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BMC Oral Health
Published in: BMC Oral Health 1/2012

Open Access 01-12-2012 | Research article

Influence of oral mucosal lesions and oral symptoms on oral health related quality of life in dermatological patients: a cross sectional study in Sudan

Authors: Nada M Suliman, Anne C Johannessen, Raouf W Ali, Hussein Salman, Anne N Åstrøm

Published in: BMC Oral Health | Issue 1/2012

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Abstract

Background

There are only few studies considering the impact of oral mucosal lesions (OML) on the oral quality of life of patients with different dermatological conditions. This study aimed to assess the relationship between oral health-related quality of life (OHRQoL) and OML and reported oral symptoms, perceived general and oral health condition and caries experience in adult skin diseased patients attending an outpatient dermatologic clinic in Sudan.

Methods

A cross-sectional survey was carried out with 544 diagnosed skin diseased patients (mean age 37.1 years, 50 % females), during the period October 2008 to January 2009. The patients were orally examined and OML and caries experience was recorded. The patients were interviewed using the Sudanese Arabic version of the OIDP. OHRQoL was evaluated by socio-demographic and clinical correlates according to number of types of OML diagnosed (no OML, one type of OML, > one type of OML) and number and types of oral symptoms.

Results

An oral impact (OIDP > 0) was reported by 190 patients (35.6 %) (mean OIDP total score 11.6, sd = 6.7). The prevalence of any oral impact was 30.5 %, 36.7 % and 44.1 %, in patients with no OML, one type of OML and more than one type of OML, respectively. Number of types of OML and number and types of oral symptoms were consistently associated with the OIDP scores. Patients who reported bad oral health, patients with ≥ 1 dental attendance, patients with > 1 type of OML, and patients with ≥ 1 type of oral symptoms were more likely than their counterparts in the opposite groups to report any OIDP. The odds ratios (OR) were respectively; 2.9 (95 % CI 1.9-4.5), 2.3 (95 % CI 1.5-3.5), 1.8 (95 % CI 1.1-3.2) and 6.7 (95 % CI 2.6-17.5). Vesiculobullous and ulcerative lesions of OML disease groups associated statistically significantly with OIDP.

