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Open Access 01-12-2019 | Denture | Research

Is reduced dentition with and without dental prosthesis associated with oral health-related quality of life? A cross-sectional study

Authors: Raquel Conceição Ferreira, Ichiro Kawachi, João Gabriel Silva Souza, Fernanda Lamounier Campos, Loliza Luiz Figueiredo Houri Chalub, José Leopoldo Ferreira Antunes

Published in: Health and Quality of Life Outcomes | Issue 1/2019

Abstract

Background

Oral health-related quality of life (OHRQoL) has important implications for the clinical practice of dentistry and dental research and should contribute to professional judgment about restorative treatments and prosthetic replacement in patients who had reduced dentitions. The aim was to compare the OHRQoL among adults (35–44 years) categorized according to different definitions of reduced dentition and considering the use (or non-use) of dental prosthesis.

Methods

This study used data from a probabilistic sample of adults in Sao Paulo, Brazil, 2015. OHRQoL was based on none items of Oral Impacts on Daily Performance (OIDP) index, as prevalence (at least one impact) and extent (the number of items with non-zero score). We used different criteria to assess dentition status: (1) Shortened Dental Arch (SDA): having 3–5 natural occlusal units (OUs) in posterior teeth and intact anterior region; (2) hierarchical functional classification system: a five-level stepwise classification of dentition; and (3) presence of ≥21 teeth. The use or nonuse of dental prosthesis was recorded. Negative binomial regression models involved the adjustment for social determinants of health.

Results

Nearly half (53.1%) of the 5753 participating adults had at least one oral health issue impacting OHRQoL. OIDP prevalence in adults with SDA did not differ from those with more OUs (PR = 1.02; 95%CI 0.91–1.13). Individuals with non-functional dentition had worse OHRQoL regardless of their use of a dental prosthesis. Adults with fewer than 21 remaining teeth, ranked significantly higher in OIDP extent, regardless of dental prosthesis use (PR = 1.38; 95%CI 1.16–1.63 with prosthesis; PR = 1.62; 95%CI 1.19–2.20 without dental prosthesis).

Conclusions

Individuals with more missing teeth reported worse OHRQoL regardless of using a dental prosthesis. Preserving a functional dentition, even with missing teeth, is compatible with OHRQoL.

Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI world dental federation opens the door to a universal definition of oral health. J Public Health Dent. 2017. https://doi.org/10.1111/jphd.12213.

Locker D, Allen F. What do measures of 'oral health-related quality of life' measure? Community Dent Oral Epidemiol. 2007. https://doi.org/10.1111/j.1600-0528.2007.00418.x.

Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011. https://doi.org/10.1177/0022034511399918.

Petersen PE, Kjoller M, Christensen LB, Krustrup U. Changing dentate status of adults, use of dental health services, and achievement of national dental health goals in Denmark by the year 2000. J Public Health Dent. 2004. https://doi.org/10.1111/j.1752-7325.2004.tb02742.x.

Kassebaum NJ, Smith AGC, Bernabe E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and National Prevalence, incidence, and disability-adjusted life years for Oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017. https://doi.org/10.1177/0022034517693566.

Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes. 2010. https://doi.org/10.1186/1477-7525-8-126.

Zhang Q, Witter DJ, Gerritsen AE, Bronkhorst EM, Creugers NH. Functional dental status and oral health-related quality of life in an over 40 years old Chinese population. Clin Oral Investig. 2013. https://doi.org/10.1007/s00784-012-0834-x.

Peres MA, Barbato PR, Reis SCGB, Freitas CHSdM, Antunes JLF. Tooth loss in Brazil: Analysis of the 2010 Brazilian oral health survey. Rev Saude Publica 2013; doi: https://doi.org/10.1590/S0034-8910.2013047004226.

Chalub L, Ferreira RC, Vargas AMD. Influence of functional dentition on satisfaction with oral health and impacts on daily performance among Brazilian adults: a population-based cross-sectional study. BMC Oral Health. 2017. https://doi.org/10.1186/s12903-017-0402-5.

10.

Antunes JL, Tan H, Peres KG, Peres MA. Impact of shortened dental arches on oral health-related quality of life. J Oral Rehabil. 2016. https://doi.org/10.1111/joor.12364.

