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Objective: The aim of the study is to verify the impact of anxiety on temporomandibular disorders (TMD) by using specific questionnaires in a Turkish sample. Methods: This survey was conducted on 292 patients with a mean age of 38.59 ± 10.38 using Helkimo index, Oral Health Impact Profile (OHIP-14), and State Trait Anxiety Inventory (STAI). Spearman Correlation and Fisher Freeman Halton analyses were used for the statistical analysis. Results: There was no statistically significant difference between the Helkimo anamnestic dysfunction (HAD) levels in terms of OHIP-14 total scores or STAI state scores. There was, however, a statistically positive correlation between STAI state and OHIP-14 total values at 18.4%, a positive correlation between the STAI trait and OHIP-14 total values at 29.8%. Conclusion: No significant correlation was observed between OHIP-14 total scores, STAI state scores, and HAD levels. Therefore, this study did not find a significant relationship between TMDs and anxiety. [ABSTRACT FROM AUTHOR]

Objectives: To evaluate whether the severity of xerostomia in older polymedicated patients impacts oral health‐related quality of life (OHRQoL). Background: Medication‐associated xerostomia is common in older people. Xerostomia may impair OHRQoL. Materials and methods: This cross‐sectional study included older hypertensive patients from two health centres. We assessed the severity of xerostomia and OHRQoL using the Xerostomia Inventory (XI) tool, and the Oral Health Impact Profile‐14 (OHIP‐14) instrument, respectively. We measured unstimulated (UWS) and stimulated (SWS) salivary flows. Univariate and multiple linear regression analyses evaluated the associations of XI and OHIP‐14 and different explanatory variables. Results: Of the 218 patients enrolled, 51.8% had xerostomia, and 38.1% and 27.5% suffered from UWS and SWS hyposalivation, respectively. Patients with xerostomia, UWS, and SWS hyposalivation scored significantly higher on the XI. However, only those with xerostomia or UWS hyposalivation had significantly higher OHIP‐14 scores. A moderate correlation was observed between XI and OHIP‐14 scores. The multiple regression model showed that factors with the greatest impact on XI were the patient's complaint of xerostomia, UWS flow rate, age and sex. However, only the XI score was significantly associated with the OHIP‐14 score. Conclusion: Xerostomia has a negative impact on OHRQoL in older polymedicated patients, but this impact is less than in other types of xerostomia. Longitudinal studies are needed to determine whether changes in the detected explanatory variables influence XI and OHIP scores in these patients. [ABSTRACT FROM AUTHOR]

Abstract Background Older people receiving home-based care (HBC) often face barriers to access preventive oral health care (OHC) and dental treatments. Leading to deterioration of their oral healthcare. It is further deteriorated by factors such as increasing burden of systemic diseases, medicinal side effects, limited mobility, financial constraints and lack of professional OHC at home. Older people also struggle to maintain necessary daily oral hygiene, leading to malnutrition, weight loss, and a risk of a further health degradation. This cross-sectional survey aimed to investigate the oral health-related quality of life (OHRQoL) and their associated factors in HBC recipients. Methods 5,280 older people (≥ 60 years) living in Hamburg, who were in need of care and insured with statutory health insurance DAK-Gesundheit received the questionnaire, which included the German version of the Oral Health Impact Profile (OHIP G-14) and, the EQ-5D health-related quality of life (HRQoL) measure as well as further questions regarding the extent of informal social support, subjective oral health status, oral health behaviour, subjective cognitive status, and socio-demographic variables. Results The participants (n = 1,622) had a median age of 83.2 years, with 72.0% of the sample being female. Nearly two thirds of the sample reported that their independence or abilities were significantly impaired (care level 2). Regarding oral health impacts, 40.0% of the participants reported experiencing at least one of the fourteen possible prevalent impacts of the OHIP-G14 fairly often or very often. A multivariate regression model on the severity of oral health impacts revealed, that a better HRQoL, a positive perception of one’s own dental status, fewer visits to dental practices, and no need for support in OHC were associated with better OHRQoL. Conversely, respondents with a negative perception of their oral health status, more frequent visits to a dental practice, a need for support in OHC, and subjective memory impairment showed poorer OHRQoL. Conclusions The results highlight the risk for poor oral health among older people in HBC. We conclude that there is an urgent need to prioritise oral health, especially as poor oral health can further compromise the systemic wellbeing of these already care dependent population.

Background: Older people receiving home-based care (HBC) often face barriers to access preventive oral health care (OHC) and dental treatments. Leading to deterioration of their oral healthcare. It is further deteriorated by factors such as increasing burden of systemic diseases, medicinal side effects, limited mobility, financial constraints and lack of professional OHC at home. Older people also struggle to maintain necessary daily oral hygiene, leading to malnutrition, weight loss, and a risk of a further health degradation. This cross-sectional survey aimed to investigate the oral health-related quality of life (OHRQoL) and their associated factors in HBC recipients. Methods: 5,280 older people (≥ 60 years) living in Hamburg, who were in need of care and insured with statutory health insurance DAK-Gesundheit received the questionnaire, which included the German version of the Oral Health Impact Profile (OHIP G-14) and, the EQ-5D health-related quality of life (HRQoL) measure as well as further questions regarding the extent of informal social support, subjective oral health status, oral health behaviour, subjective cognitive status, and socio-demographic variables. Results: The participants (n = 1,622) had a median age of 83.2 years, with 72.0% of the sample being female. Nearly two thirds of the sample reported that their independence or abilities were significantly impaired (care level 2). Regarding oral health impacts, 40.0% of the participants reported experiencing at least one of the fourteen possible prevalent impacts of the OHIP-G14 fairly often or very often. A multivariate regression model on the severity of oral health impacts revealed, that a better HRQoL, a positive perception of one's own dental status, fewer visits to dental practices, and no need for support in OHC were associated with better OHRQoL. Conversely, respondents with a negative perception of their oral health status, more frequent visits to a dental practice, a need for support in OHC, and subjective memory impairment showed poorer OHRQoL. Conclusions: The results highlight the risk for poor oral health among older people in HBC. We conclude that there is an urgent need to prioritise oral health, especially as poor oral health can further compromise the systemic wellbeing of these already care dependent population. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]

Abstract Background Osteogenesis imperfecta (OI) affects dental and craniofacial development; therefore, it can influence oral health-related quality of life (OHRQoL). The objective of this study was to explore the influence of the severity of OI on OHRQoL in adults older than eighteen years residing in Spain. Method Adults with OI were recruited from the Spanish Association of Crystal Bone (AHUCE) foundation. OHRQoL was evaluated using the Spanish version of the Oral Health Impact Profile questionnaire (OHIP-14sp), oral hygiene habits, and a dental care survey. Clinical and radiological dental examinations were performed to evaluate the patients’ oral conditions. Results A total of 65 adults (n = 46 females) aged between nineteen and sixty-two years who were diagnosed with OI and classified as type I, III, and IV (n = 20, 14, and 31, respectively) participated in this research. The total OHIP-14sp scores were significantly greater (worse) for type III (23 [SD = 10]) and type IV (21.4 [SD = 12]) than for type I (13.8 [SD = 6]) (P

