Calidad de vida en pacientes atendidos durante la primera fase del tratamiento de ortodoncia / Quality of life in patients treated during the frst phase of orthodontic treatment

Objetivo: evaluar la calidad de vida en pacientes que se encuentran en la primera fase de tratamiento de ortodoncia, ofrecido por un programa de docencia-servicio de educación superior en la ciudad de Medellín. Métodos: se realizó un estudio transversal analítico en los pacientes atendidos en el servicio de ortodoncia. La muestra estuvo compuesta por un total de 104 pacientes. Se empleó un cuestionario estructurado de 12 ítems para evaluar información sociodemográfca. Para estudiar la calidad de vida relacionada con la salud bucal (CVRSB), la cual fue medida con el OHIP-14 (Oral Health Impact Profle 14) validado en el idioma español y datos clínicos tomados en el momento de la consulta odontológica. Resultados: el promedio de edad de los participantes fue de 25,7 ± 12,1 años, edad mínima de 12 y máxima de 60. Se encontraron diferencias estadísticamente signifcativas en los mayores de 30 años y con estudios superiores, principalmente en la extensión y la severidad del impacto en la calidad de vida. Respecto al OHIP-14, el mayor impacto lo presentaron aquellos con apiñamiento severo (8,1 RIC=13), mordida borde a borde (8,0 RIC=6) y relación molar clase III (9,0 RIC=10), con diferencias estadísticamente signifcativas. Conclusiones: este estudio permitió evidenciar que, en general, el impacto en la calidad de vida del OHIP-14 en los pacientes fue bueno durante la primera fase del tratamiento y que las diferencias están relacionadas con la edad, nivel de escolaridad y características oclusales, tales como apiñamiento, overbite y relación molar.

Objective: To evaluate the quality of life in patients with orthodontic treatment in the frst phase of treatment who consult in a higher education teaching-service program in the city of Medellín. Methods: An analytical cross-sectional study was conducted in the patients treated in the orthodontic service. The sample consisted of a total of 104 patients. A 12-item structured questionnaire was used with sociodemographic information, regarding quality of life related to oral health (QOLHR), which was measured with the OHIP-14 (Oral Health Impact Profle 14) validated in the Spanish language and clinical data taken at the time of the dental consultation. Results: The average age of the participants was 25.7 ± 12.1 years, with a minimum age of 12 and a maximum of 60. Statistically signifcant diferences were found in those over 30 years of age and with higher education, mainly in the extension and severity of impact on quality of life. Regarding OHIP-14, the greatest impact was presented by those with severe crowding (8.1 IQR=13), edge-to-edge bite (8.0 IQR=6) and class III molar relationship (9.0 IQR=10), with Statistically signifcant diferences. Conclusions: This study made it possible to show that in general the impact of the quality of life of OHIP-14 in patients was good in the frst phase of treatment and that the diferences are related to age, level of education and its dimensions with occlusal characteristics such as such as crowding, overbite and molar relationship of the patients reported during orthodontic treatment.

Concept of functional dentition and impact on the quality of life of partially edentulous patients / Concepto dentición funcional e impacto en la calidad de vida de los pacientes desdentados parciales

Main Objective: To compare, through the OHIP-7Sp, the impact on the quality of life of partially edentulous patients, according to WHO criteria "with functional dentition", 21 or more teeth and "without functional dentition", less than 21 teeth. Material and Methods: 97 partially edentulous patients were selected between 35 and 75 years old, ASA I or II with ≤ 28 teeth remaining. Were divided in two groups, non-functional dentition (NFD) n=47 and functional dentition (FD) n=50. OHIP-7Sp survey was applied to each patient to measure the impact on quality of life in the seven dimensions considered in this survey. The scale of measurement ranges from 0 to 4, in which 0 is "never" and 4 "always", with a maximum value of 28, considering the instrument in its entirety. Highest score indicates a greater impact on quality of life. For comparison of both groups, the non-parametric Mann-Whitney test was used with a level of 95% significance. Results: Concerning all patients evaluated through the OHIP-7Sp, the mean age was 53 years. There were significant differences in the total OHIP-7Sp score, with a mean and median for the NFD group of 9.53 and 9 and for the FD group 5.02 and 5, respectively. Disaggregating the analysis, significant differences emerged in dimensions 2, 3, 4, 5, and 6 (p<0.05). Conclusion: There was a significantly greater impact on the quality of life, measured with the OHIP-7Sp, in the NFD group compared to the FD group.

Objetivo Principal: Comparar mediante el OHIP-7Sp, el impacto en la calidad de vida de pacientes desdentados parciales, según criterio OMS "con dentición funcional", 21 o más dientes y "sin dentición funcional", menos de 21 dientes. 0 Material y Métodos: Fueron seleccionados 97 pacientes desdentados parciales entre 35 y 75 años, ASA I o II con remanencia de ≤ 28 dientes. Fueron divididos en 2 grupos, dentición no funcional (DNF) n=47 y dentición funcional (DF) n=50. Se aplicó encuesta OHIP-7Sp a cada paciente para medir el impacto en la calidad de vida en las 7 dimensiones que contempla esta encuesta. La escala de medición, abarca de 0 a 4, en la cual 0 es "nunca" y 4 "siempre", con un valor máximo de 28, considerado el instrumento en su totalidad. El puntaje más alto indica un mayor impacto en la calidad de vida. Para la comparación de ambos grupos se utilizó el test no paramétrico de Mann-Whitney con un nivel de significancia del 95%. Resultados: Del total de pacientes evaluados mediante el OHIP-7Sp, el promedio de edad fue de 53 años. Hubo diferencias significativas en el puntaje del OHIP-7Sp total, con una media y mediana para el grupo DNF de 9,53 y 9 y para el grupo DF de 5,02 y 5, respectivamente. Desagregando el análisis, emergieron diferencias significativas en las dimensiones 2, 3, 4, 5, y 6 (p<0,05). Conclusión: Hubo significativamente mayor impacto en la calidad de vida, medido con el OHIP-7Sp, en el grupo DNF comparado con el grupo DF.

