A randomized clinical trial investigating the effect of three vital tooth bleaching protocols on oral health-related quality of life.

Objectives: This study aimed to compare changes in oral health-related quality of life (OHRQoL) resulting from three vital tooth bleaching protocols. Methods: The participants (n = 105) were randomly assigned to one of three vital bleaching treatment groups: home bleaching (HB), in-office bleaching (IOB), or combined bleaching (CB). HB involved the use of custom-made trays and 10% carbamide peroxide for a 14-day treatment period. IOB utilized 37.5% hydrogen peroxide applied in three cycles. CB treatment involved the use of IOB followed by HB. Tooth colour change was evaluated using a shade guide (ΔVS) and a digital spectrophotometry device (ΔES). The Oral Health Impact Profile-14 (OHIP-14) and Oral Impact on Daily Performance-22 (OIDP-22) instruments were used to assess changes in OHRQoL at baseline, 15-days and 6-month recalls. Linear mixed models were used to estimate between- and within-group differences. Results: All bleaching protocols led to significant improvements in overall OHIP-14 scores at the 6-month recall (p ≤ 0.037). CB and IOB treatments were associated with more substantial positive impacts on overall scores, psychological discomfort, physical disability (CB only), and psychological disability (CB only) compared to HB (p ≤ 0.011). Significant enhancements in OIDP-22 scores were observed in the CB and HB groups at the 6-month recall compared to baseline (p ≤ 0.006), with evidence indicating that these improvements were greater in the CB group compared to the IOB group (p = 0.007). Conclusion: All bleaching treatments demonstrated a positive impact on OHRQoL. However, the positive impact was most consistent across domains and age groups in the CB group. The positive impact was less pronounced in older age groups.

Socio-Demographic Variation, Perceived Oral Impairment and Oral Impact on Daily Performance among Children in Saudi Arabia.

Background: This study aimed to describe the oral impact (estimate, severity, frequency) on daily performance (e.g., eating, speaking) and identify the potential perceived oral impairment(s) and socio-behavioral factors associated with oral impact, namely presence or absence of oral impact, among children aged 9-12 years old in Al-Madinah Al-Munawwarah, Saudi Arabia. Methods: A cross-sectional convenience sample of 186 children aged 9-12 years old was recruited. Sociodemographic characteristics, oral health-related behaviors, and perceived oral impairments (e.g., caries, toothache) were obtained from participants. The validated Arabic Child Oral Impact on Daily Performance (C-OIDP) inventory was used to assess oral impacts. Sample descriptive statistics and multivariable logistic regressions modeling the association between C-OIDP and explanatory variables were performed. Results: The mean (±SD) age of the children was 10.29 ± 1.24 years, 66.4% were from public schools, and 52% were females. At least one C-OIDP was reported by 78% of the participants. The mean C-OIDP score was 2.27 ± 1.99. Toothache was reported as a perceived impairment for almost all oral impacts and was the strongest predictor of C-OIDP. Low father income was negatively associated with C-OIDP (odds ratio (OR) = 0.24, 95% confidence interval (CI) = 0.10-0.62). Females had significantly higher odds of reporting C-OIDP than males. Conclusions: In this convenience sample, a high percentage of children aged 9-12 years old reported C-OIDP, which was linked to oral impairment and socio-demographic factors. Further studies, however, are required to explore the clinical, behavioral, and sociodemographic factors in relationship to C-OIDP among Saudi children in a representative sample.

Evaluation of oral health-related quality of life in orthodontic patients using the modified Oral Impact on Daily Performance (OIDP) questionnaire / 대한구강보건학회지

