Quality of life of patients with total loss of teeth and psychometric properties of the OHIP-20 DG enquireR. Part 2. Monitoring stages of dental orthopedic treatment

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Abstract

BACKGROUND: The most affordable and economical types of prosthetics are modern designs of completely removable plate prostheses. However, in most cases, they do not meet the patient’s expectation. OHIP-20-DG, which is a specific quality-of-life (QOL) questionnaire, is a valid tool that allows diagnosis of patient’s response to treatment, assessment of the effectiveness of prosthetics, and better understanding of patients’ complaints and dissatisfaction.

AIM: To create a sensitive specific questionnaire of dental QOL indicators for patients with total loss of teeth based on the well-known valid questionnaire “Dental health impact profile” OHIP-49 and to examine patients’ quality of life before and after prosthetic application.

MATERIAL AND METHODS: The QOL of 50 patients with total loss of teeth (17 women and 33 men, aged 42–87 years), who received removable dentures with an acrylic polymer base and set teeth, was examined. QOL monitoring was performed using the proposed specific questionnaire OHIP-20 DG.

RESULTS: The integral QOL index increased to 47.42% after prosthetic application and to 78.43% following adaptation to the prosthesis after 6 months. Age and gender differences in the QOL level of patients were determined. According to the domains “physical discomfort,” “psychological discomfort,” and “social maladjustment,” men and women assessed their satisfaction with their physical, psychological, emotional, and social functioning differently. Gender differences in patients aged ≥55 years in the “psychological discomfort” and “social maladjustment” domains were significant (p=0.065) when compared with those of patients aged <55 years (p=0.115).

CONCLUSION: Results of monitoring the QOL of patients with total loss of teeth before, during the stages, and after application of prosthetics with fully removable dentures, obtained using the OHIP-20 DG questionnaire, allow us to reliably assess the effectiveness of prosthetics.

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About the authors

Sergey D. Arutyunov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: sd.arutyunov@mail.ru
ORCID iD: 0000-0001-6512-8724
SPIN-code: 1052-4131
Scopus Author ID: 6601980084
ResearcherId: AAG-1917-2020

MD, Dr. Sci. (Med.), professor

Russian Federation, 20, Delegatskaya str., buil. 1, Moscow

Sergey A. Muslov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: muslov@mail.ru
ORCID iD: 0000-0002-9752-6804
SPIN-code: 7213-2852
Scopus Author ID: 6507596970
ResearcherId: AAK-9440-2020

Dr. Sci. (Biological, Physico-Mathematical), professor

Russian Federation, 20, Delegatskaya str., buil. 1, Moscow

Nurmukhamet S. Ruzuddinov

Al-Farabi Kazakh National University

Email: ruzuddinov@rambler.ru
ORCID iD: 0000-0001-8778-2401

MD, Cand. Sci. (Med.)

Kazakhstan, Almaty

Evgeny A. Chizhmakov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: evgeniychigmakov@yandex.ru
ORCID iD: 0000-0003-1313-3307
SPIN-code: 8122-7810

assistant

Russian Federation, 20, Delegatskaya str., buil. 1, Moscow

Dmitriy I. Grachev

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: dr.grachev@mail.ru
ORCID iD: 0000-0002-5758-7485
SPIN-code: 2307-4380
Scopus Author ID: 57216159925

MD, Cand. Sci. (Med.)

Russian Federation, 20, Delegatskaya str., buil. 1, Moscow

Yaser N. Kharakh

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: c.kharakh@gmail.com
ORCID iD: 0000-0001-7181-8211
SPIN-code: 7217-1160
Scopus Author ID: 57204823557
ResearcherId: AAI-6091-2021

MD, Cand. Sci. (Med.), associate professor

Russian Federation, 20, Delegatskaya str., buil. 1, Moscow

Grigoriy S. Nersesov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Author for correspondence.
Email: nersesov.grisha@yandex.ru
ORCID iD: 0000-0003-1682-9772

assistant

Russian Federation, 20, Delegatskaya str., buil. 1, Moscow

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Quality of life by spheres ± CI, %.

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3. Fig. 2. Integral level of quality of life before and after treatment ± CI, %.

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4. Fig. 3. Score indicators of the survey using OHIO-20 DG before (a) and after treatment (b, c).

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5. Fig. 4. Subjective perception of the quality of life by patients before and after treatment. Quartiles Q1–Q3, min, max, averages with data signatures. Box and whiskers.

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6. Fig. 5. Age of patients from the studied sample (n=50).

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7. Fig. 6. Dependence of the average score of OHIP-20 DG patients on age.

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8. Fig. 7. Dependence of the average score of OHIP-20 DG patients by age category (M±SD).

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9. Fig. 8. The average score of OHIP-20 DG patients (n=50), the domain of quality of life «Physical discomfort».

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10. Fig. 9. The average score of OHIP-20 DG patients (n=50), the domains of quality of life «Psychological discomfort» and «Social maladaptation».

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