Oral health conditions and self-perception among edentulous individuals with different prosthetic status

Abstract

AIM: To evaluate the objective oral health conditions and self-perception of edentulous individuals wearing functional complete dentures (FCD) and non-functional complete dentures (NFCD) and completely edentulous non-denture wearers, and identify the factors that influence self-evaluation and the impact on quality of life. METHODS: The convenience sample was selected at the integrated clinic of a Dentistry Course (n=193) and was divided into 3 groups: FCD wearers (n= 54); NFCD wearers (n= 65); 3- edentulous non-denture wearers (n= 74). Data collection was performed by means of interviews, application of the Geriatric Oral Health Assessment Index (GOHAI) and clinical exams. Data were submitted to univariate analysis and logistic regression, considering dichotomization of the sample by the median value of GOHAI (=30). RESULTS: Individuals with NFCD are 4.5 times more likely to show a low GOHAI score than individuals with FCD; edentulous individuals are 7.5 times more likely to show a low GOHAI score than individuals with FCD; individuals that consider their oral health as regular, poor or bad are 3.1 times more likely to show a low GOHAI score than individuals who consider their oral health as good or excellent. CONCLUSIONS: Being completely edentulous or wearing NFCD, and having oral health classified as regular, poor or extremely bad were important features for a negative self-perception of oral health, with impact on quality of life.