Abstract Background Assessing health-related quality of life has become integral to people living with HIV (PLHIV) follow-up. However, there is a lack of data regarding the impact of oral health on quality of life, known as Oral health-related quality of life (OHRQoL) among PLHIV compared to HIV-negative individuals in Rwanda. Aim The study aimed to assess OHRQoL among PLHIV compared to HIV-negative counterparts in Kigali, Rwanda. Methods The Oral Health Impact Profile short version (OHIP-14) questionnaire was interviewer-administered to 200 PLHIV and 200 HIV-negative adults (≥ 18 years old) at an HIV clinic of Kigali Teaching Hospital (CHUK). Socio-demographic characteristics, including age, sex, occupation, and socioeconomic status (SES) of participants, were collected using a survey questionnaire. A 4-point Likert scale was used to assess the frequency of oral impacts for all 14 items within 7 domains of the OHIP tool. The descriptive statistics were used to see frequencies and percentages of OHRQoL among PLHIV and HIV-negative persons, respectively. The Chi-square test was used to determine the association of OHRQoL with caries (DMFT) and periodontal disease (CPITN) among PLHIV compared to HIV-negative individuals. Results The results revealed a higher prevalence of PLHIV with poor OHRQoL than HIV-negative individuals in 5 domains and almost all items of OHIP-14 except for the OHIP 3 (found it uncomfortable to eat any foods because of problems with teeth or mouth) and OHIP-14 (being totally unable to function because of problems with teeth or mouth). The findings showed statistically significant results (p ≤ 0.05) for the OHIP1 item “trouble pronouncing any word,” with a prevalence of 2.5% (n = 11) and 2.25% (n = 9) in PLHIV and HIV-negative, respectively. Also, PLHIV had a significantly higher prevalence, 2.75% (n = 11) for the OHIP 13 item “life not satisfying due to teeth and mouth problems compared to HIV-negative individuals 2% (8) p ≤ 0.05. Moreover, dental caries was significantly associated with poor OHRQoL among PLHIV and HIV-negative adults and for all 14 items of the OHIP tool. Periodontal disease was not significantly associated with OHRQoL among PLHIV and HIV-negative adults. Conclusion This study revealed poor OHRQoL among PLHIV compared to HIV-negative adults. There is a need for further longitudinal studies to investigate the OHRQoL in Rwanda, especially among PLHIV. It is essential to include oral health care as one of the components of the medical health care programs for PLHIV in Rwanda.

Objective To investigate the clinical efficacy and effects of periodontal endoscope (PE)-assisted subgingival scaling and root planning (SRP) and traditional SRP on the psychological and quality of life of patients with periodontitis. Methods This study was reviewed and approved by the Ethics Committee, and informed consent was obtained from the patients. Patients with periodontitis who were treated in the Department of Periodontology, Nanjing Stomatological Hospital, Medical School of Nanjing University from April 2018 to December 2022 with residual periodontal pockets (PD ≥ 5 mm) 6 weeks after traditional SRP treatment were enrolled, and the residual periodontal pockets were further treated with PE-assisted SRP (PE+SRP). After 6 weeks of traditional SRP treatment and 3 months of PE+SRP treatment, clinical indicators, including plaque index (PLI), probing depth (PD), clinical attachment loss (CAL) and bleeding on probing (BOP), were measured, and periodontal tissue self-awareness scale scores, oral health impact profile-14 (OHIP-14) score and dental fear scale (DFS) score were collected. Moreover, visual analog scale (VAS) scores were collected after traditional SRP and PE-assisted SRP treatments. Results Twenty-three patients with periodontitis, including 832 sites of 486 affected teeth, were included in the clinical study. Three months after PE+SRP treatment, all clinical periodontal indicators, PLI (t = 9.254, P

Background: Osteogenesis imperfecta (OI) affects dental and craniofacial development; therefore, it can influence oral health-related quality of life (OHRQoL). The objective of this study was to explore the influence of the severity of OI on OHRQoL in adults older than eighteen years residing in Spain. Method: Adults with OI were recruited from the Spanish Association of Crystal Bone (AHUCE) foundation. OHRQoL was evaluated using the Spanish version of the Oral Health Impact Profile questionnaire (OHIP-14sp), oral hygiene habits, and a dental care survey. Clinical and radiological dental examinations were performed to evaluate the patients' oral conditions. Results: A total of 65 adults (n = 46 females) aged between nineteen and sixty-two years who were diagnosed with OI and classified as type I, III, and IV (n = 20, 14, and 31, respectively) participated in this research. The total OHIP-14sp scores were significantly greater (worse) for type III (23 [SD = 10]) and type IV (21.4 [SD = 12]) than for type I (13.8 [SD = 6]) (P < 0.05). The negative impact of OHRQoL was due to the association of type III OI with all domains except for the handicap domain, while type IV OI was associated with the physical disability, social disability, and handicap domains (P < 0.05 for all). Conclusion: The severity of OI negatively impacted OHRQoL in adults. This association was statistically significant. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the impact of occlusal splint plus laser therapy (OS + LT) compared with OS alone on the patient‐reported outcomes and clinical parameters of patients with temporomandibular disorders (TMDs). Methods: Twenty‐three patients with TMDs were randomly assigned to two treatment approaches: OS and OS + LT (multiwave locked system). The two outcomes were clinical parameters (mouth‐opening distances, number of muscles and TMJs with pain) and patient‐reported outcomes (pain score and oral health‐related quality of life [OHRQoL] determined using the 14‐item oral health impact profile [OHIP‐14]). The outcomes were measured at four time points: baseline, 2 weeks, 1 and 3 months after treatment. According to DC/TMD Axis I classification, the participants were diagnosed as having pain only and pain with intraarticular joint disorder. Adjusting for age and sex, the outcome changes were analysed using generalized estimating models at a 5% significance level. Results: The pain‐free mouth‐opening distance of the patients who received OS + LT continuously increased from 2 weeks to 3 months. However, the value was significantly increased at 3 months in patients who received OS alone. The unassisted mouth‐opening distance significantly increased after 3 months in both groups. In both treatment approaches, the number of muscles and TMJs with pain, as well as the pain and OHIP‐14 scores gradually decreased from baseline to 3 months. Conclusions: The patients who received OS and OS + LT demonstrated better OHRQoL and clinical parameters during 3 months after treatment. An improvement in the pain‐free mouth‐opening distance at 2 weeks was found only in OS plus LT group; however, this difference may not be clinically significant. [ABSTRACT FROM AUTHOR]

Background: Assessing health-related quality of life has become integral to people living with HIV (PLHIV) follow-up. However, there is a lack of data regarding the impact of oral health on quality of life, known as Oral health-related quality of life (OHRQoL) among PLHIV compared to HIV-negative individuals in Rwanda. Aim: The study aimed to assess OHRQoL among PLHIV compared to HIV-negative counterparts in Kigali, Rwanda. Methods: The Oral Health Impact Profile short version (OHIP-14) questionnaire was interviewer-administered to 200 PLHIV and 200 HIV-negative adults (≥ 18 years old) at an HIV clinic of Kigali Teaching Hospital (CHUK). Socio-demographic characteristics, including age, sex, occupation, and socioeconomic status (SES) of participants, were collected using a survey questionnaire. A 4-point Likert scale was used to assess the frequency of oral impacts for all 14 items within 7 domains of the OHIP tool. The descriptive statistics were used to see frequencies and percentages of OHRQoL among PLHIV and HIV-negative persons, respectively. The Chi-square test was used to determine the association of OHRQoL with caries (DMFT) and periodontal disease (CPITN) among PLHIV compared to HIV-negative individuals. Results: The results revealed a higher prevalence of PLHIV with poor OHRQoL than HIV-negative individuals in 5 domains and almost all items of OHIP-14 except for the OHIP 3 (found it uncomfortable to eat any foods because of problems with teeth or mouth) and OHIP-14 (being totally unable to function because of problems with teeth or mouth). The findings showed statistically significant results (p ≤ 0.05) for the OHIP1 item "trouble pronouncing any word," with a prevalence of 2.5% (n = 11) and 2.25% (n = 9) in PLHIV and HIV-negative, respectively. Also, PLHIV had a significantly higher prevalence, 2.75% (n = 11) for the OHIP 13 item "life not satisfying due to teeth and mouth problems compared to HIV-negative individuals 2% (8) p ≤ 0.05. Moreover, dental caries was significantly associated with poor OHRQoL among PLHIV and HIV-negative adults and for all 14 items of the OHIP tool. Periodontal disease was not significantly associated with OHRQoL among PLHIV and HIV-negative adults. Conclusion: This study revealed poor OHRQoL among PLHIV compared to HIV-negative adults. There is a need for further longitudinal studies to investigate the OHRQoL in Rwanda, especially among PLHIV. It is essential to include oral health care as one of the components of the medical health care programs for PLHIV in Rwanda. [ABSTRACT FROM AUTHOR]