11.

Nguyen TC, Witter DJ, Bronkhorst EM, Gerritsen AE, Creugers NH. Chewing ability and dental functional status. Int J Prosthodont. 2011.

12.

Witter DJ, van Palenstein Helderman WH, Creugers NH, Kayser AF. The shortened dental arch concept and its implications for oral health care. Community Dent Oral Epidemiol. 1999. https://doi.org/10.1111/j.1600-0528.1999.tb02018.x.

13.

Gotfredsen K, Walls AW. What dentition assures oral function? Clin Oral Implants Res. 2007. https://doi.org/10.1111/j.1600-0501.2007.01436.x.

14.

Fueki K, Baba K. Shortened dental arch and prosthetic effect on oral health-related quality of life: a systematic review and meta-analysis. J Oral Rehabil. 2017. https://doi.org/10.1111/joor.12511.

15.

Hobdell M, Petersen PE, Clarkson J, Johnson N. Global goals for oral health 2020. Int Dent J. 2003. https://doi.org/10.1111/j.1875-595X.2003.tb00761.x.

16.

Nguyen TC, Witter DJ, Bronkhorst EM, Pham LH, Creugers NH. Dental functional status in a southern vietnamese adult population-a combined quantitative and qualitative classification system analysis. Int J Prosthodont. 2011;2:30–7.

17.

Tan H, Peres KG, Peres MA. Do people with shortened dental arches have worse oral health-related quality of life than those with more natural teeth? A population-based study. Community Dent Oral Epidemiol. 2015. https://doi.org/10.1111/cdoe.12124.

18.

Haag DG, Peres KG, Brennan DS. Tooth loss and general quality of life in dentate adults from southern Brazil. Qual Life Res. 2017. https://doi.org/10.1007/s11136-017-1587-4.

19.

Damyanov ND, Witter DJ, Bronkhorst EM, Creugers NH. Satisfaction with the dentition related to dental functional status and tooth replacement in an adult Bulgarian population: a cross-sectional study. Clin Oral Investig. 2013. https://doi.org/10.1007/s00784-013-0925-3.

20.

Pereira AC, Vieira V, Frias AC. . SB São Paulo 2015 - Pesquisa Estadual de Saúde Bucal: Relatório Final. .Águas de São Pedro (São Paulo, Brasil):Editora Livronovo; 2016.

21.

WHO. Oral health surveys: basic methods.4 edn.Geneva: ORH/EPID;1997.

22.

Abegg C, Fontanive VN, Tsakos G, Davoglio RS, de Oliveira MM. Adapting and testing the oral impacts on daily performances among adults and elderly in Brazil. Gerodontology. 2015. https://doi.org/10.1111/ger.12051.

23.

Pilotto LM, Scalco GP, Abegg C, Celeste RK. Factor analysis of two versions of the Oral impacts on daily performance scale. Eur J Oral Sci. 2016. https://doi.org/10.1111/eos.12260.

24.

Kanno T, Carlsson GE. A review of the shortened dental arch concept focusing on the work by the Kayser/Nijmegen group. J Oral Rehabil. 2006. https://doi.org/10.1111/j.1365-2842.2006.01625.x.

25.

Chalub LL, Ferreira RC, Vargas AM. Functional, esthetical, and periodontal determination of the dentition in 35- to 44-year-old Brazilian adults. Clin Oral Investig. 2015. https://doi.org/10.1007/s00784-015-1637-7.

26.

Watt RG, Sheiham A. Integrating the common risk factor approach into a social determinants framework. Community Dent Oral Epidemiol. 2012. https://doi.org/10.1111/j.1600-0528.2012.00680.x.

27.

Santos CM, Celeste RK, Hilgert JB, Hugo FN. Testing the applicability of a model of oral health-related quality of life. Cad Saude Publica. 2015. https://doi.org/10.1590/0102-311X00119914.

28.

Chalub LL, Borges CM, Ferreira RC, Haddad JP, Ferreira e Ferreira E, Vargas AM. Association between social determinants of health and functional dentition in 35-year-old to 44-year-old Brazilian adults: a population-based analytical study. Community Dent Oral Epidemiol. 2014; doi: https://doi.org/10.1111/cdoe.12112.

