Impact of Fixed Dental Prosthesis on Oral Health Related Quality of Life (OHRQOL)

Seema  Khattak; Muzammal Maqsood  Butt; Asifa   Abbas; Khadija  Irshad; Saad   Khan; Madiha  Shahbaz

doi:10.51253/pafmj.v76iSUPPL-1.13479

Authors

Seema Khattak Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Muzammal Maqsood Butt Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Asifa Abbas Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Khadija Irshad Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Saad Khan Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Madiha Shahbaz Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-1.13479

Keywords:

Fixed Dental Prosthesis, Oral Health-Related Quality of Life, Ohip-14, Oral Hygiene Practice

Abstract

Objective: To determine the current oral health-related quality of life (OHRQoL) in patients with fixed dental prostheses (FDPs) using a standardized questionnaire.

Study Design: Analytical cross-sectional study.

Place and Duration of Study: Armed Forces Institute of Dentistry (AFID), Rawalpindi Pakistan, from Sep 2024 to Feb 2025.

Methodology: Adults over the age of 25, having FDPs, were asked to fill a questionnaire available in both English and Urdu languages. Socio demographic characteristics, prosthesis details, and oral health-related quality of life (OHRQoL) were assessed by 14 questions of OHIP-14. Scores were classified as good (0–28) or poor (29–56) and statistical testing was performed by using Statistical Package for the Social Sciences (SPSS).

Results: Out of 263 participants, 49.04% reported good OHRQoL, while 50.95% reported poor OHRQoL, low education (31.18% poor OHRQoL in matriculators versus 5.32% in postgraduates, p<0.001) and unemployment (26.99% versus 19.01% employed) were significantly associated with poor OHRQoL (p=0.047). Duration of prosthesis demonstrated a U-shape pattern displaying good OHRQoL during first year (18.25%) and after 10 years (5.32%) with lower outcomes during 1–10 years (p<0.001) with occurrence of broken teeth (38.78% with poor OHRQoL, p<0.001) significantly related to poor OHRQoL.

Conclusion: Almost half of FDP patients exhibited compromised OHRQoL associated with lower educational attainment, unemployment, and oral pathological conditions including toothache, periodontal disease, and broken teeth.

Downloads

Download data is not yet available.

References

1. Castillo-Oyagüe R, Río-Highsmith JD, Preciado-Uribe A, Lynch CD, García-Minguillán G. Role of the modulating factors on the self-perceived OHRQoL of fully dentate subjects and wearers of screw-retained and cement-retained implant-supported FPDs: a cross-sectional study. J Dent 2022; 117: 103887.

https://doi.org/10.1016/j.jdent.2021.103887

2. Parmar RP, Bakutra GV, Vishnoi SL, Nadig P, Rana R. Awareness and oral health related quality of life (OHRQoL) in patients with dental implants compared to tooth supported FPD: a questionnaire study. J Oral Biol Craniofac Res 2024; 14(3): 252-256.

https://doi.org/10.1016/j.jobcr.2024.03.007

3. Alam M, Adhikari G, Chaudhary S, Maharjan A. Oral health-related quality of life after fixed partial denture among patients visiting a tertiary care hospital. Annapurna J Health Sci 2024; 4(1): 18-21.

https://doi.org/10.52910/ajhs.148

4. Assery MK, Ingle NA, Baseer MA, Alsaffan AD, Alkahtani FH, Al Sanea JA, et al. Oral health status, treatment needs and oral health related quality of life among hearing impaired adults in Riyadh City, Saudi Arabia. J Contemp Dent Pract 2019; 20(6): 743-749.

https://doi.org/10.5005/jp-journals-10024-2590

5. Al Shammery F. Self-reported oral health-related quality of life among female adolescent students in Riyadh City, Saudi Arabia. Int J Oral Care Res 2021; 9(2): 43-48.

6. Kern JS, Kern T, Wolfart S, Heussen N. A systematic review and meta-analysis of removable and fixed implant-supported prostheses in edentulous jaws: post-loading implant loss. Clin Oral Implants Res 2016; 27(2): 174-195.

https://doi.org/10.1111/clr.12531

7. Kc Basnyat S, Sapkota B, Shrestha S. Oral hygiene and gingival health in patients with fixed prosthodontic appliances - a six month follow-up. Kathmandu Univ Med J (KUMJ) 2015; 13(52): 328-332.

https://doi.org/10.3126/kumj.v13i4.16832

8. Ortolan SM, Viskić J, Stefancić S, Sitar KR, Vojvodić D, Mehulić K. Oral hygiene and gingival health in patients with fixed prosthodontic appliances--a 12-month follow-up. Coll Antropol 2012; 36(1): 213-220.

