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Disha V, Čelebić A, Peršić S, Papić M, Rener-Sitar K. Orofacial esthetics, chewing function, and oral health-related quality of life in Kennedy class I patients with mini-implant-retained removable partial dentures: A 3-year clinical prospective study. Clin Oral Investig 2024; 28:353. [PMID: 38825621 DOI: 10.1007/s00784-024-05741-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Accepted: 05/24/2024] [Indexed: 06/04/2024]
Abstract
This prospective clinical study aimed to assess self-reported orofacial esthetics, chewing function, and oral health-related quality of life (OHRQoL) over three years in the Kennedy Class I patients without posterior dentition who received free-end saddle removable partial dentures (RPDs) retained by two mini dental implants (MDIs) inserted in the canine/first premolar region. The study's robust findings reaffirm the viability of MDI-retained RPDs as a treatment modality in contemporary prosthodontics, instilling confidence in the dental community. MATERIALS AND METHODS 92 participants with posterior edentulism in the maxilla or mandible received 184 MDIs and 92 RPDs. After one year, three participants were excluded, and another seven were excluded after three years. The final sample was 82 participants. Self-perceived orofacial esthetics was assessed by the Orofacial Esthetic Scale (OES), chewing function by the Chewing Function Questionnaire (CFQ), and the OHRQoL by the OHIP-14. Statistical analysis utilized multivariate regression analysis, standardized effect size calculation, Wilcoxon Signed Rank test, and Friedman's test. RESULTS OHRQoL and chewing function significantly improved (p < 0.001) one month after MDI loading by the new RPDs and continued to improve over the observation period (p < 0.05). The OES also significantly improved (p < 0.001) and remained almost unchanged over the next three years (p = 0.440). CONCLUSION Despite the limitations of this study, the MDI-retained RPD appears to be a viable treatment modality in contemporary prosthodontics from the patients' perspective.
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Affiliation(s)
- Visar Disha
- Department of Dentistry, Medical Faculty, Clinics of Prosthodontics, Pristina, Republic of Kosovo.
| | - Asja Čelebić
- Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Sanja Peršić
- Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Milan Papić
- Department of Quantitative Methods in Business and Economy, Libertas International University, Zagreb, Croatia
| | - Ksenija Rener-Sitar
- Department for Prosthodontics, Dental Division, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia
- Department for Prosthetic Dentistry, University Dental Clinics, University Medical Center of Ljubljana, Ljubljana, Slovenia
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Paulson DR, Chanthavisouk P, John MT, Feuerstahler L, Chen X, Ingleshwar A. Linking patient-reported oral and general health-related quality of life. PeerJ 2024; 12:e17440. [PMID: 38827316 PMCID: PMC11141547 DOI: 10.7717/peerj.17440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 04/30/2024] [Indexed: 06/04/2024] Open
Abstract
Background The relationship between oral and overall health is of interest to health care professionals and patients alike. This study investigated the correlation between oral health-related quality of life (OHRQoL) and health-related quality of life (HRQoL) in a general adult population. Methods This cross-sectional study used a convenience sample of adult participants (N = 607) attending the 2022 Minnesota County and State fairs in USA, the 5-item Oral Health Impact Profile (OHIP-5) assessed OHRQoL, and the 10-item PROMIS v.1.2 Global Health Instrument assessed HRQoL. Spearman and Pearson correlations were used to summarize the bivariable relationship between OHRQoL and HRQoL (both physical and mental health dimensions). A structural equation model determined OHRQoL-HRQoL correlations (r). Correlations' magnitude was interpreted according to Cohen's guidelines (r = 0.10, 0.30, and 0.50 to demarcate "small," "medium," and "large" effects, respectively). Results OHRQoL and HRQoL correlated with r = 0.52 (95% confidence interval, CI: [0.50-0.55]), indicating that the two constructs shared 27% of their information. According to Cohen, this was a "large" effect. OHRQoL, and the physical and mental HRQoL dimensions correlated with r = 0.55 (95% CI: [0.50-0.59]) and r = 0.43 (95% CI: [0.40-0.46]), respectively, indicating a "large" and a "medium" effect. OHRQoL and HRQoL were substantially correlated in an adult population. Conclusion Using OHIP-5 to assess their dental patients' oral health impact allows dental professionals to gain insights into patients' overall health-related wellbeing.
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Affiliation(s)
- Danna R. Paulson
- Department of Primary Dental Care, School of Dentistry, University of Minnesota, Minneapolis, MN, United States
| | - Phonsuda Chanthavisouk
- Department of Primary Dental Care, School of Dentistry, University of Minnesota, Minneapolis, MN, United States
| | - Mike T. John
- Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, United States
- Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, United States
| | - Leah Feuerstahler
- Department of Psychology, Fordham University, Bronx, NY, United States
| | - Xing Chen
- Department of Psychology, Fordham University, Bronx, NY, United States
| | - Aparna Ingleshwar
- Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, United States
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Solanke C, John MT, Ebel M, Altner S, Bekes K. OHIP-5 FOR SCHOOL-AGED CHILDREN. J Evid Based Dent Pract 2024; 24:101947. [PMID: 38401952 DOI: 10.1016/j.jebdp.2023.101947] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Revised: 10/09/2023] [Accepted: 10/15/2023] [Indexed: 02/26/2024]
Abstract
BACKGROUND Different dental patient-reported outcome measures (dPROMs) exist for children and adults, leading to an incompatibility in outcome assessment in these 2 age groups. However, the dental patient-reported outcomes (dPROs) Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact are the same in the 2 groups, providing an opportunity for compatible dPRO assessment if dPROMs were identical. Therefore, we adapted the 5-item Oral Health Impact Profile (OHIP-5), a recommended dPROM for adults, to school-aged children to allow a standardized dPRO assessment in individuals aged 7 years and above. AIM It was the aim of this study to develop a 5-item OHIP for school-aged children (OHIP-5School) and to investigate the instrument's score reliability and validity. METHODS German-speaking children (N = 95, mean age: 8.6 years +/- 1.3 years, 55% girls) from the Department of Pediatric Dentistry at the Medical University of Vienna, Austria and a private dental practice in Bergisch Gladbach, Germany participated. The original OHIP-5 was modified and adapted for school going children aged 7-13 years and this modified version was termed OHIP-5School. It's score reliability was studied by determining scores' internal consistency and temporal stability by calculating Cronbach's alpha and intraclass correlation coefficients, respectively. Construct validity was assessed comparing OHIP-5School scores with OHIP-5 as well as Child Perceptions Questionnaire (CPQ-G8-10) scores. RESULTS Score reliability for the OHIP-5School was "good" (Cronbach's alpha: 0.81) or "excellent" (Intraclass correlation coefficient: 0.92). High correlations between OHIP-5School, OHIP-5, and CPQ-G8-10 scores were observed and hypotheses about a pattern of these correlations were confirmed, providing evidence for score validity. CONCLUSION The OHIP-5School and the original OHIP-5 are short and psychometrically sound instruments to measure the oral health related quality of life in school-aged children, providing an opportunity for a standardized oral health impact assessment with the same metric in school-aged children, adolescents, and adults.