Conclusion

OIDP was more frequently affected among skin diseased patients with than without OML. The frequency of the impacts differed according to the number of type of OML, oral symptoms, and OML disease groups. Dentists and dermatologists should pay special attention to skin diseased patients because they are likely to experience oral impacts on daily performances.
Literature
1.
Budimir J, Mihic LL, Situm M, Bulat V, Persic S, Tomljanovic-Veselski M: Oral lesions in patients with pemphigus vulgaris and bullous pemphigoid. Acta Clin Croat. 2008, 47 (1): 13-18.PubMed
2.
Hernandez-Perez F, Jaimes-Aveldanez A, Urquizo-Ruvalcaba Mde L, Diaz-Barcelot M, Irigoyen-Camacho ME, Vega-Memije ME, Mosqueda-Taylor A: Prevalence of oral lesions in patients with psoriasis. Med Oral Patol Oral Cir Bucal. 2008, 13 (11): E703-708.PubMed
3.
Schroff J: Primary mouth manifestations of skin diseases. J Dent Res. 1930, 10 (2): 219-231. 10.1177/00220345300100020701.CrossRef
4.
Bork K: Diseases of the Lips and Mouth. Braun-Falco´s Dermatology. Edited by: Burgdorf WHC, Plewig G, Wolff HH, Landthaler M. 2009, Springer, , 1081-1107. 3CrossRef
5.
Suliman NM, Astrom AN, Ali RW, Salman H, Johannessen AC: Oral mucosal lesions in skin diseased patients attending a dermatologic clinic: a cross-sectional study in Sudan. BMC Oral Health. 2011, 11 (1): 24-10.1186/1472-6831-11-24.CrossRefPubMedPubMedCentral
6.
Bowling A: Measuring Health: A Review of Quality of Life Measurement Scales. 2004, Open University Press, , 3
7.
Bernabe E, Marcenes W, Mather J, Phillips C, Fortune F: Impact of Behcet's syndrome on health-related quality of life: influence of the type and number of symptoms. Rheumatology (Oxford). 2010, 49 (11): 2165-2171. 10.1093/rheumatology/keq251.CrossRef
8.
McGrath C, Hegarty AM, Hodgson TA, Porter SR: Patient-centred outcome measures for oral mucosal disease are sensitive to treatment. Int J Oral Maxillofac Surg. 2003, 32 (3): 334-336. 10.1054/ijom.2002.0377.CrossRefPubMed
9.
Llewellyn CD, Warnakulasuriya S: The impact of stomatological disease on oral health-related quality of life. Eur J Oral Sci. 2003, 111 (4): 297-304. 10.1034/j.1600-0722.2003.00057.x.CrossRefPubMed
10.
Hegarty AM, McGrath C, Hodgson TA, Porter SR: Patient-centred outcome measures in oral medicine: are they valid and reliable?. Int J Oral Maxillofac Surg. 2002, 31 (6): 670-674. 10.1054/ijom.2002.0260.CrossRefPubMed
11.
Mumcu G, Ergun T, Inanc N, Fresko I, Atalay T, Hayran O, Direskeneli H: Oral health is impaired in Behcet's disease and is associated with disease severity. Rheumatology (Oxford). 2004, 43 (8): 1028-1033. 10.1093/rheumatology/keh236.CrossRef
12.
Mumcu G, Hayran O, Ozalp DO, Inanc N, Yavuz S, Ergun T, Direskeneli H: The assessment of oral health-related quality of life by factor analysis in patients with Behcet's disease and recurrent aphthous stomatitis. J Oral Pathol Med. 2007, 36 (3): 147-152. 10.1111/j.1600-0714.2007.00514.x.CrossRefPubMed
13.
Tabolli S, Bergamo F, Alessandroni L, Di Pietro C, Sampogna F, Abeni D: Quality of life and psychological problems of patients with oral mucosal disease in dermatological practice. Dermatology. 2009, 218 (4): 314-320. 10.1159/000196973.CrossRefPubMed
14.
Lopez-Jornet P, Camacho-Alonso F: Quality of life in patients with oral lichen planus. J Eval Clin Pract. 2010, 16 (1): 111-113. 10.1111/j.1365-2753.2009.01124.x.CrossRefPubMed
15.
Hapa A, Aksoy B, Polat M, Aslan U, Atakan N: Does recurrent aphthous stomatitis affect quality of life? A prospective study with 128 patients evaluating different treatment modalities. J Dermatolog Treat. 2011, 22 (4): 215-220. 10.3109/09546631003675450.CrossRefPubMed
16.
Vargas-Ferreira F, Piovesan C, Praetzel JR, Mendes FM, Allison PJ, Ardenghi TM: Tooth erosion with low severity does not impact child oral health-related quality of life. Caries Res. 2010, 44 (6): 531-539. 10.1159/000321447.CrossRefPubMed
17.