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Aim: The aim was to assess the effect of antimicrobial photodynamic therapy (a-PDT) on the oral health-related quality of life (OHRQoL) of denture stomatitis patients. Methods: Forty patients were randomly selected to participate. Candidal proliferation was confirmed by using a CHROMagar culture and Gram staining. The denture surface and palatal mucosa were sprayed with a methylene blue photosensitizer prior to the photobiomodulation application. Laser therapy was applied two times a week at 72 h intervals for a period of 8 weeks. The OHIP-EDENT questionnaire was used to analyze the improvement in the OHRQoL. A Wilcoxon test was used to perform the candidal colony-forming unit's count and comparison. A t-test was applied to evaluate the OHRQoL responses. Results: The overall CFU/mL values were higher in the dentures of the patients compared to a palatal mucosa swab. For instance, the CFU count was reduced from 5.56 ± 2.15 (baseline) to 3.17 ± 2.77 CFU/mL on day 60 on the palates. Similarly, the a-PDT application on the intaglio surface of the denture showed a reduction from 38.83 ± 14.71 to 29.05 ± 15.52 CFU/mL. A significant difference (p < 0.05) was found in function improvement as well as a reduction in physical pain, psychological discomfort, physical disability, and social interaction among the participants after photobiomodulation treatment. Conclusions: The OHRQoL was significantly improved in the DS patients. The Candida albicans abundance was radically reduced after the a-PDT application. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the impact of orthognathic therapy on patients' quality of life. Therefore, a systematic review was conducted including all prospective studies that compared pretherapeutic and posttherapeutic Oral Health Impact Profile (OHIP) or Overall Quality of Life (OQOL) questionnaire scores. Studies in patients with congenital deformities, clefts, or posttraumatic or cancer-associated deformities were excluded. Overall, 23 prospective studies were included; 8 used OHIP, 9 used OQOL and 6 used both questionnaires. A total of 1039 patients were identified (60.29% women, 39.71% men), with a mean age of 45.17 years. All analyzed studies showed in both OHIP and OQLQ an improvement of the quality of life in patients after orthognathic therapy. While improved scores could be observed in all investigated criteria, the studies demonstrated that social and aesthetic aspects showed the most prominent impact. Comparison of different Angle Classes showed, furthermore, that Class III patients had an even greater advantage over those with a Class II deformity. The review confirms that the quality of life in patients with orthognathic therapy improves significantly in all observed aspects. With regard to Angle Classes, Class III patients showed an even greater improvement than Class II patients. [ABSTRACT FROM AUTHOR]

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.

Objectives: That no study has investigated oral health‐related quality of life (OHRQoL) through the transition from adolescence to young adulthood is partly due to no OHRQoL index having been validated in both adult and child populations. Having separate measures for adolescence and young adulthood has meant that the different measures cannot be compared directly. Accordingly, the study objectives were: to determine whether the CPQ11–14 is a valid and reliable OHRQoL measure in young adults and to compare its performance with the OHIP‐14 in young adults. Methods: A cross‐sectional study was undertaken of a convenience sample of 968 young New Zealand adults aged 18–30 years (83.1% female) using RedCap. Two separate measures of OHRQoL were used (the CPQ11–14 and OHIP‐14), along with Locker's global oral health item. Results: Internal consistency reliability was high for the CPQ11–14 and the OHIP‐14, with Cronbach's alpha scores of.87 and.92, respectively. Mean scale scores were 15.8 (SD = 9.7) for the CPQ11–14 and 24.1 (SD = 10.1) for the OHIP‐14. The scale scores were strongly and positively correlated (Pearson's r =.8). Both demonstrated acceptable construct validity, represented by ascending gradients in mean scores across the ordinal response categories of Locker's global oral health item. Ordinal logistic regression modelling of Locker's item showed the CPQ11–14 to have a slightly better fit and explain more variance than the OHIP‐14. Conclusion: The CPQ11–14 was valid and reliable in this young adult population. Further epidemiological validation studies should confirm the findings in representative samples. [ABSTRACT FROM AUTHOR]

The aim of this cross-sectional study was the evaluation of the oral health-related quality of life (OHRQoL) in patients with depression or attention-deficit/hyperactivity disorder (ADHD) in comparison with a group of mentally healthy individuals. Patients from the Department of Psychiatry and Psychotherapy, University of Leipzig, Germany, were recruited. A healthy comparison group (HC) was recruited from the Department of Cariology, Endodontology and Periodontology. The OHRQoL was assessed using the Oral Health Impact Profile G14 (OHIP G14). Furthermore, a questionnaire regarding oral hygiene behaviour was applied. A total of 141 patients with depression or ADHD (depression n = 94, ADHD n = 47) and 145 HC individuals with a balanced age and gender distribution were surveyed. OHIP G14 median scores were significantly higher in the overall psychiatric patient group compared to HC (5.00 vs. 0.00, p < 0.001). This was also found for the four dimensions of OHIP G14 (p < 0.001). The OHIP G14 sum score of patients with depression and ADHD was comparable (5.00 vs. 6.50, p = 0.302). A significant association among psychiatric patients between smoking, gum bleeding, professional tooth cleaning, oral health education, interdental cleaning, and elevated OHIP scores was found (p < 0.001). In conclusion, patients with depression and adults with ADHD show a reduced OHRQoL. A contradictory association between oral hygiene/oral health behaviour and OHRQoL supports the hypothesis of a changed perception of oral conditions in patients with mental diseases. Interdisciplinary collaboration between psychiatric specialists and dentists should be fostered. [ABSTRACT FROM AUTHOR]

The use of mobile applications (MA) has tremendous impact in academic life and there is lack of MA utilization for academic teaching and learning. This study evaluated user experience and perceived benefits of MA for Oral Health Impact Profile (OHIP), in clinical teaching. An iPad equipped with Oral Health Impact Profile Mobile Application (OHIPMA) was used as the survey tool. Validated questionnaires were asked on the patients by 114 clinical year students, and subsequently, the students answered online survey regarding their perception and experience of using OHIPMA. Descriptive analysis and chi-square test were done using IBM SPSS version 27. The results showed that 60% of students owned an iPad with 42% recorded everyday usage. The response was positive with 67.5% agreeing it was useful for patients in clinics, and 68.4% thought it was beneficial if it was made available for them online. OHIPMA's potential were given a high rating for records on personal detail (83%), patients treatment (76%), appointments (71%), patients' examination, diagnosis and treatment plan (69%). The responses by the students highlighted the user experience and benefits for digital technology, and gathering feedback on OHIP of the patients, could benefit the community in attaining quality health services. [ABSTRACT FROM AUTHOR]

As a newer modality of rehabilitation of completely edentulous patients, there is no conclusive evidence on which of the variants of hybrid prosthesis, namely acrylic teeth on a metal substructure or porcelain fused to metal teeth over on a metal substructure, is better in terms of treatment outcome, reduced mechanical complications, and better patient compliance. Sixteen completely edentulous patients, both male and female, were selected from the OPD of the study centers during the study period. Group A : Eight patients rehabilitated by maxillary and mandibular hybrid prosthesis using a substructure of metal covered by acrylic teeth, which was screwed on the implants. Group B: Eight patients rehabilitated by maxillary and mandibular hybrid prosthesis using a substructure of metal covered by porcelain fused to metal teeth, which was screwed on implants. The patients were recalled at 3 months, 6 months, and 1 year following rehabilitation, and necessary clinical and radiological observations were made to evaluate the overall health and complications. Oral health–related quality of life was measured using the Oral Health Impact Profile (OHIP)-EDENT questionnaire before treatment and after rehabilitation. The same methodology, clinical procedures, and evaluation criteria were followed in all the study centers. The data obtained were then compiled and analyzed. None of the patients in group A or B showed any signs of need to remake. There was no statistically significant difference in proportions of cases showing signs of loosening of components, soft tissue overgrowth, breakage of acrylic, chipping of porcelain, and wear of teeth in both the groups. The amount of screw loosening, wear of prosthetic superstructure, and bone loss around implants were less (even though not statistically significant) in group A. Both the groups showed satisfactory esthetics. OHIP- EDENT evaluation gave completely satisfactory report after rehabilitation in both groups. Both the types of complete rehabilitation, hybrid prosthesis of acrylic teeth on a metal substructure and hybrid prosthesis of porcelain fused to metal teeth on a metal substructure were successful and comparably reliable. [ABSTRACT FROM AUTHOR]