How Difficult is it for Patients Having Oral Ulcers to Get Diagnosed?

ABSTRACT: Oral ulcers cause high levels of impairment of the patients' quality of life. Therefore, patients having oral ulcers visit clinicians while seeking treatment. This study aims to investigate the extent of patients' suffering till reaching the correct clinician specialty, and therefore, proper diagnosis and treatment. The study included 62 diagnosed oral ulcer patients. They filled a questionnaire about previously visited clinicians and their specialties, causes of their referral and Oral Health Impact Profile-14 indicating their quality of life. The study revealed that participants visit a mean number of 2.93 clinicians before reaching a specialist. Furthermore, the number of the visited clinicians was positively correlated to the impact of the oral ulcer on quality of life. The study reflects the degree of unnecessary suffering of patients having oral ulcers due to unnecessary delay of diagnosis. It, thereby, highlights the necessity for higher awareness about Oral Medicine specialty among medical practitioners and among general population as well.

RESUMEN: Las úlceras orales y su diagnóstico tardío causan un nivel de deterioro significativo en la calidad de vida de los pacientes. Este estudio tuvo como objetivo investigar el nivel de sufrimiento de los pacientes hasta llegar a la especialidad clínica y lograr un diagnóstico y tratamiento adecuado. El estudio incluyó a 62 pacientes diagnosticados con úlcera oral. Los pacientes completaron un cuestionario sobre los médicos consultados previamente, las especialidades, las causas de su derivación y el Perfil de Impacto en la Salud Oral-14, que refleja su calidad de vida. El estudio reveló que los participantes visitaron una media de 2,93 médicos antes de consultar con un especialista. Además, el número de médicos visitados se correlacionó positivamente con el impacto que tiene la úlcera oral en la calidad de vida. El estudio refleja el grado de sufrimiento innecesario de los pacientes que presentan úlceras orales debido a un diagnóstico tardío. Por lo tanto, se destaca la necesidad de una mayor conciencia sobre la especialidad de medicina oral entre los médicos y también de la población en general.

Poor Oral Health Increases the Physical Pain, Psychological Discomfort and Social Incapacity of Individuals with Oncohaematological Diseases

ABSTRACT: The objective of this study was to evaluate the relationship between oral health status and its impact on quality of life, and to suggest dental management strategies in patients undergoing antineoplastic therapy for onco-hematological diseases. A retrospective study including 33 individuals (age 9-79 yr) was conducted. It was observed that the dimensions related to physical pain, psychological discomfort, and social incapacity had statistically significant values. The most frequently performed dental treatments were periodontal treatment (45.45 %), dental restoration (36.36 %), tooth extractio n (33.33 %), and endodontic treatment (24.24 %). Thus, poor oral health directly affects the quality of life. Dental management should consider the aspects of the disease and antineoplastic treatment while aiming for safe and effective dental care.

RESUMEN: El objetivo de este estudio fue evaluar la relación entre el estado de salud oral y su impacto en la calidad de vida, y sugerir estrategias de manejo odontológico en pacientes sometidos a terapia anti-neoplásica por enfermedades onco-hematológicas. Se realizó un estudio retrospectivo que incluyó a 33 personas (de 9 a 79 años de edad). Se observó que las dimensiones relacionadas con dolor físico, malestar psicológico e incapacidad social tuvieron valores estadísticamente significativos. Los tratamientos dentales realizados con mayor frecuencia fueron el tratamiento periodontal (45,45 %), la restauración dental (36,36 %), la extracción dentaria (33,33 %) y el tratamiento endodóntico (24,24 %). Así, la mala salud oral afecta directamente la calidad de vida. El tratamiento dental debe tener en cuenta los aspectos de la enfermedad y el tratamiento antineoplásico mientras se busca una atención dental segura y eficaz.

Impacto da severidade da oclusopatia na qualidade de vida em escolares de 12 anos da rede estadual de ensino em uma população brasileira / The impact of the severity of malocclusion on the quality of life of 12-year-old students in the state school system in a brazilian population

Introdução: a má oclusão pode impactar a qualidade de vida dos indivíduos acometidos. Objetivo: avaliar a associação entre a severidade das oclusopatias e o impacto na qualidade de vida em escolares de 12 anos da rede estadual de uma população brasileira. Metodologia: através do Dental Aesthetic Index (DAI) e do questionário Oral Health Impact Profile (OHIP-14), numa amostra de 503 estudantes do município de Feira de Santana-BA, estimou-se a severidade das oclusopatias e a prevalência do impacto negativo da saúde oral na qualidade de vida, verificando associações entre essas variáveis e as condições sociodemográficas da população. Para testes estatísticos, foram utilizados: o teste t de Student ou teste de Mann-Whitney, os testes de Fisher ou do qui-quadrado e variantes, além do programa estatístico computacional GraphPad Prism, versão 6.0.3, GraphPad Software, San Diego-CA, USA. Resultados: a prevalência das oclusopatias : (51,29%) [45,98-54,60] IC 95% e suas categorias: Leve (48,7%), Definida (27,8%), Severa (15,5%) e Incapacitante (8%) tiveram associação estatística com o impacto negativo na qualidade de vida, cuja prevalência foi de 62,23% [57,91-67,33%] IC 95% (313/503). Conclusão: características sociodemográficas não diferiram entre os grupos. A presença e a severidade das oclusopatias estão associadas ao impacto negativo na qualidade de vida. Quanto maior o grau de severidade dos problemas oclusais, maior o impacto negativo na qualidade de vida.

