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Chu M, Ibrahim AMBR, Moores CJ, Moynihan P. The impact of wearing complete denture in one or both arches, on eating-related quality of life and patients' perceived need for advice to support eating well: Results from a qualitative study. J Oral Rehabil 2024. [PMID: 38873721 DOI: 10.1111/joor.13775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 05/08/2024] [Accepted: 05/31/2024] [Indexed: 06/15/2024]
Abstract
BACKGROUND Wearing complete denture in one or both arches can impact enjoyment of eating and affect quality of life compared with being dentate. Clinicians focus on issuing technically sound dentures but ignore the impact of wearing dentures on the eating-related quality of life which affects the success of treatment. OBJECTIVES The aim of this research was to qualitatively explore ERQoL in Australian adults wearing complete dentures using a validated questionnaire and through focus groups. METHODS Complete denture wearers (n = 44) were recruited from dental clinics and invited to complete the self-administered Emotional and Social Issues Related to Eating questionnaire. Responses were categorised under the six questionnaire domains. A subsample of 20 participants who completed the questionnaire were invited to participate in focus groups to identify emerging themes. RESULTS Twenty-three participants (52.3%) completed the questionnaire. Most participants expressed a decline in enjoyment of eating due to reduced ability to eat, longer chewing times and the need to frequently clean dentures while eating. Focus groups (n = 2 × 4 participants) indicated educational materials on eating with dentures would increase recognition of eating problems with dentures and reduce trial and error approaches to dealing with these. CONCLUSION ERQoL is adversely affected by wearing complete dentures due to functional limitations, restricted food choices and adaptive eating behaviours. Patient support for eating well with a complete denture/s wearers is required.
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Affiliation(s)
- Melissa Chu
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | | | - Carly J Moores
- Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - Paula Moynihan
- Faculty of Health and Medical Sciences, Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
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de Moraes Flores P, Kern R, da Silva Tedesco A, Teixeira EF, Celeste RK, Brondani M, Mengatto CM. A qualitative analysis of denture wearing experience affecting the quality of life of older adults. Clin Oral Investig 2023:10.1007/s00784-023-04997-1. [PMID: 37010639 DOI: 10.1007/s00784-023-04997-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 03/28/2023] [Indexed: 04/04/2023]
Abstract
OBJECTIVE To explore how denture-related experiences affect older adults' quality of life using a qualitative assessment of the Oral Health Impact Profile for Edentulous individuals (OHIP-Edent). MATERIALS AND METHODS Twenty elderly individuals were interviewed before and 3 months after delivering new complete dentures, using an open-ended interview guide based on the OHIP-Edent. Interviews were audio-recorded and transcribed. Data were open coded and thematically analyzed following a Grounded Theory approach. Findings were integrated and constantly compared to understand the interviewees' difficulties, beliefs, and perceptions. RESULTS Three interconnected themes were developed: functional and psychosocial impairments, and coping strategies. Even when posed as an open-ended format, the wording of some OHIP-Edent items was confusing while others were not relevant to the respondents. New categories related to speaking, smiling, swallowing, emotional and functional coping emerged from the interviews. Interviewees adapted to chewing and swallowing difficulties through food avoidance, modification of food choice and preparation techniques, and changes in dietary behaviors. CONCLUSIONS Denture wearing is a daily challenging experience that encompasses various functional and psychosocial aspects and sheds light on the need for addressing the coping strategies employed by patients, as the current OHIP-Edent items may not fully represent other deemed important aspects of the quality of life of individuals who wear dentures. CLINICAL RELEVANCE Dentists must not solely rely on structured questionnaires to explore the impact of denture wearing and treatment outcomes. Clinicians can use a more holistic approach to comprehend older adults' experiences with dentures including advice about coping mechanisms, food preparation techniques, and meal planning.