Tsakos G, Bernabe E, D'Aiuto F, Pikhart H, Tonetti M, Sheiham A, Donos N: Assessing the minimally important difference in the oral impact on daily performances index in patients treated for periodontitis. J Clin Periodontol. 2010, 37 (10): 903-909. 10.1111/j.1600-051X.2010.01583.x.CrossRefPubMed
18.
Rozier RG, Pahel BT: Patient- and population-reported outcomes in public health dentistry: oral health-related quality of life. Dent Clin North Am. 2008, 52 (2): 345-365. 10.1016/j.cden.2007.12.002. vi-viiCrossRefPubMed
19.
Slade GD, Strauss RP, Atchison KA, Kressin NR, Locker D, Reisine ST: Conference summary: assessing oral health outcomes–measuring health status and quality of life. Community Dent Health. 1998, 15 (1): 3-7.PubMed
20.
Lee GH, McGrath C, Yiu CK, King NM: A comparison of a generic and oral health-specific measure in assessing the impact of early childhood caries on quality of life. Community Dent Oral Epidemiol. 2010, 38 (4): 333-339. 10.1111/j.1600-0528.2010.00543.x.CrossRefPubMed
21.
Adulyanon S, Vourapukjaru J, Sheiham A: Oral impacts affecting daily performance in a low dental disease Thai population. Community Dent Oral Epidemiol. 1996, 24 (6): 385-389. 10.1111/j.1600-0528.1996.tb00884.x.CrossRefPubMed
22.
Adulyanon S, Sheiham A: Oral Impact on Daily Performances. Measuring Oral Health and Quality of Life. Edited by: Slade GD. 1997, Department of Dental Ecology, School of Dentistry, University of North Carolina, North Carolina, 152-160.
23.
Badley EM: he ICIDH: format, application in different settings, and distinction between disability and handicap. A critique of papers on the application of the International Classification of Impairments, Disabilities, and Handicaps. Int Disabil Stud. 1987, 9 (3): 122-125. 10.3109/03790798709166338.CrossRefPubMed
24.
Locker D: Measuring oral health: a conceptual framework. Community Dent Health. 1988, 5 (1): 3-18.PubMed
25.
Kida IA, Astrom AN, Strand GV, Masalu JR, Tsakos G: Psychometric properties and the prevalence, intensity and causes of oral impacts on daily performance (OIDP) in a population of older Tanzanians. Health Qual Life Outcomes. 2006, 4: 56-10.1186/1477-7525-4-56.CrossRefPubMedPubMedCentral
26.
Srisilapanan P, Sheiham A: The prevalence of dental impacts on daily performances in older people in Northern Thailand. Gerodontology. 2001, 18 (2): 102-108. 10.1111/j.1741-2358.2001.00102.x.CrossRefPubMed
27.
Sheiham A, Steele JG, Marcenes W, Tsakos G, Finch S, Walls AW: Prevalence of impacts of dental and oral disorders and their effects on eating among older people; a national survey in Great Britain. Community Dent Oral Epidemiol. 2001, 29 (3): 195-203. 10.1034/j.1600-0528.2001.290305.x.CrossRefPubMed
28.
Tsakos G, Marcenes W, Sheiham A: Cross-cultural differences in oral impacts on daily performance between Greek and British older adults. Community Dent Health. 2001, 18 (4): 209-213.PubMed
29.
de Oliveira CM, Sheiham A, Tsakos G, O'Brien KD: Oral health-related quality of life and the IOTN index as predictors of children's perceived needs and acceptance for orthodontic treatment. Br Dent J. 2008, 204 (7): 1-5. discussion 384–385PubMed
30.
Nurelhuda NM, Ahmed MF, Trovik TA, Astrom AN: Evaluation of oral health-related quality of life among Sudanese schoolchildren using Child-OIDP inventory. Health Qual Life Outcomes. 2010, 8: 152-10.1186/1477-7525-8-152.CrossRefPubMedPubMedCentral
31.
Ali WM: Assessment of oral impact on daily performance, dental caries, oral hygiene and periodontal disease among a group of adult dental patientsMaster thesis of Philosophy in Oral sciences. 2011, University of Bergen,
32.
Kramer IR, Pindborg JJ, Bezroukov V, Infirri JS: Guide to epidemiology and diagnosis of oral mucosal diseases and conditions. World Health Organization. Community Dent Oral Epidemiol. 1980, 8 (1): 1-26.CrossRefPubMed
33.
Organization WH: Oral health Surveys: Basic Methods. 1997, Organization WH, Geneva, 4
34.