Introdiction: the malocclusions can impact the life quality of affected subjects. Objective: of this study was to evaluate the association between severity of malocclusion and its impact on the life quality of 12 years old students. Methods: cross-sectional study using Dental Aesthetic Index (DAI) and Oral Health Impact Profile (OHIP-14) in 12 years old students from brazilian public schools. The severity of malocclusion and prevalence of oral health's negative impact on life quality was estimated verifying the possible associations between these variables and the sociodemographic conditions. Data analysis used Student t Test or the Mann-Whitney Test, to compare the differences of quantitative variables, and the Fisher test or Chi-square and its variants, for categorical data. The prevalence ratio was defined with 95% confidence intervals and p <0.05. Results: the prevalence of malocclusion (50.29%) [45,98-54,60] and its categories: Mild (48.7%), Defined (27.8%), Severe (15.5%), Disabling (8%) were associated with the negative impact on life quality (62.23%) [57,91-67,33%] IC 95% (313/503). Conclusion: No association between sociodemographic conditions and the impact on life quality. The presence and severity of malocclusions are associated with the negative impact on life quality. The greater the degree of severity of occlusal problems, the bigger the negative impact on the quality of life.

Impacto de enfermedades orales asociadas a estrés sobre la calidad de vida / Impact on Quality of Life of Oral Diseases Related to Stress

Resumen: Se ha sugerido que enfermedades de la mucosa oral asociadas a estrés impactan negativamente la calidad de vida. Sin embargo, la información no es concluyente. El objetivo fue comparar la calidad de vida asociada a salud bucal en dos grupos: Casos (21 pacientes de una clínica de enseñanza de medicina bucal con diagnóstico de liquen plano oral, estomatitis aftosa recurrente y síndrome de boca dolorosa; Control (42 sujetos sanos) pareados por edad y género. Se aplicó el cuestionario perfil de impacto de salud oral. Resultados: El análisis estadístico mostró que el grupo casos tiene peor calidad de vida (p 0.03) comparado con el de los controles, específicamente en las dimensiones incomodidad psicológica (p 0.027); inhabilidad física (p 0.004); e incapacidad (p 0.002; RM 5.63 IC 1.58-20.80). Se concluye que los sujetos que padecen enfermedades de la mucosa oral relacionada a estrés tienen mala calidad de vida.

Abstract: It has been suggested that oral mucosa diseases related to stress have a negative impact on the quality of life. However, the information regarding which aspects are the most affected is inconclusive. The objective was to compare the quality of life associated with oral health in two groups: Cases formed by 21 patients coming from a teaching clinic, suffering oral lichen planus, recurrent aphthous stomatitis, and burning mouth syndrome; Control formed by 42 healthy subjects matched for age and gender. Oral Health Impact Profile questionnaire was applied. Statistical analysis showed that group Cases has worse quality of life (p 0.03) than the one of controls, specifically on psychological discomfort (p 0.027), physical disability (p 0.004); and handicap dimensions (p 0.002; RM 5.63 IC1.58-20.80). It was concluded that patients suffering oral mucosa disease related to stress showed poor quality of life.

Treatment Outcomes Based on Patient's Oral Health Related Quality of Life (OHRQoL) after Receiving Conventional Clasp or Precision Attachment Removable Partial Dentures in Distal Extension Cases: A Randomized Controlled Clinical Trial / Resultado do tratamento com Prótese Parcial Removível convencional ou com encaixe de precisão, em casos de extremidade livre, baseado no índice de qualidade de vida relacionado á saúde bucal (OHROoL): ensaio clínico controlado e randomizado

Objetivos: Comparar o efeito de duas opções de tratamento (próteses parciais removíveis retidas por encaixe de precisão (PA-RPD) ou grampos (C-RPD) em casos de classe I inferiores de Kennedy em relação à qualidade de vida relacionada à saúde bucal (OHRQoL) e a força de mordida. Material e Métodos: O estudo incluiu 32 pacientes parcialmente desdentados, dos quais 16 receberam PA-RPD (OT Cap Attachment) e 16 pacientes receberam C-RPD. Todos os pacientes de ambos os grupos foram solicitados a preencher o questionário OHRQoL após 1 semana (linha de base), 3 meses, 6 meses e 12 meses após a inserção da prótese. A força de mordida foi medida usando o i-load Star Sensor uma semana, 3 meses, 6 meses e 1 ano após a inserção parcial da prótese em todos os pacientes dos dois grupos. A análise estatística compreendeu o teste U de Mann Whitney, teste de Friedman, teste de Dunn e teste do qui-quadrado. Resultados: Os resultados da OHRQoL revelaram que, no período basal, 3 meses e 6 meses, o PA-RPD apresentou um escore total médio mais baixo estatisticamente significativo do OHIP-14 do que o C-RPD. No entanto, após 12 meses, não houve diferença estatisticamente significante entre os escores totais do OHIP-14 nos dois grupos. Em relação à força de mordida, não houve diferença estatisticamente significante entre os dois grupos. Conclusão: Dentro das limitações deste estudo, concluiu-se que a OHRQoL do PARPD e do C-RPD era comparável após 12 meses. Da mesma forma, a força de mordida foi a mesma para as duas opções de tratamento.(AU)