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Affiliation(s)
- Priscila de Moraes Flores
- Faculty of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos 2492, Porto Alegre, RS, Brazil
| | - Rodrigo Kern
- Faculty of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos 2492, Porto Alegre, RS, Brazil
| | - Alexandre da Silva Tedesco
- Faculty of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos 2492, Porto Alegre, RS, Brazil
| | - Erico Fabbro Teixeira
- Faculty of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos 2492, Porto Alegre, RS, Brazil
| | - Roger Keller Celeste
- Department of Preventive Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos 2492, Porto Alegre, RS, Brazil
| | - Mario Brondani
- Division of Dental Public Health, Faculty of Dentistry, University of British Columbia, 2329, West Mall, Vancouver, Canada
| | - Cristiane Machado Mengatto
- Department of Conservative Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos 2492, Porto Alegre, RS, 90035-003, Brazil.
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Lima de Paula LML, Sampaio AA, Costa JG, Gomes VE, Ferreira EFE, Ferreira RC. The course from tooth loss to successful rehabilitation with denture: Feelings influenced by socioeconomic status. SAGE Open Med 2019; 7:2050312119874232. [PMID: 31588360 PMCID: PMC6740051 DOI: 10.1177/2050312119874232] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 07/30/2019] [Indexed: 01/02/2023] Open
Abstract
Objective: This study evaluated the perception of users of complete dentures (successful cases) provided by the public health service throughout the course from tooth loss to rehabilitation. Methods: A total of 11 individuals who received their complete dentures through the public health service were interviewed according to a qualitative approach based on three pre-established topics: (1) tooth loss, (2) living without teeth, and (3) living with dentures. The obtained material was submitted to content analysis. Results: Individuals associated the socioeconomic status with lifelong oral health experiences and difficulty to access oral treatment. Tooth loss was the solution to pain and sometimes perceived as a natural event of life. Living without teeth was a negative surprise that resulted in physical and psychological impairments. The period of adaptation to dentures represented suffering and required psychological efforts to be successful. Conclusion: The dentures represented a reward for the suffering and recovered normal function, appearance, and socialization.
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Affiliation(s)
- Lara Melina Leite Lima de Paula
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Aline Araujo Sampaio
- Department of Oral Surgery, Pathology and Clinical Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Josué Gomes Costa
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Viviane Elisângela Gomes
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Efigênia Ferreira E Ferreira
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Raquel Conceição Ferreira
- Department of Social and Preventive Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
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Zelig R, Jones VM, Touger-Decker R, Hoskin ER, Singer SR, Byham-Gray L, Radler DR, Rothpletz-Puglia P. The Eating Experience: Adaptive and Maladaptive Strategies of Older Adults with Tooth Loss. JDR Clin Trans Res 2019; 4:217-228. [PMID: 30931718 DOI: 10.1177/2380084419827532] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE To explore the eating experience and eating-related quality of life (ERQOL) of community-dwelling older adults with tooth loss. METHOD Nineteen older adults from the clinics of a northeast US dental school who met inclusion criteria (>65 y old, <20 teeth, and no dentures) composed the sample. For this mixed methods study, demographic characteristics, number and location of teeth, Mini Nutritional Assessment-Short Form score, and anthropometrics data were collected; semistructured interviews were conducted to collect in-depth information about the eating experience and ERQOL. Thematic analysis was completed with NVivo 12 software (QSR International). RESULTS Participants' mean age was 71.3 y (SD = 5.2); 52.6% (n = 10) were women; 63.2% (n = 12) were Black or African American. The mean Mini Nutritional Assessment-Short Form score of 12.1 was reflective of normal nutrition status; 31.6% (n = 6) of patients were at risk for malnutrition or were malnourished. Fifteen percent (n = 3) were fully edentulous; 84.2% (n = 16) had 1 to 19 teeth (mean = 10.8, SD = 6.5). The 2 overarching themes identified were adaptive and maladaptive behavioral responses to tooth loss. Adaptive strategies included modification in food preparation and cooking methods, food texture selection, meal timing, and approaches to chewing. Maladaptive behaviors included food avoidance and limiting eating and smiling in front of others. Psychosocial factors, including finances, limited food choices and ERQOL, whereas the support of family and friends enhanced ERQOL according to participants. CONCLUSION Older adults with tooth loss exhibit both adaptive and maladaptive behaviors that affect their eating experience, dietary intake, and ERQOL. While many expressed positive adaptive coping strategies, they also described maladaptive behaviors, including avoidance of healthy foods and limiting eating during social interactions, which may affect their nutritional status and overall health and well-being. Further research is needed to explore how duration and severity of tooth loss influence these behaviors and risk of malnutrition. Interprofessional approaches are needed to support positive adaptation and coping with tooth loss. KNOWLEDGE TRANSFER STATEMENT The results of this study can be used by health professionals treating patients with tooth loss in an effort to improve their eating experience and eating-related quality of life. The findings provide data to support further studies and the need for evidence-based guidelines and educational materials to meet the unique needs of older adults with tooth loss.