oral health survey; quality of life; complete dentures; edentulism

• ¹
  Souza RF, Patrocínio L, Pero AC, Marra J, Compagnoni MA. Reliability and validation of a Brazilian version of the Oral Health Impact Profile for assessing edentulous subjects. J Oral Rehabil. 2007; 34: 821-6.
• ²
  Freitas JB, Gomez RS, de Abreu MHNG, Ferreira EF. Relationship between the use of full dentures and mucosal alterations among elderly Brazilians. J Oral Rehabil. 2008; 35: 370-6.
• ³
  Silva MES, Magalhães CL, Ferreira EF. Complete removable prostheses: from expectation to (dis)satisfaction. Gerodontology. 2009; 26: 143-9.
• ⁴
  Martins AMEBL, Barreto SM, Pordeus IA. Objective and subjective factors related to self-rated oral health among the elderly. Cad Saúde Pública.2009; 25: 421-35.
• ⁵
  Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health. Community Dent Oral Epidemiol. 2005; 33: 81-92.
• ⁶
  Brazil. Ministry of Health Care/Health surveillance. Departament of Primmary Care. Coordination of Oral Health. Project SB Brazil 2010 -main results. Brasilia; 2011.
• ⁷
  Carlsson GE, Omar R. The future of complete dentures in oral rehabilitation: A critical review. J Oral Rehabil. 2009; 37: 143-56.
• ⁸
  Koshino H, Hirai T, Ishijima T, Tsukagoshi H, Ishigami T, Tanaka Y. Quality of life and masticatory function in denture wearers. J Oral Rehabil. 2006; 33: 323-9.
• ⁹
  Tramini P, Montal S, Valcarcel J. Tooth loss and associated factors in long-term institutionalised elderly patients. Gerodontology. 2007; 24: 196-203
• ¹⁰
  Ellis JS, Pelekis ND, Thomason JM.Conventional rehabilitation of edentulous patients: the impact on oral health-related quality of life and patient satisfaction. J. Prosthod. 2007; 16: 37-42.
• ¹¹
  Mesas AE, Andrade SM, Cabrera MAS. Factors associated with negative self-perception of oral health among elderly people in Brazilian community. Gerodontology. 2008; 25: 49-56.
• ¹²
  Baker SR, Pearson NK, Robinson PG. Testing the applicability of a conceptual model of oral health in housebound edentulous older people. Community Dent Oral Epidemiol. 2008; 36: 237-48.
• ¹³
  Gagliardi DI, Slade GD, Sanders AE. Impact of dental care on oral health-related quality of life and treatment goals among elderly adults. Aust Dent J. 2008; 53: 26-33.
• ¹⁴
  Brennan DS, Spencer AJ, Thomson-Roberts KF. Tooth loss, chewing ability and quality of life. Qual Life Res. 2008; 17: 227-35.
• ¹⁵
  Kuo HC, Yang YH, Lai SK, Yap SF, Ho PS. The Association between health-related quality of life and prosthetic status and prosthetic needs in Taiwanese adults. J Oral Rehabil. 2009; 36: 217-25.
• ¹⁶
  Carlsson GE. Clinical morbidity and sequelae of treatment with complete dentures. J Prosthet Dent.1998; 79: 17-23.
• ¹⁷
  Pan S, Awad M, Thomason MJ, Dufresne E, Kobayashi T, Kimoto S et al. Sex differences in denture satisfaction. J Dent. 2008; 36: 301-8.
• ¹⁸
  McNaugher GA, Benington IC, Freeman R. Assessing expressed need and satisfaction in complete denture wearers. Gerodontology. 2001; 18: 51-7.
• ¹⁹
  Veyrune JL, Tubert-Jeannin, Dutheil C, Riordan, PJ. Impact of new prostheses on the oral health related quality of life of edentulous patients. Gerodontology. 2005; 22: 3-9.
• ²⁰
  Atchison KA, Dolan TA. Development of The Geriatric Oral Health Assessment Index. J Dent Educ 1990; 54: 680-7.
• ²¹
  Silva SRC, Fernandes RAC. Self-perception of oral health status by the elderly. Rev Saude Publica. 2001; 35: 349-55.
• ²²
  Brazil. Ministry of Health. Public Policy Department of Health, Department of Primary Care, Technical Department of Oral Health. Project SB 2000. Oral health status of the population in 2000: Examiner's Manual. Brasilia: Ministry of Health; 2001. 49p.
• ²³
  World Health Organization. Oral health surveys: basic methods. 4th ed. Geneva.: WHO; 1997.
• ²⁴
  De Baat C, van Aken AAM, Mulder J, Kalk W. "Prosthetic condition" and patients' judgment of complete dentures.J Prosthet Dent. 1997; 78: 472-8.
• ²⁵
  Colussi Cf, Freitas SFT, Calvo MCM. The prosthetic need WHO index: a comparison between self-perception and Professional assessment in na elderly population. Gerodontology. 2009; 26: 187-92.
• ²⁶
  Reis SCGB, Higino MASP, Melo HMD, Freire MCM. Oral health status of institutionalized elderly in Goiânia-GO, Brazil, 2003. Rev Bras Epidemiol. 2005; 8: 67-73.
• ²⁷
  Locker D, Gibson B. Discrepancies between self-ratings of and satisfaction with oral health in two older adult populations. Community Dent Oral Epidemiol. 2005; 33: 280-8.
• ²⁸
  Locker D, Matear D, Stephens M, Lawrence H, Payne B. Comparison of the GOHAI and OHIP-14 as measures of the oral health-quality of life of the elderly. Community Dent Oral Epidemiol. 2001; 29: 373-81.
• ²⁹
  Abud MC, dos Santos JFF, da Cunha VPP, Marchini L. TMD and GOHAI índices of Brazilian institutionalised and community-dwelling elderly. Gerodontology. 2009; 26: 34-9.
• ³⁰
  Silva MES, Villaça EL, Magalhães CL, Ferreira EF. Impact of tooth loss in quality of life. Cienc Saude Col. 2010; 15: 841-50.
• ³¹
  Bae KH, Kim C, Paik DI, Kim JB.A comparison of oral health related quality of life between complete and partial removable denture-wearing older adults in Korea.J Oral Rehabil. 2006; 33: 317-22.
• ³²
  Fenlon MR, Sherriff M. An investigation of factors influencing patients' satisfaction with new complete dentures using structural equation modelling. J Dent. 2008; 36: 427-34.
• ³³
  Emami E, Alisson PJ, de Grandmont P, Rompré PH, Feine JS. Better oral health related quality of life: Type of prosthesis or psychological robustness? J Dent. 2010; 38: 232-36.
• ³⁴
  John MT, Koepsell TD, Hujoel P, Miglioretti DL, LeResche L, Micheelis W. Demographic factors, denture status and oral health-related quality of life.Community Dent Oral Epidemiol. 2004; 32: 125-32.
• ³⁵
  Lacerda JT, Castilho EA, Calvo MCM, Freitas SFT. Oral health and daily performance in adults in Chapecó, Santa Catarina State, Brazil. Cad. Saude Publica. 2008; 24: 1846-58.

Publication Dates

• Publication in this collection
  04 June 2013
• Date of issue
  Mar 2013

History

• Received
  04 Oct 2012
• Accepted
  10 Jan 2013