Objective: To compare the effect of two treatment options in mandibular Kennedy class I cases regarding oral health related quality of life (OHRQoL) and the biting force, removable partial dentures retained by either precision attachment (PA-RPD) or clasps (C-RPD). Material and Methods: The study included 32 partially edentulous patients which 16 patients received PA-RPD (OT Cap Attachment) and 16 patients received C-RPD. All the patients in both groups were asked to fill the OHRQoL questionnaire after 1 week (baseline), 3 months, 6 months and 12 months after prosthesis insertion. Biting force was measured using the i-load Star Sensor one week, 3 months, 6 months and 1 year after partial denture insertion for all patients in both groups. Statistical analysis comprised Mann Whitney U test, Friedman's test, Dunn's test and Chisquare test. Results: The results of OHRQoL revealed that at the baseline, 3 months and 6 months the PA-RPD showed statistically significant lower mean total OHIP- 14 score than the C-RPD. However, after 12 Monthes , there was no statistically significant difference between total OHIP-14 scores in the two groups. Concerning the biting force there was no statistically significant difference between the two groups. Conclusion: Within the limitations of this study it was concluded that the OHRQoL of both the PA-RPD and the C-RPD was comparable after 12 months. Similarly the biting force was the same for both treatment options. (AU)

Impact of dental self-perception on the quality of life of students at the Catholic University of Cuenca, Azogues in 2018

Dental aesthetics is an important factor since it represents a determinant and influential physical stereotype on the individual in different age groups. Young people are particularly vulnerable due to the influence of social media. Thus, there is a greater collective interest in improving the appearance of their smiles, allowing them to improve their interpersonal relationships. Currently, there are several indices to assess quality of life and dental aesthetics. The aim of this study was to evaluate the impact of dental self-perception on the quality of life of students at the Catholic University of Cuenca, Azogues, in 2018. The study included a sample of 189 students; the Aesthetic Oral Health Impact Profile (A-OHIP14) questionnaire was applied. Inferential statistics used chi-squared tests (p<0.05). No statistical significance was found between quality of life according to sex (p=0.246) or age (p=0.132). Regarding the domains, it was reported that psychological discomfort and physical pain has the highest scores (3.15-2.92), while they feeling disadvantaged and social disability had lower scores (1.5-1.56). Male students aged 18 to 21 showed the greatest impact of dental self-perception on quality of life associated with oral health.

Comparison of EQ-5D and OHIP-14 sub-dimensions for measuring oral health-related quality of life / 대한구강보건학회지

OBJECTIVES: Oral-specific measures are often preferred for examining oral disease outcomes; however, generic measures can add additional important information. This study measured oral health-related quality of life, reflecting the multidimensional characteristics of oral health, and we compared sub-dimensions of the Oral Health Impact Profile 14 (OHIP-14) with the EuroQual-5D (EQ-5D). METHODS: Data from 305 patients were collected from patients who visited the dental university hospital in 2016-2017 and included EQ-5D, OHIP-14, and self-rated general/oral health questionnaires. A factor analysis was performed to identify sub-dimensions of the EQ-5D and OHIP-14, and a cluster analysis was conducted to examine the degree of overlap among the sub-dimensions of two measures. RESULTS: In the factor analysis, a range of OHIP-14 items (physical pain, physical disability, and handicap) loaded on factor 3, along with EQ-5D items. In the analysis of groups with relatively low oral qualities of life, moving from the bottom towards the top of the dendrogram, the next major branch split was the dimension of EQ-5D pain/discomfort, anxiety/depression items, which clustered between the OHIP-14 interrupted meal and difficult relaxing subscales. CONCLUSIONS: The results of this study suggest that using the EQ-5D for oral health status expends the complementary role of oral health-related quality of life measures.

Measurement of oral health related with quality of life using EQ-5D and OHIP-14 / 대한구강보건학회지

OBJECTIVES: Given that oral health is one of the major factors affecting the quality of life, it is necessary to measure the oral-health-related-quality-of-life dimension in order to value health. The aim of this study was to compare the dimensions of oral-health-related quality-of-life measured by a generic health measure [EuroQol-5D (EQ-5D)] and an oral health specific measure [Oral Health Impact Profile 14 (OHIP-14)]. METHODS: A questionnaire including EQ-5D, OHIP-14, self-rated general/oral health, and visual analog scale (VAS) was developed, and both patients and dentists participated in measuring the patient's oral health-related quality of life based on oral diseases. Data was collected from the Dental University Hospital from 2016 to 2017. For descriptive analysis, t-test, chi-square, ANOVA, Tukey HSD post-test, and Pearson correlation analysis were performed. To confirm the factors associated with EQ-5D, multiple regression analysis was conducted. RESULTS: A total of 305 subjects were selected for the final analysis excluding the partially missing questionnaires. EQ-5D and OHIP-14 showed a statistically significant correlation and a sensitive distribution of the values depending on the oral diseases. The values of EQ-5D and OHIP-14 ranged from highest to lowest in the following order of oral diseases: endodontic, TMJ, gingivitis, and tooth sensitivity. A 10-point increase in OHIP-14 was associated with a 0.34-point increase in EQ-5D. CONCLUSIONS: The result of this study proved to be consequential since both OHIP-14 and EQ-5D were good measures for oral health-related quality of life, and the oral disease status could also be measured in terms of health valuation weights. This increased the possibility of comparison with general health, and provided the loss of socioeconomic costs of individuals, families, and societies due to oral diseases.

