health related quality of life and to recommend new directions for their use in oral health outcomes research. A two day conference was held in Chapel Hill, North Carolina, USA, in June 1996. Background papers, poster-discussion sessions, small group discussions and reactor papers were used to analyse 11 oral health related quality of life instruments and to evaluate their potential for use in health outcomes research. Speakers emphasised the need to include quality of life in multidimensional assessments of oral health outcomes. Existing instruments capture numerous quality of life dimensions using a variety of question- and response-formats. The instruments have been used primarily in cross-sectional, observational studies rather than longitudinal, intervention studies that evaluate health outcomes. There is little experience from their use in long-term follow-up studies and with some special population sub-groups. Recommendations for further research are presented in papers that follow this summary paper. There has been substantial development and use of quality of life measures in oral health surveys, and there is an immediate need for further research that modifies and uses those instruments in oral health outcomes research.

Article

Apr 2000
COMMUNITY DENT HLTH

This study was designed to determine the United Kingdom public's perception of how oral health affects quality of life (QoL) and to determine socio-demographic variations in these perceptions. The vehicle for this study was the ONS Omnibus Survey in the UK. A random probability sample of 2,668 eligible addresses was selected from the British Postcode Address File. Setting The data were collected by qualitative, face-to-face interviews with respondents, nation-wide, in their homes, about how their oral health status affected their QoL. 1,778 adults aged 16 years or older across the UK took part in the study. 75% (1,340) believed their oral health either enhanced or reduced their QoL. Most frequently, this was perceived as being the result of its effect on eating. comfort and appearance. Other ways in which QoL was affected are also presented. Sociodemographic variations were apparent. For example, people from higher socio-economic backgrounds believed that their oral health enhanced their QoL to a greater degree (OR=1.46, CI=1.20, 1.78) than the lower socio-economic groups. Women claimed that their oral health had a greater negative effect on QoL than did men (OR=1.36, CI=1.11, 1.64). Younger people (16-64 years old) reported that their oral health status reduced and enhanced QoL more than older adults (65 years and over) (OR=1.59, CI=1.23, 2.04). The study shows that the UK public perceives oral health as affecting their QoL in a variety of physical, social and psychological ways and that significant socio-demographic variations exist in these perceptions.

The impact of oral health on people in the UK

Article

Mar 2001

Knowledge of the extent of dental disease gives a clinical indication of the experience of dental problems but it does not necessarily reflect the problems that people experience as a result of their dentition. It is becoming increasingly appreciated that the way a disease affects people's lives is just as important as epidemiological measures of its prevalence or incidence. The 1998 Adult Dental Health survey is the first of the decennial series of UK adult dental health surveys to use and report a measure of the self-perceived impact on people of the dental and periodontal diseases and other oral conditions. Over half (51%) of dentate adults said they had been affected in some way by their oral health, and in 8% of cases the impact was sufficient to have reduced their quality of life.

Successful aging: Implications for oral health

Article

Feb 2000

H. Asuman Kiyak

The past few years have seen a growing emphasis in gerontology on the concept of "successful" or "robust" aging. This represents a major paradigm shift in the field from a focus on declines in physical and social functioning, assumptions of the aging process as a downward spiral, and studies on how to manage these declines. Leading the way toward this new perspective on aging, the MacArthur Studies of Successful Aging asked the fundamental question: "What genetic, biomedical, behavioral, and social factors are crucial to maintaining health and functional capacities in the later years?" These studies examined longitudinally a large cohort of independent elders on several physical, cognitive, emotional, and social parameters. Other researchers have focused on the theme of robust aging; however, common predictors have emerged, such as remaining active physically and cognitively, maintaining social contacts, and avoiding disease. This research is timely, given the expanding population of the oldest old, and with successive cohorts demonstrating the "compression of morbidity" phenomenon. Such a paradigm shift is critical in geriatric dentistry as well, where successful aging is evident in the growing number of older adults who have retained their natural dentition into advanced old age. This presentation draws parallels between successful aging at the systemic and oral health levels, with illustrations from epidemiologic studies that demonstrate trends in improved health and quality of life among newer cohorts of older adults.

Gender variation in the social impact of oral health

Article

Jan 2000

There is a growing interest in gender related health issues, however, there is little data concerning the relationships between oral health and gender other than on tooth loss. In particular, there is little information on differences in the social impact of oral health between men and women. The aim of this study was to identify gender variations in the social and psychological impacts of oral health. A random probability sample of 1,865 adults (1,049 women and 816 men) took part in the study to determine how oral health "reduces" and "adds to" quality of life in a nation-wide survey. Women perceived oral health as having a greater impact than men on their quality of life in general, having a greater negative impact (p < 0.01) and a greater positive impact (p < 0.05). Specifically women perceived oral health as causing them more pain (p < 0.05), embarrassment (p < 0.05) and being detrimental to their finances (p < 0.05) compared to men. Women also more frequently perceived oral health as enhancing their life quality (p < 0.05), their moods (p < 0.05), their appearance (p < 0.01) and their general well being (p < 0.01) than men. There are gender variations in the social and psychological impacts of oral health. These findings may help in understanding gender differences in oral health needs and behaviour and have implications in assessing oral health needs.

1439-50. oral health

Jan 1992
87-91

ASSOC 2000;46:87-91. 1439-50. oral health. Geneva: WHO, 1992.

World Health Organization Oral health surveys: basic methods

Jan 1997

World Health Organization. Oral health surveys: basic methods. 4th ed. Geneva: WHO, 1997.

The impact of oral health on people in the UK in 1998

Jan 2001
121

Nuttall

Measuring the Impact of Oral Health on Quality of Life in Britain Using OHQoL-UK©

Abstract

No full-text available

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