Impact on the Quality of Life of Older Adults Who Use Inadequate Dental Prostheses: A Cross-Sectional Study
Keywords:
Quality of Life, Oral Health, Aged, Dental ProsthesisAbstract
Objective: To investigate the impact of inadequate prostheses on older adult’s quality of life at the Integrated Health Center for Older Adults in the northeastern city of Brazil. Material and Methods: A cross-sectional study involving 147 older adults aged 60-90 years old in João Pessoa, Brazil. Interviews and oral examinations were carried out to collect demographic characteristics (age and gender) and clinical dental measures (use of inadequate upper and/or lower dental prosthesis) and Oral Health Impact Profile (OHIP-14 Questionnaire). The Pearson Chi-square and Fisher’s exact tests were used to evaluate the association between the OHIP-14 dimensions and the use of unsatisfactory prostheses (p<0.05). Results: The sample consisted of 90.5% of women being a mean age of 69.86 (± 6.60) years. Individuals with inadequate prostheses had a higher impact on quality of life, with a predominant prevalence ratio for developing physical pain (PRR = 3.52; CI = 4.69-2.65), psychological discomfort (PRR = 5.0; CI = 5.85- 4.26) and psychological inability (PRR = 1.71; CI = 2.56-1.14). Conclusion: The use of inadequate prostheses had a negative impact on the quality of life of the older adult population. Therefore, services, which provide health care for older adults, should overcome this reality by providing broad access to oral rehabilitation that is appropriate to the needs of each individual.
References
Sheiham A. Oral health, general health and quality of life. Bull World Health Organ 2005; 83(9):644. https://doi.org//S0042-96862005000900004
Niesten D, van Mourik K, van der Sanden W. The impact of having natural teeth on the QoL of frail dentulous older people. A qualitative study. BMC Public Health 2012; 12:839. https://doi.org/10.1186/1471-2458-12-839
Bulgareli JV, Faria ET, Cortellazzi KL, Guerra LM, Meneghim MC, Ambrosano GMB, et al. Factors influencing the impact of oral health on the daily activities of adolescents, adults and older adults. Rev Saúde Pública 2018; 52:44. https://doi.org/10.11606/s1518-8787.2018052000042
Skaar DD, O’ Connor H. Dental service trends for older US adults, 1998-2006. Spec Care Dentist 2012; 32(2):42-8. https://doi.org/10.1111/j.1754-4505.2012.00239.x
Guerra MJC, Greco RM, Leite ICG, Ferreira e Ferreira E, de Paula MV. Impact of oral health conditions on the quality of life of workers. Ciênc Saúde Coletiva 2014; 19(12):4777-86. https://doi.org/10.1590/1413-812320141912.21352013
Jenei A, Sándor J, Hegedus C, Bágyi K, Nagy L, Kiss C, et al. Oral health-related quality of life after prosthetic rehabilitation: a longitudinal study with the OHIP questionnaire. Health Qual Life Outcomes 2015; 13:99. https://doi.org/10.1186/s12955-015-0289-2
Polzer I, Schawahn C, Volzke H, Mundt T, Biffar R. The association of tooth loss with all-cause and circulatory mortality. Is there a benefit of replaced teeth? A systematic review and meta-analysis. Clin Oral Investig 2012; 16(2):333-51. https://doi.org/10.1007/s00784-011-0625-9
Silva DD, Held RB, Torres SVS, Sousa MLR, Neri AL, Antunes JLF. Autopercepção da saúde bucal em idosos e fatores associados em Campinas, SP, 2008-2009. Rev Saúde Pública 2011; 45(6):1145-53. https://doi.org/10.1590/S0034-89102011005000068
Carvalho MV, Iglesias DP, do Nascimento GJ, Sobral AP. Epidemiological study of 534 biopsies of oral mucosal lesions in elderly Brazilian patients. Gerodontology 2011; 28(2):111-5. https://doi.org/10.1111/j.1741-2358.2010.00370.x
Martins AMEBL, Barreto SM, Silveira MF, Santa-Rosa TTA, Pereira RD. Self-perceived oral health among Brazilian elderly individuals. Rev Saúde Pública 2010; 44(5):912-22. https://doi.org/10.1590/S0034-89102010005000028
Nunes CL, Abegg C. Factors associated with oral health perception in older Brazilians. Gerodontology 2008; 25(1):42-8. https://doi.org/10.1111/j.1741-2358.2007.00163.x
Machado FCA, Costa APS, Pontes ALB, Lima KC, Ferreira MAF. Daily difficulties associated with full conventional dentures. Ciênc Saúde Coletiva 2013; 18(10):3091-100. https://doi.org/10.1590/S1413-81232013001000034
Critchlow SB, Ellis JS. Progostic indicators for conventional complete denture therapy: a review of literature. J Dent 2010; 38(1):2-9. https://doi.org/10.1016/j.jdent.2009.08.004
Bagewitz IC, Soderfeldt B, Palmqvist S, Nilner K. Oral prostheses and oral health- related quality of life: a survey study of an adult Swedish population. Int J Prosthodont 2007; 20(2):132-42.