Oral Health Impact Profile (OHIP-14) and its association with dental treatment needs of adolescents in a rural Nigerian community

Aim: To validate and determine the applicability of OHIP-14 in assessing the impact of unmet dental treatment needs on the quality of life of adolescents in a rural community. Methods: The OHIP-14 questionnaire and the Aesthetic component (AC) of Index of Orthodontic Treatment Need (IOTN) were data collection instruments in a cross sectional survey among students in a rural community. The reliability and validity of the OHIP-14 as well as the association between it and dental treatment needs including malocclusion was assessed. Data obtained was analyzed using Mann Whitney U Test. Results: The mean age of participants was 14.9 (±1.6) years. The OHIP-14 had acceptable Cronbach alpha value of 0.8. It could discriminate between respondents with or without dental treatment needs due to caries and dental trauma (p <0.001). The OHIP-14 did not differentiate between respondents with or without orthodontic treatment need (p= 0.808). However, significant association existed between being irritable with people and unmet orthodontic treatment needs (p= 0.032). Conclusion: The OHIP-14 is a valid and reliable quality of life assessment tool in young adolescents in this rural community. However, only the social disability domain component discriminated significantly between those with or without orthodontic treatment needs. (AU)

Oral health impact profile in elderly chileans in southern Chile / Impacto de la salud oral en la calidad de vida de adultos mayores en el sur de Chile

Abstract: aim: To evaluate the impact of oral health on the quality of life of elderly patients (EP) in the public health system of Valdivia, Chile in 2015. Methods: A descriptive study was conducted using the “Oral Health Impact Profile Spanish version” (OHIP-14Sp), in a population of 387 EP (71.8+/-7.5 years old; 53 percent women). The impact of oral health on the quality of life was determined by the mean scale score that ranged beween 0 points (good quality of life) and 56 points (poor quality of life). In addition, oral health problems reported by EP population as having a greater influence on their quality of life were also included in this study. Results: The mean score of OHIP-14Sp was 20.1+/-7.6 points. Items showing problems more frequently associated with quality of life were: “toothache” (32.8 percent), “appearance of the teeth” (32.8 percent), “sensitive teeth” (32.3 percent) and “difficulty for chewing food” (25.8 percent). Conclusion: The impact of oral health on the quality of life of the EP population was considered low when compared to the median score of OHIP 14Sp. Functional and aesthetic aspects showed the highest impact on the quality of life of EP in the city of Valdivia.

Resumen: evaluar el impacto de la salud oral en la calidad de vida de los adultos mayores (AM) sobre 60 años del sistema público de salud de la ciudad de Valdivia, Chile en el año 2015. Metodología: Se realizó un estudio descriptivo usando el cuestionario “Oral Health Impact Profile spanish version” (OHIP-14Sp) en una población de 387 AM (71,8+/-7,5 años; 53 por ciento mujeres). Se determinó el impacto de la salud oral en la calidad de vida según el promedio de puntaje de la escala entre un rango de 0 puntos (mejor calidad de vida) y 56 puntos (menor calidad de vida). Además, se destacaron aquellos problemas de la salud oral en que los AM seleccionaron como mayor influencia sobre la calidad de vida. Resultados: El puntaje promedio de OHIP-14Sp fue de 20,1+/-7,6 puntos. Los ítems que demostraron más frecuencia de problema asociados a la calidad de vida fueron: “dolor dental” (32,8 por ciento), “apariencia de dientes” (32,8 por ciento), “sensibilidad dental” (32,3 por ciento) y “problemas de digestión” (25,8 por ciento). Conclusión: El impacto de la condición de salud oral sobre la calidad de un grupo de AM fue baja en relación a la mediana del instrumento OHIP-14Sp. El componente funcional y estético fueron los problemas de salud oral con mayor frecuencia en el impacto de la calidad de vida en los AM de la ciudad de Valdivia.

A study on the OHIP-14 of some local women impact on the EQ-5D for review / 대한구강보건학회지

OBJECTIVES: The purpose of this study was to analyze the OHIP-14 (Oral Health Impact Index) and EQ-5D (health-related quality of life) scores for women in some areas, and to provide basic data as the basis for oral health and systemic health-related quality of life methods improving. METHODS: The subjects included 418 women aged 20-65 years, living in Busan and Gyeongnam between July 20 and September 30, 2014. RESULTS: OHIP-14 and EQ-5D scores increased with age and educational level; scores were lower in subjects with systemic disease and those with a non-professional occupation. Increased oral health awareness and recognition are both bad health, menopause oral health in one person was related to quality of life, and health-related quality of life scores were significantly lower (P<0001). When considering the oral care OHIP-14 score for more than a year and a time in the scaling 56.07 points, if not receiving was found as a factor affecting the OHIP-14 with 53.33 points (P<0.05), OHIP-14. Higher EQ-5D indicated a significant difference (P<0.001). The OHIP-14 score for factors affecting oral health behavior, depression score, menopause, dry mouth, monthly income, presence of systemic disease, and dentures showed a significant difference for body weight (P<0.01). Significant differences in EQ-5D scores were found for systemic diseases, subjective general health, depression score, and menopause score (P<0.01). CONCLUSIONS: OHIP-14 and EQ-5D will be helpful in the development of oral care and oral health education programs for women.