The interaction between dental anxiety and the establishment of a consistent dental care routine has been an ongoing challenge. Unfortunately, there is limited available data concerning the detailed dental care practices of individuals with dental anxiety. Therefore, this study aims to explore how dental anxiety influences dental care habits and oral-health-related quality of life within an adult population. By utilizing the Dental Anxiety Scale (DAS) and the German Oral Health Impact Profile (OHIP-G5), we assessed their extent. To evaluate the differences, we performed analyses of variance (Anova), an independent t-test and rank correlation. The findings of this study unveil a significant correlation between elevated DAS scores and reduced frequency of tooth brushing; calculus removal and appointments for professional teeth cleaning. Interestingly; the use of dental floss and mouthwash solution as well as toothbrush hardness appeared to be not significantly affected by dental fear. Moreover, individuals with dental anxiety demonstrated a preference for manual toothbrushes over electric ones. In addition, higher DAS scores were found to be strongly associated with greater OHIP-G5 scores, thus leading to a substantial decline in overall oral health-related quality of life. [ABSTRACT FROM AUTHOR]

To evaluate temporomandibular disorders (TMD), quality of life, and oral habits in dentistry students. The study was performed with 480 students (287 females, 193 males). The Fonseca Questionnaire, Oral Health Impact Profile-14 (OHIP-14), and Oral Behaviors Checklist (OBC) were used. The mean scores of the fifth-year students from Fonseca TMD, OHIP-14, and OBC were statistically significantly higher than those of the students in other years of study. The mean Fonseca score of female students was higher than those of the males. There was a statistically significant difference regarding the OHIP-14 scores based on the Fonseca TMD scores. A statistically significant difference regarding OBC was present based on the Fonseca TMD scores. The prevalence of TMDs was higher among the senior dentistry students. Necessary measures should be taken in the dentistry educational system to raise students' quality of life, improve joint disorders, and eliminate current oral habits. [ABSTRACT FROM AUTHOR]

Objectives: Dialysis patients suffer from xerostomia based on hyposalivation even in stimulated saliva testing. Therefore, the aim of this study was (i) to evaluate an optimized oral hygiene system with an oral care gel reducing oral dryness, supporting dental plaque control and reducing the number of gingivitis affected teeth; (ii) to document the efficacy in a randomized controlled trial with dental indices; and (iii) to record the individual’s oral health related quality of life. Methods: After ethical approval (EC-UWH 103/2019), 44 dialysis patients provided signed informed consent and were divided into two groups followed up for four weeks. Subjects of the verum group (A) received daily oral care gel OROFAN® based on biopolymers with a mild antibacterial and saliva stimulating action. They were compared to the control group (B) who executed routine oral hygiene with conventional dentifrice and toothbrushes. At baseline (T0), the medical report and all dental indices (sialometry, DMF/S, plaque index, periodontal index, tongue coating and denture hygiene index) were assessed. After 2 weeks and 4 weeks, T1 and T2 dry mouth frequency and all dental indices were assessed. An Oral Health Impact Profile was documented at baseline (T0) and at the end of the study (T2). Results: Twenty-two subjects were allocated to group A and to group B. At baseline, there were no statistical differences concerning renal insufficiency (years on dialysis and complications), systemic diseases and dental background (caries experience, periodontal diseases, plaque index and number of gingivitis affected teeth). All subjects exhibited hyposalivation (p < 0.001) decrease in xerostomia frequency, in the number of gingivitis affected teeth and in their plaque index. Furthermore, their Oral Health Impact Profile improved considerably (p < 0.01). Significance of Results: Terminally ill patients may gain better oral health and, consequently, an improved quality of life by rather simple oral care using long-lasting, edible anti-inflammatory oral hygiene gel and a dentist’s devotion.

Background: Tooth loss is a disease of public health concern and defines the oral health status and quality of life of an individual. Aim: This study assessed the level of satisfaction and the oral health-related quality of life (OHRQoL) of patients that received fixed partial denture (FPD), for the replacement of teeth, at a Nigerian tertiary health facility. Materials and Methods: A cross-sectional retrospective evaluation of the clinical records of patients who received FPD within a period of 10 years was done. The eligible participants (44) were contacted by telephone and data on satisfaction and OHRQoL (using Oral Health Impact Profile [OHIP]-14 questionnaire) were collected. Descriptive analysis was used to report satisfaction and OHRQoL. The association between categorical variables was tested with Chi-square. P value was set at ≤ 0.05. Results: The conventional fixed–fixed prostheses supported mostly with porcelain-fused-to-metal crowns were the most used. High satisfaction with the appearance was reported by 22 (48.9%) at delivery as against 14 (31.1%) after use. Decementation was the most recorded failure, (26, 57.8%) and the total OHIP-14 score was 21.71 ± 9.47, indicating poor quality of life. Forty-four participants (18, 40.9% males and 26, 59.1% females) underwent oral rehabilitation with FPD within the study period. The age range and mean age of the participants were 21–72 years and 46.8 ± 13.8 (standard deviation) years, respectively. Significantly higher aesthetic satisfaction was reported at delivery of FPD compared to the present time of assessment (P < 0.001) showing a decline in satisfaction. However, long-term posttreatment satisfaction on aesthetics, masticatory ability, and phonetics was significantly higher compared to their pretreatment satisfaction (P < 0.001, 0.001, and P = 0.003, respectively). Furthermore, OHIP-14 scores showed statistically significant (P < 0.05) improved OHRQoL posttreatment except for OHIP8 and OHIP12 subdomains with P > 0.05. Conclusion: A decline in satisfaction with aesthetics of FPD postdelivery was observed and the psychological domains of OHIP-14 were mostly affected showing a better quality of life.

Introduction: There are few studies on dental anxiety (DA) among patients who are planned for routine dental extraction compared with a plethora of published reports on DA and oral health-related quality of life (OHRQoL) in patients undergoing third molar surgery. Aim: This study aims to investigate anxiety level, pain experience and OHRQoL of patients scheduled for routine exodontia at a Nigerian tertiary hospital. Materials and Methods: This was a cross-sectional study conducted at the Oral Surgery clinic of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria from April to September 2019. DA, pain, and OHRQoL of participants were assessed using Corah's DA Scale (DAS), Visual Analog Scale (VAS) and 14-item oral health impact profile (OHIP-14) questionnaire, respectively. Just before routine exodontia, the demographic variables of the participants were also recorded. Data were analyzed using R version 4.2.2. Results and Discussion: One hundred fifty-nine participants planned for routine exodontia of one or two permanent tooth/teeth with 41.7 ± 19.8 years mean age. The mean DAS score for the study population was 7.9 ± 3.6 (range: 4–18) with the proportion of dentally anxious patients (DAS score ≥13) being 15.1%. The majority (125; 78.6%) reported preexodontia dental pain VAS score of 4–10. Only 22.6% of the participants had their OHRQoL significantly impaired with OHIP-14 score of 29–56. Conclusion: The prevalence of DA among Nigerian adults scheduled for routine exodontia was 15.1%. At least seven in ten patients had moderate and severe dental pain, while one-fifth presented with significantly impaired OHRQoL.