Shigli K, Hebbal M. Assessment of changes in oral health related quality of life among patients with complete denture before and 1-month post-insertion using Geriatric Oral Health Assessment Index. Gerodontology 2010; 27(3):167- 73. https://doi.org/10.1111/j.1741-2358.2009.00323.x
Komagamine Y, Kanazawa M, Kaiba Y, Sato Y, Minakuchi S, Sasaki Y. Association between self-assessment of complete dentures and oral health-related quality of life. J Oral Rehabil 2012; 39(11):847-57. https://doi.org/10.1111/joor.12004
Kotciuk L, Godlewskie T. Oral health-related quality of life of patients using removable dentures – review of literature. Dent Med Probl 2015; 52(2):222-6.
Pucca GA Jr, Gabriel M, de Araújo ME, de Almeida FC. Ten years of national oral health policy in Brazil: innovation, boldness, and numerous challenges. J Dent Res 2015; 94(10):1333-7. https://doi.org/10.1177/0022034515599979
Brasil. Ministério da Saúde. Portaria no. 599, de 24 de março de 2006. Define a implantação de Especialidades Odontológicas (CEO) e de Laboratórios Regionais de Próteses Dentárias (LRPDs) e estabelecer critérios, normas e requisitos para seu credenciamento. Diário Oficial da União 24 mar. 2006. [In Portuguese]
Rebelo MAB, Emmi DT, Herkrath FJ, Meira GF, Goes PSA, Vettore MV. Need of dental prosthesis in older people and the offer of specialized care in the Unified Health System, Brazil. Pesqui Bras Odontopediatria Clín Integr 2018; 18(1):e3201. https://doi.org/10.4034/PBOCI.2018.181.38
Chaves SCL, Almeida AMFL, Rossi TRA, Santana SF, Barros SG, Santos CML. Oral health policy in Brazil between 2003 and 2014: scenarios, proposals, actions, and outcomes. Ciênc Saúde Coletiva 2017; 22(6):1791-803 https://doi.org/10.1590/1413-81232017226.18782015
Soares FF, Chaves SCL, Cangussu MCT. Local government and public dental health services: an analysis of inequality in use. Cad Saúde Pública 2015; 31(3):586-96. https://doi.org/10.1590/0102-311x00077214
Scott BJ, Hunter RV. Creating complete dentures that are stable in function. Dent Update 2008; 35(4):259-62, 265-7. https://doi.org/10.12968/denu.2008.35.4.259
Vandenbroucke JP, von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Int J Surg 2014; 12(12):1500-24. https://doi.org/10.1016/j.ijsu.2014.07.014
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Coordenação de Saúde Bucal. Projeto SB Brasil 2010. Resultados Principais. Brasília: MS; 2010. [In Portuguese]
World Health Organization. Oral Health Surveys: Basic Methods. 4th ed. Geneva: WHO; 1997.
Slade GD, Spencer AJ. Development and evaluation of oral health impact profile. Community Dent Health 1994; 11(1):3-11.
Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the Oral Health Impact Profile- short form. Community Dent Oral Epidemiol 2005; 33 (4):307-14. https://doi.org/10.1111/j.1600-0528.2005.00225.x
Slade GD. Derivation and validation of a short-form Oral Health Impact Profile. Community Dent Oral Epidemiol 1997; 25(4):284-90. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
Locker D. Measuring oral health: a conceptual framework. Community Dent Health 1988; 5 (1):3-18.