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Affiliation(s)
- Cia Solanke
- Department of Pediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria
| | - Mike T John
- Department of Diagnostic and Biological Sciences, School of Dentistry, Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA
| | - Markus Ebel
- Private dental practice, Bergisch Gladbach, Germany
| | - Sarra Altner
- Department of Pediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria
| | - Katrin Bekes
- Department of Pediatric Dentistry, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria.
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Reissmann DR, Schimmel M, Kraus D, Stoilov M, Srinivasan M, Enkling N. IMPACT OF LOADING PROTOCOL OF 2-IMPLANT BAR-RETAINED MANDIBULAR OVERDENTURES ON ORAL HEALTH-RELATED QUALITY OF LIFE: A RANDOMIZED CONTROLLED TRIAL. J Evid Based Dent Pract 2023; 23:101891. [PMID: 37689447 DOI: 10.1016/j.jebdp.2023.101891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 04/10/2023] [Accepted: 05/10/2023] [Indexed: 09/11/2023]
Abstract
OBJECTIVES Aim was to assess whether immediate loading (IL) is more effective than delayed loading (DL) for 2-implant bar-retained mandibular overdentures in terms of oral health-related quality of life (OHRQoL) improvement over a period of 24-month. METHODS In this randomized controlled trial, 32 edentulous patients (mean age: 65.7 ± 10.6 years, 50.0% female) were included. Potential participants had to be unsatisfied with the retention of their current mandibular complete denture and demanded implant treatment for inclusion in the study. OHRQoL was assessed with the 49-item Oral Health Impact Profile (OHIP) at baseline before treatment and 1, 3, 6, 12, and 24 months after implant loading and insertion of implant-retained bars for overdenture support. A mixed-effects model with patients as random effect and an unstructured covariance matrix was developed to address repeated outcome measurement. RESULTS Patients' OHRQoL impairment at baseline was substantial indicated by mean OHIP summary score of 45.1 points. OHIP summary scores decreased substantially from baseline to 1-month follow-up to a mean of 33.5 points (P = .020). OHRQoL further improved during study period indicated by OHIP summary score of 25.7 points at 24-month follow-up. Raw treatment effects (IL vs. DL) ranged from -1.2 OHIP points for 12-month follow-up to 5.8 OHIP points for 24-month follow-up. Assuming constant treatment and time effects, treatment effect was small and not statistically significant (-0.7 OHIP points; P= .918). CONCLUSION A 2-implant bar-retained mandibular overdentures substantially improves OHRQoL over a period of at least 24 months. There seems to be no significant effect of implant loading protocol.
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Affiliation(s)
- Daniel R Reissmann
- Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Freiburg, Freiburg, Germany; Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
| | - Martin Schimmel
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland; Division of Gerodontology and Removable Prosthodontics, University of Geneva, Geneva, Switzerland
| | - Dominik Kraus
- Department of Prosthodontics, Preclinical Education and Dental Material Science, University of Bonn, Bonn, Germany
| | - Milan Stoilov
- Department of Prosthodontics, Preclinical Education and Dental Material Science, University of Bonn, Bonn, Germany
| | - Murali Srinivasan
- Clinic of General, Special care and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland; Division of Gerodontology and Removable Prosthodontics, University of Geneva, Geneva, Switzerland
| | - Norbert Enkling
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland; Department of Prosthodontics, Preclinical Education and Dental Material Science, University of Bonn, Bonn, Germany
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Ćorić A, Kovačić I, Kiršić SP, Čelebić A. Are Mini Dental Implants Suitable for Support of Crowns or Small Bridges in the Mandibular Incisor Region? A 5-year Longitudinal Study. J Oral Maxillofac Surg 2022; 80:1811-1826. [PMID: 36049532 DOI: 10.1016/j.joms.2022.07.145] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 07/22/2022] [Accepted: 07/24/2022] [Indexed: 11/19/2022]
Abstract
PURPOSE It has not been previously studied whether 1-piece category 1 narrow dental implants (≤2.5 mm wide) can successfully support crowns or small bridges. The purpose of this study was to evaluate the long-term benefits of the fixed-type mini dental implants (MDIs) for replacement of mandibular incisors. MATERIALS AND METHODS In a prospective cohort study, fixed-type 1-piece MDIs, replacing single or multiple mandibular incisors, supporting metal-ceramic single crowns (unsplinted group), or splinted crowns/small bridges (splinted group) were observed over the period of 5 years. The primary predictor was the splinting status. The primary outcome variables were peri-implant marginal bone level (MBL) change, success, and survival rates (assessed as per Pisa Consensus Conference). The secondary outcomes were dental patient-reported outcome measures (dPROMs) and oral hygiene assessment. Descriptive statistics, Chi-squared test, t-test, Mann-Whitney and Wilcoxon tests, Kaplan-Meier survival analysis, log-rank (Mantel-Cox) comparison, Cox proportional hazard analyses adjusting for number of implants, Spearman correlation, and repeated measures were used for data analysis. RESULTS From 44 participants (mean age 56.02 ± 5.72 years), 40 completed the 5-year study: 23 in the splinted and 17 in unsplinted group. Three subjects did not respond, while 1 MDI failed (third year) in the unsplinted group. Mean MBL change in both groups was small; however, it increased over time (-0.22 ± 0.38 mm after 1 year; -0.54 ± 0.56 mm after 5 years; P < .05). After 5 years mean MBL change was -0.59 ± 0.71 mm in the unsplinted and -0.50 ± 0.41 mm in the splinted group (P > .05). Survival analysis revealed no significant difference between the unsplinted (85.7% success, 4.8% failures, and 9.5% satisfactory survivals) and splinted group (93.4% success and 6.6% satisfactory survivals) (P > .05). The group affiliation (unsplinted vs splinted) and number of implants were not significant predictors of MDI failure or survival rates (P > .05). Significant improvement in dPROMs after rehabilitation remained unchanged over 5 years (P > .05). Modified plaque index significantly increased over time, correlating with the MBL loss. CONCLUSION MDIs supporting crowns and/or small bridges in the mandibular incisor region showed small rates of marginal bone loss, acceptable success, and survival rates and improved dPROMs over a 5-year observation period.