Context: The subjective dimension of oral health has become a focus area for healthcare researchers in last decades. There has been an increase in scales measuring the self-perceived oral health outcomes. Oral health impact profile (OHIP-49) was developed in English, and for its use in Hindi-speaking population, translation and validation along with cross cultural adaptation are needed. Aim: To translate and validate OHIP-49 questionnaire for use in Hindi-speaking population. Settings and Design: Translation and validation of OHIP-49 questionnaire were carried out in a cross-sectional study conducted from January 2017 to October 2017 at a tertiary care centre. Methods and Material: A systematic random sample of 303 subjects reporting with orofacial pain was included in the study. The original English version OHIP-49 was initially translated and cross-culturally adapted to Hindi following WHO guidelines and then, subsequently validated. Statistical Analysis Used: The OHIP subscale measures were computed using Thurston's method. Internal consistency of the translated questionnaire was quantified in terms of Cronbach's alpha and average inter-item correlations for each domain. Results: The standardized overall Cronbach's alpha value derived from the correlation matrix was 0.88 (excellent). The average inter-item correlation coefficient was within the range of 0.3–0.5 for all the domains except for handicap domain. Conclusions: The OHIP-46-H questionnaire has an acceptable validity and reliability for use in Hindi-speaking population. It provides a possibility to narrate in details how frequently oral diseases affect the quality of life.

Aim: The aim was to assess the effect of antimicrobial photodynamic therapy (a-PDT) on the oral health-related quality of life (OHRQoL) of denture stomatitis patients. Methods: Forty patients were randomly selected to participate. Candidal proliferation was confirmed by using a CHROMagar culture and Gram staining. The denture surface and palatal mucosa were sprayed with a methylene blue photosensitizer prior to the photobiomodulation application. Laser therapy was applied two times a week at 72 h intervals for a period of 8 weeks. The OHIP-EDENT questionnaire was used to analyze the improvement in the OHRQoL. A Wilcoxon test was used to perform the candidal colony-forming unit’s count and comparison. A t-test was applied to evaluate the OHRQoL responses. Results: The overall CFU/mL values were higher in the dentures of the patients compared to a palatal mucosa swab. For instance, the CFU count was reduced from 5.56 ± 2.15 (baseline) to 3.17 ± 2.77 CFU/mL on day 60 on the palates. Similarly, the a-PDT application on the intaglio surface of the denture showed a reduction from 38.83 ± 14.71 to 29.05 ± 15.52 CFU/mL. A significant difference (p < 0.05) was found in function improvement as well as a reduction in physical pain, psychological discomfort, physical disability, and social interaction among the participants after photobiomodulation treatment. Conclusions: The OHRQoL was significantly improved in the DS patients. The Candida albicans abundance was radically reduced after the a-PDT application.

Introduction: There are few studies on dental anxiety (DA) among patients who are planned for routine dental extraction compared with a plethora of published reports on DA and oral health-related quality of life (OHRQoL) in patients undergoing third molar surgery. Aim: This study aims to investigate anxiety level, pain experience and OHRQoL of patients scheduled for routine exodontia at a Nigerian tertiary hospital. Materials and Methods: This was a cross-sectional study conducted at the Oral Surgery clinic of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria from April to September 2019. DA, pain, and OHRQoL of participants were assessed using Corah's DA Scale (DAS), Visual Analog Scale (VAS) and 14-item oral health impact profile (OHIP-14) questionnaire, respectively. Just before routine exodontia, the demographic variables of the participants were also recorded. Data were analyzed using R version 4.2.2. Results and Discussion: One hundred fifty-nine participants planned for routine exodontia of one or two permanent tooth/teeth with 41.7 ± 19.8 years mean age. The mean DAS score for the study population was 7.9 ± 3.6 (range: 4-18) with the proportion of dentally anxious patients (DAS score =13) being 15.1%. The majority (125; 78.6%) reported preexodontia dental pain VAS score of 4-10. Only 22.6% of the participants had their OHRQoL significantly impaired with OHIP-14 score of 29-56. Conclusion: The prevalence of DA among Nigerian adults scheduled for routine exodontia was 15.1%. At least seven in ten patients had moderate and severe dental pain, while one-fifth presented with significantly impaired OHRQoL. [ABSTRACT FROM AUTHOR]

Context: The subjective dimension of oral health has become a focus area for healthcare researchers in last decades. There has been an increase in scales measuring the self‑perceived oral health outcomes. Oral health impact profile (OHIP-49) was developed in English, and for its use in Hindi‑speaking population, translation and validation along with cross cultural adaptation are needed. Aim: To translate and validate OHIP-49 questionnaire for use in Hindi‑speaking population. Settings and Design: Translation and validation of OHIP‑49 questionnaire were carried out in a cross‑sectional study conducted from January 2017 to October 2017 at a tertiary care centre. Methods and Material: A systematic random sample of 303 subjects reporting with orofacial pain was included in the study. The original English version OHIP‑49 was initially translated and cross‑culturally adapted to Hindi following WHO guidelines and then, subsequently validated. Statistical Analysis Used: The OHIP subscale measures were computed using Thurston’s method. Internal consistency of the translated questionnaire was quantified in terms of Cronbach’s alpha and average inter‑item correlations for each domain. Results: The standardized overall Cronbach’s alpha value derived from the correlation matrix was 0.88 (excellent). The average inter‑item correlation coefficient was within the range of 0.3–0.5 for all the domains except for handicap domain. Conclusions: The OHIP-46-H questionnaire has an acceptable validity and reliability for use in Hindi‑speaking population. It provides a possibility to narrate in details how frequently oral diseases affect the quality of life. [ABSTRACT FROM AUTHOR]

Background: Although oral health-related quality of life (OHRQoL) in orthodontic patients has been assessed in the past, to date, no study has compared the OHRQoL between two nations. We aimed to compare the OHRQoL between Chinese and American orthodontic patients. Methods: We conducted a two-center questionnaire-based cross-sectional study among patients who underwent orthodontic treatments at the Chinese PLA General Hospital (PLAGH) in Beijing, China and Massachusetts General Hospital (MGH) in Boston, Massachusetts, United States. Candidate variables included the participating center, patients’' age, sex, Angle’s classification of malocclusion, evaluation stage, and appliances used. The primary outcome was patients’ OHRQoL assessed with the Oral Health Impact Profile-14 (OHIP-14). Descriptive statistics, stratification, and univariate and multivariate analyses were performed. Results: The average age was lower for PLAGH patients than for MGH patients (21.1 ​± ​7.9 vs. 33.1 ​± ​14.6 years, P

Aim: In recent years, after treatments variety of measurement scales are used to record the extent and impact of the treatment on quality of patient’s life. Among these scales, Oral Health Impact Profile (OHIP-49) and a shorter version of that OHIP-14 are the most comprehensive, accessible and common ones. Our aim was to evaluate the effect of non-surgical periodontal therapy on quality of generalized chronic periodontitis patients’ life by using the Turkish version of the OHIP-14 scale (OHIP-14-TR). Method: 58 patients (37 men and 21 women) diagnosed with generalized chronic periodontitis and requiring non-surgical periodontal therapy were recruited in this study. All patients were asked to fill in a form containing demographic, socio-economic information, reason of dental visit and oral hygiene habits. Clinical periodontal parameters (Plaque index (PI), gingival index (GI), probing pocket depth (PPD), clinical attachment loss (CAL), and bleeding on probing (BOP)) were recorded at baseline, and one month after treatment. Non-surgical periodontal treatment containing scaling and root planning was performed during one week in two seperate sessions. OHIP-14-TR questionnaires have been filled out before and after treatment. Results: There were significant decreases in all periodontal parameters and OHIP-14-TR one month after non-surgical periodontal treatment (p0.05). Significant positive correlation was found between physical pain, and BOP and PPD. After periodontal treatment, BOP, PPD, and physical pain decreased. Conclusion: According the results of this study, it was revealed that non-surgical periodontal treatment was effective in improving the quality of life of patients.