Oral health-related quality of life improvements and satisfaction in South Korea: results from the National Health Insurance Coverage Denture Project for the Elderly / 대한구강보건학회지

OBJECTIVES: In this study, we assessed the effects of the National Health Insurance Coverage Denture Project for the Elderly on the improvement of oral health-related quality of life (QOL) and satisfaction. METHODS: Individuals aged > or =75 years (n=121) participated in the project at dental clinics or public health centers in Busan City, South Korea. Baseline and post-intervention follow-up surveys (personal interview) were conducted between October 2013 and April 2014. RESULTS: Significant improvements were demonstrated in all seven Oral Health Impact Profile-14 (OHIP-14) subscales at follow-up. Functional limitation showed the most improvement (2.81 points) followed by physical functionality, physical pain, psychological discomfort, social isolation, mental function, and social function. In addition, participants with no income who were required to pay for their expenses, reported higher satisfaction. The multiple logistic regression analysis showed that the rate of improvement on the OHIP-14 ten score increased in cases where participants who had to pay for their expenses (odds ratio [OR], 2.98; 95% confidence interval [CI]: 1.16, 7.66) but decreased for patients who received partial dentures (OR, 0.34; 95% CI: 0.13, 0.89), patients who expressed previous satisfaction with denture costs (OR, 0.37; 95% CI: 0.14, 0.97), and patients who had previous denture experience (OR, 0.43; 95% CI: 0.16, 1.12). CONCLUSIONS: Despite the short period (2 years), the National Health Insurance Coverage Denture Project for the Elderly was able to demonstrate significant improvements in oral health-related QOL. Therefore, the establishment and integration of this project is recommended to maintain and improve the QOL for the rapidly aging population.

Comparison of two assessment instruments of quality of life in older adults / Comparacao de dois instrumentos de avaliacao de qualidade de vida em idosos

Objective: To investigate if there is convergent validity between the dimensions of the World Health Organization Quality of Life Questionnaire-Brief Version (WHOQOL-Bref) and the Oral Health Impact Profile-14 (OHIP-14) questionnaire. Methods: In this cross-sectional study, a random sample of 872 elderly Southern-Brazilians was evaluated. Questionnaires assessing socio-demographic data and quality of life in general (WHOQOL-Bref) and oral health-related quality of life (OHIP-14) were used. Analysis of the WHOQOL-Bref and OHIP-14 questionnaires used descriptive statistics. The dimensions of the WHOQOL-Bref and OHIP-14 questionnaires were correlated by affinity. The convergence between WHOQOL-Bref and OHIP-14 dimensions was analyzed by Spearman's correlation coefficients. Results: The social relations dimension of the WHOQOL-Bref presented the greatest mean (18.24 ± 2.30). The physical pain dimension of the OHIP-14 presented a median of 1.0 (0.0 – 3.0). All correlations between the WHOQOL-Bref and OHIP-14 dimensions were significant, negative and associated with a low magnitude. The correlation between WHOQOL-physical and OHIP-functional limitation, OHIP-physical pain, OHIP-physical disability and OHIP-handicap were – 0.164, – 0.262, – 0.196 and – 0.125 respectively. WHOQOL-psychological was associated with OHIP-psychological discomfort and OHIP-psychological disability, and WHOQOL-social showed an association with OHIP-social disability. Conclusions: All correlations analyzed had a positive association of low magnitude. Despite the fact that the WHOQOL-Bref and OHIP-14 instruments have related dimensions, they measure physical, psychological and social relations differently. .

Objetivo: Investigar se existe convergência entre as dimensões da versão abreviada do questionário da Organização Mundial da Saúde sobre Qualidade de vida (WHOQOL-Bref) e do questionário Perfil do Impacto de Saúde Bucal-14 (OHIP-14). Métodos: Neste estudo transversal, uma amostra randomizada de 872 idosos do sul do Brasil foram avaliados. Questionários sobre informações de dados sociodemográficos e de qualidade de vida em geral (WHOQOL-Bref) e de qualidade de vida relacionada à saúde bucal (OHIP-14) foram utilizados. Foi utilizada estatística descritiva para analisar os questionários WHOQOL-Bref e OHIP-14. As dimensões dos questionários WHOQOL-Bref e OHIP-14 foram correlacionas por afinidade. A convergência entre as dimensões do WHOQOL-Bref e do OHIP-14 foi analisada pelos coeficientes de correlação de Spearman. Resultados: A dimensão relação social do WHOQOL-Bref foi a que apresentou maior média (18.24 ± 2.30). A dimensão dor física do OHIP-14 apresentou mediana 1.0 (0.0 – 3.0). Todas as correlações entre as dimensões do WHOQOL-Bref e do OHIP-14 foram significativas, negativas e com associação de baixa magnitude. As correlações entre WHOQOL- físico e OHIP- limitação funcional, OHIP-dor física, OHIP-limitação física e OHIP-desvantagem foram – 0,164, – 0,262, – 0,196 e – 0,125, respectivamente. WHOQOL-psicológico foi associado com OHIP-disconforto psicológico e OHIP-limitação psicológica, e WHOQOL-social mostrou associação com OHIP-limitação social. Conclusões: Todas as correlações analisadas apresentaram associação ...

Recuperação do sorriso em crianças e adolescentes acometidos por fluorose dentária endêmica / Recovery of smile in children and adolescents affected by endemic dental fluorosis