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Affiliation(s)
- Anka Ćorić
- Health Care Center Mostar, Mostar, Bosnia and Herzegovina & Assistant, Department of Prosthodontics, School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina
| | - Ines Kovačić
- Assistant, Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia.
| | - Sanja Peršić Kiršić
- Associate Professor, Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Asja Čelebić
- Professor, Department of Prosthodontics, School of Dental Medicine University of Zagreb, Zagreb, Croatia
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Paulson DR, Pattanaik S, Chanthavisouk P, John MT. Including the patient's oral health perspective in evidence-based decision-making. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2021; 64:959-966. [PMID: 34244813 DOI: 10.1007/s00103-021-03375-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 06/10/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND How to approach the assessment of patient-perceived oral health is of fundamental importance for the evaluation of clinical and public health interventions because the patient's assessment should be used as an adjunct to objective dental findings in order to decide which interventions work. AIM This review article aims to provide an overview of the principles, current status, and future outlook for how a patient's oral health perception can and should be assessed. REVIEW FINDINGS The hierarchical position of dental patient-reported outcomes, oral health-related quality of life (OHRQoL), and dental patient-reported outcome measures within the hierarchical concepts of quality of life and its component, health-related quality of life, is presented. The Mapping Oral Disease Impact with a Common Metric project is outlined as an international effort to describe current approaches to standardize the measurement of oral impact using the four OHRQoL dimensions of oral function, orofacial pain, orofacial appearance, and psychosocial impact. CONCLUSION Ultimately, these four dimensions of OHRQoL provide a practical and psychometrically solid way to collect and analyze OHRQoL data for all oral diseases in all settings, and eventually for all treatments through the use of a standardized, universal measurement tool. This universal impact metric capturing the patient's oral health perspective is the key to moving evidence-based dentistry and value-based oral health care forward.
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Affiliation(s)
- Danna R Paulson
- Department of Primary Dental Care, University of Minnesota, Minneapolis, MN, USA.
- University of Minnesota, 515 Delaware St. SE, 7-557 Moos Tower, 55455, Minneapolis, MN, USA.
| | - Swaha Pattanaik
- Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, MN, USA
| | | | - Mike T John
- Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, MN, USA
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Psychometric Characteristics of the Croatian and the Serbian Versions of the Oral Health Impact Profile for Edentulous Subjects, with a Pilot Study on the Dimensionality. Zdr Varst 2021; 60:55-64. [PMID: 33488823 PMCID: PMC7780771 DOI: 10.2478/sjph-2021-0009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 11/24/2020] [Indexed: 12/02/2022] Open
Abstract
Introduction The aim was to adapt the Croatian and the Serbian versions of the Oral Health Impact Profile for the edentulous population (OHIP-EDENT-CRO and OHIP-EDENT-SRB). Methods The translation and cross-cultural adaptation were carried out in accordance with accepted international standards. A total of 95 and 177 removable denture wearers were recruited in Croatia and Serbia respectively. The reliability was evaluated by calculating Cronbach’s alpha coefficient and by test-retest (30 participants in each country). The concurrent validity was determined by calculating the Spearman’s rank coefficient between the OHIP-EDENT summary scores and one question related to removable denture satisfaction. Construct validity was determined by exploratory factor analysis (EFA). Responsiveness was determined by comparison of the OHIP-EDENT summary scores before and after dental implant placement to support mandibular overdentures (23 patients in Croatia, 21 in Serbia). Results Cronbach’s alpha coefficient was 0.92 in Croatia and 0.87 in Serbia. The intraclass correlation coefficient was 0.98 in Croatia and 0.94 in Serbia. In Croatia the Spearman’s correlation coefficient was -0.71 (p<0.001) and in Serbia -0.74 (p<0.001). Both confirmed concurrent validity. Construct validity was tested by EFA, which extracted four factors in each country, accounting for 66.59% of the variance in Croatia and 59.33% in Serbia. Responsiveness was confirmed in both countries by a significant OHIP-EDENT summary score reduction and a high standardised effect size (3.9 in Croatia, 1.53 in Serbia). Conclusion The results prove that both instruments, the OHIP-EDENT-CRO and the OHIP-EDENT-SRB, have very good psychometric properties for assessing OHRQoL in the edentulous population.
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Liebermann A, Erdelt K, Lente I, Edelhoff D, Schmitter M, Winter A. Oral health-related impact profile of patients treated with fixed, removable, and telescopic dental prostheses in student courses-a prospective bicenter clinical trial. Clin Oral Investig 2020; 25:2191-2201. [PMID: 32852596 PMCID: PMC7966221 DOI: 10.1007/s00784-020-03532-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Accepted: 08/14/2020] [Indexed: 11/29/2022]
Abstract
Objectives To analyze the oral health-related impact profile in patients treated with three different types of dental prosthesis in student courses. Materials and Methods This prospective bicenter clinical trial was conducted with 151 patients being treated with fixed (n = 70), removable (n = 61), or telescopic dental prostheses (n = 20) in clinical student courses of two German universities from October 2018 to October 2019. All patients completed three standardized German versions of the Oral Health Impact Profile (OHIP-G49/53) before prosthetic treatment (T0), at control after 1 week (T1), and after 3 months (T2), divided into five dimensions: (a) appearance, (b) oral function, (c) psychosocial impact, (d) linguistic limitations, and (e) orofacial pain. Data were analyzed with Kolmogorov–Smirnov, Wilcoxon signed-rank, Kruskal–Wallis, Mann–Whitney, and Cronbach’s alpha tests. Results Within T0–T1 and T0–T2, greater improvements were determined for removable compared with fixed dental prostheses for the dimensions’ oral function (p ≤ 0.014), linguistic limitations (p ≤ 0.016), and appearance (p ≤ 0.003). No significant differences were found between fixed and telescopic dental prostheses (p ≥ 0.104) or between removable (partial dental prosthesis with clasps and complete dental prosthesis) and telescopic dental prostheses (p ≥ 0.100). Within T1–T2, a significant improvement in orofacial pain could be determined (p = 0.007). Conclusions Restorations presented an improvement in oral health-related quality of life. Removable dental prostheses showed better improvement than fixed ones in various dimensions. Clinical relevance Knowledge about the influence of oral health-related quality of life on the three different types of prosthesis used in student courses can be of decisive help in dental consultations.
