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Oral health-related quality of life after prosthetic rehabilitation: a longitudinal study with the OHIP questionnaire.

Jenei Á, Sándor J, Hegedűs C, Bágyi K, Nagy L, Kiss C, Szabó G, Márton IJ - Health Qual Life Outcomes (2015)

Bottom Line: Patients' age and CPI value assessed before treatment proved to be significant factors of OHRQoL.The results demonstrated that the restoration of oral health was associated with an improvement in patients' OHRQoL.According to the demographical and T0 phase clinical status, the treatment was more effective in the respect of OHIP-49-H score improvement among females (than among males), among younger (than among more aged), and among patients with more serious CPI assessed at T0.

View Article: PubMed Central - PubMed

Affiliation: Department of Restorative Dentistry, Faculty of Dentistry, University of Debrecen, 98 Nagyerdei Krt, Debrecen, H-4032, Hungary. jagnes06@gmail.coml.

ABSTRACT

Background: Aspects of oral health related quality of life (OHRQoL) attracted an increased attention recently.

Objective: The aim of the study was to assess self-reported oral health related quality of life (OHRQoL) among patients requiring prosthetic rehabilitation and to determine the rate of improvement 1 month and 6-12 months after therapy. In addition, effect of age, gender, oral health indicators and denture types before treatment were assessed on OHRQoL as evaluated and reported by the patients.

Methods: Hungarian version of OHIP-49 (OHIP-49-H) questionnaire was completed before oral rehabilitation (T0-phase) by 389 patients undergoing prosthetic replacement. After 1 month (T1-phase) and 6-12 months (T2-phase) recall periods 235 and 92 patients completed the questionnaire. The median interquartile range (IQR) values of the total OHIP-49-H score were calculated for T0-, T1- and T2-phases. Reliability of the questionnaire was checked by Cronbach's statistics. Age, gender, oral health indicators and denture types of patients before and after treatment were recorded and treatment-associated changes in OHRQoL were evaluated.

Results: The study demonstrated the excellent reliability and internal consistency of OHIP-49-H by a high and narrow range of Cronbach's alpha value (0.81-0.93). A median OHIP-49-H score of 52; IQR = 25-83 demonstrated a poor OHRQoL on first admission. Decreasing median total OHIP-49-H scores 1 month (24; IQR = 9-51; p < 0.001) and 6-12 months (20; IQR = 7-37; p = 0,055) after therapy indicated an improvement of OHRQoL. Patients' age and CPI value assessed before treatment proved to be significant factors of OHRQoL.

Conclusions: Here we presented representative data about self-assessed OHRQoL of patients requiring prosthetic treatment from Hungary using OHIP-49-H questionnaire. The results demonstrated that the restoration of oral health was associated with an improvement in patients' OHRQoL. According to the demographical and T0 phase clinical status, the treatment was more effective in the respect of OHIP-49-H score improvement among females (than among males), among younger (than among more aged), and among patients with more serious CPI assessed at T0. The type of prosthetic interventions did not exert a significant effect on total OHIP-49-H score, suggesting that the improvement in OHRQoL is independent from the type of denture applied.

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Related in: MedlinePlus

Changes of self-rated OHRQoL as evaluated by the percentile total OHIP-49-H scores and their components on admission (T0-phase: Ο), 1 month (T1-phase: Φ0Φ0) and 6–12 months (T2-phase: Δ) after the dental treatments. Mann–Whitney test was used for statistical comparison. The reference values (continuous black line) represent the Hungarian general population [8]
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Fig1: Changes of self-rated OHRQoL as evaluated by the percentile total OHIP-49-H scores and their components on admission (T0-phase: Ο), 1 month (T1-phase: Φ0Φ0) and 6–12 months (T2-phase: Δ) after the dental treatments. Mann–Whitney test was used for statistical comparison. The reference values (continuous black line) represent the Hungarian general population [8]

Mentions: The median total scores at T0-, T1- and T2-phases and the reference value of the Hungarian general population before any treatment [9] are shown in Fig. 1. The shift of scores towards a range indicating an improved oral health and related satisfaction in course of oral rehabilitation was significant for the total OHIP-49-H. The median total OHIP-49-H score, indicating seriously impaired OHRQoL, was 52 on first visit and it decreased significantly by 1 month to 24 (p < 0.001), and decreased further to 20 (p < 0.055) 6–12 months after treatment (Fig. 1). From baseline (T0-phase) to first follow-up (T1-phase) change in total OHIP-49-H score was more than the MID. From first to second follow-up (T2-phase) total OHIP-49-H score change was less than the MID.Fig. 1


Oral health-related quality of life after prosthetic rehabilitation: a longitudinal study with the OHIP questionnaire.

