Skip to main content
Top
Published in: Clinical Oral Investigations 5/2018

01-06-2018 | Original Article

Oral health-related quality of life depending on dental and periodontal health in different patients before and after liver transplantation

Authors: Gerhard Schmalz, Anja Meisel, Otto Kollmar, Anne Kauffels, Jan E. Slotta, Tanja Kottmann, Rainer Haak, Dirk Ziebolz

Published in: Clinical Oral Investigations | Issue 5/2018

Login to get access

Abstract

Background

The aim of this study was to evaluate the oral health-related quality of life (OHRQoL) depending on dental and periodontal health of different patients before and after liver transplantation (pre- and postLTx) compared to a healthy control group (HC).

Methods

OHRQoL was rated using the German short form of Oral Health Impact Profile (OHIP G14). To estimate dental health, the decayed (D-T), missing (M-T), and filled (F-T) teeth index (DMF-T) was used. Periodontal health was classified as healthy/mild, moderate, or severe periodontitis. The following statistics are used: Mann-Whitney U test, Kruskal-Wallis test, chi-square test, and Fisher test (α = 5%).

Results

A total of 24 preLTx, 47 postLTx, and 75 HC patients were included. Significant differences in DMF-T, D-T, M-T, and F-T scores were detected between groups (p < 0.001). Prevalence of periodontitis was comparable between groups (p = 0.340). OHRQoL was reduced in pre- and postLTx (OHIP G14 preLTx 4.2 [1.5; 0–4.0], postLTx 4.1 [1; 0–5.0], HC 1.4 [0; 0–2.0]; p = 0.003), without associations to their oral status (p > 0.05).

Conclusions

These preliminary findings show a reduced OHRQoL without associations to their oral status, which might indicate an influence of potential disease-related factors on OHRQoL. Further studies with larger groups are necessary to verify this observation.

Clinical relevance

A special dental care of patients before and after LTx is needed, including a comprehensive assessment of the individual patient’s OHRQoL.
Literature
2.
go back to reference Sheiner PA, Magliocca JF, Bodian CA, Kim-Schluger L, Altaca G, Guarrera JV, Emre S, Fishbein TM, Guy SR, Schwartz ME, Miller CM (2000) Long-term medical complications in patients surviving > or = 5 years after liver transplant. Transplantation 69(5):781–789CrossRefPubMed Sheiner PA, Magliocca JF, Bodian CA, Kim-Schluger L, Altaca G, Guarrera JV, Emre S, Fishbein TM, Guy SR, Schwartz ME, Miller CM (2000) Long-term medical complications in patients surviving > or = 5 years after liver transplant. Transplantation 69(5):781–789CrossRefPubMed
3.
go back to reference Muñoz SJ, Elgenaidi H (2005) Cardiovascular risk factors after liver transplantation. Liver Transpl 11:52–56CrossRef Muñoz SJ, Elgenaidi H (2005) Cardiovascular risk factors after liver transplantation. Liver Transpl 11:52–56CrossRef
7.
go back to reference Banihashemi M, Hafezi M, Nasiri-Toosi M, Jafarian A, Abbasi MR, Arbabi M et al (2015) Psychosocial status of liver transplant candidates in Iran and its correlation with health-related quality of life and depression and anxiety. J Transp Secur 2015:329615 Banihashemi M, Hafezi M, Nasiri-Toosi M, Jafarian A, Abbasi MR, Arbabi M et al (2015) Psychosocial status of liver transplant candidates in Iran and its correlation with health-related quality of life and depression and anxiety. J Transp Secur 2015:329615
18.
22.
go back to reference Díaz-Ortiz ML, Micó-Llorens JM, Gargallo-Albiol J, Baliellas-Comellas C, Berini-Aytés L, Gay-Escoda C (2005) Dental health in liver transplant patients. Med Oral Patol Oral Cir Bucal 10:72–76 66-72PubMed Díaz-Ortiz ML, Micó-Llorens JM, Gargallo-Albiol J, Baliellas-Comellas C, Berini-Aytés L, Gay-Escoda C (2005) Dental health in liver transplant patients. Med Oral Patol Oral Cir Bucal 10:72–76 66-72PubMed
27.
go back to reference Kauffels A, Schmalz G, Kollmar O, Slotta JE, Weig M, Groß U et al (2017) Oral findings and dental behavior before and after liver transplantation—a single center cross-sectional study. Int Dent J 67(4):244–251. https://doi.org/10.1111/idj.12290 Kauffels A, Schmalz G, Kollmar O, Slotta JE, Weig M, Groß U et al (2017) Oral findings and dental behavior before and after liver transplantation—a single center cross-sectional study. Int Dent J 67(4):244–251. https://​doi.​org/​10.​1111/​idj.​12290
28.
go back to reference Ziebolz D, Schmalz G, Kauffels A, Widmer F, Widmer K, Slotta JE, Mausberg RF, Kollmar O (2017) Periodontal pathogenic bacteria and aMMP-8 findings depending on periodontal conditions of patients before and after liver transplantation. Clin Oral Investig 21(3):745–752. https://doi.org/10.1007/s00784-016-1821-4 Ziebolz D, Schmalz G, Kauffels A, Widmer F, Widmer K, Slotta JE, Mausberg RF, Kollmar O (2017) Periodontal pathogenic bacteria and aMMP-8 findings depending on periodontal conditions of patients before and after liver transplantation. Clin Oral Investig 21(3):745–752. https://​doi.​org/​10.​1007/​s00784-016-1821-4
29.
go back to reference Segura-Saint-Gerons R, Segura-Saint-Gerons C, Alcántara-Luque R, Arizón-del Prado JM, Foronda-Garcia-Hidalgo C, Blanco-Hungría A (2012) Perceived influence of oral health upon quality of life in heart transplant patients. Med Oral Patol Oral Cir Bucal 17(3):e409–e414CrossRefPubMed Segura-Saint-Gerons R, Segura-Saint-Gerons C, Alcántara-Luque R, Arizón-del Prado JM, Foronda-Garcia-Hidalgo C, Blanco-Hungría A (2012) Perceived influence of oral health upon quality of life in heart transplant patients. Med Oral Patol Oral Cir Bucal 17(3):e409–e414CrossRefPubMed
31.
go back to reference Schmalz G, Wendorff H, Marcinkowski A, Weinreich G, Teschler H, Haak R, Sommerwerck U, Ziebolz D (2017) Oral health related quality of life depending on oral health and specific factors in patients after lung transplantation. Clin Respir J. https://doi.org/10.1111/crj.12625 Schmalz G, Wendorff H, Marcinkowski A, Weinreich G, Teschler H, Haak R, Sommerwerck U, Ziebolz D (2017) Oral health related quality of life depending on oral health and specific factors in patients after lung transplantation. Clin Respir J. https://​doi.​org/​10.​1111/​crj.​12625
32.
go back to reference WHO (1997) World Health Organization: oral health surveys, basic methods. 4th edition. WHO; Oral Health Unit, Geneva WHO (1997) World Health Organization: oral health surveys, basic methods. 4th edition. WHO; Oral Health Unit, Geneva
35.
go back to reference John MT, Micheelis W, Biffar R (2004) Reference values in oral health-related quality of life for the abbreviated version of the Oral Health Impact Profile. Swiss Dent J 114:784–791 John MT, Micheelis W, Biffar R (2004) Reference values in oral health-related quality of life for the abbreviated version of the Oral Health Impact Profile. Swiss Dent J 114:784–791
36.
go back to reference Reissmann DR, Krautz M, Schierz O, John MT, Rudolph M, Szentpétery A (2008) Assessment of clinically significant changes in oral health. German. Dent J 63:668–680 Reissmann DR, Krautz M, Schierz O, John MT, Rudolph M, Szentpétery A (2008) Assessment of clinically significant changes in oral health. German. Dent J 63:668–680
37.
go back to reference Cohen J (1988) Cohen Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum, Hillsdale, NJ Cohen J (1988) Cohen Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum, Hillsdale, NJ
38.
go back to reference Micheelis W, Schiffner U (2006) The Fourth German Oral Health Study (DMS IV). Institut der Deutschen Zahnärzte (Hrsg.); (IDZ Materialienreihe Band 31). Deutscher Zahnärzte Verlag DÄV, Köln Micheelis W, Schiffner U (2006) The Fourth German Oral Health Study (DMS IV). Institut der Deutschen Zahnärzte (Hrsg.); (IDZ Materialienreihe Band 31). Deutscher Zahnärzte Verlag DÄV, Köln
39.
go back to reference Jordan RA, Micheelis W (2016) The Fifth German Oral Health Study (DMS V). Institut der Deutschen Zahnärzte (Hrsg.); (IDZ Materialienreihe Band 35). Deutscher Zahnärzte Verlag DÄV, Köln [in German] Jordan RA, Micheelis W (2016) The Fifth German Oral Health Study (DMS V). Institut der Deutschen Zahnärzte (Hrsg.); (IDZ Materialienreihe Band 35). Deutscher Zahnärzte Verlag DÄV, Köln [in German]
Metadata
Title
Oral health-related quality of life depending on dental and periodontal health in different patients before and after liver transplantation
Authors
Gerhard Schmalz
Anja Meisel
Otto Kollmar
Anne Kauffels
Jan E. Slotta
Tanja Kottmann
Rainer Haak
Dirk Ziebolz
Publication date
01-06-2018
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 5/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-017-2298-5

Other articles of this Issue 5/2018

Clinical Oral Investigations 5/2018 Go to the issue