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Affiliation(s)
- Anja Liebermann
- Department of Prosthetic Dentistry, LMU Munich, Goethestrasse 70, 80336, Munich, Germany.
| | - K Erdelt
- Department of Prosthetic Dentistry, LMU Munich, Goethestrasse 70, 80336, Munich, Germany
| | - I Lente
- Department of Prosthetic Dentistry, LMU Munich, Goethestrasse 70, 80336, Munich, Germany
| | - D Edelhoff
- Department of Prosthetic Dentistry, LMU Munich, Goethestrasse 70, 80336, Munich, Germany
| | - M Schmitter
- Department of Prosthetic Dentistry, Würzburg, Germany
| | - A Winter
- Department of Prosthetic Dentistry, Würzburg, Germany
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Su N, van Wijk A, Visscher CM. Psychosocial oral health-related quality of life impact: A systematic review. J Oral Rehabil 2020; 48:282-292. [PMID: 32761938 PMCID: PMC7984127 DOI: 10.1111/joor.13064] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 06/10/2020] [Accepted: 07/29/2020] [Indexed: 12/13/2022]
Abstract
Background Psychosocial wellbeing is an important determinant for patients' oral health‐related quality of life (OHRQoL). Psychosocial impact (PI), together with the dimensions Oral Function, Orofacial Pain and Orofacial Appearance, has been proposed to cover the different areas of OHRQoL. Objective The objective of the study was to collect further scientific support for the new four‐dimensional structure of OHRQoL. This study is one out of a series of four and focuses on the PI in patients with dental anxiety, oral cancer and periodontitis (PROSPERO registration number: CRD42017064033). Methods Five databases (Pubmed (Medline), EMBASE, Cochrane, CINAHL and PsycINFO) were electronically searched on 8 June 2017 and updated on 14 January 2019, to identify the studies that measure OHRQoL using the Oral Health Impact Profile (OHIP) for oral health conditions. In this review, studies were included if the mean/median domain scores from OHIP‐14 or OHIP‐49 were available for patients with dental anxiety, oral cancer or periodontitis. The score of the handicap domain from the OHIP was used to assess patients` PI. The handicap domain includes 6 items for OHIP‐49 with a domain score ranging from 0 to 24 and 2 items for OHIP‐14 with a domain score ranging from 0 to 8. For comparison between the 2 versions of the OHIP, the domain score of OHIP‐49 was conversed into a 0 to 8 metric. The domain scores of the included studies were then pooled, separately for each of the included dental disorders. Results A total of 2104 records were identified based on the search strategy. After screening of titles and abstracts, 1607 articles were reviewed in full text. Twenty‐three articles met the inclusion criteria for this review and were included in the study. The 23 articles contained 3884 patients, grouped in 30 patient populations and 42 patient samples. The pooled mean scores of PI for dental anxiety, oral cancer and periodontitis were 3.2, 1.9 and 0.8, respectively, on the 0 to 8 metric. Conclusion This review provides standardised information about the OHRQoL impact for three dental disorders as a model for the PI dimension. Dental anxiety tends to show the strongest effect on the PI dimension, while periodontitis tends to show the weakest effect on the PI dimension. Future studies need to confirm whether the reported differences in PI scores between the three dental disorders are statistically significant.
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Affiliation(s)
- Naichuan Su
- Department of Social Dentistry, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands
| | - Arjen van Wijk
- Department of Social Dentistry, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands
| | - Corine M Visscher
- Department of Orofacial Pain and Disfunction, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands
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Kirby JS, Thorlacius L, Villumsen B, Ingram JR, Garg A, Christensen KB, Butt M, Esmann S, Tan J, Jemec GBE. The Hidradenitis Suppurativa Quality of Life (HiSQOL) score: development and validation of a measure for clinical trials. Br J Dermatol 2020; 183:340-348. [PMID: 31705538 PMCID: PMC7205560 DOI: 10.1111/bjd.18692] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/07/2019] [Indexed: 12/29/2022]
Abstract
BACKGROUND Hidradenitis suppurativa (HS) is a chronic, inflammatory condition that can have a large negative impact on health-related quality of life (HRQOL). A reliable and validated measure of HS-specific HRQOL in clinical studies is needed. OBJECTIVES To develop and validate the Hidradenitis Suppurativa Quality Of Life (HiSQOL©) scale, for clinical trial measurement of HS-specific HRQOL. METHODS In stage 1, qualitative concept elicitation interviews were conducted with patients with HS in Denmark (n = 21) and the U.S.A. (n = 21). In stage 2, cognitive debriefing interviews were performed with U.S. (n = 30) and Danish patients with HS (n = 30). In stage 3 an observational study of 222 patients with HS in the U.S.A. was conducted for item reduction, measure validation and assessment of psychometric properties. In stage 4, an observational study of 215 patients with HS in Denmark was conducted to confirm the psychometric structure derived in stage 3. In both studies the Dermatology Life Quality Index, Hospital Anxiety and Depression Scale and numerical rating scale for pain were also included. RESULTS In concept elicitation, 99 items were generated, which were reduced to 41 after removing duplicates. In cognitive debriefing, two items were added and one item removed. A 42-item instrument was psychometrically assessed. Based on psychometric analyses and patient input, the instrument was reduced to 17 items that had strong psychometric properties in both the U.S. and Danish samples. CONCLUSIONS The HiSQOL is a reliable and valid instrument to measure HS-specific HRQOL in clinical trials.
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Affiliation(s)
- J S Kirby
- Department of Dermatology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, U.S.A
| | - L Thorlacius
- Department of Dermatology, Zealand University Hospital, Roskilde; Health Sciences Faculty, University of Copenhagen, Copenhagen, Denmark
| | - B Villumsen
- The Patients' Association HS Denmark, Copenhagen, Denmark
| | - J R Ingram
- Division of Infection & Immunity, Cardiff University, University Hospital of Wales, Heath Park, Cardiff, CF14 4XN, U.K
| | - A Garg
- Department of Dermatology, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, New Hyde Park, NY, U.S.A
| | - K B Christensen
- Department of Dermatology, Zealand University Hospital, Roskilde; Health Sciences Faculty, University of Copenhagen, Copenhagen, Denmark
| | - M Butt
- Department of Dermatology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, U.S.A
| | - S Esmann
- Department of Dermatology, Zealand University Hospital, Roskilde; Health Sciences Faculty, University of Copenhagen, Copenhagen, Denmark
| | - J Tan
- Department of Medicine, University of Western Ontario, Windsor, ON, Canada
| | - G B E Jemec
- Department of Dermatology, Zealand University Hospital, Roskilde; Health Sciences Faculty, University of Copenhagen, Copenhagen, Denmark
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11
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Reissmann DR. Methodological considerations when measuring oral health-related quality of life. J Oral Rehabil 2020; 48:233-245. [PMID: 32325537 DOI: 10.1111/joor.12983] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Revised: 03/11/2020] [Accepted: 04/16/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Dental patient-reported outcomes (dPROs) and their measures, dPROMs, are fundamental for evidence-based dentistry. However when selecting, applying and evaluating an instrument with a focus on OHRQoL assessment for adults, several methodological considerations are essential to derive valid and meaningful results. METHODS In this review article, criteria for selecting the appropriate OHRQoL instrument, aspects of administering the instrument and how to evaluate resulting scores of single and multiple assessments are presented and critically assessed. RESULTS Oral disease-generic and dimension-generic instruments capturing the entire construct OHRQoL allow for best comparability of findings across different diseases, settings and populations, with the Oral Health Impact Profile (OHIP) being the most often used and methodologically best investigated one. It is available in several versions with the 5-item version being the one with the lowest burden for the patient. Responses are given on a 5-point ordinal rating scale, the recommended response scale for dPROMs. A 7-day recall period allows for assessment of short-term effects. Clinically relevant effects of item or instrument order or administration method on OHIP scores do not seem to be likely. OHIP summary and dimension scores can be compared to norms from general population or different patient populations. Change scores should be set into context with the minimal important difference of the instrument. CONCLUSION OHIP-5 has greatest potential to be used across all settings for assessment and evaluation of OHRQoL in adults. It allows a comprehensive characterising of patients suffering from oral diseases and of this impact using OHRQoL dimensions.