Jenei Á, Sándor J, Hegedűs C, Bágyi K, Nagy L, Kiss C, Szabó G, Márton IJ - Health Qual Life Outcomes (2015)

Changes of self-rated OHRQoL as evaluated by the percentile total OHIP-49-H scores and their components on admission (T0-phase: Ο), 1 month (T1-phase: Φ0Φ0) and 6–12 months (T2-phase: Δ) after the dental treatments. Mann–Whitney test was used for statistical comparison. The reference values (continuous black line) represent the Hungarian general population [8]
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4496854&req=5

Fig1: Changes of self-rated OHRQoL as evaluated by the percentile total OHIP-49-H scores and their components on admission (T0-phase: Ο), 1 month (T1-phase: Φ0Φ0) and 6–12 months (T2-phase: Δ) after the dental treatments. Mann–Whitney test was used for statistical comparison. The reference values (continuous black line) represent the Hungarian general population [8]
Mentions: The median total scores at T0-, T1- and T2-phases and the reference value of the Hungarian general population before any treatment [9] are shown in Fig. 1. The shift of scores towards a range indicating an improved oral health and related satisfaction in course of oral rehabilitation was significant for the total OHIP-49-H. The median total OHIP-49-H score, indicating seriously impaired OHRQoL, was 52 on first visit and it decreased significantly by 1 month to 24 (p < 0.001), and decreased further to 20 (p < 0.055) 6–12 months after treatment (Fig. 1). From baseline (T0-phase) to first follow-up (T1-phase) change in total OHIP-49-H score was more than the MID. From first to second follow-up (T2-phase) total OHIP-49-H score change was less than the MID.Fig. 1

Bottom Line: Patients' age and CPI value assessed before treatment proved to be significant factors of OHRQoL.The results demonstrated that the restoration of oral health was associated with an improvement in patients' OHRQoL.According to the demographical and T0 phase clinical status, the treatment was more effective in the respect of OHIP-49-H score improvement among females (than among males), among younger (than among more aged), and among patients with more serious CPI assessed at T0.

View Article: PubMed Central - PubMed

Affiliation: Department of Restorative Dentistry, Faculty of Dentistry, University of Debrecen, 98 Nagyerdei Krt, Debrecen, H-4032, Hungary. jagnes06@gmail.coml.

ABSTRACT

Background: Aspects of oral health related quality of life (OHRQoL) attracted an increased attention recently.

Objective: The aim of the study was to assess self-reported oral health related quality of life (OHRQoL) among patients requiring prosthetic rehabilitation and to determine the rate of improvement 1 month and 6-12 months after therapy. In addition, effect of age, gender, oral health indicators and denture types before treatment were assessed on OHRQoL as evaluated and reported by the patients.

Methods: Hungarian version of OHIP-49 (OHIP-49-H) questionnaire was completed before oral rehabilitation (T0-phase) by 389 patients undergoing prosthetic replacement. After 1 month (T1-phase) and 6-12 months (T2-phase) recall periods 235 and 92 patients completed the questionnaire. The median interquartile range (IQR) values of the total OHIP-49-H score were calculated for T0-, T1- and T2-phases. Reliability of the questionnaire was checked by Cronbach's statistics. Age, gender, oral health indicators and denture types of patients before and after treatment were recorded and treatment-associated changes in OHRQoL were evaluated.

Results: The study demonstrated the excellent reliability and internal consistency of OHIP-49-H by a high and narrow range of Cronbach's alpha value (0.81-0.93). A median OHIP-49-H score of 52; IQR = 25-83 demonstrated a poor OHRQoL on first admission. Decreasing median total OHIP-49-H scores 1 month (24; IQR = 9-51; p < 0.001) and 6-12 months (20; IQR = 7-37; p = 0,055) after therapy indicated an improvement of OHRQoL. Patients' age and CPI value assessed before treatment proved to be significant factors of OHRQoL.

Conclusions: Here we presented representative data about self-assessed OHRQoL of patients requiring prosthetic treatment from Hungary using OHIP-49-H questionnaire. The results demonstrated that the restoration of oral health was associated with an improvement in patients' OHRQoL. According to the demographical and T0 phase clinical status, the treatment was more effective in the respect of OHIP-49-H score improvement among females (than among males), among younger (than among more aged), and among patients with more serious CPI assessed at T0. The type of prosthetic interventions did not exert a significant effect on total OHIP-49-H score, suggesting that the improvement in OHRQoL is independent from the type of denture applied.

Show MeSH
Related in: MedlinePlus