Impact of systemic diseases on oral health related quality of life after implant-prosthodontic rehabilitation
Abstract
Background: Implant-prosthodontic rehabilitation improves oral health related quality of life (OHRQoL), but the presence of systemic diseases can also affect the well-being of an individual.
The study was carried out to determine the relationship between systemic diseases and OHRQoL after implant-prosthodontic rehabilitation on the basis of psychometric testing by a standardized questionnaire »Oral Health Impact Profile« (OHIP).
Methods: 130 patients, who received one to eight Ankylos® implants (on average 2.6 ± 1.8) were included in this retrospective study in which all aspects of the OHRQoL construct were evaluated with a Slovenian version of the OHIP questionnaire. Data on all present systemic diseases were obtained from the existing health records. Dental status and dental restorations were identified on the basis of orthopantomographic images.
Results: The majority of subjects had a cardiovascular disease (N = 37; 28.5 %), followed by a headache (N = 15, 11.5 %), allergies and asthma (n = 13, 10 %), and a rheumatic disease (N = 11, 8.5 %). Only osteoporosis was statistically significantly related to OHRQoL after implant-prosthodontic rehabilitation (p = 0.024). The best multiple linear regression model for the summary score for the questionnaire »Oral Health Impact Profile« for Slovenia (OHIP), and taking into account gender and age as confounding factors, included the number of remaining teeth and the presence of osteoporosis (p = 0.003, adjusted R2 = 0.104).
Conclusions: The total number of remaining teeth in the oral cavity (p = 0.031), the presence of osteoporosis (p = 0.024), and taking into account the subject’s gender and age, are the most important clinical factors that affect the functioning of the SGS as well as psychosocial behavior of the patients after an implant-prosthodontic rehabilitation (adjusted R2 = 0.104). Other systemic diseases (cardiovascular disease, headache, allergies and asthma, rheumatic disease, obesity, gastritis, diabetes, thyroid disease) did not statistically significantly correlate with the OHRQoL concept.
Downloads
References
Cohen LK, Jago JD. Toward the formulation of sociodental indicators. Int J Health Serv 1976; 6: 681−98.
Inglehart MR, Bagramian R. Oral Health-Related Quality of Life. Chicago: Quintessence Pub; 2002.
Locker D. Measuring oral health: A conceptual framework. Community Dental Health. 1988; 5: 5−13.
Gilbert GH, Duncan RP, Heft MW, Dolan TA, Vogel WB. Multidimensionality of oral health in dentate adults. Med Care 1998; 36: 988−1001.
Rener–Sitar K, Celebić A, Petricević N, Papić M, Sapundzhiev D, Kansky A, Marion L, Kopac I, Zaletel–Kragelj L. The Slovenian version of the Oral Health Impact Profile Questionnaire (OHIP-SVN): translation and psychometric properties. Coll Antropol 2009; 33: 1177−83.
Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health 1994; 11: 3−11.
Celebic A, Knezovic–Zlataric D. A comparison of patient’s satisfaction between complete and partial removable denture wearers. J Dent 2003; 31: 445−51.
Celebic A, Knezovic–Zlataric D, Papic M, Carek V, Baucic I, Stipetic J. Factors related to patient satisfaction with complete denture therapy. J Gerontol A Biol Sci Med Sci 2003; 58: M948−53.
Zaletel–Kragelj L, Erzen I, Fras Z. Interregional differences in health in Slovenia. I. Estimated prevalence of selected cardiovascular and related diseases. Croat Med J 2004; 45: 637−43.
Zaletel–Kragelj L, Erzen I, Fras Z. Interregional differences in health in Slovenia. II. Estimated prevalence of selected behavioral risk factors for cardiovascular and related diseases. Croat Med J 2004; 45: 644−50.
Zaletel–Kragelj L, Pahor M, Bilban M. Identification of population groups at very high risk for frequent perception of stress in Slovenia. Croat Med J 2005; 46: 137−45.
Centers for Disease Control and Prevention. Health and Aging Chartbook. DHHS publication PHS 99–1232–1. Washington, DC: Centers for Disease Control and Prevention, 1999.
US Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General-Executive Summary Rockville, MD: US Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institute of Health, 2000.
Gift HC, Atchison KA. Oral health, health, and health-related quality of life. Med Care 1995; 33: NS57−7.
Kiyak HA. Successful aging: implications for oral health. J Public Health Dent 2000; 60: 276−81.
Leigh WA, Lindquist MA. Women of Color Health Data Book. NIH Publication No. 98–4247. Hyattsville, MD: Office of Research on Women’s Health, US Department of Health and Human Services, 1998.
Ali A, Tonner BB. Gender differences in depressive response: The role of social support. Sex Roles 1996; 35: 281−93.
Wizeman TM, Pardue ML (eds). Exploring the biological contributions to human health-Does sex matter? Washington, DC: National Academy Press, 2001.
Redford M. Beyond pregnancy gingivitis: bringing a new focus to women’s oral health. J Dent Educ 1993; 57: 742−8.
Redford M, Drury TF. Gender differences in oral disease patterns among US adults. J Dent Res 1997; 76: 373.
Lipton JA, Ship JA, Larach-Robinson D. Estimated prevalence and distribution of reported orofacial pain in the United States. J Am Dent Assoc 1993; 124: 115−21.