This rerandomized clinical trial evaluated the influence of soft liners (SL) on biting force, pain perception, and the oral health-related quality of life (OHRQoL) of complete denture wearers. Twenty-eight completely edentulous patients complaining of ill-fitting lower complete dentures were selected to participate in the study from the Dental Hospital, College of Dentistry, Taibah University. All patients received new complete maxillary and mandibular dentures; then they were randomly divided into two groups (14 patients in each group): the acrylic-based SL group, in which the mandibular denture was lined with an acrylic-based soft liner, and the silicone-based SL group, in which the mandibular denture was lined with a silicone-based soft liner. OHRQoL and maximum bite force (MBF) were assessed in this study before denture relining (baseline), then at one month and three months after relining. The finding showed that both treatment modalities significantly improved the OHRQoL of included patients at one-month and three-month periods compared to baseline records (i.e., dentures before relining) with a statistically significant difference (p < 0.05). However, there is no statistical difference between groups at the baseline, one-, and three-month follow-up periods. Regarding maximum biting force, when acrylic-based SL is compared to silicone-based SL, there is no statistical difference between groups at baseline (75 ± 31 and 83 ± 32 N) and one-month follow-up periods (145 ± 53 and 156 ± 49 N); however, after three months of function, the silicone-based group recorded 166 ± 57 N statistically significant high biting force compared to the acrylic-based group that recorded 116 ± 47 N (p < 0.05). Permanent soft denture liners positively affect maximum biting force, pain perception, and OHRQoL more than conventional dentures. After three months, silicone-based SL outperformed acrylic-based soft liners in maximum biting force, which may indicate better long-term results. [ABSTRACT FROM AUTHOR]

Background and Objectives: The study aimed to translate the original English version of Oral Health Impact Profile (OHIP) into Lithuanian and to assess reliability and validity of the translated instrument (OHIP-Lt) in patients with advanced stages of periodontitis. Materials and Methods: Subjects (N = 67) with stage III–IV periodontitis aged 30–63 years were surveyed by questionnaire and examined clinically. Psychometric analysis included explanatory (EFA) and confirmatory (CFA) factor analyses and psychometric tests. Results: Cronbach's alpha of the translated OHIP was 0.96. EFA revealed four dimensions which Cronbach's alpha ranged from 0.75 to 0.96. Construct validity of the four-factor model derived from the OHIP-Lt was supported by findings of CFA (RMSEA = 0.077). The total OHIP-Lt and its subscale scores increased as the patients' self-rated oral health status changed from healthy to unhealthy. Discriminative validity of the OHIP-Lt was confirmed by its higher scores among patients who had an increased spacing between the maxillary anterior teeth and increased clinical attachment level (CAL ≥ 5 mm) compared to those who did not. Conclusions: The translated Lithuanian version of OHIP-Lt was identified as four-dimension inventory. Good reliability and validity of the OHIP-Lt provide the evidence for its further use in study on advanced periodontal disease burden among Lithuanian patients. [ABSTRACT FROM AUTHOR]

BackgroundPublic health faces a significant challenge in reducing rural–urban disparities in diabetes. Since dietary control is part of the medical regimen for diabetes management, how diabetic patients perceive the impact of oral health on their quality of life is critical. The present study aimed to compare the Oral Health-related Quality of Life (OHRQoL) between rural and urban diabetic patients.MethodsThe study design was cross-sectional. The study sample included 831 self-reported diabetic patients, extracted from the first wave of the new-cohort Taiwan Longitudinal Study on Aging survey (NC_TLSA) that comprised a nationally representative sample of community-dwelling adults aged 50 and above in Taiwan. The composite score generated from the Oral Health Impact Profile-7 (OHIP-7), which has seven questions, was used to construct two OHRQoL measures, the severity of perceived poor OHRQoL and the prevalence of poor OHRQoL. These two OHRQoL measures were treated as dichotomous variables. Multivariate logistic regression models were applied for analysis.ResultsRural diabetic patients had a higher likelihood of experiencing the severity of perceived poor OHRQoL than those in urban areas (OR = 2.40, 95% CI: 1.30–4.40). Although rural diabetic patients also had a higher prevalence of poor OHRQoL than urban diabetic patients, the difference was not significant (OR = 1.47, 95% CI: 0.95–2.28). Social determinants, such as education, are essential factors attributed to both OHRQoL measures.ConclusionOverall, rural diabetes community-dwelling patients had a poorer OHRQoL than those in urban areas. Given a bidirectional relationship between oral health and diabetes, improving oral health in rural areas may be a critical avenue to improve the quality of diabetes care in rural areas.

The aim of this cross-sectional study was the evaluation of the oral health-related quality of life (OHRQoL) in patients with depression or attention-deficit/hyperactivity disorder (ADHD) in comparison with a group of mentally healthy individuals. Patients from the Department of Psychiatry and Psychotherapy, University of Leipzig, Germany, were recruited. A healthy comparison group (HC) was recruited from the Department of Cariology, Endodontology and Periodontology. The OHRQoL was assessed using the Oral Health Impact Profile G14 (OHIP G14). Furthermore, a questionnaire regarding oral hygiene behaviour was applied. A total of 141 patients with depression or ADHD (depression n = 94, ADHD n = 47) and 145 HC individuals with a balanced age and gender distribution were surveyed. OHIP G14 median scores were significantly higher in the overall psychiatric patient group compared to HC (5.00 vs. 0.00, p < 0.001). This was also found for the four dimensions of OHIP G14 (p < 0.001). The OHIP G14 sum score of patients with depression and ADHD was comparable (5.00 vs. 6.50, p = 0.302). A significant association among psychiatric patients between smoking, gum bleeding, professional tooth cleaning, oral health education, interdental cleaning, and elevated OHIP scores was found (p < 0.001). In conclusion, patients with depression and adults with ADHD show a reduced OHRQoL. A contradictory association between oral hygiene/oral health behaviour and OHRQoL supports the hypothesis of a changed perception of oral conditions in patients with mental diseases. Interdisciplinary collaboration between psychiatric specialists and dentists should be fostered.

Background: Dental caries is one of the most common dental diseases that affect all population and is associated with the avoidance of care. Research has reported that sense of coherence (SOC) is related to many aspects of health including oral health. SOC determines the quality of health and might have a direct association with the development of subjective assessments of oral health. Objectives: To find the association between SOC, Oral Health-Related Quality of Life (OHRQoL) and caries status among nursing college students in southern state of India. Design: Cross-sectional design using questionnaire and assessment of caries status. Participants: Nursing students from south India. Methods: Convenience sampling method was followed and students who were present on the day of the study and consented to participate were included in the study. The total study sample consisted of 494 nursing students. SOC and OHRQoL were measured by a self-administered questionnaire; caries status was assessed using Decayed, Missing and Filled Tooth (DMFT) index. Results: Association between SOC and Oral Health Impact Profile (OHIP) and caries status and OHIP was found to be statistically significant. Correlation between dental caries and OHIP was found to be statistically significant, with R-value –0.251 shows that OHIP is negatively correlated with caries status. Conclusion: SOC as a psychosocial resource is capable of facilitating the motivation for positive oral health behaviours. These resources along with socio-economic and demographic factors can create an environment that is partially responsible for the individuals' cognitive and physical functions that can express themselves as the individuals' well-being and positive health behaviours.

Background: Most of the oral diseases have consequences that can affect the quality of life (QoL). Temporomandibular disorders (TMDs) constitute a series of clinical problems that affect muscles of mastication, the temporomandibular joint, along with their associated structures. The perception and feelings of these patients regarding their oral health are often ignored. Objective: The aim is to assess the relationship between oral health status and oral health-related QoL (OHRQoL) in participants with TMD compared to the Non-TMD group. Materials and Methods: A cross-sectional comparative study was conducted among 320 participants (TMD 160 and Non-TMD 160 participants, respectively) in various hospitals of Bengaluru city. The Oral Health Impact Profile for TMDs (OHIP) questionnaire was administered for evaluating the OHRQoL. Oral health status was assessed using World Health Organization Oral Health Assessment Form for Adults, 2013. Chi-square tests, Pearson's correlation tests, and one-way ANOVA were applied for statistical analysis. The value of P < 0.05 was considered statistically significant. Results: TMD patients exhibited worse OHIP-TMDs scores when compared to the Non-TMD group (63.2 ± 3.78 vs. 2.15 ± 3.21). The mean Decayed, Missing, and Filled Teeth (P < 0.001), gingival bleeding (P < 0.001), pockets P < 0.001), and loss of attachment (P = 0.677) was significantly higher in the TMD group when compared to the non-TMD group. TMDs negatively affected the OHRQoL in the TMD group when compared to the non-TMD group. Conclusions: OHRQoL and oral health status are found to be poor among the TMD group when compared to the non-TMD group. There was a relationship between OHRQoL and oral health status among the TMD group and non-TMD group.