Brasil. Ministério da Saúde (MS). Secretaria de Políticas de Saúde. Departamento de Atenção Básica. Coordenação Nacional de Saúde Bucal. Projeto SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: Manual da Equipe de Campo. Brasília: MS; 2009. [In Portuguese]
Baldani MH, Brito WH, Lawder JAC, Mendes YBE, Silva FFM, Antunes JLF. Individual determinants of dental care utilization among low-income adult and elderly individuals. Rev Bras Epidemiol 2010; 13(1):150-62. https://doi.org/10.1590/S1415-790X2010000100014
Silva MES, Villaça EL, Magalhães CS, Ferreira EF. Impact of tooth loss in quality of life. Ciênc Saúde Coletiva 2010; 15(3):841-50 https://doi.org/10.1590/S1413-81232010000300027
Valim-Rogatto PC, Rogatto GP, Candolo C, Machado AA, Brêtas ACP. Participação de idosos em atividades físicas, sociais, educacionais e em serviços de saúde de centro de convivência: diferença entre sexos. Coleção Pesqui Educ Fís 2010; 9(3):169-76. [In Portuguese]
Freitas JB, Gomez RS, de Abreu MH, Ferreira e Ferreira E. Relationship between the use of full dentures and mucosal alterations among elderly Brazilians. J Oral Rehabil 2008; 35(5):370-4. https://doi.org/10.1111/j.1365-2842.2007.01782.x
Sheppard IM, Schwartz LR, Sheppard SM. Oral status of edentulous and complete denture-wearing patients. J Am Dent Assoc 1971; 83(3):614-20. https://doi.org/10.14219/jada.archive.1971.0376
Bilhan H, Erdogan O, Ergin S, Celik M, Ates G, Geckili O. Complication rates and patient satisfaction with removable dentures. J Adv Prosthodont 2012; 4(2):109-15. https://doi.org/10.4047/jap.2012.4.2.109
Fouda SM, Al-Attar MS, Virtanen JI, Raustia A. Effect of patient’s personality on satisfaction with their present complete denture and after increasing the occlusal vertical dimension: a study of edentulous Egyptian patients. Int J Dent 2014; 2014:1-7. https://doi.org/10.1155/2014/635943
Orestes-Cardoso S, Passos KKM, Nascimento SLC, Melo MVS, Trindade MO. Ideational representations of edentulism and prosthetic rehabilitation from the point of view of the elderly. Rev Bras Prom Saúde 2015; 28(3):394- 401.
Medeiros SL, Ponte MPB, Júnior-Magalhães HV. Self-perception of chewing ability in elderly. Rev Bras Geriatr Gerontol 2014; 17(4):807-17. https://doi.org/10.1590/1809-9823.2014.13150
Bortoli FR, Moreira MA, Moretti-Pires RO, Botazzo C, Kovaleski DF. Perception of oral health in women with extensive dental losses. Saúde Soc 2017; 26 (2):533-44. https://doi.org/10.1590/s0104-12902017162160
Arizola HGA, Brescovici SM, Delgado SE, Ruschle CK. Face changes on patients after aesthetic speech therapy treatment in school-practice of speech therapy. Rev CEFAC 2012; 14(6):1167-82. https://doi.org/10.1590/S1516-18462012005000041
Friedman N, Landesman HM, Wexler M. The influences of fear, anxiety, and depression on the patient’s adaptive responses to complete dentures. Part I. J Prosthet Dent 1987; 58(6):687-9. https://doi.org/10.1016/0022-3913(87)90419-7
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 Invest 2013; 17(6):1471-80. https://doi.org/10.1007/s00784-012-0834-x
Ribeiro JAM, Resende CMBM, Lopes ALC, Farias-Neto A, Carreiro AFP. The influence of mandibular ridge anatomy on treatment outcome with conventional complete dentures. Acta Odontol Latinoam 2014; 27(2):53-7.
Costa AP, Machado FC, Pereira AL, Carreiro AFP, Ferreira MA. Technical quality and satisfaction related to full conventional dentures. Ciênc Saúde Colet 2013; 18(2):453-60. https://doi.org/10.1590/s1413-81232013000200016
Carlsson GE, Omar R. The future of complete dentures in oral rehabilitation. A critical review. J Oral Rehabil 2010; 37(2):143-56. https://doi.org/10.1111/j.1365-2842.2009.02039.x
Aguiar VR, Celeste RK. The need for, and allocation of, regional prosthodontics laboratories in Brazil: an exploratory study. Ciênc Saúde Coletiva 2015; 20(10):3121-8. https://doi.org/10.1590/1413-812320152010.18212014
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