OBJECTIVES: This study evaluated oral health-related quality of life (OHQoL) before and after orthodontic treatment (orthodontic-tx) using the modified Oral Impact on Daily Performance (OIDP) questionnaire. METHODS: Ninety-six subjects (32 males, 64 females; 48 ranging between 12–17 years, 48 ranging between 18–29 years) who completed orthodontic-tx in two dental clinics in Busan from May to December 2013 participated in this study. The participants self-reported their OHQoL on the Korean translated version of the OIDP before and during orthodontic-tx when the brackets were removed from their teeth. The OHQoL was again measured 1 month later. The visual analogue scale (VAS) from 0 (never) to 10 (definitely yes) was used to quantify the OHQoL. The physical, psychological, and social effects of the orthodontic-tx on daily performance were analyzed according to age and gender. RESULTS: The OHQoL score was lower during the orthodontic-tx (7.49±0.19) than before (5.51±0.18), but the final OHQoL score, after orthodontic-tx (9.39±0.07), was higher than the score before treatment. The trend was the same over all sub performances. Before orthodontic-tx, the OHQoL score related to psychological performance (6.98±0.22) was the lowest compared to physical and social performance. During orthodontic-tx, the scores related to physical performance, especially in the older (0.7 times) and female (0.62 times) groups, decreased the most compared to before treatment. Psychological performance, especially in the older (1.81 times) and female (1.66 times) groups, increased the most after orthodontic-tx. CONCLUSIONS: This study confirmed that orthodontic-tx affects the OHQoL according to age and gender. Specific approaches, classified by age and gender, are needed to improve the quality of life of orthodontic dental patients.

The Effect of Dental Fluorosis on the Quality of Life of Female High School and Precollege Students of High Fluoride-Concentrated Area.

AIMS AND OBJECTIVES: Colored and deformed fluorotic teeth may affect the quality of life (QOL). The present study, therefore, evaluates the effect of dental fluorosis on the QOL of female high school and precollege students of Behbahan district in 2014. MATERIALS AND METHODS: One hundred 15-18-year-old female students with dental fluorosis were selected from the high schools of Behbahan district by random cluster sampling technique. Dental fluorosis was measured clinically using Dean's index after analyzing the drinking water of the affected district. The effect of dental fluorosis on the QOL was then evaluated through a questionnaire. The data from Dean's index, condition-specific oral impact on daily performance (CS-OIDP) questionnaire, and the mean score of QOL questionnaire were analyzed in SPSS version 20 using Pearson's and Spearman's correlation analyses (α = 0.05). RESULTS: The mean values of age and the QOL regarding appearance were 16.5 years and 61.5 ± 20.8 from 100, respectively. Spearman's correlation showed a positive correlation between CS-OIDP total score and the severity of fluorosis (P = 0.0001, r = 0.342). Spearman's correlation also showed a negative correlation between the QOL and the severity of fluorosis (P < 0.001, r = -0.496) so that by increasing the severity of fluorosis, the QOL was decreasing. CONCLUSIONS: Increasing the severity of fluorosis is associated with increasing the dissatisfaction and decreasing the QOL.

Oral Impact on Daily Performance and Happiness related to Orthodontic Treatment of Some Middle and High School Students with Malocclusion / 農村醫學 地域保健

OBJECTIVES: This study investigated whether the impacts of orthodontic treatment of malocclusion on oral health-related quality of life and happiness are positive with middle and high school students. METHODS: Subjects were 157 orthodontic patients and 83 non-orthodontic in malocclusion patients. Questionnaires were collected with the self-administered method, and consisted of the general characteristics, self-esteem, social support appraisal scale(friends, family, teacher), Oral Impact on Daily Performance (OIDP) and oxford happiness questionnaire (OHQ). RESULTS: A physical factor was lower in the orthodontic treatment group (5.8±2.48) than in the non-orthodontic treatment group (7.7±2.10)(p<0.001), and OIDP was lower in the orthodontic treatment group (7.0±1.79) than in the non-orthodontic treatment group (7.8±1.80)(p=0.002). A feeling of happiness was higher in the orthodontic treatment group(4.6±0.81) than in the orthodontic treatment group (4.3±0.89) (p=0.009). As results of multiple regression analysis, OIDP was affected of orthodontic treatment(β=−0.0222, p=0.001) and OHP was affected of orthodontic treatment(β=0.087, p=0.030) and OIDP(β=0.116, p=0.003). CONCLUSIONS: Orthodontic treatment of malocclusion may positively affects happiness in teenager. Support policy for orthodontic treatment of malocclusion is necessary for adolescents.

Oral impacts on daily performances in white-collar port workers in Nellore, India - a cross-sectional study.

BACKGROUND: Oral diseases not only cause pain, but severely impair large number of individuals and can affect various aspects of life, including oral functions, appearance and interpersonal relationships. The aim of the study was to assess the interrelationship between oral impact on daily performance (OIDP) scores, socio-demographic characteristics, dental caries experience and periodontal status. MATERIALS AND METHODS: A cross-sectional descriptive epidemiological study was conducted on a sample of 250 white-collar port workers who were willing to participate. OIDP was assessed using pre-validated questionnaire. Oral health status was assessed using modified World Health Organisation (1997) Proforma. Test of association was conducted between the OIDP score, socio-demographic variables, and periodontal status; loss of attachment was determined by using chi-square statistics and Mann-Whitney test. Logistic regression was performed to identify significant predictors of OIDP scores by inputting clinical oral examination variables into the equation, stepwise. RESULTS: A total of 250 white-collar workers in the port participated in the study with mean age of 34.67 ± 6.36. Among them, 219 were males and 31 were females. The OIDP items most commonly affected by oral health status were eating and enjoying food (48.4%), cleaning teeth (48%), sleeping and relaxing (44.4%).There was statistically significant relationship between missing teeth in the decayed missing filled teeth component and OIDP score (p < 0.001). The participants with caries have a greater odd (2.11) of having OIDP score ≥ 1 than those without caries. The participants with missing teeth have a greater odd (3.60) of having OIDP score ≥ 1. The participants in the age group of 31-40 years had a greater odd (2.80) of having OIDP score ≥ 1. CONCLUSIONS: Oral health had an impact on the quality of life of white-collar workers in the port. Physical functions of teeth like eating and cleaning of teeth, sleeping and relaxing were more affected.

Correlation between oral health and Child-OIDP index in 12- and 15-year-old children from Modinagar, India.

To investigate the relationship between oral health measures and oral health-related quality of life using the Child-Oral Impact on Daily Performance index among school children of Modinagar. A cross-sectional analytical study was conducted on 900 school children aged 12 and 15 years in Modinagar, India. Children were interviewed about sociodental impacts on quality of life and examined for their normative treatment need for dental caries, traumatic dental injuries, and dentofacial anomalies. Frequency distributions for bivariate analysis and logistic regression for multivariate analysis were used for statistical analysis. Prevalence of oral impacts was high (60%), with a mean score of 2.49 ± 3.92. A significant association (P ≤ .05) was observed in oral impacts on daily performances with age, presence of dental caries, traumatic injuries, and dentofacial anomalies score. A strong association between clinical dental indicators and oral impacts in children showed eating followed by cleaning of teeth and smiling as the most commonly affected daily performances.

Oral health related quality of life among dental students in a private dental institution in India.

BACKGROUND: The compartmentalization involved in viewing the mouth separately from the rest of the body must cease. This is because oral health affects general health by causing considerable pain and suffering; and, by changing what people eat and their speech, can bring about a change in their quality of life and well-being. There are several instruments for measuring oral health related quality of life, and, OIDP (Oral Impact on Daily Performance) is one among them. AIM: The aim of this study is to assess the OIDP among dental students and to know whether students in different stages of the dental course had any difference in impact on their daily performance. MATERIALS AND METHODS: 372 students of Bachelor of Dental Sciences' (BDS) course at Manipal College of Dental Sciences, Manipal, Karnataka, India, from the first to final year, and interns answered a structured questionnaire recording their demographic characteristics, behavioral characteristics and eight items of OIDP. RESULTS: The mean OIDP Additive scores (ADD) and OIDP Simple count scores (SC) scores were 7.02 (sd = 3.3, range 8 - 40) and 2.16 (sd = 1.55, range 0 - 8), repectively. A total of 36.6%, 12.9% and 12.9% of the dental students confirmed difficulties with eating, enjoying contact with other people and carrying out major college work, respectively. Logistic regression analysis revealed that compared with the first BDS dental students, the Odds ratio (OR) for the second, third, fourth year and intern dental students for being without oral impacts, despite reporting poor oral health, were 0.21 (95% CI: 0.24 - 1.9), 0.61 (95% CI: 0.06 - 6.2), 0.70 (95% CI: 0.61 - 8.2) and 0.54 (95% CI: 0.3 - 9.3), respectively. CONCLUSION: The study reported the OIPD among dental students and provided evidence of importance of social and behavioral characteristics in shaping the response by dental students.