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Affiliation(s)
- Daniel R Reissmann
- Department of Prosthetic Dentistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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12
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John MT. Foundations of oral health-related quality of life. J Oral Rehabil 2020; 48:355-359. [PMID: 32658317 DOI: 10.1111/joor.13040] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 04/30/2020] [Accepted: 06/08/2020] [Indexed: 11/30/2022]
Abstract
Oral health-related quality of life (OHRQOL) is the component of health-related quality of life that relates to the effects of oral diseases and dental interventions on patients. This article describes why OHRQOL is important and how it is measured. The conceptual basis for OHRQOL is discussed. A four-dimensional structure consisting of Oral Function, Orofacial Pain, Orofacial Appearance and Psychosocial Impact as the OHRQOL dimensions has emerged as psychometrically sound and clinically intuitive. Consequently, when the impact of oral diseases or the effects of dental interventions are measured, four dimension scores capturing these attributes need to be used.
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Affiliation(s)
- Mike T John
- Department of Diagnostic and Biological Sciences, School of Dentistry, University of Minnesota, Minneapolis, Minnesota, USA
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13
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Simancas-Pallares M, John MT, Enstad C, Lenton P. The Spanish Language 5-Item Oral Health Impact Profile. Int Dent J 2019; 70:127-135. [PMID: 31750546 DOI: 10.1111/idj.12534] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE To test validity and reliability of the Spanish version of the 5-item Oral Health Impact Profile (OHIP-Sp5). METHODS Spanish-speaking dental patients (n = 331, response rate = 61%, age: 42.9 + 12.3 years, 59% female) with a scheduled appointment at HealthPartners dental clinics in Minnesota, USA, were investigated. To assess score reliability, we computed Cronbach's alpha, expecting 'good' reliability (alpha > 0.70). To assess score validity, we correlated the OHIP-Sp5 summary score with five OHRQoL measures [49- and 14-item OHIP-Sp, the Spanish version of the General Oral Health Assessment Index (GOHAI-Sp), the Spanish version of the Oral Impacts on Daily Performances (OIDP-Sp) and a Global Oral Health Assessment]. We expected a pattern of 'very large' (r > 0.70) correlation coefficients for OHIP-Sp5 relationships with the two longer OHIP-Sp versions and 'large' (r > 0.50) correlation coefficients for the other three measures. RESULTS Patients had a mean OHIP-Sp5 score of 3.7 (SD = 4.0). The Instrument's reliability was, as expected, 'good', according to the Cronbach's alpha statistic of 0.83. The Instrument's validity was supported by the expected pattern of validity coefficients. OHIP-Sp5 summary scores correlated with OHIP-Sp14 as well as with OHIP-Sp49 (both r = 0.95: 'very large' effect) and with GOHAI-Sp, OIDP and the Global Oral Health Assessment with r = -0.80, 0.73, and -0.56 (absolute effect magnitude all 'very large' or 'large'), respectively. CONCLUSIONS The Spanish version of OHIP-5 is a brief and psychometrically sound instrument to measure oral health-related quality of life (OHRQoL) in Spanish-speaking populations. It can effectively replace longer OHIP instruments and would be applicable across all settings of clinical practice and research.
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Affiliation(s)
- Miguel Simancas-Pallares
- Division of Pediatric and Public Health, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.,Division of Oral and Craniofacial Health Sciences, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Mike T John
- Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, MN, USA
| | - Christopher Enstad
- HealthPartners Institute for Education and Research, Minneapolis, MN, USA
| | - Patricia Lenton
- Oral Health Clinical Research Clinic, University of Minnesota, Minneapolis, MN, USA
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14
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Čelebić A, Peršić S, Kovačić I, Buković D, Lešić N, Rener-Sitar K. Comparison of Three Prosthodontic Treatment Modalities for Patients with Periodontally Compromised Anterior Mandibular Teeth: A 2-year follow-up study. Acta Stomatol Croat 2019; 53:4-16. [PMID: 31118528 PMCID: PMC6508933 DOI: 10.15644/asc53/1/1] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Accepted: 02/01/2019] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES To prospectively assess self-perceived chewing function (CF) and oral health-related quality of life (OHRQoL) in geriatric patients after receiving three different treatment modalities in the mandible: removable partial denture (CD-RPD), complete denture (CDs), or complete overdenture supported by mini dental implants (CD-MDI). At baseline, all patients had mobile anterior teeth (1 mm or >) and missing posterior teeth in the mandible. Patients were completely edentulous in the maxilla. After treatment, patients were recalled at the 3-month and the 2-year post-treatment period. MATERIALS AND METHODS A total of 176 patients participated (CD group, n=68; CD-RPD group, n=58; CD-MDI group, n=50). Self-reported CF was assessed using the Chewing Function questionnaire (CFQ), The OHRQoL was evaluated using the OHIP14 questionnaire, which the patients completed 1. before treatment, 2. three months after treatment, and 3. at the 2-year post-treatment stage. RESULTS The OHRQoL and the self-perceived CF significantly improved in all groups after treatment (p<0.01). The highest improvement of a CF was recorded in the CD-MDI group. The OHRQoL was significantly higher in the CD-MDI group in comparison to the CDs group after treatment (p<0.01). At the 2-year post-treatment stage, self-perceived CF significantly further improved in the CD-MDI group, while it worsened in the CD and the CD-RPD groups (p<0.01). The same pattern was recorded for the OHIP14 summary scores. The highest amount of denture repairs and adjustments was recorded in the CD-RPD group, although maintenance was also demanding in the CD-MDI group. CONCLUSION Within the limitations of this study, rehabilitation with mandibular MDI retained overdenture can be considered as preferred treatment with the constant improvement of OHRQoL and a chewing function in comparison to mandibular CD or mandibular RPD option in patients with mobile anterior mandibular teeth.