The interaction between dental anxiety and the establishment of a consistent dental care routine has been an ongoing challenge. Unfortunately, there is limited available data concerning the detailed dental care practices of individuals with dental anxiety. Therefore, this study aims to explore how dental anxiety influences dental care habits and oral-health-related quality of life within an adult population. By utilizing the Dental Anxiety Scale (DAS) and the German Oral Health Impact Profile (OHIP-G5), we assessed their extent. To evaluate the differences, we performed analyses of variance (Anova), an independent t-test and rank correlation. The findings of this study unveil a significant correlation between elevated DAS scores and reduced frequency of tooth brushing; calculus removal and appointments for professional teeth cleaning. Interestingly; the use of dental floss and mouthwash solution as well as toothbrush hardness appeared to be not significantly affected by dental fear. Moreover, individuals with dental anxiety demonstrated a preference for manual toothbrushes over electric ones. In addition, higher DAS scores were found to be strongly associated with greater OHIP-G5 scores, thus leading to a substantial decline in overall oral health-related quality of life.

Abstract Aim This study aimed to investigate if in the 49-item Oral Health Impact Profile (OHIP): (i) more missing data occurred when participants answered more questions, (ii) more missing data occurred in a particular item or set of related items, and (iii) item missingness was associated with the demographic characteristics and oral health-related quality of life (OHRQoL) impairment level. Methods We used OHIP data from the Dimensions of OHRQoL (DOQ) project, which consolidated data from 35 individual studies. Among these studies, we analyzed OHIP data from 19 studies (4,847 surveyed individuals, of which 3,481 were completed under supervision and 1,366 were completed unsupervised) that contained some missing information. We computed descriptive statistics to investigate the OHIP missingness. We also used logistic regression analyses, with missing information as the dependent variable, and number of questions filled in (OHIP item rank) as the independent variable for samples with and without supervision. To investigate whether missing data occurs more in a particular item or set of related items we fitted regression models with individual OHIP items and the OHRQoL dimensions as indicator variables. We also investigated age, gender, and OHRQoL level as predictor variables for missing OHIP items. Results We found very low levels of missingness across individual OHIP items and set of related items, and there was no particular item or set of related items that was associated with more missing data. Also, more missing data did not depend on whether the participants answered more questions. In studies without supervision, older persons and females were 5.47 and 2.66 times more likely to have missing items than younger persons and females. However, in studies with supervision, older persons, and participants with more OHRQoL impairment were 1.70 and 2.65 times more likely to have missing items. Conclusion The study participants from general and dental patient populations did not find OHIP-49 burdensome. OHIP item missingness did not depend on a particular OHIP item or set of related items, or if the study participants responded to a greater number of OHIP items. We did not find a consistent pattern of the influence of sociodemographic and OHRQoL magnitude information on OHIP missingness. The amount of missing OHIP information was low making any potential influence likely small in magnitude.

Purpose: We compared measurement properties of 5-point and 11-point response formats for the orofacial esthetic scale (OES) items to determine whether collapsing the format would degrade OES score precision.Methods: Data were collected from a consecutive sample of adult dental patients from HealthPartners dental clinics in Minnesota (N = 2,078). We fitted an Item Response Theory (IRT) model to the 11-point response format and the six derived 5-point response formats. We compared all response formats using test (or scale) information, correlation between the IRT scores, Cronbach's alpha estimates for each scaling format, correlations based on the observed scores for the seven OES items and the eighth global item, and the relationship of observed and IRT scores to an external criterion using orofacial appearance (OA) indicators from the Oral Health Impact Profile (OHIP).Results: The correlations among scores based on the different response formats were uniformly high for observed (0.97-0.99) and IRT scores (0.96-0.99); as were correlations of both observed and IRT scores and the OHIP measure of OA (0.66-0.68). Cronbach's alpha based on any of the 5-point formats (α = 0.95) was nearly the same as that based on the 11-point format (α = 0.96). The weighted total information area for five of six derived 5-point response formats was 98% of that for the 11-point response format.Conclusions: Our results support the use of scores based on a 5-point response format for the OES items. The measurement properties of scores based on a 5-point response format are comparable to those of scores based on the 11-point response format. [ABSTRACT FROM AUTHOR]

Background: Most of the oral diseases have consequences that can affect the quality of life (QoL). Temporomandibular disorders (TMDs) constitute a series of clinical problems that affect muscles of mastication, the temporomandibular joint, along with their associated structures. The perception and feelings of these patients regarding their oral health are often ignored. Objective: The aim is to assess the relationship between oral health status and oral health-related QoL (OHRQoL) in participants with TMD compared to the Non-TMD group. Materials and Methods: A cross-sectional comparative study was conducted among 320 participants (TMD 160 and Non-TMD 160 participants, respectively) in various hospitals of Bengaluru city. The Oral Health Impact Profile for TMDs (OHIP) questionnaire was administered for evaluating the OHRQoL. Oral health status was assessed using World Health Organization Oral Health Assessment Form for Adults, 2013. Chi-square tests, Pearson's correlation tests, and one-way ANOVA were applied for statistical analysis. The value of P < 0.05 was considered statistically significant. Results: TMD patients exhibited worse OHIP-TMDs scores when compared to the Non-TMD group (63.2 ± 3.78 vs. 2.15 ± 3.21). The mean Decayed, Missing, and Filled Teeth (P < 0.001), gingival bleeding (P < 0.001), pockets P < 0.001), and loss of attachment (P = 0.677) was significantly higher in the TMD group when compared to the non-TMD group. TMDs negatively affected the OHRQoL in the TMD group when compared to the non-TMD group. Conclusions: OHRQoL and oral health status are found to be poor among the TMD group when compared to the non-TMD group. There was a relationship between OHRQoL and oral health status among the TMD group and non-TMD group. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the impact of untreated malocclusion on different aspects of oral health-related quality of life (OHRQoL).Materials and Methods: All relevant literature published up to February 18, 2016 was collected from nine electronic databases. To make studies comparable, studies that used the dental aesthetic index (DAI), index of orthodontic treatment need (IOTN), or index of complexity, outcome and need (ICON) to measure malocclusion and oral health impact profile (OHIP) to measure OHRQoL were selected for systematic review. Meta-analysis, two independent-samples t-test and binary logistic regression were used to test whether different malocclusion severity groups had different OHIP scores.Results: A total of 564 non-duplicate publications were identified first. Of these, 13 studies were included in this review. All studies had a cross-sectional design and most of them used convenience samples. Eleven studies presented a significant result about the association of malocclusion and OHIP scores. Statistical analyses showed that malocclusion had an impact on all subscales scores, and more severe malocclusion indicated higher OHIP scores on the subscales of physical disability, physical pain, psychological discomfort, psychological disability, and social disability.Conclusion: Untreated malocclusion was significantly associated with OHRQoL. The more severe the malocclusion, the worse was the impact on some physical domains and all psychosocial domains of OHRQoL. There was a lack of longitudinal population-based studies to confirm this result. [ABSTRACT FROM AUTHOR]

Objective: The aim of the study is to verify the impact of anxiety on temporomandibular disorders (TMD) by using specific questionnaires in a Turkish sample., Methods: This survey was conducted on 292 patients with a mean age of 38.59 ± 10.38 using Helkimo index, Oral Health Impact Profile (OHIP-14), and State Trait Anxiety Inventory (STAI). Spearman Correlation and Fisher Freeman Halton analyses were used for the statistical analysis., Results: There was no statistically significant difference between the Helkimo anamnestic dysfunction (HAD) levels in terms of OHIP-14 total scores or STAI state scores. There was, however, a statistically positive correlation between STAI state and OHIP-14 total values at 18.4%, a positive correlation between the STAI trait and OHIP-14 total values at 29.8%., Conclusion: No significant correlation was observed between OHIP-14 total scores, STAI state scores, and HAD levels. Therefore, this study did not find a significant relationship between TMDs and anxiety.

