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Open Access 01-09-2018 | Original Article

The influence of management of tooth wear on oral health-related quality of life

Authors: Bernadette A. M. M. Sterenborg, Ewald M. Bronkhorst, Peter Wetselaar, Frank Lobbezoo, Bas A. C. Loomans, Marie-Charlotte D. N. J. M. Huysmans

Published in: Clinical Oral Investigations | Issue 7/2018

Abstract

Objective

The purpose of this study was to identify the level of oral health-related quality of life and orofacial appearance in patients with moderate to severe tooth wear. Patients with and without a request for restorative treatment were included.

Methods

One hundred twenty-four patients (98 men, 26 women, mean age: 40.5 ± 8.8 years) with moderate to severe tooth wear were included. Patients without a request for help received a non-restorative treatment of counseling and monitoring. Patients with a request for restorative treatment were treated with a full rehabilitation using composite resin restorations. Oral Health Impact Profile (OHIP-NL) and Orofacial Esthetic Scale (OES-NL) questionnaires were filled in at baseline and after 1 year.

Results

Counseling and monitoring group: baseline OHIP-NL score was 0.4 ± 0.3, baseline summary score of OES-NL was 48 ± 7.0, and baseline impression score was 7.1 ± 1.2. Scores had not changed significantly after 1 year (p = 1.00 after Bonferroni correction).Restoration group: baseline OHIP-NL score was 0.8 ± 0.6, baseline summary score of OES-NL was 38 ± 10, and baseline impression score was 5.9 ± 1.5. Scores had improved significantly after 1 year (p < 0.001 after Bonferroni correction).

Conclusions

Counseling and monitoring did not result in a significant deterioration and restorative treatment resulted in a significant improvement of oral health-related quality of life (OHRQoL) and orofacial appearance in this patient group.

Clinical significance

In patients with moderate to severe tooth wear, without functional and esthetical problems, counseling and monitoring may be an appropriate treatment option. Restorative treatment in patients with a need for treatment results in an improved OHRQoL. OHIP and OES questionnaires may be used to monitor changes in clinically relevant symptoms.

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Title: The influence of management of tooth wear on oral health-related quality of life
Authors: Bernadette A. M. M. Sterenborg
Ewald M. Bronkhorst
Peter Wetselaar
Frank Lobbezoo
Bas A. C. Loomans
Marie-Charlotte D. N. J. M. Huysmans
Publication date: 01-09-2018
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 7/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2355-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The influence of management of tooth wear on oral health-related quality of life

Abstract

Objective

Methods

Results

Conclusions

Clinical significance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Clinical significance

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