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Affiliation(s)
- Asja Čelebić
- Department of Prosthodontics, School of Dental Medicine & Clinical Hospital Centre Zagreb, University of Zagreb, Zagreb, Croatia
| | - Sanja Peršić
- Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Ines Kovačić
- Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Dino Buković
- Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | | | - Ksenija Rener-Sitar
- Department of Prosthodontics, Division of Dental Medicine, Faculty of Medicine, University of Ljubljana & University Medical Center, University Dental Clinics, Ljubljana, Slovenia
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15
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Rehabilitation of an Extremely Resorbed Edentulous Mandible by Short and Narrow Dental Implants. Case Rep Dent 2018; 2018:7597851. [PMID: 30671267 PMCID: PMC6317120 DOI: 10.1155/2018/7597851] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 10/27/2018] [Accepted: 11/05/2018] [Indexed: 11/28/2022] Open
Abstract
Serious consequences of long-term complete denture wearing may be extreme residual ridge atrophy and a reduced area of keratinized oral mucosa of a denture-bearing area. This paper presents five clinical cases of extreme mandibular ridge atrophy, rehabilitated by means of mandibular overdentures retained by short mini dental implants. The patients had a reduced mandibular bone volume in the interforaminal region, bone height less than 10 mm, and buccolingual bone width less than 4 mm. In order to avoid bone augmentation, patients received four short mini dental implants (MDIs) (6 or 8 mm long; 2.0 or 2.5 mm wide) for the support of mandibular overdentures, which is a new rehabilitation option. After insertion, the MDIs were early loaded with new mandibular overdentures reinforced with the CoCr framework. The patients have been wearing their overdentures for 2 years. One MDI broke during insertion and a new one was added. One patient lost one MDI but successfully continued to wear the overdenture retained by the remaining three MDIs. Mean marginal bone loss (MBL) was 0.20 ± 0.19 mm. Patients significantly improved their OHRQoL and chewing function by reducing the summary scores of the OHIP-14 and the chewing function questionnaires. The improvements remained unchanged throughout the observation period.
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16
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Fenenga CJ, Buzasi K, Arhinful DK, Duku SKO, Ogink A, Poortinga W. Health insurance and social capital in Ghana: a cluster randomised controlled trial. Glob Health Res Policy 2018; 3:35. [PMID: 30534601 PMCID: PMC6282266 DOI: 10.1186/s41256-018-0090-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Accepted: 11/05/2018] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The National Health Insurance Scheme (NHIS) was introduced in Ghana in 2003, enrolment is still far from the desired target of universal coverage. Low community engagement in the design and management of the system was identified as one of the main barriers. The aim of the current study was to explore the role of social capital in NHIS enrolment in two regions of Ghana, Western and Greater Accra. METHODS The study involved a cluster-randomised controlled trial of 3246 clients of 64 healthcare facilities who completed both a baseline and a follow-up survey. Thirty-two facilities were randomly selected to receive two types of intervention. The remaining facilities served as control. The interventions were co-designed with stakeholders. Baseline and follow up surveys included measures of different types of social capital, as well as enrolment in the health insurance scheme. RESULTS The study found that the interventions encouraged NHIS enrolment (from 40.29 to 49.39% (intervention group) versus 36.49 to 36.75% (control group)). Secondly, certain types of social capital are associated with increased enrolment (log-odds ratios (p-values) of three types of vertical social capital are 0.127 (< 0.01), 0.0952 (< 0.1) and 0.15 (< 0.01)). Effectiveness of the interventions was found dependent on initial levels of social capital: respondents with lowest measured level of interpersonal trust in the intervention group were about 25% more likely to be insured than similar respondents in the control group. Among highly trusting respondents this difference was insignificant. There was however no evidence that the interventions effect social capital. Limitations of the study are discussed. CONCLUSION We showed that the interventions helped to increase enrolment but that the positive effect was not realized by changes in social capital that we hypothesised based on result of the first phase of our study. Future research should aim to identify other community factors that are part of the enrolment process, whether other interventions to improve the quality of services could help to increase enrolment and, as a result, could provide community benefits in terms of social capital.Our findings can guide the NHIS in Ghana and other health organizations to enhance enrolment. TRIAL REGISTRATION Ethical Clearance by Ghana Health Service Ethical Committee No. GHS-ERC 08.5.11.
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Affiliation(s)
- Christine J. Fenenga
- Amsterdam Institute for Global Health and Development, Paasheuvelweg 24, 1105 BP Amsterdam, The Netherlands
- University of Groningen, Broerstraat 5, 9712 CP Groningen, The Netherlands
| | - Katalin Buzasi
- Amsterdam Institute for Global Health and Development, Paasheuvelweg 24, 1105 BP Amsterdam, The Netherlands
- Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, The Netherlands
| | - Daniel K. Arhinful
- Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
| | - Stephen K. O. Duku
- Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana
- Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, The Netherlands
- Tinbergen Institute, Gustav Mahlerplein 117, 1082 MS Amsterdam, The Netherlands
| | - Alice Ogink
- Amsterdam Institute for Global Health and Development, Paasheuvelweg 24, 1105 BP Amsterdam, The Netherlands
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Alhajj MN, Halboub E, Khalifa N, Amran AG, Reissmann DR, Abdullah AG, Assad M, Al-Basmi AA, Al-Ghabri FA. Translation and validation of the Arabic version of the 5-item Oral health impact profile: OHIP5-Ar. Health Qual Life Outcomes 2018; 16:218. [PMID: 30453965 PMCID: PMC6245614 DOI: 10.1186/s12955-018-1046-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Accepted: 11/08/2018] [Indexed: 01/10/2023] Open
Abstract
Purpose The aim of this study was to translate and validate an Arabic version of the 5-item Oral Health Impact Profile (OHIP). Methods A total of 320 subjects (aged 18 years and above) were consecutively recruited from dental clinics. The self-administered OHIP5-Ar was distributed and the data were collected and analyzed. The dimensionality of the instrument was investigated using confirmatory factor analyses (CFA). Reliability was assessed as the instruments internal consistency using Cronbach’s alpha and test-retest-reliability using intraclass correlation coefficient (ICC). Convergent validity was tested by correlation between perceived global oral and general health questions with the latent factor (OHRQoL) using structural equation modelling analysis and with OHIP5-Ar total score using spearman’s correlation coefficient. Known-groups validity was tested among groups with known differences and sensitivity to change was also investigated after dental treatments. Results The OHIP5-Ar was fitted well in the unidimensional model as indicated by the CFA with fit indices (RMSEA: 0.00, SRMR: 0.010, GFI: 0.998, TLI: 1). Cronbach’s alpha was 0.78 and the ICC agreement was 0.88. The validity tests indicated satisfactory validity of the instrument and the sensitivity to change of the instrument revealed significant change in the OHIP5-Ar total score after the provision of dental treatments (effect sizes: 0.55–1.49). Conclusion The OHIP5-Ar showed satisfactory psychometric properties among Arabic-speaking population. This instrument is sensitive to the changes of oral health and can be used to measure the OHRQoL with one total score.
