Use of Oral Health Impact Profile-14 (OHIP-14) in Different Contexts. What Is Being Measured?

The Oral Health Impact Profile-14 (OHIP-14) has been used to assess the impact that oral health problems can have on an individual’s life. Different theoretical models were proposed to evaluate the results. The aims of this study were to evaluate the fit of different factorial models of the OHIP-14 to non-dental patients (NDP) and dental patients (DP) samples from Brazil and Finland and to estimate the differential functioning of the items in the OHIP-14 between the samples. Two studies were conducted, one in Brazil and the other in Finland, composed of five samples (Brazil—Sample 1 (S1): DP, n = 434, age: 25.3 [SD = 6.3] years; S2: NDP, n = 1486, age: 24.7 [SD = 5.6] years; S3: DP, n = 439, age: 29.0 [SD = 6.7] years; Finland—S4: DP, n = 482, age: 26.3 [SD = 5.4] years; S5: NDP, n = 2425, age: 26.7 [DP = 5.5] years). The fit of the OHIP-14 models to the data was estimated using a confirmatory strategy (validity based on the internal structure). Differential item functioning (DIF) between samples was estimated. For NDP from both countries, the response pattern severely violated the normality assumption in six items of the OHIP-14, indicating that the instrument does not fit for these samples. For DP, the model with the best fit was unifactorial, which deals with the estimation of the general impact of oral health on an individual’s life, without addressing specific dimensions. Configural invariance was refuted between samples. DIF indicated that the characteristic of the sample (NDP and DP) in both countries interfered in the response given to the items, with the response level being more adequate for the latent PD trait. The validity of data related to the impact of oral health problems on an individual’s life was confirmed through a unifactorial model. OHIP-14 works properly in DP samples and was limited in NDP samples, being also influenced by cultural context and age.

Oral Health Impact Profile and Its Relationship with Their Oral Health Status of Beautician Cohorts in Porur, Chennai, India - A Cross Sectional Study

Aim: To evaluate the oral health impact profile and its relationship with their oral health status among beautician cohorts. Materials and Methods: A cross sectional study was conducted among 147 beauticians using a simple random sampling technique. The subjects would be taken from the Porur area those who were working in the beauty parlour as a beautician. An individual interview was held, and they got a dental check-up. Oral health status was measured by WHO Proforma 2013 modification. Oral health quality of life was assessed by oral health impact profile (OHIP-14) questionnaire. Sociodemographic data were collected and questions regarding oral hygiene measures and habits. As for data analysis, chi-square test was utilized. Results: All scores showed associations with self-rated oral health quality of life and dissatisfaction with oral health status .The dentition status and gingivitis showed statistically significant with oral health impact profile (OHIP-14) Conclusion: The study reveals that the impact of oral health does not have association with oral health problems, whereas perceived satisfaction with oral health has a better association with clinical indicators. We should motivate the oral hygiene practices among beautician cohorts. Keywords: Oral health impact profile, Oral health status, Oral health problems, dental diseases, gingivitis, periodontitis, dental caries, quality of life.

Relação entre tratamento protético, autoestima e qualidade de vida em pacientes idosos em tratamento hemodialítico

Fundamento: O estado de saúde bucal pode ter influência física e psicológica sobre a vida dos indivíduos. Pode afetar simultaneamente o prazer na vida devido a interferência nas condições bucais, na fala, mastigação, sabor e deglutição, nos domínios sociais, sobre a aparência e autoconfiança dos indivíduos. Objetivo: Verificar se o tratamento protético odontológico é capaz de gerar melhoria na qualidade de vida e na autoestima de pacientes idosos submetidos a hemodiálise. Materiais e Métodos: Realizou-se um estudo intervencional com 26 pacientes submetidos à hemodiálise na cidade de Diamantina, Brasil. Os pacientes foram divididos em dois grupos de acordo com a realização do tratamento; com e sem tratamento. O grupo tratamento recebeu ajustes ou confecção de uma nova prótese odontológica, já o grupo sem tratamento recebeu apenas avaliação clínica e orientações sobre higiene bucal. A qualidade de vida foi avaliada através do instrumento Medical Outcomes Study 36-Item Short Form Health Questionnaire (SF-36) e Oral Health Impact Profile (OHIP) na sua versão 14. Já para a autoestima utilizou-se a Escala de Autoestima de Rosenberg. Resultados: A média de idade foi 69,08 anos (±05,90) e o índice CPO-D médio foi de 29,65 (±01,35). Houve significância estatística na dimensão aspecto emocional do SF-36 nos dois grupos. O grupo que recebeu tratamento apresentou significância na incapacidade física do OHIP-14 e melhora da autoestima. Conclusão: O tratamento protético odontológico gerou melhoria na qualidade de vida e impactou na autoestima de pacientes idosos submetidos à hemodiálise, sendo o impacto maior nos pacientes que realizaram tratamento protético.