Background: Dental caries is one of the most common dental diseases that affect all population and is associated with the avoidance of care. Research has reported that sense of coherence (SOC) is related to many aspects of health including oral health. SOC determines the quality of health and might have a direct association with the development of subjective assessments of oral health.Objectives: To find the association between SOC, Oral Health-Related Quality of Life (OHRQoL) and caries status among nursing college students in southern state of India.Design: Cross-sectional design using questionnaire and assessment of caries status.Participants: Nursing students from south India.Methods: Convenience sampling method was followed and students who were present on the day of the study and consented to participate were included in the study. The total study sample consisted of 494 nursing students. SOC and OHRQoL were measured by a self-administered questionnaire; caries status was assessed using Decayed, Missing and Filled Tooth (DMFT) index.Results: Association between SOC and Oral Health Impact Profile (OHIP) and caries status and OHIP was found to be statistically significant. Correlation between dental caries and OHIP was found to be statistically significant, with R-value -0.251 shows that OHIP is negatively correlated with caries status.Conclusion: SOC as a psychosocial resource is capable of facilitating the motivation for positive oral health behaviours. These resources along with socio-economic and demographic factors can create an environment that is partially responsible for the individuals' cognitive and physical functions that can express themselves as the individuals' well-being and positive health behaviours. [ABSTRACT FROM AUTHOR]

Introduction: Smokeless tobacco (ST) being a crucial determinant of oral health and oral health-related quality of life is a part of many religious and cultural rituals which has gained a degree of social acceptance in the Indian subcontinent. Aim: The aim of this study was to assess the oral health-related quality of life (OHRQoL) among adult ST users and nontobacco users of Ghaziabad. Materials and Methods: A hospital-based cross-sectional study was designed to determine the oral health status and OHRQoL of ST users and nontobacco users. A sample of 620 adult individuals was taken. A pretested questionnaire was used to collect the demographic variables. Oral health status was assessed using the World Health Organization 2013 Oral Health Assessment Form, and OHRQoL was measured with the Oral Health Impact Profile-14. Statistical analysis was done by the Statistical Package for the Social Sciences version 20.0. Chi-square test, Spearman's correlation coefficient, Mann–Whitney U-test, and Kruskal–Wallis test were applied. Statistical significance was considered at P < 0.05. Results: In ST users, 90.3% had gingival bleeding, whereas 58.4% of the nontobacco users had gingival bleeding; 53.2% of the ST users had periodontal pocket compared to 47.7% of the nontobacco users. ST users had higher mean scores on the handicap (1.96 ± 1.29), psychological disability (1.89 ± 2.66), psychological discomfort (1.44 ± 1.31), functional limitation (0.92 ± 1.35), physical pain (0.79 ± 0.91), and social disability (0.52 ± 0.70) when compared to the nontobacco users. A ST user has a higher (8.03 ± 4.14) mean score when compared to nontobacco users (4.56 ± 4.01) (P < 0.001) in all subscales of OHRQoL. A statistically significant difference in the oral OHRQoL between ST users and nontobacco users was observed. Conclusion: Hence, the study revealed that ST users definitely had an influence on OHRQoL, with a statistically significant increase in oral health problems in ST users compared to nonusers.

Background: Maxillofacial injuries are a serious public health problem and are often associated with severe morbidity, disfigurement, and psychological problems. The life of the patient often takes a turn for the worst and he/she has to face many difficulties moving forward. Analysing and determining the quality of life of such cases will give us a better understanding and insight and will further improve the care and treatment of the patients. Aims: Analyse and evaluate the psychosocial impact of maxillofacial fractures on individuals who were healthy pre-trauma. Material and Methods: The participants are the 30 patients with facial trauma reported to the Department of Oral and maxillofacial surgery of the School of Dental Sciences and Krishna hospital, Karad, who will be required to undergo surgical treatment (i.e., Open reduction and internal fixation for facial fractures) and are willing to participate in this study. All 30 patients were given a questionnaire form modified from the pre-existing Acute Stress Disorder Scale, Oral Health Impact Profile questionnaire and Posttraumatic Diagnostic Scale, which includes questions regarding speech, sense of taste, pain, uncomfortable eating, orientation, tension, unsatisfactory diet, interrupted meals, difficulty to relax, embarrassment, irritability, occupational dysfunction, etc. during their 15 days follow up appointment post-surgery. This obtained data was then analysed and was subjected to appropriate statistical analysis. Result: In a study sample of 30 patients, 8% were found with intense psychosocial issues due to trauma, 14% had a moderate, and 18% had mild issues that affected the quality of their life post-trauma. Conclusion: The study shows a great need for psychological screening and evaluation of patients with maxillofacial injury/fractures due to trauma to improve the patient's physical and psychological recovery.

Introduction: The awareness of patient-centered outcomes regarding the sequel of endodontic therapy in everyday life is limited. This study aimed to quantify the impact of root canal treatment in one visit compared to root canal treatment in multiple visits on oral health-related quality of life (OHRQoL). Material and Methods: This is a controlled clinical trial, in which 32 patients were included; the age range was 16–60 years. At the patient's convenience, participants were divided into two groups: the first group received a single-visit treatment and the other group received a multiple-visit treatment. Conventional endodontic treatment was performed for indicated teeth by undergraduate dental students in a single visit or multiple visits. OHRQoL was recorded using an Arabic Oral Health Impact Profile (OHIP) questionnaire. Results: A total of 32 patients, with a mean age of 30.5 (SD = 8.2), received root canal treatments and filled OHIP questionnaire. Male patients composed 50% of the sample. The majority of the patients had a high school education (75%). Single-visit root canal treatment significantly improved OHRQoL by 7.6 points (P = 0.001) and multiple visits by 8 points (P = 0.001). Conclusion: Both single and multiple visits endodontic treatments equally improved OHRQoL.

This rerandomized clinical trial evaluated the influence of soft liners (SL) on biting force, pain perception, and the oral health-related quality of life (OHRQoL) of complete denture wearers. Twenty-eight completely edentulous patients complaining of ill-fitting lower complete dentures were selected to participate in the study from the Dental Hospital, College of Dentistry, Taibah University. All patients received new complete maxillary and mandibular dentures; then they were randomly divided into two groups (14 patients in each group): the acrylic-based SL group, in which the mandibular denture was lined with an acrylic-based soft liner, and the silicone-based SL group, in which the mandibular denture was lined with a silicone-based soft liner. OHRQoL and maximum bite force (MBF) were assessed in this study before denture relining (baseline), then at one month and three months after relining. The finding showed that both treatment modalities significantly improved the OHRQoL of included patients at one-month and three-month periods compared to baseline records (i.e., dentures before relining) with a statistically significant difference (p < 0.05). However, there is no statistical difference between groups at the baseline, one-, and three-month follow-up periods. Regarding maximum biting force, when acrylic-based SL is compared to silicone-based SL, there is no statistical difference between groups at baseline (75 ± 31 and 83 ± 32 N) and one-month follow-up periods (145 ± 53 and 156 ± 49 N); however, after three months of function, the silicone-based group recorded 166 ± 57 N statistically significant high biting force compared to the acrylic-based group that recorded 116 ± 47 N (p < 0.05). Permanent soft denture liners positively affect maximum biting force, pain perception, and OHRQoL more than conventional dentures. After three months, silicone-based SL outperformed acrylic-based soft liners in maximum biting force, which may indicate better long-term results.