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Affiliation(s)
| | - Esam Halboub
- Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Nadia Khalifa
- Department of Preventive and Restorative Dentistry, Faculty of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Abdullah G Amran
- Department of Periodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen
| | - Daniel R Reissmann
- Department of Prosthetic Dentistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Abbas G Abdullah
- Department of Basic Sciences, Faculty of Dentistry, University of Khartoum, Khartoum, Sudan
| | - Mounzer Assad
- Department of Oral Surgery, Faculty of Dentistry, Tishreen University, Lattakia, Syria
| | | | - Fawaz A Al-Ghabri
- Department of Periodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen
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18
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Patient-Reported Outcome Measures for Adult Dental Patients: A Systematic Review. J Evid Based Dent Pract 2018; 19:53-70. [PMID: 30926102 DOI: 10.1016/j.jebdp.2018.10.005] [Citation(s) in RCA: 76] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2018] [Revised: 10/16/2018] [Accepted: 10/18/2018] [Indexed: 11/20/2022]
Abstract
OBJECTIVES Patient-reported outcomes (PROs) are used beside disease-oriented outcomes (eg, number of teeth, clinical attachment level) to better capture the impact of diseases or interventions. To assess PROs for dental patients (dPROs), dental PRO measures (dPROMs) are applied. The aim of this systematic review was to identify generic dPROMs for adult patients and the dPROs. METHODS This systematic review searched the MEDLINE, Embase, and PsycINFO databases along with hand searching, through December 2017, to identify English-language, multi-item dPROMs that are oral health generic, that is, they are applicable to a broad range of adult patients. RESULTS We identified 20 questionnaires that contained 36 unique dPROs. They were measured by 53 dPROMs. dPRO names (N = 36) suggested they could be grouped into four dPRO categories: (1) Oral Function (N = 11), Orofacial Pain (N = 7), Orofacial Appearance (N = 3), and Psychosocial Impact (N = 14), as well as an additional dPRO that represented perceived oral health in general. Only eight questionnaires had a specific recall or reference period. dPROM's score dimensionality was only investigated in 13 of the 20 questionnaires. CONCLUSIONS The identified 36 dPROs represent the major aspects of an adult dental patient's oral health experience; however, four major dPRO categories, that is, Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact, summarize how patients are impacted. If multi-item, oral health-generic dPROMs are to be used to measure patients' suffering, the 53 dPROMs represent current available tools. Limitations of the majority of these dPROMs include incomplete knowledge about their dimensionality, which affects their validity, and an unspecified recall period, which reduces their clinical applicability.
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Oral health-related impact profile in full-mouth restored patients with two different tooth-colored restoration materials. Clin Oral Investig 2018; 23:1625-1634. [PMID: 30145661 DOI: 10.1007/s00784-018-2580-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Accepted: 08/16/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVES To analyze the change of oral health impact profile (OHIP) in patients with full-mouth rehabilitations due to moderate/severe tooth wear dependent on different restorative materials (ceramic/experimental CAD/CAM composite). MATERIALS AND METHODS Twenty-nine healthy patients (15 male/14 female, age 44.6 ± 28.4 years) requiring full-mouth rehabilitation due to different degrees of tooth wear were instructed to fill the German version OHIP-G49 questionnaire before (baseline) and 30 days after prosthetic treatment with ceramic (n = 17) or experimental CAD/CAM composite (n = 12) restorations. Questions were divided into five dimensions: appearance, oral functions, psychosocial impact, linguistic limitations, and orofacial pain; changes between both OHIP-questionnaires for each question and patient were dissected by difference values, separately. Data were analyzed with the Kolmogorov-Smirnov, Wilcoxon's signed-rank, Kruskal-Wallis, Mann-Whitney, and Cronbach's alpha tests (significance level p = 0.01). RESULTS The appearance dimension showed the highest results (p < 0.001, 100% improvement with all values > 0); the linguistic limitations dimension presented the lowest improvement (p < 0.001). The other three dimensions were not statistically different. No statistical differences between the two materials depending on OHIP questionnaire results occurred. CONCLUSIONS The esthetic appearance of the patients was influenced positively by full-mouth rehabilitation, irrespective of the material used. Improvements were also made in the parameters "toothache" and "problem of food intake." No statements could be made for the parameter "language." CLINICAL RELEVANCE With an increasing number of patients with moderate/severe tooth wear, thorough knowledge about the improvement of OHIP is important. This information is advantageous for the consultation and handling of patients when complex treatments are planned.
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Oghli I, List T, John M, Larsson P. Prevalence and oral health-related quality of life of self-reported orofacial conditions in Sweden. Oral Dis 2016; 23:233-240. [PMID: 27770603 DOI: 10.1111/odi.12600] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Revised: 10/07/2016] [Accepted: 10/10/2016] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To (i) determine the prevalences of self-report in a Swedish adult population, of temporomandibular disorders, burning mouth syndrome, dry mouth, and bad breath and (ii) determine oral health-related quality-of-life impairment in subjects reporting these conditions. SUBJECTS AND METHODS A cross-sectional, randomized sample of the adult Swedish population (response rate: 46%, N = 1309 subjects) self-reported their condition from the preceding month to assess prevalences of self-report for the studied conditions together with comorbidity group of subjects who reported more than one condition. The 49-item Oral Health Impact Profile (OHIP) used to assess oral health-related quality of life. RESULTS The most prevalent condition was bad breath (39%), followed by dry mouth (22%), temporomandibular disorders (18%) and burning mouth syndrome (4%). High comorbidity of conditions occurred in 27% of the population. Quality-of-life impairment increased with the number of comorbid conditions. Among individual conditions, burning mouth syndrome and temporomandibular disorders (57% and 40% OHIP points) presented higher impairment than dry mouth and bad breath (32% and 26% OHIP points). CONCLUSIONS Orofacial conditions were common and often coexist. The comorbidity group experienced the highest impact on oral health-related quality of life: the more the comorbid conditions, the greater the negative impact.