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Affiliation(s)
- R Zelig
- 1 Department of Clinical and Preventive Nutrition Sciences, Rutgers School of Health Professions, Newark, NJ, USA.,2 Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, NJ, USA
| | - V M Jones
- 1 Department of Clinical and Preventive Nutrition Sciences, Rutgers School of Health Professions, Newark, NJ, USA
| | - R Touger-Decker
- 1 Department of Clinical and Preventive Nutrition Sciences, Rutgers School of Health Professions, Newark, NJ, USA.,2 Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, NJ, USA
| | - E R Hoskin
- 3 Department of Restorative Dentistry, Rutgers School of Dental Medicine, Newark, NJ, USA
| | - S R Singer
- 2 Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, NJ, USA
| | - L Byham-Gray
- 1 Department of Clinical and Preventive Nutrition Sciences, Rutgers School of Health Professions, Newark, NJ, USA
| | - D R Radler
- 1 Department of Clinical and Preventive Nutrition Sciences, Rutgers School of Health Professions, Newark, NJ, USA.,2 Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, NJ, USA
| | - P Rothpletz-Puglia
- 1 Department of Clinical and Preventive Nutrition Sciences, Rutgers School of Health Professions, Newark, NJ, USA
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Freeman Z, Ellis JS, Holmes RD, Rolland SL, Waterhouse PJ. Obtaining patient feedback for quality assurance of undergraduate dental teaching. Br Dent J 2019; 226:287-291. [DOI: 10.1038/s41415-019-0012-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Al-Sultani H, Field J, Thomason J, Moynihan P. The Impact of Replacement Conventional Dentures on Eating Experience. JDR Clin Trans Res 2018; 4:29-40. [DOI: 10.1177/2380084418803091] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction: Despite much research on the impact of edentulism and prosthetic rehabilitation on food and nutrient intake, there is little information on how replacing complete dentures affects social and emotional issues around eating. Objectives: To investigate, in a cohort study, how replacing conventional complete dentures affects eating-related quality of life (ERQoL). A secondary aim was to test the responsiveness of an Emotional and Social Issues Related to Eating (ESIRE) questionnaire to change in ERQoL. Methods: Participants, recruited from the Dental Hospital, Newcastle-upon-Tyne, UK, completed the self-administrated ESIRE questionnaire before and after provision of new conventional complete dentures. Paired t test was used to determine any change between pre- and posttreatment ESIRE scores, which can range from 0 (poor) to 100 (excellent). Cohen’s d effect size was used to measure the magnitude of change in ERQoL. Standardized response mean (SRM) was used to measure the responsiveness of the ESIRE questionnaire to changes in ERQoL. Results: Fifty-five participants aged 52 to 85 y (mean, 72 y), including 21 males (42%) and 29 females (58%), completed the study. A statistically significant improvement in the total ESIRE scores was found, mean (SE) +20.3 (3.30), P < 0.001. Equally, all domains of the ESIRE questionnaire showed significant improvements: enjoyment of food/eating, +27.3 (3.63), P < 0.001; self-consciousness/embarrassment, +18.1 (3.88), P < 0.001; interruption to meals, +13.3 (5.27), P < 0.05; confidence when eating, +18.7 (4.84), P < 0.001; time for eating/preparation of meals, +18.5 (4.85), P < 0.001); and functional ability to eat, +18.2 (3.67), P < 0.001). Cohen’s d was large (0.95) for the total score and ranged from medium (0.37) to large (1.30) for all domains. Value of SRM was large (0.87) for the total score and ranged from medium (0.36) to large (1.1) for all domains. Conclusion: Denture replacement can directly improve ERQoL. The ESIRE questionnaire was responsive to clinically important changes in ERQoL. Knowledge Transfer Statement: The results of this study improve the understanding of the impact of denture replacement on eating-related quality of life (ERQoL). Clinicians are encouraged to pay more attention to the impact of wearing conventional complete dentures on social and emotional issues around eating. The findings should motivate clinicians and inspire specialists in prosthodontics and oral rehabilitation to continue providing conventional complete dentures as a suitable treatment option for edentulous patients.
