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01-11-2018 | Original Article

Oral health-related quality of life is associated with disease specific parameters in patients with ankylosing spondylitis

Authors: Gerhard Schmalz, Donya Douglas, David Douglas, Susann Patschan, Daniel Patschan, Gerhard A. Müller, Rainer Haak, Jan Schmickler, Dirk Ziebolz

Published in: Clinical Oral Investigations | Issue 8/2018

Abstract

Background

The aim of this cross-sectional study was to investigate oral health-related quality of life (OHRQoL) in patients with ankylosing spondylitis (AS) and its association to oral health as well as AS specific parameters.

Methods

Patients with AS and a healthy control group (HC) were included and examined. The oral examination included decayed-, missing-, and filled-teeth index (DMF-T) as well as assessment of periodontal probing depth and clinical attachment loss to classify patients into healthy/mild, moderate, or severe periodontitis. Furthermore, the German short form of the oral health impact profile (OHIP G14) was used.

Results

A total of 50 patients each group (age: AS, 47.18 ± 15.67; HC, 55.82 ± 10.56; p < 0.01, gender male: AS, 52%; HC, 46%; p = 0.69) was included. AS patients showed worse D-T (p < 0.01) and periodontal condition (p = 0.01). The OHIP G14 score was clinically relevant and statistically significant higher in AS compared to HC (AS, 6.2 [2; 0–10.75]; HC, 1.7 [0; 0–2.0]; < 0.01). Only in HC, an association of OHIP G14 to DMF-T (p = 0.01) and M-T (p = 0.01) was found, while the OHIP G14 in AS group was not associated to oral health parameters. Within the AS group, the majority of investigated AS specific parameters were statistically significant and clinically relevant associated to OHIP G14 scores (p_i < 0.05).

Conclusion

Patients with AS show worse OHRQoL compared to HC, irrespective of oral status. The high general disease burden might affect OHRQoL, making an increased attention of these patients in dental care, especially considering psychological aspects, necessary.

Clinical relevance

Increased consideration of psychosocial and disease related aspects in dental care of AS patients appear recommendable.

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Title: Oral health-related quality of life is associated with disease specific parameters in patients with ankylosing spondylitis
Authors: Gerhard Schmalz
Donya Douglas
David Douglas
Susann Patschan
Daniel Patschan
Gerhard A. Müller
Rainer Haak
Jan Schmickler
Dirk Ziebolz
Publication date: 01-11-2018
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 8/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2375-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Oral health-related quality of life is associated with disease specific parameters in patients with ankylosing spondylitis

Abstract

Background

Methods

Results

Conclusion

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Clinical relevance

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