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Affiliation(s)
- I Oghli
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmo University, Malmo, Sweden.,Department of Oral Basic Sciences, Taibah University, Medina, Saudi Arabia.,Scandinavian Centre for Orofacial Neurosciences, Malmö
| | - T List
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmo University, Malmo, Sweden.,Scandinavian Centre for Orofacial Neurosciences, Malmö.,Department of Rehabilitation Medicine, Skane University Hospital, Lund, Sweden
| | - M John
- Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, MN, USA
| | - P Larsson
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmo University, Malmo, Sweden.,Scandinavian Centre for Orofacial Neurosciences, Malmö.,Centre of Oral Rehabilitation, Norrkoping, Sweden
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John MT, Reissmann DR, Čelebić A, Baba K, Kende D, Larsson P, Rener-Sitar K. Integration of oral health-related quality of life instruments. J Dent 2016; 53:38-43. [PMID: 27353210 DOI: 10.1016/j.jdent.2016.06.006] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2016] [Revised: 06/23/2016] [Accepted: 06/24/2016] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES To integrate items from two widely used oral health-related quality of life (OHRQoL) questionnaires, the General Oral Health Assessment Index (GOHAI) and the Oral Impacts on Daily Performances (OIDP), as well as culturally-specific items of the Oral Health Impact Profile (OHIP) into a four-dimensional OHRQoL model consisting of Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. METHODS Subjects came from an ancillary study of the Dimensions of Oral Health-Related Quality of Life Project (N=267 patients, mean age±SD: 54.0±17.2years, 58% women.) Patients filled in the original 49 items of OHIP and 22 additional OHRQoL items in a cross-sectional study. These additional items consisted of 7 culturally specific OHIP items and 15 GOHAI or OIDP items with unique content not covered in OHIP-49. Before data collection, three experts hypothesized to which of the four OHRQoL dimensions these items belong. Hypotheses were tested in correlation analyses between the 22 items and the four dimension scores that were derived from OHIP-49. RESULTS Five of the 22 items did not provide sufficient information to which dimension they belong. In 16 of the remaining 17 items, the pattern of correlation coefficients fitted experts' a priori hypotheses. Acceptance of 16 of the 17 hypotheses was interpreted as evidence that additional (not in OHIP-49 contained) OHRQoL items can be assigned to Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. CONCLUSION Items of three OHRQoL instruments can be integrated into a dimensional OHRQoL model consisting of Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. CLINICAL SIGNIFICANCE Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact can serve as a simple and clinically appealing set of oral health-related quality of life (OHRQoL) dimensions and therefore provide an opportunity for simpler, but psychometrically improved OHRQoL measurement in the future.
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Affiliation(s)
- Mike T John
- Department of Diagnostic and Biological Sciences, University of Minnesota, 7-536 Moos Tower 515 Delaware Street SE, Minneapolis, MN 55455, USA.
| | - Daniel R Reissmann
- Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Asja Čelebić
- Department of Prosthodontics, University of Zagreb, and School of Dental Medicine and Clinical Hospital Centre, Zagreb, Croatia
| | - Kazuyoshi Baba
- Department of Prosthodontics, Showa University, Tokyo, Japan
| | - Dóra Kende
- Department of Prosthodontics, University of Pécs, Pécs, Hungary
| | - Pernilla Larsson
- Centre of Oral Rehabilitation, Prosthetic Dentistry, Norrköping, Sweden
| | - Ksenija Rener-Sitar
- Department of Prosthodontics, University of Ljubljana, Ljubljana, Slovenia; Department of Prosthodontics, University Dental Clinics, University Medical Center Ljubljana, Ljubljana, Slovenia
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Reissmann DR, John MT, Feuerstahler L, Baba K, Szabó G, Čelebić A, Waller N. Longitudinal measurement invariance in prospective oral health-related quality of life assessment. Health Qual Life Outcomes 2016; 14:88. [PMID: 27267885 PMCID: PMC4897855 DOI: 10.1186/s12955-016-0492-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2015] [Accepted: 05/31/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Prospective assessments of oral health-related quality of life (OHRQoL) changes are prone to response shift effects when patients reconceptualize, reprioritize, or recalibrate the perceived meanings of OHRQoL test items. If this occurs, OHRQoL measurements are not "invariant" and may reflect changes in problem profiles or perceptions of OHRQoL test items. This suggests that response shift effects must be measured and controlled to achieve valid prospective OHRQoL measurement. The aim of this study was to quantify response shift effects of Oral Health Impact Profile (OHIP) scores in prospective studies of prosthodontic patients. METHODS Data came from the Dimensions of Oral Health-Related Quality of Life Project. The final sample included 554 patients who completed the OHIP questionnaire on two occasions: pre- and post-treatment. Only items that compose the 14-item OHIP were analyzed. Structural equation models that included pre- and post-treatment latent factors of OHRQoL with different across-occasion constraints for factor loadings, intercepts, and residual variances were fit to the data using confirmatory factor analysis. RESULTS Data fit both the unconstrained model (RMSEA = .038, SRMR = .051, CFI = .92, TLI = .91) and the partially constrained model with freed residual variances (RMSEA = .037, SRMR = .064, CFI = .92, TLI = .92) well, meaning that the data are well approximated by a one-factor model at each occasion, and suggesting strong factorial across-occasion measurement invariance. CONCLUSIONS The results provided cogent evidence for the absence of response shift in single factor OHIP models, indicating that longitudinal OHIP assessments of OHRQoL measure similar constructs across occasions.
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Affiliation(s)
- Daniel R Reissmann
- Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
- Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, MN, USA.
| | - Mike T John
- Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, MN, USA
| | | | - Kazuyoshi Baba
- Department of Prosthodontics, Showa University, Tokyo, Japan
| | - Gyula Szabó
- Department of Prosthodontics, University of Pécs, Pécs, Hungary
| | - Asja Čelebić
- Department of Prosthodontics, University of Zagreb and Clinical Hospital Centre, Zagreb, Croatia
| | - Niels Waller
- Department of Psychology, University of Minnesota, Minneapolis, USA
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Alignment of oral health-related with health-related quality of life assessment. J Prosthodont Res 2016; 60:69-71. [PMID: 26874925 DOI: 10.1016/j.jpor.2016.01.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2016] [Accepted: 01/22/2016] [Indexed: 11/22/2022]
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