29.

Chalub LL, Martins CC, Ferreira RC, Vargas AM. Functional dentition in Brazilian adults: an investigation of social determinants of health (SDH) using a multilevel approach. PLoS One. 2016. https://doi.org/10.1371/journal.pone.0148859.

30.

Grootaert C, Narayan D, Jones VN, Woolcock M. Measuring social capital: an integrated questionnaire.Washington, USA:World Bank working paper; 2004.CrossRef

31.

Tsakos G, Steele JG, Marcenes W, Walls AW, Sheiham A. Clinical correlates of oral health-related quality of life: evidence from a national sample of British older people. Eur J Oral Sci. 2006. https://doi.org/10.1111/j.1600-0722.2006.00398.x.

32.

Slade GD. Assessing change in quality of life using the Oral health impact profile. Community Dent Oral Epidemiol. 1998. https://doi.org/10.1111/j.1600-0528.1998.tb02084.x.

33.

Tan H, Peres KG, Peres MA. Retention of teeth and Oral health-related quality of life. J Dent Res. 2016. https://doi.org/10.1177/0022034516657992.

34.

Tsakos G, Marcenes W, Sheiham A. The relationship between clinical dental status and oral impacts in an elderly population. Oral Health Prev Dent. 2004.

35.

Koltermann AP, Giordani JMdA, Pattussi MP. The association between individual and contextual factors and functional dentition status among adults in Rio Grande do Sul state, Brazil: a multilevel study. Cad Saude Publica. 2011. https://doi.org/10.1590/S0102-311X2011000100018.

36.

Khan SB, Chikte UM, Omar R. An Overview of Systematic Reviews Related to Aspects of the Shortened Dental Arch and Its Variants in Adults. Int J Prosthodont. 2017. https://doi.org/10.11607/ijp.5287.

37.

Gerritsen AE, Witter DJ, Creugers NHJ. Long-term follow-up indicates unimpaired oral health-related quality of life for people having shortened dental arches. J Dent. 2017. https://doi.org/10.1016/j.jdent.2017.06.011.

38.

Ozhayat EB, Gotfredsen K. Effect of treatment with fixed and removable dental prostheses An oral health-related quality of life study J Oral Rehabil. 2012. https://doi.org/10.1111/j.1365-2842.2011.02245.x.

39.

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. https://doi.org/10.1111/j.0301-5661.2004.00144.x.

40.

Ali Z, Baker SR, Shahrbaf S, Martin N, Vettore MV. Oral health-related quality of life after prosthodontic treatment for patients with partial edentulism: a systematic review and meta-analysis. J Prosthet Dent. 2018. https://doi.org/10.1016/j.prosdent.2018.03.003.

41.

Jepson NJ, Thomason JM, Steele JG. The influence of denture design on patient acceptance of partial dentures. Br Dent J. 1995;178:296–300.CrossRef

42.

Lahti S, Suominen-Taipale L, Hausen H. Oral health impacts among adults in Finland: competing effects of age, number of teeth, and removable dentures. Eur J Oral Sci. 2008. https://doi.org/10.1111/j.1600-0722.2008.00540.x.

43.

Davenport JC, Basker RM, Heath JR, Ralph JP, Glantz PO. The removable partial denture equation. Br Dent J. 2000;189:414–24.CrossRef

Title: Is reduced dentition with and without dental prosthesis associated with oral health-related quality of life? A cross-sectional study
Authors: Raquel Conceição Ferreira
Ichiro Kawachi
João Gabriel Silva Souza
Fernanda Lamounier Campos
Loliza Luiz Figueiredo Houri Chalub
José Leopoldo Ferreira Antunes
Publication date: 01-12-2019
Publisher: BioMed Central
Keyword: Denture
Published in: Health and Quality of Life Outcomes / Issue 1/2019
Electronic ISSN: 1477-7525
DOI: https://doi.org/10.1186/s12955-019-1149-2

At a glance: The STEP trials

Springer Medicine

Is reduced dentition with and without dental prosthesis associated with oral health-related quality of life? A cross-sectional study

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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