Esse estudo teve como objetivos descrever e avaliar o impacto físico e psicossocial da fluorose dentária endêmica em crianças e adolescentes antes e após tratamento restaurador estético e desenvolver e validar instrumento para verificar autopercepção da aparência dentária. Trata-se de estudo quasi-experimental que teve como população de referência crianças e adolescentes que apresentavam fluorose dentária com comprometimento estético e que receberam tratamento odontológico restaurador direto realizado por cirurgiões-dentistas vinculados a uma ação de intervenção. Foram aplicados questionários em dois momentos com intervalo de 24 meses (antes e após o tratamento odontológico). Os questionários foram compostos por questões referentes ao impacto físico e psicossocial da fluorose dentária (OHIP-14), autopercepção da saúde bucal (Como você classificaria a sua saúde bucal?) e autopercepção da aparência dentária (seis questões). Os tratamentos realizados foram: microabrasão, facetas diretas de resina composta e associação das duas técnicas. Inicialmente foram conduzidas análises descritivas. Estimou-se a prevalência, a gravidade e a extensão do impacto físico e psicossocial da fluorose a partir do OHIP-14. Comparações entre baseline e follow-up e entre as técnicas de tratamento foram realizadas a partir dos testes de McNemar, Wilcoxon e Mann-Whitney. No processo de validação do Instrumento de Autopercepção da Aparência Dentária (IAAD), composto por seis questões, foi avaliada a consistência interna (alfa de Cronbach) e a adequação dos dados para a análise fatorial (testes KMO e Esfericidade de Bartlett). A validade de construto foi avaliada por meio de análise fatorial exploratória. Na análise de hipóteses, buscou-se verificar o poder da escala em discriminar grupos quanto aos traços que a escala mede: Percepção da aparência e Impacto psicológico e social. Para isso, foram definidos grupos com e sem impacto quanto aos domínios desconforto psicológico, incapacidade psicológica e social avaliados por meio do OHIP-14. O teste Mann-Whitney foi utilizado para avaliar a frequência dos itens do IAAD nos grupos com autopercepção positiva ou negativa da saúde bucal. O acompanhamento dos participantes foi realizado entre 2009 e 2013. Após realização dos tratamentos restauradores, constatou-se significativa melhoria na prevalência, gravidade e extensão do impacto físico e psicossocial da fluorose. O alfa de Cronbach para os seis itens do instrumento proposto foi de 0,745. Os coeficientes de correlação de cada item com a escala total variaram de 0,22 a 0,68. A análise fatorial evidenciou a presença de dois construtos, que explicaram juntos 66,38% da variância. A amostra mostrou-se adequada para a análise fatorial (KMO=0,712). Os bons parâmetros psicométricos encontrados e a correlação positiva com instrumento largamente utilizado para mensurar impacto físico e psicossocial da condição bucal (OHIP-14) remetem à possibilidade de ampla utilização do IAAD em outros estudos.

This study aimed to describe and assess the physical and psychosocial impact of endemic dental fluorosis in children and adolescents before and after and restorative aesthetic treatment and develop and validate an instrument to verify self-perception of dental appearance. It is quasi-experimental study that had a reference population of children and adolescents who had dental fluorosis with aesthetic problems and receiving direct restorative dental treatment done by dentists linked to an intervention action. Questionnaires were administered on two occasions with an interval of 24 months (before and after dental treatment). The questionnaires were composed of questions concerning the physical and psychosocial impact od dental fluorosis (OHIP-14), self-perceived oral health ( How would you rate your oral health?) and self-perceived dental appearance (six issues). The treatments were performed: micorabrasion, direct resin composite veneers and combination of two techniques. Initially, descriptive analyzes were conducted. Was measured the prevalence, severity and extent of physical and psychosocial impact fluorosis from the OHIP-14...

Impacto da saúde bucal na qualidade de vida de pacientes maiores de 50 anos de duas instituições públicas do município de Araraquara-SP, Brasil / Oral health impact profile in the quality of life of patients over 50 years old of two public institutions of Araraquara city, SP, Brazil

Introdução: A saúde bucal pode afetar a qualidade de vida das pessoas, sendo o índice OHIP-14 (Oral Health Impact Profile) de utilidade para avaliar este impacto. Objetivo: Estudar o impacto da saúde bucal na qualidade de vida de pacientes maiores de 50 anos, verificando-se, preliminarmente, a confiabilidade do índice OHIP-14. Material e método: Estudo transversal, em que se aplicou o formulário OHIP-14 a 149 pacientes em duas instituições públicas de atendimento de rotina em Clínica Odontológica (UNESP) e médico (Municipal). Estudou-se a consistência interna do índice aplicando-se o coeficiente alpha-Cronbach. O índice OHIP-14 foi obtido pelo método aditivo, sendo os pacientes distribuídos segundo gênero, faixa etária e nível de escolaridade. O teste t-Student foi usado para comparações de interesse, adotando-se um nível de significância de 5%. Resultado: A amostra compôs-se de 149 pacientes (87% de cobertura). A consistência interna para o índice OHIP-14 foi boa (alpha-Cronbach = 0,78). A média, para o índice OHIP-14, foi de 4,98. Houve predomínio da dor física, nos aspectos "sentir-se incomodado ao comer algum alimento" e "sentir fortes dores na boca", com prevalências de 21,50 e de 11,40%, respectivamente. Houve diferença não-significativa entre o índice OHIP médio e cada uma das variáveis gênero, faixa etária e escolaridade (p > 0,05). Conclusão: O índice OHIP-14 apresentou consistência interna boa e mostrou ser baixo impacto da saúde bucal na qualidade de vida de pacientes maiores de 50 anos em atendimento odontológico e médico de rotina nas instituições estudadas (UNESP e Municipal).

Introduction: Oral health can affect quality of life, and the OHIP-14 index (Oral Health Impact Profile) is useful for evaluating this impact. Objective: to investigate the impact of oral health conditions on the quality of life ofpatients over 50 years, assessing, initially, the consistency of the short form of the Oral Health Impact Profile index (OHIP-14). Material and method: A cross-sectional study was performed among 149 patients of two public institutions for routine dental (UNESP) and medical practice (Municipal). They were interviewed using the OHIP-14 formulary, assessing its internal consistency (Cronbach´s alpha coefficient) and the OHIP-mean (additive method). The patients were distributed according to sex, age, and education level. The comparisons of interest were madeusing Student´s t test at a 5% level of significance. Result: A total of consecutive patients (n = 149) participated of this study (87% response rate). Cronbach´s alpha coefficient was 0.78, denoting a good consistency of the OHIP index. The OHIP mean was 4.98. The most prevalently affected OHIP domains were dimensions of physical pain:painful aching (11.40%) and uncomfortable eating foods (21.50%). There was non-significant difference (p > 0.05)between the mean OHIP value in relation to each of gender, age, and education level. Conclusion: The OHIP-14 is a reliable instrument of assessing oral health-related quality of life, and among patients under routine practice, it was found a low impact of oral conditions on their quality of life in the studied institutions (UNESP and Municipal).

