Oral health-related quality of life in patients treated with fixed, removable, and complete dentures 1 month and 6 to 12 months after treatment.
OBJECTIVE
This study described oral health-related quality of life (OHRQoL) before and after treatment in patients with fixed, removable, and complete dentures.


METHODS
OHRQoL was measured using the German version of the Oral Health Impact Profile (OHIP-G) in a convenience sample of 107 prosthodontic patients at baseline and 1 and 6 to 12 months after treatment. The sum of OHIP-G item responses (OHIP-G49, range 0 to 196) characterized OHRQoL impairment in 42 patients treated with fixed prosthodontics, 31 patients treated with removable dentures, and 34 patients treated with complete dentures. OHIP-G49 medians were compared with the OHRQoL level in a general population sample (n = 2,026). A multivariable binomial regression analysis, controlling for the effects of baseline OHRQoL and follow-up wave, was used to compare the level of impaired OHRQoL in different prosthodontic treatment groups at follow-ups.


RESULTS
OHRQoL improved in 96% of the subjects. OHIP-G49 medians reached the level of OHRQoL in the general population 1 month after treatment (fixed prosthodontics patients 6 OHIP-G units; general population subjects 5 units; removable denture patients 23 units, 15 units in general population subjects; complete denture patients 13 units, 23 units in general population subjects). OHIP-G49 medians were below population norms 6 to 12 months after treatment. In patients treated with removable/complete dentures, the expected posttreatment OHIP-G49 problem rate was 1.9 times the problem rate in patients treated with fixed prosthodontics, holding baseline OHIP-G49 and follow-up wave constant.


CONCLUSIONS
OHRQoL changed substantially comparing pretreatment scores with 1 and 6 to 12 months of follow-up in patients treated with fixed, removable, and complete dentures.
John
Mike T
MT
Department of Prosthodontics and Dental Materials Science, University of Leipzig, Germany. mike.john@medizin.uni-leipzig.de
Slade
Gary D
GD
Szentpétery
András
A
Setz
Jürgen M
JM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016010:Binomial Distribution; D003824:Denture, Complete / Q000523:psychology*; D003830:Denture, Partial, Fixed / Q000523:psychology*; D003832:Denture, Partial, Removable / Q000523:psychology*; D005260:Female; D005858:Germany; D006801:Humans; D016014:Linear Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires