PROSTHETIC DENTISTRY
SELF-PERCEIVED ESTHETICS, CHEWING FUNCTION AND ORAL HEALTH-RELATED QUALITY OF LIFE IN PATIENTS TREATED WITH NEW REMOVABLE DENTURES
Sanja Peršić 1a *, Sanela Strujic 2b, Ljiljana Strajnic 3c, Lejla Ibrahimagić-Šeper 4d, Edin Selimović 4e, Asja Čelebić 1f
1
Department of Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
2
Department of Prosthodontics, School of Dental Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
3
Department of Prosthodontic, Clinic for Dentistry of Vojvodina, Faculty of Medicine, Novi Sad, Serbia
4
Public Institute Health Center Zenica, Zenica, Bosnia and Herzegovina a
DMD, PhD, Senior Research Assistant b
PhD, Assistant Professor c
DMD, PhD, Associate Professor d
Associate Professor e
Assistant Professor f
DMD, PhD, full Professor
Cite this article: Peršić S, Strujic S, Strajnic L, Ibrahimagić-Šeper L, Selimović E, Čelebić A. Self-perceived esthetics, chewing function and oral health-related quality of life in patients treated with new removable dentures. Stoma Edu J. 2016; 3( 1): 92-97.
Received: April 14, 2016 Received in revised form: February 9, 2015
Accepted: May 3, 2016 Published online: April 20, 2016
ABSTRACT
Introduction: The aim was to assess treatment outcomes using the standardized questionnaires for assessment of self-perceived orofacial esthetics( OE), oral health-related quality of life( OHRQoL) and chewing function( CF) in patients treated either with new complete dentures( CD group) or with maxillary complete dentures and mandibular Kennedy Class I long saddle removable partial dentures( CD-RPD group). The aim was also to compare the two groups and to assess possible gender and age effects. Methodology: One hundred twenty-six patients( 72 female and 54 male) participated( mean age 67.8 ± 9). They were divided into two groups: the CD group( 68 patients) and the CD-RPD group( 58 patients). The patients filled in the three standardized questionnaires( Oral Health Impact Profile-OHIP14; Orofacial Esthetic Scale-OES and Chewing function questionnaire-CFQ), twice, first at the baseline, and the second time at least 2 months after they had received their new removable dentures and all adjustments had been finished. Results: All patients with new removable dentures( CD and CD-RPD group) reported improved aesthetics, chewing function and OHRQoL. Gender and age by itself yielded no significant effects. The type of RPD treatment( CD: CD-RPD) yielded statistically significant differences only with respect to orofacial aesthetics, while there was no significant differences with respect to CF and OHRQoL. Conclusion: Better aesthetic outcomes in the CD group than in the CD-RPD group could be attributed to clasp visibility in the mandible. Clasps in the CD-RPD group did not significantly improve CF when compared with the CD group. Keywords: patient-based outcomes, removable dentures, orofacial esthetics, chewing function, OHRQoL.
1. Introduction
Despite improvements of oral health care, the need for conventional complete and removable partial dentures has still been in high demand, especially in the elderly population and in lower income socio-economic groups. 1 Moreover, despite the growing trend to use implant supported removable dentures, conventional complete and removable partial dentures have still been the most common treatment option. 2, 3 Many edentulous patients refuse implant placement due to their financial limitations, general health problems, insufficient bone support, fear, or attitude. 4-7 The impact of oral disorders and interventions on individually perceived oral health outcomes has been increasingly recognized as an important oral health component. The most popular instrument for oral health assessment has been the Oral Health Impact Profile( OHIP) questionnaire( the long and the short form). The OHIP measures several dimensions of oral health related quality of life( OHRQoL). 8-15 Some other one-dimensional questionnaires have also been popular, such as
* Corresponding author: Sanja Peršić, DMD, PhD, Department of Prosthodontics, School of Dental Medicine, University of Zagreb Gunduliceva 5, 10000 Zagreb, Croatia Tel: + 385 99 6949722; Fax: + 385 1 4802159, e-mail: persic @ sfzg. hr
92 STOMA. EDUJ( 2016) 3( 1)