Structural equation modeling for association between patient satisfaction and quality of life after implant surgery / 대한치과보철학회지

PURPOSE: This study was designed to measure patient satisfaction and oral health-related quality of life and to assess an association between patients' satisfaction and oral health-related quality of life after implant surgery by using structural equation modeling. MATERIALS AND METHODS: A total of 257 participants who visited 6 dental clinics located in Daegu city for the purpose of implant treatment participated in this study. Six months after completion of implant surgery, the patients' satisfaction and oral health-related quality of life were surveyed. The effect of factors associated with patients' satisfaction such as functions and aesthetics, maintenance and cost on oral health-related quality of life after implant surgery was analyzed using AMOS 4.0. RESULTS: Oral health-related quality of life was improved in all dimensions of OHIP-14 after implant surgery. Functions and aesthetics as well as maintenance had a significant effect on oral health-related quality of life (P<.05), while cost was not a critical factor influencing oral health-related quality of life. CONCLUSION: High satisfaction with functional aspects and maintenance aspects significantly affected good quality of life. The result of this study supported the fact that education and management for patients after implant therapy were positively related to good quality of life based on a theoretical model.

Efetividade do tratamento odontológico e redução de impacto na qualidade de vida / Dental treatment effectiveness and life quality impact reduction

Introdução: Este estudo se propôs a avaliar o efeito do tratamento odontológico municipal na redução do impacto produzido por problemas bucais na qualidade de vida dos usuários. Material e métodos: Pesquisa populacional em que se utilizou delineamento longitudinal com intervenção. O impacto foi medido antes e depois do tratamento odontológico concluído usando o OHIP 14 em um grupo inicialmente composto por 100 indivíduos de 15 a 60 anos. Resultados: Em relação à faixa etária, os dados mostraram que os indivíduos acima de 40 anos, apresentaram maior prevalência de impactos no escore total (p= 0.05) e uma chance 2,6 vezes maior de sofrer impacto dos problemas bucais em qualidade de vida (IC 95,0%+0,97; 7,00). Com relação à condição socioeconômica (CSE), os indivíduos de condição D e E apresentaram maior impacto nas dimensões limitação funcional (p=0,050), dor física (p=0,040), deficiência (p<0,01) e maior chance de apresentar impacto na qualidade de vida (0R=4,2;IC 95,0%=1,41;12,83). Os indivíduos que procuraram serviços odontológicos por urgência e com necessidade declarada de prótese apresentaram mais impacto na qualidade de vida. A regressão logística apontou, como maiores preditores de impacto, a CSE e a necessidade de prótese. Conclusão: A efetividade do tratamento odontológico foi observada com a redução do impacto em indivíduos que tiveram tratamento odontológico concluído melhorando a qualidade de vida dos usuários.

Introduction: This study aimed to evaluate the effect of public system?s dental treatment in reducing the impact caused by dental problems in quality of life. Material and Method: Longitudinal design population research measuring oral impact with OHIP14 before and after dental treatment in a hundred individuals aged from 15 to 60 years-old. Results: Subjects aged over 40 presented greater impact prevalence at global score (p=0,05) and 2,6 the chance to have oral impacts in quality of life (CI95% 0,97; 7,00). Subjects from socioeconomic status (SES) D and E had more impact at functional disability (p=0,05), pain (p=0,040) and deficiency (p<0,01) dimensions and greater chance to have impact in life quality (0R=4,2; CI95%=1,41;12,83). Those ones that made urgency dental visits and declared prosthesis need, had more impact and quality of life. Logistic regression results showed SES, and prosthesis need as the most impact predictors. Conclusion ? Dental treatment effectiveness was observed with impact reduction in those participants who had dental treatment concluded, resulting in life quality improvement.

Association between the self-reported periodontal health status and oral health-related quality of life among elderly Koreans / 대한치주과학회지

PURPOSE: This study assessed the impact of self-reported periodontal health on the oral health-related quality of life among elderly Koreans. METHODS: Four hundred twenty one elderly Koreans in Seoul and suburban areas were selected with a cluster (institution) sampling method, and were requested to take oral examinations and finish questionnaires on the Oral Health Impact Profile-14(OHIP-14), and self-reported periodontal health status, such as periodontal symptoms, self-rated periodontal health and periodontal treatment need. As the dependent variable, OHIP-14 showed a positive skewed distribution (skewness: 1.17), we transformed to square-root form to apply parametric analyses. Bivariate analysis by t-test and ANOVA, and multivariate analysis with the two-level regression model accounting clusters were implemented. RESULTS: Mean age of the subjects was 74.6 years and 66.5% were women. Fourteen items of OHIP-14 were summarized to one factor explaining 78.6% of total variance and produced the Chronbach alpha coefficient of 0.92. Results from the multivariate model, adjusting for age, sex, type of institutions, ability to pay, and number of teeth present, showed significantly lower OHIP-14 with reporting less than 3 periodontal symptoms (p<0.0001), rating their own periodontal health as above average level (p=0.0144), and thinking they don't need any periodontal treatments in the near future (p=0.0148), than their counterparts. The intraclass-corrrelation estimated by the final model was 0.028. CONCLUSION: This study demonstrates a significant association between self-reported periodontal health status and the oral health-related quality of life.