9. Bandela V, Munisekhar MS, Patil SR, Nagarajappa AK, Faruqi S, Metta KK, et al. Oral health-related quality of life (OHRQoL) in patients with dental prosthesis. Pesqui Bras Odontopediatria Clin Integr 2020; 20: e095.

https://doi.org/10.1590/pboci.2020.095

10. Ortíz-Barrios LB, Granados-García V, Cruz-Hervert P, Moreno-Tamayo K, Heredia-Ponce E, Sánchez-García S. The impact of poor oral health on the oral health-related quality of life (OHRQoL) in older adults: the oral health status through a latent class analysis. BMC Oral Health 2019; 19(1): 141.

https://doi.org/10.1186/s12903-019-0840-3

11. Naz A, Musharraf H, Jawad A, Zia K, Kumar B, Lone MA. Assessment of failure of prosthesis in fixed prosthodontics among patients reporting to a teaching dental hospital of Karachi. J Pak Dent Assoc 2020; 29(3): 105-109.

https://doi.org/10.25301/JPDA.293.105

12. Alrumyyan A, Quwayhis S, Meaigel S, Almedlej R, Alolaiq R, Bin Nafesah R, et al. Oral health-related quality of life and oral hygiene practice of adults with fixed dental prostheses in Riyadh, Saudi Arabia. J Int Soc Prev Community Dent 2020; 10(1): 62-68.

https://doi.org/10.4103/jispcd.JISPCD_347_19

13. Özhayat EB, Gotfredsen K. Oral health-related quality-of-life in patients to be treated with fixed or removable partial dental prostheses. Acta Odontol Scand 2013; 71(1): 113-119.

https://doi.org/10.3109/00016357.2011.654249

14. AlSaggaf AU, Alqutub A, Almasri Z, Khalifah F, Khuzaee F, Aljuaid A, et al. Oral health-related quality of life improvement after treatment with fixed and removable dental prostheses. Cureus 2024; 16(1): e71013.

https://doi.org/10.7759/cureus.71013

15. Techapiroontong S, Limpuangthip N, Tumrasvin W, Sirotamarat J. The impact of poor dental status and removable dental prosthesis quality on body composition, masticatory performance and oral health-related quality of life: a cross-sectional study in older adults. BMC Oral Health 2022; 22(1): 101.

https://doi.org/10.1186/s12903-022-02103-7

16. Deeb MA, Abduljabbar T, Vohra F, Zafar MS, Hussain M. Assessment of factors influencing oral health-related quality of life (OHRQoL) of patients with removable dental prosthesis. Pak J Med Sci 2020; 36(2): 213-218.

https://doi.org/10.12669/pjms.36.2.1257

17. Kurosaki Y, Kimura-Ono A, Mino T, Arakawa H, Koyama E, Nakagawa S, et al. Six-year follow-up assessment of prosthesis survival and oral health-related quality of life in individuals with partial edentulism treated with three types of prosthodontic rehabilitation. J Prosthodont Res 2021; 65(3): 332-339. https://doi.org/10.2186/jpr.JPR_D_20_00095

18. Khubchandani S, Bhoyar A, Dahane TM, Sathe S, Godbole S, Pisulkar SK. Masticatory ability and oral health related quality of life in partially edentulous patients involving posterior teeth after rehabilitation with tooth-supported fixed dental prosthesis. J Pharm Res Int 2021; 33(45A): 426-431.

https://doi.org/10.9734/jpri/2021/v33i45A32762

19. Duong H, Roccuzzo A, Stähli A, Salvi GE, Lang NP, Sculean A. Oral health-related quality of life of patients rehabilitated with fixed and removable implant-supported dental prostheses. Periodontol 2000 2022; 88(1): 201-237.

https://doi.org/10.1111/prd.12419

20. Xuereb A, Al-Ezzi M, Seoudi N. Oral health-related quality of life in patients received fixed prosthesis on implants or natural teeth: comparative analysis. Ahram Can Dent J 2023; 2(2): 1-8.

https://doi.org/10.21608/acdj.2023.202978.1002