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Affiliation(s)
- H.F. Al-Sultani
- Centre for Oral Health Research, Newcastle University, Newcastle upon Tyne, England, UK
- School of Dental Science, Newcastle University, Newcastle Upon Tyne, UK
- Department of Paediatric, Orthodontics and Preventive Dentistry, Faculty of Dentistry/University of Babylon, Hillah, Babel, Iraq
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, England, UK
| | - J.C. Field
- School of Clinical Dentistry, University of Sheffield, Sheffield, England, UK
| | - J.M. Thomason
- Centre for Oral Health Research, Newcastle University, Newcastle upon Tyne, England, UK
- School of Dental Science, Newcastle University, Newcastle Upon Tyne, UK
| | - P.J. Moynihan
- Centre for Oral Health Research, Newcastle University, Newcastle upon Tyne, England, UK
- School of Dental Science, Newcastle University, Newcastle Upon Tyne, UK
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, England, UK
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Mather H, Thomason M, Ellis J. Are UK graduates equipped with the skill set required to meet the demands of the UK's edentulous population? Br Dent J 2018; 225:15-18. [PMID: 29977022 DOI: 10.1038/sj.bdj.2018.524] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/27/2018] [Indexed: 11/09/2022]
Abstract
As the UK witnesses a decline in the number of edentulous adults, there is a simultaneous reduction in the number of cases available to undergraduate dental students for the teaching of complete dentures. When edentulous adults are unable to function with conventional complete dentures, particularly pertaining to the mandibular denture, an implant-supported mandibular overdenture has been evidenced as the gold standard for edentulous patients. The evidence in favour of mandibular implant-supported overdentures is one of the most robust evidence bases for any clinical treatment and similarly it has been shown that undergraduate students are equally as capable in the provision of implant-supported overdentures as experienced prosthodontists. Yet there appears to be a disparity in the General Dental Council's undergraduate learning outcomes pertaining to care for edentulous adults. Furthermore, the UK seems to be falling behind in this respect in comparison to our European, American and Australian colleagues. This review looks at the evidence for the provision of implant-supported overdentures in the setting of the undergraduate dental curriculum, the potential barriers within this teaching forum and how well prepared UK undergraduates are for the clinical management of edentulous patients in the future.