Adequação da assistência odontológica pré-natal: desigualdades sociais e geográficas em uma região metropolitana do Brasil

Resumo Objetivou-se analisar as desigualdades sociais e geográficas na adequação da assistência odontológica pré-natal no Sistema Único de Saúde (SUS) da Região Metropolitana da Grande Vitória, Espírito Santo, Brasil. Realizou-se um estudo seccional com 1.209 puérperas residentes na região, internadas no SUS para parto em 2010 e 2011. Coletaram-se dados sobre assistência médica-odontológica pré-natal, impacto da saúde bucal na qualidade de vida (Oral Health Impact Profile-14) e características contextuais, predisponentes e capacitantes. A assistência odontológica pré-natal foi adequada quando o cuidado prestado correspondeu ao tratamento preconizado. Analisou-se a chance de adequação da assistência odontológica pré-natal por meio de modelo logístico multivariado. Verificou-se que a saúde bucal impactou a qualidade de vida de 102 (8,4%) gestantes e a adequação da assistência odontológica pré-natal foi apenas de 15,4% (n=156). Houve maior chance de adequação da assistência odontológica pré-natal em Vitória (OR=2,44; IC=1,63-3,66), na presença de Estratégia Saúde da Família (OR=1,88; IC=1,22-2,89) e de pré-natal de qualidade (OR=3,59; IC=1,64-7,84). As desigualdades contextuais foram determinantes para inadequação da assistência odontológica no pré-natal.

Problems of sleep, depression, quality of life in adolescents with TMD diagnosis

Aim: To verify the relationship between temporal-mandibular dysfunction (TMD) with depression, sleep, sleepiness and quality of life in adolescents aged 13 to 18 years old. Methods: Thirty-eight adolescents being seen at the UFAL Dental Clinic (Federal University of Alagoas), for TMD, and qualifying according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD), participated in the study. Two instruments were used to investigate sleep quality: the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS); the Oral Health Impact Profile (OHIP-14) for quality-of-life assessment; and the Beck Depression Inventory (BDI-II) for depression assessment. Pearson’s correlation coefficient was used for the relationship of numerical variables. For the means tests, the Student t test was applied (using, when necessary, the Welch correction). For the analyses, the Bonferroni correction was considered. Results: After calculation, αBonferroni correction was applied equal to 0,0005. Of the total number of participants (56% female and 44% male), with a mean age of 14.7). In all comparisons between groups (with and without TMD), there were statistically significant indices for adolescents with TMD in relation to: depression (p=5.6∙10-11), quality of life (p=4.3∙10-12), sleep quality (p=5.0∙10-10), and somnolence (p=0.0002). From the correlation matrix, it was observed that all correlations were significantly positive and moderate. Conclusions: Adolescents with a diagnosis of TMD presented an increase of depression and somnolence, as well as impairment of sleep quality and quality of life, and these same variables can influence on the onset of TMD.

Impact of orthognathic surgery on quality of life in patients with different dentofacial deformities: longitudinal study of the Oral Health Impact Profile (OHIP-14) with at least 1 year of follow-up

Objective The objective of this study was to assess the impact of orthognathic surgery for dental facial deformities on oral health-related quality of life (OHRQoL) in the immediate postoperative period up to at least 1 year after surgery. Study design This prospective study evaluated data from 85 patients. OHRQoL was assessed using the Dutch version of the Oral Health Impact Profile questionnaire (OHIP-14NL) preoperatively (T0), each day for 7 days postoperatively (T1–T7) and 4 weeks (T8), 6 months (T9), and at least 1 year (T10) after surgery. The total OHIP score was calculated for each patient, with higher OHIP scores indicating a worse impact on oral health. Patients also completed an extra questionnaire about self-care, discomfort, and experienced pain (rated on a 10-point scale) in the postoperative period (T1–T10). Results The mean OHIP score increased sharply at T1 compared to T0 but decreased significantly in the first postoperative week. The mean OHIP score at T8 was still higher than before surgery. However, at T9 and T10, the mean OHIP score was significantly lower than at T0 (P < .05). No significant difference in OHIP score was found between gender, age, type of surgery, and indication for surgery. Pain significantly decreased from T6 to T0. The OHIP and pain scores significantly positively correlated at every time point except T9. Conclusion The findings indicate that OHRQoL is reduced from baseline in the immediate postoperative period but improves over time. By 1 year, OHRQoL improves significantly after orthognathic surgery in patients with dentofacial deformities.