Axell T, Pindborg JJ, Smith CJ, van der Waal I: Oral white lesions with special reference to precancerous and tobacco- related lesions: conclusions of an international symposium held in Uppsala, Sweden, May 18–21 1994. International Collaborative Group on Oral White Lesions. J Oral Pathol Med. 1996, 25 (2): 49-54. 10.1111/j.1600-0714.1996.tb00191.x.CrossRefPubMed
35.
Axell T: A prevalence study of oral mucosal lesions in an adult Swedish population. Odontol Revy Suppl. 1976, 36: 1-103.PubMed
36.
Streiner DL, Norman GR: Health Measurement Scales. A practical guide to their development and use 2nd edn. 1995, Oxford University Press Inc, New York, 2
37.
Al-Jundi MA, Szentpetery A, John MT: An Arabic version of the Oral Health Impact Profile: translation and psychometric properties. Int Dent J. 2007, 57 (2): 84-92. 10.1111/j.1875-595X.2007.tb00443.x.CrossRefPubMed
38.
McGrath C, Alkhatib MN, Al-Munif M, Bedi R, Zaki AS: Translation and validation of an Arabic version of the UK oral health related quality of life measure (OHQoL-UK) in Syria, Egypt and Saudi Arabia. Community Dent Health. 2003, 20 (4): 241-245.PubMed
39.
Daradkeh S, Khader YS: Translation and validation of the Arabic version of the Geriatric Oral Health Assessment Index (GOHAI). J Oral Sci. 2008, 50 (4): 453-459. 10.2334/josnusd.50.453.CrossRefPubMed
40.
Astrom AN, Haugejorden O, Skaret E, Trovik TA, Klock KS: Oral Impacts on Daily Performance in Norwegian adults: the influence of age, number of missing teeth, and socio-demographic factors. Eur J Oral Sci. 2006, 114 (2): 115-121. 10.1111/j.1600-0722.2006.00336.x.CrossRefPubMed
41.
Riordain RN, McCreary C: Validity and reliability of a newly developed quality of life questionnaire for patients with chronic oral mucosal diseases. J Oral Pathol Med. 2011, 40 (8): 604-609. 10.1111/j.1600-0714.2011.01021.x.CrossRef
42.
Locker D: Does dental care improve the oral health of older adults?. Community Dent Health. 2001, 18 (1): 7-15.PubMed
43.
Tsakos G, Marcenes W, Sheiham A: Evaluation of a modified version of the index of Oral Impacts On Daily Performances (OIDP) in elderly populations in two European countries. Gerodontology. 2001, 18 (2): 121-130. 10.1111/j.1741-2358.2001.00121.x.CrossRefPubMed
44.
Mtaya M, Astrom AN, Tsakos G: Applicability of an abbreviated version of the Child-OIDP inventory among primary schoolchildren in Tanzania. Health Qual Life Outcomes. 2007, 5: 40-10.1186/1477-7525-5-40.CrossRefPubMedPubMedCentral
45.
Masalu JR, Astrom AN: Social and behavioral correlates of oral quality of life studied among university students in Tanzania. Acta Odontol Scand. 2002, 60 (6): 353-359. 10.1080/000163502762667388.CrossRefPubMed
46.
Becker N, Bondegaard Thomsen A, Olsen AK, Sjogren P, Bech P, Eriksen J: Pain epidemiology and health related quality of life in chronic non-malignant pain patients referred to a Danish multidisciplinary pain center. Pain. 1997, 73 (3): 393-400. 10.1016/S0304-3959(97)00126-7.CrossRefPubMed
47.
Mumcu G, Niazi S, Stewart J, Hagi-Pavli E, Gokani B, Seoudi N, Ergun T, Yavuz S, Stanford M, Fortune F: Oral health and related quality of life status in patients from UK and Turkey: a comparative study in Behcet's disease. J Oral Pathol Med. 2009, 38 (5): 406-409. 10.1111/j.1600-0714.2009.00752.x.CrossRefPubMed
48.
Ostberg AL, Andersson P, Hakeberg M: Oral impacts on daily performances: associations with self-reported general health and medication. Acta Odontol Scand. 2009, 1-7.
49.
Mock C, Acheampong F, Adjei S, Koepsell T: The effect of recall on estimation of incidence rates for injury in Ghana. Int J Epidemiol. 1999, 28 (4): 750-755. 10.1093/ije/28.4.750.CrossRefPubMed
Metadata
Title
Influence of oral mucosal lesions and oral symptoms on oral health related quality of life in dermatological patients: a cross sectional study in Sudan
Authors
Nada M Suliman
Anne C Johannessen
Raouf W Ali
Hussein Salman
Anne N Åstrøm
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2012
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/1472-6831-12-19

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