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Affiliation(s)
- H Mather
- School of Dental Sciences, Newcastle University, Framlington Place, Newcastle Upon Tyne, NE2 4BW
| | - M Thomason
- School of Dental Sciences, Newcastle University, Framlington Place, Newcastle Upon Tyne, NE2 4BW
| | - J Ellis
- School of Dental Sciences, Newcastle University, Framlington Place, Newcastle Upon Tyne, NE2 4BW
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Meaney S, Connell BO, Elfadil S, Allen F. A qualitative investigation into patients' perspectives on edentulousness. Gerodontology 2016; 34:79-85. [PMID: 27028904 DOI: 10.1111/ger.12229] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/04/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVES This study explored the experiences of edentulous patients for their perceptions of tooth loss and patient attitudes to treatment options for rehabilitation of the edentate state. METHODS Purposive sampling was used to recruit edentate patients with varying denture-wearing experience from two dental hospitals in the Republic of Ireland. Sixteen edentate patients, aged 59 to 83 years, of whom 12 were women and four men were interviewed. Interviews were transcribed, and thematic analysis was undertaken. RESULTS Findings from this study reflect previous studies, whereby some patients indicated dissatisfaction with the functionality of their dentures. The majority of participants had no regret regarding the loss of their teeth, and despite dissatisfaction with dentures, they would not consider other forms of treatment. Finance was not considered an issue in determining whether to seek out treatment by these participants. These participants expressed a reluctance to get new dentures in case they were more problematic. CONCLUSION This study illustrates that some elder edentate patients were dissatisfied with the functionality of their dentures and raised concerns that about the quality of dentures which may be provided to them by dentists. These participants identified clinical dental technicians as a preferred point of contact for their care. Consideration should be given to new oral healthcare delivery models which are accessible and acceptable to future elders.
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Affiliation(s)
- Sarah Meaney
- National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland
| | - Brian O' Connell
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College, Dublin, Ireland
| | - Sittana Elfadil
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College, Dublin, Ireland
| | - Finbarr Allen
- Department of Restorative Dentistry, University College Cork, Cork, Ireland
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Preciado A, Del Río J, Lynch CD, Castillo-Oyagüe R. Impact of various screwed implant prostheses on oral health-related quality of life as measured with the QoLIP–10 and OHIP–14 scales: A cross-sectional study. J Dent 2013; 41:1196-207. [DOI: 10.1016/j.jdent.2013.08.026] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2013] [Revised: 08/23/2013] [Accepted: 08/31/2013] [Indexed: 10/26/2022] Open
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Influence of procedural variations during the laboratory phase of complete denture fabrication on patient satisfaction and denture quality. J Dent 2013; 41:852-60. [DOI: 10.1016/j.jdent.2013.07.013] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2013] [Revised: 07/21/2013] [Accepted: 07/24/2013] [Indexed: 11/19/2022] Open
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Preciado A, Del Río J, Lynch CD, Castillo-Oyagüe R. A new, short, specific questionnaire (QoLIP-10) for evaluating the oral health-related quality of life of implant-retained overdenture and hybrid prosthesis wearers. J Dent 2013; 41:753-63. [DOI: 10.1016/j.jdent.2013.06.014] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2013] [Revised: 06/18/2013] [Accepted: 06/21/2013] [Indexed: 10/26/2022] Open
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Reissmann DR, John MT, Schierz O, Kriston L, Hinz A. Association between perceived oral and general health. J Dent 2013; 41:581-9. [PMID: 23707644 DOI: 10.1016/j.jdent.2013.05.007] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2012] [Revised: 05/11/2013] [Accepted: 05/13/2013] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVES The aim of this study was to determine the magnitude of the association between perceived oral and general health-related quality of life (O/HRQoL) in the German general population and to compare it with the correlation of both constructs in dental patients. METHODS OHRQoL was assessed using the OHIP-49 and HRQoL using the SF-36 in a sample (N=811) representative of the adult general population of Germany (age: 18-99 years), and in a sample (N=313) of consecutive adult dental patients at least 18 years of age seeking prosthodontic care or attending their annual checkup. Correlation between OHRQoL and HRQoL was computed using structural equation modelling-based confirmatory factor analysis and path analysis. Based on the correlation coefficients, the coefficients of determination (r(2)) were calculated. RESULTS Correlation between OHRQoL and HRQoL after partialling out effects of age, gender and level of depression in general population subjects was rho=0.28 resulting in an explanation of the variance of HRQoL by OHRQoL of 7.8%. In dental patients the correlation coefficient was somewhat lower (rho=0.24) corresponding to an explanation of the variance of HRQoL by OHRQoL of 5.6%. Difference between correlation coefficients was not significant (p=0.514). CONCLUSION Our findings provide evidence for the inseparable, intertwined relationship between perceived oral and general health.
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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.
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