Swank ME, Vernon SW, Lairson DR. Patterns of preventive dental behavior. Public Health Rep 1986; 101: 175−84.
Proffit WR, Phillips C, Dann C 4th. Who seeks surgical-orthodontic treatment?. Int J Adult Orthodon Orthognath Surg 1990; 5: 153−60.
McGrath C, Bedi R. Gender variation in the social impact of oral health. J Ir Dent Assoc 2000; 46: 87−91.
Allen PF, McMillan AS. The impact of tooth loss in a denture wearing population: an assessment using the Oral Health Impact Profile. Community Dent Health 1999; 16: 176−80.
Steele JG, Sanders AE, Slade GD, Allen PF, Lahti S, Nuttall N, Spencer AJ. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Community Dent Oral Epidemiol 2004; 32: 107−14.
Jones JA, Orner MB, Spiro A 3rd, Kressin NR. Tooth loss and dentures: patients’ perspectives. Int Dent J 2003; 53: 327−34.
Assunção WG, Barão VA, Delben JA, Gomes EA, Tabata LF. A comparison of patient satisfaction between treatment with conventional complete dentures and overdentures in the elderly: a literature review. Gerodontology 2009; 27: 154−62.
Zani SR, Rivaldo EG, Frasca LC, Caye LF. l health impact profile and prosthetic condition in edentulous patients rehabilitated with implant-supported overdentures and fixed prostheses. J Oral Sci 2009; 51: 535−43.
Heydecke G, Locker D, Awad MA, Lund JP, Feine JS. Oral and general health-related quality of life with conventional and implant dentures. Community Dent Oral Epidemiol 2003; 31: 161−8.
Heydecke G, Boudrias P, Awad MA, de Albuquerque RF, Lund JP, Feine JS. Within-subject comparisons of maxillary fixed and removable implant prostheses. Clin Oral Implants Res 2003; 14: 125−30.
Peñarrocha M, Carrillo C, Boronat A, Martí E. Level of satisfaction in patients with maxillary full-arch fixed prostheses: zygomatic versus conventional implants. Int J Oral Maxillofac Implants 2007; 22: 769−73.
Petricevic N, Celebic A, Rener-Sitar K. Improvement of patient’s satisfaction and oral health-related quality of life by the implant and prosthodontic treatment. In: Mandeep SV, eds. Oral Health Care-Prosthodontics, Periodontology, Biology, Research and Systemic Conditions. InTech 2012.
NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis: prevention, diagnosis and treatment. J Am Med Assoc 2001; 285: 785−95.
Mellado-Valero A, Ferrer-García JC, Calvo-Catalá J, Labaig-Rueda C. Implant treatment in patients with osteoporosis. Med Oral Patol Oral Cir Bucal 2010; 15: 52−7.
Duarte PM, César Neto JB, Gonçalves PF, Sallum EA, Nociti FH. Estrogen deficiency affects bone healing around titanium implants: a histometric study in rats. Implant Dent 2003; 12: 340−6.
Giro G, Gonçalves D, Sakakura CE, Pereira RM, Marcantonio Júnior E, Orrico SR. Influence of estrogen deficiency and its treat- ment with alendronate and estrogen on bone density around os- seointegrated implants: radiographic study in female rats. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105: 162−7.
Slagter KW, Raghoebar GM, Vissink A. Osteoporosis and edentulous jaws. Int J Prosthodont 2008; 21: 19−26.
Amorim MA, Takayama L, Jorgetti V, Pereira RM. Comparative study of axial and femoral bone mineral density and parameters of mandibular bone quality in patients receiving dental implants. Osteoporos Int 2007; 18: 703−9.
Friberg B, Ekestubbe A, Mellström D, Sennerby L. Brånemark implants and osteoporosis: a clinical exploratory study. Clin Implant Dent Relat Res 2001; 3: 50−6.
Serra MP, Llorca CS, Donat FJ. Oral implants in patients receiv- ing bisphosphonates: a review and update. Med Oral Patol Oral Cir Bucal 2008; 13: 755−60.
Gómez Font R, Martínez García ML, Olmos Martínez JM. Os- teochemonecrosis of the jaws due to bisphosphonate treatments. Up- date. Med Oral Patol Oral Cir Bucal 2008; 13: 318−24.
Bisphosphonates and depressive reactions. Dosegljivo na spletu oktobra 2013. Dosegljivo na: www.lareb.nl/LarebCorporateWebsite/media/publicaties/kwb_2010_4_bisfo.pdf
Ling HC. The Association of Oral Health Condition and Systematic Diseases with Oral Health-Related Quality of Life in Institutionalized Elderly. Dosegljivo na: http://thinktank.stpi.narl.org.tw/English/Research_Resource/Pages/1108343–20120326–4.aspx
Blomberg S. Psychiatric aspects of patients treated with bridges on osseointegrated fixtures. Swed Dent J Supp 1985; 28: 183−92.
Albrektsson T, Blomberg S, Brånemark A, Carlsson GE. Edentulousness—an oral handicap. Patient reactions to treatment with jawbone-anchored prostheses. J Oral Rehabil 1987; 14: 503−11.
Baba K, Igarashi Y, Nishiyama A, John MT, Akagawa Y, Ikebe K, Ishigami T, Kobayashi H, Yamashita S. The relationship between missing occlusal units and oral health-related quality of life in patients with shortened dental arches. Int J Prosthodont 2008, 21: 72−4.
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
